Biliary Drainage: Dɛn Nti na Wɔyɛ Saa Adeyɛ Yi na Ɔkwan Bɛn so na Wɔyɛ?

So w’ani anaa w’ani reyɛ kɔkɔɔ, na so worehu amane wɔ ɛyaw a emu yɛ den a wuntumi nnyina ano ho? Eyinom yɛ nea yɛtaa frɛ no jaundice no ho sɛnkyerɛnne. Eyi taa ba bere a bile ntini—nsu a ɛde bile fi wo mmerɛbo mu de boa ma woyam—no siw. Sɛ saa akwanside yi si a, bile boaboa ano wɔ mmerɛbo no mu, na ɛma wo honam ani yɛ kɔkɔɔ na ɛma wo ho yɛ wo yaw a ɛkɔ so daa no. Wɔ tebea horow a ɛtete saa mu no, nnuruyɛfo de ɔkwan titiriw bi a wɔfrɛ no biliary drainage di dwuma. Sɛ yɛbɛka no tiawa a, eyi hwehwɛ sɛ wɔde afiri ketewaa bi bɛhyɛ bile ntini a asiw no mu na ama bile no atumi asan asen ahofadi bio. Momma yɛnka biribiara a ɛsɛ sɛ wuhu fa saa adeyɛ yi ho ho asɛm.

Dɛn Ne Biliary Drainage, na Dɛn Ne Nneɛma Ahorow?

Biliary drainage yɛ adeyɛ a wɔde tube (catheter) a ɛyɛ tratraa a ɛyɛ mmerɛw di dwuma de twa akwanside bi a ɛwɔ wo bile duct no mu ho, na ɛma bile fi mmerɛbo no mu kɔ dwensɔtwaa ketewa no mu. Fa no sɛ ɛte sɛ nea woreyɛ bypass ama nsu paipu a asiw.

Wɔnam akwan abien so titiriw na ɛyɛ eyi. Wo duruyɛfo bɛkyerɛ ɔkwan a ɛfata wo tebea pɔtee no yiye.

Dɛn Ne Stent a Wɔde Yɛ Nneɛma?

Wɔ tebea horow bi mu, titiriw sɛ nea asiw no daa (te sɛ esiane akisikuru nti) a, wo duruyɛfo betumi de afiri ketewaa bi a ɛte sɛ ahama a wɔfrɛ no stent ahyɛ mu na ama bile ntini no abue daa. Wɔtaa yɛ eyi wɔ nna kakraa bi akyi bere a wɔde nsu a wɔde yi nsu a edi kan no ahyɛ mu akyi.

Dɛn Nti na Adeyɛ Yi Ho Hia?

Ade titiriw nti a wɔyɛ saa adeyɛ yi ne sɛ bile duct no siw anaasɛ ɛyɛ teateaa (`stricture`), a ɛma bile boaboa ano wɔ mmerɛbo no mu (`cholestasis`). Te sɛ nsu a ɛkɔ wo dan mu sink mu a asiw no, nea asiw no mma nsu a ɛsen sɛnea ɛsɛ.

Nneɛma a ɛtaa de bile duct siw ba no bi ne:

• Abo a ɛwɔ akisikuru (`choledocholithiasis`).
• Pancreatitis anaa dwensɔtwaa mu kokoram .
• Kokoram a ɛkɔ ntini mu (`Cholangiocarcinoma`).
• mmerɛbo mu kokoram anaa akisikuru mu kokoram .
• Ntini a ɛwɔ mmerɛbo no ho a ɛho ahonhon anaasɛpancreas esiane kokoram nti.
• Nyarewa bi a efi mmoawa a wɔsɛe nnɔbae mu .
• Kan oprehyɛn apirakuru wɔ bile ntini no mu.
• Ntini a ɛma mogya tu no mu ɔfe a enni sabea, te sɛ Primary Sclerosing Cholangitis.

Ɔkwan Bɛn so na Ɛsɛ sɛ Wosiesie Wo Ho?

Wo duruyɛfo de akwankyerɛ pɔtee bɛma wo, na ɛsɛ sɛ wudi akyi pɛpɛɛpɛ.

1. Aduan ne Nsã: Ɛda adi sɛ anyɛ yiye koraa no, ebehia sɛ wugyae adidi, anonne, ne sigaretnom nnɔnhwerew 6 ansa na wɔayɛ oprehyɛn no. Wo duruyɛfo betu wo fo wɔ sɛ ebia wubetumi anya nsu kakraa bi anaa.

2. Allergies: Ka allergy biara ho asɛm kyerɛ wo duruyɛfo, titiriw wɔ anesthesia, contrast dyes a wɔde yɛ X-rays, anaa plastic/metals ho.

3. Nnuru: Ka nnuru a wonom mprempren nyinaa ho asɛm kyerɛ wo duruyɛfo, a vitamin ahorow ka ho. Sɛ worenom nnuru a ɛma mogya yɛ mmerɛw te sɛ aspirin anaa warfarin a, bisa wo duruyɛfo bere a ɛsɛ sɛ wugyae nom ansa na woayɛ wo oprehyɛn no.

4. Nyinsɛn: Sɛ woanyinsɛn anaasɛ wususuw sɛ ebia woanyinsɛn a, ɛsɛ sɛ wobɔ w’aduruyɛfo kuw no amanneɛ.

5. Kar: Esiane sɛ wɔbɛma wo nnuru a ɛma wo ho dwo wo nti, worentumi nka kar. Yɛsrɛ sɛ yɛ nhyehyɛe ma obi de wo bɛkɔ fie.

Dɛn na Ɛsi Bere a Wɔreyɛ Adeyɛ no?

