Retrograde Pyelogram

Anter

• He aha ka mea i hoʻohana ʻia ai?
• Pono wau e hoʻomākaukau?
• Pehea i hana ai?
• He aha ke ʻano o ka hoʻōla?
• Aia kekahi mau pōpilikia?
• Lawe aku

He aha ka pyelogram retrograde?

ʻO kahi pyelogram retrograde (RPG) kahi hōʻike kiʻi e hoʻohana ai i ka pena kala i kāu kahakaha urinary e kiʻi i kahi kiʻi X-ray ʻoi aku o kāu ʻōnaehana urinary. Hoʻopili pū kāu ʻōnaehana urinary i kou mau puʻupaʻa, loko, a me nā mea āpau e pili ana iā lākou.

ʻAno like kahi RPG me kahi pyelography intravenous (IVP). Hana ʻia kahi IVP e ka hoʻopili ʻana i ke kala ʻokoʻa i loko o ke aa no nā kiʻi X-ray maikaʻi aʻe. Hana ʻia kahi RPG e ka cystoscopy, kahi e hoʻopili pono ai i ka wai kala ʻokoʻa i loko o kāu wahi urinary ma o kahi paipu lahilahi i kapa ʻia he endoscope.

He aha ka mea i hoʻohana ʻia ai?

Hoʻohana pinepine ʻia ʻo RPG e nānā no nā kahakaha urinary, e like me nā tumors a i ʻole nā ​​pōhaku. Hiki ke hōʻike ʻia nā ālai i kāu mau puʻupaʻa a i ʻole nā ​​ureter, ʻo ia nā paipu e lawe mai i ka mimi mai kou puʻupaʻa i loko o kāu pūpū. Hiki i nā kahakaha urinary ke hōʻiliʻili i ka mimi i kāu wahi urinary, a hiki i nā pilikia.

Koho paha kāu kauka e hoʻohana i kahi RPG inā he koko kou i kāu mimi (i kapa ʻia hoʻi he hematuria). Hiki i nā RPG ke kōkua i kāu kauka e ʻike i kahi ʻōnaehana ʻoi aku o mua o ka hana ʻoki ʻana.

Pono wau e hoʻomākaukau?

Ma mua o ka hana ʻana o RPG, aia kekahi mau mea āu e hana ai i ka hoʻomākaukau:

• Wikiwiki no kekahi mau hola ma mua o ke kaʻina hana. E haʻi nā kauka he nui iā ʻoe e haʻalele i ka ʻai ʻana a me ka inu ʻana ma hope o ke aumoe i ka lā o ke kaʻina hana. ʻAʻole hiki iā ʻoe ke ʻai a inu paha mai 4 a 12 mau hola ma mua o ke kaʻina hana.
• Lawe i ka laxative. Hāʻawi ʻia ʻoe i kahi laxative waha a i ʻole kahi enema e hōʻoia i ka hoʻomaʻemaʻe ʻia o kāu ʻōnaehana digestive.
• E hoʻolōʻihi iki i ka hana. He ʻōnaehana waho kēia, ʻo ia hoʻi he mau hola wale nō. Eia nō naʻe, hāʻawi paha kāu kauka iā ʻoe i ka anesthesia ākea e hiamoe ai i ke kaʻina hana. ʻAʻole paha ʻoe e hele i ka hana a pono ʻoe i kekahi e hoʻokele iā ʻoe i kou home.
• Uoki i ka lawe ʻana i kekahi mau lāʻau. E haʻi paha kāu kauka iā ʻoe e hōʻoki i ka lawe ʻana i nā mea lahilahi o ke koko a i ʻole kekahi mau mea hoʻopili lāʻau ma mua o ka hoʻāʻo.

E hōʻoia e haʻi mua i kāu kauka inā ʻoe:

• lawe i nā lāʻau a lāʻau paha
• hāpai a manaʻo paha ʻoe ua hāpai
• ʻaʻano maʻi ʻaʻano i nā ʻano kala ʻokoʻa a iodine paha
• maʻi maʻi i kekahi mau lāʻau, metala, a i ʻole nā ​​mea i hoʻohana ʻia i ke kaʻina hana, e like me ka hopena a i ʻole anesthesia.

Pehea i hana ai?

