Phinda wenze kabusha i-Pyelogram

-Delile

• Kusetshenziselwani?
• Ngidinga ukulungiselela?
• Kwenziwa kanjani?
• Kunjani ukululama?
• Ingabe zikhona izingozi?
• Ukudla okudlela endlini

Iyini i-pyrogram yokubuyisa kabusha?

I-retrograde pyelogram (RPG) ukuhlolwa kwe-imaging okusebenzisa udayi ongafani nomgudu wakho wokuchama ukuthatha isithombe se-X-ray esingcono sohlelo lwakho lokuchama. Uhlelo lwakho lomchamo lubandakanya izinso zakho, isinye, nayo yonke into exhunywe kuzo.

I-RPG ifana ne-intravenous pyelography (IVP). I-IVP yenziwa ngokujova udayi wokuqhathanisa emthanjeni wezithombe ezingcono ze-X-ray. I-RPG yenziwa nge-cystoscopy, okubandakanya ukujova udayi wokuqhathanisa ngqo emgudwini wakho wokuchama ngokusebenzisa ithubhu elincane elibizwa nge-endoscope.

Kusetshenziselwani?

I-RPG ivame ukusetshenziselwa ukubheka ukuvinjelwa kwamapayipi womchamo, njengezicubu noma amatshe. Ukuvinjelwa kunamathuba amaningi okuthi kuvele ezinso noma kuma-ureters akho, okuyizigaxa eziletha umchamo ezinso zakho uye esinyeni sakho. Ukuvinjelwa kwe-urinary tract kungadala ukuthi umchamo uqoqwe endaweni yakho yokuchama, okungaholela ezinkingeni.

Udokotela wakho futhi angakhetha ukusebenzisa i-RPG uma unegazi emchameni wakho (obizwa nangokuthi i-hematuria). Ama-RPG angasiza nodokotela wakho ukuthi abone kangcono uhlelo lwakho lokuchama ngaphambi kokuhlinzwa.

Ngidinga ukulungiselela?

Ngaphambi kokuba kwenziwe i-RPG, kunezinto ezimbalwa okufanele uzenze ukulungiselela:

• Shesha amahora ambalwa ngaphambi kwenqubo. Odokotela abaningi bazokutshela ukuthi yeka ukudla nokuphuza ngemuva kwamabili ngosuku lwenqubo. Ungahle ungadli noma uphuze kusuka emahoreni ama-4 kuye kwayi-12 ngaphambi kwenqubo.
• Thatha i-laxative. Unganikezwa i-laxative yomlomo noma i-enema ukuze uqiniseke ukuthi uhlelo lwakho lokugaya ukudla luyahlanzwa.
• Thatha ikhefu emsebenzini. Le yinqubo yokugula, okusho ukuthi kuthatha amahora ambalwa kuphela. Kodwa-ke, udokotela wakho cishe uzokunika i-anesthesia ejwayelekile ukuze uhlale ulele ngesikhathi senqubo. Mhlawumbe ngeke ukwazi ukuya emsebenzini futhi uzodinga umuntu ozokushayela ngemoto uye ekhaya.
• Yeka ukuthatha imithi ethile. Udokotela wakho angakutshela ukuthi uyeke ukuthatha izinciphisi zegazi noma izithako ezithile zamakhambi ngaphambi kokuhlolwa.

Qiniseka ukuthi utshela udokotela wakho kusengaphambili uma u:

• ukuthatha noma imiphi imithi noma izithako zemithi
• ukhulelwe noma ucabanga ukuthi kungenzeka ukhulelwe
• i-aleji kunoma yiluphi uhlobo lwedayi yokuqhathanisa noma iodine
• iguliswa yimithi ethile, izinsimbi, noma izinto ezingasetshenziswa kwinqubo, njenge-latex noma i-anesthesia.

Kwenziwa kanjani?

