Kodi Retrograde Pyelogram ndi chiyani? Tiyeni tikambirane mwachidule!

Mwina mwakhala mukukumana ndi vuto linalake losasangalatsa, ululu, kapena vuto linalake m'thupi lanu la mkodzo ndipo mwapita kukaonana ndi dokotala. Kenako, dokotalayo mwina anati ayenera kufufuza momwe ziwalo zanu zamkati zilili, monga impso zanu ndi mkodzo. Lero, tikambirana za mayeso apadera omwe amachitidwa nthawi ngati zimenezi.

Mwachidule, kodi Retrograde Pyelogram ndi chiyani?

Tangoganizani mukufuna kupeza chithunzi chomveka bwino cha mkati mwa dongosolo lanu la mkodzo, lomwe ndi impso zanu ndi machubu omwe amanyamula mkodzo kuchokera kwa iwo kupita ku chikhodzodzo chanu (ureters). Izi sizikuwoneka pa X-ray. Chifukwa chake, mu mayeso awa, madzi apadera otchedwa 'dye' (choyimira chosiyana) amalowetsedwa mu urethra yanu, kenako zithunzi zingapo za X-ray zimatengedwa. Utotowo umapanga mawonekedwe a dongosolo lanu la mkodzo ndipo mkati mwake umaonekera bwino kwambiri pa X-ray mu zoyera.

Izi zimatchedwa "retrograde," chifukwa nthawi zambiri mkodzo umayenda kuchokera ku impso. Koma mu mayeso awa, timatumiza utoto kuchokera pansi kupita mmwamba, kumbali ina ya mkodzo. Ndicho chimene dzinalo limatanthauza. "pyelogram" ndi chithunzi chomwe chimatengedwa cha gawo lalikulu la impso yanu komwe mkodzo umasonkhana (chiuno cha impso).

Kodi izi zikusiyana bwanji ndi Intravenous Pyelogram (IVP)?

Mwina munamvapo za mayeso ena ofanana ndi awa, otchedwa Intravenous Pyelogram (IVP). Onsewa amagwiritsa ntchito utoto kujambula zithunzi za mkodzo. Kusiyana kwakukulu ndi momwe utoto umalowetsedwa m'thupi.

• Intravenous Pyelogram (IVP): Apa, utoto umalowetsedwa mu mtsempha womwe uli m'dzanja lanu . Kenako utotowo umadutsa m'magazi anu, umasefa kudzera mu impso zanu, ndikulowa m'thupi lanu musanayesedwe X-ray.
• Retrograde Pyelogram: Apa, utoto umayikidwa mwachindunji mu ureter . Chida chapadera chimagwiritsidwa ntchito pa izi.

Tsopano mwina mukudabwa chifukwa chake pali njira ziwiri. Chifukwa chachikulu ndichakuti anthu ena ali ndi vuto la khungu chifukwa cha utoto womwe umagwiritsidwa ntchito mu X-ray. Mu IVP, utoto umawonjezeredwa m'magazi, kotero pali mwayi waukulu wa ziwengo. Komabe, mu Retrograde Pyelogram, utoto umalowetsedwa mwachindunji mu mkodzo, kotero sizingatheke kuti uwonjezedwe m'magazi. Chifukwa chake , ngakhale munthu amene ali ndi vuto la ubweya akhoza kuchita mayesowa mosamala .

Komabe, pakadali pano, CT scan (Computed Tomography) imachitika kawirikawiri kuposa mayeso onsewa. Ikhoza kupereka zithunzi zomveka bwino.

Ndi zifukwa ziti zomwe dokotala angakupempheni kuti muchite mayeso awa?

Dokotala wanu nthawi zambiri angakulangizeni mayeso awa pazochitika zotsatirazi:

• Ngati mukukayikira kuti ureter yanu yawonongeka .
• Ngati mukukayikira kuti pali kutsekeka kapena kuchepa kwinakwake mu mkodzo.
• Ngati mukufuna kufufuza miyala kapena zotupa mu impso, mkodzo, kapena chikhodzodzo.
• Ngati mukufuna kuyika stent , chubu chaching'ono chomwe chimasunga chubucho, mu urethra, muyenera kuwona chithunzi chowonekera bwino.
• Ngati mukufuna kuyang'ana bwino mkati mwa mkodzo musanalandire chithandizo china, monga ureteroscopy .

Kodi mumakonzekera bwanji mayeso asanayambe?

Iyi ndi mayeso omwe nthawi zambiri amachitikira kuchipatala. Palibe chifukwa choopera. Koma pali zinthu zingapo zomwe muyenera kudziwa musanachite.

1. Lankhulani ndi dokotala wanu: Muyenera kuuza dokotala wanu za matenda ena aliwonse omwe muli nawo, mankhwala aliwonse omwe mumamwa (makamaka mankhwala ochepetsa magazi), ziwengo zilizonse zomwe muli nazo, komanso ngati muli ndi pakati.

