Cholangiography: yenzelwe ntoni kwaye yenziwa njani

Umxholo

• Luqhutywa njani uviwo
• 1. I-cholangiography efakwa ngaphakathi
• 2. I-Endoscopic cholangiography
• 3. I-cholangiography yotyando
• 4. Imagnetic resonance cholangiography
• Ungazilungiselela njani iimviwo
• Iziphumo ebezingalindelekanga ezinokwenzeka
• Xa uviwo lungafanele ukwenziwa

I-Cholangiography luvavanyo lwe-X-ray olwenzela ukuvavanya i-bile ducts, kwaye ikuvumela ukuba ujonge indlela ye-bile ukusuka kwisibindi ukuya kwi-duodenum.

Rhoqo olu hlobo loviwo lwenziwa ngexesha lotyando kwimibhobho yenyongo ukususa ilitye lenyongo, umzekelo, kodwa ikwaboniswa ngugqirha ukunceda ukufumanisa ezinye iingxaki ezinxulumene nemijelo yenyongo, enje:

• Ukuphazamiseka kwendlela yokubamba;
• Ukwenzakala, ukuqiniswa okanye ukwandiswa kwemibhobho;
• Isisu esiswini.

Ukongeza, ukuba kufunyenwe isithintelo semibhobho yenyongo, ugqirha usenokuthi, ngexesha loviwo, asuse okubangela ukuphazamiseka, kubangele ukuphuculwa kwangoko kweempawu.

Luqhutywa njani uviwo

Kukho iintlobo ezininzi ze-cholangiography ezinoku-odolwa ngokokukrokrela kukagqirha. Kuxhomekeke kudidi, indlela yokuthatha uviwo inokwahluka kancinci:

1. I-cholangiography efakwa ngaphakathi

Le ndlela ibandakanya ukulawula umahluko egazini, oya kuthi emva koko ususwe yinyongo. Emva koko, imifanekiso ifunyanwa rhoqo kwimizuzu engama-30, eya kuthi ivumele ukufundwa kwendlela eyahlukileyo kwimibhobho yenyongo.

2. I-Endoscopic cholangiography

Kobu buchule, kufakwa iprojekhthi ukusuka emlonyeni ukuya kwi-duodenum, apho kulawulwa imveliso eyahlukileyo emva koko kwenziwa i-X-ray kwindawo yokuthelekisa.

3. I-cholangiography yotyando

Ngale ndlela, uvavanyo lwenziwa ngexesha lotyando lokususa inyongo, olubizwa ngokuba yicholecystectomy, apho kulawulwa imveliso eyahlukileyo kwaye kwenziwa ii-X-ray ezininzi.

4. Imagnetic resonance cholangiography

Obu buchule benziwa emva kotyando lokususa i-gallbladder, ngenjongo yokuvavanya imibhobho yenyongo emva kokususwa, ukuze kuchongwe iingxaki ezinokubangelwa ngamatye ashiyekileyo angakhange afumaneke ngexesha lotyando.

Ungazilungiselela njani iimviwo

Ukulungiselela i-cholangiography inokwahluka ngohlobo loviwo, nangona kunjalo, ukhathalelo ngokubanzi lubandakanya:

• Ukukhawuleza ukusuka kwi-6 ukuya kwiiyure ze-12;
• Sela kuphela iisiphu ezincinci zamanzi ukuya kuthi ga kwiiyure ezimbini ngaphambi koviwo;
• Yazisa ugqirha malunga nokusetyenziswa kwamayeza, ngakumbi i-aspirin, i-clopidogrel okanye i-warfarin.

Ngamanye amaxesha ugqirha unokuyalela uvavanyo lwegazi ukuya kwiintsuku ezimbini ngaphambi kovavanyo.

Iziphumo ebezingalindelekanga ezinokwenzeka

Nangona ingaqhelekanga, kukho ezinye iziphumo ebezingalindelekanga ezinokubakho ngenxa yokusebenza kolu vavanyo njengokonakaliswa kwemibhobho yenyongo, ukudumba kwenkunkuma, ukopha ngaphakathi okanye usulelo.

Emva kwe-cholangiography, ukuba iimpawu ezinje ngomkhuhlane ongaphezulu kwama-38.5ºC okanye iintlungu zesisu ezingaphuculiyo, kuyacetyiswa ukuba uye esibhedlele.

Xa uviwo lungafanele ukwenziwa

Nangona olu vavanyo luthathwa ngokuba lukhuselekile, alukhuthazwanga kubantu abane-hypersensitivity to umahluko, usulelo lwenkqubo ye-biliary okanye abanamanqanaba aphezulu e-creatinine okanye e-urea. Kwiimeko ezinjalo, ugqirha unokucebisa olunye uvavanyo ukuvavanya imibhobho yenyongo.