Nthawi zina timavutika kukodza, kapena tingakhale ndi magazi m'mkodzo wathu. Kapena pakakhala ngozi m'mimba, ndiko kuti, m'chiuno, tiyenera kuwona ngati pali kuwonongeka kulikonse mkati. Makamaka ngati izi zachitika kwa mwamuna, mayeso apadera amatchedwa `(Retrograde Urethrogram)` kuti tidziwe chomwe chimayambitsa. Nthawi zina timatcha izi `(RUG)` mwachidule. Chifukwa chake, muyenera kukhala ndi chidwi chofuna kudziwa za izi. Kodi tikambirane za mayeso awa a `(RUG)` mwatsatanetsatane, mwachidule, lero?
Kodi mayeso awa (Retrograde Urethrogram) ndi otani? Mwachidule...
Chabwino, choyamba tiyeni tiwone tanthauzo la Retrograde Urethrogram (RUG). Iyi ndi njira yapadera yoyezera yomwe madokotala amagwiritsa ntchito. Imayang'ana ngati mkodzo wanu (chubu chomwe timakodzera ) chawonongeka kapena ngati minofu ya zipsera yasonkhana ndipo ikutseka kutuluka kwa mkodzo . Taganizirani ngati chitoliro chamadzi chomwe chimatsekedwa ndi dothi ndikuletsa madzi kutuluka.
Mayeso amenewa nthawi zambiri amachitikira amuna . Ngati mwavulala kapena mwachita ngozi m'mimba mwanu kapena m'chifuwa, kapena ngati dokotala wanu akuganiza kuti muli ndi zipsera mu mkodzo wanu, mayeso a ``(RUG)`` awa akhoza kuchitidwa.
Kodi mayeso a RUG amachitika nthawi yanji?
Tsopano mwina mukuganiza kuti, "Chabwino, kodi mungachite izi m'mikhalidwe yotani?" Yang'anani:
Dokotala angalamule retrograde urethrogram (RUG) pakagwa ngozi (mwachitsanzo, pambuyo pa ngozi). Kapena izi zitha kuchitika kuti muwone ngati zizindikiro zikupitirirabe. Mungafunike RUG ngati mwavulala m'mimba mwanu kapena m'chifuwa ndipo:
- Ngati muli ndi magazi ochokera m'mimba mwa mbolo yanu (monga momwe mkodzo umatulukira).
- Ngati simungathe kukodza .
Si zokhazo, dokotala angachite mayeso a "RUG" pazifukwa zina zingapo:
- Ngati akuganiza kuti mkodzo wanu wachepa ('stricture') chifukwa cha matenda, kutsekeka, kapena kuvulala.
- Ngati akuvutika kulowetsa catheter (chubu chofewa chomwe chimakuthandizani kukodza ).
- Nthawi zina pamafunika kuyika catheter yomwe imalowa m'chikhodzodzo (transurethral bladder catheterization). Komabe, musanachite izi, ngati dokotala akukayikira kuti pali vuto ndi njira yanu ya mkodzo, adzagwiritsa ntchito mayeso a "RUG" kuti atsimikizire kuti izi zitha kuchitika bwino.
Kodi ndi chiyani chomwe chingapezeke mu mayeso a RUG awa?
Mayeso a ``Retrograde Urethrogram`` awa amathandiza dokotala kupeza zinthu monga:
- Kutsekeka kwa mkodzo : Izi zikutanthauza kuti mkodzo watsekeka.
- Pali kutsekeka kwina m'njira yanu ya mkodzo.
- Kuwonongeka kwa njira yanu ya mkodzo: Mwachitsanzo, kaya pali kuphulika, kutsegula kwatsopano kapena dzenje (fistula), kapena kapangidwe kakang'ono kofanana ndi thumba (diverticula).
Kodi iyi ndi mayeso opweteka? Palibe choopa!
Funso lomwe anthu ambiri amakhala nalo ndi lakuti, "Kodi izi zimapweteka?" Ayi, "Retrograde Urethrogram" siyenera kupweteka kwenikweni. Komabe, mungamve kusasangalala pang'ono, zachilendo pang'ono, panthawi yoyezetsa komanso mukakodza . Izi ndi zachilendo. Koma ngati mukumva kupweteka kulikonse, ndi bwino kuuza dokotala wanu nthawi yomweyo.
Kodi izi (Retrograde Urethrogram) zimagwira ntchito bwanji?
Ndi zophweka kwambiri. Mu ``Retrograde Urethrogram'', dokotala amaika madzi apadera (otchedwa ``contrast'') mu mkodzo wanu. Izi zimachitika poika chubu chaching'ono kapena nsonga ya sirinji yosalala kudzera m'bowo (``urethral meatus'') kumapeto kwa mbolo yanu, komwe mkodzo umatuluka. Pamene madzi awa akulowa m'chikhodzodzo chanu (thumba lomwe mkodzo umasonkhana), dokotalayo amajambula zithunzi za ``X-ray''. Zithunzi izi zimagwiritsidwa ntchito kuti adziwe mavuto omwe ali mu mkodzo wanu.
