Chii urography itsvo? Renal excretory urography uye kugadzirira nokuti

vakawanda Analyses zviripo utano tsika, rabhoritari zvidzidzo uye nzira dzakasiyana nokuda kuziva mamiriro zvomukati mumuviri uye zvachose. Imwe nzira izvi kudzidza renal urography.

Chii urography?

Ngatitange nepfungwa yokuti shoko "urography" ine pfungwa mbiri, iyo vanoteerera mubvunzo. Shoko rokutanga - "uro", "weti" - zviri weti, wechipiri - "The Count" - unoratidza, kunyora. Iyi nzira radiological kuferefeta nezvezvimwe zvinetso zvedundira, iyo Anoongorora ayo ezvinhu. Hosha yacho excretory ezvinhu wakaiswa saka renal excretory urography anoratidza chero abnormalities varipo neimwe nyaya.

Zvairatidza yokudzidza

Kuti pave nechokwadi chokuti renal chirwere kana Urinary turakiti, n'anga akarayira kuongorora. Kakawanda, izvozvo zvinoitwa vanenge vanofungidzirwa zvinotevera zvirwere:

• malformations ureters neitsvo;
• hematuria kuti asingazivikanwi etiology;
• matombo ari ureters neitsvo;
• akadaro private cheitsvo, sezvo pyelonephritis, hydronephrosis, tibhii, glomerulonephritis, BP uye nezvimwe nephrogenic;
• itsvo anomera ;
• itsvo gumo.

Uyewo, vachishandisa tsvakurudzo iyi sezvo itsvo urography, unogona kuona mamiriro abdominal mhango kuti kuongorora mamiriro zvomudumbu hurongwa.

Contraindications nokuti nzira

Sezvo zvinoitika zvimwe zviitiko, kuongorora ine kunambwa vamwe vanhu. Renal excretory urography hauna pachii varwere pathologies dzakadai renal uye hepatic vanotaura. Study contraindicated varwere vane sitiroko uye myocardial infarction. A yoga boka kudzivisa nzira vakadzi pamuviri. urography itsvo panguva pamuviri iri contraindicated vakadzi sezvo pakukoka mwaranzi zvinogona kukonzera kukura hwomwana anomalies.

Very Kashoma yematambudziko mushure kudzidza, akadai urticaria, laryngospasm uye anaphylactic kuvhunduka, zvinokosha kufunga kugadzwa urography Kurwara.

Sei pakutsvakurudza?

Muchidzidzo ichi, munhu nomutsinga jekiseni radiopaque fuma. Panyaya iyi, murwere inofanira kuva chinjikira chinzvimbo. Kushandisa rinokosha fuma urography - Sergazin, pane imwe chipimo chemushonga 40 ml 40% mhinduro, zviri anowanzoshandiswa kardiotrast (35% mhinduro 20 Rine mamiririta) kana mumwe musiyano mumiririri. The mushonga zvishoma nezvishoma jekiseni kupinda tsinga uye ipapo 3-5 kwepfuti yagadzirwa Urinary turakiti neitsvo. Nokuti ichi X-ray chubhu anofanira kuiswa kunoparirwa pakati pakati guvhu uye pubis. Tanga kuita mufananidzo wekutanga anogona kare maminitsi 10 pashure intravenous jekiseni. Zvadaro nyanzvi anotarira simba mufananidzo mufananidzo pamusoro chidzitiro. Kana mufananidzo wakanaka, mifananidzo inogona kuitwa mumaminitsi 20, 40, 60 uye 2 maawa.

Izvi zvinoratidza muchidimbu urography itsvo?

Kudzidza chinodzidzisa chaizvo chiremba. Paaiita zvidzidzo zvakadai pakati x-mwaranzi ichipfuura STRUCTURAL zvinhu muviri. Kushandisa remagetsi nemwaranzi rinokosha ndiro anooneka chifananidzo kunaka. Pano nyanzvi anotarira arambe achirema pamusoro zvinyama kana nyere - the chaipenya chifananidzo firimu, saka zviri kumusoro. renal urography kunoita kudzidza kwavo secretory chinzvimbo. Uyezve, pane zvakajeka kuonekwa kukura morphological zvinhu: nemikombe, chiuno. On the firimu anogona kuonekwa kana pane matombo, uko ivo dziri, kana vane nguva kuuya ureters neitsvo shanduko. Uyewo tichibatsirwa chidzidzo ichi inogona tsunga hydronephrosis, siyana anomera, tibhii, itsvo. Urography zvinovaka anoratidza kwemasayendisiti uye mashandiro anoita neitsvo utano, kana mumwe wakaremara. Mushure kutsvakurudza, nyanzvi rinoenzanisa urography zvabuda nezvimwe zvekuchipatara mashoko. Kana itsvo dziri kushanda zvakanaka, pane urodynamics akanaka, kuferefeta anogona kuguma pashure maminitsi chete 30. Zvisinei, pane zviitiko apo riri kunonoka kusvikira maawa 24 pashure kutanga rinokosha fuma.

To zvakare kudzidza renal kuchengeterwa vanokwanisa inobva inputted X-ray musiyano mumiririri chinotarisirwa pashure 20 min furosemide (40 MG). Izvi Nzira inokosha inonzi farmakourografiey, kuona dilatation rokumusoro Urinary turakiti, kureva, zvakavanzika zvirwere Penina nezvirwere zvakaoma. Nokuti furosemide ichi zvinofanira ichiputswa mune chena isotonic yavaibvisa chloride mhinduro.

renal urography: gadziriro nokuti

Pamberi kudzidza, zvakakosha kuteerera chiremba audzwa. Kakawanda, kugadzirira nzira ndiyo chete vose, pane Chokwadi, kunze. Mangwanani, pamberi chiitiko, murwere anodya zvakakanyiwa namafuta chingwa chena, uye nyama. Pashure paizvozvo, iva nechokwadi kuti kuisa munhu enema. Chiizve regadziriro inokosha chiito chinodikanwa.

Pamberi nzira, unofanira kurukura chiremba wako mibvunzo zvose zvinofadza. Somuenzaniso, sezvo mwaranzi kuita muviri, kana nhamba X-ray zvidzidzo pamamiriro nguva yakachengeteka nokuda muviri. Vamwe kunyange kuchengeta zvinyorwa zvidzidzo zvakadaro kupa nyanzvi mashoko akarurama pamusoro pachavo. Iva nechokwadi kuti kushuma pamberi pamuviri, kana ukaona kuti zvingava.

renal urography muvana chiri kuitwa pasina kusiyana kubva zvatinosiita ongororo kuti vakuru. Asi pano pane vamwe nuances. Zvinokosha kuona dose nokusiyana mumiririri. It zvinoenderana nezera, muviri uremu hwomwana, ari kushanda mamiriro chiropa uye neitsvo. Pane musiyano wezera uye vana kubva mishoma imwe gore iri nachiremba 3 kana 4 ml nenhumbi, uye kubvira gore rimwe makore matatu - 2-3 Rine mamiririta. Sezvo vana vaduku havagoni refu kukunda kutsvakurudza kwavari urography anoitwa shoma nguva anoda kubva 1 miniti kusvika 40 - ndiko kuti vana makore matatu. Vakura, kuwanda chinoshanda kuna maminitsi 60.