Ðe wò ɖɔkta kafui be woawɔ dɔ na wò atsɔ aɖe ʋumenugbagbeviɣiwo ɖaa? Ne nenemae la, ɖewohĩ wogblɔ na wò be woawɔ ‘Intraoperative Cholangiogram’ le amekokoa wɔɣi. Ŋkɔa aɖi nya sesẽ vie, eye àte ŋu ase le ɖokuiwò me be vɔvɔ̃ ɖo vie gɔ̃ hã. Gake le nyateƒe me la, esia nye dodokpɔ vevi aɖe ŋutɔ si wowɔna hena wò dedienɔnɔ. Na míalé ŋku ɖe nu si wònye, nu si tae wowɔa esia, kple viɖe siwo wòate ŋu ana wò ŋu.
Nukae nye Intraoperative Cholangiogram?
Kpuie ko la, Intraoperative Cholangiogram nye X-ray dodokpɔ tɔxɛ aɖe si wowɔna le wò aɖuɖɔtoe ɖeɖeɖa ƒe amekoko me ( cholecystectomy ). Enaa amekolaa kpɔa ‘mɔfiame’ si me kɔ nyuie si fiaa ʋuka siwo le wò ŋutilã me.
Aɖuɖɔtoe si míaƒe aɖuɖɔtoe kple aklã wɔna la toa mɔ̃ suewo ƒe ɖoɖo aɖe me yia dɔgbo suea me. Woyɔa mɔ̃memi ƒe ɖoɖo sia be ʋumenugbagbeviɣimɔ̃. Ne amekolaa zã X-ray sia la, ate ŋu akpɔ alesi woɖo mɔ̃memi ƒe ɖoɖo siae, alesi wodoa ka kple wo nɔewoe, kple nenye be aɖuɖɔtoemekpewo alo nu bubu siwo xe mɔ na mɔ̃awoe la nyuie.
Taɖodzinu vevitɔ si le esia ŋue nye be wòakpe ɖe amekolaa ŋu wòaɖe wò aɖuɖɔtoea ɖa dedie ŋutɔ , evɔ magblẽ nu le ʋukawo ŋu o.
Nukatae ɖɔktawo wɔa dodokpɔ sia?
Viɖe geɖe le dodokpɔ sia wɔwɔ me le amekoko be woaɖe aɖuɖɔtoe me. Enye kpekpeɖeŋu gã aɖe na atikewɔlawo ƒe ƒuƒoƒoa.
| Taɖodzinu si le dodokpɔa ŋu | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Kpe ɣaɣlawo nyanya | Ɣeaɖewoɣi la, kpe suewo ate ŋu atɔ ɖe ʋumenugbagbeviɣiwo me, si ate ŋu ana dzesi aɖeke madze le gɔmedzedzea me o, gake ate ŋu ahe kuxiwo vɛ emegbe. Dodokpɔ sia ate ŋu ade dzesi kpe ɣaɣlawo eye ne anya wɔ la, woaɖe wo le amekoko me. |
| De dzesi nusiwo gblẽ le ʋumenugbagbeviɣiwo ŋu | Dodokpɔ sia kpena ɖe ame ŋu wòdea dzesi nusiwo gblẽ le ʋumenugbagbeviɣidɔ ŋu le amekoko me eye wodzranɛ ɖo le ɣeyiɣi ma ke me. |
| Beléle na ʋumenugbagbeviɣiwo ƒe ŋutilã ƒe wɔwɔme | Alesi woɖo ŋutinuwo ɖe ɖoɖo nu le ame ɖesiaɖe ƒe ŋutilã me ate ŋu ato vovo vie. Alesi cystic duct si tso gallbladder kple common bile duct si tso aklã me do ƒomee ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ne amekolaa lé ŋku ɖe "anyigbatata" sia ŋu la, ate ŋu awɔ dɔa dedie wu. |
Ðe susu tɔxɛ aɖewo li siwo tae wòle be woawɔ dodokpɔ siaa?