Kunena zoona, madzi a `contrast` amenewa amapangitsa kuti mkodzo uwonekere bwino pa `X-ray`. Pokhapokha titha kuwona bwino ngati pali vuto lililonse mkati.
Kodi pali chilichonse chomwe ndikufunika kukonzekera ndisanayambe kapeti?
Iyi ndi yabwino kwambiri! Simuyenera kuchita chilichonse chapadera kuti mukonzekere musanachite `(RUG)`. Mutha kungokhala bwino.
Kodi chimachitika ndi chiyani panthawi ya mayeso? Tiyeni tiwone?
Chabwino, tsopano tiyeni tiwone zomwe zimachitika mukachita `(Retrograde Urethrogram)`. Musachite mantha, ndikukuuzani mwachidule.
- Choyamba, mudzatembenuzidwira mbali imodzi patebulo pansi pa makina a X-ray. Mudzapemphedwanso kuti mupinde mwendo wanu umodzi kumbali. Dokotala kapena wothandizira pamenepo adzakuthandizani kuti muyime bwino.
- Kenako, dokotalayo adzayeretsa malo ozungulira mbolo yanu ndikugwiritsa ntchito mankhwala opha tizilombo toyambitsa matenda (monga ayodini) .
- Nthawi zina, mafuta opaka mano amatha kugwiritsidwa ntchito mkati mwa mbolo yanu kuti achepetse urethra . Zimatenga mphindi zochepa kuti igwire ntchito.
- Kenako, dokotala adzalowetsa chubu chaching'ono kudzera m'bowo lomwe lili kumapeto kwa mbolo yanu . Chubucho chidzatsogozedwa pang'onopang'ono pansi pa mkodzo wanu patali pang'ono. Pa nthawiyi, akhoza kusuntha mbolo yanu pang'onopang'ono ndikukufunsani ngati mukumva kupweteka kulikonse. Izi siziyenera kupweteka - ngati zipweteka, muyenera kuwauza.
- Tsopano, madzi a `contrast` omwe atchulidwa kale amalowetsedwa mu mkodzo pogwiritsa ntchito sirinji. Madzi awa ndi omwe amapangitsa kuti mkodzo wanu uwonekere bwino pazithunzi za `X-ray`.
- Pamene madzi osiyanitsa akuyenda kudzera mu mkodzo kupita ku chikhodzodzo, dokotalayo amajambula zithunzi pogwiritsa ntchito makina a X-ray.
- Nthawi zina, mungapemphedwe kuti mukodzere m'chidebe kuti muwone momwe madzi osiyanitsa awa amatulukira m'thupi lanu, ndipo mungapemphedwe kuti mujambule zithunzi za X-ray.
Ndicho chimene chikuchitika. Palibe choopa monga momwe mungaganizire, eti?
Kodi mungayembekezere chiyani pambuyo pa mayeso?
Mukamaliza mayeso, mungamve kusasangalala pang'ono mukamakodza . Mungaonenso magazi pang'ono mukamakodza . Izi ndi zachilendo, musadandaule. Kusasangalala kumeneku kudzachepa patatha pafupifupi tsiku limodzi . Chofunika kwambiri ndikumwa madzi ambiri . Izi zithandiza kuchotsa madzi otsala a contrast fluid.
Kodi pali zoopsa kapena zotsatirapo zilizonse pa mayeso a RUG awa?
Kuyeza kwa retrograde urethrogram kwenikweni ndi mayeso osavuta kwambiri . Komabe, pali zotsatira zina zoyipa zomwe zimachitika kawirikawiri:
- Matenda.
- Kusamvana ndi madzi osiyanitsa.
- Kuwonongeka kulikonse kwa mkodzo kapena chikhodzodzo.
Izi ndi zinthu zosowa kwambiri, koma ndibwino kuzidziwa.
Kodi zotsatira za mayeso a RUG ndi ziti? Kodi zikutanthauza chiyani?
Ngati zotsatira za mayeso anu ndi "zabwinobwino," zikutanthauza kuti madzi akutuluka mu mkodzo wanu popanda kutsekeka kulikonse . Ngati ndi choncho, zizindikiro zanu zitha kukhala chifukwa cha china chake.
Zotsatira zina zingasonyeze kuti mkodzo wanu wawonongeka, wachepa, kapena watsekeka.
Nthawi zina, ngati mayeso a RUG okha sapereka chidziwitso chokwanira, dokotala wanu angafunenso kuchita cystoscopy , yomwe imaphatikizapo kuyika kamera kakang'ono mu mkodzo wanu.
Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira zake?
Nthawi yomwe imatenga kuti mudziwe zotsatira zake imadalira chifukwa chomwe mukupimira mayesowa.
- Ngati mwavulala ndipo mukufuna chithandizo chadzidzidzi , dokotala adzalandira zotsatira za mayeso nthawi yomweyo , kuti akuthandizeni mwachangu.
- Pokhapokha ngati ndi zadzidzidzi , muyenera kudziwa zotsatira zake pasanathe masiku angapo .
Ngati zotsatira zake sizili bwino, kodi muchita chiyani kenako?
Tsopano mwina mukuganiza kuti, "Chabwino, ngati zotsatira zake zikusonyeza kuti pali vuto, kodi titani kenako?"
Njira zotsatirazi zomwe mungachite zimadalira chomwe chikuyambitsa vuto lanu. Dokotala wanu adzakambirana nanu za njira zina zothandizira. Izi zingaphatikizepo:
- Njira zokulitsa mkodzo wanu (monga kukulitsa mkodzo) .
- Opaleshoni (monga urethroplasty) .
Musadandaule, dokotala adzakufotokozerani chithandizo chomwe chili choyenera kwa inu.
Ndiyenera kukaonananso ndi dokotala liti?
Ngati mwakhala ndi zotsatirazi pambuyo pa mayeso, muyenera kuwona dokotala wanu:
- Ngati mukumva kupweteka mukamakodza kapena simukutha kukodza konse.
- Ngati mukumva kusasangalala kapena kutuluka magazi kwa tsiku loposa limodzi mutatenga mayeso.
- Ngati pali zizindikiro za matenda (monga kutupa kwa mbolo, malungo).
- Ngati muli ndi mafunso okhudza zotsatira za mayeso anu.
Ndi bwino kusaganizira kawiri za kulankhula ndi dokotala za chilichonse chonga ichi, eti?
Ndiye, tiyeni tiwone zinthu zina zoti tizikumbukire kuchokera apa? (Uthenga Wopita Nawo Kunyumba)
Chabwino, takambirana zambiri za mayeso awa a `(Retrograde Urethrogram)` kapena `(RUG)`, sichoncho? Pomaliza, kumbukirani zinthu izi:
Kuyeza kwa retrograde urethrogram ndi njira yosavuta komanso yotsika mtengo yoyezera.
Izi zingotenga mphindi zochepa chabe.
Komabe, izi zimapatsa madokotala chidziwitso chofunikira chokhudza mavuto omwe angakhalepo ndi njira yanu ya mkodzo.
Mayesowa amagwiritsidwanso ntchito pa nthawi yadzidzidzi kapena pambuyo pa kuvulala kuti adziwe ngati pali kuwonongeka kulikonse komwe sikuoneka kunja .
Choncho, ngati dokotala akukupemphani kuti muyesedwe, musachite mantha mosayenera. Ganizirani izi ngati chinthu chomwe chingakuthandizeni kukhala ndi thanzi labwino. Ngati muli ndi mafunso ena, onetsetsani kuti mwalankhula ndi dokotala wanu.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi mayeso a RUG (Retrograde Urethrogram) ndi chiyani?
Iyi ndi njira yapadera yoyezera X-ray yomwe imachitika kuti idziwe ngati mkodzo mwa amuna wang'ambika kapena wachepa (stricture) kulikonse, makamaka chifukwa cha kuvulala kapena kutsekeka kwa miyala.
💬 N’chifukwa chiyani izi zimatchedwa 'retrograde'?
Kawirikawiri, mkodzo umatuluka kuchokera m'chikhodzodzo kupita kunja. Komabe, mu mayeso awa, utoto (kusiyana) womwe umawonekera bwino pa X-ray umalowetsedwa mu urethra (kuchokera kunja). Izi zikutanthauza kuti mkodzo umabwerera m'mbuyo panjira yake, ndichifukwa chake umatchedwa retrograde.
💬 Kodi ichi ndi chinthu chomwe muyenera kuchita ngati mwagundidwa m'mimba mwanu pangozi?
Inde! Ngati pali magazi ochokera mu mkodzo pangozi yotere, mayeso a RUG ayenera kuchitidwa nthawi zonse musanapereke catheter kwa wodwalayo. Chifukwa ngati mkodzo wasweka ndipo catheter ikalowetsedwa mwamphamvu, mkodzo ukhoza kuwonongeka kwathunthu ndipo wodwalayo angavutike kukodza kwa moyo wake wonse.
Njira ya Mkodzo, RUG, Retrograde Urethrogram, Kuyesa Mkodzo, Thanzi la Amuna, Matenda a Mkodzo, X-ray, Mavuto a Mkodzo

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