Yu kin dɔn gɛt sɔm prɔblɛm, pen, ɔ ɔda prɔblɛm wit yu urinary system ɛn yu dɔn go to dɔktɔ. Dɔn, di dɔktɔ go dɔn se i nid fɔ chɛk aw yu bɔdi pat dɛn lɛk yu kidni ɛn yu urethra de. Tide, wi go tɔk bɔt wan spɛshal tɛst we dɛn kin du dɛn kayn tɛm dɛn de.
Fɔ tɔk am simpul wan, wetin na Retrograde Pyelogram?
Imajin se yu want fɔ gɛt klia pikchɔ bɔt di insay pat pan yu urinary system, we na yu kidni ɛn di tiub dɛn we de kɛr urine frɔm dɛn to yu blad (ureters). Dis nɔ de we pɔsin kin si pan ɛkstrem rayt. So, insay dis tεst, dεn de injεkt wan spεshal wata we dεn kכl ‘day’ (kכntrast ejen) insay yu urethra, εn afta dat dεn de tek wan siriכs εks-ray pikchכ dεm. Di day de mek di shep fɔ yu urinary system ɛn di insay de sho klia wan pan di X-ray insay wayt.
dεn kכl dis "retrograde," biכs nכmal wan di urine de travul dכn frכm di kidni dεm. Bɔt insay dis tɛst, wi kin sɛn di day frɔm di bɔt ɔp, na di ɔda say we di urine de. Na dat di nem min. "pyelogram" na pikchכ we dεn tek fכ di men pat pan yu kidni usay di urine de kכlekt (di rεnal pεlvis).
Fɔ tɔk am simpul wan, dis na spɛshal ɛkstrem rayt tɛst we tan lɛk ‘map’ fɔ di insay rod dɛm na yu urinary system.
Aw dis difrɛn frɔm Intravenous Pyelogram (IVP)?
Yu go dɔn yɛri bɔt ɔda tɛst we fiba dis, we dɛn kɔl Intravenous Pyelogram (IVP). Dɛn ɔl tu de yuz day fɔ tek pikchɔ fɔ di urinary system. Di men difrɛns na aw dɛn kin put di day insay di bɔdi.
- Intravenous Pyelogram (IVP): Na ya, dɛn kin put day insay wan vein na yu an . Dɔn di day de travul tru yu blɔd, filta tru yu kidni, ɛn go insay yu urinary system bifo dɛn tek ɛkstrem rayt.
- Retrograde Pyelogram: Na ya, dɛn kin put di day dairekt insay di ureter . Dɛn kin yuz wan spɛshal inschrumɛnt fɔ dis.
Naw yu go de wɔnda wetin mek tu we dɛn de. Di men rizin na bikɔs sɔm pipul dɛn nɔ kin gɛt alɛji fɔ di day dɛn we dɛn kin yuz fɔ mek ɛkstrem rayt. Insay IVP, dɛn kin ad di day to di blɔd, so chans de fɔ mek pɔsin gɛt alɛji. Bɔt insay Retrograde Pyelogram, dɛn kin injɛkt di day dairekt insay di urethra, so i nɔ kin izi fɔ ad am to di blɔd. So ivin pɔsin we gɛt alɛji to day kin gɛt dis tɛst sef wan .
Bɔt naw, dɛn kin du CT skan (Computed Tomography) pas ɛni wan pan dɛn tɛst ya. I kin gi pikchɔ dɛn we klia.
Fɔ us rizin dɛn dɔktɔ go aks yu fɔ du dis tɛst?
Yu dɔktɔ kin tɛl yu fɔ du dis tɛst pan dɛn kayn tin ya:
- If yu sɔspɛkt se yu ureter dɔn pwɛl .
- If yu saspek se blok ɔ narrowing de sɔmsay na di urethra.
- If yu want fɔ chɛk fɔ si if ston ɔ tumbu de na di kidni, ureter, ɔ blad.
- If yu nid fɔ put stent , we na smɔl tiub we de mek di tiub opin, insay wan urethra, yu nid fɔ gɛt klia pikchɔ.
- If yu want fɔ luk gud wan insay di urinary system bifo yu du ɔda tritmɛnt, lɛk ureteroscopy .
Aw yu kin pripia bifo di tɛst?
Dis na tɛst we dɛn kin du na ɔspitul. Yu nɔ gɛt ɛni rizin fɔ fred am. Bɔt sɔm tin dɛn de we yu fɔ no bifo yu du am.
1. Tɔk to yu dɔktɔ: Yu fɔ rili tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu gɛt, ɛni mɛrɛsin we yu de tek (especially blood thinners ), ɛni alɛji we yu gɛt, ɛn if yu gɛt bɛlɛ.
2. Anestezi: Dɛn kin du dis tɛst ɔnda jenɛral anestezi. Dis min se yu nɔ go fil ɛni pen. Bɔrku tɛm, dɛn go put yu kɔmplit wan (jɛnɔral anestezi). So, yu nɔ go ebul fɔ drayv motoka fɔ yusɛf afta di tɛst. Mek shɔ se yu briŋ pɔsin fɔ kɛr yu go na os .
3. Fɔ it ɛn drink: Dɛn go advays yu fɔ nɔ it ɔ drink ɛnitin di nɛt bifo di tɛst ɔ te di dɔktɔ tɛl yu fɔ du am. Fɔ fala dɛn instrɔkshɔn dɛn de jɔs.
4. Klos ɛn Jɛlɔ: Di de we yu go na ɔspitul, nɔ wɛr dia dia jɔyri . Wear fayn klos we nɔ gɛt natin fɔ du wit am.
Wetin kin apin we dɛn de du di tɛst?
