Cholangiography: menene don kuma yadda ake yinshi

Wadatacce

• Yadda ake yin jarabawa
• 1. Hanyar daukar hoto ta hanji
• 2. Endoscopic cholangiography
• 3. Intraoperative cholangiografia
• 4. Magnetic resonance cholangiography
• Yadda ake shirya wa jarrabawa
• Matsalar da ka iya haifar
• Lokacin da ba za a yi jarrabawa ba

Cholangiography shine gwajin X-ray wanda ke aiki don kimanta bututun bile, kuma yana baka damar duba hanyar bile daga hanta zuwa duodenum.

Sau da yawa irin wannan binciken ana yin sa yayin aikin tiyata kan butar bile don cire dutsen da ke cikin gallbladder, misali, amma kuma likita na iya nuna shi don taimakawa wajen gano wasu matsalolin da suka shafi bututun bile, kamar:

• Bile bututun toshewa;
• Raunuka, tsaurarawa ko faɗaɗa bututu;
• Ciwon ciki na mafitsara.

Bugu da kari, idan aka samu toshewar hanyoyin bile, likita na iya, yayin binciken, cire abin da ke haifar da toshewar, wanda ke haifar da kusan ci gaba cikin alamun.

Yadda ake yin jarabawa

Akwai nau'ikan cholangiography da yawa waɗanda za a iya ba da oda gwargwadon zagin likita. Dogaro da nau'in, hanyar ɗaukar jarrabawar na iya ɗan ɗan bambanta:

1. Hanyar daukar hoto ta hanji

Wannan hanyar ta kunshi gudanar da wani bambanci a cikin hanyoyin jini, wanda daga nan bile zai kawar da shi. Bayan haka, ana samun hotuna kowane minti 30, wanda zai ba da damar nazarin hanyar bambanci ta cikin hanyoyin bile.

2. Endoscopic cholangiography

A cikin wannan dabarar, ana saka bincike daga bakin zuwa duodenum, inda ake gudanar da samfurin bambancin sannan kuma a yi hoton-ray a wurin bambancin.

3. Intraoperative cholangiografia

A wannan hanyar, ana yin gwajin ne yayin aikin cirewar gallbladder, wanda ake kira cholecystectomy, inda ake gudanar da wani samfuri mai banbanci kuma ana yin rayukan X da yawa.

4. Magnetic resonance cholangiography

Ana yin wannan dabarar bayan tiyatar cirewar gall, tare da manufar kimanta bututun bayan bayan cirewar, don gano matsalolin da ka iya faruwa sanadiyyar dutsen da ba a gano lokacin aikin ba.

Yadda ake shirya wa jarrabawa

Shirye-shiryen cholangiography na iya bambanta gwargwadon nau'in jarrabawa, kodayake, kulawa ta gaba ɗaya ta haɗa da:

• Azumi daga 6 zuwa 12 hours;
• Shan ruwa kadan kawai har zuwa awanni 2 kafin jarrabawar;
• Sanar da likita game da amfani da magunguna, musamman asfirin, clopidogrel ko warfarin.

A wasu lokuta, likita na iya yin odar gwajin jini har zuwa kwanaki 2 kafin gwajin.

Matsalar da ka iya haifar

Kodayake ba kasafai ake samun hakan ba, akwai wasu illoli da ka iya faruwa saboda aiwatar da wannan gwajin kamar lalata kwayar cutar bile, pancreatitis, zubar jini ta ciki ko kamuwa da cuta.

Bayan aikin kodin, idan alamun kamar zazzabi sama da 38.5ºC ko ciwon ciki wanda bai inganta ba, yana da kyau kaje asibiti.

Lokacin da ba za a yi jarrabawa ba

Kodayake ana ɗaukar wannan gwajin lafiya, ba a ba da shawarar ga mutanen da ke da laulayi zuwa bambanci, kamuwa da tsarin biliary ko waɗanda ke da manyan matakan creatinine ko urea. A irin waɗannan halaye, likita na iya ba da shawarar wani gwaji don tantance ƙwanjin bile.