Chiremba wako anofungidzira here kuti une dambudziko nehurongwa hwako hweweti uye akakuudza kuti uite X-ray chaiyo kuti uione? Inogona kunge iri "Retrograde Pyelogram." Zita racho ringanzwika serakaoma, asi chaizvoizvo ibvunzo yakachengeteka inobatsira vanachiremba kunzwisisa dambudziko rako zviri nani. Saka ngatibvisei kuvhiringidzika kwese pamusoro paro nhasi.
Chii chinonzi Retrograde Pyelogram (RP)?
Zvichitaurwa zviri nyore, iyi i X-ray test zvakare. Asi kuti tiwane mufananidzo wakajeka kupfuura X-ray yenguva dzose, tinoshandisa mvura yakakosha inonzi "contrast dye." Dhayi iyi inoita kuti zvikamu zveweti yako zvionekwe zvichena pamufananidzo we X-ray.
Izwi rekuti "retrograde" apa rinoreva "kudzokera kumashure." Funga nezvazvo, kazhinji weti yedu inoumbwa, inofamba ichidzika nemumaureter, uye yozoungana mudundira isati yabuda mumuviri. Asi mukuyedza uku, tinotumira dhayi rakakosha kubva pasi richikwira kuburikidza nemaureter, izvo zvinopesana nenzira yaro yakajairika, kuenda kuitsvo. Ndosaka richinzi "retrograde."
"Pyelogram" mufananidzo weX-ray unotorwa we pelvis yeitsvo, chikamu chakaita sefunnel cheitsvo uko weti inoungana. Saka kana zvese izvi zvabatanidzwa, izvi zvinogadzira mufananidzo wakajeka weX-ray wechikamu chepamusoro cheweti.
Izvi zvakasiyana sei neIVP?
Ungave wakambonzwawo nezve intravenous pyelogram (IVP). I X-ray zvakare uchishandisa dhayi. Musiyano mukuru uri munzira iyo dhayi inopinzwa mumuviri.
- Intravenous Pyelogram (IVP): Pano, dhayi rinopinzwa mutsinga iri muruoko. Dhayi rinozofamba neropa mumuviri wese, rosvina neitsvo, ropinda muweti, uko kunotorwa X-ray.
- Retrograde Pyelogram (RP): Pano, dhayi rinopinzwa zvakananga muweti. Haripindi muropa.
Saka kana mumwe munhu aine allergy neIV dye, sarudzo yakanakisa yekuti aite zvakachengeteka ndeye Retrograde Pyelogram.
Kunyangwe matekinoroji matsva akadai seCT urograms akaderedza kushandiswa kwebvunzo dzeIVP, bvunzo yeRP ichiri kubatsira zvikuru mune dzimwe nguva.
Mumamiriro ezvinhu api chiremba angakutumira kuti upiwe bvunzo iyi?
Panogona kunge paine zvikonzero zvakawanda nei chiremba wako angakurudzira bvunzo iyi. Ngationei kuti ndezvipi.
| Mamiriro Anofungidzirwa | Tsananguro Iri Nyore |
|---|---|
| Kukuvadzwa kwenzira yeweti | Tarisa kuti uone kana ma ureter ako akakuvara netsaona kana chimwe chikonzero. |
| Kuvharika kwenzira yeweti kana kutetepa | Tarisa kana paine kuvharika kana kutetepa kwenzira yeweti. Izvi zvichakubatsira kuona kuti weti yacho inovharika here. |
| Matombo kana Mabundu | Tarisa kana paine matombo kana kukura kusina kujairika muitsvo, muura, kana mudundira. Izvi zvinoonekwa zvakajeka nedhayi. |
| Sekubatsira kune dzimwe nzira dzekurapa | Dzimwe nguva inoshandiswa kuwana mufananidzo wakajeka wemukati meureter usati waisa stent kana kuita ureteroscopy, nzira inoshandisa kamera. |
Ngatidzidzei nhanho nhanho kuti bvunzo iyi inoitwa sei.
Iyi bvunzo inowanzoitwa mukamuri rekuvhiyiwa rechipatara. Ngationei zvinoitika munyaya iyi.
Maitiro Asati Aitwa
Chiremba wako achakupa mirairo yese inodiwa usati waongororwa. Iva nechokwadi chekuudza chiremba wako nezvemishonga yauri kutora, kunyanya mishonga inobvisa ropa , chero allergies yaunayo, uye kana uine pamuviri.
