Ese muganga wawe yaba yarakekaga ko ufite ikibazo mu nkari zawe, akakubwira gukora X-ray yihariye kugira ngo ukirebe? Bishobora kuba "Retrograde Pyelogram." Izina rishobora kumvikana nk'aho rigoye, ariko mu by'ukuri ni ikizamini cyizewe cyane gifasha abaganga gusobanukirwa neza ikibazo cyawe. Reka rero dukemure urujijo rwose ruri kuri cyo uyu munsi.
Pyelogram ya Retrograde (RP) ni iki?
Mu magambo make, iki nacyo ni ikizamini cya X-ray. Ariko kugira ngo tubone ishusho isobanutse kurusha X-ray isanzwe, dukoresha amazi yihariye yitwa "irangi ritandukanye." Iri bara rituma ibice by'inkari zawe bigaragara neza ku ishusho ya X-ray.
Ijambo "gusubira inyuma" muri ibi risobanura "gusubira inyuma." Tekereza kuri ibi, ubusanzwe inkari zacu zirakora, zigaca mu miyoboro y'inkari, hanyuma zigaterana mu ruhago mbere yo kuva mu mubiri. Ariko muri iki kizamini, twohereza irangi ryihariye riva hasi rigana hejuru mu miyoboro y'inkari, ibi bikaba bitandukanye n'inzira isanzwe, rigana mu mpyiko. Niyo mpamvu ryitwa "gusubira inyuma."
"Pyelogram" ni ishusho ya X-ray ifatwa ku mpyiko, igice cy'impyiko gifite ishusho nk'iy'umuyoboro w'inkari aho inkari ziteranira. Rero iyo byombi bihujwe, bitanga ishusho isobanutse neza ya X-ray y'igice cyo hejuru cy'inkari.
Ibi bitandukanye bite n'umujyanama wa IVP?
Ushobora kuba warumvise kandi ibyerekeye isuzuma rya "pyelogram" mu mitsi (IVP). Ni na X-ray ikoresha irangi. Itandukaniro rikomeye riri mu buryo irangi rishyirwa mu mubiri.
- Intravenous Pyelogram (IVP): Aha, irangi rishyirwa mu mutsi uri mu kuboko. Hanyuma irangi rinyura mu mubiri wose hamwe n'amaraso, rikanyura mu mpyiko, rikinjira mu nkari, aho X-ray ifatwa.
- Retrograde Pyelogram (RP): Aha, irangi rishyirwa mu nzira y'inkari. Ntiryinjira mu maraso.
Niba rero umuntu afite ubwivumbure ku marangi ya IV, uburyo bwiza bwo gukora ni iyi Retrograde Pyelogram.
Nubwo ikoranabuhanga rishya nka CT urograms ryagabanyije ikoreshwa ry'ibizamini bya IVP, ikizamini cya RP kiracyafite akamaro cyane mu bihe bimwe na bimwe byihariye.
Ni mu bihe bidasanzwe muganga yakwohereza kuri iki gipimo?
Hari impamvu nyinshi zishobora gutuma muganga wawe agusaba iki kizamini. Reka turebere hamwe izo ari zo.
| Imiterere ikekwaho | Ibisobanuro byoroshye |
|---|---|
| Kwangirika k'inzira y'inkari | Reba niba uturemangingo twawe twangiritse bitewe n'impanuka cyangwa ikindi kintu. |
| Kuziba cyangwa kugabanya inzira y'inkari | Reba niba hari ikibazo cyo kuziba cyangwa kugabanuka k'inzira y'inkari. Ibi bizagufasha kumenya neza imbogamizi nyazo ku gutembera kw'inkari. |
| Amabuye cyangwa Ibibyimba | Reba amabuye cyangwa ibibyimba bidasanzwe mu mpyiko, mu miyoboro y'inkari, cyangwa mu ruhago. Ibi bishobora kugaragara neza ukoresheje irangi. |
| Nk'ubufasha ku bundi buryo bwo kuvura | Hari igihe ikoreshwa kugira ngo hamenyekane neza imbere mu muyoboro w'inkari mbere yo gushyiraho stent cyangwa gukora ureteroscopy, uburyo bukoresha kamera. |
Reka twige intambwe ku yindi uburyo iki kizamini gikorwa.
Iki ni ikizamini gikunze gukorerwa mu cyumba cyo kubaga mu bitaro. Reka turebe uko bigenda muri iki kibazo.
Mbere y'uko igikorwa kirangira
Muganga wawe azaguha amabwiriza yose akenewe mbere yuko upimwa. Menya neza ko wabwiye muganga wawe imiti yose ufata, cyane cyane imiti igabanya amaraso , aleriji iyo ari yo yose ufite, ndetse niba utwite.
