He aha te Retrograde Pyelogram? Me kōrero māmā noa iho!

Tērā pea kua pāngia koe e te mamae, te kore whakamarie, te raruraru rānei o tō pūnaha mimi, ā, kua haere koe ki te tākuta. Kātahi ka kī mai pea te tākuta me tirotirohia e ia te āhua o ō whekau o roto, pērā i ō whatukuhu me tō urethra. I tēnei rā, ka kōrero tātou mō tētahi whakamātautau motuhake e mahia ana i aua wā.

He aha te tikanga o te Retrograde Pyelogram?

Whakaarohia kei te hiahia koe ki te tiki pikitia mārama o roto o tō pūnaha mimi, arā, ō whatukuhu me ngā ngongo e kawe ana i te mimi mai i reira ki tō pūkahukahu (ngā ureter). Kāore tēnei e kitea i runga i te hihi-X. Nō reira, i roto i tēnei whakamātautau, ka werohia he wai motuhake e kiia nei ko te 'tae' (he taputapu rerekē) ki roto i tō urethra, kātahi ka tangohia he raupapa pikitia hihi-X. Mā te tae ka kitea mārama te āhua o tō pūnaha mimi me roto i runga i te hihi-X mā.

Ka kiia tēnei ko te "retrograde," nā te mea ko te tikanga ka heke te mimi mai i ngā whatukuhu. Engari i roto i tēnei whakamātautau, ka tukuna te tae mai i raro ki runga, i te taha ke atu o te mimi. Koinei te tikanga o te ingoa. Ko te "pyelogram" he whakaahua i tangohia o te wāhanga matua o tō whatukuhu kei reira te mimi e kohia ana (te pelvis whatukuhu).

He aha te rerekētanga o tēnei mai i te Intravenous Pyelogram (IVP)?

Kua rongo pea koe i tētahi atu whakamātautau rite ki tēnei, e kiia nei ko te Intravenous Pyelogram (IVP). E whakamahia ana e rāua he tae hei tango pikitia o te pūnaha mimi. Ko te rerekētanga matua ko te āhua o te werohanga o te tae ki roto i te tinana.

• Pyelogram Ā-roto (IVP): I konei, ka werohia te tae ki roto i te uaua i roto i tō ringa . Kātahi ka haere te tae mā roto i tō toto, ka tātarihia mā roto i ō whatukuhu, ka uru ki roto i tō pūnaha mimi i mua i te whakaahua-X.
• Pyelogram Whakamuri: I konei, ka whakaurua tika te tae ki roto i te ureter . Ka whakamahia he taputapu motuhake mō tēnei.

Tērā pea kei te whakaaro koe he aha i rua ai ngā tikanga. Ko te take matua he mate pāwera ētahi tāngata ki ngā tae e whakamahia ana i roto i ngā hihi-X. I roto i te IVP, ka tāpirihia te tae ki te toto, nō reira he nui ake te tūponotanga o te mate pāwera. Heoi, i roto i te Retrograde Pyelogram, ka werohia tika te tae ki roto i te urethra, nō reira kāore pea e tāpirihia ki te toto. Nō reira , ahakoa he mate pāwera ki ngā tae, ka taea te whakamātautau haumaru i tēnei whakamātautau .

Heoi, i tēnei wā, he maha ake ngā wā e mahia ana te matawai CT (Tomography Rorohiko) i ngā whakamātautau e rua o ēnei. Ka taea e ia te whakarato i ngā whakaahua mārama ake.

He aha ngā take e tono ai te tākuta kia mahia e koe tēnei whakamātautau?

I te nuinga o te wā ka tūtohu pea tō tākuta i tēnei whakamātautau i roto i ēnei take e whai ake nei:

• Ki te whakaaro koe kua pakaru tō ureter.
• Ki te whakapae koe kei te aukatihia, kei te whaiti rānei tetahi wāhi o te urethra.
• Ki te hiahia koe ki te tirotiro mō ngā kōhatu, ngā pukupuku rānei i roto i ngā whatukuhu, i ngā ureter, i te pūhā rānei.
• Ki te hiahia koe ki te whakauru i tētahi stent , he ngongo iti hei pupuri i te ngongo kia tuwhera tonu, ki roto i te urethra, me mārama te ahua o te mea e kitea ana.
• Ki te hiahia koe ki te tirotiro pai i roto i te pūnaha mimi i mua i te whai i tētahi atu maimoatanga, pērā i te ureteroscopy .

Me pēhea tāu whakarite i mua i te whakamātautau?

He whakamātautau tēnei e mahia ana i roto i te hōhipera. Kāore he take e mataku ai koe. Engari he iti noa ngā mea me mōhio koe i mua i te mahi.

