Ka hoʻokahe ʻana o ka biliary: no ke aha a pehea e hana ʻia ai kēia kaʻina hana?

Ke melemele nei kou mau maka a i ʻole kou ʻili, a ke ʻeha nei ʻoe i ka maneʻo nui a hiki ʻole ke hoʻomanawanui? ʻO kēia nā hōʻailona o ka mea a mākou e kapa pinepine ai he jaundice. Hana pinepine kēia i ka wā e ālai ʻia ai nā ʻauwai bile—nā ʻōmole e lawe ana i ka bile mai kou akepaʻa e kōkua i ka ʻai ʻana. Ke hana ʻia kēia ālai ʻia, kūkulu ʻia ka bile i loko o ke akepaʻa, e alakaʻi ana i ka melemele o kou ʻili a me kēlā maneʻo mau. I ia mau hihia, hoʻohana nā kauka i kahi hana kūikawā i kapa ʻia ʻo ka biliary drainage. I ka ʻōlelo maʻalahi, pili kēia i ka hoʻokomo ʻana i kahi ʻōmole liʻiliʻi i loko o ka ʻauwai bile i ālai ʻia e ʻae i ka bile e kahe hou me ka manuahi. E kūkākūkā kākou i nā mea āpau e pono ai ʻoe e ʻike e pili ana i kēia kaʻina hana.

He aha ka Biliary Drainage, a he aha nā ʻano?

ʻO ka hoʻokahe ʻana o ka biliary he hana ia e hoʻohana ana i kahi paipu lahilahi a palupalu (catheter) e kāpae i kahi mea ālai i loko o kou ʻauwai bile, e ʻae ana i ka bile e kahe mai ke akepaʻa a i loko o ka ʻōpū liʻiliʻi. E noʻonoʻo e like me ka hana ʻana i kahi bypass no kahi paipu wai i paʻa.

Hana ʻia kēia ma nā ʻano ʻelua. Na kāu kauka e hoʻoholo i ke ʻano hana i kūpono loa no kou kūlana kikoʻī.

He aha ka Stenting?

I kekahi mau hihia, ʻoiai inā mau loa ka paʻa ʻana (e like me ka maʻi puʻupuʻu), hiki i kāu kauka ke kau i kahi ʻōmole liʻiliʻi e like me ka mesh i kapa ʻia he stent e mālama mau i ka ʻauwai bile. Hana pinepine ʻia kēia i kekahi mau lā ma hope o ke kau ʻia ʻana o ka ʻōmole hoʻokahe mua.

No ke aha he mea e pono ai kēia kaʻina hana?

ʻO ke kumu nui o kēia kaʻina hana he poloka a he ʻūmiʻi paha (`stricture`) i loko o ke auwai bile, kahi e hōʻiliʻili ai ka bile i loko o ke akepaʻa (`cholestasis`). E like me kahi ʻauwai i paʻa i loko o kāu poho holoi kīhini, pale ka poloka i ke kahe maʻamau.

ʻO nā kumu maʻamau no ka ālai ʻana o ke ala bile:

• Nā pōhaku ʻōpū (choledocholithiasis).
• ʻO ka pancreatitis a i ʻole ke kanesa pancreatic .
• ʻO ke kanesa o ka ʻauwai bile ('Cholangiocarcinoma').
• Ka maʻi ʻaʻai o ke akepaʻa a i ʻole ke kanesa o ka ʻōpū .
• Ka pehu ʻana o nā lymph nodes kokoke i ke akepaʻa a i ʻoleka pancreas ma muli o ke kanesa.
• ʻO kekahi mau maʻi parasitic .
• ʻEha ʻoki kino ma mua i nā ʻāpana bile.
• ʻO ka mumū mau loa o nā ʻauwai bile, e like me ka Primary Sclerosing Cholangitis.

Pehea ʻoe e hoʻomākaukau ai?

E hāʻawi aku kāu kauka iā ʻoe i nā ʻōlelo kikoʻī, pono ʻoe e hahai pono.

1. Mea ʻAi a me Mea Inu: Pono paha ʻoe e hoʻōki i ka ʻai ʻana, ka inu ʻana, a me ka puhipaka ma ka liʻiliʻi he 6 mau hola ma mua o ke kaʻina hana. E aʻo aku kāu kauka iā ʻoe inā hiki iā ʻoe ke inu iki i ka wai.

2. Nā maʻi ʻaleka: E hoʻomaopopo i kāu kauka i kekahi mau maʻi ʻaleka, ʻoi aku hoʻi i ka anesthesia, nā dyes contrast i hoʻohana ʻia no nā X-ray, a i ʻole nā ​​​​plastics/metala.

3. Nā lāʻau lapaʻau: E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora. Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko e like me ka aspirin a i ʻole warfarin, e nīnau i kāu kauka i ka wā e hoʻōki ai i ka lawe ʻana iā lākou ma mua o ke kaʻina hana.

4. Hāpai keiki: Inā hāpai ʻoe a manaʻo paha ʻoe he hāpai paha, pono ʻoe e hoʻomaopopo i kāu hui lapaʻau.

5. Ka halihali: No ka mea e loaʻa iā ʻoe ka lāʻau hoʻomaha, ʻaʻole hiki iā ʻoe ke hoʻokele. E ʻoluʻolu e hoʻonohonoho i kahi mea e lawe iā ʻoe i ka home.

