Yini i-Intravenous Pyelogram? Inhloso, Amazinga/Inqubo & Umphumela

I-intravenous pyelogram (IVP) iyisivivinyo esikhethekile se-X-ray esisiza odokotela ukuthi babone izinso zakho, ama-ureter, kanye nesinye ngemininingwane. Ngesikhathi sale nqubo, umbala ohlukile ufakwa emithanjeni yakho yegazi, ohamba ngohlelo lwakho lomchamo futhi wenza lezi zitho zibonakale ezithombeni ze-X-ray. Cabanga ngakho njengokudala imephu yomgwaqo wamathambo akho ukuze udokotela wakho akwazi ukubona noma yiziphi izinkinga endleleni.

Yini i-intravenous pyelogram?

I-intravenous pyelogram iyisivivinyo sokuthwebula izithombe sokuxilonga esisebenzisa ama-X-ray kanye nombala ohlukile ukuhlola uhlelo lwakho lomchamo. Izinto eziphikisanayo, ezibizwa nangokuthi umbala, zifakwa ngomthambo engalweni yakho bese zigijima ngohlelo lwakho lwegazi ziye ezinso zakho.

Izinso zakho zihlunga lo mbala egazini lakho bese ziwuthumela phansi ngama-ureter akho (amashubhu axhuma izinso esinyeni) bese zingena esinyeni sakho. Njengoba umbala uhamba ngamathambo akho, izithombe eziningi ze-X-ray zithathwa ngezikhathi ezihlukene. Le nqubo ngokuvamile ithatha imizuzu engaba ngu-30 kuya kwengama-60 ukuqedela.

Umbala wenza izitho zakho zomchamo zibonakale zimhlophe ngokugqamile ezithombeni ze-X-ray, okuvumela udokotela wakho ukuthi abone ukuma, usayizi, kanye nomsebenzi wezinso zakho, ama-ureter, kanye nesinye. Lokhu kubuka okuningiliziwe kusiza ukuhlonza ukuvinjelwa, amatshe, izimila, noma ezinye izinkinga zesakhiwo ezingase zibangele izimpawu zakho.

Kungani kwenziwa i-intravenous pyelogram?

Udokotela wakho angase ancome i-IVP ukuthi ihlole izimpawu zomchamo noma izinkinga zezinso ezidinga ukuhlolwa okuseduze. Lolu vivinyo lusiza ikakhulukazi uma uhlangabezana nobuhlungu obuqhubekayo, igazi emchameni wakho, noma izifo eziphindaphindayo ezisikisela ukuthi kukhona okungase kuvimbele noma kuthinte uhlelo lwakho lomchamo.

Izizathu ezivamile zoku-oda i-IVP zihlanganisa ukusolwa ngamatshe ezinso, ikakhulukazi lapho ezinye izivivinyo zinganikezanga izimpendulo ezicacile. Lolu vivinyo lungabonisa ngqo ukuthi amatshe atholakala kuphi nokuthi athinta kanjani ukugeleza komchamo. Lusetshenziselwa futhi ukuhlola ukusebenza kwezinso nokuthola ukungajwayelekile kwesakhiwo okungenzeka ukuthi kukhona kusukela ekuzalweni.

Udokotela wakho angase futhi asebenzise lolu vivinyo ukuhlola izifo ezingachazeki zomgudu womchamo, ikakhulukazi uma ziqhubeka zibuya naphezu kokwelashwa. Ngezinye izikhathi, i-IVP isiza ukuxilonga imithombo noma ama-cyst ezinso noma esinyeni, nakuba ezinye izivivinyo zokuthwebula izithombe zivame ukukhethwa kulezi zimo namuhla.

Ngaphezu kwalokho, le nqubo ingasiza ekuhloleni ukulimala kwezinso ngemva kokulimala noma ukuhlola ukuthi izinso zakho zisebenza kahle kangakanani ngaphambi kokuhlinzwa okuthile. Ilusizo ikakhulukazi lapho udokotela wakho edinga ukubona ukuthi izinso zakho zikucubungula ngokushesha kangakanani futhi ziqede umbala ohlukile.

