Chiremba wako akakurudzira kuvhiyiwa kubvisa matombo emunduru here? Kana zvakadaro, ungave wakaudzwa kuti 'Intraoperative Cholangiogram' ichaitwa panguva yekuvhiyiwa. Zita racho ringanzwika serakaoma, uye ungatotya zvishoma. Asi iyi bvunzo inokosha zvikuru inoitirwa kuchengetedzeka kwako. Ngationei kuti chii, nei ichiitwa, uye mabhenefiti ayo angakupa.
Chii chinonzi Intraoperative Cholangiogram?
Zvichitaurwa zviri nyore, Intraoperative Cholangiogram iongororo yakakosha yeX-ray inoitwa panguva yekuvhiyiwa kwako kubviswa kwenyongo ( cholecystectomy ). Inopa chiremba 'mepu' yakajeka yenzira yekufamba kwenyongo mumuviri wako.
Dumbu rinogadzirwa nenduru yedu nechiropa rinofamba nepakati pemachubhu madiki kuenda kuura hudiki. Sisitimu iyi yemachubhu inonzi duct yedumbu. NeX-ray iyi, chiremba anogona kuona zvakajeka kuti sisitimu iyi yemachubhu yakarongwa sei, kuti anobatana sei, uye kana paine matombo emudumbu kana zvimwe zvivhariso mumachubhu.
Chinangwa chikuru cheizvi ndechekubatsira chiremba kubvisa gallbladder yako zvakachengeteka , pasina kukanganisa nzira dzemudumbu.
Sei vanachiremba vachiita bvunzo iyi?
Pane mabhenefiti akawanda ekuita bvunzo iyi panguva yekuvhiyiwa kwekubvisa gallbladder. Inobatsira zvikuru timu yezvekurapa.
| Chinangwa chebvunzo | Tsananguro iri nyore |
|---|---|
| Kuziva matombo akavanzwa | Dzimwe nguva, matombo madiki anogona kunamira mumigero yenyongo, izvo zvingasakonzera zviratidzo pakutanga, asi zvinogona kukonzera matambudziko gare gare. Kuongororwa uku kunogona kuona matombo akavanzwa uye, kana zvichibvira, kuabvisa panguva yekuvhiyiwa. |
| Kuziva kukuvara kwemutsinga dzenyongo | Kuongororwa uku kunobatsira kuona chero kukuvara kwemugero wenyongo panguva yekuvhiyiwa uye kuugadzirisa panguva imwe chete. |
| Kutarisira hunhu hwemaburi emudumbu | Marongerwo akaita nhengo dzemuviri wemunhu anogona kusiyana zvishoma. Mabatanirwo anoita cystic duct kubva mugallbladder ne common bile duct kubva muchiropa zvinogona kusiyana kubva pamunhu kuenda kune mumwe. Nekutarisa "mepu" iyi, chiremba anogona kuita oparesheni yacho zvakachengeteka. |
Pane zvikonzero zvakakosha here zvekuita bvunzo iyi?
Vamwe vanachiremba vanoita bvunzo iyi pese pavanovhiyiwa kubviswa gallbladder (routine cholangiography). Zvisinei, vamwe vanozviita chete kana paine zvikonzero zvakakosha (selective cholangiography). Kana uine chimwe kana kupfuura chezvirwere zviri pazasi, chiremba wako angangosarudza kuita bvunzo iyi.
- Kana uine dambudziko rekuongororwa kwechiropa chako .
- Kana huwandu hwema enzymes epancreas hwakakwira.
- Kana wakambova nepancreatitis kana kuti wakambova nayo munguva pfupi yapfuura.
- Kana uine jaundice .
- Kana wave nenguva pfupi yapfuura wakavharika mumigero ye bile, senge matombo.
- Kana wakamboongororwa neERCP (endoscopic retrograde cholangiopancreatography) bvunzo yekuona kana kubvisa kuvharika mumaducts e bile, asi hazvigoneke kuona zvizere maducts e bile kana kubvisa kuvharika kwacho.
Maitiro aya anoitika sei?
Maitiro ese aya anoitika pasi peanesthesia uye unoradzikwa, saka hauzonzwi chero chinhu. Saka hapana chikonzero chekutya izvi.
Zvinhu zvaunofanira kuita usati wavhiyiwa
Kugadzirira izvi kwakafanana nekugadzirira kuvhiyiwa kwekubvisa gallbladder. Chiremba wako achakupa mirairo yakajeka nezveizvi.
- Uchakumbirwa kutsanya (kurega kudya kana kunwa) kwemaawa mashoma usati wavhiyiwa.