Ngaphambi kwale nqubo, uzocelwa ukuthi:

• susa bonke ubucwebe futhi, kwezinye izimo, nezingubo zakho
• gqoka ingubo yasesibhedlela (uma ucelwa ukuba ukhiphe izingubo zakho)
• lala phansi etafuleni uvule imilenze phezulu.

Ngemuva kwalokho, kuzofakwa ishubhu elifakwa emthanjeni (IV) emthanjeni engalweni yakho ukukunika i-anesthesia.

Ngesikhathi se-RPG, udokotela wakho noma urologist uzokwenza lokhu:

1. faka i-endoscope ku-urethra yakho
2. cindezela i-endoscope kancane futhi ngokucophelela ngokusebenzisa umchamo wakho ize ifinyelele esinyeni sakho, ngalesi sikhathi, udokotela wakho angafaka futhi ipayipi esinyeni sakho
3. ukwethula udayi ohlelweni urinary
4. sebenzisa inqubo ebizwa nge-dynamic fluoroscopy ukuthatha ama-X-ray angabukwa ngesikhathi sangempela
5. susa i-endoscope (ne-catheter, uma isetshenziswa) emzimbeni wakho

Kunjani ukululama?

Ngemuva kwenqubo, uzohlala egumbini lokululama uze uvuke futhi ukuphefumula kwakho, ukushaya kwenhliziyo, nomfutho wegazi kubuyele kokujwayelekile. Udokotela wakho uzoqapha umchamo wakho nganoma yiliphi igazi noma izimpawu zezinkinga.

Okulandelayo, uzoya egumbini lesibhedlela noma uvunyelwe ukuya ekhaya. Udokotela wakho angakunikeza imithi yezinhlungu, njenge-acetaminophen (Tylenol) ukuphatha noma yibuphi ubuhlungu noma ukungaphatheki kahle ongase uzizwe lapho uchama. Ungathathi imithi ethile yezinhlungu, njenge-aspirin, engakhuphula ingozi yokuphuma kwegazi.

Udokotela wakho angakucela ukuthi ubheke umchamo wakho wegazi noma okunye okungajwayelekile izinsuku ezimbalwa ukuze uqiniseke ukuthi azikho izinkinga.

Shayela udokotela wakho ngokushesha uma ubona noma iyiphi yalezi zimpawu:

• umkhuhlane omkhulu (101 ° F noma ngaphezulu)
• ukopha noma ukuvuvukala uzungeze ukuvuleka kwakho kwe-urethral
• ubuhlungu obungabekezeleleki lapho uchama
• igazi emchameni wakho
• inkinga yokuchama

Ingabe zikhona izingozi?

Ngenkathi i-RPG iyinkqubo ephephile, kunezingozi ezimbalwa, kufaka phakathi:

• ukuvezwa ngemisebe evela kuma-X-ray
• ukukhubazeka kokuzalwa uma ukhulelwe ngesikhathi senqubo
• ukusabela okweqile, okufana ne-anaphylaxis, kudayi noma izinto ezisetshenziswe kwinqubo
• ukuvuvukala emzimbeni wakho wonke (sepsis)
• isicanucanu nokuhlanza
• ukopha kwangaphakathi (ukopha)
• umgodi esinyeni sakho obangelwa amathuluzi asetshenziswe kule nqubo
• ukutheleleka komgudu womchamo

Ukudla okudlela endlini

I-retrograde pyelogram inqubo esheshayo, engenabuhlungu esiza ukukhomba okungajwayelekile kumgudu wakho wokuchama. Kungasiza nodokotela wakho ukuthi enze ezinye izinqubo zokuhlinzwa noma ukuhlinzwa ngokuphepha.

Njenganoma iyiphi inqubo ebandakanya i-anesthesia, kunezingozi ezithile ezihilelekile. Khuluma nodokotela wakho ngomlando wakho wezempilo nowezokwelapha ngaphambi kokwenza le nqubo ukugwema noma yiziphi izinkinga zesikhathi eside.