Phinda ujonge iPyogram

Umxholo

• Isetyenziselwa ntoni?
• Ngaba kufuneka ndilungiselele?
• Kwenziwa njani?
• Kunjani ukuchacha?
• Ngaba kukho nayiphi na ingozi?
• Yise kude

Yintoni iphiramidi ebuyiswayo?

I-pyrogram ye-retrograde (RPG) luvavanyo lokucinga olusebenzisa idayi eyahlukileyo kumchamo wakho wokuchama ukuze uthathe umfanekiso we-X-ray ongcono kwinkqubo yakho yokuchama. Inkqubo yakho yokuchama ibandakanya izintso zakho, isinyi, nayo yonke into edibene nabo.

I-RPG iyafana ne-intravenous pyelography (IVP). I-IVP yenziwa ngokujova idayi eyahlukileyo kwimithambo yemifanekiso yeX-ray ebhetele. I-RPG yenziwa yi-cystoscopy, ebandakanya ukujova idayi eyahlukileyo ngokuthe ngqo kumchamo wakho womchamo ngombhobho omncinci obizwa ngokuba yi-endoscope.

Isetyenziselwa ntoni?

I-RPG ihlala isetyenziselwa ukukhangela iibhloksi zomchamo, ezinje ngamathumba okanye amatye. Ukuthintelwa kunokwenzeka ukuba kubonakale kwizintso zakho okanye kwi-ureters, eziyimibhobho ezisa umchamo kwizintso zakho uye kwisinyi sakho. Ukuthintela umchamo kunokubangela ukuba umchamo uqokelele kumchamo wakho, oko kunokubangela iingxaki.

Ugqirha wakho unokukhetha ukusebenzisa i-RPG ukuba unegazi kumchamo wakho (okwabizwa ngokuba yihemmaturia). Ii-RPGs zinokunceda ugqirha wakho ukuba abone ngcono inkqubo yakho yokuchama ngaphambi kokwenza utyando.

Ngaba kufuneka ndilungiselele?

Ngaphambi kokuba kwenziwe i-RPG, zikhona izinto ezimbalwa ekufuneka uzenzile xa ulungiselela:

• Khawuleza iiyure ezimbalwa ngaphambi kwenkqubo. Oogqirha abaninzi baya kukuxelela ukuba uyeke ukutya nokusela emva ezinzulwini zobusuku ngosuku lwenkqubo. Awunakho ukutya okanye ukusela ukusuka kwiiyure ezi-4 ukuya kwezi-12 ngaphambi kwenkqubo.
• Thatha i-laxative. Unokunikwa i-laxative yomlomo okanye i-enema ukuze uqiniseke ukuba inkqubo yakho yokucola ukutya icociwe.
• Thatha ikhefu emsebenzini. Le yinkqubo yezigulana ezingalaliswayo, oko kuthetha ukuba ithatha iiyure ezimbalwa. Nangona kunjalo, ugqirha wakho uya kukunika i-anesthesia jikelele ukuze uhlale ulala ngexesha le nkqubo. Mhlawumbi ngekhe ukwazi ukuya emsebenzini kwaye uzakufuna umntu okuqhubela ekhaya.
• Yeka ukuthatha amayeza athile. Ugqirha wakho angakuxelela ukuba uyeke ukuthatha izinciphisi zegazi okanye ezinye izongezo zemifuno ngaphambi kovavanyo.

Qinisekisa ukuba uxelele ugqirha wakho kwangaphambili ukuba:

• ukuthatha nawaphi na amayeza okanye izongezo zemifuno
• ukhulelwe okanye ucinga ukuba ukhulelwe
• i-aleji kulo naluphi na uhlobo lwedayi eyahlukileyo okanye iodine
• i-aleji kumayeza athile, isinyithi, okanye izinto ezinokusetyenziswa kwinkqubo, njenge-latex okanye i-anesthesia.

Kwenziwa njani?

