Ngā mea katoa mō te rongoā i te aukati i te awaawa o te ate (Biliary Drainage) i roto i ngā kupu māmā noa iho

Kei te kōwhai ō kanohi me tō kiri? Kei te mākūkū rānei tō tinana katoa? He tohu ēnei i ētahi wā ka puta mai i te aukatinga o ngā awaawa e kawe ana i te wai e kiia nei ko te 'wai au' mai i tō tātou ate. He mea nui tēnei wai e kiia nei ko te 'wai au' mō te tukanga nakunaku i roto i tō tātou tinana. Nō reira, ki te aukatia tēnei awaawa au, ka taea e ia te hoki ake ki roto i te ate, ā, ka puta he maha ngā raruraru. I tēnei rā, kei te kōrero tātou mō tētahi maimoatanga motuhake e mahia ana e ngā tākuta i roto i ēnei momo take. Ko te Wai Au o te Wai Au.

He aha te tikanga o te Biliary Drain?

He ngongo angiangi, ngāwari hoki te rerenga wai toto. Ka whakamahia tēnei ngongo hei karo i te aukati i roto i te awa toto e hono ana i te ate me te whekau iti, hei tango i te wai toto mai i te tinana, hei whakahoki rānei ki te whekau iti.

Whakaarohia he para e piri ana ki waenganui o te paipa wai. Kātahi ka kī te wai i te wāhi kotahi, ka piki te pēhanga, ā, ka pakaru te paipa, tika? Koinei te āhua o te aukati i ngā awaawa au. Ka kohia te au i roto i te ate. E kiia ana tēnei āhuatanga e te rongoā he cholestasis . Ina tupu tēnei, ka puta te āhuatanga i kōrerotia i mua ake nei, arā , ka kōwhai ngā kanohi, ka kōwhai hoki te kiri. I tua atu i tēnei, ka tino mākūkū te tinana katoa.

Nō reira, ko tā te rerenga wai o te ate he karo i te aukati, ka waihanga i tētahi ara mō te rere o te ate kia hoki mai ai. I ētahi wā, ka kohia tēnei ate ki roto i tētahi putea i waho o te tinana.

He aha ēnei tikanga whakauru ngongo? (Ngā momo whakahekenga wai o te ate)

E rua ngā tikanga matua o tēnei maimoatanga. Mā tō tākuta e whakatau ko tēhea tikanga te mea pai mōu, i runga i tō āhua.

1. Te Whakahekenga o te Wai Puku o te Ati (PTBD)

Ko te whakauru i tētahi ngongo angiangi (catheter) mā roto i te kiri i te taha matau o tō puku, mā roto i tō ate, ā, ki roto i tō awaawa au. Ka mahia tēnei mā te whakamahi i te fluoroscopy, he tikanga hihi-X motuhake. Ka whakaurua te ngongo i muri i te kimi i te wāhi tika o te aukati. Kātahi ka honoa te pito kē atu o tēnei ngongo ki tētahi pēke i waho o te tinana. Kātahi ka kohia te au ki roto i taua pēke.

2. Te Whakahekenga o te Wai Pipi Endoskopiko (EBD)

Ko te mea e tupu ana i konei ko te whakauru i tētahi ngongo angiangi me tētahi kāmera e piri ana, e kiia nei ko te endoscope , mā roto i tō waha ka heke iho i tō paipa kai ki te whakatuwheratanga o te awa au (te tīmatanga o te whekau iti). Kātahi ka tukuna tētahi atu ngongo angiangi mā roto i te endoscope ka whakaurua ki roto i te awa au kua āraia hei tango i te au.

Ka taea hoki te mahi i tēnei tikanga i ngā huarahi rerekē.

• Te Wairewa Nasobiliary Endoscopic (ENBD):I konei, ka haere ngā paru mā roto i tētahi ngongo ka whakaurua mā te ihu, ka kohia ki roto i tētahi putea i waho o te tinana.
• Te Tātaritanga o Roto: Ko te tikanga tēnei he whakatakoto i tētahi ngongo iti rite ki te stent ki roto i te wāhi kua āraia, ā, ka tukuna te au kia rere mā roto. Mā tēnei ka taea te rere tika o te au ki roto i te whekau iti, kaua e wehe atu i te tinana. Koinei te tikanga tino noa.

He aha te take e hiahia ai tetahi ki te whakatakoto i tētahi paipa pēnei?

He maha ngā take e āraia ai, e āraia ai rānei te awaawa o te ate. E hiahiatia ana tēnei maimoatanga nā te mea ka puta te mate e kiia nei ko te cholestasis ina puta tēnei. Me titiro tātou ki ngā tino take.

Me pēhea te whakarite i mua i te maimoatanga?

He mea tino nui kia whai i ngā tohutohu a tō tākuta i mua i te whai i tēnei maimoatanga. I te nuinga o te wā, me tūpato koe ki ēnei mea.

• Me mutu te kai, te inu, me te momi hikareti i te iti rawa i te 6 hāora i mua i te maimoatanga . Tērā pea ka whakaaetia koe ki te inu wai, engari mā tō tākuta koe e tohutohu atu ki te mea tika hei mahi.
• Kōrerotia ki tō tākuta ngā mate pāwera kei a koe i mua i te wā, inā koa ki ngā rongoā whakamoe, ki te tae rerekē e whakamahia ana i roto i ngā hihi-X, i ngā kirihou, i ngā konganuku rānei.
• Me whakamōhio atu ki tō tākuta mō ngā rongoā me ngā huaora katoa e tangohia ana e koe i tēnei wā .
• Mena kei te tango koe i ngā rongoā hei ārai i te toto totoka (hei tauira, ngā rongoā ārai toto pēnei i te aspirin me te warfarin), kōrero ki tō tākuta mēnā me whakamutu aua rongoā i mua i te maimoatanga, me pēhea hoki te mahi i tēnā.
• Mena kei te hapu koe, kei te tata rānei koe ki te hapu, tena koa whakamōhio mai ki a mātou.
• Nā te mea kāore e taea e koe te taraiwa i muri i te maimoatanga nā te mate whakamoe, he mea nui kia whakaritea he tangata hei taraiwa i a koe ki te kāinga i mua i te wā.

