Biliary Drainage: Wetin Mek ɛn Aw Dɛn De Du am?

Yu yay ɛn yu skin de tɔn yɔlɔ ɛn yu wan ol bɔdi de it we yu nɔ go ebul fɔ bia? Dis na di sayn dɛm fɔ wae wi ɔl no as janda. Bɔku tɛm, di tin we kin mek dis apin na we di bayl dakt kin blok, we na wata we kin kɔmɔt na wi liva ɛn ɛp fɔ digest. We dis blok, da wata de go bak insay di liva, we de mek di liva yɔlɔ ɛn it. So, wan spɛshal tritmɛnt we dɔktɔ dɛn kin yuz pan dɛn kayn tin ya, dɛn kɔl am Biliary Drainage. Fɔ tɔk am simpul wan, dis min se dɛn fɔ put smɔl tiub insay di bayl dakt we dɔn blok ɛn alaw di bayl fɔ kɔmɔt. Lɛ wi tɔk bɔt dis ditayli tide.

Wetin na Biliary Drainage? Ɛni kayn dɛn de?

biliary Drainage na we dεn de yuz wan fleksibul, tin tכb (catheter) fכ alaw di bayl fכ fכlכ tru wan blכk we de na di bayl dakt, we de kכmכt frכm di liva to di sכmכl intestin. I tan lɛk se yu de mek nyu rod fɔ wata we dɛn dɔn blok. Dɛn kin du dis tu men we dɛn. Yu dɔktɔ go disayd us we fɔ du am fayn fɔ yu bay aw yu sik.

Wetin na fɔ put stent?

Sɔntɛnde, mɔ if di blɔk de fɔ ɔltɛm (fɔ ɛgzampul, bikɔs ɔf kansa), yu dɔktɔ kin put wan smɔl tiub we tan lɛk mɛsh, we dɛn kɔl stent, insay yu bayl dakt fɔ ɔltɛm fɔ mek i opin. Dɛn kin du dis sɔm dez afta dɛn dɔn put di fɔs tiub.

Wetin mek pɔsin go nid dis kayn tritmɛnt?

di men rizin we mek yu nid dis tritmεnt na we di bayl dakt de blok כ sכmtεm (`stricture`). dis de mek di bayl fכluid de kכmכt na di liva (`cholestasis`). Imajin, sɔntin lɛk we dreyn paip na wi os klos, wata kin gɛda ya. Bɔku rizin dɛn kin de fɔ mek di bayl dakt blok:

• Ston dεm na di gal blad כ di bayl dakt dεm (choledocholithiasis).
• Pankrias ɔ pankrias kansa .
• Bayl dakt kansa (Kɔlangiokarsinoma).
• Liva kansa ɔ gal blad kansa.
• di limf no dεm we de nia di liva כ pankrias de swεla bikoz fכ kεnsar.
• Sɔm parasayt infɛkshɔn dɛn .
• Damej to di bayl dakt dɛm we dɛn de du ɔda ɔpreshɔn.
• di lכng tεm inflammatory kכndishכn dεm na di bayl dakt dεm, lεk `primary sclerosing cholangitis`.

Aw yu kin pripia bifo yu gɛt tritmɛnt?

Sɔm tin dɛn de we yu fɔ du bifo dis tritmɛnt. Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt dis. I rili impɔtant fɔ fala dɛn instrɔkshɔn dɛn de di rayt we. 1. Fɔ it ɛn drink: Yu fɔ stɔp fɔ it, drink, ɛn smok at le 6 awa bifo di tritmɛnt. Yu dɔktɔ kin tɛl yu ustɛm yu kin drink wata lɛk wata. 2. Alɛji: Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni alɛji we yu gɛt, mɔ to anestetik, kɔntrast day we dɛn kin yuz fɔ ɛkstrem rayt, ɔ to plastic ɔ mɛtal. 3. Di mɛrɛsin dɛn we dɛn kin yuz:Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek naw (inklud di vaytamɛn dɛn). Ɛspɛshali if yu de tek blɔd thinner (anticoagulants) lɛk aspirin ɛn warfarin, aks if yu nid fɔ stɔp fɔ tek dɛn ɛn ustɛm. 4. Bɛlɛ: Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt bɛlɛ ɔ yu kin gɛt bɛlɛ. 5. Drayv: Yu nɔ go ebul fɔ drayv afta di tritmɛnt bikɔs yu go de ɔnda anestezi. So plan fɔ briŋ pɔsin fɔ kɛr yu go na os.

Wetin kin apin we dɛn de trit am?

di step dεm fכ dis go difrεn sכmtεm dipכnt pan di prכsidכm we yu de du (PTBD כ EBD). Bɔt nɔ wɔri, yu dɔktɔ go ɛksplen ɔltin to yu bifo tɛm.

