Nukae nye ʋumenugbagbeviɣidɔ? Ðeko wòku ɖe mɔ̃ aɖe dede aɖuɖɔtoea me ŋu

Àte ŋu akpɔ vevesese si nu womate ŋu ado dzi atsɔ o si dɔlékui sesẽ, dɔdzẽ, alo aɖuɖɔtoemekpe siwo le wò ʋuka me hena vɛ la le susu mea? Ɣeaɖewoɣi la, le nɔnɔme sia tɔgbe me la, dɔnɔa ƒe nɔnɔme ate ŋu asẽ ale gbegbe be amekoko be woaɖe aɖuɖɔtoea ɖa keŋkeŋ manya wɔ o. Le nɔnɔme mawo me la, míaƒo nu tso atikewɔwɔmɔnu tɔxɛ aɖe si mexɔa ame boo o si ɖɔktawo zãna tsɔ ɖea dɔnɔa ƒe agbe, tsɔ ɖea vevesese dzi kpɔtɔna, eye wòɖua dɔlékuia dzi.

Nukae nye ʋumenugbagbeviɣidɔ?

Kpuie ko la, cholecystostomy nye atikewɔwɔ sue aɖe si me woɖea do sue aɖe ɖe wò aɖuɖɔtoe me eye wotsɔa mɔ̃ (catheter) dea eme. Abe alesi ŋkɔa ɖee fia ene la, "cholecyst-" gɔmee nye gallbladder, eye "-ostomy" gɔmee nye ʋuʋu si wowɔ to amekoko me. Aɖuɖɔtoe nye ŋutinu sue aɖe si le abe kotoku ene si dzraa ʋumenugbagbeviɣidɔ ɖo, si hiã na míaƒe nuɖuɖumeŋusẽ.

Woyɔa mɔnu sia zi geɖe be "percutaneous cholecystostomy." "Percutaneous" gɔmee nye nane si wowɔ to ŋutigbalẽ me. Ema fia be ɖɔktaa wɔa do sue aɖe to wò ƒodo ƒe ŋutigbalẽ me eye wòtsɔa mɔ̃ sia dea aɖuɖɔtoea me.

Nukatae atikewɔwɔ sia ƒomevi hiã?

Zi geɖe la, ehiãna be woawɔ atike sia le nɔnɔme aɖe si woyɔna be acute cholecystitis me. Esia dzɔna ne nane abe aɖuɖɔtoemekpewo ene xe ʋumenugbagbeviɣimɔ̃ aɖe, si na ʋumenugbagbeviɣidɔa ƒo ƒu eye dɔlékuiwo va xɔe. Esia wɔnɛ be aɖuɖɔtoea vuvu eye wòvea ame ŋutɔ.

Zi geɖe la, dɔléle sia dada nyuitɔe nye amekoko be woaɖe aɖuɖɔtoea ɖa keŋkeŋ (cholecystectomy). Gake ne dɔléle sesẽ bubuwo abe dzidɔ, suklidɔ, ayikudɔ, alo ame tsitsi ŋutɔ le fu ɖem na dɔnɔa la, ɖewohĩ mate ŋu anɔ te ɖe amekoko gã aɖe nu ɣemaɣi o. Le nɔnɔme mawo me la, abe amekoko gã teƒe ene la, wowɔa atike sia si woyɔna be Cholecystostomy be wòana dɔnɔa ƒe nɔnɔmea nali ke.

Vovototo kae le Cholecystostomy kple Cholecystectomy dome?

Ŋkɔ eve siawo ate ŋu aɖi wo nɔewo vie, eyata àte ŋu atɔtɔ. Gake esiawo nye atikewɔwɔ vovovo eve. Mina míase vovototo si le wo ame evea dome gɔme nyuie.

Aleke wowɔa dɔdamɔnu siae?

Zi geɖe la, keklẽŋusẽŋutinunyala si dea nu nyaa me ye wɔa esia . Eyae nye eŋutinunyala bibi aɖe si zãa nɔnɔmetatawo ɖeɖe ƒe mɔ̃ɖaŋununya abe ultrasound kple CT scan ene tsɔ léa ŋku ɖe ŋutinu siwo le ŋutilãa me ŋu eye wòtsoa nu suesuesue siwo sɔ pɛpɛpɛ ŋutɔ tsɔ wɔa dɔe.

Dzadzraɖo hafi woawɔ atike nɛ

• Ðɔktaa aɖe afɔku kple viɖe siwo le atikewɔwɔ sia me me na wò eye wòaxɔ wò lɔlɔ̃nu faa.
• Woɖo aɖaŋu na wò be nàtsri nuɖuɖu alo nunono gaƒoƒo ʋɛ aɖewo.
• Wowɔa ʋudodokpɔ tsɔ léa ŋku ɖe ʋua ƒe ŋutete be wòatsi. Ne ehiã la, wowɔa atike nɛ.
• Woade IV-ka ɖe ʋuka aɖe me le wò alɔnu be wòana dɔlékuiwutikewo, dzetsi, kple ne ehiã la, atike si naa ame ƒe dzi dzea eme.

Nusi dzɔna le atikewɔwɔ me

1. Woléa ŋku ɖe wò dzi ƒe tsotso kple wò ʋu ƒe sisi ŋu ɣesiaɣi.

2. Klɔ teƒe si woatsɔ dɔgboa ƒe mɔ̃a ade, .Mele vevesesenutsitike aɖe nom.

3. Woazã ultrasound alo CT scan atsɔ anya mɔ nyuitɔ si le dedie wu si dzi woato ade mɔ̃a me (mɔ sia ate ŋu ato aklã me (transhepatic) alo ato ƒodo ƒe gli me (transperitoneal).

4. Emegbe le X-ray ƒe mɔfiafia te la, wozãa aŋe nyui aɖe ŋutɔ kple mɔfianu tsɔ tsɔa mɔ̃a dea aɖuɖɔtoea me.

5. Ne mɔ̃a nya ɖo teƒea ko la, wotsɔa ka blanɛ ɖe ŋutigbalẽa ŋu , eye wotsɔa mɔ̃a ƒe nuwuwu kemɛ doa ka kple akplo si me tsi tona.

Zi geɖe la, dɔ sia katã ate ŋu axɔ tso miniti 30 va ɖo gaƒoƒo ɖeka.

Aleke nèléa be na mɔ̃a le atikewɔwɔ vɔ megbe?

Esiae nye akpa vevitɔ kekeake. Zi geɖe la , tsidzɔƒe sia anɔ wò ŋutilã me kwasiɖa 4 va ɖo 6 . Ahiã be nàlé be nɛ nyuie ne èyi aƒeme.

• Abidzikpɔkpɔ: Ele be woatrɔ nusi wotsɔ blaa abi si le mɔ̃a ŋu gbesiagbe. Na teƒea nanɔ dzadzɛ eye wòaƒu. Do aŋenu si me tsi mate ŋu age ɖo o ne èle tsi ƒum.
• Tube flushing: Be ʋumenugbagbeviɣi nagatsi mɔ̃a me o la, ele be nàtsɔ dze si me dɔlékui mele o akɔ tube la me abe zi ɖeka gbesiagbe ene. Wò ɖɔkta alo dɔnɔdzikpɔla afia alesi nàwɔ esia wò.
• Akplo me tsi ƒuƒlu: Ele be woakɔ akplo si me tsi ƒoa ƒu ɖo la me ne eyɔ ko. Wò ɖɔkta ate ŋu agblɔ na wò hã be nàlé ŋku ɖe tsi agbɔsɔsɔme si nèle xɔm gbesiagbe ŋu. Ne tsia dzi ɖe edzi zi ɖeka alo dzudzɔ dodo la, ema nye dzesi vevi aɖe.

Hafi woaɖe mɔ̃a ɖa la, wowɔa X-ray dodokpɔ tɔxɛ aɖe si woyɔna be cholangiogram be woakpɔe ɖa be ʋumenugbagbeviɣi ƒe sisi le aɖuɖɔtoea me sɔ fifia eye womexe mɔ ɖe afi aɖeke o hã. Ne woɖo kpe edzi be nusianu nyo vɔ ko hafi woɖea mɔ̃a ɖa.

Viɖe kple afɔku kawoe le atikewɔwɔ sia me?

Le nu nyuitɔ gome la, esia nye atikewɔwɔ si le dedie ŋutɔ eye wòwɔa dɔ nyuie. Dzidzedzekpɔkpɔ le ʋumenugbagbeviɣidɔ sesẽ dzi ɖuɖu me sɔ gbɔ abe 95% ene. Ate ŋu ana dɔnɔ si mete ŋu doa dzi le amekoko gã aɖe me o la nahaya kaba eye afɔku le sue ŋutɔ.

Afɔku kple kuxi siwo dona tso eme mebɔ o, gake ele be míanya wo.

Ɣekaɣie wòle be maƒo ka na ɖɔktaa?

Ne èkpɔ dzesi siwo gbɔna la dometɔ aɖe le wò hayahayaɣi la, na wò ɖɔkta alo kɔdzi si wowɔ atike na wò le nanya enumake.

• Asrã: Dzoxɔxɔ si wu Celsius 38.3 (Fahrenheit 101).
• Vevesese: Vevesese sesẽ si womate ŋu aɖe o le ƒodo alo afisi wotsɔ mɔ̃a de.
• Dɔlékui ƒe dzesiwo: ŋutigbalẽ si ƒo xlã mɔ̃a ƒe biã, vuvu, alo tsi si ʋẽna lilili.
• Tube ƒe kuxiwo: ŋutete be woakɔ tube la me o, tube si dona tso ŋutigbalẽa me, ʋumenugbagbeviɣi si le dodom tso tube la me.
• Tsi ƒe agbɔsɔsɔ ƒe tɔtrɔ: Tsi si wotsɔ de akploa me ƒe dzidziɖedzi kpata alo eƒe nutsotso keŋkeŋ.

Le nɔnɔme sia tɔgbe me la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.