Chromatotherapy: indications, preparation, conduct and results

 

Despite the fact that medicine and, in particular, diagnostics is actively developing and over time appear more and more high-tech methods of diagnosis, proven and time-tested continue to be valid.

Such methods in urological practice remains chromatotherapy.

The principle of the method

This technique is used to study the excretory function of the kidneys and the patency of the upper urinary tract. For this purpose, use a special dye (Indigo Carmine), which is administered intravenously (less ─ intramuscularly). Filtering by the kidneys, urine is coloured with Indigo, into the bladder, depending on the chosen route of administration, respectively, after 5 or 10 minutes. The doctor observes the scene using a cystoscope (a special device introduced through the urethra into the bladder).

If painted, the urine flows into the bladder late or not received at all, it indicates the presence of pathology in the kidney or upper urinary tract with the appropriate parties.

The doctor begins the examination of the supposedly healthy kidney, as it is this side expected an earlier appearance of the dye from the ureter.

What pathology reveals?

Chromatotherapy allows you to define:

  • Stones of the kidneys and ureters.

  • Stricture of the ureters.
  • Various pathologies of the kidneys, leading to disruption of their normal functioning.
  • Atony of the ureter.
  • The presence of fistulas or damage to the ureters.

This method is indispensable for carrying out complex differential diagnosis of renal colic with other pathologies (hepatic colic, intestinal colic, acute appendicitis, etc.) and can help to avoid unnecessary surgical intervention.

In addition, chromatotherapy vnutribruchinno can be used during interventions on the organs and vessels of the abdominal cavity, small pelvis, when there is a risk of damage to the ureters.

Preparation and contraindications

Chromolithography usually performed on an empty stomach, the night before the survey desired setting cleansing enema. Immediately before the procedure, you must empty your bladder.

Contraindication to the study is the severe General condition of the patient, the presence of active inflammation, acute renal failure, allergic to the dye.

Complications

Complications of this procedure are the same as in any endoscopic procedures with the use of the colorant:

  • Damage to bladder, ureter.
  • Bleeding.
  • The development of infection.
  • Functional disorders of urination.
  • Allergic reactions to the dye.

Complications occur infrequently, their absence is directly dependent on the skill of the doctor performing the study.

Alternative methods of diagnosis

The analogue method is ultrasonography (USG) of the kidneys, which can confirm the presence of disorders of urine outflow due to the expansion of the upper urinary tract.

Chromatotherapy also displaced high-tech diagnostic methods such as computed tomography and magnetic resonance imaging using radioisotopes.

How to be surveyed?

The doctor prescribes chromolithography to:

  • Examine the condition of the kidneys and their functioning.
  • Evaluation of patency of the urinary tract.
  • Differential diagnostics of renal colic with other pathological conditions.

In order to complete the study, you need to consult a doctor-urologist. If necessary, he will direct chromolithography, and after ─ interpreterpath the result and decide on further diagnostic and treatment tactics.

Chromatotherapy, although not the most modern diagnostic methods in urology, yet remains one of the key, due to the low cost (compared to CT and MRI) and smaller requirements in terms of equipment (in comparison with the same methods). It is available even in small health care institutions, away from regional centres and allows us to provide medical care to most of the population.

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