Yintoni iRetrograde Pyelogram? Masithethe ngayo ngokulula!

Usenokuba ubunengxaki ethile, iintlungu, okanye ezinye iingxaki kwinkqubo yakho yomchamo waza waya kugqirha. Emva koko, ugqirha usenokuba uthe kufuneka ajonge imeko yezitho zakho zangaphakathi, njengezintso zakho kunye nomchamo. Namhlanje, siza kuthetha ngovavanyo olukhethekileyo olwenziwa ngamaxesha anjalo.

Ngamafutshane, yintoni iRetrograde Pyelogram?

Khawuthelekelele ufuna ukufumana umfanekiso ocacileyo wengaphakathi lenkqubo yakho yomchamo, ezizintso zakho kunye neetyhubhu ezithwala umchamo ukusuka kuzo ukuya kwisinyi sakho (ureters). Oku akubonakali kwi-X-ray. Ngoko ke, kolu vavanyo, ulwelo olukhethekileyo olubizwa ngokuba yi-'dye' (i-contrast agent) lufakwa kwi-urethra yakho, kwaye emva koko kuthathwa uthotho lwemifanekiso ye-X-ray. Idayi yenza imo yenkqubo yakho yomchamo kwaye ingaphakathi layo libonakale ngokucacileyo kwi-X-ray ngombala omhlophe.

Oku kubizwa ngokuba yi- "retrograde," kuba umchamo udla ngokuhamba usuka kwizintso. Kodwa kolu vavanyo, sithumela idayi ukusuka ezantsi ukuya phezulu, kwicala elichaseneyo lomchamo. Yiloo nto igama lithetha yona. I-"pyelogram" ngumfanekiso othathwe kwinxalenye ephambili yezintso zakho apho umchamo uqokelelana khona (i-renal pelvis).

Oku kwahluke njani kwi-Intravenous Pyelogram (IVP)?

Usenokuba ukhe weva ngolunye uvavanyo olufana nolu, olubizwa ngokuba yi-Intravenous Pyelogram (IVP). Zombini zisebenzisa idayi ukuthatha imifanekiso yenkqubo yomchamo. Umahluko omkhulu yindlela idayi efakwa ngayo emzimbeni.

• I-Intravenous Pyelogram (IVP): Apha, idayi ifakwa emthanjeni osengalweni yakho . Emva koko idayi idlula egazini lakho, ihluze izintso zakho, ize ingene kwinkqubo yakho yomchamo ngaphambi kokuba ithathwe i-X-ray.
• I-Retrograde Pyelogram: Apha, idayi ifakwa ngqo kwi-ureter . Kusetyenziswa isixhobo esikhethekileyo koku.

Ngoku usenokuba uzibuza ukuba kutheni kukho iindlela ezimbini. Isizathu esiphambili kukuba abanye abantu bane-allergy kwiidayi ezisetyenziswa kwi-X-rays. Kwi-IVP, idayi yongezwa egazini, ngoko ke kukho amathuba aphezulu okuba ne-allergy. Nangona kunjalo, kwi-Retrograde Pyelogram, idayi ifakwa ngqo kwi-urethra, ngoko akunakwenzeka ukuba yongezwe egazini. Ke ngoko , nomntu one-allergy kwiidayi unokwenza olu vavanyo ngokukhuselekileyo .

Nangona kunjalo, okwangoku, i-CT scan (i-Computed Tomography) idla ngokwenziwa ngaphezu kwale vavanyo. Ingabonelela ngemifanekiso ecacileyo.

Ziziphi izizathu ezinokukubuza ugqirha ukuba wenze olu vavanyo?

Ugqirha wakho unokucebisa olu vavanyo kwiimeko ezilandelayo:

• Ukuba ukrokrela ukuba i-ureter yakho yonakele .
• Ukuba ukrokrela ukuba kukho ukuvaleka okanye ukuncitshiswa kwenye indawo kwi-urethra.
• Ukuba ufuna ukujonga amatye okanye iithumba kwizintso, kwi-ureters, okanye kwisinyi.
• Ukuba ufuna ukufaka i-stent , ityhubhu encinci egcina ityhubhu ivulekile, kwi-urethra, udinga umfanekiso ocacileyo.
• Ukuba ufuna ukujonga kakuhle ingaphakathi lenkqubo yomchamo ngaphambi kokuba ufumane olunye unyango, olufana ne -ureteroscopy .

Ulungiselela njani ngaphambi kovavanyo?

Olu luvavanyo oluhlala lwenziwa esibhedlele. Awunasizathu sokuloyika. Kodwa kukho izinto ezimbalwa ekufuneka uzazi ngaphambi kokuba ulwenze.

1. Thetha nogqirha wakho: Ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngazo naziphi na ezinye iingxaki zempilo onazo, nawaphi na amayeza owasebenzisayo (ingakumbi amayeza okunciphisa igazi), naziphi na izinto ezibangela ukuba umzimba wakho ungabi naso isifo, nokuba ukhulelwe.