Yini inqubo ye-intravenous pyelogram?

Inqubo ye-IVP iqala ngokuthi ulale etafuleni le-X-ray, ngokuvamile ngomhlane wakho. Uchwepheshe uzothatha i-X-ray elula yesisu sakho ukuze ahlolisise noma yiziphi izinkinga ezingase ziphazamise imiphumela yokuhlolwa.

Okulandelayo, umhlengikazi noma uchwepheshe uzofaka inaliti encane emthanjeni engalweni yakho, okufana nokudonswa kwegazi. Umbala ohlukile bese ufakwa ngale naliti. Ungase uzwe umuzwa ofudumele noma ukunambitheka kwensimbi emlonyeni wakho lapho umbala ungena egazini lakho - lokhu kuvamile ngokuphelele futhi okwesikhashana.

Uma umbala usufakiwe, uzothatha ama-X-ray amaningana ngezikhathi ezithile. Izithombe zokuqala zivame ukuthathwa ngokushesha, bese kuthi ngemva kwemizuzu emi-5, 10, 15, kanye nemizuzu engama-30 ngemva kokufakwa. Ngezinye izikhathi izithombe ezengeziwe ziyadingeka kuze kube yiyunithi elilodwa kamuva, kuye ngokuthi izinso zakho zikucubungula kanjani umbala.

Ngesikhathi sokulinda phakathi kwemisebe ye-X, uzohlala emnyangweni we-radiology kodwa ngokuvamile ungahlala phansi futhi uhambe. Uchwepheshe angase akucele ukuthi ushintshe izikhundla noma ubambe umoya wakho ngesikhashana ngesikhathi somsebe ngamunye we-X ukuze uthole izithombe ezicacile ngangokunokwenzeka.

Ungase futhi ucelwe ukuthi ukhiphe isinye sakho ngasekupheleni kwenqubo, kulandelwe umsebe wokugcina we-X. Lokhu kusiza udokotela wakho ukuthi abone ukuthi isinye sakho sikhishwa kanjani ngokuphelele futhi ahlolisise noma yiziphi izinkinga ezisele zodayi noma zezakhiwo.

Ungalungiselela kanjani i-pyelogram yakho ye-intravenous?

Ukulungiselela i-IVP ngokuvamile kuqala ngosuku olwandulela ukuhlolwa ngemikhawulo yokudla nokulungiswa kwamathumbu. Udokotela wakho cishe uzokucela ukuthi ugweme ukudla ukudla okuqinile amahora ambalwa ngaphambi kwenqubo, nakuba ngokuvamile ungaphuza uketshezi olucacile kuze kube amahora ambalwa ngaphambi kwalokho.

Iziguli eziningi zidinga ukuthatha i-laxative noma zibe ne-enema kusihlwa ngaphambi kwe-IVP yazo ukuze zihlanze amathumbu. Lokhu kulungiselela kubalulekile ngoba indle emathunjini akho ingafihla izitho zakho zomchamo ezithombeni ze-X-ray, okwenza kube nzima ngodokotela wakho ukuthi abone izinkinga ngokusobala.

Ngaphambi kokuhlela i-IVP yakho, qiniseka ukuthi utshela udokotela wakho nganoma yikuphi ukungezwani komzimba, ikakhulukazi ku-iodine, izinhlanzi zasolwandle, noma imibala ehlukile evela ezinqubweni zokwelapha zangaphambilini. Uma unesifo sikashukela futhi uthatha i-metformin, udokotela wakho angase akucele ukuthi uyeke lo muthi okwesikhashana ngaphambi nangemva kokuhlolwa.

Kufanele futhi wazise ithimba lakho lezempilo ngemithi oyithathayo, ikakhulukazi ama-blood thinners noma imithi yezinso. Eminye imithi ingase idinge ukulungiswa ngaphambi kwenqubo. Uma unezinkinga zezinso, udokotela wakho angase a-ode ukuhlolwa kwegazi ukuze ahlolisise ukusebenza kwezinso zakho ngaphambi kokuqhubeka.

