I-pyelogram efakwa ngaphakathi

I-intravenous pyelogram (IVP) ukuhlolwa okukhethekile kwe-x-ray yezinso, isinye, nama-ureters (amashubhu athutha umchamo kusuka ezinso aye esinyeni).

I-IVP yenziwa emnyangweni we-radiology esibhedlela noma ehhovisi lomhlinzeki wezempilo.

Ungacelwa ukuthi uthathe umuthi othile ukusula amathumbu akho ngaphambi kwenqubo yokunikeza umbono ongcono womgudu womchamo. Uzodinga ukukhipha isinye sakho ngaphambi kokuba inqubo iqale.

Umhlinzeki wakho uzofaka i-iodine-based umehluko (idayi) emthanjeni engalweni yakho. Uchungechunge lwezithombe ze-x-ray zithathwa ngezikhathi ezahlukahlukene. Lokhu ukubona ukuthi izinso zilususa kanjani udayi nokuthi luqoqa kanjani emchameni wakho.

Uzodinga ukulala unganyakazi ngesikhathi senqubo. Ukuhlolwa kungathatha kuze kufike ehoreni.

Ngaphambi kokuba kuthathwe isithombe sokugcina, uzocelwa ukuthi uphinde uchame. Lokhu ukubona ukuthi isinye sikhiphe kanjani kahle.

Ungabuyela ekudleni kwakho okujwayelekile nasemithini ngemuva kwenqubo. Kufanele uphuze uketshezi oluningi ukusiza ukususa lonke udayi ohlukile emzimbeni wakho.

Njengazo zonke izinqubo ze-x-ray, tshela umhlinzeki wakho uma:

• Ingabe i-aleji yokuqhathanisa impahla
• Bakhulelwe
• Unemithi yokwaliwa yizidakamizwa
• Unesifo sezinso noma isifo sikashukela

Umhlinzeki wakho uzokutshela ukuthi ungadla noma uphuze ngaphambi kwalolu vivinyo. Unganikezwa i-laxative ongayithatha ntambama ngaphambi kwenqubo yokusula amathumbu. Lokhu kuzosiza izinso zakho ukuthi zibonakale kahle.

Kufanele usayine ifomu lokuvuma. Uzocelwa ukuthi ugqoke ingubo yasesibhedlela futhi ukhiphe konke ubucwebe.

Ungase uzwe umuzwa ovuthayo noma oshisayo engalweni nasemzimbeni njengoba kufakwa udayi ohlukile. Ungase futhi ube nokunambitheka kwensimbi emlonyeni wakho. Lokhu kujwayelekile futhi kuzosuka ngokushesha.

Abanye abantu baba nekhanda, isicanucanu, noma ukuhlanza ngemuva kokujovwa kwedayi.

Ibhande ngaphesheya kwezinso lingazizwa liqinile ngaphezu kwesisu sakho.

I-IVP ingasetshenziselwa ukuhlola:

• Ukulimala esiswini
• Izifo zesinye nezinso
• Igazi emchameni
• Ubuhlungu beFlank (mhlawumbe ngenxa yamatshe ezinso)
• Izimila

Ukuhlolwa kungaveza izifo zezinso, ukukhubazeka kokuzalwa kohlelo lomchamo, izicubu, amatshe ezinso, noma ukulimala kohlelo lokuchama.

Kukhona ithuba lokuphendula okweqile kudayi, noma ngabe uthole udayi wokuqhathanisa esikhathini esedlule ngaphandle kwenkinga. Uma unokungezwani komzimba owaziwa ngokungafani okususelwa kwi-iodine, kungenziwa isivivinyo esihlukile. Ezinye izivivinyo zifaka phakathi i-retrograde pyelography, i-MRI, noma i-ultrasound.

Kukhona ukutholakala kwemisebe ephansi. Ochwepheshe abaningi banomuzwa wokuthi ingozi iphansi uma iqhathaniswa nezinzuzo.

Izingane zizwela kakhulu ezingozini zemisebe. Lokhu kuhlolwa akunakwenzeka ukuthi kwenziwe ngesikhathi sokukhulelwa.

Izikena ze-computed tomography (CT) zithathe indawo ye-IVP njengethuluzi eliyinhloko lokuhlola uhlelo lwe-urinary. I-Magnetic resonance imaging (MRI) nayo isetshenziselwa ukubheka izinso, ama-ureters nesinye.

I-urography eyingqayizivele; IVP

• Ukwakheka kwezinso
• Izinso - ukugeleza kwegazi nomchamo
• I-pyelogram efakwa ngaphakathi

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UGallagher KM, uHughes J.Ukuvinjelwa kwe-Urinary tract. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, abahleli. I-Nephrology Yomtholampilo Ephelele. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2019: isahluko 58.

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