Ercwararren ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa

Hannun cututtukan ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa (PTC) shine x-ray na bile ducts. Waɗannan sune bututu masu ɗauke da bile daga hanta zuwa mafitsara da ƙaramar hanji.

Gwajin an yi shi a cikin sashen rediyo ta hanyar wani masanin ilimin hanyoyin shiga tsakani.

Za a umarce ku da ku kwanta a bayanku a kan tebur ɗin x-ray. Mai ba da sabis ɗin zai tsabtace babba na dama da na tsakiya na yankin cikin ku sannan ya yi amfani da maganin numfashi.

Ana amfani da hasken-rana da duban dan tayi don taimakawa mai bada lafiya gano wuri hanta da bile ducts. Doguwar sira, siriri, sassauƙa ana sakawa ta cikin fata cikin hanta. Mai ba da ingin fenti, wanda ake kira matsakaiciyar matsakaici, a cikin bututun bile. Bambanci yana taimakawa haskaka wasu yankuna don a iya gani. Takenarin rayukan rana ana ɗauka yayin da fenti ke gudana ta cikin bututun bile cikin ƙaramin hanji. Ana iya ganin wannan akan mai sa ido na bidiyo kusa.

Za a baku magani don kwantar muku da hankali (kwantar da hankali) don wannan aikin.

Sanar da mai bayarwa idan kun kasance masu ciki ko kuma kuna da cutar zubar jini.

Za a ba ku rigar asibiti da za ku sa kuma za a ce ku cire duk kayan ado.

Za a umarce ku da ku ci ko sha wani abu har tsawon awanni 6 kafin gwajin.

Faɗa wa mai ba ka magani idan kana shan duk wani abu da ke rage jini kamar Warfarin (coumadin), Plavix (clopidogrel), Pradaxa, ko Xarelto.

Za a sami rauni kamar yadda ake ba da maganin naƙurar raɗaɗɗa. Kuna iya samun ɗan rashin jin daɗi yayin da allurar ta shiga cikin hanta. Za ku sami nutsuwa don wannan aikin.

Wannan gwajin zai iya taimakawa wajen gano dalilin toshewar bututun bile.

Bile wani ruwa ne da hanta ke fitarwa. Ya ƙunshi cholesterol, salts na bile, da kayayyakin sharar gida. Gishiri mai ɗaci na taimaka wa jikin ku ya narke. Toshewar bututun butul na iya haifar da jaundice (launin rawaya a fata), kaikayin fata, ko kamuwa da cutar hanta, gallbladder ko pancreas.

Lokacin da aka aiwatar dashi, PTC shine mafi yawan lokuta sashin farko na matakai biyu don sauƙaƙe ko magance matsalar toshewa.

• PTC yana yin "hanyar taswira" ta bututun bile, wanda za'a iya amfani dashi don tsara maganin.
• Bayan an gama taswirar hanya, ana iya magance toshiyar ta hanyar sanya wani abu ko kuma siraran bututu da ake kira magudanar ruwa.
• Magudanar ruwa ko zafin za su taimaka wa jiki cire bile daga jiki. Ana kiran wannan tsari Percutaneous Biliary Drainage (PTBD).

Hanyoyin bile na al'ada girma ne da bayyana na shekarun mutum.

Sakamakon na iya nuna cewa an faɗaɗa hanyoyin. Wannan na iya nufin an toshe bututun. Ageunƙasar ko duwatsu na iya haifar da toshewar. Hakanan yana iya nuna kansa a cikin bututun bile, hanta, pancreas, ko yankin gallbladder.

Akwai 'yar dama ta rashin lafiyan shiga yanayin matsakaicin matsakaici (iodine). Hakanan akwai ƙaramin haɗari don:

• Lalacewa ga gabobin da ke kusa
• Lalacewa ga Hanta
• Yawan zubar jini
• Guba ta jini (sepsis)
• Kumburin bututun bile
• Kamuwa da cuta

Mafi yawan lokuta, ana yin wannan gwajin ne bayan an gwada gwajin endoscopic retrograde cholangiopancreatography (ERCP) da farko. Za'a iya yin PTC idan ba'a iya yin gwajin ERCP ba ko kuma ya kasa share toshewar.

Hanyoyin haɓakar maganadisu (MRCP) sabuwa ce, hanyar ba da hoto ba tare da yaduwa ba, dangane da hoton haɓakar maganadisu (MRI). Hakanan yana ba da ra'ayoyi game da bututun bile, amma ba koyaushe ake yin wannan gwajin ba. Hakanan, ba za a iya amfani da MRCP don magance toshewar ba.

PTC; Cholangiogram - PTC; PTC; PBD - Maganin biliary malale; Hanyoyin motsa jiki na nakasassu

• Gallbladder jikin mutum
• Hanyar Bile

Chockalingam A, Georgiades C, Hong K. Ayyukan tsoma baki don cutar jaundice. A cikin: Cameron JL, Cameron AM, eds. Far Mashi na Yanzu. 12th ed. Philadelphia, PA: Elsevier; 2017: 475-483.

Jackson PG, Evans SRT. Biliary tsarin. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 54.

Lidofsky SD. Jaundice. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 21.

Stockland AH, Baron TH. Endoscopic da maganin rediyo na cutar biliary. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 70.