Ua haʻi aku anei kāu kauka iā ʻoe a i ʻole kāu keiki liʻiliʻi e pono ʻoe e hana i kahi hoʻāʻo i kapa ʻia ʻo VCUG? I kou lohe ʻana i kēlā inoa, ua manaʻo iki ʻoe i ka makaʻu a me ka ʻoluʻolu ʻole, ʻeā? He mea maʻamau loa ia. Manaʻo ka nui o ka poʻe pēlā. Akā, ʻaʻole ia he mea e makaʻu ai. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o kēia hoʻāʻo VCUG, no ke aha i hana ʻia ai, pehea e hana ʻia ai, a pehea e hoʻomākaukau ai no ia mea ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha kēia hoʻāʻo VCUG?
ʻO ka inoa piha o VCUG ʻo Voiding Cystourethrogram . ʻAe, ʻae... he paʻakikī iki ka inoa. Akā he mea maʻalahi loa ka mea e hana ʻia ma kēia. He hoʻāʻo X-ray kūikawā kēia. Nānā ia i ke ʻano o ka hana ʻana o kāu ʻōpū mimi a me ka ʻōmole e lawe ana i ka mimi mai loko mai o kāu ʻōpū mimi (urethra).
E noʻonoʻo i kā mākou ʻōnaehana mimi e like me kahi pahu wai. ʻO ka mimi i hana ʻia e nā puʻupaʻa ua hōʻiliʻili ʻia i loko o kahi pahu i kapa ʻia ʻo ka ʻōpū mimi, a i ka hiki ʻana mai o ka manawa, hoʻokuʻu ʻia ia ma o ka urethra. Pono kēia huakaʻi e hele mau ma ke ala hoʻokahi . ʻO ia hoʻi, mai luna a lalo.
Akā i kekahi manawa, ʻoi aku hoʻi i nā keiki ʻōpio, hoʻomaka kēia mimi e kahe i hope, ʻo ia hoʻi, i luna i nā puʻupaʻa. Kāhea mākou i kēia ʻano he Vesicoureteral Reflux . ʻIke nui ka hoʻāʻo VCUG inā he mau pilikia like.
Ma kēia hoʻāʻo ʻana, hoʻokomo ʻia kahi wai kūikawā (contrast dye) i loko o ka ʻōpū mimi ma o kahi paipu liʻiliʻi (catheter), a lawe ʻia kekahi mau kiʻi X-ray i ka wā e hoʻopiha a hoʻokahe ai ka ʻōpū mimi. Hoʻomaopopo maikaʻi ka wai kūikawā i nā mea āpau ma ka X-ray. Hiki i kēia i ke kauka ke ʻike pono inā e kahe ana ka mimi ma ke ala kūpono, ke ala hewa, a inā paha he mea paʻa ma kekahi wahi.
No ke aha ʻoe e pono ai e hana i kēia hoʻokolohua?
ʻO ka hapa nui o ka manawa, e ʻōlelo aku ke kauka i kahi hoʻāʻo VCUG no kekahi kumu kikoʻī. ʻAʻole lākou e hana i kēia mau hoʻāʻo me ke kumu ʻole. Eia kekahi o nā kumu nui.
- Inā loaʻa iā ʻoe nā maʻi ʻōpū mimi pinepine (UTIs): Hana ʻia kēia hoʻāʻo e ʻike i ke kumu o nā maʻi ʻōpū mimi pinepine, ʻoi aku hoʻi i nā keiki ʻōpio. ʻO kēia no ka mea inā kahe ka mimi i hope i loko o nā puʻupaʻa, hiki iā ia ke hana i kahi maʻi puʻupaʻa (pyelonephritis), kahi e hiki ai ke hōʻino i nā puʻupaʻa .
- Nā pilikia o ka ʻōnaehana mimi hānau: Hiki ke hānau ʻia kekahi mau keiki me kekahi mau loli i kā lākou ʻōnaehana mimi. I ia mau hihia, pono kēia hoʻāʻo.
- Paʻakikī ka mimi: Hiki ke hana ʻia kēia hoʻāʻo inā loaʻa iā ʻoe ka ʻeha i ka wā e mimi ai, inā manaʻo ʻoe he mau urethral strictures, a inā paʻakikī iā ʻoe ke kaohi ʻana i kāu mimi.
- Inā ua loaʻa i kekahi o kou ʻohana kēia mau pilikia: Hiki i nā maʻi e like me ka Vesicoureteral Reflux ke holo i kekahi manawa i loko o nā ʻohana.
ʻO ka mea nui loa, hāʻawi kēia hoʻāʻo i ke kauka i kahi kiʻi maopopo loa o ke ʻano o ka hana ʻana o ka ʻōnaehana mimi. ʻAe kēia iā lākou e ʻike pololei i kekahi maʻi a hoʻomaka i ka mālama ʻana ma mua o ka hōʻino ʻia ʻana o nā puʻupaʻa.
