Ingabe udokotela wakho wakuncoma ukuhlinzwa ukuze kususwe amatshe enyongo? Uma kunjalo, kungenzeka ukuthi utshelwe ukuthi kuzokwenziwa i-'Intraoperative Cholangiogram' ngesikhathi sokuhlinzwa. Igama lingase lizwakale liyinkimbinkimbi kancane, futhi ungase uzizwe wesaba kancane. Kodwa empeleni lokhu ukuhlolwa okubaluleke kakhulu okwenziwa ukuze uphephe. Ake sibheke ukuthi kuyini, kungani kwenziwa, nokuthi yiziphi izinzuzo okungakunikeza zona.
Kuyini i-Intraoperative Cholangiogram?
Kalula nje, i-Intraoperative Cholangiogram iwukuhlolwa okukhethekile kwe-X-ray okwenziwa ngesikhathi sokuhlinzwa kokususwa kwenyongo yakho ( i-cholecystectomy ). Kunikeza udokotela ohlinzayo 'imephu yomgwaqo' ecacile yemigudu yenyongo emzimbeni wakho.
Inyongo ekhiqizwa yinyongo yethu nesibindi ihamba ngohlelo lwamapayipi amancane iye emathunjini amancane. Lolu hlelo lwamapayipi lubizwa ngokuthi i-bile duct. Ngale X-ray, udokotela ohlinzayo angabona ngokucacile ukuthi lolu hlelo lwamapayipi luhlelwe kanjani, ukuthi axhumana kanjani, nokuthi ngabe kukhona yini amatshe enyongo noma okunye ukuvinjelwa kwamapayipi.
Inhloso eyinhloko yalokhu ukusiza udokotela ohlinzayo ukuthi asuse inyongo yakho ngokuphephile , ngaphandle kokulimaza imigudu yenyongo.
Kungani odokotela benza lolu vivinyo?
Kunezinzuzo eziningana zokwenza lokhu kuhlolwa ngesikhathi sokuhlinzwa kokususwa kwenyongo. Kuwusizo olukhulu eqenjini lezokwelapha.
| Inhloso yokuhlolwa | Incazelo elula |
|---|---|
| Ukuhlonza amatshe afihliwe | Ngezinye izikhathi, amatshe amancane angabhajwa emigudwini yenyongo, okungenzeka angabangela zimpawu ekuqaleni, kodwa angabangela izinkinga kamuva. Lokhu kuhlolwa kungabona amatshe afihliwe futhi, uma kungenzeka, kuwasuse ngesikhathi sokuhlinzwa. |
| Ukuhlonza umonakalo emigudwini ye-bile | Lokhu kuhlolwa kusiza ekuboneni noma yimuphi umonakalo emgudwini we-bile ngesikhathi sokuhlinzwa bese kuwulungisa ngesikhathi esifanayo. |
| Ukunakekela ukwakheka kwemisele ye-bile | Indlela izitho zomzimba ezihlelwe ngayo ngaphakathi komzimba womuntu ngamunye ingahluka kancane. Indlela i-cystic duct evela ku-gallbladder kanye ne-common bile duct evela esibindini ehlangana ngayo ingahluka kumuntu nomuntu. Ngokubheka le "mephu," udokotela ohlinzayo angenza ukuhlinzwa ngokuphephile. |
Ingabe zikhona izizathu ezikhethekile zokwenza lokhu kuhlolwa?
Abanye odokotela abahlinzayo benza lokhu kuhlolwa njalo uma behlinzwa ukususwa kwenyongo (i-cholangiography evamile). Kodwa-ke, abanye bakwenza kuphela uma kunezizathu ezikhethekile (i-cholangiography ekhethiwe). Uma unesinye noma ngaphezulu kwezimo ezingezansi, udokotela wakho cishe uzonquma ukwenza lokhu kuhlolwa.
- Uma unezinkinga ekuhlolweni kokusebenza kwesibindi sakho .
- Uma izinga lama-enzyme e-pancreatic liphakeme.
- Uma uke waba ne-pancreatitis noma usanda kuba nayo.
- Uma une -jaundice .
- Uma usanda kuba nokuvimbeka emigudwini yenyongo, njengamatshe.
- Uma uhlolwe nge -ERCP (endoscopic retrograde cholangiopancreatography) ukuze ubone noma ususe ukuvinjelwa emigudwini ye-bile, kodwa akunakwenzeka ukubona ngokuphelele imigudwini ye-bile noma ukususa ukuvinjelwa.
Le nqubo yenzeka kanjani?
Lonke lolu hlelo lwenzeka ngaphansi kwe-anesthesia futhi ulaliswa, ngakho ngeke uzwe lutho. Ngakho-ke asikho isizathu sokwesaba lokhu.
Izinto okudingeka uzenze ngaphambi kokuhlinzwa
Ukulungiselela lokhu kufana ncamashi nokulungiselela ukuhlinzwa kokususwa kwenyongo. Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu.
- Uzocelwa ukuba uzile ukudla (ugweme ukudla noma ukuphuza) amahora ambalwa ngaphambi kokuhlinzwa.
