Ipiramidi efakwa ngaphakathi

I-pyelogram efakwa emithanjeni (IVP) luvavanyo olukhethekileyo lwe-x-ray lwezintso, isinyi, kunye ne-ureters (iityhubhu ezihambisa umchamo kwizintso ukuya kwisinyi).

IVP yenziwa kwisebe le-radiology yesibhedlele okanye kwiofisi yomboneleli wezempilo.

Unokucelwa ukuba uthathe amayeza okucoca amathumbu ngaphambi kwenkqubo yokubonelela ngombono ongcono wephepha lokuchama. Uzakufuna ukukhupha i-bladder yakho ngaphambi kokuba inkqubo iqale.

Umboneleli wakho uya kutofa ngokuchasene ne-iodine (idayi) kwimithambo engalweni yakho. Uthotho lwemifanekiso ye-x-ray ithathwa ngamaxesha ahlukeneyo. Oku kukubona ukuba izintso ziyisusa njani idayi kunye nendlela eqokelela ngayo kumchamo wakho.

Kuya kufuneka uphinde ulale ngexesha lenkqubo. Uvavanyo lunokuthatha ukuya kwiyure.

Phambi kokuba kuthathwe umfanekiso wokugqibela, uya kucelwa ukuba uphinde uchame. Oku kukubona ukuba i-bladder ikhuphe njani.

Ungabuyela kwindlela otya ngayo yesiqhelo kunye namayeza emva kwenkqubo. Kuya kufuneka usele ulwelo oluninzi ukuze uncede ususe yonke idayi eyahlukileyo emzimbeni wakho.

Njengazo zonke iinkqubo ze-x-ray, xelela umboneleli wakho ukuba:

• Ngaba i-aleji yokuthelekisa izinto
• Ukhulelwe
• Unayo nayiphi na into ebangelwa sisiyobisi
• Unesifo sezintso okanye isifo seswekile

Umboneleli wakho uya kukuxelela ukuba ungatya okanye usele ngaphambi kolu vavanyo. Unokunikwa i-laxative ukuba uyithathe emva kwemini ngaphambi kwenkqubo yokucoca amathumbu. Oku kuya kunceda izintso zakho zibonakale ngokucacileyo.

Kufuneka usayine ifom yemvume. Uya kucelwa ukuba unxibe igawuni yesibhedlele kwaye ususe bonke ubucwebe.

Unokuziva uvutha okanye uchukuzela engalweni nasemzimbeni njengoko idayi eyahlukileyo itofwe. Unokuba nencasa yesinyithi emlonyeni wakho. Oku kuqhelekile kwaye kuya kuhamba ngokukhawuleza.

Abanye abantu baba nentloko ebuhlungu, isicaphucaphu, okanye ukugabha emva kokuba kufakwe idayi.

Ibhanti elinezintso linokuziva liqinile kwindawo yakho yesisu.

IVP inokusetyenziselwa ukuvavanya:

• Ukwenzakala esiswini
• Ukusuleleka kwisinye nakwizintso
• Igazi kumchamo
• Intlungu yeflank (mhlawumbi ngenxa yamatye eentso)
• Amathumba

Uvavanyo lunokubonisa izifo zezintso, iziphene zokuzalwa kwenkqubo yokuchama, amathumba, amatye ezintso, okanye ukonakala kwenkqubo yokuchama.

Kukho ithuba lokuphendula okwenziwe kwidayi, nokuba sele ufumene idayi eyahlukileyo ngaphandle kwengxaki. Ukuba une-allergies eyaziwayo ngokuchaseneyo okususelwe kwi-iodine, kungenziwa uvavanyo olwahlukileyo. Olunye uvavanyo lubandakanya i-retrograde pyelography, i-MRI, okanye i-ultrasound.

Kukho ukubonakaliswa kwemitha ephantsi. Uninzi lweengcali zivakalelwa kukuba umngcipheko uphantsi xa kuthelekiswa nezibonelelo.

Abantwana banovakalelo ngakumbi kwiingozi zemitha. Olu vavanyo alunakwenziwa ngexesha lokukhulelwa.

Ikhompyuter ye-tomography (CT) ithathe indawo ye-IVP njengeyona nto iphambili yokujonga inkqubo yokuchama. Imagnetic resonance imaging (MRI) ikwasetyenziselwa ukujonga izintso, ureters, kunye nesinyi.

Ukudityaniswa komchamo; IVP

• I-anatomy yezintso
• Izintso - ukuhamba kwegazi kunye nomchamo
• Ipiramidi efakwa ngaphakathi

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UGallagher KM, uHughes J.Ukuthintelwa kwendlela yokuchama. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, ii-eds. I-Clinical Nephrology epheleleyo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2019: isahluko 58.

USakhaee K, Moe OW. Urolithiasis. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-10. IPhiladelphia, PA: Elsevier; 2016: isahluko 40.