Anamɔn no gu ahorow gyina sɛ ebia worenya PTBD anaa EBD so, nanso nya awerɛhyem, w’aduruyɛfo kuw no bedi kan akyerɛkyerɛ biribiara mu.

Sɛnea PTBD Yɛ Adwuma:

• Wo yafunu ho were no bɛtew na ayɛ mmerɛw.
• Oduruyɛfo no de ade teateaa bi bɛfa honam ani akɔ bile ntini a ɛwɔ mmerɛbo no mu no mu.
• Wɔde aduru a ɛne ne ho bɔ abira gu mu ma enti wotumi hu ntini no wɔ X-ray so.
• Sɛ wohu baabi a asiw no wie a, wɔde nsu a wɔde fa mu no si hɔ sɛnea ɛbɛyɛ a mogya bɛsen.
• Wɔde afiri no akyi awiei bɛbata kotoku bi a ɛwɔ akyi a ɛboaboa bile no ano ho. (Ɛho behia sɛ wopae bag yi mu bere ne bere mu).

Sɛnea EBD Yɛ Adwuma:

• Wɔbɛma wo aduru a wɔde kum nipadua no wɔ mpɔtam hɔ anaa nea wɔde kum nipadua no nyinaa sɛnea ɛbɛyɛ a wobɛkɔ so ayɛ ahotɔ.
• Wɔde endoscope no fa w’anom na ɛba fam kɔ ​​duct no mu.
• Oduruyɛfo no de nnwinnade a wɔde fa endoscope no mu di dwuma de twa nea asiw kwan no ho.
• Wobetumi agyina tebea no so de stent bi asi hɔ na ama duct no abue wɔ mu.

Asiane ne Ɔhwɛ akyi

Sɛnea ɛte wɔ aduruyɛ mu adeyɛ biara ho no, asiane ahorow wɔ hɔ a ebetumi aba.

• Nsɛnnennen a Ebetumi Aba:
• Tube no betumi atu, akyinkyim, anaasɛ asiw.
• Ɔhaw anaa ɛyaw.
• Nyarewa (wo duruyɛfo bɛkyerɛw nnuru a ekum ɔyare mmoawa de asiw eyi ano).
• Mogya a ɛretu.
• Electrolyte a ɛnkari pɛ.
• Ɛntaa mma sɛ ahurututu mu nsɛnnennen te sɛ pneumothorax.

Wo duruyɛfo ne wo besusuw asiane ahorow yi ho na watu wo fo wɔ nea ɛsɛ sɛ woyɛ sɛ nsɛm bi sɔre a.

Wo Ho a Wobɛhwɛ wɔ Fie:

Sɛ wowɔ abɔnten tube ne bag a, ayarehwɛfo no bɛkyerɛ wo sɛnea wobɛhwɛ wɔn.

• Kwati nhyɛso a ɛba baabi a wode bɛhyɛ mu no, efisɛ eyi betumi akyinkyim afiri no.
• Sɛ wɔkyerɛ a, fa nkyene hohoro afiri no mu da biara sɛnea wɔakyerɛ no.
• Fa anonne a anyinam ahoɔden wom kɔ so nya nsu sɛ wo duruyɛfo tu fo sɛ wɔmfa ntua nsu a woahwere no ka a.
• Wubetumi aguare nnɔnhwerew 48 wɔ oprehyɛn no akyi, nanso nguare wɔ atare, po, anaa atare mu bere a nsukorade no wɔ nea ɛwɔ hɔ no.
• Kwati sɛ wobɛma nneɛma a emu yɛ duru so kosi sɛ wo duruyɛfo no bɛtew wo ho.

Bere Bɛn na Ɛsɛ sɛ Wohwehwɛ Aduruyɛ mu Ahwɛyiye a Egye Ntɛmntɛm?

Sɛ wuhyia nea edidi so yi mu biara a, kɔ wo duruyɛfo nkyɛn ntɛm ara anaa kɔ ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ a ɛbɛn wo no nkyɛn.

• Atiridii anaa awɔw.
• Ɛyaw a ɛkɔ soro, ɛho ahonhon, anaasɛ ɛyɛ kɔkɔɔ wɔ baabi a ɛwɔ afiri no mu.
• Pus anaasɛ nsu a ɛnyɛ ne kwan so a ɛretu fi beae hɔ.
• Yafunu mu yaw foforo anaasɛ ɛreyɛ kɛse.
• Wora anaa aniwa kɔkɔɔ a ɛsan ba bio.
• Ɔfe a ɛkɔ so daa.
• Sɛ ɛte sɛ nea tube no retwe anaasɛ ayɛ mmerɛw a.
• Sɛ wuntumi mfa nsu anaa gas nkɔ a.

Biliary drainage yɛ aduru a etu mpɔn kɛse a wɔde sa bile duct a ɛsiw. W’aduruyɛfo kuw no bɛboa wo ma woapaw ɔkwan a eye sen biara a wobɛfa so ama w’akwahosan. Fa ahofadi bisa wɔn nsɛm biara a ebia wowɔ.

Biliary Drainage, bile ntini a asiw, jaundice, PTBD, EBD, mmerɛbo mu yare, akisikuru mu abo, Nirogi Lanka aduruyɛ mu asɛm