He aha ka mea e hana ʻia i ka lā o ka hoʻokolohua?
ʻAe. I kēia manawa, e nānā kākou pehea e hana ai i kēia hoʻāʻo ma kēlā me kēia ʻanuʻu. ʻO ka ʻike ʻana i kēia e hōʻemi nui i kou makaʻu. He mea kēia e lawe ai ma kahi o 30-45 mau minuke.
1. Ke hoʻololi ʻana i nā lole: ʻO ka mea mua, e noi ʻia ʻoe e wehe i kou lole komo a me nā lole komo/pālule a komo i kahi lole kūikawā i hāʻawi ʻia e ka haukapila.
2. Ke moe nei ma luna o ka papa ʻaina: A laila e moe ʻoe ma luna o kahi papa kūikawā i loko o ka lumi kahi i loaʻa ai ka mīkini X-ray. Inā he kāne ʻoe, e noi ʻia ʻoe e hoʻopaʻa pololei i kou mau wāwae, a inā he wahine ʻoe, e noi ʻia ʻoe e hoʻopaʻa i kou mau wāwae i ke kūlana peʻapeʻa (kūlou nā kuli ma nā kuli a me nā kapuaʻi o kou mau wāwae). E maʻalahi kēia i ka hiki ʻana i ka urethra.
3. Hoʻomaʻemaʻe: E hoʻomaʻemaʻe mālie ke kahu maʻi a kauka paha i kou wahi genital me ke kopa a me ka wai. A laila, e hoʻopili lākou i kahi gel hoʻomakeʻe i kahi catheter.
4. Hoʻokomo ʻana i ka catheter: ʻO kēia kahi e ʻoluʻolu ʻole ai ka hapa nui o ka poʻe. Hoʻokomo ʻia kahi paipu palupalu a lahilahi loa (catheter) ma o ka urethra a i loko o ka ʻōpū mimi. Hiki ke manaʻo ʻoluʻolu iki kēia, akā ʻaʻole ia he ʻeha. He mea ʻoluʻolu ʻole loa kēia ma hope o ka hoʻopili ʻia ʻana o ka gel numbing. A laila hoʻopaʻa ʻia ka paipu i kou ʻūhā me kahi bandage.
5. Hoʻokomo ʻana i ka dye contrast: I kēia manawa, e hoʻokomo mālie ke kauka i ka dye contrast i loko o kou ʻōpū mimi ma o ka ʻōmole. I kēia manawa, e ʻike ʻoe i kahi kaomi i loko o kou ʻōpū mimi i kona hoʻopiha ʻana.
6. Ke kiʻi ʻana i nā kiʻi X-ray: ʻOiai e piha ana kou ʻōpū mimi, ua kau ʻia kahi mīkini X-ray ma luna o kou ʻōpū a lawe i kekahi mau kiʻi. ʻAʻole hoʻopā kēia mīkini i kou kino.
7. Mimi: Ke piha loa kou ʻōpū mimi, e noi aku kāu kauka iā ʻoe e mimi. I kēlā manawa, e wehe ʻia ke catheter. Inā he kanaka makua ʻoe, e noi ʻia ʻoe e mimi i loko o kahi pahu kūikawā (bedpan/urinal). Inā he keiki liʻiliʻi ʻoe, e noi ʻia paha ʻoe e mimi ma luna o ke kāwele ma ka papa ʻaina. He mea maʻamau kēia, no laila mai hopohopo. E lawe ʻia kekahi mau kukuna X i kou wā e mimi ai.
Lawe ʻia nā kukuna X-ray i ka wā piha a me ka hakahaka o ka ʻōpū mimi, no ka mea, i kekahi manawa hiki i ka mimi ke kahe i hope i kekahi o kēia mau pae ʻelua.
Inā ʻoe e hana i kēia hoʻāʻo ma kahi keiki liʻiliʻi ...
Hiki i kēia ʻike ke lilo i mea weliweli iki no ke keiki, no laila ma ke ʻano he makuahine a makua kāne paha, he kuleana nui kāu e pāʻani ai.
- E noho me ke keiki: I ka hapanui o nā hihia, ʻae ʻia kekahi o nā mākua e noho me ke keiki i ka wā o ka hoʻāʻo.
- E haʻi mai iaʻu ma mua:E wehewehe maʻalahi, e like me, "E ke kauka, e hoʻokomo wale i kahi ʻōmole liʻiliʻi, e kau i kahi wai i loko o kou ʻōpū, a lawe i kiʻi."
