Kutumiza

ERCP ndiyachidule kwa endoscopic retrograde cholangiopancreatography. Ndi njira yomwe imayang'ana pa ducts ya bile. Zimachitika kudzera mu endoscope.

• Miphika yamadzimadzi ndi timachubu tomwe timanyamula bile kuchokera m'chiwindi kupita mu ndulu ndi matumbo ang'onoang'ono.
• ERCP imagwiritsidwa ntchito pochiza miyala, zotupa, kapena malo ocheperako amiyendo ya bile.

Mzere wamitsempha (IV) waikidwa m'manja mwanu. Mugona pamimba kapena kumanzere kwanu kuti muyesedwe.

• Mankhwala oti musangalale kapena kukhala pansi mupatsidwa kudzera mu IV.
• Nthawi zina, kutsitsi kumachita dzanzi kukhosi kumagwiritsidwanso ntchito. Munthu woyang'anira pakamwa adzaikidwa pakamwa panu kuti ateteze mano anu. Mano ovekera ayenera kuchotsedwa.

Mankhwalawa atayamba kugwira ntchito, endoscope imalowetsedwa pakamwa. Imadutsa pammero (chitoliro cha chakudya) ndi m'mimba mpaka ikafika ku duodenum (gawo lamatumbo ang'ono omwe ali pafupi kwambiri ndi m'mimba).

• Simuyenera kumva kusasangalala, ndipo mwina simukumbukira mayeso ake.
• Mutha kusefa ngati chubu chikudutsa pamimba.
• Mutha kumva kutambasula kwa ma ducts pomwe kukula kwake kumayikidwa.

Thubhu yocheperako (catheter) imadutsa mu endoscope ndikuyika m'machubu (ducts) zomwe zimabweretsa kapamba ndi ndulu. Utoto wapadera umalowetsedwa m'mimbayi, ndipo ma x-ray amatengedwa. Izi zimathandiza dokotala kuwona miyala, zotupa, ndi madera aliwonse omwe afupika.

Zida zapadera zimatha kuyikidwa kudzera mu endoscope ndikulowa m'mipiringidzo.

Njirayi imagwiritsidwa ntchito makamaka pochiza kapena kuzindikira zovuta zamankhwala am'mimba kapena zotupa zomwe zimatha kupweteketsa m'mimba (nthawi zambiri kumanja chapamwamba kapena chapakati m'mimba) komanso chikaso cha khungu ndi maso (jaundice).

ERCP itha kugwiritsidwa ntchito kuti:

• Tsegulani zolowera m'matumbo (sphincterotomy)
• Tambasulani zigawo zopapatiza (zotupa za bile)
• Chotsani kapena kuphwanya miyala yamtengo wapatali
• Dziwani zinthu monga biliary cirrhosis (cholangitis) kapena sclerosing cholangitis
• Tengani zitsanzo za minofu kuti mupeze chotupa cha kapamba, mitsempha ya ndulu, kapena ndulu
• Tsetsani malo oletsedwa

Chidziwitso: Kuyesa kuyerekezera kumachitika nthawi zambiri kuti muzindikire zomwe zimayambitsa matendawa ERCP isanachitike. Izi zikuphatikiza kuyesa kwa ultrasound, CT scan, kapena MRI scan.

Zowopsa panjira iyi ndi monga:

• Zotsatira za anesthesia, utoto, kapena mankhwala omwe amagwiritsidwa ntchito pochita izi
• Magazi
• Dzenje (perforation) la matumbo
• Kutupa kwa kapamba (kapamba), komwe kumatha kukhala koopsa kwambiri

Muyenera kuti musadye kapena kumwa kwa maola 4 musanayesedwe. Musaina fomu yovomereza.

Chotsani zodzikongoletsera zonse kuti zisasokoneze X-ray.

Uzani wothandizira zaumoyo wanu ngati muli ndi vuto la ayodini kapena mwakhala mukukumana ndi mitundu ina ya utoto yomwe imagwiritsa ntchito ma x-ray.

Muyenera kukonzekera kukwera kwanu mukamaliza.

Wina adzafunika kuyendetsa galimoto kuchokera kuchipatala.

Mpweya womwe umagwira m'mimba ndi m'matumbo nthawi ya ERCP ukhoza kuyambitsa kuphulika kapena mpweya kwa maola pafupifupi 24. Pambuyo pake, mutha kukhala ndi zilonda zapakhosi tsiku loyamba. Kuuma kumatha kukhala mpaka masiku atatu kapena anayi.

Chitani zochepa zokha tsiku loyamba mutatha kuchita izi. Pewani kunyamula katundu wolemera kwa maola 48 oyamba.

Mutha kuchiza ululu ndi acetaminophen (Tylenol). Musatenge aspirin, ibuprofen, kapena naproxen. Kuyika pedi yotenthetsera m'mimba mwako kungathetsere kupweteka ndi kuphulika.

Woperekayo angakuuzeni zomwe muyenera kudya. Nthawi zambiri, mumafuna kumwa madzi ndikudya chakudya chochepa patsiku lotsatira.

Itanani omwe akukuthandizani ngati muli ndi:

• Kupweteka m'mimba kapena kuphulika kwakukulu
• Kutuluka magazi kuchokera kumatumbo kapena ndowe zakuda
• Malungo pamwamba pa 100 ° F (37.8 ° C)
• Nseru kapena kusanza

Endoscopic yobwezeretsanso cholangiopancreatography

• Kutumiza
• Kutumiza
• Endoscopic retrograde cholangio pancreatography (ERCP) - mndandanda

Lidofsky Sd. Jaundice. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: mutu 21.

Pappas TN, Cox ML. Kuwongolera kwa cholangitis pachimake. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 12. Philadelphia, PA: Elsevier; 2017: 441-444.

Taylor AJ. Endoscopic yobwezeretsanso cholangiopancreatography. Mu: Gore RM, Levine MS, eds. Buku Lophunzitsira Radiology. Wolemba 4. Philadelphia, PA: Elsevier Saunders; 2015: chap 74.