Retrograde cystography

ʻO Retrograde cystography kahi x-ray kikoʻī o ka ʻōpū. Hoʻokomo ʻia ka kala ʻokoʻa i loko o ka pākā ma o ka urethra. ʻO ka urethra ka paipu e lawe ana i ka mimi mai ka pūpū a i waho o ke kino.

E moe ʻoe ma ka papaʻaina. Hoʻokomo ʻia kahi lāʻau numbing i ka wehe i kāu urethra. Hoʻokomo ʻia kahi paipu maʻalahi (catheter) ma o kāu urethra i loko o ka puhā. E kahe ana ka pena kala i loko o ka paipu a hiki i ka piha ʻana o kāu ʻōpū a i ʻole haʻi aku ʻoe i ka ʻenehana ua piha kāu pākeke.

Ke piha ka puhaka, hoʻonoho ʻia ʻoe i nā kūlana ʻokoʻa i hiki i nā kukuna x ke lawe ʻia. Lawe ʻia kahi x-ray hope loa i ka manawa e hemo ai ka catheter a ua hoʻokuʻu ʻoe i kāu ʻōpū. Hōʻike kēia i ka maikaʻi o ka ninini ʻana o kāu ʻōpū.

Lawe ʻia ka hōʻike ma kahi o 30 a 60 mau minuke.

Pono ʻoe e kau inoa i kahi palapala ʻae ʻikepili. Pono ʻoe e ninini i kāu ʻōpū ma mua o ka hoʻāʻo. E nīnau ʻia ʻoe i nā nīnau e hoʻoholo inā he maʻi maʻi paha kāu i ka kala ʻokoʻa, a i ʻole inā he maʻi ʻino kāu i hiki ke hana i ka hoʻokomo ʻana i ka catheter paʻakikī.

ʻIke paha ʻoe i kekahi kaomi ke hoʻokomo ʻia ka catheter. ʻIke ʻoe i ka makemake e mimi ke komo ka pena ʻokoʻa i loko o ka puhā. E hoʻopau ke kanaka e hana ana i ka hoʻāʻo i ke kahe ke hele a maʻalahi ʻole ke kaomi. E hoʻomau ka makemake e mimi ma loko o ka hoʻāʻo.

Ma hope o ka hoʻāʻo, kahi o ka catheter i kau ʻia ai paha e ʻehaʻeha ke ʻimi ʻoe.

Pono paha ʻoe i kēia hōʻoia e nānā ai i kāu ʻōpū no nā pilikia e like me nā lua a i ʻole nā ​​waimaka, a i ʻole e ʻike i ke kumu o kāu hana hou ʻana i nā maʻi maʻi bladder. Hoʻohana ʻia ia e nānā i nā pilikia e like me:

• Nā pilina maʻamau ma waena o nā aʻa o ke kino a me kahi hale kokoke (bladder fistulae)
• Pōhaku Bladder
• ʻO nā ʻeke e like me ka ʻeke i kapa ʻia he diverticula ma nā paia o ka puhā a i ʻole ka urethra
• Tumor o ka ʻai
• Maʻi ʻaʻai Urinary
• ʻO ka reflux Vesicoureteric

ʻIke ʻia ke kīloi.

Nā hopena kūpono ʻole ma muli o:

• Pōhaku Bladder
• Huʻi koko
• ʻO Diverticula
• ʻO ka maʻi a me ka pehu
• Liona
• ʻO ka reflux Vesicoureteric

Aia kekahi pilikia no ka maʻi mai ka catheter. Pākuʻi ʻia paha nā ʻōuli:

• Puhi i ka wā urination (ma hope o ka lā mua)
• ʻO Chills
• Hoemi i ke koko, (hypotension)
• Fiva
• Hoʻonui i ka helu o ka puʻuwai
• Hoʻonui ka nui o ka hanu ʻana

ʻO ka nui o ka hōʻike radiation e like me ka nui o nā kukuna x ʻē aʻe. E like me ka hōʻike ʻana o ka pāhawewe, pono i kēia wahine e hānai a i ʻole nā ​​wahine hāpai paha kēia hōʻike inā hoʻoholo ʻia ʻoi aku ka maikaʻi ma mua o nā pilikia.

I nā kāne, pale ʻia ka testicle mai nā kukuna x.

ʻAʻole hana pinepine ʻia kēia hōʻike. Hana pinepine ʻia me ka CT scan kiʻi no ka hoʻonā maikaʻi aʻe. Hoʻohana pinepine ʻia ka Voiding cystourethrogram (VCUG) a i ʻole cystoscopy.

Cystography - retrograde; ʻO Cystogram

• ʻO reflux Vesicoureteral
• ʻO Cystography

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.

ʻO Davis JE, Silverman MA. Nā kaʻina hana Urologic. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 55.

Zagoria RJ, Dyer R, Brady C. Hoʻolauna i nā hana radiologic. I: Zagoria RJ, Dyer R, Brady C, eds. Kiʻi Genitourinary: Nā Koi. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2016: chap 1.