Ngosuku lokuhlolwa kwakho, gqoka izingubo ezikhululekile, ezikhululekile futhi ususe noma yimuphi ubucwebe noma izinto zensimbi endaweni yakho ye-torso. Cishe uzonikezwa ingubo yesibhedlela ongayigqoka ngesikhathi senqubo ukuze uqinisekise ukuthi akukho okuphazamisa izithombe ze-X-ray.

Ungayifunda kanjani i-pyelogram yakho ye-intravenous?

Ukufunda i-IVP kuhilela ukubheka ukuthi umbala ohlukile uhamba kanjani ohlelweni lwakho lomchamo kanye nokuma kwezitho zakho. Imiphumela ejwayelekile ikhombisa umbala ogelezela ngokushelela ezinso zakho ngamathumbu akho omchamo futhi uqoqane esinyeni sakho ngaphandle kwanoma yikuphi ukuvinjelwa noma ukubambezeleka.

Izinso zakho kufanele zivele njengezitho ezimbili ezimise okwebhontshisi ngosayizi ofanayo nhlangothi zombili zomgogodla wakho. Umbala kufanele uzigcwalise ngokulinganayo futhi ukhiphe ngokuphelele ngamathumbu omchamo ngaphakathi kwesikhathi esilindelekile. Amathumbu omchamo ajwayelekile avele njengamashubhu amancane, abushelelezi ngaphandle kokuwanda noma ukuncipha.

Okutholakele okungajwayelekile kungabandakanya izindawo lapho umbala ungagelezi kahle, okusikisela ukuvinjelwa kwamatshe noma izimila. Ukukhipha umbala okubambezelekile ezinso kungabonisa izinkinga zomsebenzi wezinso noma ukuvinjelwa ngaphansi. Amathumbu omchamo andisiwe avame ukusikisela ukusekela umchamo ngenxa yokuvinjelwa.

Amathambo ezinso ngokuvamile avele njengokugcwalisa ukukhubazeka - izindawo lapho umbala ungafinyeleli khona ngoba itshe livimba indlela. Izimila noma ama-cyst angase avele njengobunjwa obungajwayelekile noma izixuku ezisusa izicubu ezinso ezijwayelekile. Udokotela wakho we-radiologist uzohlola ngokucophelela yonke le mininingwane.

Isikhathi sokubonakala nokunyamalala kombala sibaluleke njengezithombe uqobo. Izinso ezijwayelekile kufanele ziqale ukubonisa umbala ngemizuzu emva kokujova futhi zicacise okuningi ngaphakathi kwemizuzu engama-30, okubonisa umsebenzi omuhle wezinso.

Ungawashintsha kanjani imiphumela yakho ye-pyelogram ye-intravenous?

Ukwelashwa kwemiphumela engajwayelekile ye-IVP kuncike ngokuphelele kulokho okwembulwa ukuhlolwa mayelana nohlelo lwakho lomchamo. Uma kutholakala amatshe ezinso, udokotela wakho angase ancome ukwanda kokuthatha uketshezi, imithi yokusiza ukudlulisa amatshe amancane, noma izinqubo zokuqhekeza noma ukususa amatshe amakhulu.

Ngezithiyo ezibangelwa ngamatshe ezinso, izindlela zokwelapha ziqala ngokulinda ukuthi amatshe amancane adlule ngokwemvelo kuya ekuphazanyisweni okusebenzayo. Lokhu kungabandakanya i-shock wave lithotripsy (ukusebenzisa amaza omsindo ukuqhekeza amatshe), i-ureteroscopy (ukususa amatshe ngesikophu esincane), noma ngokungavamile, ukususwa ngokuhlinzwa kwamatshe amakhulu kakhulu.