- Unofanira kuzivisa chiremba wako nezvemishonga yauri kutora. Mimwe mishonga ingangoda kumira kana kuti kugadziridzwa kwemuyero usati wavhiyiwa. Usamborega kutora chero mushonga usina kurayirwa nachiremba wako.
- Ronga kuti mumwe munhu akuendese kumba mushure mekuvhiyiwa.
Chii chinoitika panguva yekuvhiyiwa
1. Chiremba weanotindivadza achakupa mushonga weanesthesia uye achakurara zvakanaka.
2. Chiremba anochekwa diki kana kucheka kakawanda mudumbu panguva yekuvhiyiwa.
3. Zvadaro, chubhu yakapfava kwazvo (catheter) inopinzwa mu cystic duct.
4. Kuburikidza nechubhu iyi, mvura yakakosha inonzi contrast dye inopinzwa mu bile duct system. Iyi mvura inoita kuti bile duct system ionekwe zvakajeka uye yakachena paX-ray.
5. Iye zvino, achishandisa muchina weX-ray, chiremba anovhiya anoona mvura ichifamba nemumachubhu aya ichishandisa monitor.
6. Kana ukaona matombo akanamatira panguva ino, edza kuabvisa nekukasika kana zvichibvira.
7. Uchishandisa "mepu" iyi yeX-ray, nduru inobviswa zvakachengeteka, kuvhiyiwa kwapera, uye mavanga anovharwa.
Mushure mekuvhiyiwa
Mushure mekuvhiyiwa, muchachengetwa muchiongororwa muwadhi. Kazhinji munokwanisa kudzokera kumba manheru iwayo kana mangwana acho.
Ndezvipi njodzi uye mabhenefiti ebvunzo iyi?
Sezvinoitwa chero nzira ipi zvayo yekurapa, kune dzimwe njodzi diki, asi mabhenefiti acho akawanda.
| Zvakanakira | Njodzi |
|---|---|
| - Sezvo ducts dze bile dzichinyatsooneka, njodzi yekukuvadza panguva yekuvhiyiwa inodzikira zvikuru. | - Kurwara nedhayi yemhando ye contrast (izvi hazviwanzoitiki). |
| - Matombo madiki asina kuonekwa kare anogona kuonekwa uye matambudziko emangwana anogona kudzivirirwa. | - Kukuvadzwa kwemutsinga dzenyongo (asi chinangwa chebvunzo iyi ndechekudzivirira izvi). |
| - Kukwanisa kuona nekugadzirisa chero kukuvara nekukasika kana zvikaitika. | - Utachiona, Kubuda ropa, Pancreatitis. |
Chinhu chakakosha ndechekuti mikana yekuti njodzi idzi dziitike yakaderera, uye timu yenyu yekuvhiya yakadzidziswa zvakanaka kugadzirisa chero mamiriro ezvinhu akadaro.
Ndinofanira kufonera chiremba rini?
Paunodzokera kumba mushure mekuvhiyiwa, nyatso ngwarira nezvezviratidzo izvi. Kana uine chimwe chezviratidzo izvi, unofanira kutaura nachiremba wako nekukasika . Kana zvichidikanwa, unogona zvakare kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
- Kana uchinzwa kurwadziwa kwakanyanya kusingatarisirwi kana kusingatsungiririki .
- Kana ganda rakachekwa rakatsvuka, rakazvimba, richinzwa richidziya , kana kuti riine urwa kana ropa richibuda mariri.
- Kana ukanzwa fivha .
Kana usina chokwadi nezvechinhu chakadai, usazeza kubvunza chiremba wako. Kuchengetedzeka kwako ndicho chinhu chakakosha.
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kwecholangiogram panguva yekuvhiyiwa inzira yeX-ray inoitirwa kuwedzera kuchengetedzeka kwako panguva yekuvhiyiwa kwekubvisa gallbladder.
- Izvi zvinobatsira chiremba kuona nzira yako yekubvisa bile zvakajeka, kuita oparesheni pasina kuikuvadza, uye kubvisa matombo akavanzwa.
- Hamuzonzwi kurwadziwa panguva yekuongororwa uku nekuti makapihwa mushonga wekutindivadza.
- Kana muine mibvunzo, kutya, kana kusava nechokwadi nezveizvi, taurai nachiremba wenyu pachena nezvazvo musati mavhiyiwa.
- Zivai zviratidzo zvinonyevera (fivha, kurwadziwa kwakanyanya, zviratidzo zvehutachiona muchikamu) zvinogona kuitika mushure mekuvhiyiwa, uye tsvagai rubatsiro rwechiremba nekukasika kana mukaona chimwe cheizvi.
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