Ingabe udokotela wakho ukutshelile ukuthi wenze ukuhlolwa kwe-IVP? Noma uke wezwa ngakho ndawana thize? Igama lingase lizwakale liyinkimbinkimbi kancane. Kodwa ungakhathazeki, akuyona into enkulu njengoba ucabanga. Namuhla, sizoxoxa ngokuthi lokhu kuhlolwa kwe-IVP kuyini, kungani kwenziwa, ukuthi kwenziwa kanjani, nokuthi ungakulungiselela kanjani ngendlela elula kakhulu ongayiqonda.
Kalula nje, iyini le IVP?
Igama eliphelele le-IVP yi- Intravenous Pyelogram . Empeleni lokhu ukuhlolwa kwe-X-ray okukhethekile. Kusetshenziselwa ukubona ukuthi uhlelo lwakho lomchamo lusebenza kanjani. Lokhu kusho ukuthi lokhu kuhlolwa kusiza ekutholeni izinkinga ngezinso zakho, ama-ureter, kanye nesinye .
Phakathi nalolu vivinyo, kufakwa uketshezi olukhethekile emthanjeni osengalweni yakho. Lokhu sikubiza ngokuthi 'udayi ohlukile' . Kufana nodayi. Lolu ketshezi luhamba ngegazi lakho luye ezinso zakho. Lube seludlula ezinso zakho ludlulele ezinso zakho luye kwesinye. Izindawo lapho lolu ketshezi lutholakala khona zibonakala ngokucacile ku-X-ray zimhlophe. Izithombe ze-X-ray ezithathwe ngaleso sikhathi zivumela udokotela ukuthi abone kalula ukuthi kukhona yini ukuvaleka, isimila, noma itshe noma kuphi ohlelweni lwakho lomchamo.
Lolu vivinyo lubizwa ngamanye amagama amaningana.
- I-Pyelography Yemithambo Yegazi
- I-IVP
- I-Urography Yemithambo Yegazi
- IV Urography
Kodwa into eyodwa okumele ishiwo. Kulezi zinsuku, lokhu kuhlolwa kwe-IVP akukasetshenziswa kangako. Ngenxa yokuthi kunezivivinyo zesimanje ezifana ne -CT scan, i-MRI scan, noma i-Ultrasound scan ezingathatha izithombe ezicacile nezinemininingwane eminingi, odokotela baphendukela kuzo kaningi.
Uhlobo luni lwezifo olwalusetshenziswa ukuhlolwa kwe-IVP ukuxilonga esikhathini esidlule?
Nakuba ingasetshenziswa kabanzi namuhla, odokotela basebenzise lolu vivinyo lwe-IVP esikhathini esidlule ukuze bathole izimo ezahlukahlukene. Isibonelo:
- Hlola izimila noma ama-cyst agcwele uketshezi noma kuphi ohlelweni lomchamo.
- Thola i-benign prostatic hyperplasia, isifo esivamile kwabesilisa.
- Thola indawo eqondile yamatshe ezinso .
- Abanye abantu banezinkinga ezithile ngohlelo lomchamo abazalwa nazo (ukukhubazeka komchamo okubangelwa ukuzalwa) . Zibone.
- Hlola ukuthi azikho yini izibazi noma kuphi ohlelweni lomchamo ngenxa yokutheleleka njalo komgudu womchamo (UTIs) .
Ngaphezu kwalokho, lokhu kuhlolwa ngezinye izikhathi kunconywa ukuxilonga izimo ezithile zezinso ezifana ne-'Medullary sponge kidney' kanye ne-'Renal papillary necrosis'.
Ulungiselela kanjani lolu vivinyo?
Ngaphambi kokuba wenze ukuhlolwa kwe-IVP, udokotela wakho uzobuza ngomlando wakho wezokwelapha ophelele. Kunezinto ezimbalwa okufanele nakanjani umtshele zona ngalesi sikhathi:
- Uma ukhulelwe noma usola ukuthi kungenzeka ukuthi ukhulelwe .
