Yu dɔktɔ dɔn sɔprayz se yu gɛt prɔblɛm wit yu urinary system ɛn tɛl yu fɔ du spɛshal X-ray fɔ luk am? I kin bi "Retrograde Pyelogram." Di nem kin tan lɛk se i kɔmplikt smɔl, bɔt fɔ tru, na tɛst we rili sef we kin ɛp dɔktɔ dɛn fɔ ɔndastand yu prɔblɛm mɔ. So mek wi klia ɔl di kɔnfyushɔn bɔt am tide.
Wetin na Retrogrɛd Paylɔgram (RP)?
Fɔ tɔk am simpul wan, dis na ɛkstrem rayt tɛst bak. Bɔt fɔ mek wi gɛt klia pikchɔ pas ɛkstrem rayt ɔltɛm, wi kin yuz spɛshal wata we dɛn kɔl "kɔntrast day." Dis day de mek di pat dɛm na yu urinary system stand out wit wayt pan di X-ray pikchɔ.
Di wɔd "retrograde" insay dis min "go bak." Tink bɔt am, nɔmal wan wi urine kin fɔm, travul dɔŋ di ureters, dɔn i kin gɛda na di blad bifo i kɔmɔt na di bɔdi. bכt insay dis tεst, wi de sεnd da spεshal day de frכm di bכtכm כp tru di ureter dεm, we na di כpכsite fכ in nכmal rod, tכwεd di kidni dεm. Na dat mek dɛn kɔl am "retrograde."
"pyelogram" na εks-ray imej we dεn tek fכ di rεnal pεlvis, we na wan pat we shep fכ fכnel na di kidni usay di urine de kכlekt. So we dεn tu de kam togεda, dis de mek wan klia εks-ray imej fכ di כp pat pan di urinary sistεm.
Aw dis difrɛn frɔm IVP?
Yu go dɔn yɛri bak bɔt wan intravenous pyelogram (IVP). Na X-ray bak we dɛn de yuz day. Di men difrɛns na di we aw dɛn kin put di day insay di bɔdi.
- Intravenous Pyelogram (IVP): Na ya, dɛn kin injɛkt day insay wan vein na di an. Dɔn di day kin travul ɔlsay na di bɔdi wit di blɔd, filta di kidni dɛn, ɛn go insay di urinary system, usay dɛn kin tek di X-ray.
- Retrograde Pyelogram (RP): Na ya, dεn de injεkt di day dairekt insay di urinary tract. I nɔ de go insay di blɔd.
So if pɔsin gɛt alɛji to IV day, di bɛst tin fɔ mek i du sef wan na dis Retrograde Pyelogram.
Naw, di yus fɔ IVP tɛst dɔn go dɔŋ smɔl bikɔs ɔf nyu teknɔlɔji dɛn lɛk CT urogram, bɔt di RP tɛst stil rili yusful pan sɔm spɛshal kes dɛm.
Us sityueshɔn dɛn dɔktɔ go rifer yu fɔ dis tɛst?
Bɔku rizin dɛn kin de we mek yu dɔktɔ go tɛl yu fɔ du dis tɛst. Lɛ wi tek wan luk pan wetin dɛn bi.
| Sɔspɛkt Kɔndishɔn | Simpul Ɛksplen |
|---|---|
| Damej na di urinary tract | Chek fɔ si if yu ureters dɔn pwɛl bikɔs ɔf aksidɛnt ɔ ɔda tin. |
| Urinary tract obstruction ɔ i de smɔl | Chek fɔ si if ɛnitin de we de blok ɔ we de smɔl na di urinary tract. Dis go ɛp yu fɔ no di rayt tin we de ambɔg di urine flɔ. |
| Ston ɔ Tumɔs | Chek fɔ ston ɔ abnɔmal growth na di kidni, ureter, ɔ blad. Yu kin si dɛn tin ya klia wan wit di day. |
| As ɛp fɔ ɔda tritmɛnt dɛn | Sɔntɛnde dɛn kin yuz am fɔ gɛt klia pikchɔ bɔt di insay pat pan di ureter bifo dɛn put stent ɔ du ureteroscopy, we na tin we dɛn kin yuz kamɛra. |
Lɛ wi lan stɛp bay stɛp aw dɛn kin du dis tɛst.
Dis na tɛst we dɛn kin du na ɔspitul ɔpreshɔn rum. Lɛ wi si wetin de apin pan dis.
Bifo di Prɔsidyu
Yu dɔktɔ go gi yu ɔl di tin dɛn we yu nid bifo yu du dis tɛst. Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek, mɔ di wan dɛn we de mek yu blɔd tan , ɛni alɛji we yu gɛt, ɛn if yu gɛt bɛlɛ.