Uma i-IVP ikhombisa ukungahambi kahle kwesakhiwo njengama-ureter anciphile noma ukungahambi kahle kwezinso, udokotela wakho angase ancome ukulungiswa ngokuhlinzwa kuye ngokuthi lezi zinkinga zithinta kanjani ukusebenza kwezinso zakho. Ezinye izinkinga zesakhiwo ezingabangeli izimpawu zingase zidinge nje ukuqashwa ngokuhamba kwesikhathi.

Lapho kutholakala izifo noma ukuvuvukala, ukwelashwa ngama-antibiotic kuvame ukuba yisinyathelo sokuqala. Udokotela wakho angase futhi aphenye izimbangela eziyisisekelo ezenza ukuthi uthambekele ezifweni, njengokungapheleli ukukhipha umchamo noma amatshe ezinso aqukethe amagciwane.

Ukuze uthole okutholakele okungathi sína njengamasuspect tumors, udokotela wakho cishe uzo-oda ezinye izivivinyo ezifana ne-CT scans noma i-MRIs ukuze uthole imininingwane engcono. Ukutholwa kwangaphambi kwesikhathi nokwelashwa kwama-tumor ezinso noma e-bladder kuthuthukisa kakhulu imiphumela, ngakho ukunakekelwa okulandelayo kubalulekile.

Yini umphumela omuhle kakhulu we-intravenous pyelogram?

Umphumela omuhle kakhulu we-IVP ukhombisa ukusebenza okujwayelekile kwezinso ngombala ogelezela ngokushelela kuyo yonke indlela yakho yomchamo. Lokhu kusho ukuthi izinso zakho zihlunga umbala ngempumelelo, ama-ureter akho awuthutha ngaphandle kokuphazamiseka, futhi i-bladder yakho ikhipha ngokuphelele.

Isikhathi esijwayelekile sibalulekile futhi - umbala kufanele uvele ezinso zakho phakathi nemizuzu engu-2-5 yokujova futhi usuleke kakhulu ngemizuzu engama-30. Lesi sikhathi sibonisa ukuthi izinso zakho zisebenza kahle futhi akukho ukuvinjelwa okukhulu okunciphisa ukugeleza komchamo.

Zombili izinso kufanele zibe nobukhulu nobunjwa obufanayo, zibekwe ngendlela ejwayelekile nhlangothi zombili zomgogodla wakho. Izinhlelo zokuqoqa ngaphakathi kwezinso zakho kufanele zigcwale ngokulinganayo ngodayi, futhi ama-ureter akho kufanele avele njengamashubhu abushelelezi, amancane ngaphandle kokukhulisa noma izindawo ezingajwayelekile.

I-IVP ejwayelekile ibonisa nokuthi isinye sakho sigcwala futhi sikhishwe ngendlela efanele ngaphandle kodayi osele ngemva kokuchama. Lokhu kuphakamisa ukusebenza kahle kwesinye futhi akukho ukuvinjelwa ekuhlanganyeleni lapho ama-ureter akho exhumeka esinyeni sakho.

Yiziphi izici eziyingozi ze-pyelogram engajwayelekile ye-intravenous?

Izici eziningana zingakhuphula amathuba akho okuba nemiphumela engajwayelekile ye-IVP, ngamatshe ezinso phakathi kwezimbangela ezivame kakhulu. Uma unomlando wamatshe ezinso, ungaphuza uketshezi olwanele, noma unomlando womndeni wamatshe, maningi amathuba okuthi ube nokuvaleka okubonakala ku-IVP yakho.

Izifo ezingapheli zomgudu womchamo zingaholela ekulimaleni nasezinguqukweni zesakhiwo ezibonakala zingajwayelekile ku-IVP. Abantu abanesifo sikashukela basengozini enkulu yezinkinga zezinso ezingase zivele njengokukhishwa kodayi okubambezelekile noma ukuncipha kokusebenza kwezinso ekuhlolweni.

Ushintsho oluhlobene nobudala ekusebenzeni kwezinso lisho ukuthi abadala kungenzeka babe nokukhishwa kodayi okuhamba kancane, okungadingeki ukuthi kukhathaze kodwa kudingeka kuchazwe ngokuqondene. Umfutho wegazi ophezulu iminyaka eminingi nawo ungathinta ukusebenza kwezinso nesakhiwo.

Imithi ethile, ikakhulukazi leyo ethinta ukusebenza kwezinso, ingathonya imiphumela ye-IVP. Abantu abanezifo ze-autoimmune, ukulimala kwezinso kwangaphambili, noma izimo zofuzo ezithinta uhlelo lomchamo nabo maningi amathuba okuba nemiphumela engajwayelekile.

Ukomisa ngesikhathi sokuhlolwa kungathinta ukuthi izinso zakho zikucubungula kahle kangakanani idayi, okungenzeka ukuthi kwenze izinso ezijwayelekile zibonakale zisebenza kabi. Yingakho ukulungiselela okufanele nokuhambisa amanzi ngaphambi kokuhlolwa kubalulekile.

Kungcono yini ukuba nokukhishwa okuphakeme noma okuphansi kokuqhathanisa?

Uma kukhulunywa ngokususwa kombala ku-IVP, ukususwa okusheshayo ngokuvamile kubonisa ukusebenza okungcono kwezinso. Izinso zakho kufanele zihluze umbala egazini lakho ngempumelelo futhi ziwukhiphe ngomchamo wakho ngesikhathi esifanele.

Ukususwa okujwayelekile kombala kusho ukuthi izinso zakho zisebenza kahle ekuhlungeni imfucuza egazini lakho. Uma umbala ususwa kancane kakhulu, kungase kubonise ukusebenza kwezinso okuncishisiwe, ukuvaleka, noma ezinye izinkinga ezidinga ukucwaningwa okwengeziwe.

Nokho, ukususwa okusheshayo kakhulu akudingeki kube ngcono. Ukususwa okusheshayo kakhulu kungase kubonise ukuthi izinso zakho azigxili emchameni ngendlela efanele, okungase kubonise izinhlobo ezahlukene zezinkinga zezinso noma ukuthatha uketshezi okukhulu.

Umphumela olungile ukususwa okungena ngaphakathi kwebanga elijwayelekile - kungabi ngokushesha kakhulu futhi kungabi kancane kakhulu. Udokotela wakho uzochaza imiphumela yakho ethile ngokusekelwe eminyakeni yakho, impilo yonke, imithi, nezinye izinto ezingathinta ukusebenza kwezinso.

Yiziphi izinkinga ezingenzeka zokususwa kombala okuhamba kancane?

Ukususwa kombala okuhamba kancane ku-IVP kungabonisa izinkinga eziningana ezingase zidinge ukwelashwa. Imbangela evame kakhulu ukusebenza kwezinso okuncishisiwe, okusho ukuthi izinso zakho azihlungi imfucuza egazini lakho ngempumelelo njengoba kufanele.

Uma zombili izinso zibonisa ukususwa okuhamba kancane, lokhu kungase kubonise isifo sezinso esingamahlalakhona, esingaqhubeka ngokuhamba kwesikhathi uma singalawulwa kahle. Ukutholwa kwasekuqaleni kuvumela ukwelashwa okunganciphisa ukuqhubeka futhi kusize ukulondoloza ukusebenza kwezinso okusele.

Ukuvaleka ohlelweni lwakho lomchamo kungase kubangele ukususwa okuhamba kancane. Lokhu kungase kuhlanganise amatshe ezinso, izimila, noma ukungajwayelekile kwesakhiwo okuvimbela ukugeleza komchamo okujwayelekile. Ukuvaleka okungelashwanga kungaholela ekulimaleni kwezinso, izifo, noma ubuhlungu obukhulu.

Ukomiswa kwamanzi emzimbeni noma imithi ethile kunganciphisa isikhashana ukususwa kokuhlolwa, kodwa lezi zimbangela zivame ukubuyiseka ngokuthatha amanzi ngokwanele noma ukulungiswa kwemithi. Izimbangela ezingathi sína njengezifo ezinzima noma ukuvuvukala kwezinso zidinga ukwelashwa ngokushesha.