- Uma une -allergies ezintweni ezithile, ikakhulukazi izinto ezifana ne -iodine, esetshenziselwa ukuhlanza isikhumba.
- Uma uke waba nokusabela kokungezwani nohlobo lwale dayi yokuhlukanisa esikhathini esidlule .
Ngaphezu kwalokho, udokotela wakho uzokweluleka ngokuthi yini okufanele uyidle futhi uyiphuze ngaphambi kokuhlolwa. Ngokuvamile, uzocelwa ukuthi uyeke ukudla nokuphuza amahora ambalwa ngaphambi kokuhlolwa. Ungase futhi ucelwe ukuthi uhlanze amathumbu akho kahle, njengokuthatha umuthi wokuhlanza isisu . Uma amathumbu akho ehlanzekile, uhlelo lomchamo lubonakala ngokucacile ezithombeni ze-X-ray. Yingakho bekwenza lokho.
Ingabe isinyi sidinga ukugcwala ngaphambi kokuhlolwa?
Cha. Uzocelwa ukuthi uchame ngaphambi nje kokuqala kokuhlolwa. Uma isinyi sakho singenalutho, ungabona ngokucacile idayi entsha yokuhlukanisa ingena.
Kwenzekani ngesikhathi sokuhlolwa?
Ukuhlolwa kwe-IVP kuvame ukwenziwa yi-radiologist noma i-radiologic technologist. Ngokuvamile kuthatha cishe ihora. Kodwa-ke, uma izinso zakho zisebenza kancane, kungase kuthathe isikhathi eside.
Nakhu okwenzekayo isinyathelo ngesinyathelo:
1. Ukufaka i-cannula: Okokuqala, i-cannula encane (i-peripheral IV) ifakwa emthanjeni osengalweni yakho. Idayi yokungafani ifakwa emzimbeni wakho ngalokhu.
2. I-X-ray yokuqala: Ngaphambi kokuba udayi ufakwe, uzolala embhedeni womshini we-X-ray bese kuthathwa isithombe se-X-ray sesisu sakho kanye ne-pelvis.
3. Ukujova idayi: Bese kuthi idayi yokungafani ifakwe emthanjeni nge-cannula efakiwe.
4. Ukuthatha izithombe ze-X-ray: Njengoba idayi ihamba egazini lakho, ihlunga ezinso zakho, futhi ihamba ngomgudu wakho womchamo, izithombe eziningana ze-X-ray zithathwa njalo ngemizuzu embalwa. Kubaluleke kakhulu ukuthi uhlale unganyakazi phakathi nalesi sikhathi.
5. Ukuchama futhi: Ngemva kokuba isinyi sigcwele udayi, uzocelwa ukuthi uchame futhi.
6. I-X-ray yokugcina: Ngemva kokuchama, kuthathwa esinye isithombe se-X-ray ukuze kubonakale ukuthi isinyi asinalutho nhlobo.
Kwenzekani ngemva kokuhlolwa futhi ingabe zikhona izingozi?
Uma isivivinyo sesiqediwe, i-cannula esesandleni sakho izosuswa bese kufakwa iplasta encane endaweni. Ngemva kwalokho, ungenza imisebenzi yakho evamile.
Into ebaluleke kakhulu ukuphuza amanzi amaningi ngemva kokuhlolwa. Uma uphuza amanzi amaningi, idayi yokungafani eyafakwa emzimbeni wakho ikhishwa ngokushesha emzimbeni wakho ngomchamo.
