Yuav ua li cas yog urography raum? Raum excretory urography thiab npaj rau nws

ib tug loj tus naj npawb ntawm analyses muaj nyob rau hauv kev noj qab nyob xyaum, kuaj kev tshawb fawb thiab txawv txoj kev rau kev txiav txim cov mob ntawm sab hauv lub nruab nrog cev thiab nyob tag nrho. Ib tug ntawm cov kev yog txoj kev tshawb no ntawm lub raum urography.

Yuav ua li cas yog urography?

Peb pib nrog lub fact tias cov lo lus "urography" muaj ob lub tswv yim, uas teb rau lo lus nug. Cov thawj lo lus - "uro", "zis" - nws yog zis, lub thib ob - "Lub Count" - depict, sau. Qhov no yog ib tug moj txoj kev tshawb nrhiav txog qhov urinary system, uas ntsuas nws tus mob. Cov kab mob ntawm lub excretory system teem li ntawd, lub raum excretory urography qhia tau hais tias tej kev txawv txav yog tam sim no nyob rau hauv txhua rooj plaub.

Indications rau txoj kev tshawb no

Nyob rau hauv thiaj li yuav kom cov raum tus kab mob los yog mob txeeb zig, cov kws kho mob muab kev soj ntsuam. Feem ntau cov feem ntau, nws yuav ua li cas nyob rau hauv tus neeg mob uas xav tias cov nram qab no cov kab mob:

• malformations ureters thiab ob lub raum;
• hematuria tsis paub hais tias etiology;
• pob zeb nyob rau hauv lub ureters thiab ob lub raum;
• xws private raum kab mob, raws li pyelonephritis, hydronephrosis, tuberculosis, glomerulonephritis, tawg thiab lwm yam nephrogenic;
• raum hlav ;
• raum raug mob.

Tsis tas li ntawd, siv qhov kev tshawb fawb raws li urography ob lub raum, koj yuav saib tau lub xeev ntawm cov mob plab kab noj hniav nyob rau hauv thiaj li yuav tshawb rau lub xeev ntawm lub digestive system.

Contraindications rau cov txheej txheem

Raws li tshwm sim nyob rau hauv lwm tus neeg mob, cov daim ntawv ntsuam xyuas muaj ib tug tsis zoo ntxim rau ib txhia neeg. Raum excretory urography yog tsis pom zoo rau cov neeg mob uas pathologies xws li lub raum thiab hepatic puas. Txoj kev tshawb no contraindicated rau cov neeg mob uas muaj mob stroke thiab heart attack myocardial infarction. Ib tug cais pab pawg neeg kom tsis txhob muaj cov txheej txheem yog cev xeeb tub cov poj niam. urography raum thaum lub sij hawm cev xeeb tub yog ua rau cov poj niam raws li txuas rau rays yuav ua rau txoj kev loj hlob ntawm ib tug me nyuam txoj kev anomalies.

Heev tsis tshua mob tom qab txoj kev tshawb no, xws li urticaria, laryngospasm thiab anaphylactic poob siab, nws yog tsim nyog los xav txog lub sij hawm teem ntawm urography tsis haum.

Yuav ua li cas yog cov kev tshawb fawb?

Nyob rau hauv txoj kev tshawb no, ib tug neeg intravenously txhaj radiopaque substance. Nyob rau hauv cov ntaub ntawv no, tus neeg mob yuav tsum tau nyob rau hauv ib tug kab rov tav txoj hauj lwm. Yuav kom siv ib tug tshwj xeeb tshuaj urography - Sergazin, ntawm ib ntau npaum ntawm 40 mL ntawm 40% tov, nws yog tseem nquag siv kardiotrast (35% cov kua 20 ml) los yog lwm yam zoo neeg sawv cev. Cov tshuaj no yog maj mam txhaj mus rau hauv lub cov hlab ntsha thiab ces 3-5 txhaj tshuaj ua nyob rau hauv lub mob txeeb zig thiab ob lub raum. Rau no X-ray raj yuav tsum tau muab tso rau nruj me ntsis nyob rau hauv nruab nrab ntawm lub puj ntaws thiab lub pubis. Pib ua lub thawj daim duab tau twb 10 feeb tom qab tso dej txhaj tshuaj. Ces cov kws muaj txuj zoo dynamic daim duab duab ntawm qhov screen. Yog hais tias cov duab no yog zoo, cov duab yuav ua tau nyob rau hauv 20 feeb, 40, 60 thiab 2 teev.

Qhov ntawd qhia tau hais tias ib tug txheej txheem cej luam urography raum?