2. Kuletsa kupweteka: Kuyezetsa kumeneku kumachitika pansi pa mankhwala oletsa kupweteka. Izi zikutanthauza kuti simudzamva kupweteka kulikonse. Nthawi zambiri, mudzagonekedwa tulo tofa nato (mankhwala oletsa kupweteka). Chifukwa chake, simudzatha kuyendetsa galimoto nokha mukamaliza kuyezetsa. Onetsetsani kuti mwabweretsa munthu wina kuti akutengereni kunyumba .

3. Chakudya ndi Zakumwa: Mudzalangizidwa kuti musadye kapena kumwa chilichonse usiku usanachitike mayeso kapena mpaka dokotala atakuuzani kuti muchite zimenezo. Tsatirani malangizo amenewo molondola.

4. Zovala ndi Zodzikongoletsera: Pa tsiku limene mwapita kuchipatala, musamavale zodzikongoletsera zodula . Valani zovala zomasuka komanso zomasuka.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Chabwino, tsopano tiyeni tiwone pang'onopang'ono zomwe zimachitika panthawi ya mayeso. Kudziwa izi kudzakuthandizani kuchepetsa mantha anu.

• Choyamba, chipatala chidzakupatsani diresi lapadera loti muvale.
• Kenako nesi adzaika kansalu kakang'ono (IV line) mu mtsempha womwe uli m'dzanja lanu. Kudzera mu mtsemphawo, adzakupatsani saline ndi mankhwala aliwonse ofunikira kuti akuthandizeni kupumula.
• Kenako, dokotala wogonetsa anthu amabwera kudzakupatsa mankhwala oletsa ululu. Pambuyo pake, mudzagona tulo tofa nato. Simudzamva chilichonse .
• Mukagona, dokotala adzaika chubu chopyapyala kwambiri chotchedwa cystoscope , chomwe chili ndi kamera kakang'ono kumapeto, mu urethra yanu ndikuchidutsa kudzera mu chikhodzodzo chanu mpaka pa khomo la ureter yanu.
• Kenako, kudzera mu chipangizocho, chubu china chopyapyala chimalowetsedwa mu mkodzo, ndipo utoto wapadera umalowetsedwa pang'onopang'ono kudzera mmenemo.
• Utoto ukayikidwa bwino, makina a X-ray amajambula zithunzi zingapo.
• Ngati pali chithandizo china chilichonse chomwe chiyenera kuchitidwa nthawi yomweyo ndi mayeso awa, monga kuchotsa mwala, dokotalayo adzachita zimenezo nthawi yomweyo. Apo ayi, adzachotsa zida zonse ndikuyamba kukubwezeretsani ku chikumbumtima.

Zinthu zofunika kuziganizira mukamaliza mayeso

Mukamaliza mayeso, mudzatengedwera ku chipinda china (chipinda chochiritsira) kuti mukayang'aniridwe. Ogwira ntchito zachipatala adzakusamalirani mpaka mutachira kwathunthu ndipo kuthamanga kwa magazi ndi kupuma kwanu kubwereranso mwakale.

• Adzayang'anitsitsa ngati pali magazi mu mkodzo wanu komanso kuchuluka kwa mkodzo womwe mukutuluka.
• Ngakhale mutapita kunyumba, mudzapatsidwa malangizo omveka bwino okhudza mankhwala omwe muyenera kumwa, zomwe muyenera kudya ndi zomwe simuyenera kudya, komanso nthawi yomwe muyenera kuyimbiranso dokotala.
• Mukatsimikizira kuti muli ndi vuto, mutha kupita kunyumba ndi munthu amene anabwera kudzakutengani.

Kodi ubwino wa mayesowa ndi wotani?

Kodi pali chiopsezo chilichonse?

Monga momwe zimakhalira ndi mayeso aliwonse azachipatala, pali zoopsa zazing'ono zomwe zimakhudzidwa, koma zimaonedwa kuti ndi mayeso otetezeka kwambiri .

• Mavuto omwe angakhalepo okhudzana ndi mankhwala oletsa ululu (izi ndi zochepa kwambiri).
• Pali mwayi wochepa woti munthu adwale matenda a urinary tract infections (UTI).
• Pali chiopsezo chochepa kwambiri cha kuwonongeka kwa chikhodzodzo kapena mkodzo poika zidazo.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire ndipo muyenera kupita kwa dokotala liti?

Nthawi zambiri mukhoza kubwerera kuntchito kapena kuchita zinthu mwachizolowezi pasanathe masiku angapo. Mutha kudya mwachizolowezi. Ndikofunikira kwambiri kumwa madzi ambiri .

Ngati mukukumana ndi zizindikiro zotsatirazi, muyenera kuyimbira dokotala nthawi yomweyo .