Motsoako oa transhepatic cholangiogram

A transcutatic transhepatic cholangiogram (PTC) ke x-ray ea methapo ea bile. Tsena ke methapo e tsamaisang bile ho tloha sebeteng ho ea ho gallbladder le mala a manyane.

Teko e etsoa lefapheng la radiology ke radiologist ea kenang.

O tla kopuoa ho robala ka mokokotlo tafoleng ea x-ray. Mofani oa thepa o tla hloekisa sebaka se kaholimo le letona le bohareng ba mpa ea hau ebe o sebelisa moriana o fokolisang.

Ho sebelisoa X-ray le ultrasound ho thusa mofani oa tlhokomelo ea bophelo ho fumana methapo ea sebete le ea bile. Joale nale e telele, e tšesaane, e tenyetsehang e kentsoe letlalong sebeteng. Mofani oa thepa o kenya dae, e bitsoang phapang pakeng tsa li-bile. Phapang e thusa ho hlakisa libaka tse ling hore li tle li bonoe. Ho nkuoa li-x-ray tse ngata ha dae e ntse e phalla ka har'a methapo ea bile e kena ka maleng. Sena se ka bonoa ho sebali sa video se haufi.

U tla fuoa moriana ho u khutsisa (sedation) bakeng sa ts'ebetso ena.

Tsebisa mofani oa hau haeba u imme kapa u na le lefu la ho tsoa mali.

O tla fuoa mose oa sepetlele hore o o apare mme o tla kopuoa ho tlosa mabenyane ohle.

O tla kopuoa hore o se ke oa ja kapa oa noa letho lihora tse 6 pele ho tlhahlobo.

Bolella mofani oa hau haeba u nka li-mali tse kang Warfarin (coumadin), Plavix (clopidogrel), Pradaxa, kapa Xarelto.

Ho tla ba le motsu ha ho fanoa ka thethebatso. U kanna oa ba le bothata ha nale e ntse e tsoela pele sebeteng. U tla ba le sedation bakeng sa ts'ebetso ena.

Teko ena e ka thusa ho fumana sesosa sa thibelo ea bile.

Bile ke metsi a tsoang sebeteng. E na le k'holeseterole, matsoai a bile le lihlahisoa tsa litšila. Letsoai le phehang le thusa 'mele oa hau ho senya mafura. Ho koaloa ha pompo ea bile ho ka lebisa ho jaundice ('mala o mosehla oa letlalo), ho hlohlona ha letlalo, kapa tšoaetso ea sebete, gallbladder kapa manyeme.

Ha e etsoa, ​​PTC hangata ke karolo ea pele ea mehato e 'meli ea ho imolla kapa ho phekola thibelo.

• PTC e etsa "mmapa oa tsela" oa methapo ea bile, e ka sebelisoang ho rala kalafo.
• Kamora hore 'mapa oa tsela o phethoe, ho thiba ho ka alafshoa ka ho beha stent kapa tube e tšesaane e bitsoang drain.
• Phallo kapa stent li tla thusa 'mele ho tlosa bile ho tsoa' meleng. Ts'ebetso ena e bitsoa Percutaneous Biliary Drainage (PTBD).

Li-ducts tsa bile li tloaelehile ka boholo le ponahalo bakeng sa lilemo tsa motho.

Liphetho li kanna tsa bontša hore lipeipi li atolositsoe. Sena se ka bolela hore lipeipi li koetsoe. Thibelo e ka bakoa ke mabali kapa majoe. E kanna ea supa mofetše ka har'a methapo ea bile, sebete, manyeme, kapa sebaka sa gallbladder.

Ho na le monyetla o fokolang oa ho itšoara hampe ho sehlahisoa se fapaneng (iodine). Hape ho na le kotsi e nyane ea:

• Tšenyo ea litho tse haufi
• Tšenyo ho Sebete
• Ho lahleheloa ke mali haholo
• Chefo ea mali (sepsis)
• Ho ruruha ha methapo ea bile
• Tšoaetso

Boholo ba nako, tlhahlobo ena e etsoa kamora hore teko ea endoscopic retrograde cholangiopancreatography (ERCP) e lekoe pele. PTC e kanna ea etsoa haeba tlhahlobo ea ERCP e ke ke ea etsoa kapa ea hloleha ho hlakola thibelo.

Magnetic resonance cholangiopancreatography (MRCP) ke mokhoa o mocha, o sa nkeheng oa ho nka litšoantšo, o ipapisitse le litšoantšo tsa maiketsetso tsa motlakase. E fana ka maikutlo a methapo ea bile, empa ha se kamehla ho ka khonehang ho etsa tlhahlobo ena. Hape, MRCP e ke ke ea sebelisoa ho phekola thibelo.

PTC; Cholangiogram - PTC; PTC; PBD - drainage e nang le methapo e mengata; Likarolo tse fapaneng tsa transhepatic cholangiography

• Anatomy ea gallbladder
• Tsela ea Bile

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