Ngaba ugqirha wakho ukhe wakrokrela ukuba unengxaki kwinkqubo yakho yomchamo waza wakuxelela ukuba wenze i-X-ray ekhethekileyo ukuze uyijonge? Isenokuba yi-"Retrograde Pyelogram." Eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa eneneni luvavanyo olukhuselekileyo olunceda oogqirha ukuba bayiqonde ngcono ingxaki yakho. Ngoko ke masilungise yonke ingxolo malunga nayo namhlanje.
Yintoni iRetrograde Pyelogram (RP)?
Ngamafutshane, olu luvavanyo lwe-X-ray. Kodwa ukuze sifumane umfanekiso ocacileyo kune-X-ray eqhelekileyo, sisebenzisa ulwelo olukhethekileyo olubizwa ngokuba yi-"contrast dye." Olu dayi lwenza iindawo zenkqubo yakho yomchamo zibonakale zimhlophe kumfanekiso we-X-ray.
Igama elithi "retrograde" kweli gama lithetha "ukubuyela umva." Cinga ngako, ngokwesiqhelo umchamo wethu uyenziwa, uhambe uye kwi-ureters, uze uqokeleleke kwisinyi ngaphambi kokuba uphume emzimbeni. Kodwa kolu vavanyo, sithumela loo dayi ikhethekileyo ukusuka ezantsi ukuya phezulu nge -ureters, nto leyo echasene nendlela yayo eqhelekileyo, ukuya kwizintso. Yiyo loo nto ibizwa ngokuba yi-"retrograde."
"I-pyelogram" ngumfanekiso we-X-reyi othathwe kwi-renal pelvis, inxalenye efana ne-funnel yentso apho umchamo uqokelelana khona. Ngoko ke xa ezi zimbini zidityanisiwe, oku kudala umfanekiso we-X-reyi ocacileyo wenxalenye ephezulu yenkqubo yomchamo.
Oku kwahluke njani kwi-IVP?
Usenokuba ukhe weva nge-intravenous pyelogram (IVP). Ikwayi-X-ray esebenzisa idayi. Umahluko omkhulu yindlela idayi efakwa ngayo emzimbeni.
- I-Intravenous Pyelogram (IVP): Apha, idayi ifakwa emthanjeni osengalweni. Emva koko idayi ihamba emzimbeni wonke kunye negazi, ihluze izintso, ize ingene kwinkqubo yomchamo, apho kuthathwa khona i-X-ray.
- I-Retrograde Pyelogram (RP): Apha, idayi ifakwe ngqo kwindlela yomchamo. Ayingeni egazini.
Ngoko ke ukuba umntu une-allergy kwi-IV dye, eyona ndlela ilungileyo anokuyenza ngokukhuselekileyo yiRetrograde Pyelogram.
Nangona ubuchwepheshe obutsha obufana ne-CT urograms bunciphise ukusetyenziswa kovavanyo lwe-IVP, uvavanyo lwe-RP lusaluncedo kakhulu kwiimeko ezithile ezikhethekileyo.
Kuphantsi kweziphi iimeko apho ugqirha angakuthumela khona ukuze ufumane olu vavanyo?
Kusenokuba kukho izizathu ezininzi ezinokubangela ukuba ugqirha wakho akucebise olu vavanyo. Makhe sijonge ukuba zeziphi.
| Imeko Erhanelekayo | Ingcaciso elula |
|---|---|
| Ukonakala kwendlela yomchamo | Jonga ukuba ii-ureters zakho zonakele ngenxa yengozi okanye esinye isizathu. |
| Ukuvaleka okanye ukuncitshiswa kwendlela yomchamo | Jonga ukuba akukho na ukuvaleka okanye ukuncitshiswa kwendlela yomchamo. Oku kuya kukunceda ubone ukuba yintoni kanye kanye ethintela ukuhamba komchamo. |
| Amatye okanye iiTumors | Jonga amatye okanye ukukhula okungaqhelekanga kwizintso, kwii-ureters, okanye kwisinyi. Oku kunokubonakala ngokucacileyo ngedayi. |
| Njengoncedo kwezinye iindlela zonyango | Ngamanye amaxesha isetyenziselwa ukufumana umfanekiso ocacileyo wangaphakathi kwe-ureter ngaphambi kokubeka i-stent okanye ukwenza i-ureteroscopy, inkqubo esebenzisa ikhamera. |
Masifunde inyathelo ngenyathelo indlela olu vavanyo lwenziwa ngayo.
Olu luvavanyo oludla ngokwenziwa kwigumbi lotyando esibhedlele. Makhe sibone ukuba kwenzeka ntoni koku.
Ngaphambi kweNkqubo
Ugqirha wakho uza kukunika yonke imiyalelo efunekayo ngaphambi kokuba wenze olu vavanyo. Qiniseka ukuba uxelela ugqirha wakho ngayo nayiphi na imithi oyithathayo, ingakumbi imithi yokunciphisa igazi , naziphi na izinto ezibangela ukuba umzimba wakho ungabi naso isifo, nokuba ukhulelwe.