Bikɔs dɛn kin yuz anestezi fɔ dis, dɛn go aks yu fɔ fast di nɛt bifo di tɛst. Dɔn bak, nɔ fɔgɛt fɔ briŋ pɔsin fɔ kɛr yu go na os afta di tɛst.
Di tɛm we dɛn de du di wok
Dɛn go gi yu spɛshal ɔspitul gɔn fɔ wɛr. Dɔn di dɔktɔ we de anestez go put wan IV layn na yu an ɛn anestez yu tru am. Bɔku tɛm dɛn kin du dis ɔnda jenɛral anestezi . Dis min se yu nɔ go fil natin, yu go slip ɔl.
Dɔn, di dɔktɔ we de mɛn yu yurolɔg go put wan tint tiub we gɛt kamɛra we dɛn kɔl sistoskɔp insay yu urethra ɛn insay yu blad. di kamɛra go luk tru am fɔ fɛn usay di tu ureter dɛn bigin. Dɔn, we dɛn tek tɛm rili, dɛn go put ɔda tiub we rili tan insay di urethra ɛn dɛn go injɛkt di day. We di day dɔn ful-ɔp, dɛn go tek sɔm ɛkstrem rayt dɛn. If ɛni ɔda tritmɛnt de we dɛn nid fɔ du, lɛk fɔ pul ston, di dɔktɔ go du dat dis tɛm bak.
Afta di Prosidyu
We di tɛst dɔn, dɛn go kɛr yu go na di rikavari yunit fɔ mek dɛn de wach yu te yu wek frɔm di anestezi. Na de, di wan dɛn we de wok na di nɔs dɛn go kia fɔ yu te yu brith ɛn blɔd prɛshɔn kam bak to nɔmal. Dɛn go chɛk bak if blɔd de na yu urine ɛn ɔmɔs urine yu de pas. We ɔltin dɔn fayn, dɛn go alaw yu fɔ go na os wit yu kɔmpin.
Wetin na di prɔblɛm ɛn bɛnifit dɛn we dis tɛst kin gɛt?
Di bɛnifit dɛn we pɔsin kin gɛt
- I fayn fɔ pipul dɛn we gɛt alɛji: Di big bɛnifit fɔ dis na dat ivin pɔsin we gɛt alɛji to IV day kin du dis. Bikɔs di day nɔ de go insay di blɔd, di risk fɔ mek pɔsin gɛt alɛji nɔ kin rili smɔl.
- Fɔ chɛk ɛn trit di sem tɛm: We di dɔktɔ de du dis, i kin du smɔl smɔl tritmɛnt dɛn lɛk fɔ pul smɔl smɔl ston dɛn.
- Lכw rεdyushכn: Di כmכnt כf rεdyushכn we di bכdi de gεt na rεlatεv lכw.
Risk dɛn we kin apin
Jɔs lɛk ɛni mɛrɛsin, sɔm prɔblɛm dɛn de, bɔt RP na wan we we rili sef . Di prɔblɛm dɛn we kin apin na:
- Prɔblɛm dɛn we gɛt fɔ du wit anestezi.
- Infεkshכn dεm na di Urinary Tract (UTI).
- Smɔl chans de fɔ mek di yuret ɔ blad pwɛl smɔl we dɛn put di kamɛra.
Aw lɔng i go tek fɔ mek i wɛl? Ustɛm a fɔ kɔl di dɔktɔ?
Bɔku tɛm, yu kin go bak na wokples ɔ bigin fɔ du tin dɛn we yu nɔ bin de du insay sɔm dez. I rili impɔtant fɔ drink bɔku wata ɛn ɔda wata.
I rili impɔtant: If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go bak na os, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
- If yu gɛt fiva.
- If yu fil se yu de shek shek ɔ yu de kol.
- If i at fɔ pis.
- If yu gɛt pen we yu nɔ go ebul fɔ bia we yu de pis.
- If blɔd de bɔku na di urine.
Nɔ ignore dɛn sayn ya. If yu trit yu kwik kwik wan, dat kin mek yu nɔ gɛt ɛni prɔblɛm.
Mɛsej we dɛn kin kɛr go na os
- Retrograde Pyelogram (RP) na sef X-ray tεst we dεn kin yus fכ no blכk, stכn, εn tכmכro dεm na di כp urinary tract (kidni, ureter).
- Dis na fayn opshɔn fɔ di wan dɛn we gɛt alɛji to IV day.
- Bikɔs dɛn kin du dis ɔnda anestezi, i impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs lɛk fɔ fast, ɛn fɔ gɛt pɔsin we go drayv yu go na os.
- If yu gɛt sɔm sayn dɛn lɛk fiva, kol, pen bad bad wan, ɔ blɔd pasmak afta yu dɔn du di tɛst, go to dɔktɔ wantɛm wantɛm.
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