Kodi dokotala wanu akukayikira kuti muli ndi vuto ndi mkodzo wanu ndipo akukuuzani kuti mupange X-ray yapadera kuti muone? Ikhoza kukhala "Retrograde Pyelogram." Dzinalo lingamveke ngati lovuta pang'ono, koma kwenikweni ndi mayeso otetezeka kwambiri omwe amathandiza madokotala kumvetsetsa bwino vuto lanu. Choncho tiyeni tithetse chisokonezo chonse chokhudza vutolo lero.
Kodi Retrograde Pyelogram (RP) ndi chiyani?
Mwachidule, iyi ndi mayeso a X-ray. Koma kuti tipeze chithunzi chomveka bwino kuposa X-ray wamba, timagwiritsa ntchito madzi apadera otchedwa "utoto wosiyana." Utoto uwu umapangitsa ziwalo za mkodzo wanu kuonekera bwino kwambiri pa chithunzi cha X-ray.
Mawu akuti "retrograde" m'mawu awa amatanthauza "kubwerera m'mbuyo." Taganizirani izi, nthawi zambiri mkodzo wathu umapangidwa, umayenda pansi pa ureter, kenako umasonkhana mu chikhodzodzo musanatuluke m'thupi. Koma mu mayeso awa, timatumiza utoto wapadera kuchokera pansi kupita mmwamba kudzera mu ureter, zomwe ndi zosiyana ndi njira yake yachizolowezi, kupita ku impso. Ndicho chifukwa chake amatchedwa "retrograde."
"Pyelogram" ndi chithunzi cha X-ray chomwe chimatengedwa cha pelvis ya impso, gawo looneka ngati funnel la impso komwe mkodzo umasonkhana. Choncho pamene zonsezi zikuphatikizidwa, izi zimapanga chithunzi chowoneka bwino cha X-ray cha gawo lapamwamba la dongosolo la mkodzo.
Kodi izi zikusiyana bwanji ndi IVP?
Mwina munamvapo za intravenous pyelogram (IVP). Ndi X-ray pogwiritsa ntchito utoto. Kusiyana kwakukulu kuli m'njira yomwe utoto umalowetsedwa m'thupi.
- Intravenous Pyelogram (IVP): Apa, utoto umalowetsedwa mu mtsempha womwe uli m'dzanja. Kenako utotowo umayenda m'thupi lonse ndi magazi, umasefa kudzera mu impso, ndikulowa m'dongosolo la mkodzo, komwe X-ray imatengedwa.
- Retrograde Pyelogram (RP): Apa, utoto umalowetsedwa mwachindunji mu mkodzo. Sulowa m'magazi.
Kotero ngati wina ali ndi vuto la kusagwirizana ndi utoto wa IV, njira yabwino kwambiri yochitira izi ndi Retrograde Pyelogram.
Ngakhale kuti ukadaulo watsopano monga CT urograms wachepetsa kugwiritsa ntchito mayeso a IVP, mayeso a RP akadali othandiza kwambiri pazochitika zina zapadera.
Kodi dokotala angakutumizireni mayeso awa pazochitika ziti?
Pakhoza kukhala zifukwa zingapo zomwe dokotala wanu angakulimbikitseni mayesowa. Tiyeni tiwone zomwe zili.
| Mkhalidwe Wokayikiridwa | Kufotokozera Kosavuta |
|---|---|
| Kuwonongeka kwa njira ya mkodzo | Yang'anani ngati ma ureter anu awonongeka ndi ngozi kapena chifukwa china. |
| Kutsekeka kwa njira ya mkodzo kapena kuchepa kwake | Yang'anani ngati pali kutsekeka kapena kuchepa kwa njira ya mkodzo. Izi zikuthandizani kudziwa chomwe chikulepheretsa kuyenda kwa mkodzo. |
| Miyala kapena Zotupa | Yang'anani miyala kapena zotupa zachilendo mu impso, mkodzo, kapena chikhodzodzo. Izi zitha kuwoneka bwino ndi utoto. |
| Monga chithandizo cha mankhwala ena | Nthawi zina imagwiritsidwa ntchito kuti mupeze chithunzi chomveka bwino cha mkati mwa ureter musanayike stent kapena kuchita ureteroscopy, njira yomwe imagwiritsa ntchito kamera. |
Tiyeni tiphunzire pang'onopang'ono momwe mayesowa amachitikira.
Iyi ndi mayeso omwe nthawi zambiri amachitikira m'chipinda chochitira opaleshoni kuchipatala. Tiyeni tiwone zomwe zimachitika pamenepa.
Ndondomeko isanachitike
Dokotala wanu adzakupatsani malangizo onse ofunikira musanachite mayesowa. Onetsetsani kuti mwauza dokotala wanu za mankhwala aliwonse omwe mukumwa, makamaka mankhwala ochepetsa magazi , ziwengo zilizonse zomwe muli nazo, komanso ngati muli ndi pakati.