1. Kōrero ki tō tākuta: Me kōrero koe ki tō tākuta mō ētahi atu mate hauora kei a koe, ngā rongoā katoa e tangohia ana e koe (ina koa ko ngā rongoā whakaiti toto), ngā mate pāwera katoa kei a koe, me te mea kei te hapu koe.

2. Whakamoemiti: Ka mahia tēnei whakamātautau i raro i te whakamoemiti whānui. Ko te tikanga, kāore koe e mamae. I te nuinga o te wā, ka moe rawa koe (whakamoemiti whānui). Nō reira, kāore e taea e koe te taraiwa waka ko koe anake i muri i te whakamātautau. Kia mahara ki te kawe mai i tētahi hei kawe i a koe ki te kāinga .

3. Kai me te Inu: Ka tohutohuhia koe kia kaua e kai, e inu rānei i tetahi mea i te pō i mua i te whakamātautau, kia whakahaua rā anō koe e te tākuta. Me whai i aua tohutohu kia tika.

4. Ngā Kākahu me ngā Whakapaipai: I te rā e toro atu ai koe ki te hōhipera, kaua e mau whakapaipai utu nui . Mauria he kākahu whakamarie, he kākahu koretake.

He aha ngā mea ka tupu i te wā o te whakamātautau?

Āe, kia kite tātou i ngā mea ka puta i te whakamātautau, taahiraa i te taahiraa. Mā te mōhio ki tēnei ka āwhina i a koe ki te whakamama i tō mataku.

• Tuatahi, ka hoatu e te hōhipera he kākahu motuhake hei kakahu māu.
• Kātahi ka whakaurua e te nēhi he cannula iti (raina IV) ki roto i te uaua i tō ringa. Mā roto i tēnā, ka hoatu e rātou he tote me ngā rongoā e tika ana hei āwhina i a koe kia marino.
• Kātahi ka tae mai te tohunga whakamoe ka hoatu he whakamoe ki a koe. Kātahi ka moe pai koe. Kāore koe e rongo i tetahi mea .
• I muri i tō moe, ka whakaurua e te tākuta he ngongo angiangi rawa e kiia nei ko te cystoscope , he kāmera iti kei te pito, ki roto i tō urethra, ka tukuna mā roto i tō mimi ki te whakatuwheratanga o tō ureter.
• Kātahi, mā roto i taua taputapu, ka tukuna tētahi atu ngongo angiangi ki roto i te urethra, ā, ka āta whakaurua te tae motuhake mā roto.
• Kia tika te whakauru i te tae, ka tangohia e te mīhini hihi-X he raupapa whakaahua.
• Mena he maimoatanga anō e tika ana kia mahia i te wā kotahi o tēnei whakamātautau, pērā i te tango i te kōhatu, ka mahi tonu te tākuta i tēnā. Ki te kore, ka tangohia e ia ngā taputapu katoa ka tīmata ki te whakahoki mai i a koe ki te māramatanga.

Ngā mea hei tirotiro māu i muri i te whakamātautau

Kia mutu te whakamātautau, ka haria koe ki tētahi rūma motuhake (wāhanga whakaora) hei tirotiro māu. Mā te hunga hauora koe e tiaki kia hoki rā anō tō māramatanga, kia hoki rā anō tō toto me tō manawa ki te āhua noa.

• Ka aro atu rātou ki te kite mēnā he toto kei roto i tō mimi, me te nui o te mimi e rere ana koe.
• Ahakoa kua hoki koe ki te kāinga, ka hoatu tonutia ngā tohutohu mārama mō ngā rongoā me kai e koe, ngā mea me kai, me ngā mea kāore e tika ana kia kainga, me te wā me waea atu anō koe ki te tākuta.
• Kia whakaūtia tō āhua, ka taea e koe te hoki ki te kāinga me te tangata i haere mai ki te tiki i a koe.

He aha ngā painga o tēnei whakamātautau?

He tūponotanga kei reira?

Pērā i ngā whakamātautau hauora katoa, he iti noa iho ngā mōrearea kei roto, engari e kiia ana he whakamātautau tino haumaru .

• Ngā raruraru pea e pā ana ki te rongoā whakamoe (he tino onge ēnei).
• He iti noa te tūponotanga ka pāngia koe e te mate urutā o te ara mimi (UTI).
• He iti noa te mōrearea o te pakaru o te pūkahukahu, te urethra rānei i te wā e whakaurua ana ngā taputapu.

Kia pēhea te roa o te wā e ora ai, ā, āhea koe me toro atu ki te tākuta?

I roto i ngā rā torutoru, ka taea e koe te hoki ki te mahi, ki ngā mahi noa rānei. Ka taea e koe te kai noa. He mea tino nui te inu i te nui o te wai .

Mena ka pāngia koe e ngā tohu e whai ake nei, me waea atu koe ki tō tākuta tonu atu .