Chii chinonzi Retrograde Pyelogram? Ngatitaurei nezvazvo zviri nyore!

Ungave wakasangana nekusagadzikana, kurwadziwa, kana rimwe dambudziko nehurongwa hweweti yako uye wakaenda kunoona chiremba. Zvadaro, chiremba anogona kunge akati anofanira kutarisa mamiriro enhengo dzemukati mako, dzakadai seitsvo dzako neurethra. Nhasi, tichataura nezvebvunzo yakakosha inoitwa panguva dzakadaro.

Zvichitaurwa zviri nyore, chii chinonzi Retrograde Pyelogram?

Fungidzira uchida kuona zviri mukati menzira yako yeweti, itsvo dzako nemachubhu anotakura weti kubva kwairi kuenda kudundira rako (ureters). Izvi hazvionekwe paX-ray. Saka, muongororo iyi, mvura yakakosha inonzi 'dye' (contrast agent) inopinzwa muurethra yako, uye ipapo mifananidzo yeX-ray inotorwa. Dhayi inoita kuti chimiro chenzira yako yeweti chionekwe zvakajeka paX-ray neruvara ruchena.

Izvi zvinonzi "retrograde," nekuti kazhinji weti inofamba ichidzika kubva muitsvo. Asi mukuyedza uku, tinotumira dhayi kubva pasi zvichikwira, kune rimwe divi reweti. Ndizvo zvinoreva zita racho. "pyelogram" mufananidzo unotorwa wechikamu chikuru cheitsvo yako uko weti inoungana (renal pelvis).

Izvi zvakasiyana sei neIntravenous Pyelogram (IVP)?

Ungave wakambonzwa nezveimwe bvunzo yakafanana neiyi, inonzi Intravenous Pyelogram (IVP). Dzese dzinoshandisa dhayi kutora mifananidzo yehurongwa hweweti. Musiyano mukuru ndewekuti dhayi inopinzwa sei mumuviri.

• Intravenous Pyelogram (IVP): Pano, dhayi rinopinzwa mutsinga iri muruoko rwako . Dhayi rinozofamba nemuropa rako, rosvina neitsvo dzako, uye ropinda muweti yako risati raongororwa neX-ray.
• Kudzoreredza Pyelogram: Pano, dhayi inopinzwa zvakananga muureter . Chishandiso chakakosha chinoshandiswa pakuita izvi.

Zvino ungave uchishamisika kuti sei paine nzira mbiri. Chikonzero chikuru ndechekuti vamwe vanhu vane allergy kune madhayi anoshandiswa muX-rays. MuIVP, dhayi inowedzerwa muropa, saka pane mukana mukuru weallergy. Zvisinei, muRetrograde Pyelogram, dhayi inopinzwa zvakananga muurethra, saka hazvigoneke kuti iwedzere muropa. Saka , kunyangwe munhu ane allergy kune madhayi anogona kuongororwa izvi zvakachengeteka .

Zvisinei, pari zvino, CT scan (Computed Tomography) ndiyo inowanzoitwa kupfuura chero imwe yebvunzo idzi. Inogona kupa mifananidzo yakajeka.

Zvikonzero zvipi zvingaita kuti chiremba akukumbire kuti uite bvunzo iyi?

Chiremba wako anogona kukurudzira bvunzo iyi mune zvinotevera:

• Kana uchifungidzira kuti ureter yako yakakuvara .
• Kana uchifungidzira kuti pane kuvharika kana kuti kutetepa kweurethra.
• Kana uchida kuongorora matombo kana mapundu muitsvo, muureter, kana mudundira.
• Kana uchida kuisa stent , chubhu diki inoita kuti chubhu irambe yakavhurika, muurethra, unoda mufananidzo wakajeka.
• Kana uchida kunyatsoongorora mukati menzira yeweti usati wapihwa imwe nzira yekurapa, senge ureteroscopy .

Unogadzirira sei bvunzo isati yaitwa?

Iyi bvunzo inowanzoitwa muchipatara. Hauna chikonzero chekuitya. Asi pane zvinhu zvishoma zvaunofanira kuziva usati wazviita.

1. Taura nachiremba wako: Unofanira kuudza chiremba wako nezvezvimwe zvirwere zvaunazvo, chero mishonga yaunotora (kunyanya mishonga inobvisa ropa), chero allergies yaunayo, uye kana uine pamuviri.

