He aha ka Computerized Tomography (CT) Urogram? Ke Kumu, ke Kaʻina Hana & nā Hōʻike

He scan X-ray kūikawā ka CT urogram e hana ana i nā kiʻi kikoʻī o kou mau puʻupaʻa, ureters, a me ka ʻōpū. E noʻonoʻo iā ia he hālāwai kiʻi piha no kāu ʻōnaehana mimi holoʻokoʻa, e kōkua ana i nā kauka e ʻike pololei i ka mea e hana nei i loko.

Hoʻohui kēia hoʻāʻo i ka mana o ka scan CT me ka waihoʻoluʻu contrast e hōʻike i kāu ʻōnaehana mimi. E kahe ana ka mea contrast ma kāu ʻōnaehana, e maʻalahi ai i nā kauka ke ʻike i nā pilikia e like me nā pōhaku puʻupaʻa, nā maʻi ʻaʻai, a i ʻole nā ​​pilikia e hiki ke hoʻopilikia i kāu mau hōʻailona.

He aha ka CT Urogram?

Hoʻohana ka CT urogram i ka ʻenehana kamepiula kiʻekiʻe e lawe i nā kiʻi X-ray he nui o kāu ʻōnaehana mimi mai nā kihi like ʻole. A laila, hui pū ʻia kēia mau kiʻi e hana i nā hiʻohiʻona cross-sectional e hōʻike ana i kou mau puʻupaʻa, nā paipu e lawe ana i ka mimi (ureters), a me kou ʻōpū i nā kikoʻī kupaianaha.

ʻO ka ʻāpana

He mea maikaʻi kēia hoʻokolohua no ka ʻike ʻana i nā pōhaku kīkī, ʻoi aku hoʻi nā mea liʻiliʻi i ʻike ʻole ʻia ma nā X-ray maʻamau. Hiki nō hoʻi ke ʻike i nā ʻōpū, nā cysts, a i ʻole nā ulu ʻē aʻe i loko o kou mau kīkī, ureters, a i ʻole ka ʻōpū. Inā ʻoe e ʻike nei i nā maʻi maʻi urinary tract e hoʻi pinepine ana, hiki i kēia scan ke kōkua i ka loaʻa ʻana o nā pilikia structural e hoʻokumu ana iā lākou.

Hiki nō hoʻi i kāu kauka ke kauoha i kēia hoʻokolohua inā he ʻeha kīkī hiki ʻole ke wehewehe ʻia, paʻakikī i ka mimi ʻana, a i ʻole inā ua hōʻike nā hoʻokolohua kiʻi ʻē aʻe i kekahi mea e pono ai ka noiʻi hou. He mea kōkua nui ia no ka poʻe me ka moʻolelo ʻohana o nā pilikia kīkī a i ʻole ka poʻe i ka pilikia nui no nā maʻi maʻi urinary tract.

I kekahi manawa, hoʻohana nā kauka i nā CT urograms e nānā i nā kūlana i ʻike ʻia a i ʻole e nānā i ka maikaʻi o ka hana ʻana o nā lāʻau lapaʻau. He mea waiwai nō hoʻi ia no ka hoʻolālā ʻana i ke ʻoki inā pono ʻoe i nā kaʻina hana ma kou mau kīkī a i ʻole ka urinary tract.

He aha ke kaʻina hana no CT Urogram?

ʻO ke kaʻina hana CT urogram e lawe ma kahi o 30 a 60 mau minuke a hana ʻia i loko o kahi haukapila a i ʻole ke kikowaena kiʻi. E hoʻomaka ʻoe ma ka hoʻololi ʻana i loko o kahi ʻaʻahu haukapila a moe i lalo ma luna o kahi papaʻaina haiki e paheʻe ana i loko o ka scanner CT, e like me ka donut nui.

ʻO ka mea mua, e loaʻa iā ʻoe kekahi mau scans mua me ka ʻole o ka waihoʻoluʻu e kiʻi i nā kiʻi kumu. A laila, e hoʻokomo kahi mea loea i kahi laina IV i loko o kou lima e hāʻawi iā ʻoe i ka mea hoʻohālikelike. Kōkua kēia waihoʻoluʻu i ka hōʻike ʻana i kāu ʻōnaehana urinary a hoʻomaopopo i nā kiʻi.

