Nthawi zina madokotala amalamula mayeso osiyanasiyana kuti aone ngati pali vuto lililonse ndi impso zathu kapena dongosolo la mkodzo, sichoncho? Umenewo ndi umodzi mwa mayeso otchedwa IVP. Ngakhale kuti unkagwiritsidwa ntchito kwambiri kale, tsopano suchitika kawirikawiri. Koma ndikofunikira kwambiri kuti mudziwe za mayeso awa otchedwa `Intravenous Pyelogram (IVP).`
Kodi IVP ndi chiyani?
Mwachidule, IVP ndi mayeso apadera a X-ray omwe amayang'ana mkati mwa impso zanu ndi njira ya mkodzo (njira zomwe mkodzo umadutsa). Amatchedwanso Intravenous Urography. Tangoganizirani, dokotala akufuna kuona momwe impso zanu ndi chikhodzodzo chanu zikugwirira ntchito komanso ngati pali vuto lililonse ndi izo. Pamenepo ndiye IVP iyi imathandiza.
Izi ndi zomwe zimachitika. Madzi apadera otchedwa ``iodineated contrast material'' amalowetsedwa m'thupi lanu, kutanthauza, mumtsempha. Madzi awa amayenda m'thupi lanu lonse ndi magazi, kuphatikizapo impso zanu. Kenako, madzi awa akamadutsa mu impso zanu, m'mitsempha ya mkodzo, ndi m'chikhodzodzo, zithunzi zingapo za X-ray zimatengedwa. Chifukwa cha madzi apaderawa, ziwalozi zimaoneka zoyera pa zithunzi za X-ray. Pamenepo dokotala amatha kuona zomwe zikuchitika mkati.
Kodi IVP inkagwiritsidwa ntchito pa chiyani kale?
Kale, ukadaulo wamakono usanayambe, mayeso a IVP ankagwiritsidwa ntchito pozindikira matenda ambiri. Nazi zitsanzo zingapo:
- Miyala ya impso: Yang'anani ngati muli ndi miyala ya impso iyi, yomwe anthu ambiri amakula nayo, komanso komwe ili.
- Kukulira kwa prostate mwa amuna: Ichi ndi vuto lomwe limapezekanso mwa amuna akamakula.
- Zotupa kapena ma cysts mu impso, chikhodzodzo, kapena mkodzo: Izi zitha kukhala khansa kapena ayi.
- Zipsera zochokera ku matenda a mkodzo (UTI): Nthawi zina, matenda a mkodzo (UTI) angayambitse zipsera zamkati.
- Matenda obadwa nawo m'njira ya mkodzo: Izi zinathandizanso kuzindikira matenda kapena zolakwika zilizonse zobadwa nazo m'njira ya mkodzo.
Kodi n’chiyani chomwe chilowa m’malo mwa IVP tsopano?
Koma monga ndanenera kale, madokotala sagwiritsa ntchito mayeso a IVP nthawi zambiri masiku ano, chifukwa njira zatsopano zabwera zomwe ndi zabwino, zomveka bwino, komanso nthawi zina zosavulaza kwambiri.
Zomwe zimagwiritsidwa ntchito kwambiri tsopano:
- Ultrasound: Izi zimakupatsani mwayi wowona impso ndi dongosolo la mkodzo popanda kubaya madzi apadera. Iyi nthawi zambiri imakhala mayeso oyamba ochitidwa.
- Kujambula kwa CT (Kujambula kwa Tomography - Kujambula kwa CT):Izi nthawi zina zimachitika ndi utoto wosiyana wa ayodini kapena wopanda. Izi zimathandiza kuti pakhale zithunzi zomveka bwino za mkati mwa thupi.
- Kujambula kwa Magnetic Resonance Imaging (MRI): Izi nthawi zina zimagwiritsanso ntchito mtundu wina wa utoto wotchedwa gadolinium contrast dye. MRI imatha kupanga zithunzi zatsatanetsatane kwambiri, zamitundu itatu (3D).
Madokotala tsopano akugwiritsa ntchito njira imeneyi osati IVP chifukwa njira zatsopanozi zimatha kuzindikira mavuto mu impso ndi mkodzo bwino kwambiri komanso mwatsatanetsatane.
Kodi dokotala angalamule kuti ayesedwe ndi zizindikiro zotani?
Kawirikawiri, ngati muli ndi zizindikiro izi, dokotala angakupatseni mayeso ojambulira (mayeso omwe amayang'ana mkati) kuti aone impso zanu kapena dongosolo la mkodzo, monga:
- Ngati muli ndi magazi m'mkodzo wanu, ichi ndi chinthu chomwe muyenera kuuza dokotala.
- Ngati mkodzo wayamba kukhala ndi mitambo.
- Ngati muli ndi ululu m'mimba kapena m'munsi mwa msana.
- Ngati muli ndi ululu m'mbali mwanu.
