Cholangiography: ndi za chiyani komanso momwe zimachitikira

Zamkati

• Momwe mayeso amachitikira
• 1. Cholangiography yolowa mkati
• 2. Cholangiography ya Endoscopic
• 3. Cholangiography yothandizidwa
• 4. Magnetic resonance cholangiography
• Momwe mungakonzekerere mayeso
• Zotsatira zoyipa
• Pomwe mayeso sayenera kuchitika

Cholangiography ndi mayeso a X-ray omwe amayesa kuyesa ma ducts, ndipo amakupatsani mwayi wowona njira ya bile yochokera pachiwindi kupita ku duodenum.

Kawirikawiri kuyezetsa kotereku kumachitika panthawi yochita opareshoni ya ma ndulu a ndulu kuti achotse mwala wa ndulu, mwachitsanzo, amathanso kuwonetsedwa ndi adotolo kuti athandizire kupeza mavuto ena okhudzana ndi ma ndulu a ndulu, monga:

• Kutsekeka kwa minda;
• Zovulala, zopindika kapena kutsekeka kwamiyendo;
• Chotupa cha gallbladder.

Kuphatikiza apo, ngati kutsekeka kwaminyewa ya bile kumapezeka, dokotala atatha kuyesa, amachotsa zomwe zikuyambitsa vutoli, zomwe zimayambitsa kusintha kwakanthawi.

Momwe mayeso amachitikira

Pali mitundu ingapo ya cholangiography yomwe ingayitanitsidwe malinga ndi kukayika kwa adotolo. Kutengera mtundu, njira yolemba mayeso ikhoza kukhala yosiyana pang'ono:

1. Cholangiography yolowa mkati

Njirayi imakhala yopanga kusiyanitsa kwamagazi, komwe kumatha ndi bile. Pambuyo pake, zithunzi zimapezeka mphindi 30 zilizonse, zomwe zimalola kuphunzira njira yosiyaniraniramo timabowo ta bile.

2. Cholangiography ya Endoscopic

Mwa njirayi, kafukufuku amalowetsedwa kuchokera pakamwa kupita ku duodenum, pomwe mankhwalawa amaperekedwa kenako X-ray imapangidwa pamalo osiyanitsa.

3. Cholangiography yothandizidwa

Mwa njirayi, kuyezetsa kumachitika panthawi yochotsa ndulu, yotchedwa cholecystectomy, momwe amapangira mankhwala osiyana ndipo ma X-ray angapo amachitika.

4. Magnetic resonance cholangiography

Njirayi imagwiridwa pambuyo pochita opaleshoni yochotsa ndulu, ndi cholinga chowunika ma ducts atachotsedwa, kuti mupeze zovuta zomwe zingayambitsidwe ndi miyala yotsalira yomwe sinapezeke pa opaleshoniyo.

Momwe mungakonzekerere mayeso

Kukonzekera kwa cholangiography kumatha kusiyanasiyana kutengera mtundu wa mayeso, komabe chisamaliro chachikulu chimaphatikizapo:

• Kudya kuchokera maola 6 mpaka 12;
• Imwani madzi pang'ono okha mpaka maola awiri mayeso asanachitike;
• Adziwitseni adotolo zamomwe mungagwiritsire ntchito mankhwala, makamaka aspirin, clopidogrel kapena warfarin.

Nthawi zina, adokotala amathanso kuyitanitsa kuyezetsa magazi mpaka masiku awiri mayeso asanayesedwe.

Zotsatira zoyipa

Ngakhale sizofala kwambiri, pali zovuta zina zomwe zimatha kuchitika chifukwa cha kuyesa kwa mayesowa monga kuwonongeka kwa minyewa ya bile, kapamba, kutuluka magazi mkati kapena matenda.

Pambuyo pa cholangiography, ngati zizindikilo monga kutentha thupi kuposa 38.5ºC kapena kupweteka m'mimba komwe sikukuyenda bwino, ndibwino kuti mupite kuchipatala.

Pomwe mayeso sayenera kuchitika

Ngakhale kuyesa uku kumawerengedwa kuti ndi kotetezeka, sikulimbikitsidwa kwa anthu omwe ali ndi hypersensitivity kusiyanitsa, matenda amtundu wa biliary kapena omwe ali ndi milingo yayikulu ya creatinine kapena urea. Zikatero, adokotala amalimbikitsanso mayeso ena kuti aunike ma ducts.