I-Cholangiography: yenzelwe ini nokuthi yenziwa kanjani

-Delile

• Kwenziwa kanjani ukuhlolwa
• 1. I-cholangiography efakwa ngaphakathi
• 2. I-endoscopic cholangiography
• 3. I-cholangiography yokuhlinzwa
• 4.I-Magnetic resonance cholangiography
• Ungasilungiselela kanjani isivivinyo
• Imiphumela emibi engaba khona
• Lapho ukuhlolwa kungafanele kwenziwe

I-Cholangiography ukuhlolwa kwe-X-ray okusebenzela ukuhlola amapayipi enyongo, futhi ikuvumela ukuthi ubuke indlela yenyongo esuka esibindini iye e-duodenum.

Imvamisa lolu hlobo lokuhlolwa lwenziwa ngesikhathi sokuhlinzwa emathangeni e-bile ukuze kususwe itshe le-gallbladder, ngokwesibonelo, kepha futhi kungakhonjiswa ngudokotela ukusiza ukuxilonga ezinye izinkinga ezihlobene namapayipi e-bile, njenge:

• Ukuvinjelwa kwemifudlana ebilisiwe;
• Ukulimala, ukuqiniswa noma ukunwetshwa kwamapayipi;
• Isimila senyongo.

Ngaphezu kwalokho, uma kutholakala ukuvinjelwa kwamapayipi e-bile, udokotela, ngesikhathi sokuhlolwa, angasusa okubangela ukuvinjelwa, okwenza ngcono izimpawu ngokushesha.

Kwenziwa kanjani ukuhlolwa

Kunezinhlobo eziningana ze-cholangiography ezinga-odwa ngokusolwa kukadokotela. Ngokuya ngohlobo, indlela yokwenza isivivinyo ingahluka kancane:

1. I-cholangiography efakwa ngaphakathi

Le ndlela iqukethe ukufaka umehluko egazini, elizosuswa yi-bile. Ngemuva kwalokho, kutholakala izithombe njalo ngemizuzu engama-30, okuzovumela ukutadisha kwendlela yokuqhathanisa edlula emigodini ye-bile.

2. I-endoscopic cholangiography

Kule nqubo, kufakwa iphenyo lisuka emlonyeni liye e-duodenum, lapho kufakwa khona umkhiqizo ohlukile bese kwenziwa i-X-ray esizeni sokuqhathanisa.

3. I-cholangiography yokuhlinzwa

Ngale ndlela, ukuhlolwa kwenziwa ngesikhathi sokuhlinzwa kokukhishwa kwe-gallbladder, okubizwa nge-cholecystectomy, lapho kwenziwa khona umkhiqizo ohlukile futhi kwenziwa ama-X-ray amaningi.

4.I-Magnetic resonance cholangiography

Le ndlela yenziwa ngemuva kokuhlinzwa kokukhishwa kwe-gallbladder, ngenhloso yokuhlola amapayipi e-bile ngemuva kokususwa, ukuze kutholakale izinkinga ezingaba khona ezingabangelwa ngamatshe asalile angatholakali ngesikhathi sokuhlinzwa.

Ungasilungiselela kanjani isivivinyo

Ukulungiselela i-cholangiography kungahluka ngohlobo lokuhlolwa, kepha ukunakekelwa okujwayelekile kufaka:

• Shesha kusuka emahoreni ayisithupha kuya kwayi-12;
• Phuza kuphela ama-sips amancane amanzi kuze kufike emahoreni ama-2 ngaphambi kokuhlolwa;
• Yazisa udokotela ngokusetshenziswa kwemithi, ikakhulukazi i-aspirin, i-clopidogrel noma i-warfarin.

Kwezinye izimo, udokotela futhi angayalela ukuhlolwa kwegazi kuze kufike ezinsukwini ezi-2 ngaphambi kokuhlolwa.

Imiphumela emibi engaba khona

Yize kungajwayelekile kakhulu, kunemiphumela engemihle engenzeka ngenxa yokusebenza kwalolu vivinyo njengokulimala kwemigudu ye-bile, i-pancreatitis, ukopha kwangaphakathi noma ukutheleleka.

Ngemuva kwe-cholangiography, uma izimpawu ezinjengomkhuhlane ongaphezu kuka-38.5ºC noma ubuhlungu besisu obungathuthuki, kuyalulekwa ukuya esibhedlela.

Lapho ukuhlolwa kungafanele kwenziwe

Yize lokhu kuhlolwa kuthathwa njengokuphephile, akunconyelwa abantu abane-hypersensitivity ukuqhathanisa, ukutheleleka kohlelo lwe-biliary noma abanamazinga aphezulu we-creatinine noma i-urea. Ezimweni ezinjalo, udokotela angancoma okunye ukuhlolwa ukuhlola amapayipi enyongo.