Iiprututaticatichephepatic cholangiogram

I-percutaneous transhepatic cholangiogram (PTC) yi-x-ray yee-bile ducts. Le yimibhobho ehambisa inyongo ukusuka kwisibindi ukuya kwi-gallbladder kunye namathumbu amancinci.

Uvavanyo lwenziwa kwisebe le-radiology ngugqirha wonyango ongenelelayo.

Uya kucelwa ukuba ulale ngomqolo etafileni ye-x-ray. Umboneleli uya kucoca indawo ephezulu ngasekunene nendawo embindini wesisu sakho emva koko afake iyeza elenzayo.

I-X-ray kunye ne-ultrasound zisetyenziselwa ukunceda umboneleli wezempilo ukuba afumane isibindi sakho kunye nemibhobho yenyongo. Inaliti ende, ebhityileyo, eguqukayo iyafakwa kulusu kwisibindi. Umboneleli utofa idayi, ebizwa ngokuba yiyantlukwano ephakathi, kwimibhobho yenyongo. Umahluko unceda ukuqaqambisa iindawo ezithile ukuze zibonwe. I-x-ray ezininzi zithathwa njengoko idayi ihamba ngee-bile ducts ukuya emathunjini amancinci. Oku kunokubonwa kwimonitha esondeleyo yevidiyo.

Uya kunikwa iyeza lokukuzolisa (ukuthomalalisa) le nkqubo.

Yazisa umboneleli wakho ukuba ukhulelwe okanye unengxaki yokopha.

Uyakunikwa igawuni yesibhedlele ukuba uyinxibe kwaye uza kucelwa ukuba ususe bonke ubucwebe.

Uya kucelwa ukuba ungatyi okanye usele nantoni na kwiiyure ezingama-6 ngaphambi koviwo.

Xelela umboneleli wakho ukuba uthatha nabaphi na abacoci gazi abanjengoWarfarin (coumadin), Plavix (clopidogrel), Pradaxa, okanye Xarelto.

Kuya kubakho ulwamvila njengoko kunikwa i-anesthetic. Unokuba ungonwabi njengoko inaliti iqhubela phambili esibindini. Uya kuba ne-sedation kule nkqubo.

Olu vavanyo lunokunceda ukufumanisa unobangela wokuvalelwa kwendlela ye-bile.

Ibile lulwelo olukhutshwa sisibindi. Iqukethe i-cholesterol, i-bile salts, kunye nemveliso yenkunkuma. Iityuwa zebile zinceda umzimba wakho ukuba uchithe (ugaye) amafutha. Ukuvaleka kwendlela ye-bile kungakhokelela kwi-jaundice (umbala omthubi wolusu), ukurhawuzelela ulusu, okanye usulelo lwesibindi, inyongo okanye ipancreas.

Xa yenziwe, i-PTC ihlala iyinxalenye yokuqala yenkqubo yamanyathelo amabini okukhulula okanye ukunyanga ukubhloka.

• I-PTC yenza "imephu yendlela" yemibhobho yenyongo, enokusetyenziselwa ukucwangcisa unyango.
• Emva kokuba imephu yendlela yenziwe, ukuvalwa kunokunyangwa ngokubeka i-stent okanye ityhubhu encinci ebizwa ngokuba ngumsele.
• Umsele okanye i-stent iya kunceda umzimba ukuba ulahle inyongo emzimbeni. Le nkqubo ibizwa ngokuba yiPercutaneous Biliary Drainage (PTBD).

Imibhobho yenyongo iqhelekile ngokobungakanani kunye nembonakalo yobudala bomntu.

Iziphumo zingabonisa ukuba imibhobho iyandiswa. Oku kunokuthetha ukuba imibhobho ivaliwe. Ukucinywa kunokubangelwa kukuqunjelwa okanye ngamatye. Ingabonisa umhlaza kwimibhobho ye-bile, isibindi, i-pancreas, okanye ummandla we-gallbladder.

Kukho ithuba elincinci lokuphendula ngokuchaseneyo phakathi kokuchaseneyo (iodine). Kukho umngcipheko omncinci woku:

• Ukonakala kwamalungu akufutshane
• Ukonakala kwesibindi
• Ukuphulukana kwegazi ngokugqithileyo
• Ityhefu yegazi (sepsis)
• Ukudumba kwemibhobho yenyongo
• Usulelo

Uninzi lwexesha, olu vavanyo lwenziwa emva kovavanyo lwe-endoscopic retrograde cholangiopancreatography (ERCP) kuvavanywe kuqala. I-PTC inokwenziwa ukuba uvavanyo lwe-ERCP alunakwenziwa okanye luye lwasilela ukucima ukubhloka.

I-magnetic resonance cholangiopancreatography (MRCP) yindlela entsha yokucinga, engabonakaliyo, esekwe kwimifanekiso yokujonga ngemagneti (i-MRI). Ikwabonelela ngemibono yemibhobho yenyongo, kodwa akusoloko kusenzeka ukwenza olu vavanyo. Kwakhona, i-MRCP ayinakusetyenziselwa ukunyanga ukubhloka.

I-PTC; Cholangiogram - PTC; I-PTC; I-PBD-i-Berculaneous biliary drainage; I-Percutaneous transhepatic cholangiography

• I-gallbladder anatomy
• Indlela yendlela

I-Chockalingam A, i-Georgiades C, i-Hong K.Ukungenelela kweTranshepatic yokuthintela i-jaundice. Ku: UCameron JL, uCameron AM, ii-eds. Unyango lwangoku lonyango. Umhla we-12. IPhiladelphia, PA: Elsevier; Ngo-2017: 475-483.

UJackson PG, uEvans SRT. Inkqubo yeBiliary. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 54.

ILidofsky SD. I-jaundice. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 21.

IStockland AH, iBaron TH. Unyango lwe-Endoscopic kunye ne-radiologic yesifo se-biliary. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 70.