Sezvo mushonga wekutindivadza uchiwanzoshandiswa pakuita izvi, uchakumbirwa kutsanya husiku husati hwaitwa bvunzo. Uyewo, usakanganwa kuuya nemumwe munhu kuti akutore uende naye kumba mushure mekuitwa bvunzo.
Munguva Yekuita Maitiro
Uchapihwa gown rechipatara rakakosha rekupfeka. Chiremba weanotindivadza achaisa tambo yeIV muruoko rwako uye achakunyaradza. Izvi zvinowanzoitwa pasi peanesthesia . Izvi zvinoreva kuti hauzonzwi chero chinhu, uchava wakarara zvachose.
Zvadaro, chiremba weurologist achaisa chubhu yakatetepa, ine kamera inonzi cystoscope muurethra yako nemudundira rako. Kamera ichatarisa kuburikidza nayo kuti ione kuti ureter mbiri dzinotangira papi. Zvadaro, nokungwarira, imwe chubhu yakatetepa ichapinzwa muurethra uye dhayi ichapinzwa. Kana dhayi yave panzvimbo yakakwana, X-ray dzakawanda dzichatorwa. Kana paine kumwe kurapwa kunofanira kuitwa, sekubviswa kwedombo, chiremba achaita izvozvo panguva ino zvakare.
Mushure meKuvhiyiwa
Kana bvunzo yapera, uchaendeswa kuchipatara kuti utariswe kusvika wamuka kubva pakunzwa kuneta. Ikoko, vashandi vekuchengeta varwere vachakutarisira kusvika kufema kwako neBP zvadzoka pakare. Vachaongororawo kana paine ropa muweti yako uye kuti uri kubuda weti yakawanda sei. Kana zvese zvanaka, uchabvumirwa kuenda kumba nemumwe wako.
Ndezvipi njodzi uye mabhenefiti ebvunzo iyi?
Zvakanakira
- Zvakakodzera vanhu vane allergies: Chinhu chikuru chakanakira izvi ndechekuti kunyangwe munhu ane allergies kuIV dye anogona kuita izvi. Nekuti dhayi haripindi muropa, njodzi yekurwara neallergies yakaderera.
- Kuongorora nekurapa panguva imwe chete: Paanenge achiita izvi, chiremba anogona kuita kurapa kudiki, kwakadai sekubvisa matombo madiki.
- Kusabatwa nemwaranzi shoma: Huwandu hwemwaranzi hunogamuchirwa nemuviri hwakaderera.
Njodzi
Sekune mamwe maitiro ekurapa, kune dzimwe njodzi, asi RP inzira yakachengeteka zvikuru . Njodzi dzinogona kuvapo ndeidzi:
- Matambudziko ane chekuita neanesthesia.
- Utachiona hweWeti (UTI).
- Pane mukana mudiki wekukuvara kudiki kweurethra kana dundira kana kamera ikaiswa.
Zvinotora nguva yakareba sei kuti ndipore? Ndinofanira kufonera chiremba riini?
Kazhinji unogona kudzokera kubasa kana kutangazve mabasa ako emazuva ese mukati memazuva mashoma. Zvakakosha kunwa mvura yakawanda nezvimwe zvinwiwa.
Zvakakosha zvikuru: Kana ukaona chimwe chezviratidzo zvinotevera mushure mekudzokera kumba, fonera chiremba wako nekukasika kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU).
- Kana ukanzwa fivha.
- Kana uchinzwa kudedera kana kutonhorwa.
- Kana zvakaoma kuita weti.
- Kana uchinzwa kurwadziwa kusingatsungiririki paunenge uchiita weti.
- Kana ropa rakawanda muweti.
Usaregeredza zviratidzo izvi. Kurapwa nekukurumidza kunogona kudzivirira matambudziko ese.
Mharidzo Yekuenda Nayo Kumba
- Retrograde Pyelogram (RP) inzira yakachengeteka yeX-ray inoshandiswa kuona kuvharika, matombo, uye bundu riri muchikamu chepamusoro cheweti (itsvo, ureters).
- Iyi isarudzo yakanaka kune avo vane allergies ku IV dyes.
- Nekuti izvi zvinoitwa pasi peanesthesia, zvakakosha kutevedzera mirairo yachiremba nemazvo, zvakaita sekutsanya, uye kuva nemumwe munhu anokuendesa kumba nemotokari.
- Kana ukaona zviratidzo zvakaita sefivha, dzihwa, kurwadziwa kwakanyanya, kana kubuda ropa rakawanda mushure mekuongororwa, tsvaga rubatsiro rwechiremba nekukasika.
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