Kubera ko ubusanzwe hakoreshwa ikinya, uzasabwa kwiyiriza ubusa ijoro ribanziriza ikizamini. Nanone, ntukibagirwe kuzana umuntu wo kugutwara mu rugo nyuma yo gupimwa.
Mu gihe cy'Ibikorwa
Uzahabwa ikanzu yihariye yo kwambara mu bitaro. Hanyuma umuganga w’indwara zo gusinziriza azagushyira umurongo wa IV mu kuboko maze agutere ikinya. Ibi bikunze gukorwa munsi y’ikinya rusange. Ibi bivuze ko nta kintu na kimwe uzumva, uzaba usinziriye burundu.
Hanyuma, umuganga w’inkari azashyiramo umuyoboro muto ufite kamera witwa cystoscope mu muyoboro wawe w’inkari no mu ruhago rwawe. Kamera izarebamo kugira ngo imenye aho ureter ebyiri zitangirira. Hanyuma, witonze cyane, undi muyoboro muto cyane uzashyirwa mu muyoboro w’inkari hanyuma irangi rigaterwa. Iyo irangi rimaze gushyirwa neza, hazafatwa X-ray nyinshi. Niba hari ubundi buryo bwo kuvura bukenewe gukorwa, nko gukuraho ibuye, muganga azabikora muri iki gihe.
Nyuma y'Ibikorwa
Ikizamini kirangiye, uzajyanwa mu cyumba cyo gukingirwa kugira ngo ukurikiranwe kugeza ubyutse uvuye mu gihe cyo gusinziriza. Aho ngaho, abakozi b'abaforomo bazakwitaho kugeza igihe guhumeka kwawe n'umuvuduko w'amaraso bisubiye ku buryo busanzwe. Bazareba kandi niba hari amaraso mu nkari zawe n'ingano y'inkari zawe. Ibintu byose nibimara kugenda neza, uzemererwa gutaha hamwe n'uwo mubana.
Ni izihe ngaruka n'inyungu z'iki kizamini?
Ibyiza
- Bikwiriye abantu bafite ubwivumbure: Akamaro gakomeye k'ibi ni uko n'umuntu ufite ubwivumbure ku maraso ashobora kubikora. Kubera ko irangi ritagera mu maraso, ibyago byo kugira ubwivumbure ni bike cyane.
- Gusuzuma no kuvura icyarimwe: Mu gihe akora ibi, muganga ashobora gukora ubuvuzi buto, nko gukuraho amabuye mato.
- Imirasire mike: Ingano y'imirasire umubiri wakira ni nkeya.
Ingaruka
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe, ariko RP ni uburyo bwizewe cyane . Ingaruka zishobora kubaho ni izi:
- Ibibazo bijyanye no gusinziriza.
- Indwara zo mu nzira y'inkari (UTI).
- Hari amahirwe make yo kwangirika gato k'umuyoboro w'inkari cyangwa uruhago iyo ushyizwemo kamera.
Bizatwara igihe kingana iki kugira ngo kire? Ni ryari nkwiye guhamagara muganga?
Ubusanzwe ushobora gusubira ku kazi cyangwa gusubira mu mirimo isanzwe mu minsi mike. Ni ingenzi cyane kunywa amazi menshi n'ibindi binyobwa.
Icy'ingenzi cyane: Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo gusubira mu rugo, hamagara muganga wawe ako kanya cyangwa ujye mu bitaro bikuru byita ku barwayi ba ETU (ETU).
- Niba urwaye umuriro.
- Niba wumva uhinda umushyitsi cyangwa urimo gukonja.
- Niba bigoye kunyara.
- Niba ubabara cyane iyo uri kunyara.
- Iyo amaraso yiyongereye mu nkari.
Ntukirengagize ibi bimenyetso. Guvurwa hakiri kare bishobora gukumira ingorane iyo ari yo yose.
Ubutumwa bwo kujyana mu rugo
- Isuzuma rya Retrograde Pyelogram (RP) ni ikizamini cya X-ray cyizewe gikoreshwa mu gupima kuziba, amabuye, n'ibibyimba mu nzira yo hejuru y'inkari (impyiko, ureter).
- Ubu ni uburyo bwiza ku bantu bafite ubwivumbure ku marangi ya IV.
- Kubera ko ibi bikorwa hakoreshejwe ikinya, ni ngombwa gukurikiza amabwiriza ya muganga neza, nko kwiyiriza ubusa, no kugira umuntu ugutwara mu modoka agutaha.
- Niba ugize ibimenyetso nk'umuriro, ubukonje, ububabare bukabije, cyangwa kuva amaraso menshi nyuma yo gupimwa, shaka ubufasha kwa muganga byihutirwa.

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