Amekola aɖewo wɔa dodokpɔ sia ɣesiaɣi si wowɔ dɔ na wo be woaɖe aɖuɖɔtoe (cholangiography si wowɔna edziedzi). Gake ne susu tɔxɛ aɖewo li ko hafi ame bubuwo wɔa esia (selective cholangiography). Ne nɔnɔme siwo le ete dometɔ ɖeka alo esi wu nenema le ŋuwò la, anɔ eme be wò ɖɔkta atso nya me be yeawɔ dodokpɔ sia.
- Ne nusiwo mesɔ o le wò aklã ƒe dɔwɔwɔ dodokpɔwo me .
- Ne dɔgboa me enzymewo ƒe agbɔsɔsɔ dzi ɖe edzi.
- Ne dɔdzẽ le ŋuwò alo nèxɔe nyitsɔ laa la .
- Ne jaundice le ŋuwò la .
- Ne ʋumenugbagbeviɣiwo xe nyitsɔ laa, abe kpewo ene.
- Ne wodo wò kpɔ kple ERCP (endoscopic retrograde cholangiopancreatography) dodokpɔ be woakpɔ alo aɖe nusiwo xe le ʋumenugbagbeviɣiwo me ɖa, gake manya wɔ be woakpɔ ʋuka siwo me ʋu sina tona keŋkeŋ alo aɖe nusiwo xe la ɖa o.
Aleke nuwɔna sia dzɔnae?
Dɔ sia katã yia edzi le atike si naa alɔ̃dɔdɔ ame me eye wotsɔa wò mlɔa alɔ̃, eyata màse naneke le ɖokuiwò me o. Eyata susu aɖeke meli si ta wòle be míavɔ̃ esia o.
Nusiwo wòle be nàwɔ hafi awɔ dɔ na wò
Dzadzraɖo ɖe esia ŋu sɔ pɛpɛpɛ kple dzadzraɖo ɖe amekoko si woatsɔ aɖe aɖuɖɔtoe ɖa ŋu. Wò ɖɔkta ana mɔfiame siwo me kɔ wò tso esia ŋu.
- Woabia tso asiwò be nàtsi nu adɔ (mètsri nuɖuɖu alo nunono) gaƒoƒo ʋɛ aɖewo hafi woawɔ dɔ na wò.
- Ele be nàna wò ɖɔkta nanya nu tso atike ɖesiaɖe si nèzãna ŋu. Ðewohĩ ahiã be woadzudzɔ atike aɖewo alo atrɔ asi le agbɔsɔsɔme si woazã ŋu hafi woawɔ dɔ na wo. Mègadzudzɔ atike aɖeke nono wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee gbeɖe o.
- Wɔ ɖoɖo be ame aɖe nakplɔ wò ayi aƒeme le amekokoa megbe.
Nusi dzɔna le amekoko me
1. Atikewɔla si naa alɔ̃dɔdɔ ame la ana atike si naa alɔ̃dɔdɔ wò eye wòana nàdɔ alɔ̃ keŋkeŋ.
2. Amekolaa lãa nu sue aɖe alo lãa zi geɖe le ƒodoa me hena dɔwɔwɔ nɛ.
3. Emegbe, wotsɔa mɔ̃ (catheter) nyui aɖe ŋutɔ dea cystic duct la me.
4. Wotoa mɔ̃ sia dzi doa tsi tɔxɛ aɖe si woyɔna be contrast dye ɖe ʋumenugbagbeviɣidɔa me. Tsi sia nana ʋumenugbagbeviɣi ƒe ɖoɖoa dzena nyuie ŋutɔ eye wònɔa ɣie le X-ray la me.
5. Fifia, amekolaa zãa X-ray-mɔ̃a tsɔ léa ŋku ɖe tsi si le zɔzɔm to mɔ̃ sia me to ŋkuléleɖenuŋumɔ̃ dzi.
6. Ne èkpɔ kpe aɖewo tsi le ɣeyiɣi sia me la, dze agbagba nàɖe wo ɖa enumake ne anya wɔ.
7. Ne wozã X-ray "map" sia la, woɖea aɖuɖɔtoea ɖa dedie ŋutɔ, wowua amekokoa nu, eye wotua aɖuɖɔtoeawo.
Le amekokoa megbe
Le amekokoa megbe la, woanɔ ŋku lém ɖe ŋuwò le dɔnɔdzikpɔƒea. Zi geɖe la, àte ŋu ayi aƒeme le fiẽ ma ke alo le ŋufɔke.
