Whakawhitihia te Pyelogram

Toka Te Manawa

• He aha te whakamahi?
• Me whakarite au?
• Pehea te mahi?
• He aha te whakaoranga?
• He raru pea?
• Tango

He aha te pyelogram retrograde?

Ko te pyelogram retrograde (RPG) he whakamatautau atahanga e whakamahi ana i te waikano rerekee i roto i to mimi mimi kia pai ake ai te ahua o te hihi-X o to punaha mimi. Kei roto i to punaha mimi o whatukuhu, toou, me nga mea katoa e hono ana ki a raatau.

He rite te RPG ki te pyelography paki (IVP). Ka mahia te IVP ma te wero i te waikano rerekee ki roto i te uaua mo nga whakaahua X-ray pai ake. Ka mahia he RPG ma te cystoscopy, e uru ana ki te wero tika i te waikano taauru ki roto o to urinary uruta na roto i te ngongo angiangi e kiia ana ko te endoscope

He aha te whakamahi?

He maha nga wa e whakamahia ana te RPG hei tirotiro i nga aarai urinary tract, pēnei i te puku, kohatu ranei. Ko nga aukati ka kitea ake i roto i o whatukuhu, i to ureter ranei, ko nga ngongo e kawe mai ana i te mimi i o whatukuhu ki roto i to putea. Ma te aukati i te ara mimi ka kohi te mimi ki to ara mimi, ka raru pea.

Ka kowhiri pea to taakuta ki te whakamahi i tetahi RPG mena he toto kei roto i to mimi (e kiia ana hoki he hematuria). Ka taea hoki e nga RPG te awhina i to taakuta kia pai ake tana tirohanga ki to punaha mimi i mua i te pokanga.

Me whakarite au?

I mua i te mahinga o tetahi RPG, he maha nga mea hei mahi maau hei whakarite:

• Kia tere mo etahi haora i mua o te mahinga. He maha nga taakuta e kii atu ki a koe kia mutu te kai me te inu i muri o waenganui po i te ra o te mahinga. Kaore pea e taea e koe te kai me te inu mai i te 4 ki te 12 haora i mua o te tikanga.
• Tangohia te raxative. Ka whakawhiwhia pea ki a koe he raxative-a-waha, he enema ranei kia mohio koe ki te horoi o to punaha kai.
• Whakamutua taau mahi. He mahinga turoro tenei, ko te tikanga he haora iti noa iho. Heoi, ka hoatu pea e to taakuta ki a koe te mate rongoa whanui kia moe ai koe i te wa e whakahaerehia ana. Kaore pea koe e kaha ki te haere ki te mahi ka hiahia koe ki tetahi hei kawe i a koe ki te kaainga.
• Kati te tango i etahi rongoa. Ka kii pea to taakuta ki a koe kia mutu te tango i nga kai whakaheke toto, i etahi taputapu rongoa ranei i mua o te whakamatautau.

Kia mahara ki te korero ki to taakuta i mua atu mena ko koe:

• te tango i nga rongoā, nga taapiringa otaota ranei
• hapu ranei ki te whakaaro kua hapu koe
• mate pāwera ki tetahi momo tae rereke iodine ranei
• mate pāwera ki etahi rongoā, konganuku, rauemi ranei ka whakamahia i roto i nga tikanga, penei i te taatai ​​me te mate rongoa rongoa ranei.

Pehea te mahi?

I mua i tenei mahinga, ka tonoa koe ki:

• tangohia katoahia o whakapaipai, ana, i etahi waa, o kakahu
• kakahuria he koti ki te hohipera (mena ka tonoa koe kia tangohia o kakahu)
• takoto noa i runga i te teepu me o waewae i runga.

Na, ka whakauruhia he ngongo ngongo (IV) ki roto i te uaua i roto i to ringa kia whakawhiwhia koe ki te matewai.

I roto i te RPG, to taakuta, to urologist ranei:

1. whakauruhia he endoscope ki to urethra
2. kia tere te pehi i te endoscope ki roto i to urethra kia tae ra ano ki to pounamu, i tenei wa, ka whakauru ano pea to taakuta i te catheter ki roto i to putea.
3. whakauruhia te waikano ki te punaha mimi
4. whakamahia he mahinga e kiia ana ko te fluoroscopy hihiko hei tango i nga hihi-X ka taea te tiro i te waa tonu
5. tangohia te endoscope (me te catheter, mena ka whakamahia) mai i to tinana

He aha te whakaoranga?

I muri i nga tikanga, ka noho koe ki tetahi ruuma whakaora kia ara ra ano koe kia hoki ano to manawa, to manawa o te manawa, me te toto ki te waa noa. Ka tirotirohia e to taakuta to mimi mo nga toto, tohu tohu raru ranei.

Muri iho, ka haere koe ki te ruuma i te hohipera ka horoia ranei kia hoki ki te kaainga. Ka whakahau pea to taakuta i nga rongoa mamae, penei i te acetaminophen (Tylenol) hei whakahaere i nga mamae me nga awangawanga e pa ana ki a koe i te wa e mimi ana koe. Kaua e tango i etahi rongoa mamae, penei i te ahipirini, ka kaha ake ai to toto.

Ka tono pea to taakuta ki a koe kia tirohia to mimi mo te toto, mo etahi atu rereke ranei mo etahi ra kia mohio ai kaore he raruraru.

Karangahia tonu to taakuta mena ka kite koe i tetahi o enei tohu:

• kirika nui (101 ° F teitei ake ranei)
• te marumaru, te pupuhi ranei a tawhio noa i to whakatuwherahia te urethral
• mamae e kore e taea te mau i te wa e mimi ana koe
• toto i to mimi
• raru mimi

He raru pea?

Ahakoa he pai ake te haumaru o te RPG, he raru ano hoki, tae atu ki:

• Te whiu radiation mai i nga hihi X
• koha whanau ina hapu koe i te wa o te mahinga
• nga tauhohenga mate mate kino, penei i te anaphylaxis, ki te waikano, ki nga taonga ranei e whakamahia ana i roto i nga whakaritenga
• te mumura puta noa i to tinana (sepsis)
• whakapairuaki me te ruaki
• whakaheke toto (whakaheke toto)
• he kohao i roto i to putea mo to taputapu i whakamahia i roto i nga tikanga
• mate urinary tract

Tango

Ko te pyelogram retrograde he tere, he mahinga kore mamae hoki e awhina ana ki te tautuhi i nga rereketanga o to urinary tract. Ka taea hoki te awhina i to taakuta ki te mahi i etahi atu tikanga mimi, me nga mahi pokanga ranei.

Ka rite ki nga tikanga katoa e pa ana ki te mate kiri matepukupuku, ka raru pea etahi. Korero atu ki to taakuta mo to hauora me to hitori hauora i mua i te whakaritenga o tenei tikanga kia kore ai e raru o te wa roa.