Hiki i ka injection contrast ke hana i kahi manaʻo mahana ma kou kino, kahi ʻono metala i kou waha, a i ʻole kahi manaʻo e like me ka pono e mimi. He mea maʻamau kēia mau manaʻo a e hala koke. Manaʻo kekahi poʻe i ka nausea iki, akā he mea manawa wale nō kēia.

I ka wā o ka scan, pono ʻoe e moe mālie a paʻa i kou hanu ke kuhikuhi ʻia. E hana ka mīkini i nā leo kaomi a me ka whirring i ka wā e kiʻi ai i nā kiʻi. Hiki iā ʻoe ke loaʻa i nā pōʻai he nui o ke kiʻi ʻana i ka wā e neʻe ai ka contrast ma kāu ʻōnaehana.

E neʻe ana ka papaʻaina i loko a i waho o ka mea scanner i nā manawa he nui e kiʻi i nā kiʻi ma nā pae like ʻole. ʻAʻohe ʻeha o ke kaʻina holoʻokoʻa, akā manaʻo kekahi poʻe he claustrophobic iki i loko o ka mea scanner.

Pehea e hoʻomākaukau ai no kāu CT Urogram?

He maʻalahi ka hoʻomākaukau ʻana no ka CT urogram, akā ʻo ka hahai pono ʻana i nā ʻōlelo aʻoaʻo e kōkua i ka hōʻoia ʻana i nā kiʻi maikaʻi loa. E hāʻawi kāu kauka iā ʻoe i nā alakaʻi kikoʻī e pili ana i kou kūlana.

Nui ka hapa nui o nā kikowaena e noi iā ʻoe e pale i ka ʻai ʻana no kahi o 4 mau hola ma mua o ka hoʻāʻo ʻana, akā hiki iā ʻoe ke inu i nā wai maʻemaʻe. Kōkua kēia i ka pale ʻana i ka nausea ke loaʻa iā ʻoe ka waihoʻoluʻu contrast. E hōʻoia e noho hydrated ma ka inu ʻana i ka wai nui i nā lā e alakaʻi ana i kāu scan.

Pono ʻoe e wehe i nā mea nani a pau, nā mea metala, a me nā lole me nā mea paʻa metala ma mua o ke kaʻina hana. Aia kēia me nā bras underwire, nā kāʻei, a me nā mea e hou ai i ke kino. E hāʻawi ke kikowaena kiʻi i kahi wahi palekana no kāu mau mea.

Inā he pilikia kou puʻupaʻa, maʻi diabetes, a i ʻole e lawe i kekahi mau lāʻau lapaʻau, hiki i kāu kauka ke hoʻololi i kāu mau ʻōlelo hoʻomākaukau. Pono paha ka poʻe e lawe ana i ka metformin no ka maʻi diabetes e hooki i kēia lāʻau lapaʻau no ka manawa. E haʻi mau i kāu hui mālama ola e pili ana i nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei.

E haʻi i kāu kauka inā hāpai ʻoe, hāpai paha, a i ʻole e hānai ana i ka waiū. E haʻi pū inā ua loaʻa iā ʻoe nā hopena maʻi i ka waihoʻoluʻu contrast a i ʻole iodine i ka wā ma mua, no ka mea, pono paha nā hana kūikawā.

Pehea e heluhelu ai i kāu CT Urogram?

ʻO ka heluhelu ʻana i nā hopena CT urogram e koi i ka hoʻomaʻamaʻa kūikawā, no laila e wehewehe kahi radiologist i kāu mau kiʻi a hoʻouna i kahi hōʻike kikoʻī i kāu kauka. Eia naʻe, hiki i ka hoʻomaopopo ʻana i nā kumu kumu ke kōkua iā ʻoe e mākaukau no kāu manawa e hiki mai ana.

Hōʻike nā hopena maʻamau i nā puʻupaʻa i ka nui a me ke ʻano kūpono, me ka ʻole o nā pōhaku, nā ʻōpū, a i ʻole nā ​​pāpā. Pono ka wai kala e kahe mālie ma waena o kou mau ureter i loko o kou ʻōpū me ka ʻole o nā wahi e ʻuʻuku ai a i ʻole ke keakea.

