BENEFITS OF STEEPING BLACK TEA AS A NEGATIVE CONTRAST MEDIUM ON CT UROGRAPHY EXAMINATION
DOI:
https://doi.org/10.31983/jahmt.v2i2.5697Keywords:
CT scan Urography, Distention, Density, Mineral water, Black Tea steepingAbstract
The use of water as a contrast medium requires large amounts of water to fill the lumen of the Urinary Tractus and more water is reabsorbed by the body than is secreted into urine. Steeping Black tea contains Caffeine which is able to increase blood flow in the kidneys thus inhibiting the process of absorption of Na, Ca and Mg causing stimulation of the kidneys to increase the amount of urine production. The purpose of this study is to prove that drinking black tea can increase urine production as a negative contrast medium to see differences in the distension and density of the Urinary Tract on CT Urography examination. This type of research uses True Experimental with Pretest-Posttest Control Group Design research design. Patients selected by Simple Random Sampling. Analysis: Paired t test and Independent t test. The results of the study of the use of 600 ml steeping Black Tea as a negative contrast medium on CT Urography examination did not show the difference in mean difference between the left renal Pelvis p value 0.956, Left UVJ 0.640, Right UVJ 0.935 while on the right renal Pelvis p value 0.001 showed differences in mean difference between the left renal Pelvis p value 0.956, Left UVJ 0.640, Right UVJ 0.935 while on the right renal Pelvis p value 0.001 intervention and control group. Hasil pengukuran p value densitas Vesika urinaria sebesar 0,678. Conclusion: Black tea can be used as a negative contrast medium on CT Urographic examination but when compared with mineral water it does not show a significant difference.References
Ministry RH. Hasil Utama Laporan Riskesdas 2018. doi:10.1177/109019817400200403
Thiruchelvam N, Mostafid H, Ubhayakar G. Planning percutaneous nephrolithotomy using multidetector computed tomography urography, multiplanar reconstruction and three-dimensional reformatting. British Journal of Urology. 2005;95(9):1280-1284.
doi:10.1111/j.1464-410X.2005.05519
Zeikus E, Sura G, Hindman N, Fielding JR. Tumors of Renal Collecting Systems, Renal Pelvis, and Ureters: Role of MR Imaging and MR Urography Versus Computed Tomography Urography. Magnetic Resonance Imaging Clinical. North American Journal. 2019;27(1):15-32.
doi:10.1016/j.mric.2018.09.002
Prando A. Kidney and urinary tract imaging: Triple-bolus multidetector CT urography as a one-stop shop-protocol design, opacification, and image quality analysis: International Brazilian Journal Urologi. 2010;36(4):506.
doi:10.1590/S1677-55382010000400019
Makarawo TP, Hospital P, Gayagoy J, Jacobs MJ. Water as a Contrast Medium : A Re-evaluation Using the Multidetector-row Computed Tomography. American Surgeon. 2013;(July).
Sulaksono N, Ardiyanto J. Optimalisasi Citra Traktus Urinarius menggunakan Variasi Slice Thickness. Jurnal Riset Kesehatan 2016;5(1):30-34.
Lee CH, Gu HZ, Vellayappan BA, Tan CH. Water as neutral oral contrast agent in abdominopelvic CT : comparing effectiveness with Gastrografin in the same patient.Medical Journal of Malaysia 2016;71(6):322-327.
Fa M, Anwar MC, Indrati R, Santoso AG. Utilization of furosemide to increase urine production as a negative contrast media in CT urography. I nternational Journal of Allied Medical Sciences and Clinical Research 2018;6(3).
Arya LA, Myers DL, Jackson ND. Dietary Caffeine Intake and the Risk for Detrusor Instability : A Case-Control Study. American College of Obstetricians and Gynecologists. 2000;96(1):85-89.
Amczar WAGR, Orczala KRZW. Influence of Sodium Fluoride and Caffeine on the Kidney Function and Free-Radical Processes in that Organ in Adult Rats. Biological Trace Element Research. 2006;109:35-47.
Maughan RJ, Griffin J. Caffeine ingestion and fluid balance : a review. Journal of Human Nutrition and Dietetics. 2003;i:411-420.
Noviandrini E, Birowo P, Rasyid N. Urinary stone characteristics of patients treated with extracorporeal shock wave lithotripsy in Cipto Mangunkusumo Hospital Jakarta, 2008–2014: a gender analysis. Medical Journal Indonesia. 2016;24(4):234.
doi:10.13181/mji.v24i4.1258
Lina N. Faktor-Faktor Risiko Kejadian Batu Saluran Kemih Pada Laki-Laki (Studi Kasus di RS Dr. Kariadi, RS Roemani dan RSI Sultan Agung Semarang). Journal Article. 2008.
Seitz C, Fajkovic H. Epidemiological gender-specific aspects in urolithiasis. World Journal Urology. 2013;31(5):1087-1092.
doi:10.1007/s00345-013-1140-1
Laboratorium Patologi Klinik RSUD Dr. Soetomo. Indonesian Journal of Clinical Pathology and Medical Laboratory. 2016;23(1).
Sternberg KM, Perusse K. CT Urography for Evaluation of the Ureter. RadioGraphics:May-June. 2015;






