Kodi dokotala wanu analangiza opaleshoni yochotsa miyala ya ndulu? Ngati ndi choncho, mwina munauzidwa kuti 'Intraoperative Cholangiogram' idzachitika panthawi ya opaleshoniyo. Dzinalo lingamveke ngati lovuta pang'ono, ndipo mwina mungamve mantha pang'ono. Koma iyi ndi mayeso ofunikira kwambiri omwe amachitidwa kuti mukhale otetezeka. Tiyeni tiwone chomwe chili, chifukwa chake chimachitidwa, komanso ubwino womwe ungakupatseni.
Kodi Intraoperative Cholangiogram ndi chiyani?
Mwachidule, Intraoperative Cholangiogram ndi mayeso apadera a X-ray omwe amachitidwa panthawi ya opaleshoni yanu yochotsa ndulu ( cholecystectomy ). Zimapatsa dokotalayo 'mapu' omveka bwino a ducts ya ndulu mkati mwa thupi lanu.
Ndudu yomwe imapangidwa ndi ndulu ndi chiwindi chathu imadutsa m'machubu ang'onoang'ono kupita kumatumbo ang'onoang'ono. Njira imeneyi imatchedwa njira ya ndulu. Ndi X-ray iyi, dokotala amatha kuona bwino momwe njira iyi ya ndulu imakhazikidwira, momwe imalumikizirana, komanso ngati pali miyala ya ndulu kapena zotsekeka zina m'machubu.
Cholinga chachikulu cha izi ndikuthandiza dokotala kuchotsa ndulu yanu mosamala kwambiri , popanda kuwononga ndulu.
N’chifukwa chiyani madokotala amachita mayeso amenewa?
Pali ubwino wambiri wochita mayesowa panthawi ya opaleshoni yochotsa ndulu. Ndi thandizo lalikulu kwa gulu lachipatala.
| Cholinga cha mayesowa | Kufotokozera kosavuta |
|---|---|
| Kuzindikira miyala yobisika | Nthawi zina, miyala ing'onoing'ono imatha kukodwa mu ndulu, zomwe sizingayambitse zizindikiro poyamba, koma zimatha kuyambitsa mavuto pambuyo pake. Kuyesa kumeneku kumatha kuzindikira miyala yobisika ndipo, ngati n'kotheka, kuichotsa panthawi ya opaleshoni. |
| Kuzindikira kuwonongeka kwa ndulu | Kuyezetsa kumeneku kumathandiza kuzindikira kuwonongeka kulikonse kwa ndulu yomwe yawonongeka panthawi ya opaleshoni ndikuikonza nthawi yomweyo. |
| Kusamalira kapangidwe ka ndulu | Mmene ziwalo zimakhazikitsidwira mkati mwa thupi la munthu aliyense zimatha kusiyana pang'ono. Momwe njira yolumikizirana ya cystic duct yochokera ku ndulu ndi njira yolumikizirana ya bile yochokera ku chiwindi imalumikizirana zimatha kusiyana malinga ndi munthu. Poyang'ana "mapu" awa, dokotalayo amatha kuchita opaleshoniyo mosamala kwambiri. |
Kodi pali zifukwa zapadera zochitira mayesowa?
Madokotala ena amachita mayesowa nthawi iliyonse akachitidwa opaleshoni yochotsa ndulu (routine cholangiography). Komabe, ena amachita izi pokhapokha ngati pali zifukwa zapadera (selective cholangiography). Ngati muli ndi vuto limodzi kapena angapo omwe ali pansipa, dokotala wanu mwina angasankhe kuchita mayesowa.
- Ngati muli ndi vuto la mayeso a chiwindi chanu .
- Ngati kuchuluka kwa ma enzymes a pancreatic kwakwera.
- Ngati mwakhalapo kapena mwakhalapo ndi kapamba posachedwapa.
- Ngati muli ndi jaundice .
- Ngati mwakhala ndi vuto la kutsekeka kwa ndulu, monga miyala.
- Ngati mwayesedwa ndi mayeso a ERCP (endoscopic retrograde cholangiopancreatography) kuti muwone kapena kuchotsa zotsekeka mu ducts za bile, koma sizingatheke kuwona kwathunthu ducts za bile kapena kuchotsa zotsekekazo.
Kodi izi zimachitika bwanji?
Zonsezi zimachitika pansi pa opaleshoni yoletsa kupweteka ndipo mumagona tulo tofa nato, kotero simudzamva chilichonse. Choncho palibe chifukwa choopera izi.
Zinthu zomwe muyenera kuchita musanachite opaleshoni
Kukonzekera izi kuli ngati kukonzekera opaleshoni yochotsa ndulu. Dokotala wanu adzakupatsani malangizo omveka bwino okhudza izi.
- Mudzapemphedwa kusala kudya (kusiya kudya kapena kumwa) kwa maola angapo opaleshoni isanachitike.
