Yu yay ɔ yu skin de tɔn yɔlɔ, ɛn yu de sɔfa wit bad bad it we yu nɔ go ebul fɔ bia? Dis na sayn dɛm fɔ wetin wi kin kɔl janda. Bɔku tɛm dis kin apin we di bayl dakt dɛn—di tiub dɛn we de kɛr bayl kɔmɔt na yu liva fɔ ɛp fɔ digest—dɛn kin blok. we dis blכk de apin, di bayl de bכku na di liva, we de mek yu skin yכlכ εn dat i de it we de kכntinyu. If dɛn kayn tin ya apin, dɔktɔ dɛn kin yuz wan spɛshal we we dɛn kɔl biliary drainage. Fɔ tɔk am simpul wan, dis min se dɛn fɔ put smɔl tiub insay di bayl dakt we dɔn blo fɔ mek di bayl ebul fɔ flɔ fri wan bak. Lɛ wi tɔk bɔt ɔl wetin yu nid fɔ no bɔt dis prosidur.
Wetin Na Biliary Drainage, ɛn Wetin Na di kayn dɛn?
biliary drenage na we dεn de yuz wan tin, fleksibul tכb (catheter) fכ baypas wan obstrכkshכn na yu bayl dakt, we de alaw bayl fכ fכlכ frכm di liva insay di sכmכl intestin. Tink bɔt am lɛk se yu de mek baypas fɔ wata paip we dɔn lɔk.
Dɛn kin du dis mɔ bay tu we dɛn. Yu dɔktɔ go disayd us we fɔ du tin we go fayn fɔ yu patikyula sik.
| Tayp fɔ di we aw dɛn fɔ du am | Simpul Ɛksplen |
|---|---|
| Pɛrkyutan transhɛpatik biliary drenaj (PTBD) . | Insay dis we, di dɔktɔ kin put wan tiub tru yu skin ɛn go insay di liva dairekt wan fɔ rich na di bayl dakt. We di dɔktɔ de yuz wan spɛshal ɛkstrem rayt we (fluoroscopy) de gayd di tiub jɔs fɔ go na di rayt say. afta dat di bayl de drayn tru di tכb insay wan sכmכl bag we de na do. |
| Endoskopik biliary drenaj (EBD) . | fכ dis prכsidכm, dεn kin pas wan tint tכb we gεt kεmεra (εndoskop) tru yu mכt εn dכn yu dijestiv trakt fכ rich di bayl dakt. we dεn rich de, di dכkta de yuz di εndoskop fכ klin di blכk כ put sכm sכm tכb (stεnt) fכ alaw di bayl fכ fכlכ nכmal wan bak insay di intestin. |
Wetin Na Stent?
Sɔntɛnde, mɔ if di blɔk de fɔ ɔltɛm (lɛk bikɔs ɔf tumbu), yu dɔktɔ kin put wan smɔl tiub we tan lɛk mɛsh we dɛn kɔl stent fɔ mek di bayl dakt opin fɔ ɔltɛm. Bɔku tɛm dɛn kin du dis sɔm dez afta dɛn dɔn put di fɔs drenaj tiub.
Wetin Mek Dis Prosidyu I nid fɔ Du?
di praymar rizin fכ dis prosidכs na we di bayl dakt de blok כ sכmtεm (`stricture`) we de mek di bayl de kכmכt na di liva (`cholestasis`). Jɔs lɛk aw dreyn we dɔn lɔk na yu kichin sink, di blɔk we de blok de mek i nɔ de flɔ nɔmal wan.
Di kɔmɔn tin dɛn we kin mek di bayl dakt blok na:
- Galston dɛn (`kɔledokolitiasis`).
- Pankrias ɔ pankrias kansa .
- Bayl dakt kansa (`Kɔlanjiɔkarsinoma`).
- Kansa na di liva ɔ kansa na di gal blad .
- Swel na di limf no dεm nia di liva כpankrias bikɔs ɔf kansa.
- Sɔm parasayt infɛkshɔn dɛn .
- Di injuri we dɛn bin dɔn du bifo dɛn du di ɔpreshɔn pan di bayl dakt dɛn.
- di inflameshn we de te na di bayl dakt dεm, lεk Primary Sclerosing Cholangitis.
Di tin we impɔtant pas ɔl na dat, if yu gɛt dɛn sik ya, duya go to yu dɔktɔ wantɛm wantɛm fɔ no wetin mek yu gɛt dis sik. Nɔ tray fɔ trit dis yusɛf.
Aw Yu Fɔ Pripia?
Yu dɔktɔ go gi yu patikyula instrɔkshɔn dɛn, we yu fɔ fala strikt wan.
1. Fɔ it ɛn drink: Yu go mɔs nid fɔ stɔp fɔ it, drink, ɛn smok at le 6 awa bifo dɛn du di ɔpreshɔn. Yu dɔktɔ go advays yu if yu kin gɛt smɔl wata.
2. Alɛji: Tɛl yu dɔktɔ bɔt ɛni alɛji, mɔ fɔ anestezi, kɔntrast day we dɛn kin yuz fɔ ɛkstrem rayt, ɔ plastic/mɛtal.
3. Mɛrɛsin: Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek naw, ivin di vaytamɛn dɛn. If yu de tek tin dɛn we de mek yu blɔd tan lɛk aspirin ɔ warfarin, aks yu dɔktɔ ustɛm fɔ stɔp fɔ tek dɛn bifo yu du di ɔpreshɔn.
