Pyelogram ya Retrograde ni iki? Reka tubiganireho mu buryo bworoshye!

Ushobora kuba warigeze kugira ikibazo cyo kubabara, ububabare, cyangwa ikindi kibazo mu nganda zawe z'inkari, maze ukajya kwa muganga. Hanyuma, muganga ashobora kuba yaravuze ko agomba kugenzura imiterere y'ingingo zawe z'imbere, nk'impyiko zawe n'umuyoboro w'inkari. Uyu munsi, tugiye kuvuga ku isuzuma ryihariye rikorwa muri ibyo bihe.

Mu magambo make, Retrograde Pyelogram ni iki?

Tekereza ushaka kumenya neza imbere mu nkari zawe, ari zo mpyiko zawe n'imiyoboro itwara inkari ziva muri zo zijya mu ruhago rwawe (ureters). Ibi ntibigaragara kuri X-ray. Rero, muri iki kizamini, amazi yihariye yitwa 'irangi' (ikintu kigabanya itandukaniro) ashyirwa mu muyoboro wawe w'inkari, hanyuma hagafatwa amashusho menshi ya X-ray. Irangi rituma inkari zawe zigaragara neza, imbere muri zo hakagaragara neza kuri X-ray mu ibara ry'umweru.

Ibi byitwa "retrograde," kuko ubusanzwe inkari zimanuka ziva mu mpyiko. Ariko muri iki kizamini, twohereza irangi riturutse hasi rizamuka, mu cyerekezo gitandukanye n'inkari. Ni cyo izina risobanura. "pyelogram" ni ifoto ifatwa y'igice kinini cy'impyiko yawe aho inkari ziteranira (ikibuno cy'impyiko).

Ibi bitandukanye bite na Pyelogram Intravenous (IVP)?

Ushobora kuba warumvise ikindi kizamini gisa n'iki, cyitwa Intravenous Pyelogram (IVP). Byombi bikoresha irangi mu gufata amashusho y'urusobe rw'inkari. Itandukaniro rikomeye ni uburyo irangi rishyirwa mu mubiri.

• Intravenous Pyelogram (IVP): Aha, irangi rishyirwa mu mutsi uri mu kuboko kwawe . Irangi rihita rinyura mu maraso yawe, rikanyura mu mpyiko zawe, hanyuma rikinjira mu nkari zawe mbere yo gupimwa X-ray.
• Isuzuma rya Retrograde Pyelogram: Aha, irangi rishyirwa mu gice cy'umuyoboro w'amaraso . Hari igikoresho cyihariye gikoreshwa kuri ibi.

Noneho ushobora kwibaza impamvu hari uburyo bubiri. Impamvu nyamukuru ni uko hari abantu bafite ubwivumbure ku maraso akoreshwa muri X-rays. Muri IVP, irangi ryongerwa mu maraso, bityo hari amahirwe menshi yo kugira ubwivumbure. Ariko, muri Retrograde Pyelogram, irangi rishyirwa mu muyoboro w'inkari, bityo ntibishoboka ko ryongerwa mu maraso. Kubwibyo , n'umuntu ufite ubwivumbure ku maraso ashobora gukora iki kizamini nta nkomyi .

Ariko, ubu, isuzuma rya CT (Computed Tomography) rikunze gukorwa kurusha kimwe muri ibi bizamini. Rishobora gutanga amashusho asobanutse neza.

Ni izihe mpamvu muganga yagusaba gukora iki kizamini?

Mu bisanzwe muganga wawe ashobora kukugira inama yo gukoresha iki gipimo mu bihe bikurikira:

• Niba ukeka ko ureter yawe yangiritse .
• Niba ukeka ko hari ahantu hafunganye cyangwa hafunganye mu muyoboro w'inkari.
• Niba ushaka gusuzuma amabuye cyangwa ibibyimba mu mpyiko, mu miyoboro y'inkari, cyangwa mu ruhago.
• Niba ukeneye gushyiramo stent , umuyoboro muto utuma umuyoboro ufunguka, mu muyoboro w'inkari, ukeneye ishusho isobanutse neza.
• Niba ushaka gusuzuma neza imbere mu nganda z'inkari mbere yo kuvurwa ubundi buryo, nko gupimwa ureteroscopy .

Witegura ute mbere yo gukora ikizamini?

Iki ni ikizamini gikunze gukorerwa mu bitaro. Nta mpamvu yo kugitinya. Ariko hari ibintu bike ugomba kumenya mbere yo kugikora.

