Percutaneous transhepatic cholangiogram

A percutaneous transhepatic cholangiogram (PTC) ndeye x-ray yemaburi ducts. Aya ndiwo machubhu anotakura bile kubva pachiropa kuenda kune nduru uye ura hudiki.

Muedzo unoitwa mudhipatimendi redhiology neanopindira radiologist.

Iwe uchakumbirwa kuti urare nemusana wako patafura ye-x-ray. Iye mupi anochenesa yekumusoro kurudyi nepakati nzvimbo yedumbu rako wozoshandisa mushonga unovevesa.

X-ray uye ultrasound zvinoshandiswa kubatsira mupi wehutano wehutano kuwana chiropa chako uye bile ducts. Tsono refu, nhete, inoshanduka-shanduka inozoiswa kuburikidza neganda muchiropa. Mupiro anopinza dhayi, inonzi yekusiyanisa svikiro, mukati meiyo bile ducts. Kusiyanisa kunobatsira kuratidza zvimwe nzvimbo kuti zvionekwe. Mamwe ma-x-ray anotorwa sezvo dhayi inoyerera nepakati peb bile ducts kupinda mudumbu diki. Izvi zvinogona kuonekwa pane iri pedyo vhidhiyo yekutarisa.

Iwe unozopihwa mushonga wekunyaradza iwe (sedation) yeiyi maitiro.

Zivisa mupiki wako kana iwe uri nepamuviri kana uine chirwere chekubuda ropa.

Unozopihwa hanzu yechipatara yekupfeka uye uchakumbirwa kubvisa zvese zvishongo.

Iwe uchakumbirwa kuti usadya kana kunwa chero chinhu kwemaawa matanhatu pasati pabvunzo.

Udza mupiki wako kana iwe uri kutora chero ropa rakapfava senge Warfarin (coumadin), Plavix (clopidogrel), Pradaxa, kana Xarelto.

Kuchave nekurumwa sezvo anesthetic ichipihwa. Iwe unogona kunge uine kusagadzikana sezvo tsono iri kumberi muchiropa. Iwe unenge uine sedation yeiyi maitiro.

Bvunzo iyi inogona kubatsira kuongorora chinokonzeresa chekuvharidzira bile duct.

Bira imvura inosunungurwa nechiropa. Ine cholesterol, bile salts, uye zvigadzirwa zvemarara. Bile munyu unobatsira muviri wako kuputsa (kugaya) mafuta. Kuvharika kweiyo bile duct kunogona kutungamira ku jaundice (yero discoloration yeganda), kuvaviwa kweganda, kana hutachiona hwechiropa, nduru kana rwatata.

Kana ichiitwa, PTC inowanzo kuve chikamu chekutanga cheyese-nhanho maitiro ekugadzirisa kana kurapa kuvhara.

• Iyo PTC inogadzira "mepu yemugwagwa" yemaburi ducts, ayo anogona kushandiswa kuronga kurapwa.
• Mushure mekugadzirwa kwemugwagwa, iko kuvharika kunogona kurapwa nekuisa stent kana chubhu chena inonzi drain.
• Iyo yekudonha kana stent inobatsira muviri kubvisa iyo bile kubva mumuviri. Iyo nzira inonzi Percutaneous Biliary Drainage (PTBD).

Iyo bile ducts yakajairika muhukuru uye chitarisiko chezera remunhu.

Mhedzisiro yacho inogona kuratidza kuti ma ducts akawedzerwa. Izvi zvinogona kureva kuti ducts yakavharwa. Kuvhara kwacho kunogona kukonzerwa nekushaiwa kana mabwe. Inogona zvakare kuratidza kenza mune bile ducts, chiropa, pancreas, kana dunhu reguruva.

Iko kune mukana mushoma wekusagadzikana kweiyo yeiyo inosiyanisa svikiro (ayodini). Kune zvakare njodzi diki ye:

• Kukuvadza kune nhengo dziri pedyo
• Kukuvadza kune Chiropa
• Ropa rakanyanya
• Ropa chepfu (sepsis)
• Kuzvimba kweiyo bile ducts
• Utachiona

Kazhinji yenguva, bvunzo iyi inoitwa mushure mekuedzwa kweendoscopic retrograde cholangiopancreatography (ERCP) kwayedzwa kutanga. Iyo PTC inogona kuitwa kana iyo ERCP bvunzo isingakwanise kuitwa kana ikakundikana kubvisa iko kuvhara.

A magnetic resonance cholangiopancreatography (MRCP) inzira nyowani, isingaite yekufungidzira, inoenderana nemagineti resonance imaging (MRI). Iyo zvakare inopa maonero eiyo bile ducts, asi hazviwanzo kugona kuita bvunzo iyi. Zvakare, MRCP haigone kushandiswa kurapa kuvharika.

PTC; Cholangiogram - PTC; PTC; PBD - Percutaneous biliary drainage; Percutaneous transhepatic cholangiography

• Gallbladder anatomy
• Bile nzira

Chockalingam A, Georgiades C, Hong K. Kupindira kweTranshepatic kwekuvhiringidza jaundice. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017: 475-483.

Jackson PG, Evans SRT. Biliary maitiro. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 54.

Lidofsky SD. Jaundice. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 21.

Stockland AH, Bharon TH. Endoscopic uye radiologic kurapwa kwechirwere chirwere. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 70.