- Muyenera kudziwitsa dokotala wanu za mankhwala aliwonse omwe mukumwa. Mankhwala ena angafunike kuyimitsidwa kapena kusinthidwa mlingo musanachite opaleshoni. Musasiye kumwa mankhwala aliwonse popanda upangiri wa dokotala.
- Konzani kuti wina akutengereni kunyumba mukatha opaleshoni.
Chimachitika ndi chiyani pa opaleshoni
1. Dokotala wogonetsa anthu ogonetsa adzakupatsani mankhwala ogonetsa anthu ogonetsa ndipo adzakugonetsani tulo tofa nato.
2. Dokotala wa opaleshoni amapanga ming'alu yaying'ono kapena ming'alu ingapo m'mimba pa opaleshoni.
3. Kenako, chubu chopyapyala kwambiri (catheter) chimalowetsedwa mu cystic duct.
4. Kudzera mu chubu ichi, madzi apadera otchedwa utoto wosiyana amalowetsedwa mu dongosolo la duct ya bile. Madzi awa amachititsa kuti dongosolo la duct ya bile liwoneke bwino kwambiri komanso loyera pa X-ray.
5. Tsopano, pogwiritsa ntchito makina a X-ray, dokotalayo amaona madzi akuyenda kudzera mu makina owunikira.
6. Ngati muwona miyala iliyonse yamatirira panthawiyi, yesani kuichotsa nthawi yomweyo ngati n'kotheka.
7. Pogwiritsa ntchito "mapu" a X-ray awa, ndulu imachotsedwa bwino kwambiri, opaleshoniyo yatha, ndipo mabala amatsekedwa.
Pambuyo pa opaleshoni
Pambuyo pa opaleshoni, mudzayang'aniridwa m'chipinda chosungiramo odwala. Nthawi zambiri mudzatha kupita kunyumba madzulo omwewo kapena tsiku lotsatira.
Kodi zoopsa ndi ubwino wa mayesowa ndi ziti?
Monga momwe zimakhalira ndi njira iliyonse yachipatala, pali zoopsa zazing'ono kwambiri, koma ubwino wake ndi wochuluka.
| Ubwino | Zoopsa |
|---|---|
| - Popeza njira zotulutsira ndulu zimaonekera bwino, chiopsezo choziwononga panthawi ya opaleshoni chimachepa kwambiri. | - Matenda a ziwengo ku utoto wosiyana (izi sizichitika kawirikawiri). |
| - Miyala ing'onoing'ono yomwe sinadziwike kale ikhoza kuzindikirika ndipo mavuto ena amtsogolo angapewedwe. | - Kuwonongeka kwa ndulu (koma cholinga cha mayesowa ndikuletsa izi). |
| - Kutha kuzindikira ndi kukonza kuwonongeka kulikonse nthawi yomweyo ngati kwachitika. | - Matenda a m'mimba, Kutuluka magazi, Pancreatitis. |
Chofunika ndichakuti mwayi woti zoopsazi zichitike ndi wochepa kwambiri, ndipo gulu lanu la opaleshoni lili ndi maphunziro abwino othana ndi vuto lililonse lotere.
Kodi ndiyenera kuyimbira dokotala liti?
Mukapita kunyumba mutachita opaleshoni, samalani kwambiri ndi zizindikiro izi. Ngati muli ndi chimodzi mwa izi, muyenera kulankhula ndi dokotala wanu nthawi yomweyo . Ngati pakufunika kutero, mutha kupitanso ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.
- Ngati mukumva ululu waukulu wosayembekezereka kapena wosapiririka .
- Ngati chotupa cha opaleshoni chili chofiira, chotupa, chofunda , kapena chotuluka mafinya kapena magazi .
- Ngati mukumva malungo .
Ngati muli ndi kukayikira pang'ono pa chilichonse chonga ichi, musazengereze kufunsa dokotala wanu. Chitetezo chanu ndicho chinthu chofunikira kwambiri.
Uthenga Wopita Nawo Kunyumba
- Cholangiogram ya mkati mwa opaleshoni ndi mayeso apadera a X-ray omwe amachitidwa kuti awonjezere chitetezo chanu panthawi ya opaleshoni yochotsa ndulu.
- Izi zimathandiza dokotala kuona bwino njira yanu yodulira ndulu, kuchita opaleshoni popanda kuiwononga, ndikuchotsa miyala yobisika.
- Simudzamva ululu uliwonse panthawi yoyezetsa iyi chifukwa mwapatsidwa mankhwala oletsa ululu.
- Ngati muli ndi mafunso, mantha, kapena kukayikira pankhaniyi, lankhulani ndi dokotala wanu momasuka musanachite opaleshoni.
- Dziwani zizindikiro zochenjeza (malungo, kupweteka kwambiri, zizindikiro za matenda m'chilonda) zomwe zingachitike mutachita opaleshoni, ndipo funsani upangiri wa dokotala nthawi yomweyo ngati muwona chilichonse mwa izi.
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