Afɔku kple viɖe kawoe le dodokpɔ sia me?
Abe alesi wòle le atikewɔwɔ ɖesiaɖe gome ene la, afɔku sue aɖewo ŋutɔ li, gake viɖeawo sɔ gbɔ.
| Viɖe siwo le eŋu | Afɔku siwo le eme |
|---|---|
| - Esi wònye be ʋumenugbagbeviɣiwo dzena nyuie ta la, afɔku si le wo dome gbegblẽ le amekoko me dzi ɖena kpɔtɔna ŋutɔ. | - Nulɔdɔ le amadede si to vovo na wo nɔewo ŋu (esia ƒã ŋutɔ). |
| - Woateŋu ade dzesi kpe sue siwo womede dzesii tsã o eye woateŋu axe mɔ ɖe kuxi siwo ava do mo ɖa le etsɔme nu. | - Nusiwo gblẽ le ʋumenugbagbeviɣiwo ŋu (gake dodokpɔ sia ƒe taɖodzinue nye be woaxe mɔ ɖe esia nu). |
| - Be woateŋu ade dzesi nusiwo gblẽ ɖesiaɖe eye woaɖɔ wo ɖo enumake ne edzɔ. | - Dɔlékuiwo, Ʋudodo, Dɔgbo ƒe dɔléle. |
Nu vevitɔe nye be mɔnukpɔkpɔ si li be afɔku siawo nado mo ɖa la le sue ŋutɔ, eye wò amekolaha la xɔ hehe nyuie be woakpɔ nɔnɔme sia tɔgbe ɖesiaɖe gbɔ.
Ɣekaɣie wòle be maƒo ka na ɖɔktaa?
Ne èyi aƒeme le amekoko vɔ megbe la, kpɔ nyuie ŋutɔ le dzesi siawo ŋu. Ne esiawo dometɔ aɖe le ŋuwò la, ele be nàƒo nu kple wò ɖɔkta enumake . Ne ehiã la, àte ŋu ayi kɔdzi si te ɖe ŋuwò wu ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) hã.
- Ne èse veve sesẽ aɖe si mèle mɔ kpɔm na o alo màte ŋu ado dzi atsɔ o .
- Ne amekokoa ƒe lãɖeɖea biã, vuvu, dzoxɔxɔ le eŋu , alo ʋuʋudedi alo ʋu le dodom tso eme.
- Ne asrã dze dziwò la .
Ne ɖikeke sue aɖe le ŋuwò le nu sia tɔgbi ŋu la, mègahe ɖe megbe gbeɖe be yeabia wò ɖɔkta o. Wò dedienɔnɔe nye nu vevitɔ kekeake.
Gbedasi si Wotsɔ Yi Aƒeme
- Cholangiogram si wowɔna le amekoko me nye X-ray dodokpɔ tɔxɛ aɖe si wowɔna be wòana wò dedienɔnɔ nadzi ɖe edzi le dɔwɔwɔ na wò be woaɖe aɖuɖɔtoe me.
- Esia kpena ɖe amekolaa ŋu wòkpɔa wò ʋumenugbagbeviɣidɔ nyuie, wòwɔa amekokoa evɔ megblẽa nu le eŋu o, eye wòɖea kpe ɣaɣlawo ɖa.
- Màse veve aɖeke le dodokpɔ sia me o elabena wona atike si naa alɔ̃dɔdɔ wò.
- Ne nyabiase, vɔvɔ̃, alo ɖikeke aɖe le ŋuwò le esia ŋu la, ƒo nu tso eŋu na wò ɖɔkta gaglãa hafi nàwɔ dɔa na wò.
- Nya nu tso nuxlɔ̃amedzesiwo (asrã, vevesese sesẽ, dɔlékui ƒe dzesiwo le afisi wotsoe) siwo ate ŋu ado mo ɖa le amekokoa megbe ŋu, eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne ède dzesi esiawo dometɔ aɖe.
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