Byose ku bijyanye no kuvura kuziba kw'imiyoboro y'amaraso (Amaraso y'inda) mu magambo make

Ese amaso yawe n'uruhu rwawe biba byumye? Cyangwa ufite ubushye bukabije ku mubiri wawe wose? Ibi rimwe na rimwe bishobora kuba ibimenyetso bibaho iyo imiyoboro itwara amazi yitwa 'bile' iva mu mwijima wacu izibye. Aya mazi yitwa 'bile' ni ingenzi mu igogora mu mubiri wacu. Rero iyo iyi miyoboro y'amaraso izibye, ishobora gusubira mu mwijima igatera ibibazo byinshi. Uyu munsi, turimo kuvuga ku buvuzi bwihariye abaganga bakora muri bene ibyo bihe. Byitwa Biliary Drainage.

Mu magambo make, Biliary Drain ni iki?

Umuyoboro w'inkari ni umuyoboro muto kandi woroshye. Uyu muyoboro ukoreshwa mu kunyura mu muyoboro w'inkari uhuza umwijima n'amara mato no gukuramo inkari mu mubiri cyangwa kuyisubiza mu mara mato.

Tekereza igice cy'imyanda gishyizwe hagati mu muyoboro w'amazi. Hanyuma amazi yuzura ahantu hamwe, umuvuduko w'amaraso urushaho kwiyongera, maze umuyoboro ukangirika, si byo se? Uko ni ko imiyoboro y'amaraso ifunga. Indwara y'amaraso irundanya mu mwijima. Ubuganga bwita iki kibazo kolestasis . Iyo ibi bibaye, indwara twavuze mbere, aho amaso ahinduka umuhondo n'uruhu rugahinduka umuhondo, ibaho. Hamwe n'ibi, hashobora kubaho kuribwa cyane ku mubiri wose.

Rero, icyo uyu muyoboro w'inkari ukora ni ukurinda kuziba kw'inkari no gushyiraho inzira y'uko inkari isubiramo. Hari igihe iyi nkari ikusanyirizwa mu gafuka kari hanze y'umubiri.

Ni ubuhe buryo bwo gushyiramo imiyoboro? (Ubwoko bw'amazi yo mu nda)

Hari uburyo bubiri bw'ingenzi bwo kuvura. Bitewe n'uko urwaye, muganga wawe ni we uzaguhitiramo uburyo bukubereye.

1. Gutemba kw'imiyoboro y'amaraso ikoreshwa mu gusohora amaraso mu nda (PTBD)

Ibi bikubiyemo gushyiramo umuyoboro muto (catheter) unyuze mu ruhu ruri iburyo bw'inda yawe, unyuze mu mwijima wawe, no mu muyoboro w'inkondo y'umura. Ibi bikorwa hakoreshejwe fluoroscopy, uburyo bwihariye bwa X-ray. Umuyoboro ushyirwamo nyuma yo kubona aho nyine hazibye. Hanyuma, impera y'uyu muyoboro ihuzwa n'agafuka kari hanze y'umubiri. Hanyuma inkondo y'umura ikusanyirizwa muri uwo muyoboro.

2. Gutemba amazi mu nda (EBD)

Ikibaho hano ni uko umuyoboro muto ufite kamera ifatanye, witwa endoscope , ushyirwa mu kanwa kawe ukamanuka mu muyoboro w'ibiribwa ukagera ku mwenge w'umuyoboro w'inyongo (intangiriro y'amara mato). Hanyuma, undi muyoboro muto unyuzwa muri endoscope hanyuma ukinjizwa mu muyoboro w'inyongo wazibye kugira ngo usukemo inyongo.

Ubu buryo bushobora kandi gukorwa mu buryo butandukanye.

• Imiyoboro y'amazi yo mu mazuru yo mu ruhu (ENBD):Aha, amase anyura mu muyoboro winjizwa mu mazuru agakusanyirizwa mu gafuka kari hanze y'umubiri.
• Gushyiramo stent imbere: Ibi bikubiyemo gushyiramo umuyoboro muto umeze nk'umuyoboro mu gace kafunzwe no kureka indyo igatemberamo. Ibi bituma indyo itembera mu mara mato, aho kuva mu mubiri. Ubu ni bwo buryo bukunze gukoreshwa cyane.

Kuki umuntu yashaka gushyiraho umuyoboro nk'uyu?

Hari impamvu nyinshi zishobora gutuma umuyoboro w'inyongo ushobora kuziba cyangwa kuziba. Ubu buryo burakenewe bitewe n'indwara yitwa cholestasis ibaho iyo ibi bibaye. Reka turebe impamvu nyamukuru.

Wakwitegura ute mbere yo kuvurwa?

Ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe mbere yo kuvurwa. Muri rusange, ugomba kwitonda kuri ibi bintu.

• Ugomba kureka kurya, kunywa no kunywa itabi nibura amasaha 6 mbere y'uko uvurwa . Ushobora kwemererwa kunywa amazi make, ariko muganga wawe azakubwira icyo wakora neza.
• Bwira muganga wawe mbere y'igihe ibyerekeye ubwivumbure ubwo aribwo bwose ufite, cyane cyane ku miti igabanya ububabare, irangi ritandukanye rikoreshwa muri X-rays, pulasitiki, cyangwa ibyuma.
• Menyesha muganga wawe imiti yose na vitamine urimo gufata ubu .
• Niba ufata imiti ibuza amaraso kuzura (urugero: imiti igabanya amaraso kuzura nka aspirine na warfarin), ganira na muganga wawe niba ukeneye kuyihagarika mbere yo kuvurwa n'uko wabikora.
• Niba utwite cyangwa ushobora gutwita, menya neza ko ubitumenyesheje.
• Kubera ko utazashobora gutwara imodoka nyuma yo kuvurwa kubera ikinya, ni ngombwa gutegura umuntu uzagutwara mu rugo mbere y’igihe.