Ezimweni ezingavamile, ukususwa kancane kungase kubonise ukulimala kwezinso okungathi sína, okungaba yingozi futhi kudinga ukunakekelwa kwezempilo ngokushesha. Lokhu kungenzeka kakhulu uma unezinye izimpawu ezinjengokuncipha komchamo, ukuvuvukala, noma ukuzizwa ungazizwa kahle.

Ziyini izinkinga ezingaba khona zokususa ukuhlolwa ngokushesha?

Ukususa ukuhlolwa ngokushesha, nakuba kungavamile kunokususa kancane, ngezinye izikhathi kungabonisa izinkinga ngekhono lezinso zakho lokugxilisa umchamo ngendlela efanele. Lokhu kungase kusikisela izinkinga ngemithetho yama-hormone noma isakhiwo sezinso esithinta ukugxilisa umchamo okujwayelekile.

I-Diabetes insipidus, isimo lapho umzimba wakho ungakhiqizi i-antidiuretic hormone eyanele, ingabangela ukususwa okusheshayo kakhulu ngoba izinso zakho azikwazi ukugxilisa umchamo ngempumelelo. Lokhu kuholela ekuchameni ngokweqile kanye nokoma okuqhubekayo.

Imithi ethile, ikakhulukazi ama-diuretics noma

Kufanele uthinte udokotela wakho ngokushesha uma uhlangabezana nokusabela okukhulu komzimba ngesikhathi noma ngemva kwe-IVP yakho, okuhlanganisa ubunzima bokuphefumula, ukuqubuka okukhulu, noma ukuvuvukala kobuso bakho noma umphimbo. Lokhu kusabela, nakuba kungavamile, kudinga ukunakekelwa kwezimo eziphuthumayo.

Uma uqala izimpawu zezinkinga zezinso ngemva kokuhlolwa, njengokuncipha kakhulu ukuchama, ukuvuvukala okukhulu emilenzeni yakho noma ebusweni, noma isicanucanu esiqhubekayo nokuhlanza, xhumana nomhlinzeki wakho wezempilo ngokushesha. Lezi zimpawu zingase zibonise ukulimala kwezinso okubangelwa ukungafani.

Noma yiziphi izinto ezingavamile emiphumeleni yakho ye-IVP zidinga ukulandelelwa nodokotela wakho, ngisho noma uzizwa kahle. Ezinye izinkinga zezinso azibangeli izimpawu kuze kube yilapho sezithuthuke kakhulu, ngakho imiphumela yokuhlolwa engavamile idinga ukuhlolwa okufanele nokuhlela ukwelashwa.

Kufanele futhi ulandelele uma uqhubeka nezimpawu eziholele ku-IVP ekuqaleni, njengegazi emchameni wakho, ubuhlungu obukhulu eceleni, noma izifo eziphindaphindayo zomgudu womchamo. Imiphumela evamile ye-IVP ayikhiphi zonke izimbangela ezingenzeka zalezi zimpawu.

Hlela ama-aphoyintimenti okulandelwa njalo njengoba kunconywe udokotela wakho, ikakhulukazi uma unesifo sezinso esingamahlalakhona noma ezinye izinkinga eziqhubekayo zomchamo. Ukuqapha njalo kusiza ukulandelela izinguquko esimweni sakho futhi ulungise ukwelashwa njengoba kudingeka.

Imibuzo evame ukubuzwa mayelana ne-intravenous pyelogram

Q.1 Ingabe ukuhlolwa kwe-intravenous pyelogram kulungile ngamatshe ezinso?

Yebo, i-IVP ingasebenza ekutholeni amatshe ezinso, ikakhulukazi lawo amakhulu avimba ukugeleza komchamo. Ukuhlolwa kubonisa amatshe njengendawo lapho umbala ongahlukile ungafinyeleli khona, okubonakala njengezikhala noma ukugcwalisa amaphutha emgqeni ojwayelekile wezinso.

