Cholangiography: he aha ia a pehea e hana ai

Anter

• Pehea e pau ai ka hōʻike
• 1. ʻO cholangiography Intravenous
• 2. Endoscopic cholangiography
• 3. ʻO cholangiography Intraoperative
• 4. ʻO ka cholangiography resonance ʻume mākeneka
• Pehea e hoʻomākaukau ai no ka hoʻokolokolo
• Nā hopena ʻē aʻe
• Ke hana ʻole ʻia ka hōʻike

ʻO Cholangiography kahi hoʻokolohua X-ray e lawelawe ana e loiloi i nā aʻa o ka bile, a ʻae iā ʻoe e nānā i ke ala o ka bile mai ke ake a i ka duodenum.

Hana pinepine ʻia kēia ʻano hoʻokolokolo ma ke ʻoki ʻana ma nā kaola o ka bile e hoʻoneʻe ai i kahi pōhaku gallbladder, no ka laʻana, akā hiki ke hōʻike ʻia e ke kauka e kōkua i ka hōʻoia ʻana i nā pilikia ʻē aʻe e pili ana i nā kaola o ka bile, e like me:

• ʻO ke keʻakeʻa ʻana o ka bile;
• Nā ʻeha, nā koʻikoʻi a i ʻole ka dilation o nā auwaha;
• ʻĀpā kik Gallbladder.

Eia hou, inā loaʻa kahi ālai o nā aʻa o ka bile, hiki i ke kauka, i ka wā o ka hoʻokolokolo ʻana, hemo i nā mea keakea ʻia, e hoʻomaikaʻi koke ai i nā ʻōuli.

Pehea e pau ai ka hōʻike

Nui a hewahewa nā ʻano cholangiography i hiki ke kauoha ʻia e like me ka kānalua a ke kauka. Kaukaʻi ʻia i ke ʻano, ʻano ʻokoʻa paha ke ala o ka lawe ʻana i ka hoʻokolokolo.

1. ʻO cholangiography Intravenous

Aia kēia hana i ka lawelawe ʻana i kahi ʻokoʻa i ke kahe o ke koko, a laila e hoʻopau ʻia e ka bile. Ma hope o kēlā, loaʻa nā kiʻi i kēlā me kēia 30 mau minuke, kahi e ʻae ai i ka hoʻopaʻa ʻana i ke ala ʻokoʻa ma waena o nā aʻa aʻa.

2. Endoscopic cholangiography

I kēia ʻano hana, ua hoʻokomo ʻia kahi kuʻina mai ka waha a i ka duodenum, kahi e lawelawe ʻia ai ka huahana ʻokoʻa a laila hana ʻia kahi X-ray ma kahi o ka ʻokoʻa.

3. ʻO cholangiography Intraoperative

I kēia ʻano hana, hana ʻia ka hoʻokolohua i ka wā o ka hemo ʻana o ka gallbladder, i kapa ʻia ʻo cholecystectomy, kahi e lawelawe ʻia ai kahi huahana ʻokoʻa a hana ʻia kekahi mau kukuna X.

4. ʻO ka cholangiography resonance ʻume mākeneka

Hana ʻia kēia hana ma hope o ke kaʻi ʻana o ka gallbladder, me ke kumu o ka loiloi ʻana i nā aʻa o ka bile ma hope o ka hemo ʻana, i mea e ʻike ʻia ai nā pilikia i hiki i nā koena pōhaku i ʻike ʻole ʻia i ka wā o ke ʻoki.

Pehea e hoʻomākaukau ai no ka hoʻokolokolo

Hoʻololi paha ka hoʻomākaukau no ka cholangiography e like me ke ʻano o ka hoʻokolokolo.

• Wikiwiki mai 6 a 12 hola;
• Inu wale i kahi wai ʻuʻuku a hiki i 2 mau hola ma mua o ka hoʻokolohua;
• E hoʻomaopopo i ke kauka e pili ana i ka hoʻohana ʻana i nā lāʻau, ʻo aspirin, clopidogrel a i ʻole warfarin.

I kekahi mau hihia, kauoha paha ke kauka i kahi hoʻokolohua koko a i 2 mau lā ma mua o ka hōʻike.

Nā hopena ʻē aʻe

ʻOiai ʻaʻole maʻamau ia, aia kekahi mau hopena i hiki ke hana ma muli o ka hana ʻana o kēia hoʻokolohua e like me ka hōʻino ʻana i nā aʻa o ka bile, pancreatitis, ka hoʻokahe ʻana i ka kūloko a i ʻole ka maʻi.

Ma hope o cholangiography, inā he hōʻailona e like me ke kuni ma luna o 38.5ºC a i ʻole ka ʻeha o ka ʻōpū e hoʻomaikaʻi ʻole, pono ia e hele i ka haukapila.

Ke hana ʻole ʻia ka hōʻike

ʻOiai manaʻo ʻia he palekana kēia hoʻāʻo, ʻaʻole ia e koi ʻia no ka poʻe i loaʻa ka hypersensitivity i ka ʻokoʻa, maʻi o ka ʻōnaehana biliary a i ʻole nā ​​kiʻekiʻe o ka creatinine a me ka urea. I kēlā mau hihia, hiki i ke kauka ke paipai i kahi hoʻokolohua hou e loiloi i nā aʻa o ka bile.