Ke manaʻo nei ʻoe i kekahi manawa he paʻakikī iā ʻoe ke mimi, e like me kahi mea i paʻa? A i ʻole ua ʻike ʻoe i kahi koko liʻiliʻi i loko o kou mimi ma hope o kahi ulia? I kēia lā e kamaʻilio mākou e pili ana i kahi hoʻāʻo X-ray kūikawā a nā kauka e hana ai e ʻike pono i ke kumu o kēia. Ua kapa ʻia kēia he Retrograde Urethrogram, a i ʻole RUG no ka pōkole. ʻOiai he paʻakikī iki ka inoa, he maʻalahi loa ia.
I ka ʻōlelo maʻalahi, he aha ka Retrograde Urethrogram (RUG)?
He hoʻāʻo X-ray kūikawā ka Retrograde Urethrogram (RUG) e nānā ana i ka ʻōmole e puka mai ai kou mimi, ka ʻāpana a mākou e kapa nei i ke kauka ʻo 'urethra', e ʻike inā e hana pono ana ia a inā he pōʻino, poloka, a i ʻole kahi ʻiʻo ʻeha.
I ka ʻōlelo maʻalahi, ua like ia me ka holo ʻana o ka wai ma o kahi paipu wai e ʻike ai inā he mea paʻa ma kekahi wahi. Akā, ma kahi o ka wai, hoʻohana ʻia kahi wai kūikawā e lawe i kahi X-ray. Hana pinepine ʻia kēia hoʻāʻo ma nā kāne . Inā ua loaʻa iā ʻoe kahi ʻeha i kou pelvis a i ʻole ka ʻūhā, a inā paha e manaʻo ana kāu kauka ua paʻa kou urethra ma muli o ka ʻiʻo ʻeha, hiki ke hana ʻia kēia hoʻāʻo.
Āhea wau e hana ai i kahi hoʻokolohua RUG?
Hiki ke hana ʻia kēia hoʻāʻo i kekahi manawa i kahi pilikia (no ka laʻana, ma hope o kahi ulia) a i ʻole e nānā i nā hōʻailona e hoʻomau nei.
| Manawa kūpono | Wehewehena |
|---|---|
| Ma hope o kahi ulia | Inā ua loaʻa iā ʻoe kahi ʻeha ma kou pelvic a i ʻole ka ʻāpana groin, ke kahe nei ke koko mai ka urethra (kahi e puka mai ai ka mimi), a i ʻole hiki ʻole ke mimi. |
| Inā he kānalua no ka ʻūlū ʻana o ka urethra | Inā manaʻo ke kauka ua emi ka urethra (urethral stricture) ma muli o kekahi maʻi, poloka, a i ʻole ka ʻeha. |
| Ka paʻakikī ke hoʻokomo ʻana i kahi catheter | Inā pilikia ʻoe i ke hoʻokomo ʻana i kahi catheter, hana ʻia kēia hoʻāʻo e ʻike ai i ke kumu. |
| Ma mua o ke kau ʻana i kahi catheter i loko o ka ʻōpū mimi | Hana ʻia kēia hoʻāʻo e nānā i kekahi pilikia me ka urethra ma mua o ke kau ʻana i kahi catheter e hele a hiki i loko o ka ʻōpū mimi. Hana ʻia kēia e hoʻoholo ai inā palekana ke kau ʻana i ka catheter. |
He aha nā mea e hiki ke loaʻa ma kēia hoʻokolohua?
Hiki i kahi hoʻokolohua RUG ke kōkua i kāu kauka e ʻike pololei i kekahi mau pilikia e pili ana i kou urethra.
- Urethral Stricture: Inā ua ālai ʻia a ua haiki paha ka urethra ma kekahi wahi.
- Ka ālai ʻana o ka urethra: Aia kekahi kumu ʻē aʻe e ālai nei i ke kahe o ka mimi?
