Ua kānalua anei kāu kauka he pilikia kou me kāu ʻōnaehana mimi a ua haʻi aku iā ʻoe e hana i kahi X-ray kūikawā e nānā iā ia? Hiki paha ke lilo i "Retrograde Pyelogram." He mea paʻakikī iki paha ke kani ʻana o ka inoa, akā he hoʻāʻo palekana loa ia e kōkua i nā kauka e hoʻomaopopo maikaʻi i kāu pilikia. No laila e hoʻomaopopo kākou i ka huikau a pau e pili ana i ia mea i kēia lā.
He aha ka Retrograde Pyelogram (RP)?
I ka ʻōlelo maʻalahi, he hoʻāʻo X-ray nō hoʻi kēia. Akā no ka loaʻa ʻana o kahi kiʻi maopopo aʻe ma mua o ka X-ray maʻamau, hoʻohana mākou i kahi wai kūikawā i kapa ʻia ʻo "contrast dye." Hoʻokaʻawale kēia dye i nā ʻāpana o kāu ʻōnaehana mimi i ke keʻokeʻo ma ke kiʻi X-ray.
ʻO ke ʻano o ka huaʻōlelo "retrograde" ma kēia ʻo ia hoʻi "e hele ana i hope." E noʻonoʻo e pili ana i ia mea, ʻo ka maʻamau, ua hana ʻia kā mākou mimi, hele i lalo i nā ureters, a laila hōʻiliʻili i loko o ka ʻōpū mimi ma mua o ka haʻalele ʻana i ke kino. Akā ma kēia hoʻāʻo, hoʻouna mākou i kēlā kala kūikawā mai lalo a luna ma o nā ureters, ʻo ia ke kū'ē i kona ala maʻamau, i nā puʻupaʻa. ʻO ia ke kumu i kapa ʻia ai ʻo "retrograde."
ʻO ka "pyelogram" he kiʻi X-ray i lawe ʻia o ka pelvis renal, kahi ʻāpana o ka puʻupaʻa e like me ka funnel kahi e hōʻiliʻili ai ka mimi. No laila, ke hui pū ʻia nā mea ʻelua, hana kēia i kahi kiʻi X-ray maopopo o ka ʻaoʻao o luna o ka ʻōnaehana urinary.
He aha ka ʻokoʻa o kēia mai kahi IVP?
Ua lohe paha ʻoe i kahi pyelogram intravenous (IVP). He X-ray nō hoʻi ia e hoʻohana ana i kahi dye. ʻO ka ʻokoʻa nui ma ke ʻano o ka hoʻokomo ʻia ʻana o ka dye i loko o ke kino.
- Intravenous Pyelogram (IVP): Maanei, hoʻokomo ʻia ka dye i loko o kahi aa koko ma ka lima. A laila hele ka dye ma ke kino holoʻokoʻa me ke koko, kānana ma o nā puʻupaʻa, a komo i loko o ka ʻōnaehana urinary, kahi e lawe ʻia ai ka X-ray.
- Pyelogram Retrograde (RP): Maanei, ua hoʻokomo pololei ʻia ka waihoʻoluʻu i loko o ke ala mimi. ʻAʻole ia e komo i loko o ke koko.
No laila, inā he maʻi allergy kekahi i ka IV dye, ʻo ke koho maikaʻi loa no lākou e hana palekana ai ʻo kēia Retrograde Pyelogram.
I kēia manawa, ua emi iki ka hoʻohana ʻana i nā hoʻokolohua IVP ma muli o nā ʻenehana hou e like me nā urograms CT, akā he mea pono loa ka hoʻokolohua RP i kekahi mau hihia kūikawā.
I nā kūlana hea e kuhikuhi ai ke kauka iā ʻoe no kēia hoʻokolohua?
Aia paha kekahi mau kumu e paipai ai kāu kauka i kēia hoʻāʻo. E nānā kākou i ke ʻano o lākou.
| Kūlana i Manaʻo ʻia | He wehewehe maʻalahi |
|---|---|
| Ka hōʻino ʻana i ke ala mimi | E nānā e ʻike inā ua hōʻino ʻia kāu mau ureters e kahi ulia a i ʻole kekahi kumu ʻē aʻe. |
| Ka pale ʻana a i ʻole ka hoʻohaiki ʻana o ke ala mimi | E nānā e ʻike inā he mea e ālai ana a i ʻole e haiki ana paha i loko o ke ala mimi. E kōkua kēia iā ʻoe e ʻike i ke ālai pololei i ke kahe ʻana o ka mimi. |
| Nā Pōhaku a i ʻole nā Puʻupuʻu | E nānā i nā pōhaku a i ʻole nā ulu kūpono ʻole i loko o nā puʻupaʻa, nā ureters, a i ʻole ka ʻōpū mimi. Hiki ke ʻike maopopo ʻia kēia mau mea me ka dye. |
| Ma ke ʻano he kōkua i nā lāʻau lapaʻau ʻē aʻe | I kekahi manawa hoʻohana ʻia ia e kiʻi i kahi kiʻi maopopo o loko o kahi ureter ma mua o ke kau ʻana i kahi stent a hana paha i kahi ureteroscopy, kahi hana e hoʻohana ai i kahi kāmela. |
E aʻo kākou i kēlā me kēia ʻanuʻu pehea e hana ʻia ai kēia hoʻāʻo.
He hoʻāʻo kēia i hana pinepine ʻia i loko o ka lumi hana o ka haukapila. E nānā kākou i ka mea e hana ʻia ana ma kēia.
