Percutaneous transhepatic cholangiogram

Igwe translapatic cholangiogram (PTC) na-egbu egbu bụ x-ray nke eriri bile. Ndị a bụ akpa na-ebu bile site na imeju ruo gallbladder na obere eriri afọ.

A na-anwale ule a na ngalaba redio nke onye na-ahụ maka redio na-eme ihe.

A ga-agwa gị ka ị dinara azụ na tebụl x-ray. Onye ahụ na-eweta ọrụ ga-ehichapụ aka nri na etiti etiti afọ gị wee tinye ọgwụ na-akụ ume.

A na-eji ụzarị ọkụ na ultrasound enyere ndị na-ahụ maka ahụike aka ịchọta imeju gị na mmiri bile. A na-etinyezi agịga ogologo, nke dị mkpụmkpụ, na-agbanwe agbanwe site na akpụkpọ ahụ n'ime imeju ahụ. Onye na-eweta ya na-agba agba, nke a na-akpọ usoro dị iche, n'ime akpa mmiri bile. Ihe iche na - enyere aka mee ka a mata mpaghara ụfọdụ ka enwere ike ịhụ ha. A na-ewe ụzarị ụzarị ọkụ ndị ọzọ ka dai nke ahụ na-esi n’ime mmiri bile banye n’eriri afọ. Enwere ike ịhụ nke a na nlele vidiyo dị nso.

A ga-enye gị ọgwụ iji mee ka obi dajụọ gị (ịda ụra) maka usoro a.

Gwa onye na-enye gị ọrụ ma ọ bụrụ na ị dị ime ma ọ bụ nwee nsogbu ọgbụgba.

A ga-enye gị uwe mwụda ụlọ ọgwụ ị ga-eyi, a ga-agwa gị wepụ ọla niile.

A ga-agwa gị ka ị ghara iri ma ọ bụ drinkụọ ihe ọ bụla maka awa 6 tupu ule ahụ.

Gwa onye na - enye gị ọrụ ma ọ bụrụ n’ịnwe ọgwụ dị ka Warfarin (coumadin), Plavix (clopidogrel), Pradaxa, ma ọ bụ Xarelto.

A ga-enwe ihe ọgbụgba dịka a na-enye ọgwụ izizi ahụ. Nwere ike ịnwe ahụ erughị ala ka agịga ahụ abanyela n’imeju. Ga-enwe ogwuura maka usoro a.

Ule a nwere ike inyere aka chọpụta ihe kpatara ọnụọgụ bile.

Bile bụ mmiri mmiri nke umeji na-ewepụta. O nwere cholesterol, nnu nnu, na ihe mkpofu. Ngwunye nnu na-enyere ahụ gị aka ịkụda (mgbaze) abụba. Mgbochi nke eriri bile nwere ike ibute jaundice (acha odo odo nke anụ ahụ), ọkọ anụ ahụ, ma ọ bụ ibute ọrịa nke imeju, gallbladder ma ọ bụ pancreas.

Mgbe emere ya, PTC na-abụkarị akụkụ mbụ nke usoro nzọụkwụ abụọ iji belata ma ọ bụ mesoo mgbochi.

• PTC na-eme "ụzọma" nke eriri bile, nke enwere ike iji mee atụmatụ ọgwụgwọ ahụ.
• Mgbe emechara ụzọ ahụ, enwere ike ịgwọ mgbochi site na itinye stent ma ọ bụ obere tube a na-akpọ drain.
• Ọgba mmiri ma ọ bụ stent ga-enyere ahụ aka iwepụ bile ahụ n'ahụ. A na-akpọ usoro ahụ Percutaneous Biliary Drainage (PTBD).

Ọbara bile ahụ na-adịkarị nha na ọdịdị maka afọ mmadụ.

Nsonaazụ a nwere ike igosi na duct ahụ na-abawanye. Nke a nwere ike ịpụta na-egbochi ndị ducts. Ihe mgbochi ahụ nwere ike ịbụ nsị ma ọ bụ nkume. Ọ nwekwara ike na-egosi kansa cancer na bile ducts, imeju, pancreas, ma ọ bụ mpaghara nke gallbladder.

Enwere obere ohere nke nfụkasị ahụ na-ajụ ihe dị iche (ayodiin). E nwekwara obere ihe egwu maka:

• Mmebi nke akụkụ ndị dị nso
• Mmebi na Imeju
• Ọnwụ ọbara gabiga ókè
• Mgbu ọbara (sepsis)
• Mbufụt nke bile ducts
• Ofufe Ọrịa

Ọtụtụ oge, a na-eme ule a mgbe anwalechara ule endoscopic retrograde cholangiopancreatography (ERCP). Enwere ike ime PTC ma ọ bụrụ na enweghị ike ịme ule ERCP ma ọ bụ mezue mgbochi.

Ihe nkedo magnetik cholangiopancreatography (MRCP) bu ihe ohuru ohuru, usoro onyonyo na-adighi emetuta, dabere na onyonyo resonance magnet (MRI). Ọ na-enyekwa echiche nke eriri bile, mana ọ naghị ekwe omume mgbe niile ịme ule a. Ọzọkwa, MRCP enweghị ike iji ya mee ihe mgbochi.

PTC; Cholangiogram - PTC; PTC; PBD - Igbapu mmiri biliary percutaneous; Percutaneous transhepatic cholangiography Nkea

• Gallbladder mmewere
• Okporo ụzọ

Chockalingam A, Georgiades C, Hong K. Ntugharị nke transhepatic maka jaundice igbochi. Na: Cameron JL, Cameron AM, eds. Usoro ọgwụgwọ nke oge a. Agba nke iri na abụọ. Philadelphia, PA: Elsevier; 2017: 475-483.

Jackson PG, Evans SRT. Usoro biliary. Na: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Akwụkwọ Sabiston nke gerywa Ahụ. Agba nke 20. Philadelphia, PA: Elsevier; 2017: isi 54.

Lidofsky SD. Jaundice. Na: Feldman M, Friedman LS, Brandt LJ, eds. Ọrịa Cancer Sleisenger na Ọrịa Cancer nke Fordtran. Nke iri. Philadelphia, PA: Elsevier Saunders; 2016: isi 21.

AHland AH, Baron TH. Endoscopic na ọgwụgwọ rediologic nke ọrịa biliary. Na: Feldman M, Friedman LS, Brandt LJ, eds. Ọrịa Cancer Sleisenger na Ọrịa Cancer nke Fordtran. Nke iri. Philadelphia, PA: Elsevier Saunders; 2016: isi 70.