- Ka hōʻino ʻana i ka urethra: No ka laʻana, hiki ke nānā ʻia ka urethra no ka haki ʻana, kahi wehe ʻana i kahi ʻāpana ʻē aʻe (fistula), a i ʻole ke kūkulu ʻia ʻana o kahi ʻeke liʻiliʻi (diverticula) ma ka paia o ka paipu.
He ʻeha anei kēia hoʻāʻo?
ʻAʻole. ʻAʻole ʻeha ka hoʻāʻo RUG. Eia nō naʻe, hiki iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole i ka wā o ka hoʻāʻo a i ka wā e mimi ai ma hope. Inā ʻike ʻoe i ka ʻeha hiki ʻole ke hoʻomanawanui, pono ʻoe e haʻi koke i ke limahana lapaʻau.
Pehea e hana ʻia ai kēia hoʻāʻo?
He hana maʻalahi loa kēia. ʻAʻole pono ʻoe e hana i ka hoʻomākaukau nui no kēia. Eia ka mea e hana ʻia i ka wā o ka hoʻāʻo.
1. Ke kūlana: E kau ʻia ʻoe ma luna o kahi papaʻaina ma lalo o kahi mīkini X-ray. E noi ʻia ʻoe e kūlou i kekahi wāwae i ka ʻaoʻao. E kōkua ke limahana lapaʻau iā ʻoe e hoʻoponopono i ke kūlana e like me ka mea e pono ai.
2. Hoʻomaʻemaʻe: E hoʻomaʻemaʻe pono i ka ʻāpana a puni kāu penis me kahi hopena antiseptic (e like me ka iodine).
3. Ka Heʻe ʻana: ʻO ka mea aʻe, ua hoʻopili ʻia kahi lubricant heʻe ʻana ma ka puka o kāu penis e hoʻheʻe i kou urethra. He mau minuke ia e hoʻomaka ai ka hopena.
4. Hoʻokomo ʻana i ka ʻōmole: A laila, hoʻokomo ʻia kahi ʻōmole liʻiliʻi loa ma ka puka o kāu penis a i loko o kou urethra ma kahi mamao pōkole. Hana mālie ʻia kēia. Inā ʻoe e manaʻo nei i kekahi ʻoluʻolu ʻole i kēia manawa, hiki iā ʻoe ke haʻi mai iā mākou.
5. Ke hoʻokomo ʻana i ka wai kūikawā (Contrast):I kēia manawa, me ka hoʻohana ʻana i kahi syringe, ua hoʻokomo mālie ʻia kahi wai kūikawā (contrast) i loko o kou urethra ma o ka ʻōmole. ʻO kēia wai ka mea e hōʻike maopopo ai i kou urethra ma nā kiʻi X-ray.
6. Ke lawe ʻana i kahi X-ray: Lawe kahi mīkini X-ray i kekahi mau kiʻi i ka neʻe ʻana o ka wai i ka ʻōpū mimi. I kekahi manawa, e noi ʻia paha ʻoe e mimi i loko o kahi pahu i hiki ke lawe ʻia nā kiʻi X-ray i ka wā e haʻalele ana ka wai i kou kino.
He mau minuke wale nō kēia kaʻina hana holoʻokoʻa, no laila ʻaʻohe kumu e makaʻu ai.
He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?
Ma hope o ka hoʻāʻo ʻana, hiki paha iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole i ka wā e mimi ai. Hiki paha iā ʻoe ke ʻike i kahi koko liʻiliʻi i loko o kou mimi. He mea maʻamau kēia a e nalo loa ia i loko o hoʻokahi lā.
ʻO ka mea nui loa, ʻo ia ka inu ʻana i ka wai he nui . E kōkua kēia i ka hoʻokahe ʻana i kekahi ʻāpana ʻokoʻa i koe mai kou kino ma o kou mimi.
Aia kekahi mau pilikia e pili ana?
