CPRE bvunzo: ndeyei uye kuti inoitwa sei

Zvemukati

• Chii ichochi
• Maitiro eCPRE anoitwa
• Maitiro ekugadzirira bvunzo
• Njodzi dzinogona kuitika dzebvunzo
• Contraindications ye cholangiopancreatography

Endoscopic retrograde cholangiopancreatography yepancreas, inozivikanwa chete seE ERPP, bvunzo dzinoshanda kuongorora zvirwere mu biliary uye pancreatic turakiti, senge chisingaperi pancreatitis, cholangitis kana cholangiocarcinomas, semuenzaniso.

Kubatsira kukuru kweiyi bvunzo ndechekuti, pamusoro pekuita kuongororwa pasina kuvhiyiwa, inogona zvakare kugadzirisa matambudziko akareruka, kubvisa matombo madiki aripo kana kutowedzera maburi enyuchi nekuiswa kwe stent.

Nekudaro, ERCP inowanzo chengeterwa makesi uko kumwe, kwakareruka kufungidzira bvunzo, senge Ultrasound kana MRI, vasina kukwanisa kusimbisa kana kuona zvisizvo kuongororwa.

Chii ichochi

Iyo CPRE bvunzo inogona kubatsira chiremba kusimbisa kumwe kuongororwa kunoenderana ne biliary kana pancreatic turakiti, senge:

• Matombo emabwe;
• Zvirwere mu gallbladder;
• Pancreatitis;
• Tumota kana kenza mune bile ducts;
• Tumota kana kenza mupancreas.

Uye zvakare, iyi nzira inobvumidza kurapwa kwematambudziko akareruka, senge kuvapo kwedombo, uye nekudaro bvunzo iyi inogona kusarudzwa kana paine mukana wekuti kuongororwa kuri kwechokwadi, sezvo ichigona zvakare kubvumidza kurapwa, pane zvinopesana zviri nyore bvunzo.

Maitiro eCPRE anoitwa

Iyo ERCP bvunzo yemaminetsi ari pakati pemakumi matatu nemakumi mapfumbamwe inoitwa pasi pechirwere cheanesthesia, kuitira kuti isakonzere kurwadziwa kana kusagadzikana kumunhu. Kuti aite bvunzo, chiremba anoisa chubhu nhete nekamera kamera kumucheto, kubva pamuromo kusvika kune duodenum, kuitira kuti uone nzvimbo inobatana maburi enyongo kuura.

Mushure mekucherechedza kana paine shanduko munzvimbo iyoyo, chiremba anopinza radiopaque chinhu mumaburi enduru, achishandisa chubhu imwechete.Pakupedzisira, X-ray yemudumbu inoitwa kuti itarise makwara akazadzwa neicho chinhu, ichibvumidza kuona shanduko mumikana.

Kana zvichikwanisika, chiremba anogona zvakare kushandisa CPRE chubhu kubvisa matombo kubva munduru kana kunyangwe kuisa a stent, inova diki network iyo inobatsira kuwedzera migero, kana iri chibvumirano, semuenzaniso.

Maitiro ekugadzirira bvunzo

Kugadzirira iyo ERCP bvunzo kazhinji kunosanganisira iyo 8-awa kutsanya, panguva iyo iwe yaunofanirwa kudzivirira kudya kana kunwa. Nekudaro, zvakakosha kuti utaure nachiremba usati wabvunzwa kuti uone kana paine kumwe kutarisirwa kunodiwa, sekumira kutora mumwe mushonga, semuenzaniso.

Mukuwedzera, sezvo kuongororwa kunoitwa pasi peanesthesia, zvinokurudzirwa kutora munhu kuitira kuti adzokere kumba zvakanaka.

Njodzi dzinogona kuitika dzebvunzo

ERCP inzira inowanzoitika uye, nekuda kweichi chikonzero, njodzi yematambudziko yakanyanya kuderera. Nekudaro, panogona kuve ne:

• Kubatwa kweiyo biliary kana pancreatic chiteshi;
• Kubuda ropa;
• Kukanganiswa kweiyo biliary kana pancreatic chiteshi.

Sezvo kuri kuongorora kunoitwa pasi peanesthesia, kune mukana wekukudziridza kupokana kune anesthetics inoshandiswa. Naizvozvo, usati waongororwa zvakakosha kuzivisa chiremba kana iwe wakambove nezvinetso neanesthesia munguva yakapfuura.

Contraindications ye cholangiopancreatography

Pancreas endoscopic retrograde cholangiopancreatography (ERCP) inopesana nevarwere vane acute pancreatitis, nevanofungidzirwa kuti pancreatic pseudocyst uye panguva yepamuviri, nekuti inoshandisa ionizing radiation.

ERCP inopesana nevarwere vane pacemaker, intraocular mitumbi yekunze kana clip yemukati aneurysms, cochlear implants kana neyakagadzirwa moyo mavharuvhu.