Ungase uzizwe ungakhululekile kancane lapho kufakwa idayi yokuhlukanisa emzimbeni wakho. Kodwa-ke, lokhu kuvame ukuphela ngemva kwesikhathi esithile.
| Izinto ezingazwakala ngokujwayelekile | Incazelo |
|---|---|
| Inxeba elincane lapho kufakwe khona i-cannula. | Uma i-cannula ifakwa, izwakala sengathi ibhoboza kancane. |
| Ukuzizwa ushisa | Uma udayi ungena emzimbeni wakho, wonke umzimba wakho ungase uzizwe ufudumele kancane. |
| Ukunambitheka kwensimbi emlonyeni | Umlomo ungase unambitheke njengensimbi. |
| Ukulunywa okuncane | Kungase kuzwakale sengathi umzimba wakho uyaklwebheka kancane. |
Ukusabela Okukhulu Kokungezwani Nomzimba
Ukusabela okukhulu kokungezwani komzimba nedayi yokuhlukanisa imibala akuvamile , kodwa kungenzeka. Ezimweni ezinjalo, izimpawu zingafaka:
- Ubunzima bokuphefumula
- Umfutho wegazi ophansi
- Ama-Hives
- Ukuvuvukala komlomo noma umphimbo
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezinkulu, ungalibali. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha okukhulu.
Yini esingayifunda emiphumeleni?
Udokotela we-X-ray uzobuyekeza izithombe zakho ze-X-ray bese ebhala umbiko ukuze abone ukuthi kukhona yini okungajwayelekile. Umbiko uzothunyelwa kudokotela okuncomele ukuhlolwa. Udokotela wakho uzokuchazela imiphumela zingakapheli izinsuku ezimbalwa.
Imiphumela ye-IVP ingaveza izinto ezifana nalezi:
- Isimo, usayizi, noma isikhundla esingajwayelekile sezitho zohlelo lomchamo.
- Indlala ye-prostate ekhulisiwe.
- Ukuvaleka kwendlela yomchamo.
- Ama-cyst noma amathumba.
- Umonakalo noma izibazi ezibangelwa ukutheleleka.
Uma imiphumela ingajwayelekile, udokotela wakho uzokutshela ukuthi yini okufanele uyenze ngokulandelayo. Angase acele ukuhlolwa okwengeziwe (i-ultrasound, i-MRI, i-CT scan, ukuhlolwa kwegazi ukuhlola ukusebenza kwezinso, i-biopsy). Noma angase aqale ukwelashwa ngokushesha.
Kufanele ushayele nini udokotela wakho ucingo?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlolwa kwe-IVP, yazisa udokotela wakho ngokushesha.
- Igazi emchameni (i-hematuria)
- Ukubonakala komchamo omnyama
- Ubuhlungu besisu noma umhlane ongezansi
Njengoba kushiwo ngaphambili, uma uhlangabezana nanoma yiziphi izimpawu zokungezwani komzimba ezingathi sína njengobunzima bokuphefumula noma ukuqunjelwa, hamba ngqo eMnyangweni Wezimo Eziphuthumayo (ETU) .
Umlayezo Wokuya Nawe Ekhaya
- I-IVP (Intravenous Pyelogram) i-X-ray esebenzisa idayi ekhethekile ukuhlola uhlelo lwakho lomchamo (izinso, ama-ureter, isinye).
- Lokhu akusasetshenziswa kakhulu kulezi zinsuku. Izinto ezifana ne-CT, i-MRI, kanye ne-Ultrasound scans zivame ukusetshenziswa.
- Ngaphambi kokuhlolwa, kufanele utshele udokotela nganoma yikuphi ukungezwani komzimba onakho, isifo sezinso, nokuthi ukhulelwe yini.
- Kubaluleke kakhulu ukuphuza amanzi amaningi ngemva kokuhlolwa ukuze kusize ekususeni udayi emzimbeni wakho.
- Lokhu kuhlolwa ngokuvamile kuphephile, futhi imiphumela emibi emibi ayivamile.
- Uma unemibuzo, ukwesaba, noma ukungabaza ngalokhu, xoxa ngakho ngokukhululekile nodokotela wakho.
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