Kubwezeretsanso Pyelogram

Zamkati

• Zagwiritsidwa ntchito yanji?
• Kodi ndiyenera kukonzekera?
• Zatheka bwanji?
• Kodi kuchira kuli bwanji?
• Kodi pali zoopsa zilizonse?
• Tengera kwina

Kodi pyrogram yokonzanso ndi chiyani?

Pulogalamu yotchedwa retrograde pyelogram (RPG) ndiyeso yojambula yomwe imagwiritsa ntchito utoto wosiyanasiyana mumalo anu amkodzo kuti mutenge chithunzi chabwino cha X-ray pamakina anu. Njira yanu yamikodzo imaphatikizapo impso zanu, chikhodzodzo, ndi chilichonse chomwe chalumikizidwa nawo.

RPG ndiyofanana ndi intravenous pyelography (IVP). IVP imachitika pobaya utoto wosiyanitsa mu mtsempha wa zithunzi za X-ray zabwino. RPG imachitika ndi cystoscopy, yomwe imakhudza kuyika utoto wosiyanitsa mwachindunji mumatumbo anu kudzera mumachubu wocheperako wotchedwa endoscope.

Zagwiritsidwa ntchito yanji?

RPG imagwiritsidwa ntchito nthawi zambiri poyang'ana zotchingira kwamikodzo, monga zotupa kapena miyala. Ma blockages amatha kuwonekera mu impso zanu kapena ureters, omwe ndi machubu omwe amabweretsa mkodzo kuchokera ku impso zanu kupita m'chikhodzodzo. Kutsekeka kwamitsempha yam'mitsempha kumatha kuyambitsa mkodzo kuti musonkhanitse gawo lanu lamikodzo, zomwe zingayambitse zovuta.

Dokotala wanu amathanso kusankha kugwiritsa ntchito RPG ngati muli ndi magazi mumkodzo wanu (womwe umatchedwanso hematuria). Ma RPG atha kuthandizanso adotolo kuti azitha kuwona bwino kwamikodzo musanachite opaleshoni.

Kodi ndiyenera kukonzekera?

Musanachite RPG, pali zinthu zingapo zomwe muyenera kuchita pokonzekera:

• Kusala kudya kwa maola angapo musanachitike. Madokotala ambiri angakuuzeni kuti musiye kudya ndi kumwa pakati pausiku patsiku lazomwe mukuchitazo. Simungathe kudya kapena kumwa kuchokera maola 4 mpaka 12 musanachitike.
• Tengani mankhwala ofewetsa tuvi tolimba. Mutha kupatsidwa mankhwala otsekemera am'kamwa kapena enema kuti muwonetsetse kuti dongosolo lanu lakugaya chakudya latsukidwa.
• Pumulani kuntchito. Iyi ndi njira yopita kuchipatala, kutanthauza kuti zimangotenga maola ochepa. Komabe, dokotala wanu angakupatseni mankhwala opatsirana pogonana kuti akupitirizeni kugona pamene mukuchita izi. Mwina simudzatha kupita kuntchito ndipo mudzafunika wina woti akuyendetseni kunyumba.
• Lekani kumwa mankhwala. Dokotala wanu angakuuzeni kuti musiye kumwa magazi kapena mankhwala ena azitsamba musanayesedwe.

Onetsetsani kuti muuze dokotala musanafike ngati muli:

• kumwa mankhwala aliwonse kapena mankhwala azitsamba
• ali ndi pakati kapena akuganiza kuti ukhoza kukhala ndi pakati
• matupi awo sagwirizana ndi mtundu uliwonse wa utoto wosiyanasiyana kapena ayodini
• matupi awo sagwirizana ndi mankhwala, zitsulo, kapena zinthu zina zomwe zingagwiritsidwe ntchito pochita izi, monga latex kapena anesthesia.

Zatheka bwanji?

Izi zisanachitike, mudzafunsidwa kuti:

• chotsani zodzikongoletsera zonse, ndipo nthawi zina, zovala zanu
• valani mwinjiro wachipatala (ngati mwafunsidwa kuti muchotse zovala zanu)
• Ugonere patebulo ndi miyendo yako mmwamba.

Kenako, chubu cholowa mumitsempha (IV) chidzaikidwa mumtsempha m'manja mwanu kuti ndikupatseni mankhwala oletsa dzanzi.

Pa RPG, dokotala kapena urologist:

1. ikani endoscope mu mkodzo wanu
2. kanikizani endoscope pang'onopang'ono komanso mosamala kudzera mu mtsempha wanu mpaka ikafika pachikhodzodzo, pano, dokotala wanu amathanso kuyika catheter mchikhodzodzo chanu
3. kuyambitsa utoto mu dongosolo kwamikodzo
4. gwiritsani ntchito njira yotchedwa fluoroscopy yamphamvu kuti mutenge ma X-ray omwe amatha kuwona nthawi yeniyeni
5. chotsani endoscope (ndi catheter, ngati mugwiritsa ntchito) mthupi lanu

Kodi kuchira kuli bwanji?

Pambuyo pochita izi, mudzakhala mchipinda chobwezeretsa mpaka mutadzuka ndikupuma kwanu, kugunda kwa mtima, komanso kuthamanga kwa magazi kubwerera mwakale. Dokotala wanu amayang'anira mkodzo wanu pamwazi uliwonse kapena zizindikiro za zovuta.

Chotsatira, mwina mupita kuchipatala kapena kukakonzedwa kuti mupite kunyumba. Dokotala wanu akhoza kukupatsani mankhwala opweteka, monga acetaminophen (Tylenol) kuti muchepetse zowawa zilizonse kapena zovuta zomwe mumamva mukakodza. Musatenge mankhwala ena opweteka, monga aspirin, omwe angapangitse ngozi yanu yotuluka magazi.

Dokotala wanu akhoza kukupemphani kuti muwone mkodzo wanu wamagazi kapena zovuta zina masiku angapo kuti muwone kuti palibe zovuta.

Itanani dokotala wanu nthawi yomweyo ngati muwona izi:

• malungo akulu (101 ° F kapena kupitilira apo)
• Kutuluka magazi kapena kutupa mozungulira kutseguka kwanu
• ululu wosapiririka mukakodza
• magazi mkodzo wanu
• kuvuta kukodza

Kodi pali zoopsa zilizonse?

Ngakhale RPG ndi njira yotetezeka, pali zovuta zingapo, kuphatikiza:

• Kutulutsa kwa radiation kuchokera ku X-ray
• zilema zoberekera ngati muli ndi pakati panthawiyi
• zovuta zomwe zimachitika, monga anaphylaxis, kupaka utoto kapena zida zomwe zimagwiritsidwa ntchito pochita izi
• kutupa mthupi lanu lonse (sepsis)
• nseru ndi kusanza
• Kutuluka magazi mkati (kukha magazi)
• bowo m'chikhodzodzo chanu chifukwa cha zida zogwiritsira ntchito
• matenda opatsirana mumkodzo

Tengera kwina

Pulogalamu yotchedwa retrograde pyelogram ndi njira yachangu, yopanda ululu yomwe imathandizira kuzindikira zododometsa zam'mitsempha yanu. Ikhoza kuthandizanso dokotala wanu kuchita njira zina zamikodzo kapena maopaleshoni bwinobwino.

Monga momwe zimakhalira ndi njira iliyonse yokhudza mankhwala ochititsa dzanzi, zoopsa zina zimakhudzidwa. Lankhulani ndi dokotala wanu zaumoyo wanu wonse komanso mbiri yazachipatala musanachite izi kuti mupewe zovuta zilizonse.