Ingabe udokotela wakho uke wasola ukuthi unenkinga ohlelweni lwakho lomchamo futhi wakutshela ukuthi wenze i-X-ray ekhethekile ukuze uyibheke? Kungaba yi-"Retrograde Pyelogram." Igama lingase lizwakale liyinkimbinkimbi kancane, kodwa empeleni luhlolo oluphephile kakhulu olusiza odokotela ukuba baqonde kangcono inkinga yakho. Ngakho-ke ake silungise konke ukudideka ngakho namuhla.
Kuyini i-Retrograde Pyelogram (RP)?
Kalula nje, lokhu futhi kuwukuhlolwa kwe-X-ray. Kodwa ukuze sithole isithombe esicacile kune-X-ray evamile, sisebenzisa uketshezi olukhethekile olubizwa ngokuthi "idayi yokungafani." Le dayi yenza izingxenye zesistimu yakho yomchamo zivelele ngombala omhlophe esithombeni se-X-ray.
Igama elithi "retrograde" kulokhu lisho "ukubuyela emuva." Cabanga ngakho, ngokuvamile umchamo wethu uyakheka, uhambe phansi kuma-ureter, bese uqoqana esinyeni ngaphambi kokuphuma emzimbeni. Kodwa kulolu vivinyo, sithumela lowo dayi okhethekile kusukela phansi kuya phezulu ngama -ureter, okuphambene nendlela yawo evamile, uye ezinso. Yingakho ibizwa ngokuthi "retrograde."
"I-pyelogram" isithombe se-X-ray esithathwe i-renal pelvis, ingxenye efana ne-funnel yezinso lapho umchamo uqoqana khona. Ngakho-ke uma lokhu kokubili kuhlanganiswa, lokhu kudala isithombe se-X-ray esicacile sengxenye engenhla yesistimu yomchamo.
Lokhu kuhluke kanjani kumuntu ozimele?
Kungenzeka ukuthi uke wezwa nge-pyelogram yemithambo yegazi (IVP). Futhi iyi-X-ray esebenzisa idayi. Umehluko omkhulu usendleleni idayi efakwa ngayo emzimbeni.
- I-Intravenous Pyelogram (IVP): Lapha, idayi ifakwa emthanjeni osengalweni. Idayi bese ihamba emzimbeni wonke negazi, ihlunge izinso, bese ingena ohlelweni lomchamo, lapho kuthathwa khona i-X-ray.
- I-Retrograde Pyelogram (RP): Lapha, idayi ifakwa ngqo emgudwini womchamo. Ayingeni egazini.
Ngakho-ke uma umuntu enokungezwani komzimba nodayi we-IV, inketho engcono kakhulu angayenza ngokuphepha yile Retrograde Pyelogram.
Nakuba ubuchwepheshe obusha obufana ne-CT urograms bunciphise ukusetshenziswa kwezivivinyo ze-IVP, ukuhlolwa kwe-RP kusasebenza kakhulu kwezinye izimo ezikhethekile.
Kukuziphi izimo lapho udokotela angakuthumela khona ukuze uthole lolu vivinyo?
Kungase kube nezizathu eziningana ezenza udokotela wakho angase akuncome lokhu kuhlolwa. Ake sibheke ukuthi ziyini.
| Isimo Esisolisayo | Incazelo Elula |
|---|---|
| Ukulimala kwendlela yomchamo | Hlola ukuthi ama-ureter akho onakele yini ngengozi noma esinye isizathu. |
| Ukuvaleka noma ukuncipha kwendlela yomchamo | Hlola ukuthi kukhona yini ukuvaleka noma ukuncipha kwendlela yomchamo. Lokhu kuzokusiza ukuthi uthole ukuthi yini ngempela evimbela ukugeleza komchamo. |
| Amatshe noma Amathumba | Hlola amatshe noma ukukhula okungajwayelekile ezinso, ema-ureter, noma esinyeni. Lokhu kungabonakala kahle ngedayi. |
| Njengosizo kwezinye izindlela zokwelapha | Ngezinye izikhathi isetshenziselwa ukuthola isithombe esicacile sengaphakathi le-ureter ngaphambi kokufaka i-stent noma ukwenza i-ureteroscopy, inqubo esebenzisa ikhamera. |
Ake sifunde isinyathelo ngesinyathelo ukuthi lolu vivinyo lwenziwa kanjani.
Lokhu ukuhlolwa okuvame ukwenziwa egumbini lokuhlinza esibhedlela. Ake sibone ukuthi kwenzekani kulokhu.
Ngaphambi Kwenqubo
Udokotela wakho uzokunikeza yonke imiyalelo edingekayo ngaphambi kokuba wenze lokhu kuhlolwa. Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi oyithathayo, ikakhulukazi imithi yokunciphisa igazi , noma yikuphi ukungezwani komzimba onakho, kanye nokuthi ukhulelwe.