Okay, naw lɛ wi si wetin de apin di tɛm we dɛn de du di tɛst stɛp bay stɛp. We yu no dis, dat go ɛp yu fɔ mek yu nɔ fred.
- Fɔs, di ɔspitul go gi yu spɛshal klos fɔ wɛr.
- Dɔn wan nɔs go put wan smɔl kanula (IV layn) insay wan vein na yu an. Tru am, dɛn go gi yu salin ɛn ɛni mɛrɛsin we yu nid fɔ ɛp yu fɔ rilaks.
- Neks, di dɔktɔ we de anestez kin kam ɛn put yu ɔnda anestezi. Afta dat, yu go slip fayn fayn wan. Yu nɔ go fil ɛnitin .
- Afta yu dɔn slip, di dɔktɔ go put wan tiub we rili tan we dɛn kɔl sistoskɔp , we gɛt smɔl kamɛra na di ɛnd, insay yu urethra ɛn pas am tru yu blad to di say we yu ureter opin.
- Dɔn, dɛn kin pas wan ɔda tin tiub tru da divays de insay di urethra, ɛn dɛn kin put di spɛshal day insay smɔl smɔl tru am.
- We dɛn dɔn put di day fayn fayn wan, di ɛkstrem mashin kin tek sɔm pikchɔ dɛn.
- If ɛni ɔda tritmɛnt de we dɛn nid fɔ du di sem tɛm wit dis tɛst, lɛk fɔ pul ston, di dɔktɔ go du dat wantɛm wantɛm. If nɔto dat, i go pul ɔl di ikwipmɛnt dɛn ɛn bigin fɔ mek yu no bak.
Tin dɛn we yu fɔ luk fɔ afta di tɛst
Afta di tɛst dɔn, dɛn go kɛr yu go na wan sɛpret rum (rikavari yunit) fɔ mek dɛn wach yu. Di mɛdikal wokman dɛm go tek kia ɔf yu te yu gɛt ful kɔnshɛns ɛn yu blɔd prɛshɔn ɛn briz go bak to nɔmal.
- Dɛn go pe atɛnshɔn if ɛni blɔd de na yu urine ɛn ɔmɔs urine yu de pas.
- Ivin afta yu go na os, dɛn go gi yu klia instrɔkshɔn bɔt di mɛrɛsin dɛn we yu nid fɔ tek, wetin yu fɔ it ɛn wetin yu nɔ fɔ it, ɛn ustɛm yu fɔ kɔl di dɔktɔ bak.
- Wae yu dɔn kɔnfyus se yu sik fayn, yu kin go na os wit de pɔrsin wae kam fɔ kam tek yu.
Wetin na di bɛnifit dɛn we dis tɛst gɛt?
| Bɛnifit | Tɔk bɔt |
|---|---|
| I fayn fɔ pipul dɛn we gɛt alɛji | Bikɔs di day nɔ de go insay di bɔdi in blɔd, dis tɛst kin sef wan ivin pɔsin we nɔ gɛt alɛji to di day. |
| Diagnosis ɛn tritmɛnt di sem tɛm | If di dɔktɔ si prɔblɛm we dɛn de du di ɛgzam, fɔ ɛgzampul, smɔl ston, i kin ebul fɔ pul am ɔ du ɔda tritmɛnt. |
| Low redyushɔn lɛvɛl | di lεvεl fכ di rεdyushכn we dεn de du dis tεst na rεlatεvli lכw. |
Ɛni risk de?
Jɔs lɛk ɛni ɔda tɛst we dɛn kin du fɔ mɛn pipul dɛn, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin, bɔt dɛn kin tek am se na tɛst we nɔ bad .
- Pɔsisibul kɔmplikeshɔn dɛn we gɛt fɔ du wit anestezi (dɛn tin ya nɔ kin apin so ɔltɛm).
- Smɔl chans de fɔ mek yu gɛt Urinary Tract Infections (UTI).
- na sכm risk de fכ damej di blad כ di urethra we dεn de put di instrכmεnt dεm.
Aw lɔng i kin tek fɔ mek yu wɛl ɛn ustɛm yu fɔ go to dɔktɔ?
Bɔku tɛm, yu kin go bak na yu wokples ɔ yu kin du tin dɛn we yu kin du nɔmal tin dɛn insay sɔm dez. Yu kin it nɔmal wan. I rili impɔtant fɔ drink bɔku wata .
If yu gɛt dɛn sik ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .
| Di sayn we de sho se di sik de | Wetin fɔ du |
|---|---|
| If yu gɛt fiva | Notis di dɔktɔ wantɛm wantɛm. |
| If yu kol ɛn yu de shek shek | Notis di dɔktɔ wantɛm wantɛm. |
| If yu gɛt prɔblɛm fɔ pis | Notis di dɔktɔ wantɛm wantɛm. |
| If yu fil bad bad pen we yu de pis | Notis di dɔktɔ wantɛm wantɛm. |
| If di blɔd we de na di urine go ɔp | Notis di dɔktɔ wantɛm wantɛm. |
Mɛsej we dɛn kin kɛr go na os
- Retrograde pyelogram na spɛshal X-ray tɛst we de mek yu si klia wan insay yu urinary system (kidni, ureter).
- Dɛn kin du dis ɔnda anestezi, so yu nɔ go fil ɛni pen we yu de du di tɛst.
- Dis tɛst rili sef, ivin fɔ pipul dɛn we gɛt alɛji to ɛkstrem rayt day.
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan bifo ɛn afta di tɛst, mɔ we i kam pan it, drink, ɛn mɛrɛsin.
- If yu gɛt fiva, yu de fil bad bad wan, ɔ yu nɔ izi fɔ pis afta di tɛst, tɛl yu dɔktɔ we yu nɔ go te.
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