Ukuhlolwa kwe-CPRE: kwenzelwa ini nokuthi kwenziwa kanjani

-Delile

• Yenzelwe ini
• Kwenziwa kanjani i-CPRE
• Ungasilungiselela kanjani isivivinyo
• Izingozi ezingenzeka zokuhlolwa
• Ukungavumelani kwe-cholangiopancreatography

I-Endoscopic retrograde cholangiopancreatography yamanyikwe, eyaziwa kuphela njenge-ERCP, ukuhlolwa okuhlola ukuxilonga izifo ku-biliary kanye ne-pancreatic tract, njenge-pancreatitis engapheli, i-cholangitis noma i-cholangiocarcinomas, isibonelo.

Inzuzo enkulu yalokhu kuhlolwa ukuthi, ngaphezu kokwenza ukuxilongwa ngaphandle kokuhlinzwa, kungaphatha nezinkinga ezilula, kususwe amatshe amancane akhona noma kukhulise ngisho namapayipi e-bile ngokubekwa stent.

Kodwa-ke, i-ERCP ivame ukubekelwa amacala lapho ezinye, izivivinyo ezilula zokucabanga, njenge-ultrasound noma i-MRI, zingakwazanga ukuqinisekisa noma ukuxilonga kabi ukuxilongwa.

Yenzelwe ini

Ukuhlolwa kwe-CPRE kungasiza udokotela ukuqinisekisa ezinye izifo ezihlobene nepheshana le-biliary noma le-pancreatic, njenge:

• Amatshe amatshe amatshe;
• Ukutheleleka ku-gallbladder;
• I-Pancreatitis;
• Izimila noma umdlavuza emibhobho yenyongo;
• Izimila noma umdlavuza kumanyikwe.

Ngaphezu kwalokho, le ndlela futhi ivumela ukwelashwa kwezinkinga kube lula, njengokutholakala kwetshe, ngakho-ke lokhu kuhlolwa kungakhethwa lapho kunamathuba amaningi okuthi ukuxilongwa kuyiqiniso, ngoba nakho kungavumela ukwelashwa, kunalokho kube lula izivivinyo.

Kwenziwa kanjani i-CPRE

Ukuhlolwa kwe-ERCP phakathi kwemizuzu engama-30 nengama-90 kwenziwa ngaphansi kwe-anesthesia ejwayelekile, ukuze kungabangeli ubuhlungu noma ukungaphatheki kahle kumuntu. Ukwenza ukuhlolwa, udokotela ufaka ithubhu elincanyana elinekhamera encane enqenqemeni, lisuka emlonyeni liye e-duodenum, ukuze kubhekwe indawo lapho amapayipi enyongo exhuma khona emathunjini.

Ngemuva kokubheka ukuthi kukhona yini ushintsho kuleyo ndawo, udokotela ufaka i-radiopaque into emibhobho ye-bile, esebenzisa ithubhu efanayo.Ekugcineni, kwenziwa i-X-ray esiswini ukubheka iziteshi ezigcwaliswe yinto, okuvumela ukubona izinguquko eziteshini.

Uma kungenzeka, udokotela angasebenzisa futhi ithubhu le-CPRE ukususa amatshe enyongo noma ngisho nokubeka i- stent, okuyi-network encane esiza ukunweba iziteshi, lapho zinenkontileka enkulu, isibonelo.

Ungasilungiselela kanjani isivivinyo

Ukulungiselela ukuhlolwa kwe-ERCP imvamisa kufaka i-8-hour fast, lapho kufanele ugweme ukudla noma ukuphuza. Kodwa-ke, kubalulekile ukukhuluma nodokotela ngaphambi kokuhlolwa ukuthola ukuthi kukhona yini okunye ukunakekelwa okudingekayo, njengokuyeka ukuthatha umuthi othize, isibonelo.

Ngaphezu kwalokho, njengoba ukuhlolwa kwenziwa ngaphansi kwe-anesthesia, kunconywa ukuthatha umuntu ukuze abuyele ekhaya ephephile.

Izingozi ezingenzeka zokuhlolwa

I-ERCP inqubo ejwayelekile futhi, ngenxa yalesi sizathu, ubungozi bezinkinga buphansi kakhulu. Noma kunjalo, kungahle kube khona:

• Ukutheleleka kweziteshi ze-biliary noma ze-pancreatic;
• Ukopha;
• Ukugcwaliswa kwemigudu ye-biliary noma ye-pancreatic.

Njengoba kuwukuhlolwa okwenziwa ngaphansi kwe-anesthesia ejwayelekile, kukhona nengozi yokuthola ukusabela okungekuhle kuma-anesthetics asetshenzisiwe. Ngakho-ke, ngaphambi kokuhlolwa kubaluleke kakhulu ukwazisa udokotela uma ngabe uke waba nezinkinga nge-anesthesia esikhathini esedlule.

Ukungavumelani kwe-cholangiopancreatography

I-Pancreas endoscopic retrograde cholangiopancreatography (ERCP) iyaphikiswa ezigulini ezine-pancreatitis ebukhali, ne-pseudocyst ye-pancreatic esolwayo nangesikhathi sokukhulelwa, ngoba isebenzisa imisebe ye-ionizing.

I-ERCP iyaphikiswa ezigulini ezinama-pacemaker, izidumbu zangaphandle ze-intraocular noma iziqeshana zama-aneurysms we-intracranial, izimpande ze-cochlear noma ngama-valves enhliziyo yokufakelwa.