Unogona kufungidzira here kurwadziwa kusingatsungiririki kunokonzerwa nehutachiona hwakakomba, kuzvimba, kana matombo enduru munduru yako? Dzimwe nguva, mumamiriro ezvinhu akadaro, mamiriro emurwere anogona kunge akakomba zvekuti kuvhiyiwa kubvisa nduru zvachose hakugoneki. Muzviitiko zvakadaro, tichataura nezvenzira yakakosha yekurapa isingapindi mishonga inoshandiswa navanachiremba kuponesa hupenyu hwemurwere, kuderedza marwadzo, uye kudzora hutachiona.
Chii chinonzi cholecystostomy?
Zvichitaurwa zviri nyore, cholecystostomy inzira diki yekurapa apo buri diki rinogadzirwa mugallbladder yako uye chubhu (catheter) inopinzwa nepakati payo. Sezvinoreva zita racho, "cholecyst-" zvinoreva gallbladder, uye "-ostomy" zvinoreva kuvhurika kwakagadzirwa nekuvhiyiwa. Gallbladder inhengo diki yakaita sebhegi inochengeta bile, iyo inodiwa mukugaya kwedu.
Nzira iyi inowanzonzi "percutaneous cholecystostomy." "Percutaneous" zvinoreva chimwe chinhu chinoitwa nepaganda. Izvi zvinoreva kuti chiremba anoboora kaburi kadiki nepaganda redumbu rako oisa chubhu iyi munduru.
Chinangwa chikuru chekurapa uku kubvisa mvura ine utachiona (bile nepus) yakaungana munduru, kuderedza kumanikidzwa kwemukati, uye kudzora marwadzo nehutachiona.
Sei rudzi urwu rwekurapa ruchidikanwa?
Kurapwa uku kunowanzo dikanwa kana paine chirwere chinonzi acute cholecystitis. Izvi zvinoitika kana chimwe chinhu chakaita sematombo emunduru chikavhara duct yemunduru, zvichiita kuti nduru iungane uye iwane utachiona. Izvi zvinoita kuti nduru izvimbe uye irwadze zvikuru.
Kazhinji, mushonga wakanakisa wechirwere ichi kuvhiyiwa kubvisa zvachose gallbladder (cholecystectomy). Zvisinei, kana murwere achitambura nezvimwe zvirwere zvakakomba zvakaita sechirwere chemwoyo, chirwere cheshuga, chirwere cheitsvo, kana kuti akwegura, angasakwanisa kutsungirira kuvhiyiwa kukuru panguva iyoyo. Muzviitiko zvakadaro, senzira yekutsiva kuvhiyiwa kukuru, kurapwa uku kunonzi Cholecystostomy kunoitirwa kudzikamisa mamiriro emurwere.
Ndeupi musiyano uripo pakati peCholecystostomy neCholecystectomy?
Mazita maviri aya anogona kunge akafanana zvishoma, saka unogona kuvhiringidzika. Asi aya maitiro maviri akasiyana. Ngatinzwisisei musiyano uripo pakati pemaviri aya.
| Hunhu | Cholecystostomy (kuiswa kwechubhu) | Kubviswa kweCholecystectomy (kuvhiyiwa) |
|---|---|---|
| Mhando yekurapwa | Mhinduro yenguva pfupi. Chimwe chinhu chakaitwa kudzora zviratidzo. | Mushonga usingaperi. Dumbu rinobviswa zvachose. |
| Hukasha | Kadiki. Kanongoburitsa buri diki chete. | Zvakawandisa. Kuvhiyiwa kukuru (kwakavhurika kana kuti kwakaitwa laparoscopic). |
| Nyaya dzekushandisa | Kune avo vanorwara zvakanyanya uye vasingagoni kutsungirira kuvhiyiwa kukuru. | Varwere vazhinji vane hutano hwakanaka vanogona kuvhiyiwa. |
| Mhedzisiro | Pombi yekudhonza mvura inobuda munduru inoiswa kuti ibudise mvura kubva munduru. | Dundira rinobviswa mumuviri. |
Kurapwa uku kunoitwa sei?
Izvi zvinowanzoitwa neInterventional Radiologist . Kureva kuti, nyanzvi inoshandisa tekinoroji yekufungidzira yakaita se ultrasound ne CT scan kuti ione nhengo dziri mukati memuviri uye iite macheko madiki chaiwo ekurapa.
Kugadzirira usati warapwa
- Chiremba achakutsanangurira njodzi nezvakanaka zvekurapa uku uye achawana mvumo yako.
- Munokurudzirwa kuti musadye kana kunwa kwemaawa mashoma.
- Kuongororwa kweropa kunoitwa kuti ropa rionekwe kana richikwanisa kugwamba. Kana zvichidikanwa, kurapwa kunoitwa.
- Mutsetse wemutsinga uchaiswa mutsinga iri muruoko rwako kuti upiwe mishonga inorwisa mabhakitiriya, mushonga wemunyu, uye, kana zvichidikanwa, mushonga wekunyaradza.