Popeza nthawi zambiri amagwiritsidwa ntchito pochiza matendawa, mudzapemphedwa kuti musale kudya usiku usanachitike mayeso. Komanso, musaiwale kubweretsa munthu wina kuti akutengereni kunyumba mukamaliza mayeso.
Panthawi ya Ndondomekoyi
Mudzapatsidwa diresi lapadera la kuchipatala kuti muvale. Kenako dokotala wa opaleshoni adzakuyikani mzere wa IV m'dzanja lanu ndikukupatsanso mankhwala oletsa ululu. Izi nthawi zambiri zimachitika pansi pa anesthesia wamba. Izi zikutanthauza kuti simudzamva chilichonse, mudzakhala mutulo tofa nato.
Kenako, dokotala wa urologist adzaika chubu chopyapyala, chokhala ndi kamera chotchedwa cystoscope mu urethra yanu ndi mu chikhodzodzo chanu. Kamera idzayang'ana mkati mwake kuti ipeze komwe ureter ziwiri zimayambira. Kenako, mosamala kwambiri, chubu china chopyapyala kwambiri chidzayikidwa mu urethra ndipo utoto udzabayidwa. Utoto ukangoyikidwa bwino, X-ray zingapo zidzatengedwa. Ngati pali chithandizo china chilichonse chomwe chikufunika kuchitidwa, monga kuchotsa mwala, dokotalayo adzachitanso zimenezo panthawiyi.
Pambuyo pa Ndondomeko
Mukamaliza mayeso, mudzatengedwera ku chipinda chochiritsira kuti mukayang'aniridwe mpaka mutadzuka kuchokera ku opaleshoni yoletsa kupweteka. Kumeneko, ogwira ntchito yosamalira ana adzakusamalirani mpaka kupuma kwanu ndi kuthamanga kwa magazi zibwerere mwakale. Adzafufuzanso ngati muli ndi magazi mu mkodzo wanu komanso kuchuluka kwa mkodzo womwe mukutuluka. Zonse zikayenda bwino, mudzaloledwa kupita kunyumba ndi mnzanu.
Kodi zoopsa ndi ubwino wa mayesowa ndi ziti?
Ubwino
- Yoyenera anthu omwe ali ndi ziwengo: Ubwino waukulu wa izi ndikuti ngakhale munthu amene ali ndi ziwengo ku utoto wa IV akhoza kuchita izi. Chifukwa utotowo sulowa m'magazi, chiopsezo cha ziwengo chimakhala chochepa kwambiri.
- Kuwunika ndi kulandira chithandizo nthawi imodzi: Dokotala akamachita izi, amatha kuchita chithandizo chaching'ono, monga kuchotsa miyala yaying'ono.
- Kuchuluka kwa kuwala kwa dzuwa: Kuchuluka kwa kuwala komwe thupi limalandira ndi kochepa.
Zoopsa
Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zoopsa zina, koma RP ndi njira yotetezeka kwambiri . Zoopsa zomwe zingatheke ndi izi:
- Mavuto okhudzana ndi mankhwala oletsa ululu.
- Matenda a mkodzo (UTI).
- Pali mwayi wochepa wa kuwonongeka pang'ono kwa mkodzo kapena chikhodzodzo mukayika kamera.
Kodi zitenga nthawi yayitali bwanji kuti ndichire? Kodi ndiyenera kuyimbira dokotala liti?
Nthawi zambiri mukhoza kubwerera kuntchito kapena kuyambiranso ntchito zanu zachizolowezi pasanathe masiku angapo. Ndikofunikira kwambiri kumwa madzi ambiri ndi zakumwa zina .
Chofunika kwambiri: Ngati mukukumana ndi zizindikiro zotsatirazi mutabwerera kunyumba, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yoona za Zadzidzidzi ya chipatala chapafupi (ETU).
- Ngati mukumva malungo.
- Ngati mukumva kunjenjemera kapena kuzizira.
- Ngati n'kovuta kukodza.
- Ngati mukumva ululu wosapiririka mukamakodza.
- Ngati pali magazi ambiri mu mkodzo.
Musanyalanyaze zizindikiro izi. Kulandira chithandizo msanga kungapewe mavuto aliwonse.
Uthenga Wopita Nawo Kunyumba
- Retrograde Pyelogram (RP) ndi mayeso otetezeka a X-ray omwe amagwiritsidwa ntchito kuzindikira kutsekeka, miyala, ndi zotupa m'njira ya mkodzo yapamwamba (impso, ureters).
- Iyi ndi njira yabwino kwambiri kwa iwo omwe ali ndi vuto la kusagwirizana ndi utoto wa IV.
- Popeza izi zimachitika pansi pa mankhwala oletsa ululu, ndikofunikira kutsatira malangizo a dokotala monga kusala kudya, komanso kukhala ndi munthu woti akutengereni kunyumba.
- Ngati mukumva zizindikiro monga kutentha thupi, kuzizira, kupweteka kwambiri, kapena kutuluka magazi kwambiri mutamaliza kuyezetsa, funsani upangiri wa dokotala nthawi yomweyo.
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