Voiding cystourethrogram

ʻO kahi cystourethrogram voiding kahi aʻo x-ray o ka pākū a me ka urethra. Hana ʻia ia i ka wā e hemo ana ka ʻōpū.

Hana ʻia ka hōʻoia ma kahi keʻena radiology haukapila a i ʻole ma kahi keʻena ʻoihana olakino.

E moe ʻoe ma kou kua i ka papa ʻaina x-ray. E hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu i kapa ʻia he catheter i loko o ka urethra (ka paipu e lawe ana i ka mimi mai ka pāpaʻi a i waho o ke kino) a hele i loko o ka pākeke.

E kahe ana ka pena kala ma waena o ka catheter i loko o ka ʻōpū. Kōkua kēia kala i ka bladder e hōʻike maikaʻi aʻe ma nā kiʻi x-ray.

Lawe ʻia nā x-ray mai nā kihi like ʻole ʻoiai piha ka pākī i ka wai ʻokoʻa. Wehe ʻia ka catheter i hiki iā ʻoe ke mimi. Lawe ʻia nā kiʻi i ka wā e ninini ai i kāu ʻōpū.

Pono ʻoe e kau inoa i kahi palapala ʻae. Hāʻawi ʻia iā ʻoe kahi gown e komo ai.

Wehe i nā mea hoʻonani a pau ma mua o ka hoʻāʻo. E hoʻomaopopo i ka mea hāʻawi inā ʻoe:

• Allergic i kekahi lāʻau
• Allergic i ka x-ray ʻokoʻa mea
• Hapai

Hiki paha iā ʻoe ke ʻoluʻolu ke kau ʻia ka catheter a ʻoiai piha kāu ʻōpū.

Hiki ke hana i kēia hoʻokolohua e kuhikuhi i ke kumu o nā maʻi urinary tract, keu hoʻi i nā keiki i ʻoi aku i ka hoʻokahi urinary tract a i ʻole ka maʻi ʻaʻai.

Hoʻohana ʻia ia e diagnose a loiloi:

• Hōʻalo paʻakikī i ka ʻai
• Nā kīnā hānau me ka pūpū a i ʻole ka urethra
• ʻO ka hoʻowahāwahā ʻia o ka paipu e lawe i ka mimi mai loko o ka pākeke (urethral strikure) i nā kāne
• ʻO ka reflux urinary mai ka pākuʻi i luna i ka puʻupaʻa

ʻO ka ʻōpū a me ka urethra e maʻamau i ka nui a me ka hana.

Hōʻike nā hopena maʻamau i kēia:

• ʻAʻole nele ka bladder ma muli o ka pilikia o ka lolo a me ke aʻalolo (neurad bladder)
• Kelepona prostate nui
• Pākuʻi a wili paha o ka urethra
• ʻO nā ʻeke e like me ka ʻeke (diverticula) ma nā paia o ke kīwī a i ʻole ka urethra
• ʻO Ureterocele
• Urinary reflux nephropathy

Hiki paha iā ʻoe ke hōʻoluʻolu ke ʻimi ʻana ma hope o kēia hōʻike no ka huhū mai ka catheter.

Loaʻa paha iā ʻoe nā spadms bladder ma hope o kēia hoʻāʻo, he hōʻailona paha ia o ka hopena maʻi ʻaʻai i ka kala ʻokoʻa. Kāhea i kāu mea hāʻawi inā loaʻa nā spasms bladder.

ʻIke paha ʻoe i ke koko i kāu mimi no kekahi mau lā ma hope o kēia hōʻike.

Cystourethrogram - hōʻole

• Voiding cystourethrogram
• ʻO Cystography

Bellah RD, Tao TY. Pediatric genitourinary radiology. I: Torigian DA, Ramchandani P, eds. Nā mea huna Radiology hoʻohui. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2017: chap 88.

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 Elder JS. ʻO reflux Vesicoureteral. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 554.