Zizindikiro ngati izi zimasonyeza kuti pakhoza kukhala vuto ndi impso kapena mkodzo. Pamenepo ndi pamene mayeso ngati awa amafunika kuti aone zomwe zikuchitika.
Ndani amachita mayeso a IVP?
Mayeso a IVP nthawi zambiri amachitidwa ndi akatswiri a X-ray ndi akatswiri a radiology. Zithunzi zikatengedwa, katswiri wa radiology adzawunikanso zithunzizo, kulemba lipoti, ndikutumiza kwa dokotala wanu.
Kodi impso zathu ndi dongosolo la mkodzo zimapangidwa bwanji?
Tikamalankhula za impso ndi mkodzo, pali magawo atatu akuluakulu. Izi ndi zomwe madokotala amafufuza pogwiritsa ntchito IVP (koma tsopano ndi ma scan ena).
- Impso: Tili ndi impso ziwiri. Izi ndi ziwalo zomwe zimasefa magazi athu, kuchotsa zinyalala, ndikupanga mkodzo. Zimagwira ntchito ngati fyuluta.
- Ma ureter: Awa ndi machubu awiri omwe amanyamula mkodzo wopangidwa mu impso kupita nawo ku chikhodzodzo.
- Chikhodzodzo: Ichi ndi thumba laling'ono lomwe limasonkhanitsa ndikusunga mkodzo. Likadzaza, timamva kufunikira kukodza.
Choncho, mitundu iyi ya mayeso ojambulira zithunzi imathandiza kudziwa ngati pali mavuto aliwonse m'ziwalo izi, monga miyala, zotupa, kapena ma cysts.
Momwe mungachitire mayeso a IVP (Kodi amachitidwa bwanji?)
Ngakhale kuti IVP sigwiritsidwa ntchito kwambiri masiku ano, ndibwinobe kudziwa momwe mungachitire. Umu ndi momwe imachitikira nthawi zambiri:
1. Choyamba, mudzagona pabedi pansi pa makina a X-ray. Kenako, chithunzi cha mimba yanu ndi chiuno chanu chidzajambulidwa musanaperekedwe mankhwala apadera (utoto wosiyana).
2. Kenako, madzi apadera amenewo amalowetsedwa mumtsempha wanu.
3. Madzi akayikidwa, mudzagonekedwa pabedi ndipo zithunzi zingapo za X-ray zidzatengedwa pamene madziwo akudutsa mu impso ndikutsika m'mitsempha ya ureter kupita ku chikhodzodzo.
4. Kenako mudzapatsidwa nthawi yochepa yotulutsa madzi m'chikhodzodzo chanu, kutanthauza kukodza .
5. Ndikukugonetsaninso pabedi ndipo mujambule zithunzi zina.
Umu ndi momwe mayeso a IVP amagwirira ntchito.
Kodi ndi mavuto otani omwe angakhalepo chifukwa cha mayeso a IVP?
Monga momwe zimakhalira ndi mayeso ena aliwonse azachipatala, pakhoza kukhala kusasangalala pang'ono panthawi ya IVP iyi. Koma musadandaule, nthawi zambiri izi sizikhala zovuta kwambiri.
Pamene madzi apadera (utoto wosiyana) alowetsedwa m'thupi, anthu ambiri amatha kukumana ndi chimodzi kapena zingapo mwa zizindikiro zakanthawi izi:
- Kumva kutentha pang'ono pamalo obayira jakisoni.
- Kumva kutentha pang'ono .
- Kumva kuyabwa komwe sikutha .
- Kukoma kwachitsulo mkamwa.
Izi zidzatha pakapita nthawi.
Anthu ena, pakati pa 3 ndi 13 mwa 100 , akhoza kukhala ndi vuto laling'ono la kuyankha kwa madzi awa. Zikatero:
- Kungakhale nseru .
- Kusanza kungachitike.
- Kumva kufiira kungachitike, zomwe zimapangitsa nkhope ndi chifuwa kukhala zofiira .
Izi nthawi zambiri zimakhala zakanthawi.
Komabe, nthawi zina , ziwengo zazikulu zimatha kuchitika chifukwa cha madzi awa. Izi zikuphatikizapo:
- Kuvuta kupuma.
- Kuthamanga kwa magazi pang'ono.
- Madontho ofiira kapena mabala pakhungu.
- Kutupa mkamwa kapena pakhosi.
- Kumangidwa kwa mtima.
Zochitika zoopsa ngati izi sizichitika kawirikawiri, koma ngati zitachitika, ziyenera kuthandizidwa mwachangu.
Muli ndi mwayi wokumana ndi vuto lamtunduwu ngati muli ndi matenda enaake omwe alipo kale:
- Matenda osiyanasiyana a ziwengo.
- Kulephera kwa Mtima Wodzaza ndi Mitsempha.