Nokho, ukuskena kwe-CT sekukhulu kakhulu kuthatha indawo ye-IVP ekuxilongweni kwamatshe ezinso ngoba kungathola amatshe amancane futhi akudingi ukujova umbala ongahlukile. I-IVP isasebenza uma udokotela wakho edinga ukubona ukuthi amatshe athinta kanjani ukusebenza kwezinso nokugeleza komchamo ngokuhamba kwesikhathi.

Umbuzo 2. Ingabe ukususwa kancane kwe-contrast kubangela umonakalo wezinso?

Ukususwa kancane kwe-contrast ngokwako akubangeli umonakalo wezinso - ngokuvamile kuwuphawu lokuthi umonakalo noma izinkinga seziyakhona. Izimo eziyisisekelo ezibangela ukususwa kancane, njengokuvaleka noma ukuncipha komsebenzi wezinso, yizona ezingaholela ekulimaleni okwengeziwe kwezinso uma kungelashwa.

Ukutholwa kwasekuqaleni nge-IVP kuvumela ukwelashwa kwalezi zinkinga eziyisisekelo, okungenzeka kuvimbele ukulimala okwengeziwe kwezinso. Yingakho ukunakekelwa okulandelayo nokwelashwa kwemiphumela engavamile kubaluleke kangako.

Umbuzo 3. Ngingakwazi yini ukushayela ngemva kwe-intravenous pyelogram?

Abantu abaningi bangashayela ekhaya ngemva kwe-IVP ngoba inqubo ayihileli ukuthuliswa noma imithi ephazamisa ikhono lakho lokushayela. Nokho, ungase uzizwe ukhathele kancane noma uphelelwe amanzi ngemva kokuhlolwa, ngakho-ke kuhle ukuba nomuntu okhona ongakushayela uma kudingeka.

Uma uhlangabezana nanoma yiziphi izimpawu zokungezwani komzimba noma uzizwa ungaphilile ngemva komjovo we-contrast, akufanele ushayele futhi kufanele ufune ukwelashwa. Iziguli eziningi zizizwa zivamile ngokuphelele kungakapheli amahora ambalwa enqubo.

Umbuzo 4. Kungakanani ukuthi idayi le-contrast lihlala esistemini yakho?

Iningi ledayi le-contrast elisetshenziswa ku-IVP lisuswa emzimbeni wakho kungakapheli amahora angu-24-48 ngomsebenzi ojwayelekile wezinso nokuchama. Abantu abanomsebenzi ojwayelekile wezinso ngokuvamile basusa iningi ledayi kungakapheli amahora ambalwa ngemva komjovo.

Uma unezinkinga zezinso, idayi lingase lithathe isikhathi eside ukuthi lisuswe ngokuphelele. Udokotela wakho uzocabangela ukusebenza kwezinso zakho lapho enquma ukuthi i-IVP ilungele yini wena futhi angase ancome ukuthatha amanzi engeziwe ukuze asize ukususa idayi ngokushesha.

Umbuzo 5. Zikhona ezinye izindlela ze-intravenous pyelogram?

Yebo, ezinye izindlela eziningi ziyatholakala kuye ngokuthi yini udokotela wakho adinga ukuyihlola. Ukuskena kwe-CT (ikakhulukazi i-CT urography) kunikeza izithombe ezinemininingwane eminingi futhi kungathola amatshe amancane kanye nezimila. I-Ultrasound ayinayo imisebe futhi ilungele ukuhlola usayizi wezinso nokuthola ukuvaleka.

I-MRI inganikeza imininingwane emihle yesakhiwo somzimba wezinso nomsebenzi ngaphandle kwemisebe noma ukungafani okusekelwe ku-iodine. Udokotela wakho uzokhetha ukuhlolwa okungcono kakhulu kokuthwebula izithombe ngokusekelwe ezimpawini zakho ezithile, ukusebenza kwezinso, kanye nolwazi abaludingayo ukuze benze ukuxilongwa.