- Kufanele wazise udokotela wakho nganoma yimiphi imithi oyithathayo. Eminye imithi kungadingeka iyekwe noma kulungiswe umthamo ngaphambi kokuhlinzwa. Ungalokothi uyeke ukuthatha noma yimuphi umuthi ngaphandle kweseluleko sikadokotela wakho.
- Hlela ukuthi othile akuyise ekhaya ngemva kokuhlinzwa.
Kwenzekani ngesikhathi sokuhlinzwa
1. Udokotela wezinzwa uzokunikeza isibulala-zinzwa futhi akulalise ngokuphelele.
2. Udokotela ohlinzayo wenza ukusika okuncane noma ukusika okuningana esiswini ngesikhathi sokuhlinzwa.
3. Ngemuva kwalokho, kufakwa ithubhu elincane kakhulu (i-catheter) emgudwini we-cystic.
4. Ngaleli payipi, kufakwa uketshezi olukhethekile olubizwa ngokuthi idayi yokungafani ohlelweni lwe-bile duct. Lolu ketshezi lubangela ukuthi uhlelo lwe-bile duct lubonakale lucacile futhi lumhlophe ku-X-ray.
5. Manje, esebenzisa umshini we-X-ray, udokotela ohlinzayo ubheka uketshezi oluhamba kulolu hlelo lwamapayipi ngesikrini.
6. Uma ubona noma yimaphi amatshe anamathele ngalesi sikhathi, zama ukuwasusa ngokushesha uma kungenzeka.
7. Ukusebenzisa le "mephu ye-X-ray", inyongo isuswa ngokuphephile kakhulu, ukuhlinzwa kuqediwe, futhi ukusikwa kuyavalwa.
Ngemva kokuhlinzwa
Ngemva kokuhlinzwa, uzogcinwa uqashwe ewadini. Ngokuvamile uzokwazi ukuya ekhaya kusihlwa noma ngakusasa.
Yiziphi izingozi nezinzuzo zalolu vivinyo?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane kakhulu, kodwa izinzuzo ziningi.
| Izinzuzo | Izingozi |
|---|---|
| - Njengoba imisele yenyongo ibonakala kahle, ingozi yokuyilimaza ngesikhathi sokuhlinzwa incishiswa kakhulu. | - Ukusabela kokungezwani komzimba nodayi wokungafani (lokhu akuvamile kakhulu). |
| - Amatshe amancane ayengatholakali ngaphambilini angabonakala futhi izinkinga zesikhathi esizayo zingavinjelwa. | - Ukulimala kwemigudu yenyongo (kodwa inhloso yalolu vivinyo ukuvimbela lokhu). |
| - Ukukwazi ukubona nokulungisa noma yimuphi umonakalo ngokushesha uma kwenzeka. | - Ukutheleleka, Ukopha, i-Pancreatitis. |
Into ebalulekile ukuthi amathuba okuba lezi zingozi zenzeke mancane kakhulu, futhi ithimba lakho lokuhlinzwa liqeqeshwe kahle ukubhekana nanoma yisiphi isimo esinjalo.
Kufanele ngimshayele nini udokotela?
Uma ubuyela ekhaya ngemva kokuhlinzwa, qaphela kakhulu ngalezi zimpawu. Uma unanoma yiziphi zalezi zimpawu, kufanele ukhulume nodokotela wakho ngokushesha . Uma kudingeka, ungaya naseMnyango Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma uzwa ubuhlungu obukhulu obungalindelekile noma obungenakubekezeleka .
- Uma ukuhlinzwa kubomvu, kuvuvukile, kuzwakala kufudumele , noma kunobomvu noma igazi eliphuma kukho.
- Uma uthola umkhuhlane .
Uma unokungabaza okuncane ngento efana nale, ungalokothi unqikaze ukubuza udokotela wakho. Ukuphepha kwakho kuyinto ebaluleke kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-cholangiogram yangaphakathi kokuhlinzwa iyisivivinyo se-X-ray esikhethekile esenziwa ukwandisa ukuphepha kwakho ngesikhathi sokuhlinzwa kokususwa kwenyongo.
- Lokhu kusiza udokotela ohlinzayo ukuthi abone kahle uhlelo lwakho lwe-bile duct, enze ukuhlinzwa ngaphandle kokulimaza, futhi asuse amatshe afihliwe.
- Ngeke uzwe ubuhlungu phakathi nalolu vivinyo ngoba unikezwe i-anesthesia.
- Uma unemibuzo, ukwesaba, noma ukungabaza ngalokhu, khuluma nodokotela wakho ngokukhululekile ngakho ngaphambi kokuhlinzwa.
- Qaphela izimpawu eziyisixwayiso (umkhuhlane, ubuhlungu obukhulu, izimpawu zokutheleleka endaweni yokusikwa) ezingase zenzeke ngemva kokuhlinzwa, futhi funa iseluleko sezokwelapha ngokushesha uma ubona noma yikuphi kwalokhu.
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