ERCP

ERCP dị mkpụmkpụ maka endoscopic retrograde cholangiopancreatography. Ọ bụ usoro na-ele anya na eriri afọ bile. Emere ya site na endoscope.

• Ihe na-egbuke egbuke bụ akpa ndị na-ebu bile site na imeju ruo gallbladder na obere eriri afọ.
• A na-eji ERCP agwọ nkume, etuto ahụ, ma ọ bụ ebe dị warara nke eriri bile.

A na-etinye eriri ogwu (IV) na ogwe aka gị. Ga-edina n’elu afọ gị ma ọ bụ n’akụkụ aka ekpe gị maka ule ahụ.

• Ọgwụ iji zuru ike ma ọ bụ mee ka ị ghara ịmịnye gị, a ga-enye gị site na IV.
• Mgbe ụfọdụ, a na-agba ihe iji belata akpịrị. A ga-etinye onye na-eche nche n'ọnụ gị iji chebe ezé gị. Dentures ga-ewepụ.

Mgbe ogwuura ahụ malitere ịrụ ọrụ, a na-etinye endoscope n'ọnụ ya. Ọ na-aga site na akpịrị (ọkpọkọ nri) na afọ ruo mgbe ọ ruru duodenum (akụkụ nke eriri afọ obere nke dịkarịrị nso na afọ).

• Ikwesighi inwe nkasi obi, ma nwee ike icheta obere ule.
• Nwere ike gag dị ka ọkpọkọ gafere ala akpịrị gị.
• Nwere ike ịnwe ịgbatị duct ka a na-etinye ohere ahụ.

A na - esi na endoscope gafee tube (catheter) dị mkpa ma tinye ya na tubes (ducts) nke na - eduga na pancreas na gallbladder. A na-agba dye pụrụ iche n’ime ọwa mmiri ndị a, ma wepụta ụzarị ọkụ. Nke a na-enyere dọkịta aka ịhụ okwute, etuto ahụ, na mpaghara ọ bụla mechie.

Enwere ike itinye ihe pụrụ iche site na endoscope na duct.

A na-ejikarị usoro ahụ eme ihe iji gwọọ ma ọ bụ chọpụta nsogbu nke pancreas ma ọ bụ bile ducts nke nwere ike ibute mgbu afọ (ọtụtụ mgbe n'akụkụ aka nri dị elu ma ọ bụ nke etiti) na ịcha acha nke anụ ahụ na anya (jaundice).

ERCP nwere ike iji:

• Mepee ntinye nke uzo n'ime eriri afọ (sphincterotomy)
• Gbatịa warara warara (bile duct nlezianya)
• Wepu ma obu tipia okwute
• Diagnose ọnọdụ dị ka biliary cirrhosis (cholangitis) ma ọ bụ sclerosing cholangitis
• Were ihe anụ ahụ iji chọpụta akpụ nke pancreas, bile ducts, ma ọ bụ gallbladder
• Igbapu ebe egbochi

Rịba ama: A ga-eme nnyocha nyocha n'ozuzu iji chọpụta ihe kpatara mgbaàmà tupu emee ERCP. Ndị a gụnyere ule ultrasound, CT scan, ma ọ bụ MRI nyocha.

Ize ndụ site na usoro ahụ gụnyere:

• Mmeghachi omume na Nkụnwụ ahụ, agba, ma ọ bụ ọgwụ eji eme ihe n'oge usoro ahụ
• Ọbara ọgbụgba
• Oghere (perforation) nke eriri afọ
• Mbufụt nke pancreas (pancreatitis), nke nwere ike ịdị oke njọ

Ikwesighi iri nri ma obu drinku ihe dika 4 awa tupu ule. Will ga-abịanye aka na akwụkwọ ikike.

Wepu ọla nile ka o wee ghara igbochi x-ray.

Gwa onye na - ahụ maka ahụike gị ma ọ bụrụ na ị nwere ihe na-egbu ahụ iodine ma ọ bụ na ị nwere mmeghachi omume na agba ndị ọzọ ejiri iji ụzarị ọkụ.

Kwesịrị ịhazi ụgbọ ịnyịnya n'ụlọ mgbe emechara usoro ahụ.

Ọ ga-adị onye mkpa ịkpọpụ gị n'ụlọ ọgwụ.

Ikuku a na-eji na-agbanye afo na eriri afọ n'oge ERCP nwere ike ibute ụfọdụ ma ọ bụ gas ihe dị ka elekere 24. Mgbe usoro ahụ gasịrị, ịnwere ike ịnwe akpịrị mgbu maka ụbọchị mbụ. Soreres nwere ike ịdịru ụbọchị atọ ruo ụbọchị anọ.

Mee naanị ọrụ ọkụ n'ụbọchị mbụ mgbe emechara usoro ahụ. Zere ibuli ibu maka awa 48 mbụ.

Nwere ike ịgwọ ihe mgbu na acetaminophen (Tylenol). EJIla ọgwụ aspirin, ibuprofen, ma ọ bụ naproxen mee ihe. Itinye mpempe akwụkwọ na-ekpo ọkụ na afọ gị nwere ike belata ihe mgbu na bloating.

Onye na-enye gị ga-agwa gị ihe ị ga-eri. Ọtụtụ mgbe, ị ga-a toụ mmiri mmiri ma rie naanị obere nri n’ụbọchị mgbe usoro ahụ gachara.

Kpọọ onye na-ahụ maka ọrụ gị ma ọ bụrụ na ịnwee:

• Afọ mgbu ma ọ bụ oké bloating
• Ọbara na-agbapụta site na ikensi ma ọ bụ stool ojii
• Ahụ ọkụ n'elu 100 ° F (37.8 ° C)
• Nausea ma ọ bụ vomiting

Endoscopic retrograde cholangiopancreatography

• ERCP
• ERCP
• Endoscopic retrograde cholangio pancreatography (ERCP) - usoro

Lidofsky SD. Jaundice. Na: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger na Ọrịa Cancer nke Fordtran na Ọrịa Imeju: Pathophysiology / Diagnosis / Management. Nke iri. Philadelphia, PA: Elsevier Saunders; 2016: isi 21.

Pappas TN, Cox ML. Njikwa nke nnukwu cholangitis. Na: Cameron JL, Cameron AM, eds. Usoro ọgwụgwọ nke oge a. Agba nke iri na abụọ. Philadelphia, PA: Elsevier; 2017: 441-444.

Taylor AJ. Endoscopic retrograde cholangiopancreatography. Na: Gore RM, Levine MS, eds. Akwụkwọ ọgụgụ nke Gastrointestinal Radiology. Agba nke anọ. Philadelphia, PA: Elsevier Saunders; 2015: isi 74.