1. Vugana na muganga wawe: Ugomba kubwira muganga wawe izindi ndwara zose ufite, imiti iyo ari yo yose ufata (cyane cyane imiti igabanya amaraso), ubwivumbure ubwo ari bwo bwose ufite, ndetse niba utwite.

2. Anesthesia: Iki kizamini gikorwa hakoreshejwe anesthesia rusange. Ibi bivuze ko nta bubabare uzumva. Kenshi na kenshi, uzasinzira burundu (anesthesia rusange). Kubwibyo, ntuzashobora gutwara imodoka wenyine nyuma yo gupimwa. Menya neza ko wazanye umuntu wo kugutwara mu rugo .

3. Ibyokurya n'ibinyobwa: Uzagirwa inama yo kutarya cyangwa kunywa ikintu icyo ari cyo cyose ijoro ribanziriza ikizamini cyangwa kugeza igihe muganga azakubwiriye. Kurikiza ayo mabwiriza neza.

4. Imyenda n'imitako: Ku munsi wasuye ibitaro, ntukambare imitako ihenze . Ambara imyenda ijyanye neza kandi idafite isuku.

Ni iki kibaho mu gihe cy'ikizamini?

Noneho reka turebe intambwe ku yindi ibiba mu gihe cy'ikizamini. Kubimenya bizagufasha kugabanya ubwoba bwawe.

• Ubwa mbere, ibitaro bizaguha ikanzu yihariye yo kwambara.
• Hanyuma umuforomo azashyiramo akantu gato ka cannula (umurongo wa IV) mu mutsi uri mu kuboko kwawe. Bazaguha umunyu n'imiti yose ikenewe kugira ngo bigufashe kuruhuka.
• Hanyuma, umuganga w’ikinya aza kugushyira munsi y’ikinya. Nyuma y’ibyo, uzasinzira neza. Nta kintu na kimwe uzumva .
• Umaze gusinzira, muganga azashyiramo umuyoboro muto cyane witwa cystoscope , ufite kamera nto ku iherezo, mu muyoboro wawe w'inkari hanyuma awunyuze mu ruhago rwawe kugeza ku mwenge w'umuyoboro wawe w'inkari.
• Hanyuma, undi muyoboro muto unyuzwa muri icyo gikoresho ukajya mu muyoboro w'inkari, hanyuma irangi ryihariye rigashyirwamo buhoro buhoro.
• Iyo irangi rimaze gushyirwamo neza, imashini ya X-ray ifata amashusho menshi.
• Niba hari ubundi buryo bwo kuvura bugomba gukorwa icyarimwe n'iki kizamini, nko gukuraho ibuye, muganga azahita abikora. Bitabaye ibyo, azakuraho ibikoresho byose maze atange ubwenge.

Ibintu ugomba kwitaho nyuma yo gukora ikizamini

Nyuma yo gupimwa, uzajyanwa mu cyumba cyihariye (icyumba cyo gukira) kugira ngo ukurikiranwe. Abaganga bazakwitaho kugeza igihe uzagarura ubwenge bwuzuye kandi umuvuduko w'amaraso n'ubuhumekero byawe bikongera kumera nk'uko bisanzwe.

• Bazareba niba hari amaraso mu nkari zawe n'ingano y'inkari zawe.
• Ndetse na nyuma yo gutaha, uzahabwa amabwiriza asobanutse neza ku miti ugomba gufata, ibyo ugomba kurya n'ibyo utagomba kurya, n'igihe ugomba kongera guhamagara muganga.
• Iyo umaze kwemeza ko urwaye, ushobora gutaha n'umuntu waje kugutwara.

Ni izihe nyungu z'iki kizamini?

Hari ibyago?

Nkuko bigenda ku isuzuma ry’ubuvuzi iryo ari ryo ryose, hari ingaruka nto cyane zishobora kubaho, ariko bifatwa nk'ikizamini cyizewe cyane .

• Ingorane zishobora guterwa no gusinziriza (izi ni gake cyane).
• Hari amahirwe make yo kurwara indwara zo mu nzira y'inkari (UTI).
• Hari ibyago bike cyane byo kwangirika k'uruhago cyangwa urethra mu gihe cyo gushyiramo ibikoresho.

Bifata igihe kingana iki kugira ngo ukire kandi ni ryari wagombye kujya kwa muganga?

Ubusanzwe ushobora gusubira ku kazi cyangwa mu mirimo isanzwe mu minsi mike. Ushobora kurya nk'uko bisanzwe. Ni ingenzi cyane kunywa amazi menshi .

Uramutse ubonye ibimenyetso bikurikira, ugomba guhita uhamagara muganga wawe .