ʻO Biopsy palaki retrograde ureteral

ʻO kahi biopsy ureteral retrograde palaki kahi hana ʻoki. I ka wā o ke ʻoki ʻana, lawe kāu kauka lāʻau i kahi laʻana o nā mea mai ka uhi o ka puʻupaʻa a i ʻole ka ureter. ʻO ka ureter ka paipu e hoʻopili i kahi puʻupaʻa i ka pākeke. Hoʻouna ʻia ke kiko i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana.

Hana ʻia kēia hana i ka hoʻohana ʻana:

• Anesthesia ākea (ʻōiwi)
• Anesthesia laulā

ʻAʻole ʻoe e ʻeha. Lawe ʻia ka hōʻike ma kahi o 30 a 60 mau minuke.

Hoʻokomo mua ʻia kahi cystoscope ma o ka urethra i loko o ka pale. ʻO Cystoscope kahi paipu me kahi pahu paʻi kiʻi ma ka hopena.

• A laila hoʻokomo ʻia kahi uea alakaʻi ma o ka cystoscope i loko o ka ureter (ka paipu ma waena o ka ʻōpū a me ka puʻupaʻa).
• Lawe ʻia ka cystoscope. Akā ua waiho ka uea alakaʻi i kahi kūpono.
• Hoʻokomo ʻia kahi ureteroscope ma luna a i ʻole a kokoke i ka uea alakaʻi. ʻO ka ureteroscope ʻoi aku ka lōʻihi, he teleskopa lahilahi me kahi kiʻi liʻiliʻi. Hiki i ke kaukipō ke ʻike i ka loko o ka ureter a i ʻole ka hakuʻala ma o ka kāmela.
• Hoʻokomo ʻia kahi nylon a palaki kila paha ma o ka ureteroscope. Hoʻopili ʻia kahi e biopsied ʻia me ka palaki. Hiki ke hoʻohana ʻia nā Biopsy forceps e hōʻiliʻili i kahi hāpana kiko.
• Lawe ʻia ka palaki a i ʻole ka biopsy forceps. Lawe ʻia kaʻiʻo mai ka mea kani.

Hoʻouna ʻia kahi laʻana i kahi labology pathology no ka loiloi. Lawe ʻia ka mea kani a me ka uea alakaʻi mai ke kino. E waiho ʻia kahi paipu liʻiliʻi a i ʻole stent i ka ureter. Pale kēia i ka paʻa ʻana o ka puʻupaʻa e ka ʻōhū mai ke kaʻina hana. Wehe ʻia ma hope.

ʻAʻole paha ʻoe e ʻai a inu paha i kekahi mea ma kahi o 6 mau hola ma mua o ka hoʻāʻo. E haʻi aku kāu mea mālama ola iā ʻoe pehea ʻoe e hoʻomākaukau ai.

Loaʻa paha iā ʻoe kahi cramping mālie a hōʻoluʻolu paha ma hope o ka pau ʻana o ka hoʻāʻo. Loaʻa paha iā ʻoe kahi huhū ahi i nā manawa mua e hakahaka ai kāu ʻōpū. Hiki paha iā ʻoe ke miihi pinepine a i ʻole he koko i loko o kou mimi no kekahi mau lā ma hope o ke kaʻina hana. Hiki paha iā ʻoe ke hōʻoluʻolu mai ka stent e hoʻomau i kahi a hiki i ka lawe ʻia ʻana i kahi manawa hope.

Hoʻohana ʻia kēia hōʻike e lawe i kahi laʻana o nāʻaʻaʻa mai ka puʻupaʻa a i ʻole ka ureter. Hana ʻia ia ke hōʻike ʻia kahi x-ray a i ʻole nā ​​hōʻike ʻē aʻe i kahi wahi kānalua (lesion). Hiki ke hana i kēia inā aia ke koko a i ʻole nā ​​huna ʻē aʻe i ka mimi.

Kū maʻamau ke kiko.

Hōʻike paha nā hopena maʻamau i nā hunaola maʻi ʻaʻai (carcinoma). Hoʻohana pinepine ʻia kēia hōʻike e haʻi i ka ʻokoʻa ma waena o nā maʻi ʻino (maʻi ʻino) a noncancerous (benign).

Nā pilikia no ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau
• Nā pilikia hanu
• Kahe ʻana o ke kahe, kahe koko
• Maʻi kīnā

ʻO kekahi pilikia kūpono no kēia kaʻina hana he puka (perforation) i ka ureter. Hiki i kēia ke kumu i ka scarring o ka ureter a pono ʻoe i kahi ʻoki hou e hoʻoponopono i ka pilikia. E haʻi aku i kāu mea hāʻawi inā loaʻa kahi allergy i ka iʻa iʻa. Hiki iā ʻoe ke loaʻa i kahi hopena maʻi ʻaʻai i ka kala ʻokoʻa i hoʻohana ʻia i kēia hoʻokolohua.

ʻAʻole pono e hana ʻia kēia hōʻike i ka poʻe me:

• Maʻi ʻaʻai Urinary
• Ālai ma a ma lalo paha o ka pūnaewele biopsy

Loaʻa paha iā ʻoe ka ʻeha o ka ʻōpū a ʻeha paha ma kou ʻaoʻao (flank).

ʻO kahi liʻiliʻi o ke koko i ka mimi ka mea maʻamau i nā manawa mua e mimi ai ʻoe ma hope o ke kaʻina hana. Hiki paha i kou mimi ke ʻālohilohi. Hōʻike i ka mimi koko loa a i ʻole ke kahe ʻana i ʻoi aku ka lōʻihi ma mua o 3 hakahaka o ka ʻōpū i kāu mea hāʻawi.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻO kaʻeha maikaʻi ʻole a maikaʻi ʻole paha
• Fiva
• ʻO Chills
• Mimi koko loa
• Ke hoʻomau nei ke kahe ʻana ma hope o kou ninini ʻana i kāu ʻōpū i nā manawa 3

ʻO Biopsy - palaki - urinary tract; Retrograde ureteral palaki biopsy cytology; Cytology - biopsy palaka retrograde ureteral

• Anatomia hakuʻala
• ʻO Kidney - ke kahe o ke koko a me ka mimi
• Biopsy Ureteral

Kallidonis P, Liatsikos E. Urothelial tumors o ka luna urinary tract a me ka ureter. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 98.

Pūnaewele Institute of Diabetes a me Digestive a me nā maʻi maʻi puʻuwai. Cystoscopy & ureteroscopy. www.niddk.nih.gov/health-information/diagnostic-tests/cystoscopy-ureteroscopy. Hoʻohou ʻia Iune 2015. Loaʻa iā Mei 14, 2020.