2. I-Anesthesia: Olu vavanyo lwenziwa phantsi kwe-anesthesia eqhelekileyo. Oku kuthetha ukuba awuyi kuva ntlungu. Kwiimeko ezininzi, uya kulaliswa ubuthongo obupheleleyo (i-anesthesia eqhelekileyo). Ngenxa yoko, awuyi kukwazi ukuqhuba imoto wedwa emva kovavanyo. Qiniseka ukuba uzisa umntu oza kukuthatha akuse ekhaya .

3. Ukutya Neziselo: Uya kucetyiswa ukuba ungatyi okanye ungaseli nantoni na ngobusuku bangaphambi kovavanyo okanye ude ugqirha akuxelele ukuba wenze njalo. Landela loo miyalelo ngokuchanekileyo.

4. Iimpahla kunye nobucwebe: Ngomhla wokutyelela kwakho esibhedlele, musa ukunxiba ubucwebe obubizayo . Nxiba impahla ekhululekileyo nekhululekileyo.

Kwenzeka ntoni ngexesha lovavanyo?

Kulungile, ngoku makhe sibone ukuba kwenzeka ntoni ngexesha lovavanyo inyathelo ngenyathelo. Ukwazi oku kuya kukunceda unciphise uloyiko lwakho.

• Okokuqala, isibhedlele siza kukunika ilokhwe ekhethekileyo yokunxiba.
• Emva koko umongikazi uza kufaka i-cannula encinci (umgca we-IV) emthanjeni osengalweni yakho. Ngayo, baza kukunika i-saline kunye nayo nayiphi na imithi efunekayo ukukunceda uphumle.
• Emva koko, ugqirha we-anesthesiologist uza kukufaka phantsi kwe-anesthesia. Emva koko, uza kulala ubuthongo. Awuyi kuva nto .
• Emva kokuba ulele, ugqirha uza kufaka ityhubhu encinci kakhulu ebizwa ngokuba yi-cystoscope , enekhamera encinci ekupheleni, kwi-urethra yakho aze ayidlulisele kwisinyi sakho ukuya emngxunyeni we-ureter yakho.
• Emva koko, kudluliselwa enye ityhubhu encinci kweso sixhobo kwi-urethra, kwaye idayi ekhethekileyo ifakwa kancinci kancinci kuyo.
• Nje ukuba idayi ifakwe kakuhle, umatshini we-X-reyi uthatha uthotho lwemifanekiso.
• Ukuba kukho olunye unyango olufunekayo ngexesha elinye nolu vavanyo, njengokususa ilitye, ugqirha uya kukwenza oko ngoko nangoko. Ngaphandle koko, uya kususa zonke izixhobo aze aqalise ukukubuyisela engqondweni.

Izinto ekufuneka uziqwalasele emva kovavanyo

Emva kokuba uvavanyo lugqityiwe, uza kusiwa kwigumbi elahlukileyo (iyunithi yokuchacha) ukuze ujongwe. Abasebenzi bezonyango baza kukunyamekela ude ubuyele engqondweni ngokupheleleyo kwaye uxinzelelo lwakho lwegazi kunye nokuphefumla kubuyele esiqhelweni.

• Baza kuqaphela ukuba kukho na igazi emchameni wakho kunye nokuba ungakanani umchamo owukhuphayo.
• Nokuba sele ubuyele ekhaya, uya kunikwa imiyalelo ecacileyo malunga namayeza ekufuneka uwathathe, oko ufanele ukutye noko ungafanele ukutye, kunye nokuba kufuneka uphinde ubize ugqirha kwakhona nini.
• Nje ukuba imeko yakho iqinisekisiwe, ungaya ekhaya nomntu obeze kukuthatha.

Ziziphi iingenelo zolu vavanyo?

Ngaba kukho umngcipheko?

Njengakuyo nayiphi na uvavanyo lwezonyango, kukho iingozi ezincinci kakhulu ezibandakanyekayo, kodwa luthathwa njengovavanyo olukhuselekileyo kakhulu .

• Iingxaki ezinokubakho ezinxulumene ne-anesthesia (ezi azixhaphakanga kakhulu).
• Kukho ithuba elincinci lokufumana usulelo lwendlela yomchamo (UTI).
• Kukho umngcipheko omncinci kakhulu wokonakala kwesinyi okanye i-urethra ngexesha lokufakwa kwezixhobo.

Kuthatha ixesha elingakanani ukuba umntu aphile kwaye kufuneka uye kugqirha nini?

Ungabuyela emsebenzini okanye kwimisebenzi yesiqhelo kwiintsuku ezimbalwa. Ungatya ngendlela eqhelekileyo. Kubaluleke kakhulu ukusela amanzi amaninzi .

Ukuba ufumana ezi mpawu zilandelayo, kufuneka ufowunele ugqirha wakho ngoko nangoko .