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ʻO nā mea hana cholecystographic i lawe ʻia e ka waha he mau waihoʻoluʻu kūikawā e kōkua ai i nā kauka e ʻike maopopo i kou ʻōpū bile i ka wā o ke kiʻi X-ray. Loaʻa i kēia mau lāʻau lapaʻau nā pūhui iodine e hoʻomālamalama ai kou ʻōpū bile a me nā ducts bile ma nā scans lapaʻau, e ʻae ana i kāu hui mālama ola e nānā i nā pōhaku gall, nā poloka, a i ʻole nā pilikia ʻē aʻe.
Hiki paha iā ʻoe ke hopohopo iki e pili ana i ka lawe ʻana i kahi mea ʻokoʻa, a he mea maʻamau loa ia. Ua hoʻohana palekana ʻia kēia mau lāʻau lapaʻau no nā makahiki he nui e kōkua i nā kauka e ʻike i nā maʻi ʻōpū bile me ka ʻole o ke ʻoki a i ʻole nā kaʻina hana invasive.
ʻO ka mea hana cholecystographic he mea ʻokoʻa e ʻike ai i kou ʻōpū bile ma nā X-ray. ʻO ke ʻano waha maʻamau i kapa ʻia ʻo ka waikawa iopanoic, ka mea e hana ai kou ate a me ka nānā ʻana i kou ʻōpū bile i nā hola he nui.
E noʻonoʻo e like me ka hoʻohui ʻana i ka waihoʻoluʻu meaʻai i ka wai e maʻalahi ai ka ʻike. Hele ka mea ʻokoʻa ma kou ʻōnaehana digestive, komo i loko o kou kahe koko, a laila kānana kou ate i loko o ka bile. ʻO kēia ʻokoʻa i nānā ʻia e hoʻomālamalama i kou ʻōpū bile ma nā kiʻi X-ray.
ʻAʻole ʻeha ka hana holoʻokoʻa a hana maoli i ka wā e hana ai kou kino i ka lāʻau lapaʻau. A laila hiki i kāu kauka ke kiʻi i nā kiʻi kikoʻī o kou ʻōpū bile e nānā i kona ʻano, ka nui, a me ka hana.
Hoʻopaʻa nā kauka i nā mea hana cholecystographic waha i ka mea nui e ʻike i nā pilikia o ka ʻōpū bile ma o ke kaʻina hana i kapa ʻia ʻo oral cholecystography. Kōkua kēia hoʻāʻo e ʻike i nā pōhaku gall, e nānā i ka maikaʻi o ka ʻaelike ʻana o kou ʻōpū bile, a ʻike i nā anomalies structural.
Hiki i kāu kauka ke ʻōlelo aku i kēia hoʻokolohua inā ʻoe e ʻike nei i nā hōʻailona e hōʻike ana i nā pilikia o ka gallbladder. ʻO kēia mau hōʻailona e komo pinepine ana i ka ʻeha ma kou ʻōpū ʻākau luna, ʻoi aku hoʻi ma hope o ka ʻai ʻana i nā meaʻai momona, ka nausea, ka luaʻi ʻana, a i ʻole ka ʻai ʻole mau.
He mea pono loa ka hoʻokolohua no ka ʻike ʻana i nā pōhaku liʻiliʻi i loko o ka gallbladder i ʻike ʻole ʻia ma ka ultrasound. Hiki nō hoʻi ke kōkua i kāu kauka e ʻike inā e hana pono ana kāu gallbladder ma ka nānā ʻana i ke ʻano o ka hoʻopiha ʻana a me ka hoʻokuʻu ʻana i ka mea hoʻohālikelike.
Hana nā mea hana cholecystographic ma ka hahai ʻana i ke ala hana bile maoli o kou kino. Ma hope o kou ale ʻana i ka lāʻau, e komo ana kou ʻōpū i loko o kou kahe koko, kahi e hele ai i kou ate.
A laila, kānana kou ate i ka mea hoʻohālikelike mai kou koko a hui pū me ka bile. E kahe ana kēia bile i hoʻonui ʻia i loko o kou gallbladder, kahi e ʻākoakoa ai ma luna o 12 a 14 mau hola. Paʻa ka iodine i loko o ka mea hoʻohālikelike i nā X-ray, e ʻālohilohi ana kou gallbladder i ke keʻokeʻo ma nā kiʻi.
