Kodi mungaganizire ululu wosapiririka womwe umabwera chifukwa cha matenda aakulu, kutupa, kapena miyala ya ndulu mu ndulu yanu? Nthawi zina, pankhaniyi, vuto la wodwalayo likhoza kukhala lalikulu kwambiri kotero kuti opaleshoni yochotseratu ndulu siingatheke. Pazochitika zotere, tikambirana za njira yapadera komanso yosavulaza yomwe madokotala amagwiritsa ntchito kupulumutsa moyo wa wodwalayo, kuchepetsa ululu, komanso kuwongolera matenda.

Kodi cholecystostomy ndi chiyani?

Mwachidule, cholecystostomy ndi njira yaying'ono yachipatala komwe kabowo kakang'ono kamapangidwa mu ndulu yanu ndipo chubu (catheter) chimalowetsedwa kudzera mu nduluyo. Monga momwe dzinalo likusonyezera, "cholecyst-" amatanthauza ndulu, ndipo "-ostomy" amatanthauza pobowola lopangidwa ndi opaleshoni. Chidendene ndi chiwalo chaching'ono chonga thumba chomwe chimasunga ndulu, chomwe chimafunika pakugaya chakudya chathu.

Njira imeneyi nthawi zambiri imatchedwa "percutaneous cholecystostomy." "Percutaneous" imatanthauza chinthu chomwe chimachitidwa kudzera pakhungu. Izi zikutanthauza kuti dokotala amabowola kabowo kakang'ono kudzera pakhungu la mimba yanu ndikuyika chubu ichi mu ndulu.

N’chifukwa chiyani chithandizo chamtunduwu chili chofunikira?

Chithandizochi nthawi zambiri chimafunika pa vuto lotchedwa acute cholecystitis. Izi zimachitika pamene chinthu chonga miyala ya ndulu yatseka njira ya ndulu, zomwe zimapangitsa kuti ndulu igwirizane ndi kutenga mabakiteriya. Izi zimapangitsa kuti ndulu itukuke komanso ikhale yopweteka kwambiri.

Kawirikawiri, chithandizo chabwino kwambiri cha vutoli ndi opaleshoni yochotseratu ndulu (cholecystectomy). Komabe, ngati wodwalayo akudwala matenda ena akuluakulu monga matenda a mtima, matenda a shuga, matenda a impso, kapena wakalamba kwambiri, sangathe kupirira opaleshoni yayikulu panthawiyo. M'zochitika zotere, m'malo mwa opaleshoni yayikulu, chithandizochi chotchedwa Cholecystostomy chimachitidwa kuti chikhazikitse mkhalidwe wa wodwalayo.

Kodi pali kusiyana kotani pakati pa cholecystostomy ndi cholecystectomy?

Mayina awiriwa akhoza kukhala ofanana pang'ono, kotero mungasokonezeke. Koma awa ndi njira ziwiri zosiyana. Tiyeni timvetse bwino kusiyana pakati pa awiriwa.

Kodi chithandizochi chimachitidwa bwanji?

Izi nthawi zambiri zimachitika ndi Interventional Radiologist . Izi zikutanthauza kuti, katswiri amene amagwiritsa ntchito ukadaulo wojambula zithunzi monga ultrasound ndi CT scan kuti ayang'ane ziwalo zomwe zili mkati mwa thupi ndikupanga mabala ang'onoang'ono olondola kwambiri kuti achite chithandizo.

Kukonzekera musanalandire chithandizo

• Dokotala adzakufotokozerani zoopsa ndi ubwino wa chithandizochi ndipo adzakufunsani chilolezo chodziwitsidwa.
• Mukulimbikitsidwa kuti musadye kapena kumwa kwa maola angapo.
• Kuyezetsa magazi kumachitika kuti awone ngati magaziwo amatha kuundana. Ngati pakufunika, chithandizo chimaperekedwa.
• Mzere wa IV udzaikidwa mumtsempha womwe uli m'dzanja lanu kuti mupereke mankhwala opha mabakiteriya, saline, ndipo, ngati pakufunika, mankhwala oletsa ululu.

