Kuyesa kwa CPRE: ndi za chiyani komanso momwe zimachitikira

Zamkati

• Ndi chiyani
• Momwe CPRE yachitidwira
• Momwe mungakonzekerere mayeso
• Zowopsa za mayeso
• Contraindications ya cholangiopancreatography

Endoscopic retrograde cholangiopancreatography of the pancreas, known as ERCP, is a exam that diagnoses diagnoses matenda in the biliary and pancreatic tract, such as chronic pancreatitis, cholangitis or cholangiocarcinomas, Mwachitsanzo.

Phindu lalikulu pamayesowa ndikuti, kuwonjezera pakupanga matenda popanda opareshoni, itha kuthandizanso mavuto osavuta, kuchotsa miyala yaying'ono yomwe ilipo kapena kukulitsa ngalande za bile poika stent.

Komabe, ERCP nthawi zambiri imasungidwira milandu pomwe mayeso ena osavuta, monga ultrasound kapena MRI, sanathe kutsimikizira kapena kuzindikira molakwika matendawa.

Ndi chiyani

Kuyeza kwa CPRE kumatha kuthandiza adotolo kutsimikizira matenda ena okhudzana ndi biliary kapena kapamba, monga:

• Miyala yamiyala;
• Matenda mu ndulu;
• Kapamba;
• Zotupa kapena khansa m'matumbo a bile;
• Zotupa kapena khansa m'matumba.

Kuphatikiza apo, njirayi imathandizanso kuthana ndi mavuto mophweka, monga kupezeka kwa mwala, chifukwa chake kuyezaku kumatha kusankhidwa ngati kuli kotheka kuti matendawa ndiowona, chifukwa amathanso kulola chithandizo, m'malo mwake chosavuta mayeso.

Momwe CPRE yachitidwira

Kuyesedwa kwa ERCP pakati pa 30 ndi 90 mphindi kumachitika pansi pa anesthesia, kuti isapweteketse kapena kukhumudwitsa munthuyo. Kuti achite mayeso, adokotala amalowetsa chubu chochepa kwambiri chokhala ndi kamera yaying'ono kumapeto kwake, kuchokera mkamwa kupita ku duodenum, kuti muwone komwe madontho a bile amalumikizirana ndi matumbo.

Ataona ngati pali kusintha kulikonse, dokotalayo amalowetsa mankhwala a radiopaque m'mitsempha ya ndulu, pogwiritsa ntchito chubu chimodzimodzi.Pomaliza, X-ray m'mimba imachitidwa kuti iwone mayendedwe odzazidwa ndi chinthucho, kulola kuzindikira kusintha kwa mayeserowo.

Ngati zingatheke, adotolo amathanso kugwiritsa ntchito chubu cha CPRE kuchotsa miyala mu ndulu kapena kuyikapo stent, womwe ndi netiweki yaying'ono yomwe imathandizira kukulitsa mayendedwe, pomwe ali ndi mgwirizano kwambiri, mwachitsanzo.

Momwe mungakonzekerere mayeso

Kukonzekera mayeso a ERCP nthawi zambiri kumaphatikizapo kudya kwa maola 8, pomwe muyenera kupewa kudya kapena kumwa. Komabe, ndikofunikira kulankhula ndi dokotala musanayezedwe kuti mudziwe ngati pakufunika chithandizo china, monga kusiya kumwa mankhwala, mwachitsanzo.

Kuphatikiza apo, momwe kuyezetsa kumachitikira ndi mankhwala oletsa ululu, tikulimbikitsidwa kuti titenge munthu kuti abwerere kwawo bwinobwino.

Zowopsa za mayeso

ERCP ndimachitidwe pafupipafupi ndipo, pachifukwa ichi, chiwopsezo cha zovuta ndizotsika kwambiri. Komabe, pakhoza kukhala:

• Kutenga njira za biliary kapena pancreatic;
• Magazi;
• Kuwonongeka kwa njira za biliary kapena kapamba.

Monga kuwunika komwe kumachitika pansi pa oesthesia wamba, palinso chiopsezo chokhala ndi zovuta pamankhwala ogwiritsira ntchito omwe amagwiritsidwa ntchito. Chifukwa chake, musanamuyese ndikofunika kudziwitsa adotolo ngati mwakhala mukukumana ndi vuto lililonse ndi dzanzi m'mbuyomu.

Contraindications ya cholangiopancreatography

Pancreas endoscopic retrograde cholangiopancreatography (ERCP) imatsutsana ndi odwala omwe ali ndi chifuwa chachikulu, omwe amaganiziridwa kuti ndi pancreatic pseudocyst komanso ali ndi pakati, chifukwa imagwiritsa ntchito radiation.

ERCP imatsutsana ndi odwala omwe ali ndi pacemaker, ma intraocular matupi akunja kapena ma clip a intranranial aneurysms, ma cochlear implants kapena okhala ndi ma valve amtima opangira.