Ua manaʻo ʻia he mea hana diagnostic mālie i hoʻohālikelike ʻia me kekahi mau kaʻina hana lapaʻau ʻē aʻe. ʻAʻole koi ka mea hoʻohālikelike i kou kino e hana i kekahi mea ʻokoʻa - e holo wale nō ia ma kāu mau hana digestive maʻamau a me ka hana bile.
E lawe maʻamau ʻoe i nā papa cholecystographic agent i ke ahiahi ma mua o kāu manawa X-ray, ma kahi o 6 a 8 PM. E lawe i kēlā me kēia papa me ke aniani wai piha a e hahai i nā ʻōlelo a kāu kauka e pili ana i ka manawa.
E noi paha kāu kauka iā ʻoe e ʻai i ka ʻaina ahiahi māmā, haʻahaʻa momona ma mua o ka lawe ʻana i ka lāʻau. E pale i nā meaʻai momona, nā huahana waiū, a me nā meaʻai palai, no ka mea, hiki i kēia mau mea ke keakea i ka maikaʻi o ka ʻākoakoa ʻana o ka mea hoʻohālikelike i loko o kou gallbladder. He maikaʻi ka ʻai maʻalahi e like me ka laiki maʻemaʻe, ka toast, a i ʻole ka sopa i hana ʻia i ka broth.
Ma hope o ka lawe ʻana i ka lāʻau lapaʻau, pono ʻoe e hoʻokē ʻai loa – ʻaʻohe meaʻai a i ʻole nā mea inu koe wale nō nā wai liʻiliʻi no ka lawe ʻana i nā lāʻau lapaʻau ʻē aʻe. Kōkua kēia manawa hoʻokē ʻai i ka hōʻoia ʻana e hōʻiliʻili pono ka mea hoʻohālikelike i loko o kou ʻōpū bile i ka pō.
Manaʻo kekahi poʻe i ka maʻi iki ma hope o ka lawe ʻana i nā papa, he mea maʻamau. Inā ʻike ʻoe i ka maʻi nui a i ʻole ka luaʻi ʻana i loko o ʻelua hola o ka lawe ʻana i ka lāʻau lapaʻau, e kelepona i kāu kauka, no ka mea, pono paha ʻoe e hoʻonohonoho hou i kāu hoʻokolohua.
Lawe ʻia nā mea cholecystographic ma ke ʻano he hoʻokahi manawa, ʻaʻole ma ke ʻano he lāʻau lapaʻau e hoʻomau nei. E lawe ʻoe i nā papa i kuhikuhi ʻia i hoʻokahi ahiahi, maʻamau 6 a 8 mau papa ma muli o ke kaumaha o kou kino a me ke kaʻina hana a kāu kauka.
Hana ka lāʻau lapaʻau i ka pō i loko o kāu ʻōnaehana, e hōʻiliʻili ana i loko o kou ʻōpū bile ma luna o 12 a 14 mau hola. I ka manawa e hōʻea ai ʻoe no kāu manawa X-ray i ke kakahiaka aʻe, pono e hōʻiliʻili piha ʻia ka ʻokoʻa a mākaukau no ke kiʻi ʻana.
E hoʻopau maoli kou kino i ka mea hoʻohālikelike i nā lā e hiki mai ana ma o kāu hana ʻōpala maʻamau. ʻAʻole pono ʻoe e hana i kekahi mea kūikawā e kōkua i kēia kaʻina hana – e inu wale i ka wai nui a mālama i kāu ʻai maʻamau ma hope o ka pau ʻana o ka hoʻokolohua.
Hoʻomanawanui ka hapa nui o nā kānaka i nā mea cholecystographic, akā hiki ke loaʻa kekahi mau hopena ʻaoʻao. ʻO nā hopena ʻaoʻao maʻamau he maʻalahi a me ka manawa pōkole, e pili ana i kāu ʻōnaehana digestive i ka wā e hele ai ka lāʻau lapaʻau.