Ni iki kibaho mu gihe cyo kuvurwa?

Hashobora kubaho itandukaniro rito mu bibaho bitewe n'uburyo ugiye kubagwa, ariko muganga azagusobanurira byose mbere y'igihe.

Uburyo bwo gukoresha uburyo bwa percutaneous (PTBD) bukorwa

1. Ubwa mbere, muganga azasukura uruhu rwo ku nda yawe akoresheje umuti wica udukoko hanyuma agatuma aho hantu hadakora neza.

2. Hanyuma, urushinge ruto rushyirwa mu ruhu mu muyoboro w'inkari mu mwijima.

3. Haterwa irangi ryihariye ryitwa contrast kugira ngo ribone neza uburyo bwo kugabanya inyo ku gipimo cya X-ray.

4. Nyuma yo kubona aho umwijima upfundikiye neza, umuyoboro w'amazi unyuramo ushyirwamo hanyuma inyo ikemererwa gusohoka.

5. Impera y'inyuma y'umuyoboro ikurwa mu ruhu rwo mu nda igahuzwa n'agafuka. Amase aterana mu gafuka. Aka gafuka gakeneye gusukurwa inshuro nyinshi ku munsi.

Uburyo igikorwa cyo gupima amenyo (EBD) gikorwa

1. Uzasinzira cyane cyangwa usinzire cyane.

2. Mbere yo gushyira endoscope mu kanwa, umuti ushyirwa mu muhogo kugira ngo umuhogo ushire ibisebe.

3. Hanyuma muganga ashyira endoscope mu kanwa, akayinyuza ku muyoboro w'ibiribwa, hanyuma akinjira mu gice cyo hejuru cy'amara mato.

4. Kuva aho, undi muyoboro muto (catheter) ushyirwa mu muyoboro w'inda ufunze binyuze muri endoscope.

5. Hanyuma uruziga rurakurwaho hanyuma inyo ikarekurwa. Iyo hari stent ishyizwe imbere, ibi bikorwa muri iki gihe. Iyo hari umuyoboro uvanywemo, umuyoboro uvanwa mu mazuru ugashyirwa ku gikapu.

Ese hari ingaruka zishobora guterwa n'ibyo?

Kimwe n'ubundi buryo bwose bwo kuvura, hari ingaruka n'ingorane zishobora kubaho. Muganga wawe azakubwira ibi byose.

Ufata gute umuyoboro iyo ugeze mu rugo?

Niba ufite agakoresho n'agakapu byashyizwe hanze y'umubiri wawe, umuforomo azaguha amabwiriza arambuye y'uburyo bwo kubyitaho. Kurikiza ayo mabwiriza witonze.

• Nywa ibinyobwa bifite electrolyte zingana n'ingano y'inzoga yongewe mu gakapu. Muganga wawe azakubwira icyo unywa n'ingano y'icyo unywa.
• Ruhuka bihagije nyuma yo kuvurwa. Ni byiza kugira umuntu ugufasha mu ijoro rya mbere.
• Ntugasinzira ufite ibiro byawe ku ruhande rw'aho umuyoboro uri . Muri ubwo buryo, amahirwe yo kuzunguruka kw'umuyoboro aba make.
• Ubusanzwe ushobora gusubira mu mirimo yawe isanzwe nyuma y'amasaha 24, ariko ntugaterure ikintu kirenze ibiro 5 .
• Fata imiti yose wanditswe na muganga nk'uko wabitegetswe .
• Ushobora kwiyuhagira nyuma y'amasaha 48. Ariko, irinde koga mu bidendezi, mu nyanja, cyangwa mu migezi burundu kugeza igihe umuyoboro w'amazi ushyizwe mu mwanya wawo.

Ni ryari ugomba guhita ubonana na muganga?

Niba ubonye kimwe muri ibi bimenyetso bikurikira, gishobora kuba ikimenyetso cy'ubwandu. Hamagara muganga wawe ako kanya cyangwa ujye mu bitaro bikuru byihutirwa (ETU) biri hafi yawe.

• Iyo ububabare, kubyimba, cyangwa gutukura aho umuyoboro w'amaraso winjijwe byiyongera .
• Niba amashyira cyangwa andi mazi arimo kuva aho umuyoboro uherereye.
• Niba urwaye umuriro .

Witondere kandi ibi bintu:

• Iyo uruhu cyangwa amaso bitangiye kuba umuhondo mushya cyangwa bikomeje kwiyongera .
• Iyo ibara cyangwa impumuro y'imyanda yakusanyijwe mu gafuka ihindutse mu buryo butunguranye .
• Niba umuyoboro usa n'aho urimo gucika aho washyizwe.
• Niba urwaye igifu gishya cyangwa niba ububabare usanzwe ufite burushaho kwiyongera.
• Niba kuruka bikomeje.
• Niba igifu kitarimo ubusa cyangwa umwuka ntusohoke .

Ni ibisanzwe kumva ufite ubwoba gato iyo wumvise ubwo bwoko bw'ubuvuzi. Ariko ibuka ko ibi ari ukugira ngo bifashe umubiri wawe kwikuramo ububabare buwutera no kuwusubiza mu buzima bwiza. Vugana na muganga wawe ku bibazo cyangwa impungenge ushobora kuba ufite. Azagusobanurira byose.