Hiki i nā mea i loaʻa ʻole ke komo i nā pōhaku puʻupaʻa, e ʻike ʻia ma ke ʻano he mau kiko keʻokeʻo mālamalama ma nā kiʻi. Hiki i nā ʻōpū a i ʻole nā ​​pūʻulu ke hōʻike i nā wahi e ʻokoʻa ai mai ka ʻiʻo maʻamau. Hiki i nā pāpā i loko o nā ureter ke hoʻoulu i ka puʻupaʻa e pehu no ka mea ʻaʻole hiki i ka mimi ke kahe pono.

E nānā pū kāu radiologist i nā hōʻailona o ka maʻi, ka mumū, a i ʻole nā ​​hana ʻino. E ana lākou i ka nui o kou mau puʻupaʻa a nānā i nā ulu ʻokoʻa a i ʻole nā ​​cyst. E wehewehe ka hōʻike i kahi, ka nui, a me nā ʻano o nā mea i loaʻa.

E hoʻomanaʻo ʻo kāu kauka ke kanaka maikaʻi loa e wehewehe i ke ʻano o kāu mau hopena no kāu kūlana kikoʻī. E noʻonoʻo lākou i kāu mau hōʻailona, ​​ka mōʻaukala olakino, a me nā hopena hoʻāʻo ʻē aʻe i ke kūkākūkā ʻana i nā mea i loaʻa me ʻoe.

He aha nā mea pilikia no nā hopena CT Urogram ʻokoʻa?

Hiki i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa nā mea i loaʻa ʻole ma kahi CT urogram. ʻO ka makahiki kekahi mea nui, no ka mea, ʻoi aku ka maʻamau o nā pōhaku puʻupaʻa a me nā pilikia o ka ʻōnaehana urinary i ka wā e ʻelemakule ai mākou.

He hana nui ka mōʻaukala ʻohana, ʻoi aku hoʻi no nā pōhaku puʻupaʻa a me kekahi mau ʻano maʻi maʻi puʻupaʻa. Inā he pili pili i loaʻa kēia mau maʻi, aia paha ʻoe i ka pilikia kiʻekiʻe. Hoʻonui nui ka puhi ʻana i ka pilikia o ka maʻi maʻi ʻōpū a me ka puʻupaʻa, e ʻoi aku ka maikaʻi o nā mea i loaʻa ʻole.

Hiki i ka maloʻo mau ke alakaʻi i ka hana ʻana i nā pōhaku puʻupaʻa, ʻoiai ʻo kekahi mau hana ʻai e like me ka ʻai nui ʻana i ka sodium a i ʻole ka ʻai nui ʻana i ka protein ke kōkua pū kekahi. ʻOi aku ka maʻalahi o ka poʻe me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe i nā pilikia o ka puʻupaʻa e hōʻike ʻia ma ke kiʻi.

Hiki i ka ʻike ʻana i nā kemika, ʻoiai i nā ʻoihana pena, kaula, a i ʻole ʻili, ke hoʻonui i ka pilikia o ka maʻi ʻaʻai. Hiki i ka hoʻohana lōʻihi ʻana i kekahi mau lāʻau ʻeha a i ʻole ka loaʻa ʻana o nā maʻi maʻi urinary tract pinepine ke alakaʻi i nā loli i ke ʻano o ka ʻōnaehana urinary.

ʻO nā kūlana genetic e like me ka maʻi kīkī polycystic a i ʻole kekahi mau maʻi hoʻoilina e pili ana i ka urinary tract e hoʻonui i ka hiki ʻana o nā hopena maʻamau ʻole. Hiki i ka lāʻau lapaʻau radiation ma mua i ka ʻōpū a i ʻole ka pelvis ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i nā ʻōpū.

He aha nā pilikia hiki ke loaʻa i nā hopena CT Urogram maʻamau ʻole?

Aia nā pilikia i ka mea i loaʻa i ka CT urogram, akā hiki i ka hoʻomaopopo ʻana i nā pilikia hiki ke kōkua iā ʻoe e ʻike i ka mea e nānā ai. Hiki i nā pōhaku kīkī, kekahi o nā mea i loaʻa pinepine ʻia, ke kumu i ka ʻeha nui a hiki ke alakaʻi i nā maʻi inā e ālai lākou i ke kahe mimi.

Hiki i nā pōhaku kīkī i mālama ʻole ʻia ke kumu i ka pōʻino mau i nā kīkī, ʻoiai inā e paʻa lākou i ka ureter no ka manawa lōʻihi. Pono paha nā pōhaku nui i ka wehe ʻana i ka ʻoki, ʻoiai ʻo nā mea liʻiliʻi e hele maoli me ka hoʻonui ʻana i ka inu wai a me ka mālama ʻana i ka ʻeha.

Pono nā ʻōpū i ʻike ʻia ma ka CT urogram i ka loiloi wikiwiki a me ka hoʻolālā lapaʻau. Hoʻomaikaʻi nui ka ʻike mua i nā hopena no ka hapa nui o nā maʻi maʻi urinary tract. Eia naʻe, ʻaʻole nā ​​mea a pau he maʻi ʻaʻai - nui ka huli ʻana i nā cysts benign a i ʻole nā ​​mea ulu ʻē aʻe ʻaʻole hoʻoweliweli.

Hiki i nā mea maʻamau i ke ʻano e like me nā ureter i hoʻopaʻa ʻia ke alakaʻi i nā pilikia kīkī mau inā ʻaʻole i mālama ʻia. Hiki i kēia mau kūlana ke kumu i nā maʻi hou, ka pōʻino o ka kīkī, a i ʻole ka ʻeha mau. Hiki ke hoʻoponopono ʻia ka hapa nui o nā pilikia i ke ʻano me nā kaʻina hana liʻiliʻi.

Pono nā maʻi i ʻike ʻia ma ka scan i ka lāʻau antibiotic e pale iā lākou mai ka laha ʻana i nā kīkī a i ʻole ke kahe koko. Hiki i nā maʻi mau ke hōʻike i nā pilikia i ke ʻano e pono ai ka hoʻoponopono ʻana e pale ai i ka hana hou.

I ka manawa hea e ʻike ai au i ke kauka no ka nānā ʻana i ka CT Urogram?

Pono ʻoe e hoʻonohonoho i kahi manawa e hahai ai me kāu kauka ke loaʻa iā lākou nā hopena CT urogram, maʻamau i loko o kekahi mau lā a i hoʻokahi pule ma hope o ka hoʻokolohua. Mai kali i ka ʻino ʻana o nā hōʻailona a i ʻole e manaʻo ʻaʻole maikaʻi nā lono.

E hoʻokaʻaʻike koke i kāu kauka inā loaʻa iā ʻoe ka ʻeha nui, ke kuni, a i ʻole ka pilikia i ka mimi ʻana ma hope o ka hoʻokolohua. ʻOiai he mea maʻamau, hiki i kēia mau hōʻailona ke hōʻike i kahi pilikia koʻikoʻi e pono ai ka nānā koke ʻana. E kelepona pū inā ʻike ʻoe i ke koko i loko o kāu mimi ʻaʻole i laila ma mua o ka hoʻokolohua.

Inā hōʻike kāu mau hopena i nā pōhaku kīkī, pono ʻoe i ka mālama e hahai ai ʻoiai inā ʻaʻole ʻoe e ʻike nei i ka ʻeha. E kūkākūkā kāu kauka i nā hoʻolālā pale a hiki ke ʻōlelo i nā loli meaʻai a i ʻole nā ​​lāʻau lapaʻau e pale ai i nā pōhaku e hiki mai ana.

No nā mea i loaʻa ʻole e like me nā puʻupuʻu a i ʻole nā ​​tumora, e kuhikuhi paha kāu kauka iā ʻoe i kahi loea no ka loiloi hou aku. ʻAʻole pono kēia e manaʻo he maʻi ʻaʻai kāu, akā he mea nui e kiʻi i ka loiloi loea a e hoʻoholo i ke ala maikaʻi loa o ka hana.

ʻOiai inā maʻamau kāu mau hopena, e mālama i kāu manawa e hahai ai e kūkākūkā i nā mea i loaʻa a me nā hōʻailona e hana nei. Hiki i kāu kauka ke ʻōlelo i nā loli ola a i ʻole nā ​​hoʻokolohua hou e pili ana i kāu kūlana pilikino.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka CT Urogram

Q.1 He maikaʻi anei ka hoʻokolohua CT Urogram no ka ʻike ʻana i nā pōhaku kīkī?