He aha ka mea e hana ʻia i ka wā o ke kaʻina hana?

ʻOkoʻa nā ʻanuʻu ma muli o ka loaʻa ʻana o PTBD a i ʻole EBD iā ʻoe, akā e hōʻoiaʻiʻo ʻia, e wehewehe mua kāu hui lapaʻau i nā mea āpau.

Pehea e hana ai ʻo PTBD:

• E hoʻomaʻemaʻe ʻia ka ʻili ma kou ʻōpū a e hoʻomānoʻonoʻo ʻia.
• E hoʻokomo ke kauka i kahi nila lahilahi ma o ka ʻili i loko o ke kahawai bile i loko o ke akepaʻa.
• Hoʻokomo ʻia kahi dye ʻokoʻa i ʻike ʻia nā ducts ma nā kukuna X.
• Ke loaʻa ka mea paʻa, kau ʻia ka paipu hoʻokahe e ʻae i ka bile e kahe.
• E hoʻopili ʻia ka ʻaoʻao o waho o ka ʻōmole i kahi ʻeke waho e hōʻiliʻili ai i ka bile. (Pono ʻoe e hoʻokahe i kēia ʻeke i kēlā me kēia manawa).

Pehea e hana ai ʻo EBD:

• E hāʻawi ʻia ʻoe i ka anesthesia kūloko a i ʻole ka anesthesia laulā i mea e ʻoluʻolu ai ʻoe.
• Hoʻokomo ʻia ka endoscope ma kou waha a i lalo i loko o kahi duct.
• Hoʻohana ke kauka i nā mea hana i hoʻohele ʻia ma o ka endoscope e pale aku i ka poloka.
• Ma muli o ke kūlana, hiki iā lākou ke kau i kahi stent e wehe ai ke kahawai i loko.

Nā Pōʻino a me ka Mālama Ma hope

E like me nā hana lapaʻau āpau, aia kekahi mau pilikia.

• Nā pilikia kūpono:
• Hiki ke hemo, wili ʻia, a ālai ʻia paha ka paipu.
• ʻO ka ʻoluʻolu ʻole a i ʻole ka ʻeha.
• Maʻi (e kuhikuhi kāu kauka i nā lāʻau lapaʻau e pale aku i kēia).
• Ke kahe ʻana o ke koko.
• Nā kaulike ʻole o ka electrolyte.
• ʻAʻole pinepine, he mau pilikia e like me ka pneumothorax.

E kūkākūkā kāu kauka i kēia mau pilikia me ʻoe a e aʻo iā ʻoe i ka mea e hana ai inā kū mai kekahi mau pilikia.

Ka mālama ʻana iā ʻoe iho ma ka home:

Inā he ʻōmole waho a me ka ʻeke kāu, na ke kahu hānai e aʻo iā ʻoe pehea e mālama ai iā lākou.

• E pale i ke kaomi ma kahi i hoʻokomo ʻia ai, no ka mea hiki i kēia ke wili i ka paipu.
• Inā ʻōlelo ʻia, e holoi i ka ʻōmole i kēlā me kēia lā me ka saline e like me ke kuhikuhi ʻana.
• E mālama i ka hydration me nā mea inu waiwai i ka electrolyte inā ʻōlelo ʻia e kāu kauka e uku no ka nalowale o ka wai.
• Hiki iā ʻoe ke ʻauʻau i 48 mau hola ma hope o ke kaʻina hana, akā , mai ʻauʻau i loko o nā loko wai, ke kai, a i ʻole nā ​​​​loko i ka wā e paʻa ana ka ʻōmole.
• E pale i ka hāpai ʻana i nā mea kaumaha a hiki i ka wā e ʻae ʻia ai ʻoe e kāu kauka.

Āhea ʻoe e ʻimi ai i ke kōkua lapaʻau pilikia?

Inā loaʻa iā ʻoe kekahi o kēia mau mea, e kelepona koke aku i kāu kauka a i ʻole e hele i ke keʻena ulia pōpilikia kokoke loa.

• Kuni a i ʻole ke anu.
• Hoʻonui ʻia ka ʻeha, ka pehu ʻana, a i ʻole ka ʻulaʻula ma kahi o ka paipu.
• Ke kahe ʻana o ka pus a i ʻole ka wai hoʻokahe kūpono ʻole mai ka wahi.
• ʻEha hou a ʻeha paha ka ʻōpū.
• Ka hoʻi hou ʻana o ka ʻili melemele a i ʻole nā ​​maka.
• Ka luaʻi mau ʻana.
• Inā ʻike ʻia ka ʻōmole e huki ana i waho a wehe paha.
• Inā ʻaʻole hiki iā ʻoe ke hoʻokuʻu i ka ʻōpala a i ʻole ke kinoea.

He lāʻau lapaʻau kūpono loa ka hoʻokahe ʻana o ka biliary no nā mea e ālai ana i ke aʻa bile. E kōkua kāu hui lapaʻau iā ʻoe e koho i ke ala kūpono loa no kou olakino. E ʻoluʻolu e nīnau iā lākou i nā nīnau āu e loaʻa ai.

Ka Hoʻokahe ʻAi Biliary, nā ala bile i ālai ʻia, jaundice, PTBD, EBD, maʻi akepaʻa, nā pōhaku gall, ʻatikala lapaʻau Nirogi Lanka