Question

What is the process of cholangiogram teaching? Nursing teaching process.

Answer 1

PTC — Percutaneous Transhepatic Cholangiography and Biliary Drainage

What is PTC?

• Percutaneous transhepatic cholangiography, or PTC, is a method for looking at the bile pipe framework in the liver. This technique is done under neighborhood anesthesia by a radiologist. Amid the exam, a thin needle is embedded through the skin (percutaneous) and through the liver (transhepatic) into a bile channel. At that point color is infused, and the bile pipe framework is illustrated on x-beams (cholangiography).

Why is PTC done?

• Bile is a body liquid that enables your body to process fats. It is delivered by the liver and gathered in minor bile pipes that void into progressively bigger channels. At long last, a principle bile pipe conveys bile to the small digestive system. Bile additionally is put away in the gallbladder.
• When at least one bile channels limits or has a blockage, bile may go down and cause issues, for example, jaundice, a yellowing of the skin. Or then again, a break in a bile pipe may enable bile to stream into the stomach depression.
• PTC enables your specialist to see on the x-beams if the conduits are incompletely or totally blocked. On the off chance that vital, a thin, adaptable tube (catheter) might be embedded to enable the bile to deplete into an accumulation sack outside the body, or into the small digestive system. This technique is called biliary seepage.
• The illustration underneath demonstrates the liver with the bile conduit (biliary) "tree," and the PTC needle embedded into a bile channel.

Before your PTC method

• Ask your specialist to what extent you should quick before your PTC.
• In a few healing facilities, a radiologist will visit you and depict the PTC system. He or she likewise may talk about biliary waste with you on the off chance that you need this system done amid the PTC.
• You will be requested to sign an assent frame that gives your authorization to have the systems.
• You additionally will be inquired as to whether you are susceptible to any drugs, particularly anti-infection agents or iodine. Make sure to tell your specialist and medical caretaker in the event that you have these sensitivities or on the off chance that you have had any responses to anti-infection agents or x-beam color. This data will help your specialist and medical caretaker to design your care amid the technique. An intravenous (IV) line will be put in a vein in your arm with the goal that you can get medicines amid the method.
• You will be gone up against a stretcher to the lab where PTC is finished. A medical attendant or x-beam tech will enable you to get on the examination table. Patches might be set on your chest and a circulatory strain sleeve will be put on your arm with the goal that staff may screen your heart rate and pulse amid the technique.
• You will get drugs through your IV to enable you to unwind. You will be conscious amid the method and will have the capacity to chat with everyone around you.

The PTC strategy

• The skin on the correct side of your stomach area will be cleaned with exceptional cleanser, and the zone will be hung with sterile fabrics. Your skin will then be desensitized with a neighborhood sedative.
• Once the region is numb, the specialist will embed a thin needle through your skin, between the ribs, through the liver, into a bile conduit. As the needle is pulled back, a little measure of color will be infused and x-beams will be taken. On the off chance that you have any distress, please tell your specialist or medical caretaker. He or she can give you drug to assuage any distress you may feel.
• On the off chance that the PTC comes about demonstrate an issue, for example, a blockage in the bile conduit, the specialist may supplant the thin needle with a little seepage tube (catheter) that will bethreaded into the small digestive system (see representation). A little pocket might be appended to the finish of the catheter outside your body to gather bile.
• PTC for the most part takes around one hour to perform. In the event that a seepage tube should be embedded, the methodology may take longer, contingent upon how effectively the tube can be strung through the bile pipe.

After the system

• Following the system, your heart rate, temperature, breathing, and pulse will be checked much of the time. The bile in the accumulation pocket additionally will be checked for shading, sum, and nearness of anti-infection solution through your IV to forestall contamination.

Running home with a catheter set up

• On the off chance that you are to be released with a catheter set up, your medical attendant will show you how to tend to the catheter at home. You may need to figure out how to change the swathe around the catheter, how to do day by day water systems through the tube (flushing the catheter with water), and what to do about showering or washing.

Wrap Changes

• Your specialist will disclose to you how frequently the wrap around the catheter should be changed. Change it whenever it ends up filthy or wet. To change your gauze, first assemble every one of the materials you will need and place them close you. At that point wash your hands altogether with warm water and cleanser. To change the wrap, do the accompanying advances:

Expel the old swathe.

• Splash a cotton swab in hydrogen peroxide and clean the zone precisely. Or then again you might be advised to utilize warm water and cleanser. Be mindful so as not to put any weight on the catheter and not to pull on it whenever.
• Examine the skin around the catheter for redness, delicacy, or seepage. Likewise verify that the catheter has not changed position. Call your specialist in the event that you see any of these signs.
• Opening a 4-inch by 4-inch cloth square from one side to the center of the dressing and place it around the catheter over the circle. Opening a moment 4-inchsquare cloth cushion similarly and put it around the catheter over the principal gauze. Ensure the slitsare on inverse edges when the cushions are over each other. Try not to put a dressing gauze under the circle; this could make the catheter haul out.
• Cover the swathe totally with portions of tape.

Water systems

• Your specialist may need your catheter to be topped. A top, as opposed to a gathering sack, outwardly end of the catheter will enable bile to stream straightforwardly into the small digestive system. On the off chance that the catheter is to be topped, you may need to flush (inundate) the catheter occasionally to shield it from getting to be stopped up.
• Your specialist will let you know whether the catheter is to be topped. Inquire as to whether you should water the catheter. Your specialist or attendant will reveal to you how to inundate your catheter on the off chance that it is topped. On the off chance that liquid won't go into the catheter when you attempt to flood it, you should quit endeavoring to water the catheter and call your specialist instantly.

Showering

• You may shower with the catheter set up, yet you should cover the cloth wrap. To cover the gauze, put a bit of plastic wrap over the swathe and tape every one of the edges of the plastic wrap to keep water from leaking in. In the event that the swathe winds up wet or clammy, take after the means recorded already to change the wrap.