4. Bɛlɛ: If yu gɛt bɛlɛ ɔ yu tink se yu go gɛt bɛlɛ, yu fɔ tɛl yu mɛdikal tim.
5. Transpɔt: Bikɔs yu go gɛt sɛdeshɔn, yu nɔ go ebul fɔ drayv. Duya, arenj fɔ mek sɔmbɔdi kɛr yu go na os.
Wetin Kin Apin We Dɛn De Du di Prɔsidyu?
Di step dɛn kin difrɛn bay if yu de gɛt PTBD ɔ EBD, bɔt nɔ biliv, yu mɛdikal tim go ɛksplen ɔltin bifo tɛm.
Aw PTBD De Wok:
- Di skin we de na yu bɛlɛ go klin ɛn nɔ gɛt bɛtɛ trɛnk.
- di dכkta go put wan tint nidul tru di skin insay di bayl dakt insay di liva.
- Dɛn kin injɛkt wan kɔntrast day so dat di dakt dɛn go de pan ɛkstrem rayt.
- we dεn dכn sכk di blכk, dεn kin put di drenaj tכb fכ alaw di bayl fכ fכlכ.
- di כta εnd fכ di tכb go atak wan eksternal bag we de kכlekt di bayl. (Yu go nid fɔ ɛmti dis bag wan wan tɛm).
Aw EBD De Wok:
- Dɛn go gi yu lokal ɔ jenɛral anestezi so dat yu go kɔntinyu fɔ fil fayn.
- di endoskop de pas tru yu mכt εn dכn insay di dakt εria.
- Di dɔktɔ kin yuz tul dɛn we dɛn kin pas na di ɛndoskɔp fɔ mek i nɔ ebul fɔ pas di say we di tin dɔn blo.
- Dipen pan di situeshɔn, dɛn kin put stent fɔ mek di dakt opin insay.
Risk ɛn Afta Keya
Jɔs lɛk ɛni ɔda mɛrɛsin, prɔblɛm dɛn de we kin apin.
- Di Kɔmplikɛshɔn dɛn we kin apin:
- Di tiub kin kɔmɔt, twis, ɔ blok.
- Diskɔmfɔt ɔ pen.
- Infεkshכn (yu dכkta go gi yu antibaytik fכ mek dis nכ apin).
- Blɔd we de kɔmɔt.
- Ilɛktrɔlayt imbalans.
- Rarely, lכng komplikashכn dεm lεk nyumothorax.
Yu dɔktɔ go tɔk to yu bɔt dɛn prɔblɛm ya ɛn advays yu bɔt wetin fɔ du if ɛni prɔblɛm kam.
Fɔ Kia Fɔ Yusɛf na Os:
If yu gɛt ɛksternal tyub ɛn bag, di nɔs wokman dɛn go tich yu aw fɔ kia fɔ dɛn.
- Nɔ prɛs di say we dɛn put am, bikɔs dis kin mek di tiub twist.
- If dɛn tɛl yu fɔ was di tiub ɛvride wit salin lɛk aw dɛn tɛl yu.
- Mek yu gɛt wata wit drink dɛn we gɛt ilɛktrɔlayt if yu dɔktɔ advays yu fɔ kɔmpɛns di wata we yu lɔs.
- Yu kin shaw 48 awa afta di prɔsidyu, bɔt nɔ swim na pul, di si, ɔ lek we di tiub de insay.
- Nɔ es ebi ebi tin dɛn te yu dɔktɔ klin yu.
Ustɛm Yu Fɔ Go to Mɛdikal Atenshɔn we Yu Gɛt Imejɛnsi?
If yu gɛt ɛni wan pan dɛn tin ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul imejensi dipatmɛnt we de nia yu.
- Fiva ɔ kol kol.
- Di pen we de go ɔp, swel, ɔ rɛd na di say we di tiub de.
- Pus ɔ abnɔmal dischaj we de lik frɔm di sayt.
- Nyu ɔ we de wɔs bɛlɛ pen.
- Di yɔlɔ skin ɔ yay we de kam bak.
- We yu de vɔmit ɔltɛm.
- If i tan lɛk se di tiub de pul kɔmɔt ɔ i lɔs.
- If yu nɔ ebul fɔ pas stɔl ɔ gas.
biliary drenage na wan tritmɛnt we rili fayn fɔ di bayl dakt we de ambɔg. Yu mɛdikal tim go ɛp yu fɔ pik di bɛst we fɔ yu wɛlbɔdi. Fil fri fɔ aks dɛn ɛni kwɛstyɔn we yu gɛt.
Ki tin dɛn we dɛn kin tek fɔ tek
- biliary drenage na prosidur fכ rilivu di bayl dakt blok so di bayl kin fכ fכlכ nכmal wan.
- Bɔrku tɛm, di sayn dɛm na janda (di skin/ays de yɔlɔ), it, ɛn dak urine.
- di prosidכs de kכmכt via PTBD (skin-based) כ EBD (εndoscopic).
- Fɔ fala di instrɔkshɔn dɛn we dɛn dɔn gi bifo dɛn du di wok bɔt fɔ fast ɛn fɔ tek mɛrɛsin rili impɔtant.
- Go to imejensi kia if yu gɛt fiva, bad bad pen, ɔ lik na di sayt afta di ɔpreshɔn.
Biliary Drainage, blok bayl dakt, janda, PTBD, EBD, liva sik, galston, Nirogi Lanka mεdikal atikul