Ekubeni kusetyenziswa i-anesthesia kule nto, uya kucelwa ukuba uzile ukutya ngobusuku bangaphambi kovavanyo. Kwakhona, ungalibali ukuzisa umntu oza kukuthatha akuse ekhaya emva kovavanyo.
Ngexesha leNkqubo
Uza kunikwa ilokhwe ekhethekileyo yesibhedlele oza kuyinxiba. Emva koko ingcali ye-anesthesiologist iza kubeka umgca we-IV engalweni yakho ize ikunike i-anesthesia kuyo. Oku kudla ngokwenziwa phantsi kwe -anesthesia eqhelekileyo. Oku kuthetha ukuba awuyi kuva nto, uza kube ulele ngokupheleleyo.
Emva koko, ugqirha we-urologist uza kufaka ityhubhu encinci, exhotyiswe ngekhamera ebizwa ngokuba yi-cystoscope kwi-urethra yakho nakwisinyi sakho. Ikhamera iza kujonga kuyo ukuze ifumane apho ii-ureter ezimbini ziqala khona. Emva koko, ngononophelo olukhulu, kuza kufakwa enye ityhubhu encinci kakhulu kwi-urethra kwaye idayi iya kufakwa. Nje ukuba idayi ibekwe ngokupheleleyo, kuya kuthathwa ii-X-ray ezininzi. Ukuba kukho naluphi na olunye unyango olufunekayo, njengokususa ilitye, ugqirha uya kwenza oko ngeli xesha.
Emva kweNkqubo
Xa uvavanyo lugqityiwe, uza kusiwa kwigumbi lokubuyisela ukuze ujongwe ude uvuke emva kokusebenzisa i-anesthesia. Apho, abasebenzi bonyango baza kukunyamekela ude uphefumle kwaye uxinzelelo lwakho lwegazi lubuyele esiqhelweni. Baza kujonga nokuba kukho igazi na kumchamo wakho kunye nokuba ungakanani umchamo owukhuphayo. Xa yonke into ilungile, uza kuvunyelwa ukuba uye ekhaya nomntu ohamba naye.
Zithini iingozi kunye neenzuzo zolu vavanyo?
Iingenelo
- Ifanelekile kubantu abane-allergies: Eyona nzuzo inkulu yoku kukuba nomntu one-allergy kwi-IV dye angayenza le nto. Ngenxa yokuba idayi ayingeni egazini, umngcipheko wokuba ne-allergy uphantsi kakhulu.
- Uvavanyo kunye nonyango ngaxeshanye: Ngethuba esenza oku, ugqirha angenza unyango oluncinci, njengokususa amatye amancinci.
- Ukuvezwa kwemitha ephantsi: Ubungakanani bemitha efunyanwa ngumzimba buphantsi kakhulu.
Iingozi
Njengakweminye inkqubo yezonyango, kukho iingozi ezithile, kodwa i-RP yinkqubo ekhuselekileyo kakhulu . Iingozi ezinokubakho zezi:
- Iingxaki ezinxulumene ne-anesthesia.
- Iintsholongwane zoMchamo (UTI).
- Kukho ithuba elincinci lomonakalo omncinci kwi-urethra okanye kwisinyi xa kufakwa ikhamera.
Kuza kuthatha ixesha elingakanani ukuba ndiphile? Ndingamfowunela nini ugqirha?
Ngokwesiqhelo ungabuyela emsebenzini okanye uqalise imisebenzi yakho yesiqhelo kwiintsuku ezimbalwa. Kubaluleke kakhulu ukusela amanzi amaninzi kunye nezinye izinto ezilulwelo.
Kubaluleke kakhulu: Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokubuyela ekhaya, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane.
- Ukuba ufumana umkhuhlane.
- Ukuba uziva uqhaqhazela okanye ubanda.
- Ukuba kunzima ukuchama.
- Ukuba ufumana iintlungu ezinganyamezelekiyo xa uchama.
- Ukuba kukho igazi elongezelelekileyo kumchamo.
Musa ukuzityeshela ezi mpawu. Unyango lwangethuba lunokuthintela naziphi na iingxaki.
Umyalezo Wokuya Ekhaya
- I-Retrograde Pyelogram (RP) luvavanyo olukhuselekileyo lwe-X-ray olusetyenziselwa ukubona ukuvaleka, amatye, kunye neethumba kwindlela ephezulu yomchamo (izintso, ii-ureters).
- Olu lukhetho oluhle kakhulu kwabo bane-allergies kwi-IV dyes.
- Ngenxa yokuba oku kwenziwa phantsi kwe-anesthesia, kubalulekile ukulandela imiyalelo kagqirha ngqo, njengokuzila ukutya, nokuba nomntu oza kukuyisa ekhaya ngemoto.
- Ukuba ufumana iimpawu ezinje ngomkhuhlane, ukugodola, iintlungu eziqatha, okanye ukopha kakhulu emva kovavanyo, funa ingcebiso kagqirha ngoko nangoko.
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