Njengoba kuvame ukusetshenziswa i-anesthesia kulokhu, uzocelwa ukuba uzile ukudla ngobusuku bangaphambi kokuhlolwa. Futhi, ungakhohlwa ukuletha othile ozokuthatha akuyise ekhaya ngemva kokuhlolwa.
Ngesikhathi Senqubo
Uzonikezwa ingubo ekhethekile yesibhedlela ozoyigqoka. Udokotela wezinzwa uzofaka umugqa we-IV engalweni yakho bese ekufaka i-anesthesia kuyo. Lokhu kuvame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ngeke uzwe lutho, uzobe ulele ngokuphelele.
Ngemuva kwalokho, udokotela wezifo zomchamo uzofaka ithubhu elincane, elifakwe ikhamera elibizwa ngokuthi i-cystoscope entuthreyini yakho kanye nasesinyeni sakho. Ikhamera izobheka kuyo ukuthola ukuthi ama-ureter amabili aqala kuphi. Ngemuva kwalokho, ngokucophelela okukhulu, elinye ithubhu elincane kakhulu lizofakwa entuthreyini bese kuthi idayi ijovwe. Uma idayi selivele likhona ngokuphelele, kuzothathwa ama-X-ray amaningana. Uma kukhona okunye ukwelashwa okudingeka kwenziwe, njengokususa itshe, udokotela uzokwenza lokho nangalesi sikhathi.
Ngemva Kwenqubo
Uma ukuhlolwa sekuphelile, uzoyiswa egunjini lokululama ukuze uqashwe uze uvuke ekuhlinzweni kwe-anesthesia. Lapho, abasebenzi abahlengikazi bazokunakekela kuze kube yilapho ukuphefumula kwakho kanye nomfutho wegazi kubuyela esimweni esijwayelekile. Bazophinde bahlole ukuthi kukhona igazi yini emchameni wakho nokuthi ukhipha umchamo ongakanani. Uma konke sekulungile, uzovunyelwa ukuya ekhaya nomngane wakho.
Yiziphi izingozi nezinzuzo zalolu vivinyo?
Izinzuzo
- Ilungele abantu abane-allergies: Inzuzo enkulu yalokhu ukuthi ngisho nomuntu one-allergies kudayi we-IV angakwenza lokhu. Ngenxa yokuthi idayi ayingeni egazini, ingozi yokusabela kwe-allergies iphansi kakhulu.
- Ukuhlolwa nokwelashwa ngesikhathi esisodwa: Ngesikhathi enza lokhu, udokotela angenza ukwelashwa okuncane, njengokususa amatshe amancane.
- Ukuchayeka emisebeni ephansi: Inani lemisebe elitholwa ngumzimba liphansi kakhulu.
Izingozi
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezithile, kodwa i-RP inqubo ephephile kakhulu . Izingozi ezingaba khona yilezi:
- Izinkinga ezihlobene nokubulala izinzwa.
- Ukutheleleka Komgudu Womchamo (UTI).
- Kunethuba elincane lomonakalo omncane ku-urethra noma esinyeni uma kufakwa ikhamera.
Kuzothatha isikhathi esingakanani ukululama? Kufanele ngishayele udokotela nini?
Ngokuvamile ungabuyela emsebenzini noma uqalise imisebenzi evamile zingakapheli izinsuku ezimbalwa. Kubaluleke kakhulu ukuphuza amanzi amaningi kanye nezinye izinto eziwuketshezi.
Kubaluleke kakhulu: Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokubuyela ekhaya, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU).
- Uma uthola umkhuhlane.
- Uma uzizwa uqhaqhazela noma ubanda.
- Uma kunzima ukuchama.
- Uma uzwa ubuhlungu obungabekezeleleki lapho uchama.
- Uma kukhona igazi elanele emchameni.
Ungazinaki lezi zimpawu. Ukwelashwa kusenesikhathi kungavimbela noma yiziphi izinkinga.
Umlayezo Wokuya Nawe Ekhaya
- I-Retrograde Pyelogram (RP) iwukuhlolwa kwe-X-ray okuphephile okusetshenziselwa ukuthola ukuvinjelwa, amatshe, kanye nezimila endaweni engenhla yomchamo (izinso, ama-ureter).
- Lena inketho enhle kulabo abangezwani nodayi we-IV.
- Ngenxa yokuthi lokhu kwenziwa ngaphansi kokuhlinzwa, kubalulekile ukulandela imiyalelo kadokotela ngqo, njengokuzila ukudla, nokuba nomuntu ozokuhambisa ekhaya ngemoto.
- Uma uzwa izimpawu ezifana nomkhuhlane, ukubanda, ubuhlungu obukhulu, noma ukopha ngokweqile ngemva kokuhlolwa, funa iseluleko sezokwelapha ngokushesha.
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