Aw dɛn kin du di pɔrkyutanɛs mɛtɔd (PTBD):

• Fɔs, dɛn kin klin di skin na yu bɛlɛ ɛn di say we yu de, kin mek yu bɔdi nɔ gɛt bɛtɛ trɛnk.
• Dɔn di dɔktɔ kin put wan smɔl nidul tru di skin insay wan bayl dakt na di liva.
• Dɛn kin injɛkt wan spɛshal wata (kɔntrast day) fɔ mek pɔsin si di ɛkstrem rayt.
• we dεn fכnshכn di εksakכt say we di blכk de, dεn de put di drenaj tכb insay da εria de εn dεn de alaw di bayl fכs fכ drεn.
• di כda εnd pan dis tiub de kכmכt na yu skin εn i kכnekt to wan bag we de na do. di bayl fluid de kכlekt insay dis bag. (Dis bag nid fɔ ɛmti bɔku tɛm insay di de.)

aw dεn de du di εndoskopik prosidכs (EBD):

• Insay dis, dɛn go gi yu jenɛral anestezi ɔ layt anestesia, so yu nɔ go fil natin.
• Yu trot de tingling.
• Di dɔktɔ kin put wan tiub wit kamɛra (ɛndoskɔp) tru di mɔt, pas am along di it paip, ɛn gayd am fɔ go usay di bayl dakt de.
• afta dat, dεn de pas כda tכb (kateta) tru da tכb de εn pas tru di dakt we dεn blכk fכ mek di bayl fכ fכlכ.
• If dɛn pul di swɛt na do, dɛn kin put wan tiub tru di nos ɛn tay am pan bag. If dɛn pul am insay, dɛn kin put stent insay.

Risk ɛn kia afta tritmɛnt

Jɔs lɛk ɛni ɔda mɛrɛsin, prɔblɛm ɛn prɔblɛm dɛn de we kin apin.

• Di prɔblɛm dɛn we kin apin:
• Di tiub we dɛn put insay aksidɛnt we i lɔs, twist, ɔ blok.
• Pen ɔ nɔ fil fayn.
• Infεkshכn (di dכkta go gi yu antibaytik fכ mek dis nכ apin).
• Blɔd we de kɔmɔt.
• di chenj dεm we de apin na di bכdi in ilektrolayt kכmכshכn (`Ilektrolayt abnכmaliti`).
• Na sכm tεm, lכng prכblεm (`Pneumothorax`) kin apin.

Di dɔktɔ go ɛksplen dɛn bad tin ya to yu klia wan ɛn advays yu bɔt wetin fɔ du if ɛni prɔblɛm kam.

Aw fɔ kia fɔ yusɛf na os?

If yu gɛt tiub ɛn bag we dɛn put na do na yu bɔdi, di wan dɛn we de wok na di nɔs go tich yu aw fɔ kia fɔ am.

• Nɔ slip wit yu wet na di sayd usay di tiub de. Dis kin mek di tiub twist.
• If yu dɔktɔ advays yu fɔ was di tiub wit smɔl salin sɔlshɔn ɛvride, du dat.
• Drink ilɛktrɔlayt drink fɔ kɔmpɛns di bɔku wata we de kɔmɔt na di bag. Aks yu dɔktɔ wetin fɔ drink ɛn ɔmɔs fɔ drink.
• Yu kin tek shawa 48 awa afta di tritmɛnt. Bɔt nɔ go swim na pul ɔ na di si/riva we di tiub de insay.
• Nɔ es wet te yu dɔktɔ tɛl yu fɔ du dat.

Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?

If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm, ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.

• Fiva .
• If pen de go ɔp, swel, ɔ rɛd na di say we dɛn put di tiub.
• If di pus ɔ ɔda wata de kɔmɔt na di say we di tiub de.
• If di bɛlɛ pen de bɔku ɔ i apin bak.
• If di skin ɔ di yay tɔn yɔlɔ bak.
• If yu de vɔmit.
• If i tan lɛk se di paip de kam lus.
• If stɔl nɔ pas ɔ di briz nɔ pas.

biliary drenage na wan tritmεnt we rili ifektiv fכ bayl dakt obstrכkshכn. Yu mɛdikal tim go ɛp yu fɔ pik di bɛst tin fɔ yu sik. Fil fri fɔ aks dɛn ɛni kwɛstyɔn ɔ ɛnitin we de mɔna yu. Biliary Drainage, Bile Duct Obstruction, Jaundice, PTBD, EBD, Liva Sik, Galston, Sinhala mεdikal atikul