I-ERCP

I-ERCP ifushane nge-endoscopic retrograde cholangiopancreatography. Kuyindlela ebheka amapayipi enyongo. Kwenziwa nge-endoscope.

• Amapayipi ama-bile yizibhubhu ezithwala i-bile kusuka esibindini kuya e-gallbladder namathumbu amancane.
• I-ERCP isetshenziselwa ukwelapha amatshe, izicubu, noma izindawo ezincishisiwe zemigudu yenyongo.

Umugqa ofakwa ngaphakathi (IV) ufakwa engalweni yakho. Uzolala ngesisu noma ohlangothini lwesobunxele ukuze uhlolwe.

• Imithi yokuphumula noma yokuthambisa uzoyinikezwa nge-IV.
• Kwesinye isikhathi, kufuthwa nesifutho sokuqaqamba umphimbo. Kuzofakwa unogada womlomo emlonyeni wakho ukuvikela amazinyo akho. Amazinyo okufakelwa kufanele asuswe.

Ngemuva kokuthi i-sedative iqale ukusebenza, i-endoscope ifakwa ngomlomo. Ihamba ngesigaxa (ipayipi lokudla) nasesiswini ize ifike e-duodenum (ingxenye yamathumbu amancane asondele kakhulu esiswini).

• Akufanele uzizwe ungakhululekile, futhi ungahle ube nenkumbulo encane yokuhlolwa.
• Ungahle ubambe lapho ithubhu idluliselwa phansi kwesisu sakho.
• Ungazizwa welula amapayipi njengoba ububanzi bubekiwe.

Ishubhu elincane (ipayipi) lidluliswa nge-endoscope bese lifakwa kumashubhu (amapayipi) aholela kumanyikwe kanye nenyongo. Kufakwa udayi okhethekile kula mapayipi, bese kuthathwa ama-x-ray. Lokhu kusiza udokotela abone amatshe, izicubu, nanoma yiziphi izindawo eziye zancipha.

Izinsimbi ezikhethekile zingabekwa nge-endoscope nakumapayipi.

Inqubo isetshenziswa kakhulu ukwelapha noma ukuxilonga izinkinga zamanyikwe noma ama-bile ducts angadala izinhlungu zesisu (imvamisa kakhulu endaweni engaphezulu noma emaphakathi yesisu) nangokuphuzi kwesikhumba namehlo (i-jaundice).

I-ERCP ingasetshenziselwa uku:

• Vula ukungena kwamapayipi ungene emathunjini (sphincterotomy)
• Yelula izingxenye ezincane (izigaxa ze-bile duct)
• Susa noma uqede ama-gallstones
• Thola izimo ezifana ne-biliary cirrhosis (cholangitis) noma i-sclerosing cholangitis
• Thatha amasampula wezicubu ukuxilonga isimila samanyikwe, ama-bile ducts, noma i-gallbladder
• Khama izindawo ezivinjiwe

Qaphela: Ukuhlolwa kokufanekisa ngokuvamile kuzokwenziwa ukuthola imbangela yezimpawu ngaphambi kokuba kwenziwe i-ERCP. Lokhu kufaka phakathi ukuhlolwa kwe-ultrasound, i-CT scan, noma i-MRI scan.

Izingozi ezivela kule nqubo zifaka:

• Ukusabela ku-anesthesia, idayi, noma isidakamizwa esisetshenziswe ngesikhathi senqubo
• Ukopha
• Hole (perforation) wamathumbu
• Ukuvuvukala kwamanyikwe (pancreatitis), okungaba kubi kakhulu

Kuzodingeka ungadli noma uphuze okungenani amahora amane ngaphambi kokuhlolwa. Uzosayina ifomu lokuvuma.

Susa konke ubucwebe ukuze bungaphazamisi i-x-ray.

Tshela umhlinzeki wakho wezokunakekelwa kwezempilo uma une-allergies kwi-iodine noma uke waba nokusabela kwamanye amadayi asetshenziselwa ukuthatha ama-x-ray.

Uzodinga ukuhlela ukugibela ekhaya ngemuva kwenqubo.

Omunye uzodinga ukukushayela ekhaya asuke esibhedlela.

Umoya osetshenziselwa ukufaka isisu namathumbu ngesikhathi se-ERCP ungadala ukuqunjelwa noma igesi cishe amahora angama-24. Ngemuva kwenqubo, ungaba nomphimbo obuhlungu ngosuku lokuqala. Ukuba buhlungu kungahlala izinsuku ezifika kwezingu-3 kuya kwezi-4.

Yenza imisebenzi elula kuphela ngosuku lokuqala ngemuva kwenqubo. Gwema ukuphakamisa okunzima ngamahora okuqala angama-48.

Ungalapha ubuhlungu nge-acetaminophen (Tylenol). UNGAYITHATHI i-aspirin, ibuprofen, noma i-naproxen. Ukubeka iphedi yokushisa esiswini sakho kungaqeda ubuhlungu nokuqunjelwa.

Umhlinzeki uzokutshela ukuthi uzodlani. Imvamisa, uzofuna ukuphuza uketshezi futhi udle ukudla okulula kuphela ngosuku olulandelayo ngemuva kwenqubo.

Shayela umhlinzeki wakho uma une:

• Ubuhlungu besisu noma ukuqunjelwa okukhulu
• Ukopha kusuka kunxande noma indle emnyama
• Imfiva engaphezu kuka-100 ° F (37.8 ° C)
• Isicanucanu noma ukuhlanza

I-Endoscopic retrograde cholangiopancreatography

• I-ERCP
• I-ERCP
• Uchungechunge lwe-Endoscopic retrograde cholangio pancreatography (ERCP)

ILidofsky SD. I-jaundice. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 21.

IPappas TN, Cox ML. Ukuphathwa kwe-cholangitis enamandla. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2017: 441-444.

UTaylor AJ. I-Endoscopic retrograde cholangiopancreatography. Ku: Gore RM, i-Levine MS, ama-eds. Incwadi Yemibhalo Ye-Radiology Yamathumbu. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 74.