Ma mua o ke Kaʻina Hana
E hāʻawi aku kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo āpau e pono ai ma mua o kou hana ʻana i kēia hoʻāʻo. E hōʻoia e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei, ʻoiai nā lāʻau hoʻokahe koko , nā maʻi allergies āu e loaʻa ai, a inā ʻoe e hāpai ana.
ʻOiai ʻo ka maʻamau ka hoʻohana ʻia ʻana o ka anesthesia no kēia, e noi ʻia ʻoe e hoʻokē ʻai i ka pō ma mua o ka hoʻāʻo. Eia kekahi, mai poina e lawe mai i kekahi e lawe iā ʻoe i ka home ma hope o ka hoʻāʻo.
I ka wā o ke kaʻina hana
E hāʻawi ʻia ʻoe i kahi lole haukapila kūikawā e ʻaʻahu ai. A laila e kau ke kauka anesthesiologist i kahi laina IV i loko o kou lima a hoʻomaʻemaʻe iā ʻoe ma o ia mea. Hana pinepine ʻia kēia ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea, e hiamoe loa ʻoe.
A laila, e hoʻokomo ke kauka urology i kahi ʻōmole lahilahi i hoʻolako ʻia me ke kāmela i kapa ʻia ʻo cystoscope i loko o kou urethra a i loko o kou ʻōpū mimi. E nānā ke kāmela ma o ia mea e ʻike ai i kahi e hoʻomaka ai nā ureters ʻelua. A laila, me ke akahele loa, e hoʻokomo ʻia kekahi ʻōmole lahilahi loa i loko o ka urethra a e hoʻokomo ʻia ka dye. Ke hoʻokomo piha ʻia ka dye, e lawe ʻia kekahi mau kukuna X. Inā he lāʻau ʻē aʻe e pono e hana ʻia, e like me ka wehe ʻana i kahi pōhaku, e hana pū ke kauka i kēlā i kēia manawa.
Ma hope o ke Kaʻina Hana
Ke pau ka hoʻāʻo ʻana, e lawe ʻia ʻoe i ka ʻāpana hoʻōla e nānā ʻia a hiki i kou ala ʻana mai ka anesthesia. Ma laila, e mālama nā limahana kahu maʻi iā ʻoe a hiki i ka hoʻi ʻana o kou hanu ʻana a me ke koko i ka maʻamau. E nānā pū lākou inā he koko i loko o kou mimi a me ka nui o ka mimi āu e holo nei. Ke maikaʻi nā mea āpau, e ʻae ʻia ʻoe e hoʻi i ka home me kāu hoa.
He aha nā pilikia a me nā pono o kēia hoʻokolohua?
Nā Pōmaikaʻi
- Kūpono no ka poʻe me nā maʻi allergies: ʻO ka pōmaikaʻi nui o kēia, ʻoiai hiki i kekahi mea maʻi i ka IV dye ke hana i kēia. No ka mea, ʻaʻole komo ka dye i loko o ke koko, ua haʻahaʻa loa ka pilikia o kahi hopena allergies.
- Ka hoʻokolokolo ʻana a me ka mālama ʻana i ka manawa like: ʻOiai e hana ana i kēia, hiki i ke kauka ke hana i nā lāʻau lapaʻau liʻiliʻi, e like me ka wehe ʻana i nā pōhaku liʻiliʻi.
- Haʻahaʻa ka ʻike ʻia ʻana o ka radiation: Haʻahaʻa iki ka nui o ka radiation i loaʻa i ke kino.
Nā Pōʻino
E like me nā hana lapaʻau āpau, aia kekahi mau pilikia, akā he hana palekana loa ka RP. ʻO nā pilikia hiki ke loaʻa:
- Nā pilikia e pili ana i ka anesthesia.
- Nā Maʻi ʻAla Mimi (UTI).
- Aia kahi manawa liʻiliʻi o ka hōʻeha iki ʻana i ka urethra a i ʻole ka mimi ʻōpū ke hoʻokomo ʻia ke kāmela.
ʻEhia ka lōʻihi e ho'ōla ai? Āhea wau e kāhea aku ai i ke kauka?
Hiki iā ʻoe ke hoʻi i ka hana a hoʻomaka hou i nā hana maʻamau i loko o kekahi mau lā. He mea nui loa ka inu ʻana i ka wai a me nā wai ʻē aʻe .
He mea nui loa: Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home, e kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila kokoke loa ʻo Emergency Department (ETU).
- Inā loaʻa iā ʻoe ke kuni.
- Inā ʻoe e haʻalulu a anu paha.
- Inā paʻakikī ke mimi.
- Inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui i ka wā e mimi ai.
- Inā piʻi aʻe ke koko i loko o ka mimi.
Mai hoʻowahāwahā i kēia mau hōʻailona. Hiki i ka mālama mua ke pale i nā pilikia.
Leka Lawe-Home
- ʻO ka Retrograde Pyelogram (RP) kahi hoʻāʻo X-ray palekana i hoʻohana ʻia no ka ʻike ʻana i nā ālai ʻana, nā pōhaku, a me nā puʻupuʻu ma ke ala mimi kiʻekiʻe (nā puʻupaʻa, nā ureters).
- He koho maikaʻi loa kēia no ka poʻe maʻi āpau i nā dyes IV.
- Ma muli o ka hana ʻia ʻana o kēia ma lalo o ka anesthesia, he mea nui e hahai pololei i nā ʻōlelo a ke kauka, e like me ka hoʻokē ʻai ʻana, a e loaʻa i kekahi e hoʻokele iā ʻoe i ka home.
- Inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ka ʻūlū, ka ʻeha nui, a i ʻole ke kahe koko nui ma hope o ka hoʻāʻo ʻana, e ʻimi koke i ke kōkua lapaʻau.
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