Ngaphambi kwale nkqubo, uya kucelwa ukuba:

• susa bonke ubucwebe, kwaye kwezinye iimeko, iimpahla zakho
• nxiba igawuni yesibhedlele (ukuba uceliwe ukuba ukhulule impahla yakho)
• lala uthe nkcwe phezu kwetafile unemilenze phezulu.

Emva koko, ityhubhu efakwa ngaphakathi (IV) iyakufakwa emthanjeni engalweni yakho ukuze ikunike ianesthesia.

Ngexesha le-RPG, ugqirha wakho okanye ugqirha we-urologist uya:

1. faka i-endoscope kwi-urethra yakho
2. tyhala i-endoscope kancinci kwaye ngononophelo kwi-urethra ide ifike kwisinyi sakho, okwangoku ugqirha unokufaka i-catheter kwisinyi sakho
3. yazisa idayi kwinkqubo yokuchama
4. Sebenzisa inkqubo ebizwa ngokuba yifluoroscopy eguqukayo ukuthatha ii-X-reyi ezinokujongwa ngexesha lokwenyani
5. susa i-endoscope (kunye ne-catheter, ukuba isetyenzisiwe) emzimbeni wakho

Kunjani ukuchacha?

Emva kwenkqubo, uya kuhlala kwigumbi lokubuyisela kude kube uvukile kwaye ukuphefumla kwakho, ukubetha kwentliziyo, kunye noxinzelelo lwegazi lubuyela esiqhelweni. Ugqirha wakho uya kujonga umchamo wakho kulo naliphi na igazi okanye iimpawu zobunzima.

Emva koko, uya kwigumbi lesibhedlele okanye ucocwe ukuze ugoduke. Ugqirha wakho unokukunika amayeza eentlungu, njenge-acetaminophen (iTylenol) yokulawula nayiphi na intlungu okanye ukungonwabi onokukuva xa uchama. Sukuthatha amayeza athile entlungu, anjenge-aspirin, anokunyusa umngcipheko wokopha.

Ugqirha wakho unokukucela ukuba ubukele umchamo wakho wegazi okanye ezinye izinto ezingaqhelekanga kwiintsuku ezimbalwa ukuze uqiniseke ukuba akukho zingxaki.

Shayela ugqirha wakho ngokukhawuleza ukuba ubona naziphi na kwezi mpawu:

• umkhuhlane ophezulu (101 ° F okanye ngaphezulu)
• ukopha okanye ukudumba ujikeleze ukuvulwa kwakho urethral
• iintlungu ezinganyamezelekiyo xa uchama
• igazi kumchamo wakho
• ingxaki yokuchama

Ngaba kukho nayiphi na ingozi?

Ngelixa i-RPG iyinkqubo ekhuselekileyo, kukho iingozi ezimbalwa, kubandakanya:

• Ukuvezwa kwemitha kwiX-reyi
• iziphene zokuzalwa ukuba ukhulelwe ngexesha lenkqubo
• iimpendulo ezinzima, ezifana ne-anaphylaxis, kwidayi okanye izinto ezisetyenziswa kwinkqubo
• ukudumba emzimbeni wakho (sepsis)
• isicaphucaphu nokugabha
• ukuphuma ngaphakathi (ukuphuma kwegazi)
• umngxuma kwisinyi sakho obangelwa zizixhobo ezisetyenziswa kwinkqubo
• usulelo lomchamo

Yise kude

I-pyrogram ye-retrograde yinkqubo ekhawulezayo, engenabuhlungu enceda ekuchongeni ukungaqheleki kwendlela yakho yokuchama. Inokunceda ugqirha wakho enze ezinye iinkqubo zokuchama okanye utyando ngokukhuselekileyo.

Njengayo nayiphi na inkqubo ebandakanya i-anesthesia, ezinye iingozi ziyabandakanyeka. Thetha nogqirha wakho malunga nembali yakho yezempilo kunye neyonyango ngaphambi kokuba wenze le nkqubo ukuthintela naziphi na iingxaki zexesha elide.