Eia nā hopena ʻaoʻao āu e ʻike ai, e hoʻomaka ana me nā mea maʻamau:
E hala pinepine ana kēia mau hōʻailona ma waena o 24 a 48 mau hola ma hope o ka lawe ʻana i ka lāʻau. ʻIke ka hapa nui o nā kānaka i ka noho ʻana i ka wai e kōkua ana i ka hōʻemi ʻana i kēia mau hopena.
He mea maʻamau nā hopena ʻaoʻao koʻikoʻi akā pono e mālama koke ʻia i ka lāʻau lapaʻau. Aia kēia mau mea i nā hopena maʻi maʻi koʻikoʻi, hiki ke hana i ka pilikia o ka hanu ʻana, ka pehu ʻana o kou maka a i ʻole ka ʻāʻī, a i ʻole ka ʻōpala ākea. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻimi koke i ka mālama olakino pilikia.
Hiki i kekahi poʻe ke ʻike i nā hopena ʻaoʻao ʻokoʻa e like me nā pilikia thyroid, ʻoiai inā he mau maʻi thyroid ko lākou. Hiki i ka iodine i loko o ka mea ʻokoʻa ke hoʻopilikia i ka hana thyroid, ʻoiai ʻaʻole maʻamau kēia me ka hoʻohana ʻana i hoʻokahi dose.
Pono kekahi mau pūʻulu o nā kānaka e pale i nā mea cholecystographic ma muli o nā hopohopo palekana. Inā he maʻi ʻoe i ka iodine a i ʻole nā lāʻau lapaʻau i loaʻa ka iodine, ʻaʻole palekana kēia hoʻokolohua iā ʻoe.
ʻAʻole pono ka poʻe me ka maʻi kīkī koʻikoʻi e lawe i kēia mau mea no ka mea ʻaʻole hiki i ko lākou mau kīkī ke hoʻopau pono i ka ʻokoʻa. Pēlā nō, inā he maʻi ate koʻikoʻi kou, ʻaʻole paha e hana pono kou ate i ka lāʻau.
Pono nā wāhine hāpai e pale i kēia hoʻokolohua no ka mea hiki i ka iodine ke hele i ka placenta a hiki ke hoʻopilikia i ka ʻōpū thyroid o ka pēpē e ulu ana. Inā ʻoe e hānai ana, e kūkākūkā me kāu kauka inā pono ʻoe e hoʻōki i ka hānai ʻana ma hope o ka lawe ʻana i ka mea ʻokoʻa.
Eia nā kūlana ʻē aʻe e hiki ai i kēia hoʻokolohua ke kūpono ʻole iā ʻoe:
E haʻi mau i kāu kauka e pili ana i nā maʻi āpau a me nā lāʻau lapaʻau āu e lawe nei ma mua o ka lawe ʻana i kekahi mea hoʻohālikelike. Hiki iā lākou ke hoʻoholo inā palekana kēia hoʻokolohua iā ʻoe a i ʻole inā ʻoi aku ka maikaʻi o nā ʻano hana kiʻi ʻē aʻe.
ʻO ka mea hana cholecystographic waha i hoʻohana pinepine ʻia, ʻo ia ka waikawa iopanoic, i loaʻa ma lalo o nā inoa inoa like ʻole. ʻO Telepaque ka inoa inoa i ʻike nui ʻia i ka wā ma mua, ʻoiai ʻaʻole i hoʻohana pinepine ʻia i kēia lā.
ʻO nā inoa inoa ʻē aʻe āu e hālāwai ai, ʻo ia ʻo Cistobil a me Colebil, ma muli o kou wahi a me ka ʻōnaehana mālama ola. E hāʻawi maʻamau kāu lāʻau lapaʻau i ka inoa inoa kikoʻī i kauoha ʻia e kāu kauka a i ʻole kahi mana generic like.
Noho like ka mea hana a me ka pono me ka nānā ʻole i ka inoa inoa. Inā he hopohopo kāu e pili ana i ka huahana kikoʻī āu e loaʻa nei, mai kānalua e nīnau i kāu kauka lāʻau a i ʻole ka mea mālama ola.
Nui nā ʻano hana kiʻi ʻē aʻe e hiki ke loiloi i kāu gallbladder me ka ʻole e koi i nā mea hana hoʻohālikelike waha. ʻO ka ultrasound ka koho mua pinepine ʻia no ka mea ʻaʻole ia he invasive, ʻaʻole hoʻohana i ka radiation, a hiki ke ʻike i ka hapa nui o nā pōhaku gallstones.
Hiki i nā scans CT ke ʻike i ka gallbladder a me nā hale a puni, ʻoiai e koi ana lākou i ka hoʻohālikelike IV i kekahi mau hihia. Hāʻawi ʻo MRI me MRCP (magnetic resonance cholangiopancreatography) i nā kiʻi maikaʻi loa o nā ducts bile a me ka gallbladder me ka ʻole o nā mea hana hoʻohālikelike.
Hoʻohana nā scans HIDA i kahi ʻano mea hoʻohālikelike ʻokoʻa i hāʻawi ʻia ma o ka IV e nānā i ka hana gallbladder. He mea pono kēia hoʻokolohua no ka loiloi ʻana i ka maikaʻi o ka hoʻokahe ʻana o kāu gallbladder ma mua o ka nānā ʻana i nā pōhaku.
E koho kāu kauka i ke ʻano kiʻi maikaʻi loa e pili ana i kāu mau hōʻailona kikoʻī, ka mōʻaukala olakino, a me ka ʻike e pono ai lākou e hana i kahi hōʻailona pololei. Loaʻa i kēlā me kēia ʻano hana kona mau pono a me nā palena.
He mau ikaika kūikawā ko nā agena cholecystographic a me ka ultrasound no ka loiloi ʻana i nā pilikia o ka ʻōpū bile. ʻO ka ultrasound ka hoʻokolohua mua a nā kauka e kauoha ai no ka mea he wikiwiki, ʻaʻohe ʻeha, a ʻaʻole pono i nā hoʻomākaukau a i ʻole nā agena contrast.
He maikaʻi ka ultrasound i ka ʻike ʻana i nā pōhaku bile nui a hiki ke hōʻike i ka mumū a puni ka ʻōpū bile. Eia naʻe, hiki i ka cholecystography waha ke ʻike i nā pōhaku liʻiliʻi i hiki ʻole i ka ultrasound ke ʻike, a hāʻawi ia i ka ʻike maikaʻi e pili ana i ka hana o ka ʻōpū bile.
Aia ke koho ma waena o kēia mau hoʻokolohua i kāu kūlana kikoʻī. Inā loaʻa iā ʻoe nā hōʻailona maʻamau o ka ʻōpū bile a ʻaʻole maopopo nā hopena ultrasound, hiki i kāu kauka ke ʻōlelo aku i ka cholecystography waha no ka ʻike hou aku.
Nui nā kauka i kēia manawa e hoʻohana i ka ultrasound ma ke ʻano he mea nānā mua a mālama i ka cholecystography waha no nā hihia e pono ai ka ʻike hana kikoʻī. He mau mea hana diagnostic waiwai nā hoʻokolohua ʻelua me nā ikaika like ʻole.
He palekana maʻamau nā agena cholecystographic no ka poʻe me ka maʻi diabetes i mālama maikaʻi ʻia. Eia naʻe, inā loaʻa iā ʻoe ka maʻi kīkī e pili ana i ka maʻi diabetes a i ʻole ka mana kōpaʻa koko maikaʻi ʻole, hiki i kāu kauka ke koho i nā ʻano hana kiʻi ʻē aʻe.
ʻO ka hopohopo nui ʻo ia ka hiki i nā agena contrast ke hoʻonui i ka hana kīkī i ka poʻe me nā pilikia kīkī e pili ana i ka maʻi diabetes. E nānā kāu kauka i kāu hana kīkī me nā hoʻokolohua koko ma mua o ke kau ʻana i kēia lāʻau lapaʻau inā loaʻa iā ʻoe ka maʻi diabetes.
Inā ʻoe e lawe i nā lāʻau lapaʻau diabetes, e hahai i nā ʻōlelo a kāu kauka e pili ana i ka manawa o kāu mau lāʻau i ka wā e pono ai ka hoʻokē ʻai no ka hoʻokolohua. Mai haʻalele i nā lāʻau lapaʻau me ka ʻole o ke alakaʻi kikoʻī mai kāu hui mālama ola.
Inā ua lawe ʻoe i nā papa ʻoi aku ma mua o ka mea i kauoha ʻia, e kelepona koke i kāu kauka a i ʻole ke kikowaena hoʻomalu lāʻau make. ʻO ka lawe ʻana i ka nui o ka mea hoʻohālikelike hiki ke hoʻonui i kou pilikia o nā hopena ʻaoʻao a pono paha i ka nānā ʻana i ka lāʻau lapaʻau.
Mai hoʻāʻo e hoʻopuka iā ʻoe iho ke ʻole i kuhikuhi ʻia e nā poʻe loea lapaʻau. E inu i ka wai nui e kōkua i kou mau puʻupaʻa e hana i ka lāʻau lapaʻau nui, a e nānā i nā hōʻailona o nā hopena maʻi a i ʻole nā hopena ʻaoʻao koʻikoʻi.
Hiki ke mālama ʻia ka hapa nui o nā kūlana overdose me kēia mau mea hana me ka mālama kākoʻo, akā he mea nui e kiʻi i ka ʻōlelo aʻo lapaʻau me ka wikiwiki. E mālama i ka hue lāʻau me ʻoe i ka wā e ʻimi ana i ka lāʻau lapaʻau i ʻike pono nā mea mālama ola i ka mea a me ka nui āu i lawe ai.
Inā poina iā ʻoe ke lawe i kāu cholecystographic agent i ka manawa i kuhikuhi ʻia, e kelepona koke i ke keʻena o kāu kauka a i ʻole ke kikowaena kiʻi. He mea nui ka manawa no kēia hoʻokolohua e hana pono.
ʻO ka lawe ʻana i ka lāʻau lapaʻau ma hope loa, ʻo ia paha ka mea ʻaʻole e hōʻuluʻulu pono ka mea hoʻohālikelike i loko o kou ʻōpū e ke kakahiaka, a pono paha ʻoe e hoʻonohonoho hou i kāu manawa X-ray. Mai pāpālua i nā mahele a i ʻole e hoʻāʻo e hopu iā ʻoe iho.
E aʻo aku kāu hui mālama ola iā ʻoe inā e lawe i ka lāʻau lapaʻau ma hope, e hoʻonohonoho hou i ka hoʻokolohua, a i ʻole e hoʻāʻo i kahi ala ʻokoʻa. ʻOi aku ka maikaʻi o ka hana pono ʻana i ka hoʻokolohua ma mua o ka pilikia o ka loaʻa ʻana o nā hopena maopopo ʻole.
ʻAʻole pono ʻoe e
Inā loaʻa iā ʻoe nā hopena ʻaoʻao lōʻihi e mau ana ma mua o kekahi mau lā ma hope o ka hoʻokolohua, e kelepona i kāu kauka. ʻOiai ʻaʻole maʻamau kēia, pono paha kekahi poʻe i ke kākoʻo hou e kōkua i ko lākou kino e hoʻopau i ka mea ʻokoʻa.
Hiki iā ʻoe ke kalaiwa iā ʻoe iho i kāu manawa kiʻi a mai ia mea ma hope o ka lawe ʻana i ka cholecystographic agent. ʻAʻole maʻamau ka lāʻau lapaʻau i ka hiamoe a i ʻole ka hoʻopilikia ʻana i kou hiki ke kalaiwa palekana.
Eia naʻe, inā ʻike ʻoe i ka ʻūlū, ka nausea, a i ʻole nā hopena ʻaoʻao e pili ana i kou hiki ke kalaiwa, e hoʻonohonoho i kekahi e kalaiwa iā ʻoe. Pono e waiho mau ʻia kou palekana a me ka palekana o nā poʻe ʻē aʻe ma ke alanui.
Manaʻo kekahi poʻe i ka nāwaliwali iki mai ka hoʻokē ʻai ʻana i ka pō, he mea maʻamau kēia. Inā manaʻo ʻoe i ka māmā a i ʻole ka paʻa ʻole, ʻoi aku ka maikaʻi o ka noi ʻana i ke kōkua me ka lawe ʻana ma mua o ka pilikia o ke kalaiwa ʻana ʻoiai ʻaʻole ʻoe e manaʻo maikaʻi.