I-ERCP

I-ERCP imfutshane ngokufumana i-endoscopic retrograde cholangiopancreatography. Yinkqubo ejonge kwimibhobho yenyongo. Yenziwa nge-endoscope.

• Imijelo yeebile yimibhobho ehambisa inyongo ukusuka kwisibindi ukuya kwinyongo kunye namathumbu amancinci.
• I-ERCP isetyenziselwa ukunyanga amatye, izicubu, okanye indawo ezimxinwa zemibhobho yenyongo.

Umgca we-intravenous (IV) ubekwe engalweni yakho. Uya kulala ngesisu okanye kwicala lasekhohlo kuvavanyo.

• Amayeza okuphumla okanye wokuthambisa uya kunikwa nge-IV.
• Ngamanye amaxesha, isitshizi sokuqaqamba umqala siyasetyenziswa. Ukufakwa emlonyeni kuya kukhusela amazinyo akho. Amazinyo okufakelwa kufuneka asuswe.

Emva kokuthomalalisa ukusebenza, i-endoscope ifakwe emlonyeni. Ihamba ngesisu (umbhobho wokutya) kunye nesisu ide ifike kwi-duodenum (icandelo lamathumbu amancinci elikufutshane nesisu).

• Akufanele uzive ungonwabanga, kwaye unokuba nenkumbulo encinci yovavanyo.
• Unokuba gag njengoko ityhubhu idlula ezophagus yakho.
• Unokuziva usolula imibhobho njengoko kubekwa indawo.

Umbhobho omncinci (i-catheter) udlula kwi-endoscope kwaye ufakwe kwiityhubhu (imibhobho) ekhokelela kwi-pancreas kunye ne-gallbladder. Idayi ekhethekileyo itofelwe kule mibhobho, kwaye kuthathwa ii-x-reyi. Oku kunceda ugqirha abone amatye, amathumba, kunye nayiphi na indawo ethe yancipha.

Izixhobo ezikhethekileyo zinokubekwa nge-endoscope nakwimibhobho.

Inkqubo isetyenziswa ikakhulu ukunyanga okanye ukufumanisa ingxaki zepancreas okanye i-bile ducts ezinokubangela iintlungu zesisu (amaxesha amaninzi kwindawo ephezulu yesisu okanye embindini) kunye nokutyheli kolusu namehlo (i-jaundice).

I-ERCP inokusetyenziselwa:

• Vula ukungena kwemibhobho kwisisu (sphincterotomy)
• Wolule amacandelo amxinwa
• Susa okanye ukuchoboza iinyongo
• Ukuchonga iimeko ezinje nge-biliary cirrhosis (cholangitis) okanye i-sclerosing cholangitis
• Thatha iisampuli zethishu ukufumanisa ithumba lepancreas, imibhobho yenyongo, okanye inyongo
• Ukucoca iindawo ezivaliweyo

Qaphela: Ukujonga iimvavanyo ngokubanzi kuya kwenziwa ukufumanisa unobangela weempawu ngaphambi kokuba kwenziwe i-ERCP. Oku kubandakanya iimvavanyo ze-ultrasound, i-CT scan, okanye iskena seMRI.

Iingozi ezivela kwinkqubo zibandakanya:

• Ukuphendula kwi-anesthesia, idayi, okanye ichiza elisetyenziswe ngexesha lenkqubo
• Ukopha
• Umngxunya (ukutyhoboza) wamathumbu
• Ukudumba kwepancreas (pancreatitis), okunokuba kubi kakhulu

Kuya kufuneka ungatyi okanye usele ubuncinci iiyure ze-4 ngaphambi kovavanyo. Uya kutyikitya ifom yemvume.

Susa bonke ubucwebe ukuze bungaphazamisani ne-x-ray.

Xelela umboneleli wakho wezempilo ukuba une-aleji kwi-iodine okanye uphendule kwezinye iidayi ezisetyenziselwa ukuthatha i-ray-ray.

Uya kudinga ukulungiselela ukukhwela ekhaya emva kwenkqubo.

Umntu othile uyakufuna ukukuqhuba ugoduke esibhedlele.

Umoya osetyenziselwa ukufaka isisu kunye namathumbu ngexesha le-ERCP kunokubangela ukubola okanye igesi malunga neeyure ezingama-24. Emva kwenkqubo, unokufumana umqala obuhlungu ngosuku lokuqala. Ukudakumba kunokuhlala ukuya kuthi ga kwiintsuku ezi-3 ukuya kwezi-4.

Yenza kuphela imisebenzi elula kusuku lokuqala emva kwenkqubo. Gwema ukuphakamisa okunzima kwiiyure ezingama-48 zokuqala.

Unyanga iintlungu nge-acetaminophen (iTylenol). MUSA ukuthatha iasprini, ibuprofen, okanye naproxen. Ukubeka iphedi yokufudumeza esiswini sakho kunokuthomalalisa iintlungu kunye nokudumba.

Umboneleli uya kukuxelela into oza kuyitya. Rhoqo, uya kufuna ukusela iziselo kunye nokutya ukutya okulula kuphela ngosuku emva kwenkqubo.

Fowunela umnikezeli wakho ukuba unayo:

• Iintlungu zesisu okanye ukuqunjelwa
• Ukopha kwi-rectum okanye ilindle emnyama
• Umkhuhlane ongaphezu kwe-100 ° F (37.8 ° C)
• Isihlunu okanye ukugabha

I-Endoscopic retrograde cholangiopancreatography

• I-ERCP
• I-ERCP
• Endoscopic retrograde cholangio pancreatography (ERCP) - uthotho

ILidofsky SD. I-jaundice. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 21.

IPappas TN, iCox ML. Ulawulo lwe-cholangitis ebukhali. Ku: UCameron JL, uCameron AM, ii-eds. Unyango lwangoku lonyango. Umhla we-12. IPhiladelphia, PA: Elsevier; Ngo-2017: 441-444.

UTaylor AJ. I-Endoscopic retrograde cholangiopancreatography. Ku: Gore RM, Levine MS, ii-eds. Incwadi ye-Radiology yesisu. Ngomhla we-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahl. 74.