He hoʻāʻo haʻahaʻa loa ka RUG, akā aia kekahi mau hopena ʻaoʻao e hiki ke hana pinepine ʻole ʻia.
- Ka maʻi ʻana.
- He hopena alerika i ka dye ʻokoʻa i hoʻohana ʻia.
- ʻO kēlā me kēia hōʻino i ka urethra a i ʻole ka mimi ʻōpū.
E hoʻomanaʻo he mea kākaʻikahi loa kēia mau mea.
Pehea e hiki ai iaʻu ke ʻike e pili ana i nā hopena?
ʻO ka manawa e pono ai e loaʻa ai kāu mau hopena e pili ana i ke kumu o kāu hana ʻana i kēia hoʻokolohua.
- I kahi pilikia: Inā loaʻa iā ʻoe kahi pilikia, e like me kahi ulia, e loaʻa koke i nā kauka nā hopena a hoʻomaka i ka lāʻau e pono ai.
- Ma lalo o nā kūlana maʻamau: A i ʻole, inā e hana ʻia ma ke ʻano he hoʻokolohua maʻamau, hiki ke hala i kekahi mau lā e loaʻa ai nā hopena.
Inā maʻamau nā hopena, ʻo ia hoʻi ke kahe nei ke wai ma o kou urethra me ke keʻakeʻa ʻole. Inā pēlā, hiki ke hana ʻia kāu mau hōʻailona e kekahi mea ʻē aʻe. Inā ʻano ʻē nā hopena, hiki ke hōʻike ua hōʻino ʻia, ua haiki, a ua ālai ʻia paha kou urethra.
I kekahi manawa, inā ʻaʻole lawa ka ʻike o ka hoʻāʻo RUG wale nō, hiki i kāu kauka ke ʻōlelo i kahi cystoscopy , kahi hoʻāʻo e hoʻohana ana i kahi kāmela e nānā i loko o ka urethra.
I ka manawa hea ʻoe e makemake ai e ʻike i ke kauka?
Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei ma hope o ka hoʻāʻo ʻana, e hoʻomaopopo pono i kāu kauka.
| Hōʻailona | Wehewehena |
|---|---|
| Paʻakikī ke mimi | Inā ʻoe e ʻeha nui i ka wā e mimi ai, a inā ʻaʻole hiki iā ʻoe ke mimi iki. |
| ʻO ka ʻoluʻolu ʻole a i ʻole ke kahe koko no ka manawa lōʻihi | Inā he ʻeha a he kahe koko paha no nā lā a ʻoi aku ma mua o hoʻokahi lā ma hope o ka hoʻāʻo ʻana. |
| Nā hōʻailona o ka maʻi | Inā ʻoe e hōʻike ana i nā hōʻailona o ka maʻi, e like me ka pehu ʻana a i ʻole ke kuni a puni ka penis. |
| Nā nīnau e pili ana i nā hopena | Inā he mau nīnau a hopohopo paha kāu e pili ana i nā hopena o kāu hōʻike hoʻāʻo. |
Leka Lawe-Home
- He hoʻāʻo X-ray maʻalahi a haʻahaʻa ka Retrograde Urethrogram (RUG) e nānā ana i nā pilikia i loko o kou urethra.
- Hiki i kēia ke ʻike i nā ālai ʻana, nā ʻūlū ʻana, a i ʻole nā hōʻino i hana ʻia e nā pōpilikia i loko o ka urethra.
- ʻAʻole ʻeha ka hoʻāʻo ʻana, akā e ʻoluʻolu iki paha ʻoe.
- He mea maʻamau ke loaʻa kahi ʻeha a me ke koko iki i ka wā e mimi ai no hoʻokahi lā ma hope o ka hoʻāʻo ʻana. E inu i ka wai he nui.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha nui, ka hiki ʻole ke mimi, ke kahe ʻana o ke koko e mau ana ma mua o hoʻokahi lā, a i ʻole ke kuni, e kamaʻilio koke me kāu kauka.
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