Pyelogram huhū
ʻO kahi pyelogram intravenous (IVP) kahi hoʻokolohua x-ray kūikawā o nā puʻupaʻa, loko, a me nā ureter (nā paipu e halihali i ka mimi mai nā puʻupaʻa i ka pūpū).
Hana ʻia kahi IVP ma kahi keʻena radiology haukapila a i ʻole ke keʻena ʻoihana olakino.
E noi paha ʻoe e lawe i kahi lāʻau e hoʻomaʻemaʻe i kou ʻōpū ma mua o ke kaʻina hana e hāʻawi i kahi ʻike ʻoi aku o ka urinary tract. Pono ʻoe e ninini i kāu pākeke ma mua o ka hoʻomaka ʻana o ke kaʻina hana.
E hoʻokomo kāu mea hāʻawi i kahi ʻokoʻa iodine-based (dye) i loko o kahi aa i kou lima. Lawe ʻia ke kiʻi o nā kiʻi x-ray i nā manawa like ʻole. ʻO kēia e ʻike pehea e hoʻopau ai nā puʻupaʻa i ke kala a pehea e ʻohiʻohi ai i kāu mimi.
Pono ʻoe e moe mālie i ka wā o ke kaʻina hana. Lōʻihi paha ka hola hōʻike.
Ma mua o ke kiʻi hope ʻia ʻana, noi ʻia ʻoe e mimi hou. ʻO kēia e ʻike ai i ka maikaʻi o ka ninini ʻana o ka ʻai.
Hiki iā ʻoe ke hoʻi i kāu papaʻai maʻamau a me nā lāʻau ma hope o ke kaʻina hana. E inu ʻoe i nā wai he nui e kōkua i ka lawe ʻana i ka pena kala ʻokoʻa mai kou kino.
E like me nā kaʻina hana x-ray āpau, e haʻi i kāu mea hāʻawi inā ʻoe:
- Pākuʻi i ka ʻokoʻa mea
- Hāpai lākou
- Loaʻa i nā lāʻau āpau
- Loaʻa i ka maʻi puʻupaʻa a i ʻole diabetes
E haʻi aku kāu mea hāʻawi iā ʻoe inā hiki iā ʻoe ke ʻai a inu paha ma mua o kēia hōʻike. Hāʻawi ʻia ʻoe i ka laxative e lawe i ke awakea ma mua o ke kaʻina hana e hoʻomaʻemaʻe i nā ʻōpū. E kōkua kēia i kou puʻupaʻa e ʻike akāka.
Pono ʻoe e kau inoa i kahi palapala ʻae. E noi ʻia ʻoe e ʻaʻahu i kaʻaʻahu hōkele a hemo i nā kāhiko.
ʻIke paha ʻoe i kahi wela a i ʻole flush i kou lima a me kou kino ke kuhi ʻia ka kala ʻokoʻa. Hiki paha iā ʻoe ke ʻono i ka hao i kou waha. He maʻamau kēia a e hele wikiwiki aku.
Hoʻoulu kekahi poʻe i ka ʻeha poʻo, nausea, a i ʻole ka luaʻi ʻana ma hope o ka hoʻouka ʻia ʻana o ke kala.
ʻO ke kāʻei ma nā puʻupaʻa paha e manaʻo paʻa ma luna o kou ʻōpū.
Hiki ke hoʻohana ʻia kahi IVP e loiloi ai:
- ʻO kahi ʻeha o ka ʻōpū
- Nā maʻi ʻaʻai a me nā hakuʻala
- Koko i ka mimi
- Paʻa ʻāpana (ma muli paha o nā pōhaku hakuʻala)
- Nā Tumors
Hōʻike ka hoʻāʻo i nā maʻi puʻupaʻa, nā kīnā hānau o ka ʻōnaehana urinary, tumors, pōhaku kidney, a i ʻole hōʻino i ka ʻōnaehana urinary.
Aia kahi manawa o kahi hopena maʻi ʻino i ke kala, ʻoiai inā ua loaʻa iā ʻoe ke kala ʻokoʻa i ka wā i hala me ka pilikia ʻole. Inā loaʻa iā ʻoe kahi pilikino pili i ka hoʻohālike iodine, hiki ke hana i kahi hoʻokolohua ʻokoʻa. ʻO nā hōʻike ʻē aʻe e pili ana i ka pyelography retrograde, MRI, a i ʻole ke ultrasound.
Aia ka hōʻike radiation haʻahaʻa. Manaʻo ka hapanui o ka poʻe loea he haʻahaʻa ka pilikia inā hoʻohālikelike ʻia me nā keu pono.
ʻOi aku ka maʻalahi o nā keiki i nā makaʻu o ka radiation. ʻAʻole paha e hana ʻia kēia hōʻike i ka wā hāpai.
Ua hoʻololi nā scans tomography Compute (CT) iā IVP ma ke ʻano he pono hana nui no ka nānā ʻana i ka ʻōnaehana mimi. Hoʻohana ʻia ka imagingance resonance imaging (MRI) e nānā i nā puʻupaʻa, nā ureter, a me ka ʻai.
Excretory urography; IVP
- Anatomia hakuʻala
- ʻO Kidney - ke kahe o ke koko a me ka mimi
- Pyelogram huhū
ʻO Bishoff JT, Rastinehad AR. ʻO ke kiʻi ʻimi urinary: nā kumu nui o ka tomography i helu ʻia, nā kiʻi resonance ʻumeʻume, a me ke kiʻi ʻoniʻoni. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 2.
Gallagher KM, Hughes J. Urinary tract ālai ʻia. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 58.
Sakhaee K, Moe OW. Urolithiasis. I: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. ʻO Brenner a me Rector's The Kidney. 10 o ka lā. Piladelapia, PA: Elsevier; 2016: chap 40.