Ureral retrograde ahịhịa biopsy

Ureral retrograde ahịhịa biopsy bụ usoro ịwa ahụ. N'oge ịwa ahụ, dọkịta na-awa gị na-ewe obere anụ ahụ site na akwa nke akụrụ ma ọ bụ ureter. Ureter bụ ọkpọkọ na - ejikọ akụrụ na eriri afo. A na-ezigara anụ ahụ na ụlọ nyocha maka ule.

A na-eme usoro a site na iji:

• Anesthesia nke mpaghara (spinal)
• Ọgwụ nchịkwa

Ị gaghị enwe mmetụta ahụ ụfụ ọ bụla. Nwale a were ihe dị ka nkeji iri atọ rue iri isii.

A na-ebu ụzọ tinye cystoscope site na urethra n'ime eriri afo. Cystoscope bụ ọkpọka nwere igwefoto na njedebe.

• Mgbe ahụ, a na-etinye waya ndu site na cystoscope n'ime ureter (ọkpọkọ dị n'etiti eriri afo na akụrụ).
• E wepụrụ cystoscope. Ma waya ndu na-ekpe na ebe.
• A na-etinyere ureteroscope n'elu ma ọ bụ n'akụkụ eriri waya. Ureteroscope bu telescope toro ogologo, nke pere mpe na obere igwefoto. Dọkịta na-awa ahụ nwere ike ịhụ n'ime ureter ma ọ bụ akụrụ site na igwefoto.
• A na-etinye nylon ma ọ bụ nchara nchara site na ureteroscope. Ebe a ga-eme biopsied ka ahịhịa ya. Enwere ike iji ike biopsy iji kpokọta anụ ahụ.
• A na-ewepu ahịhịa ma ọ bụ biopsy forceps. A na-ewepụta anụ ahụ site na ngwaọrụ.

A na-ezigara ihe nlele ahụ na ụlọ nyocha ọrịa maka nyocha. A na-ewepu akụrụngwa na ntuziaka ahụ n'ahụ. Enwere ike ịhapụ obere tube ma ọ bụ stent na ureter. Nke a na-egbochi mkpọchi akụrụ nke ọzịza site na usoro ahụ. A na-ewepụ ya ma emechaa.

Gaghị enwe ike iri ma ọ bụ drinkụọ ihe ọ bụla maka ihe dịka awa 6 tupu ule ahụ. Onye na-ahụ maka ahụike gị ga-agwa gị otu ịkwesịrị ịkwado.

Test nwere ike ịnwe obere mgbochi ma ọ bụ nkasi obi mgbe ule ahụ gachara. May nwere ike ịnwe mmetụta dị ọkụ n'oge ole na ole izizi ị na-ewepụ eriri afọ gị. I nwekwara ike ịgba mmamịrị ugboro ugboro ma ọ bụ nwee ọbara na mmamịrị gị ụbọchị ole na ole ka emechara ya. May nwere ike ịnwe ahụ erughị ala site na stent ga-anọgide na-adị ruo mgbe ewepụrụ ya n'oge ọzọ.

A na-eji ule a were ihe nlele nke anụ ahụ site na akụrụ ma ọ bụ ureter. A na-eme ya mgbe x-ray ma ọ bụ ule ọzọ gosipụtara mpaghara enyo (ọnya). Enwere ike ịme ya ma ọ bụrụ na ọbara ma ọ bụ mkpụrụ ndụ na-adịghị mma na mmamịrị.

Anụ ahụ na-egosi ihe dị mma.

Nsonaazụ na-adịghị mma nwere ike igosi mkpụrụ ndụ kansa (carcinoma). A na-ejikarị ule a gosi ọdịiche dị n'etiti ọnya cancer (ọrịa ọjọọ) na ọrịa na-adịghị ahụ (benign).

Ihe ize ndụ maka ọgwụ nchịkwa na ịwa ahụ n'ozuzu ya bụ:

• Mmeghachi omume na ọgwụ
• Nsogbu iku ume
• Ọbara ọgbụgba, mkpụkọ ọbara
• Ofufe Ọrịa

Ihe ize ndụ ọzọ nwere ike ịbụ maka usoro a bụ oghere (perforation) na ureter. Nke a nwere ike ibute ọrịa ureter na ị nwere ike ịchọrọ ịwa ahụ ọzọ iji dozie nsogbu ahụ. Gwa onye na - eweta gị ya ma ọ bụrụ na inwere ihe na - eri azụ. Nke a nwere ike ime ka ị nwe mmeghachi ahụ nfụkasị na akwa dị iche eji eji n'oge ule a.

E kwesịghị ime ule a na ndị nwere:

• Urinary tract ọrịa
• Ngọngọ na ma ọ bụ n'okpuru saịtị biopsy

May nwere ike ịnwe ihe mgbu afọ ma ọ bụ ihe mgbu n'akụkụ gị (n'akụkụ).

Obere ọbara n’ime mmamịrị ahụ bụ nke mbụ na nke mbụ ị na-agba mamịrị mgbe emechara ya. Mmamịrị gị nwere ike ịdị ka pink. Kpesa mmamịrị ma ọ bụ ọbara ọgbụgba dị ukwuu nke ga-ewe ogologo oge karịa 3 ihe na-awụ akpata oyi n'ahụ nye onye na-eweta gị.

Kpọọ onye na-ahụ maka ọrụ gị ma ọ bụrụ na ịnwee:

• Mgbu dị njọ ma ọ bụ na ọ naghị adịwanye mma
• Ahụ ọkụ
• Chills
• Nnukwu mmamịrị ọbara
• Ọbara ọgbụgba na-aga n'ihu mgbe ị wepụsịrị eriri afọ gị ugboro atọ

Biopsy - ahịhịa - urinary tract; Retrograde ureteral ahịhịa biopsy cytology; Cytology - ureteral retrograde ahịhịa biopsy

• Akụrụ anatomi
• Akụrụ - ọbara na mmamịrị na-asọ
• Upsyral biopsy

Kallidonis P, Liatsikos E. Urothelial etuto ahụ nke urinary tract na ureter. Na: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ndị ọzọ. Campbell-Walsh-Wein Urology. Agba nke iri na abụọ. Philadelphia, PA: Elsevier; 2021: Isi nke 98.

Ebe nrụọrụ weebụ National Institute of Diabetes and Digestive and Kidney Disease. Ihe omimi & ureteroscopy. www.niddk.nih.gov/health-information/diagnostic-tests/cystoscopy-ureteroscopy. Emelitere June 2015. Nabata May 14, 2020.