ʻAe, maikaʻi loa ka CT urogram no ka ʻike ʻana i nā pōhaku kīkī a ua manaʻo ʻia ʻo ia kekahi o nā hoʻokolohua pololei loa i loaʻa. Hiki iā ia ke loaʻa nā pōhaku liʻiliʻi e like me 2-3 millimeters a hōʻike i ko lākou wahi pololei, ka nui, a me ka paʻa.

ʻAʻole like me nā X-ray maʻamau, hiki i ka CT urogram ke ʻike i nā ʻano pōhaku kīkī a pau, me nā mea i ʻike ʻole ʻia ma ke kiʻi maʻamau. Kōkua ka waihoʻoluʻu contrast i nā kauka e ʻike i ka hopena o nā pōhaku i ke kahe mimi a inā e hana ana lākou i nā poloka.

Q.2 Hoʻopōʻino anei ka waihoʻoluʻu contrast i nā kīkī?

ʻAʻole pinepine ka waihoʻoluʻu ʻokoʻa e hōʻino i nā puʻupaʻa i ka poʻe me ka hana maʻamau o nā puʻupaʻa. Eia naʻe, ʻo ka poʻe me nā pilikia puʻupaʻa, ka maʻi diabetes, a i ʻole ka maloʻo ʻana o ke kino, he pilikia iki ko lākou i ka hōʻeha puʻupaʻa i hoʻokumu ʻia e ka ʻokoʻa.

E nānā kāu kauka i ka hana o kou puʻupaʻa me nā hoʻokolohua koko ma mua o ke kaʻina hana inā he mau mea pilikia kāu. ʻO ka noho ʻana i ka wai maikaʻi ma mua a ma hope o ka hoʻokolohua e kōkua i kou puʻupaʻa e hana i ka waihoʻoluʻu ʻokoʻa me ka palekana.

Q.3 Hiki iaʻu ke loaʻa i ka CT Urogram inā he maʻi ʻaʻai wau i ka iʻa pūpū?

ʻAʻole e pale ʻakomi ka maʻi ʻaʻai i ka iʻa pūpū iā ʻoe mai ka loaʻa ʻana o ka CT urogram, akā pono ʻoe e haʻi i kāu kauka e pili ana i nā maʻi ʻaʻai. Loaʻa i ka waihoʻoluʻu ʻokoʻa ka iodine, a hiki i kekahi poʻe me nā maʻi ʻaʻai i ka iʻa pūpū ke hana i ka iodine-based contrast.

Hiki i kāu hui lapaʻau ke hāʻawi iā ʻoe i nā lāʻau lapaʻau ma mua o ka hoʻokolohua e pale ai i nā hopena maʻi inā pono. Hiki iā lākou ke hoʻohana i nā ʻano hana kiʻi ʻē aʻe inā kiʻekiʻe loa ka pilikia o ka maʻi ʻaʻai.

Q.4 Pehea ka lōʻihi o ka loaʻa ʻana o nā hopena CT Urogram?

Loaʻa ka hapa nui o nā hopena CT urogram i loko o 24 a 48 mau hola ma hope o ka hoʻokolohua. Pono ka radiologist i ka manawa e nānā pono i nā kiʻi a pau a kākau i kahi hōʻike kikoʻī no kāu kauka.

I nā kūlana koʻikoʻi, hiki ke loaʻa nā hopena mua i ka wā ma mua. E kelepona maʻamau ke keʻena o kāu kauka iā ʻoe e hoʻonohonoho i kahi manawa e kūkākūkā i nā hopena ke mākaukau ka hōʻike piha.

Q.5 He ʻeha anei ka CT Urogram?

ʻAʻole ʻeha ke kaʻina hana CT urogram. Hiki iā ʻoe ke ʻike i kekahi ʻoluʻolu mai ka hoʻokomo ʻana i ka IV a me nā manaʻo manawa mai ka waihoʻoluʻu ʻokoʻa, e like me ka mahana a i ʻole ka ʻono metala, akā hala koke kēia mau mea.

ʻIke kekahi poʻe i ka moe ʻana ma luna o ka papa paʻakikī, ʻoi aku ka maikaʻi inā he pilikia ko lākou i ke kua. Hiki i ka mea loea ke hāʻawi i nā uluna a i ʻole nā mea kōkua i ke kūlana e kōkua iā ʻoe e noho ʻoluʻolu i ka wā o ka scan.