Ngaba ugqirha wakho ucebise utyando lokususa amatye enyongweni? Ukuba kunjalo, kusenokwenzeka ukuba uxelelwe ukuba kuza kwenziwa i-'Intraoperative Cholangiogram' ngexesha lotyando. Igama lisenokuvakala liyinkimbinkimbi, kwaye usenokuziva usoyika kancinci. Kodwa olu luvavanyo olubaluleke kakhulu olwenziwayo ngenxa yokhuseleko lwakho. Makhe sijonge ukuba luyintoni, kutheni lwenziwa, kwaye zeziphi izibonelelo olunokukunika zona.
Yintoni i-Intraoperative Cholangiogram?
Ngamafutshane, i-Intraoperative Cholangiogram luvavanyo olukhethekileyo lwe-X-ray olwenziwa ngexesha lotyando lwakho lokususa inyongo ( i-cholecystectomy ). Lunika ugqirha otyandayo 'imephu' ecacileyo yemibhobho yenyongo emzimbeni wakho.
Inyongo eveliswa yinyongo yethu nesibindi ihamba ngenkqubo yeetyhubhu ezincinci ukuya emathunjini amancinci. Le nkqubo yeetyhubhu ibizwa ngokuba yi-bile duct. Ngale X-ray, ugqirha wotyando unokubona ngokucacileyo indlela ehlelwe ngayo le nkqubo yeetyhubhu, indlela ezidibana ngayo, kunye nokuba kukho amatye enyongo okanye ezinye izithintelo kwiityhubhu.
Eyona njongo iphambili yoku kukunceda ugqirha ukuba asuse inyongo yakho ngokukhuselekileyo , ngaphandle kokubangela umonakalo kwimibhobho yenyongo.
Kutheni oogqirha besenza olu vavanyo?
Kukho iingenelo ezininzi zokwenza olu vavanyo ngexesha lotyando lokususa inyongo. Luluncedo olukhulu kwiqela lezonyango.
| Injongo yovavanyo | Ingcaciso elula |
|---|---|
| Ukuchonga amatye afihliweyo | Ngamanye amaxesha, amatye amancinci anokunamathela kwimibhobho yenyongo, nto leyo enokubangela ukuba kungabikho zimpawu ekuqaleni, kodwa inokubangela iingxaki kamva. Olu vavanyo lunokufumanisa amatye afihlakeleyo, kwaye ukuba kunokwenzeka, luwasuse ngexesha lotyando. |
| Ukuchonga umonakalo kwimibhobho yenyongo | Olu vavanyo lunceda ekuchongeni nawuphi na umonakalo kwi-bile duct ngexesha lotyando kwaye luyilungise ngaxeshanye. |
| Ukunyamekela i-anatomy ye-bile ducts | Indlela amalungu omzimba ahlelwe ngayo ngaphakathi emzimbeni womntu ngamnye inokwahluka kancinci. Indlela umsele we-cystic ovela kwi-gallbladder kunye nomsele we-bile oqhelekileyo ovela kwisibindi odibana ngayo inokwahluka kumntu nomntu. Ngokujonga le "mephu," ugqirha wotyando unokwenza utyando ngokukhuselekileyo. |
Ngaba kukho naziphi na izizathu ezikhethekileyo zokwenza olu vavanyo?
Abanye oogqirha benza olu vavanyo rhoqo xa besenza utyando lokususa inyongo (i-routine cholangiography). Nangona kunjalo, abanye bakwenza kuphela xa kukho izizathu ezikhethekileyo (i-selective cholangiography). Ukuba unenye okanye ngaphezulu kwezi meko zingezantsi, ugqirha wakho uya kugqiba ekubeni enze olu vavanyo.
- Ukuba uneengxaki kuvavanyo lwakho lokusebenza kwesibindi .
- Ukuba inqanaba lee-enzymes zepancreas liphakanyisiwe.
- Ukuba unayo okanye usandul' ukuba ne -pancreatitis .
- Ukuba une -jaundice .
- Ukuba kutshanje ukhe waba nokuvaleka kwimibhobho yenyongo, njengamatye.
- Ukuba uvavanyiwe ngovavanyo lwe-ERCP (endoscopic retrograde cholangiopancreatography) ukuze ubone okanye ususe ukuvaleka kwimibhobho yenyongo, kodwa akunakwenzeka ukuba ubone ngokupheleleyo imibhobho yenyongo okanye ususe ukuvaleka kwayo.
Le nkqubo yenzeka njani?
Lonke eli xesha lenzeka phantsi kwe-anesthesia kwaye uyalaliswa, ngoko awuyi kuva nto. Ngoko ke akukho sizathu sokoyika oku.
Izinto ekufuneka uzenze ngaphambi kotyando
Ukulungiselela oku kufana nqwa nokulungiselela utyando lokususa inyongo. Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga noku.
