Cholangiography: ndeyei uye kuti inoitwa sei

Zvemukati

• Maitirwo ebvunzo
• 1. Intravenous cholangiography
• 2. Endoscopic cholangiography
• 3. Intraoperative cholangiography
• 4. Magnetic resonance cholangiography
• Maitiro ekugadzirira bvunzo
• Zvinogona kuitika mhedzisiro
• Kana bvunzo dzisingafanirwe kuitwa

Cholangiography ndeye X-ray bvunzo iyo inoshanda kuongorora iyo bile ducts, uye inokutendera iwe kuona iyo nzira ye bile kubva pachiropa kuenda kune duodenum.

Kazhinji rudzi urwu rwekuongorora rwunoitwa panguva yekuvhiya pane bile ducts kubvisa dombo renduru, semuenzaniso, asi rinogona zvakare kuratidzwa nachiremba kuti abatsire kuongorora mamwe matambudziko ane chekuita nenyuchi ducts, senge:

• Bile duct kuvharirwa;
• Kukuvara, kusimba kana kudzikiswa kwematairi;
• Gallbladder bundu.

Uye zvakare, kana kuvharika kwenyuchi ducts kukawanikwa, chiremba anogona, panguva yekuongorora, kubvisa izvo zviri kukonzera kuvhiringidzika, zvichikonzera kuve nekukurumidza kuvandudza kwezviratidzo.

Maitirwo ebvunzo

Kune akatiwandei marudzi e cholangiography ayo anogona kurairwa zvinoenderana nekufungidzira kwechiremba. Zvichienderana nerudzi, nzira yekutora bvunzo inogona kunge yakati siyanei:

1. Intravenous cholangiography

Iyi nzira inosanganisira kupa musiyano muropa, iyo inozobviswa neiyo bile. Mushure meizvozvo, mifananidzo inowanikwa mukati mese maminetsi makumi matatu, izvo zvinobvumidza kudzidza kwenzira yekusiyanisa kuburikidza neburi ducts.

2. Endoscopic cholangiography

Mune ino hunyanzvi, probe inoiswa kubva pamuromo kuenda kune duodenum, uko chigadzirwa chakasiyana chinogadziriswa uyezve X-ray inogadzirwa panzvimbo yemusiyano.

3. Intraoperative cholangiography

Nenzira iyi, bvunzo dzinoitwa panguva yekuvhiya nduru, inonzi cholecystectomy, umo chigadzirwa chakasiyana chinopihwa uye maX-ray akati wandei anoitwa.

4. Magnetic resonance cholangiography

Iyi nzira inoitwa mushure mekuvhiya nduru, pamwe nechinangwa chekuongorora mabhuru endudzi mushure mekubviswa, kuitira kuti uone matambudziko anogona kukonzerwa nematombo akasara asina kuwanikwa panguva yekuvhiyiwa.

Maitiro ekugadzirira bvunzo

Kugadzirira kwe cholangiography kunogona kusiyana zvichienderana nerudzi rwebvunzo, zvisinei, kuchengetwa kwese kunosanganisira:

• Kutsanya kubva kuma6 kusvika kumaawa gumi nemaviri;
• Imwai sips diki dzemvura kusvika maawa maviri bvunzo isati yaitwa;
• Dzidzisa chiremba nezvekushandiswa kwemishonga, kunyanya aspirin, clopidogrel kana warfarin.

Mune zvimwe zviitiko, chiremba anogona zvakare kuraira kuongororwa kweropa kusvika mazuva maviri pamberi penzvero.

Zvinogona kuitika mhedzisiro

Kunyangwe isingawanzo kujairika, kune mimwe mhedzisiro inogona kuitika nekuda kwekuita kweiyi bvunzo sekukuvara kune ma bile ducts, pancreatitis, kubuda kwemukati kubuda ropa kana hutachiona.

Mushure me cholangiography, kana zviratidzo zvakaita sefivha iri pamusoro pe38.5ºC kana kurwadziwa kwepamuviri kusiri kusimukira, zvinokurudzirwa kuenda kuchipatara.

Kana bvunzo dzisingafanirwe kuitwa

Kunyangwe bvunzo iyi ichinzi yakachengeteka, haina kukurudzirwa kune vanhu vane hypersensitivity kusiyanisa, hutachiona hweiyo biliary system kana vane huwandu hwakanyanya hwe creatinine kana urea. Mumamiriro ezvinhu akadaro, chiremba anogona kukurudzira kumwe kuyedza kuti aongorore bile ducts.