- Matenda a shuga (Diabetes Mellitus).
- Matenda a Impso Osatha.
Ndicho chifukwa chake dokotala amakufunsani mafunso onsewa musanachite mayeso ngati awa. Komanso, mayeso atsopano komanso osavulaza kwambiri achepetsa kwambiri chiopsezochi.
Kodi mayeso a IVP amatenga nthawi yayitali bwanji? Kodi zimatenga nthawi yayitali bwanji kuti munthu achire?
Kuyezetsa kwa IVP nthawi zambiri kumatenga pafupifupi ola limodzi , koma ngati impso zanu zikugwira ntchito molimbika pang'ono, zingatenge nthawi yayitali.
Sizitenga nthawi yayitali kuti munthu achire. Chofunika kwambiri mukamaliza kuyezetsa ndikumwa madzi ambiri . Mwanjira imeneyi, madzi apadera (utoto wosiyana) omwe adalowetsedwa m'thupi lanu adzatuluka mwachangu ndi mkodzo wanu.
Ndiyenera kupita kwa dokotala nthawi yanji?
Zizindikiro zomwe ndidakuuzani kale, ndi izi:
- Ngati pali magazi mu mkodzo,
- Ngati mkodzo uli wakuda,
- Ngati muli ndi ululu m'munsi mwa msana wanu,
- Ngati pali kupweteka m'mbali mwa chiuno,
Ngati zinthuzi zikupitirira, pitani kwa dokotala, chifukwa zingatanthauze kuti pali vuto ndi impso zanu, mkodzo, kapena chikhodzodzo.
Komanso, ngati mukumva zizindikiro za vuto lalikulu la ziwengo (anaphylaxis) (monga kupuma movutikira, ziphuphu, kutupa pakamwa ndi pakhosi), kaya utoto wosiyana kapena china chilichonse, muyenera kuwona dokotala nthawi yomweyo kapena kupita kuchipatala chadzidzidzi.
Kumbukirani mwachidule.
Chabwino, ndikukupemphani kuti mukumbukire zina mwa zinthu zofunika kwambiri zomwe takambirana.
IVP ndi mayeso a X-ray omwe amagwiritsidwa ntchito poyang'ana impso ndi mkodzo. Madzi apadera (utoto wosiyana) amalowetsedwa m'thupi.
Komabe, IVP siigwiritsidwa ntchito kawirikawiri masiku ano. M'malo mwake, njira zolondola komanso zosavulaza kwambiri monga ultrasound, CT scan, ndi MRI scan ndizogwiritsidwa ntchito kwambiri.
Ngati muli ndi zizindikiro monga magazi mu mkodzo wanu, mkodzo wakuda, kapena kupweteka kumbuyo kapena m'mimba mwanu, dokotala angakupatseni mayeso ojambulira kuti aone ngati pali mavuto mu impso kapena chikhodzodzo chanu, monga miyala kapena zotupa.
Chofunika kwambiri ndichakuti ngati muli ndi zizindikiro zachilendo, musanyalanyaze ndipo pitani kwa dokotala kuti akupatseni upangiri.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi mayeso a IVP (Intravenous Pyelogram) ndi chiyani?
Iyi ndi mndandanda wa zithunzi zapadera za X-ray zomwe zimatengedwa kuti ziwone bwino ngati pali mavuto mkati mwa impso zathu, mkodzo, ndi chikhodzodzo (kaya pali miyala kapena zotsekeka). Pachifukwa ichi, madzi apadera (utoto wosiyana) amalowetsedwa m'thupi kudzera mu mtsempha womwe uli m'dzanja (IV).
💬 Kodi mungachite bwanji izi?
Utoto ukalowetsedwa m'thupi, umayenda m'magazi, umasefa m'impso, ndipo umayenda pansi pa mkodzo (mpaka ku chikhodzodzo). Pamene ukuyenda, madokotala amajambula zithunzi za X-ray mphindi 5, 10, ndi 15 zilizonse. Malo omwe utoto uli amaonekera bwino pa X-ray, kotero amatha kuzindikira miyala iliyonse yomwe ikutseka chikhodzodzo.
💬 Kodi iyi ndi mayeso omwe aliyense angathe kuchita?
Ayi! Anthu ena akhoza kukhala ndi ziwengo zoopsa chifukwa cha utoto wosiyana (madzi). Komanso, ndizoletsedwa kwathunthu kwa anthu omwe ali ndi vuto la impso (chifukwa impso zawo sizingathe kusefa madzi awa). Pachifukwa ichi, anthu ambiri tsopano amachita scan yamakono yotchedwa CT Urogram m'malo mwake.
Impso , Dongosolo la Mkodzo, IVP, Pyelogram ya Mtsempha, X-ray, Utoto Wosiyanitsa, Miyala ya Mkodzo, Kuzindikira











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