- Uza kucelwa ukuba uzile ukutya (ungatyi okanye ungaseli) kangangeeyure ezimbalwa ngaphambi kotyando.
- Ufanele wazise ugqirha wakho malunga namayeza owasebenzisayo. Amanye amayeza anokufuneka amiswe okanye idosi ilungiswe ngaphambi kotyando. Ungaze uyeke ukuthatha naliphi na iyeza ngaphandle kwengcebiso kagqirha wakho.
- Lungiselela ukuba umntu akuse ekhaya emva kotyando.
Kwenzeka ntoni ngexesha lotyando
1. Ingcali yokubulala iintlungu iza kukunika i-anesthesia ize ikulalise ngokupheleleyo.
2. Ugqirha wenza umsikelo omncinci okanye imisikelo emininzi esiswini ngexesha lotyando.
3. Emva koko, kufakwa ityhubhu encinci kakhulu (i-catheter) kwi-cystic duct.
4. Ngale tube, kufakwa ulwelo olukhethekileyo olubizwa ngokuba yidayi yomahluko kwinkqubo ye-bile duct. Olu lwelo lubangela ukuba inkqubo ye-bile duct ibonakale ngokucacileyo namhlophe kwi-X-ray.
5. Ngoku, esebenzisa umatshini we-X-ray, ugqirha otyandayo ujonga ulwelo oluhamba kule nkqubo yeetyhubhu ngesikrini.
6. Ukuba ubona amatye enamathele ngeli xesha, zama ukuwasusa ngoko nangoko ukuba kunokwenzeka.
7. Ngokusebenzisa le "mephu ye-X-ray", inyongo isuswa ngokukhuselekileyo, utyando lugqityiwe, kwaye amanxeba avalwe.
Emva kotyando
Emva kotyando, uza kugcinwa phantsi kweliso ewadini. Ngokwesiqhelo uza kukwazi ukuya ekhaya ngokuhlwa okanye ngosuku olulandelayo.
Zithini iingozi kunye neenzuzo zolu vavanyo?
Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci kakhulu, kodwa iingenelo zininzi.
| Iingenelo | Iingozi |
|---|---|
| - Ekubeni imibhobho yenyongo ibonakala ngokucacileyo, umngcipheko wokuyonakalisa ngexesha lotyando uncitshiswa kakhulu. | - Iimpendulo ze-allergy kwidayi yokwahlulahlula (oku kunqabile kakhulu). |
| - Amatye amancinci awayengakhange abonwe ngaphambili anokuchongwa kwaye iingxaki zexesha elizayo zinokuthintelwa. | - Ukonakala kwimibhobho yenyongo (kodwa injongo yolu vavanyo kukuthintela oku). |
| - Ukukwazi ukubona nokulungisa nawuphi na umonakalo ngoko nangoko ukuba uyenzeka. | - Usulelo, Ukopha, iPancreatitis. |
Into ebalulekileyo kukuba amathuba okuba ezi ngozi zenzeke aphantsi kakhulu, kwaye iqela lakho lotyando liqeqeshwe kakuhle ukujongana nayo nayiphi na imeko enjalo.
Ndifanele ndimtsalele umnxeba nini ugqirha?
Xa ubuyela ekhaya emva kotyando, lumka kakhulu ngezi mpawu. Ukuba unayo nayiphi na kwezi, kufuneka uthethe nogqirha wakho ngoko nangoko . Ukuba kuyimfuneko, ungaya nakwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ukuba ufumana intlungu engalindelekanga okanye enganyamezelekiyo .
- Ukuba utyando lubomvu, ludumbile, luvakala lushushu , okanye lunobovu okanye igazi eliphumayo.
- Ukuba ufumana umkhuhlane .
Ukuba unamathandabuzo amancinci ngento efana nale, ungaze unqikaze ukubuza ugqirha wakho. Ukhuseleko lwakho yeyona nto ibalulekileyo.
Umyalezo Wokuya Ekhaya
- I-cholangiogram yangaphakathi kotyando luvavanyo olukhethekileyo lwe-X-ray olwenziwayo ukuphucula ukhuseleko lwakho ngexesha lotyando lokususa inyongo.
- Oku kunceda ugqirha otyandayo abone kakuhle inkqubo yakho ye-bile duct, enze utyando ngaphandle kokulonakalisa, aze asuse amatye afihlakeleyo.
- Awuyi kuva ntlungu ngexesha lovavanyo kuba unikwe i-anesthesia.
- Ukuba unemibuzo, uloyiko, okanye amathandabuzo malunga noku, thetha nogqirha wakho ngokukhululekileyo malunga noko ngaphambi kotyando.
- Qaphela iimpawu ezilumkisayo (umkhuhlane, iintlungu eziqatha, iimpawu zosulelo kwindawo etyumkileyo) ezinokwenzeka emva kotyando, kwaye funa ingcebiso kagqirha ngokukhawuleza ukuba ubona nayiphi na kwezi.
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