ERCP

ERCP ipfupi kune endoscopic retrograde cholangiopancreatography. Iyo maitiro anotarisa iyo ducts ducts. Izvo zvinoitwa kuburikidza ne endoscope.

• MaBile ducts ndiwo machubhu anotakura bile kubva pachiropa kuenda kune yenduru uye mudumbu ura.
• ERCP inoshandiswa kurapa matombo, mamota, kana nzvimbo dzakadzikira dzemaburi ducts.

Mutsara (IV) wakaiswa muruoko rwako. Iwe ucharara nedumbu rako kana kuruboshwe kwako kuyedzwa.

• Mishonga yekuzorodza kana kugarisa iwe uchapihwa kuburikidza neIV.
• Dzimwe nguva, pfapfaidzo yekukosora huro inoshandiswa zvakare. Muchengeti wemuromo uchaiswa mumuromo mako kuchengetedza meno ako. Mazino ekugezera anofanira kubviswa.

Mushure mekunyaradza kunotanga kushanda, iyo endoscope inoiswa kuburikidza nemuromo. Inopfuura nepagurokuzara (chikafu chepombi) nedumbu kudzamara yasvika pane duodenum (chikamu chemuura mudiki uri padyo nedumbu).

• Iwe haufanire kunzwa kusagadzikana, uye unogona kunge uine zvishoma ndangariro dzebvunzo.
• Iwe unogona kubatika sezvo iyo chubhu ichipfuudzwa pasi yako esophagus.
• Iwe unogona kunzwa kutambanudzwa kwematavi sezvo chiyero chakaiswa munzvimbo.

Chubhu mutete (catheter) inopfuudzwa kuburikidza neiyo endoscope uye ndokuiswa mumachubhu (ducts) anotungamira kurwatata uye nduru. Imwe dhayi yakakosha inoiswa muma ducts aya, uye ma-ray anotorwa. Izvi zvinobatsira chiremba kuona matombo, mamota, uye chero nzvimbo dzakadzikira.

Zvishandiso zvakakosha zvinogona kuiswa kuburikidza neiyo endoscope uye mukati memahombekombe.

Maitiro acho anonyanya kushandiswa kurapa kana kuongorora matambudziko epancreas kana bile ducts ayo anogona kukonzera kurwadziwa kwemudumbu (kazhinji kazhinji kurudyi kumusoro kana pakati dumbu nzvimbo) uye yero yeganda nemaziso (jaundice).

ERCP inogona kushandiswa ku:

• Vhura iyo inopinda iyo ducts kupinda ura (sphincterotomy)
• Tambanudza zvikamu zvakapetana (bile duct zvimisikidzo)
• Bvisa kana kupwanya nduru
• Tsvaga mamiriro akaita se biliary cirrhosis (cholangitis) kana sclerosing cholangitis
• Tora masuru sampuli kuti uongorore bundu repancreas, bile ducts, kana nduru
• Dhonza nzvimbo dzakavharika

Cherekedza: Kufungidzira bvunzo kazhinji kunozoitwa kuti uongorore chinokonzera zviratidzo pamberi peERCP. Izvi zvinosanganisira bvunzo dze ultrasound, CT scan, kana MRI scan.

Njodzi dzinobva pane maitiro dzinosanganisira:

• Reaction kune anesthesia, dhayi, kana mushonga unoshandiswa panguva yekuita
• Kubuda ropa
• Horo (perforation) yemukati
• Kuzvimba kwepancreas (pancreatitis), inogona kuve yakakomba

Iwe unozofanirwa kusadya kana kunwa kweanenge maawa mana pamberi pebvunzo. Iwe uchasaina fomu yekubvuma.

Bvisa zvese zvishongo kuti zvisazokanganisa x-ray.

Udza mupi wako wezvehutano kana iwe uine allergies kune ayodini kana iwe uine maitiro kune mamwe madhayi anoshandiswa kutora x-ray.

Iwe unozofanirwa kuronga kutasva kuenda kumba mushure mekuita.

Mumwe munhu anozoda kukuchaira kumba kubva kuchipatara.

Mhepo iyo inoshandiswa kufutisa dumbu uye ura panguva yeE ERCP inogona kukonzera kumwe kuputika kana gasi kwemaawa angangoita makumi maviri nemana. Mushure mekuita, iwe unogona kuve nehuro inorwadza kwezuva rekutanga. Kurwadza kunogona kutora kusvika pamazuva matatu kusvika mana.

Ita chete chiitiko chakareruka pazuva rekutanga mushure mekuita. Dzivisa kusimudza zvinorema kwemaawa makumi mana nemasere.

Unogona kurapa kurwadziwa neacetaminophen (Tylenol). Usatore aspirin, ibuprofen, kana naproxen. Kuisa padhi yekudziya padumbu rako kunogona kubvisa marwadzo uye kuzvimba.

Anokupa anokuudza zvekudya. Kazhinji kazhinji, iwe uchazoda kunwa zvinwiwa uye nekudya chete chikafu chakareruka pazuva rakatevera maitiro.

Fonera mupiki wako kana iwe uine:

• Kutambudzika kwepamuviri kana kuputika kwakanyanya
• Kubuda ropa kubva mureceum kana zvitema zvituru
• Fivha iri pamusoro pe100 ° F (37.8 ° C)
• Kusvotwa kana kurutsa

Endoscopic kudzokorora cholangiopancreatography

• ERCP
• ERCP
• Endoscopic kudzokorora cholangio pancreatography (ERCP) - akateedzana

Lidofsky SD. Jaundice. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 21.

Pappas TN, Washington ML. Iwo manejimendi eacute cholangitis. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017: 441-444.

Taylor AJ. Endoscopic kudzokorora cholangiopancreatography. Mune: Gore RM, Levine MS, eds. Chinyorwa cheGastrointestinal Radiology. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 74.