Uvavanyo lwe-CPRE: yeyantoni kwaye yenziwa njani

Umxholo

• Yenzelwe ntoni
• Yenziwa njani i-CPRE
• Ungazilungiselela njani iimviwo
• Imingcipheko enokwenzeka yoviwo
• Ukungqinelana kwe-cholangiopancreatography

I-Endoscopic retrograde cholangiopancreatography ye-pancreas, eyaziwa njenge-ERCP kuphela, luvavanyo olusebenzela ukufumanisa izifo kwi-biliary kunye ne-pancreatic tract, ezinje nge-pancreatitis engapheliyo, i-cholangitis okanye i-cholangiocarcinomas, umzekelo.

Olona loncedo lukhulu kolu vavanyo kukuba, ukongeza ekwenzeni isifo ngaphandle kotyando, inokuthi inyange neengxaki ezilula, isuse amatye amancinci akhoyo okanye andise imijelo yenyongo ngokubekwa stent.

Nangona kunjalo, i-ERCP ihlala igcinelwe iimeko apho ezinye, iimvavanyo zokucinga ezilula, ezinje nge-ultrasound okanye iMRI, khange zikwazi ukuqinisekisa okanye ukufumanisa gwenxa isifo.

Yenzelwe ntoni

Uvavanyo lwe-CPRE lunokunceda ugqirha aqinisekise isifo esithile esinxulumene nephepha le-biliary okanye le-pancreatic, njenge:

• Amatye egall;
• Usulelo kwi-gallbladder;
• Ukudumba;
• Izidumba okanye umhlaza kwimibhobho yenyongo;
• Amathumba okanye umhlaza kwi-pancreas.

Ukongeza, obu buchule buvumela nokunyangwa kweengxaki ngokulula, ezinje ngobukho belitye, kwaye ke olu vavanyo lunokukhethwa xa kunokwenzeka ukuba isifo siyinyani, kuba sinokuvumela unyango, ngokuchaseneyo lula iimviwo.

Yenziwa njani i-CPRE

Uviwo lwe-ERCP phakathi kwemizuzu engama-30 nengama-90 lwenziwa phantsi kwe-anesthesia ngokubanzi, ukuze ingabangeli iintlungu okanye ukungonwabi emntwini. Ukwenza uvavanyo, ugqirha ufaka ityhubhu ebhityileyo enekhamera encinci kwincam, ukusuka emlonyeni ukuya kwi-duodenum, ukuze kugcinwe indawo apho imibhobho yenyongo idibanisa emathunjini.

Emva kokujonga ukuba akukho tshintsho kuloo ndawo, ugqirha utofa into ye-radiopaque kwimibhobho ye-bile, esebenzisa ityhubhu efanayo.Okokugqibela, i-X-ray esiswini yenziwa ukuze kujongwe amajelo agcwaliswe yinto, evumela ukufumanisa utshintsho kwiitshaneli.

Ukuba kunokwenzeka, ugqirha unokusebenzisa ityhubhu yeCPRE ukususa amatye kwi-gallbladder okanye ukubeka indawo stent, eyinethiwekhi encinci enceda ukwandisa amajelo, xa eneekhontrakthi kakhulu, umzekelo.

Ungazilungiselela njani iimviwo

Ukulungiselela uviwo lwe-ERCP kuhlala kubandakanya ukukhawuleza kweeyure eziyi-8, apho kufanelekile ukuba ungatyi okanye usele. Nangona kunjalo, kubalulekile ukuba uthethe nogqirha phambi kovavanyo ukuze ufumanise ukuba ngaba luyafuneka na ukhathalelo, njengokuyeka ukuthatha iyeza elithile, umzekelo.

Ukongeza, njengoko uviwo lwenziwa phantsi kwe-anesthesia, kuyacetyiswa ukuba kuthathwe umntu ukuze abuyele ekhaya ekhuselekile.

Imingcipheko enokwenzeka yoviwo

I-ERCP yindlela eqhelekileyo kwaye, ngenxa yesi sizathu, umngcipheko weengxaki uphantsi kakhulu. Nangona kunjalo, kunokubakho:

• Usulelo lweendlela ze-biliary okanye zepancreatic;
• Ukopha;
• Ukugqobhoza kweendlela ze-biliary okanye zepancreatic.

Njengoko luvavanyo olwenziwa phantsi kweanesthesia ngokubanzi, kukwakho nomngcipheko wokuphucula ukusabela okungalunganga kwi-anesthetics esetyenzisiweyo. Ke ngoko, ngaphambi koviwo kubaluleke kakhulu ukwazisa ugqirha ukuba ukhe wanengxaki kwi-anesthesia ngaphambili.

Ukungqinelana kwe-cholangiopancreatography

I-Pancreas endoscopic retrograde cholangiopancreatography (ERCP) iyaphikiswa kwizigulana ezine-pancreatitis ebukhali, ekrokreleka ngepseudocyst yepancreatic nangexesha lokukhulelwa, kuba isebenzisa imitha ye-ionizing.

I-ERCP iyaphikiswa kwizigulana ezine-pacemaker, imizimba yangaphandle ye-intraocular okanye iiklip ze-intracranial aneurysms, i-cochlear implants okanye nge-valves zentliziyo eyenziweyo.