Txoj kev tshawb no yog xwm heev rau tus kws kho mob. Nyob rau hauv nqa tawm xws li kev tshawb fawb lub x-rays kis tau los ntawm cov yam ntxwv hais txog qhov lub cev. Siv electromagnetic tawg nyob rau hauv ib tug tshwj xeeb phaj tshwm ib tug tsis zoo daim duab. Ntawm no cov kws muaj txuj zoo kev ceev ntawm cov ntaub so ntswg los yog hloov khoom nruab nrog - lub zog cov duab nyob rau hauv zaj duab xis, ces nws yog saum toj no. raum urography tso cai rau kom kawm lawv cov secretory muaj peev xwm. Nyob rau hauv tas li ntawd, muaj cov kom meej meej pom qhov ntev ntawm morphological hais: khob, lub plab mog. Nyob rau hauv zaj duab xis yuav pom seb puas muaj pob zeb, qhov uas lawv muaj nyob, seb lawv puas muaj lub sij hawm mus coj nyob rau hauv lub ureters thiab ob lub raum hloov. Tsis tas li ntawd nrog rau cov kev pab los ntawm txoj kev tshawb no yuav tsum tau txiav txim hydronephrosis, ntau hom hlav, tuberculosis, raum. Urography muaj nuj nqis qhia cov txheej txheem thiab kev khiav dej num ntawm kev noj qab nyob ob lub raum, yog hais tias tus lwm yam yog puas ntsoog. Tom qab kev tshawb xyuas, cov kws muaj txuj piv urography tau thiab lwm yam kev soj ntsuam cov ntaub ntawv. Yog hais tias ob lub raum yuav ua tau hauj lwm txhua zaus, muaj yog ib tug zoo urodynamics, qhov kev tshawb nrhiav yuav xaus tom qab xwb 30 feeb. Txawm li cas los, muaj mob qhov twg nws yog ncua kom txog thaum 24 teev tom qab cov kev taw qhia ntawm ib tug tshwj xeeb tshuaj.

Yuav kom ntxiv kawm raum cia muaj peev xwm raws li nyob rau hauv lub inputted X-ray zoo neeg sawv cev yog muab tom qab 20 min furosemide (40 mg). Qhov no tshwj xeeb cov txheej txheem hu ua farmakourografiey, los mus txiav txim lub dilatation ntawm lub sab sauv mob txeeb zig, uas yog, thaum mob provoked los ntawm txoj kab mob. Rau no furosemide yuav tsum ua neej nyob hauv ib tug menyuam tsis taus isotonic sodium tshuaj dawb tov.

raum urography: npaj rau nws

Ua ntej txoj kev tshawb no, nws yog ib qho tseem ceeb them sai sai mus tus kws kho mob pom zoo. Feem ntau cov feem ntau, cov kev npaj txoj kev yog tib yam rau tag nrho cov, muaj, ntawm chav kawm, tsis suav. Thaum ntxov nyob rau yav sawv ntxov, ua ntej qhov kev tshwm sim, tus neeg mob noj kib dawb qhob cij, thiab nqaij. Tom qab ntawd, nco ntsoov muab ib tug txiv neej enema. Yuav ua li cas lwm tus tshwj xeeb rau kev npaj mus txiav txim yog yuav tsum tau.

Ua ntej cov txheej txheem, koj yuav tsum tau tham nrog koj tus kws kho mob tag nrho cov exciting cov lus nug. Piv txwv li, raws li cov rays ua rau tib neeg lub cev, los yog ib tug xov tooj ntawm X-ray kev tshawb fawb nyob rau hauv ib lub sij hawm lub sij hawm muaj kev ruaj ntseg rau tus kab mob. Ib txhia txawm kom cov ntaub ntawv ntawm tej kev tshawb fawb kom muab cov tub txawg uas muaj tseeb cov lus qhia txog lawv tus kheej. Nco ntsoov qhia lub xub ntiag ntawm cev xeeb tub, los yog koj xav tias tej zaum nws yuav ua tau.

raum urography nyob rau hauv cov me nyuam yog ua tsis muaj sib txawv ntawm lub niaj zaus cov kev tshawb fawb rau cov neeg laus. Tiam sis ntawm no muaj ib co nuances. Nws yog ib qho tseem ceeb los mus txiav txim lub koob zoo neeg sawv cev. Nws yog nyob ntawm tus me nyuam lub hnub nyoog, lub cev hnyav, tej lub xeev ntawm lub siab thiab ob lub raum. Muaj yog ib qho uas txawv ntawm lub hnub nyoog thiab rau cov me nyuam los ntawm ib tug ob peb lub hlis mus rau ib xyoos yog muab rau 3 los yog 4 ml ntawm yeeb tshuaj, thiab los ntawm ib xyoos mus rau peb xyoos - 2-3 ml. Txij li thaum me nyuam me me tsis tau ntev mas cov kev tshawb fawb rau lawv urography tau nrog tsawg heev lub sij hawm yog hom twg los ntawm 1 feeb kom 40 - yog rau cov me nyuam txog peb lub xyoos. Rau cov laus dua, cov ntau yog ncua mus rau 60 feeb.