Ma mua o kēia kaʻina hana, e noi ʻia ʻoe i:

• e hoʻoneʻe i nā kāhiko a pau, a i kekahi mau manawa, i kou lole
• e hoʻokomo i ke kapa komo haukapila (inā noi ʻia ʻoe e hemo i kou kapa)
• moe moe ma kahi pākaukau me kou mau wāwae i luna.

A laila, e hoʻokomo ʻia kahi Tube intravenous (IV) i loko o kahi aa i kou lima e hāʻawi iā ʻoe i ka anesthesia.

Ma loko o ka RPG, kāu kauka a i ʻole urologist kāu:

1. e hoʻokomo i kahi endoscope i kāu urethra
2. e hoʻolohi mālie i ka endoscope a me ke akahele ma o kāu urethra a hiki i kou ʻōpū, i kēia manawa, hiki i kāu kauka ke hoʻokomo i kahi catheter i loko o kāu pēke.
3. hoʻolauna i ka pena i loko o ka ʻōnaehana urinary
4. e hoʻohana i ke kaʻina i kapa ʻia fluoroscopy hōʻeuʻeu e lawe i nā kukuna X i hiki ke ʻike ʻia i ka manawa maoli
5. Wehe i ka endoscope (a me ka catheter, inā hoʻohana ʻia) mai kou kino

He aha ke ʻano o ka hoʻōla?

Ma hope o ke kaʻina hana, e noho ʻoe i kahi lumi hoʻōla a hiki i kou ala ʻana a hoʻi i kou hanu ʻana, ka helu o ka puʻuwai, a me ke kahe o ke koko i ka maʻamau. E nānā kāu kauka i kou mimi no kekahi koko a i ʻole nā ​​hōʻailona o nā pilikia.

A laila, hele paha ʻoe i kahi lumi haukapila a hoʻomaʻemaʻe ʻia paha e hoʻi i ka home. Kau kauka paha i ke kauka ʻeha, e like me ka acetaminophen (Tylenol) e hoʻokele i nā ʻeha a ʻoluʻolu ʻole paha āu e ʻike ai i ka wā e mimi ai ʻoe. Mai lawe i nā lāʻau ʻeha, e like me aspirin, hiki ke hoʻonui i kou makaʻu i ke kahe ʻana.

E noi paha kāu kauka iā ʻoe e nānā i kou mimi no ke koko a i ʻole nā ​​mea ʻē aʻe ʻē aʻe i kekahi mau lā e ʻike pono ʻaʻohe pilikia.

Kāhea koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau ʻōuli.

• ke kuni kiʻekiʻe (101 ° F a ʻoi aku)
• ke kahe a kahe paha a puni kāu wehe urethral
• ʻeha hiki ʻole ke ʻimi ʻia
• ke koko i kou mimi
• pilikia urino

Aia kekahi mau pōpilikia?

ʻOiai he hana palekana ʻo RPG, aia kekahi mau pilikia, e like me:

• hōʻike radiation mai X-kukuna
• hānau kīnā inā hāpai ʻoe i ke kaʻina hana
• nā hopena maʻi ʻino loa, e like me anaphylaxis, i ka pena a i ʻole nā ​​mea i hoʻohana ʻia i ke kaʻina hana
• puhū ma kou kino (sepsis)
• nausea a me ka luaʻi
• kahe koko (hemorrhage)
• he puka i loko o kāu pēpē e nā mea hana i hoʻohana ʻia i ke kaʻina hana
• maʻi maʻi urinary tract

Lawe aku

ʻO kahi pyelogram retrograde kahi wikiwiki, hana ʻeha ʻole e kōkua i ka ʻike ʻana i nā ʻano ʻē ma kāu wahi urinary. Hiki iā ia ke kōkua i kāu kauka e hana i nā kaʻina mimi ʻē aʻe a me nā ʻoki ʻana me ka palekana.

E like me nā kaʻina hana e pili ana i ka anesthesia, pili kekahi mau pilikia. E kamaʻilio me kāu kauka e pili ana i kou olakino olakino a me ka mōʻaukala holoʻokoʻa ma mua o ka hana ʻana i kēia kaʻina hana i mea e pale ai i nā pilikia lōʻihi.