Chii chinoitika panguva yekurapwa
1. Kurova kwemoyo wako neBP zvinogara zvichiongororwa.
2. Chenesa nzvimbo ichaiswa chubhu yemudumbu,Ndiri kutora mushonga wekurwadziwa kwemoyo.
3. Ultrasound kana CT scan ichashandiswa kuona nzira yakanakisisa uye yakachengeteka yekuisa chubhu (nzira iyi inogona kunge iri kuburikidza nechiropa (transhepatic) kana kuburikidza nemadziro edumbu (transperitoneal).
4. Zvadaro, pasi pekutungamirirwa neX-ray, chubhu inopinzwa mugallbladder uchishandisa tsono diki kwazvo newaya yekutungamira.
5. Kana chubhu yangoiswa panzvimbo yayo, inosungirirwa paganda nejira rekusukira , uye rimwe divi rechubhu rinosungirirwa nebhegi rekubuditsa mvura.
Maitiro ese aya anogona kutora pakati pemaminitsi makumi matatu neawa imwe chete.
Unoita sei kuti chubhu irambe ichipora mushure mekurapwa?
Ichi ndicho chinhu chinonyanya kukosha. Drink tube iyi inowanzogara mumuviri wako kwemavhiki mana kusvika matanhatu . Unofanira kuitarisira zvakanaka paunodzokera kumba.
- Kuchengetwa kweronda: Chipfeko chiri pachubhu chinofanira kuchinjwa zuva nezuva. Chengeta nzvimbo yacho yakachena uye yakaoma. Pfeka chifukidziro chepurasitiki chisingapindi mvura paunenge uchigeza.
- Kushambadza chubhu: Kuti nyongo isabatirire muchubhu, unofanirwa kushambadza chubhu nesaline isina utachiona kanenge kamwe chete pazuva. Chiremba wako kana nesi achakuratidza maitiro ekuita izvi.
- Kuburitsa mvura mubhegi: Bhegi rinounganidza mvura rinofanira kubudiswa kana razara. Chiremba wako anogonawo kukuudza kuti urambe uchicherechedza huwandu hwemvura yauri kuunganidza zuva rega rega. Kana mvura yacho ikawedzera kana kumira kubuda, chiratidzo chakakosha.
Chubhu isati yabviswa, bvunzo yeX-ray inonzi cholangiogram inoitwa kuti ione kana kubuda kwenyongo munduru kwava kwakanaka uye pasina kana kuvharika kwese. Chubhu inobviswa chete kana zvaonekwa kuti zvese zvakanaka.
Ndezvipi zvakanakira uye njodzi dzekurapa uku?
Pane zvakanaka, iyi imishonga yakachengeteka uye inoshanda. Kubudirira kwekurapa chirwere checholecystitis chinosvika 95%. Inogona kupa kupora nekukurumidza pasina njodzi huru kumurwere asingakwanise kushivirira kuvhiyiwa kukuru.
Njodzi nematambudziko hazviwanzoitiki, asi tinofanira kuzviziva.
| Rudzi rwedambudziko | Zvinhu zvinogoneka |
|---|---|
| Zvinhu zvinogona kuitika panguva yekurapwa | Kubuda ropa rakawanda, kubuda kwenyongo mudumbu, uye kuungana kwehutachiona muropa (septicemia). |
| Chii chinogona kuitika gare gare nepaipi? | Kuvharika kwechubhu, kubuda kwechubhu, hutachiona hwakatenderedza chubhu. |
Ndinofanira kufonera chiremba rini?
Kana ukaona chimwe chezviratidzo zvinotevera panguva yekupora kwako, zivisa chiremba wako kana chipatara chawakagamuchira kurapwa nekukurumidza.
- Fivha: Fivha inopfuura 38.3 Celsius (101 Fahrenheit).
- Marwadzo: Marwadzo akanyanya, asina kutsanangurwa mudumbu kana kuti paiiswa chubhu.
- Zviratidzo zvehutachiona: kutsvuka kweganda rakatenderedza chubhu, kuzvimba, kana kubuda kwemvura inonhuwa.
- Matambudziko echubhu: kutadza kusukurudza chubhu, chubhu ichibuda muganda, nyongo iri kubuda muchubhu.
- Kuchinja kwehuwandu hwemvura: Kuwedzera kamwe kamwe kana kumira zvachose kwehuwandu hwemvura inowedzerwa mubhegi.
Mumamiriro ezvinhu akadaro, zvakakosha zvikuru kutsvaga rubatsiro rwechiremba nekukasika.
Mharidzo Yekuenda Nayo Kumba
- Cholecystostomy mushonga usinganyanyi kukuvadza uye wakachengeteka kune varwere vane kuzvimba kwenyongo vasingade kuvhiyiwa.
- Izvi zvinosanganisira kuisa chubhu nepaganda mudundira uye kubvisa mvura ine utachiona.
- Chubhu iyi inofanira kusiyiwa mumuviri kwemavhiki akati wandei, uye zvakakosha zvikuru kuitarisira zvakanaka kumba.
- Mushure mekurapwa uku, kana mamiriro emurwere ava nani, chiremba achasarudza kana kuvhiyiwa kwekubvisa gallbladder (cholecystectomy) kuchidikanwa.
- Kana ukaona zviratidzo zvisingawanzoitiki panguva yekupora kwako, zivisa chiremba wako nekukasika.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment