ERCP

ERCP e khuts'oane bakeng sa endoscopic retrograde cholangiopancreatography. Ke mokhoa o shebileng methapo ea bile. E etsoa ka endoscope.

• Mekero e meholo ke methapo e tsamaisang bile ho tloha sebeteng ho ea nyong le mala a manyane.
• ERCP e sebelisetsoa ho phekola majoe, lihlahala kapa libaka tse patisaneng tsa methapo ea bile.

Ho kenngoa mohala o kenang methapong (IV) letsohong la hao. U tla robala ka mpeng kapa ka leqele bakeng sa tlhahlobo.

• U tla fuoa meriana ea ho phomola kapa ea ho thethefatsa ka IV.
• Ka linako tse ling, ho fafatsa ho koenya qoqotho hape ho sebelisoa. Ho tla beoa molebeli molomong oa hao ho sireletsa meno a hau. Meno a maiketsetso a tlameha ho tlosoa.

Kamora hore sedative e qale ho sebetsa, endoscope e kenngoa ka molomo. E feta ka 'metso (phaephe ea lijo) le ka mpeng ho fihlela e fihla duodenum (karolo ea mala a manyane a haufi haholo le mpa).

• Ha ua lokela ho ikutloa u sa phutholoha, mme o kanna oa ba le mohopolo o fokolang oa teko.
• U ka 'na ua tsuba ha tube e ntse e feta ka tlaase.
• U kanna oa utloa ho otlolla methapo ha bophara bo beoa.

Phala e tšesaane (catheter) e fetisoa ka endoscope ebe e kenngoa ka har'a li-tubes (ducts) tse lebisang ho manyeme le gallbladder. Dae e khethehileng e kenngoa ka har'a liphaephe tsena, 'me ho nkuoa li-x-ray. Sena se thusa ngaka ho bona majoe, lihlahala le libaka life kapa life tse fokotsehileng.

Lisebelisoa tse khethehileng li ka beoa ka endoscope le ka mekotleng.

Ts'ebetso e sebelisoa haholo ho alafa kapa ho fumana mathata a manyeme kapa methapo ea bile e ka bakang bohloko ba mpeng (hangata karolong e ka holimo e ka holimo kapa e bohareng ea mpa) le bosehla ba letlalo le mahlo (jaundice).

ERCP e ka sebelisoa ho:

• Bula ho kena ha methapo ka mpeng (sphincterotomy)
• Otlolla likarolo tse moqotetsane (litheko tsa bile)
• Tlosa kapa u silakanye li-gallstones
• Hlahloba maemo a kang biliary cirrhosis (cholangitis) kapa sclerosing cholangitis
• Nka mehlala ea lisele ho fumana hlahala ea manyeme, methapo ea bile kapa gallbladder
• Hlapa libaka tse koetsoeng

Tlhokomeliso: Hangata liteko tsa ho etsa litšoantšo li tla etsoa ho fumana sesosa sa matšoao pele ERCP e etsoa. Tsena li kenyelletsa liteko tsa ultrasound, CT scan, kapa scan ea MRI.

Likotsi tse tsoang ts'ebetsong li kenyelletsa:

• Ho itšoara ka anesthesia, dae kapa lithethefatsi tse sebelisoang nakong ea ts'ebetso
• Ho tsoa mali
• Lesoba (pherekano) la mala
• Ho ruruha ha manyeme (pancreatitis), e ka bang mpe haholo

O tla hloka hore o se ke oa ja kapa oa noa bonyane lihora tse 4 pele ho tlhahlobo. U tla saena foromo ea tumello.

Tlosa mabenyane ohle e le hore a se ke a kena-kenana le x-ray.

Bolella mofani oa hao oa tlhokomelo ea bophelo haeba u na le alejiki ea iodine kapa u bile le likarabelo ho lidae tse ling tse neng li sebelisoa ho nka x-ray.

U tla hloka ho hlophisa leeto la ho khutlela hae kamora ts'ebetso.

Motho e mong o tla hloka ho u khanna a u ise hae sepetlele.

Moea o sebelisetsoang ho kenya mpa le mala nakong ea ERCP o ka baka ho ruruha kapa khase nako e ka etsang lihora tse 24. Kamora ts'ebetso, o ka ba le 'metso letsatsi la pele. Bohloko bo ka nka matsatsi a mararo ho isa ho a mane.

Etsa lintho tse bobebe feela ka letsatsi la pele kamora ts'ebetso. Qoba ho phahamisa lintho tse boima lihora tse 48 tse qalang.

U ka phekola bohloko ka acetaminophen (Tylenol). U SE KE ua nka aspirin, ibuprofen, kapa naproxen. Ho beha pampiri e futhumatsang mpeng ho ka kokobetsa bohloko le ho ruruha.

Mofani oa thepa o tla u joetsa hore na u je eng. Hangata, o tla batla ho noa maro le ho ja lijo tse bobebe feela ka letsatsi kamora ts'ebetso.

Bitsa mofani oa hau haeba u na le:

• Bohloko ba mpeng kapa ho ruruha ho matla
• Ho tsoa mali ho tsoa litsoeng kapa litulo tse ntšo
• Feberu e kaholimo ho 100 ° F (37.8 ° C)
• Ho nyekeloa kapa ho hlatsa

Endoscopic retrograde cholangiopancreatography

• ERCP
• ERCP
• Endoscopic retrograde cholangio pancreatography (ERCP) - letoto la lihlooho tse

Lidofsky SD. Jaundice. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mafu a ka Mpeng le a Sebete: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 21.

Pappas TN, Cox ML. Tsamaiso ea cholangitis e matla. Ka: Cameron JL, Cameron AM, bahlophisi. Phekolo ea Hajoale ea Ts'ebetso. 12th ed. Philadelphia, PA: Elsevier; Ka 2017: 441-444.

Taylor AJ. Endoscopic retrograde cholangiopancreatography. Ka: Gore RM, Levine MS, eds. Buka ea sengoloa ea Radiology ea ka mpeng. La 4 ed. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 74.