- E hāʻawi i kahi mea pāʻani: E ʻae i ke keiki e paʻa i kahi mea pāʻani punahele a puke paha. E kōkua kēia i ka hoʻēmi ʻana i ka makaʻu o ke keiki.
- E mālie: E mālama i kou leo e mālie a hauʻoli. He hoʻoikaika nui kēia i ke keiki.
He aha kaʻu e hopohopo ai ma hope o ka hoʻokolohua?
Hiki iā ʻoe ke hoʻi i ka home ke pau ka hoʻāʻo. Hiki iā ʻoe ke hana i kāu mau hana maʻamau. Akā, e hana pinepine ʻia kēia mau mea i loko o kekahi a ʻelua paha lā aʻe.
| ʻAno / Hanana | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Ke kuni nei i ka wā e mimi ana | Hiki i kēia ke mau no 24-48 mau hola. E inu i ka wai he nui. E kōkua kēia i ka hoʻomaʻemaʻe koke ʻana i ka ʻōnaehana mimi a hōʻemi i ka mumū. |
| ʻAniʻoni o ka mimi | He mea maʻamau ka ʻulaʻula māmā o ka mimi, akā inā he ʻulaʻula ʻeleʻele a koko, ʻaʻole ia he mea maʻamau. |
| Pono pinepine e mimi | He mea maʻamau ka manaʻo e mimi pinepine no hoʻokahi a ʻelua paha lā ma hope o ka hoʻāʻo. E mimi koke i ka wā e manaʻo ai ʻoe e mimi . Mai kāohi. |
| Inā loaʻa iā ʻoe kēia mau mea, e kāhea koke aku i kāu kauka. | |
| Kuni a me nā anu | He hōʻailona paha kēia o kahi maʻi. |
| Mimi ʻulaʻula ʻeleʻele | Inā ʻoi aku ke kaumaha o ke kahe ʻana o ke koko ma mua o ka poni māmā. |
| ʻEha nui o ka ʻōpū lalo | Inā ʻoe e loaʻa i ka ʻeha hiki ʻole ke hoʻomanawanui. |
| ʻO ka mumū e mau ana ma mua o ʻelua lā | Inā ʻoi aku ka lōʻihi o ka mumū ma mua o 48 mau hola. |
He aha kā mākou e aʻo ai mai nā hopena?
E hoʻomākaukau ka mea radiologist nāna e kālailai i nā kiʻi X-ray i kahi hōʻike a hoʻouna aku i kāu kauka. Hiki ke hala i hoʻokahi a ʻelua paha lā.
E haʻi pololei ana kēia hōʻike iā ʻoe inā loaʻa iā ʻoe ka Vesicoureteral Reflux. Inā loaʻa iā ʻoe, e hāʻawi ʻia kahi helu mai 1 a 5 ma muli o kona koʻikoʻi. ʻO ka helu 1 ka maʻi palupalu loa, a ʻo ka helu 5 ka mea koʻikoʻi loa.
E kōkua kēia mau hopena i kāu kauka e hoʻoholo i ka mea e hana ai ma hope. Hiki ke mālama ʻia kekahi mau maʻi liʻiliʻi me ka lāʻau lapaʻau. I kekahi mau hihia koʻikoʻi, pono paha ke ʻoki ʻana. E wehewehe kāu kauka i kēia mau mea āpau iā ʻoe.
Leka Lawe-Home
- He hoʻāʻo X-ray koʻikoʻi a palekana hoʻi ka VCUG e nānā ana i ka hana o ka ʻōpū mimi a me ka urethra. He mea nui loa kēia no nā keiki e loaʻa pinepine ana i nā maʻi ʻōpū mimi.
- ʻOiai paha he ʻoluʻolu ʻole iki kēia hoʻāʻo, ʻaʻole ia he ʻeha. ʻO ka ʻoluʻolu ʻole wale nō ke hoʻokomo ʻia ka catheter.
- Inā e lawe ana kāu keiki i kēia hoʻokolohua, hiki iā ʻoe ke hōʻoluʻolu i ko lākou makaʻu ma ka hoʻomākaukau ʻana iā lākou ma mua a me ka wehewehe ʻana iā ia me ka maʻalahi.
- He mea maʻamau ka loaʻa ʻana o kahi ʻano wela iki i ka wā e mimi ai a me kahi kala poni māmā i loko o kou mimi no hoʻokahi a ʻelua paha lā ma hope o ka hoʻāʻo ʻana. E inu nui i ka wai i kēlā mau lā.
- Inā loaʻa iā ʻoe ke kuni, ke kahe koko ʻulaʻula ʻeleʻele, a i ʻole ka ʻeha ʻōpū lalo hiki ʻole ke hoʻomanawanui, e kāhea koke aku i kāu kauka.
- Inā he mau nīnau a hopohopo paha kāu, mai kānalua e nīnau i kāu kauka.
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