2. Anesthesia: Bvunzo iyi inoitirwa pasi peanesthesia yakajairika. Izvi zvinoreva kuti hauzonzwi kurwadziwa. Kazhinji, ucharara zvachose (anesthesia yakajairika). Saka, hauzokwanisi kutyaira mota wega mushure mekuongororwa. Ita shuwa kuti wauya nemumwe munhu kuti akutore uende naye kumba .

3. Zvekudya Nekunwa: Uchaudzwa kuti usadye kana kunwa chero chinhu husiku husati hwaitwa bvunzo kana kusvika chiremba akuudza kuti uite saizvozvo. Tevedzera mirairo iyoyo nemazvo.

4. Zvipfeko nezvishongo: Pazuva raunoshanyira chipatara, usapfeke zvishongo zvinodhura . Pfeka zvipfeko zvinonyaradza uye zvisina kusimba.

Chii chinoitika panguva yebvunzo?

Zvakanaka, ngatitarisei nhanho nhanho zvinoitika panguva yebvunzo. Kuziva izvi kuchakubatsira kuderedza kutya kwako.

• Kutanga, chipatara chichakupa hembe yakakosha yekupfeka.
• Mukoti achaisa kannula kadiki (IV line) mutsinga iri muruoko rwako. Kuburikidza nayo, vachakupa saline nemishonga inodiwa kuti uzorore.
• Tevere, chiremba weanotindivadza anouya okuisa pasi peanesthesia. Mushure meizvozvo, ucharara zvakanaka. Hauzonzwi chero chinhu .
• Kana warara, chiremba anoisa chubhu yakatetepa inonzi cystoscope , ine kamera diki kumagumo, muurethra yako uye anoipinza nepakati pedundira rako kusvika paburi reureter yako.
• Zvadaro, imwe chubhu yakatetepa inopfuudzwa nemuchina iwoyo ichipinda muurethra, uye dhayi chaiyo inopinzwa zvishoma nezvishoma mairi.
• Kana dhayi yaiswa zvakanaka, muchina weX-ray unotora mifananidzo yakatevedzana.
• Kana paine kumwe kurapwa kunofanira kuitwa panguva imwe chete nebvunzo iyi, sekubviswa kwedombo, chiremba achaita izvozvo nekukasika. Zvikasadaro, achabvisa midziyo yese otanga kukudzosera mupfungwa.

Zvinhu zvekutarisira mushure mekuongororwa

Kana bvunzo yapera, uchaendeswa kune imwe imba (yekupona) kuti utariswe. Vashandi vezvehutano vachakutarisira kusvika wawanazve pfungwa dzako uye BP yako nekufema kwako zvadzokera kune zvakajairika.

• Vachanyatsocherechedza kana paine ropa muweti yako uye kuti uri kubuda weti yakawanda sei.
• Kunyangwe mushure mekunge maenda kumba, muchapiwa mirairo yakajeka nezvemishonga yaunofanira kunwa, zvaunofanira kudya nezvausingafaniri kudya, uye nguva yaunofanira kufonera chiremba zvakare.
• Kana mamiriro ako ezvinhu asimbiswa, unogona kuenda kumba nemunhu akauya kuzokutora.

Ndezvipi zvakanakira bvunzo iyi?

Pane njodzi here?

Sekunge kune chero bvunzo dzekurapa, kune dzimwe njodzi diki diki dzinobatanidzwa, asi inoonekwa sebvunzo yakachengeteka zvikuru .

• Matambudziko angangoitika ane chekuita neanesthesia (aya haawanzoitiki).
• Pane mukana mudiki wekuwana Utachiona hweUrinary Tract Infections (UTI).
• Pane mukana mudiki wekukuvara kwedundira kana urethra panguva yekuiswa kwemidziyo iyi.

Zvinotora nguva yakareba sei kuti upore uye unofanira kuona chiremba riini?

Unogona kudzokera kubasa kana kuita zvinhu zvakajairika mukati memazuva mashoma. Unogona kudya zvakajairika. Zvakakosha kunwa mvura yakawanda .

Kana ukaona zviratidzo zvinotevera, unofanira kufonera chiremba wako nekukasika .