He aha ngā mea ka tupu i te wā e rongoatia ana?

Tērā pea he rerekētanga iti i waenga i ngā mahi ka mahia, kei runga i te tikanga ka mahia ki a koe, engari mā te tākuta e whakamārama ngā mea katoa ki a koe i mua i te wā.

Te whakahaere i te tikanga percutaneous (PTBD)

1. Tuatahi, ka horoia e te tākuta te kiri o tō puku ki te wai patu paturopi, ā, ka whakangoikore i te wāhi.

2. Kātahi ka werohia he ngira angiangi mā roto i te kiri ki roto i te awa au i roto i te ate.

3. Ka werohia he wai motuhake e kīia ana ko te tae rerekē hei tiro mārama i te pūnaha awa au i runga i te hihi-X.

4. Kia kitea te wāhi tuturu o te aukati, ka whakauruhia he ngongo rerenga wai toto mā roto, ā, ka tukuna te wai toto kia rere.

5. Ka hutia te pito o waho o te ngongo i te kiri o te puku, ka honoa ki tētahi pēke. Ka kohia ngā paru ki roto i te pēke. Me whakawātea tēnei pēke i ngā wā maha i te rā.

Te whakahaere i te tikanga endoscopic (EBD)

1. Ka whakamoea rawatia koe, ka tukua rānei koe ki te moe hōhonu.

2. I mua i te whakaurunga o te endoscope mā te waha, ka pania he rehu rongoā ki te korokoro hei whakangoikore i te korokoro.

3. Kātahi ka whakaurua e te tākuta te endoscope mā te waha, ka tukuna mā te paipa kai, kātahi ka tomo ki te wāhanga o runga o te whekau iti.

4. Mai i reira, ka whakauruhia tētahi atu ngongo angiangi (catheter) mā te endoscope ki roto i te awaawa aukume kua āraia.

5. Kātahi ka tangohia te mea i āraia, ā, ka tukuna te au kia rere. Mena kei te whakauruhia he stent ki roto, ka mahia tēnei i tēnei wā. Mena kei te tangohia he ngongo, ka tangohia te ngongo mai i te ihu ka honoa ki tētahi pēke.

He tūponotanga kei roto?

Pērā i ngā maimoatanga hauora katoa, tera pea ētahi mōrearea me ngā raruraru ka pā mai. Mā tō tākuta koe e whakamōhio atu ki a koe mō ēnei mea katoa.

Me pēhea te tiaki i te paipa ina tae koe ki te kāinga?

Mena he ngongo me he putea kei roto i tō tinana, ka hoatu e te nēhi he tohutohu taipitopito mō te tiaki i a ia. Me ata whai i aua tohutohu.

• Inuhia he inu electrolyte e rite ana ki te nui o te au e tāpirihia ana ki te putea. Ma tō tākuta koe e tohutohu he aha te mea hei inu me te nui hei inu.
• Kia nui te okiokinga i muri i te maimoatanga. He mea pai kia whai hoa hei āwhina i a koe i te pō tuatahi.
• Kaua e moe me tō taumaha ki te taha o te ngongo . Pērā ai, ka iti ake te tūponotanga ka takahuri te ngongo.
• Ka taea e koe te hoki anō ki ō mahi o ia rā i muri i ngā haora 24, engari kaua e hiki i tētahi mea taumaha ake i te 5 kg .
• Tangohia ngā rongoā katoa i tohua e te tākuta kia rite ki te whakahau .
• Ka taea e koe te kaukau i muri i ngā hāora 48. Heoi, kaua e kaukau rawa i roto i ngā puna kaukau, i te moana, i ngā awa rānei kia mau rā anō te tū o te ngongo.

Āhea koe me toro atu ki te tākuta tonu?

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, he tohu pea tēnei nō te mate urutā. Nō reira, waea atu ki tō tākuta tonu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.

• Mena ka piki ake te mamae, te pupuhi, te whero rānei i te wāhi i whakaurua ai te ngongo .
• Mena kei te turuturu te wai, te wai rānei mai i te wāhi o te ngongo.
• Ki te pāngia koe e te kirika .

Kia whai whakaaro hoki ki ēnei āhuatanga:

• Mena he kōwhai hou, he kōwhai kino rānei o te kiri, o ngā kanohi rānei.
• Ki te huri whakarere te tae, te haunga rānei o ngā paru kua kohia i roto i te putea .
• Mena te āhua nei kei te marere te paipa i te wāhi i whakatakotoria ai.
• Mena he mamae puku hou tōu, ka kino haere rānei tō mamae o nāianei.
• Mena ka haere tonu te ruaki .
• Ki te kore te puku e takoto kau, ki te kore rānei te hau e puta mai .

He mea noa te mataku ina rongo koe mō tēnei momo maimoatanga. Engari kia maumahara, ko tā tēnei he āwhina i tō tinana kia whakakore i te mamae e pā mai ana, kia hoki ai ki tōna āhua hauora. Kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe. Māna e whakamārama ngā mea katoa ki a koe.