Chimachitika ndi chiyani panthawi ya chithandizo

1. Kugunda kwa mtima wanu ndi kuthamanga kwa magazi zimawunikidwa nthawi zonse.

2. Tsukani malo omwe chubu cha m'mimba chidzalowetsedwe,Ndikumwa mankhwala ochepetsa ululu.

3. Ultrasound kapena CT scan idzagwiritsidwa ntchito kuti adziwe njira yabwino komanso yotetezeka yolowera chubu (njira iyi ikhoza kukhala kudzera m'chiwindi (transhepatic) kapena kudzera m'khoma la m'mimba (transperitoneal).

4. Kenako, motsogozedwa ndi X-ray, chubucho chimalowetsedwa mu ndulu pogwiritsa ntchito singano yopyapyala kwambiri ndi waya wotsogolera.

5. Chubu chikayikidwa pamalo ake, chimamangiriridwa pakhungu ndi suture , ndipo mbali inayo ya chubucho imalumikizidwa ndi thumba lotulutsira madzi.

Njira yonseyi nthawi zambiri imatenga pakati pa mphindi 30 ndi ola limodzi.

Kodi mumasamalira bwanji chubucho mukatha kulandira chithandizo?

Ichi ndiye gawo lofunika kwambiri. Chubu chotulutsira madzi nthawi zambiri chimakhala m'thupi mwanu kwa milungu 4 mpaka 6. Muyenera kuchisamalira bwino mukapita kunyumba.

• Kusamalira mabala: Chovala cha chubu chiyenera kusinthidwa tsiku lililonse. Sungani malo oyera komanso ouma. Valani chivundikiro cha pulasitiki chosalowa madzi mukamasamba.
• Kutsuka chubu: Kuti ndulu isamamatire mu chubu, muyenera kutsuka chubu ndi saline yoyera kamodzi patsiku. Dokotala wanu kapena namwino adzakuwonetsani momwe mungachitire izi.
• Kutulutsa madzi m'thumba: Thumba lomwe limasonkhanitsa madzi liyenera kuchotsedwa madzi akangodzaza. Dokotala wanu angakuuzeninso kuti muzitsatira kuchuluka kwa madzi omwe mukutenga tsiku lililonse. Ngati madziwo akuwonjezeka mwadzidzidzi kapena kusiya kutuluka, chimenecho ndi chizindikiro chofunikira.

Chubu chisanachotsedwe, mayeso apadera a X-ray otchedwa cholangiogram amachitidwa kuti awone ngati ndulu ikuyenda bwino ndipo palibe kutsekeka kulikonse. Chubucho chimachotsedwa pokhapokha ngati chatsimikizika kuti zonse zili bwino.

Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?

Kumbali ina, iyi ndi njira yotetezeka komanso yothandiza kwambiri yochizira matenda a cholecystitis. Chiŵerengero cha kupambana pochiza matenda a cholecystitis ndi chapamwamba kwambiri mpaka 95%. Chingathandize kuchira mwachangu popanda chiopsezo chachikulu kwa wodwala amene sangathe kupirira opaleshoni yayikulu.

Zoopsa ndi zovuta sizichitika kawirikawiri, koma tiyenera kuzidziwa.

Kodi ndiyenera kuyimbira dokotala liti?

Ngati mukukumana ndi zizindikiro zotsatirazi pamene mukuchira, dziwitsani dokotala wanu nthawi yomweyo kapena chipatala chomwe mudalandira chithandizo.

• Malungo: Malungo opitirira 38.3 Celsius (101 Fahrenheit).
• Ululu: Ululu waukulu, wosadziwika bwino m'mimba kapena komwe payipi inalowetsedwa.
• Zizindikiro za matenda: kufiira kwa khungu lozungulira chubu, kutupa, kapena kutuluka kwa madzi onunkhira.
• Mavuto a chubu: kulephera kutsuka chubu, chubu chotuluka pakhungu, ndulu yotuluka mu chubu.
• Kusintha kwa kuchuluka kwa madzi: Kuwonjezeka mwadzidzidzi kapena kusiya kwathunthu kuchuluka kwa madzi omwe amawonjezeredwa mu thumba.

Mu mkhalidwe wotere, ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo.