So wusuro ERCP? Momma yɛnka ho asɛm kɛkɛ (ERCP) .

So wo nso wowɔ ɛyaw bi a ɛyɛ nwonwa wɔ wo yafunu atifi a aba nna pii ni? Ebia w’ani reyɛ kɔkɔɔ, a sɛnkyerɛnne ahorow te sɛ jaundice? Wɔ bere a ɛte sɛɛ mu no, sɛ wo duruyɛfo ka kyerɛ wo sɛ ɛsɛ sɛ woyɛ "ERCP" nhwehwɛmu a, ebia wobɛte ehu nka kakra bere a wote saa din no. Nanso nokwarem no, ɛnyɛ hu saa. Ɛnnɛ, yɛbɛka sɔhwɛ a wɔfrɛ no ERCP yi ho asɛm pefee na ɛnyɛ den.

Dɛn ne ERCP wɔ nsɛm a ɛnyɛ den mu?

Edin ERCP no te sɛ nea ɛware kakra na ɛyɛ den, ɛnte saa? Momma yɛnbubu mu. ERCP yɛ Endoscopic Retrograde Cholangiopancreatography asɛmfua a wɔatwa no tiaa .

Sɛ yɛbɛka no tiawa a, eyi yɛ sɔhwɛ titiriw bi a ɛhwɛ yɛn bile ntini ne yɛn dwensɔtwaa ntini mu . Fa no sɛ ɛte sɛ nea yɛde mfoninitwa afiri bɛhyɛ yɛn nipadua no afã nketenkete a ɛte sɛ nsukorade yi mu.

• Endoscopic: Eyi kyerɛ endoscope, a ɛkyerɛ sɛ wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri abata ho di dwuma de yɛ eyi.
• Retrograde: Eyi kyerɛ "akyi." Wɔ sɔhwɛ yi mu no, wɔde nsu (contrast dye) bi gu saa ntini ahorow yi mu wɔ ɔkwan a ɛne nsu a ɛsen daa no bɔ abira so.
• Cholangiopancreatography: Wobetumi akyekyɛ eyi mu abien. "Cholangio" kyerɛ sɛ ntini a ɛma mogya tu. "Pancreato" kyerɛ sɛ dwensɔtwaa mu ntini. "Graphy" kyerɛ sɛ wobɛtwa mfonini. Ɛne sɛ, sɛ wobɛtwe X-ray mfonini a ɛkyerɛ mogya ntini ne dwensɔtwaa mu ntini.

Wɔde aduru titiriw bi a wɔde yɛ sɔhwɛ yi di dwuma, na ɛma ntini nketewa yi mu da adi yiye wɔ X-ray no so. Eyi ma oduruyɛfo no hu sɛ ebia biribi asiw saa ntini ahorow yi mu, te sɛ akisikuru , akisikuru, anaa akuru ntini bi anaa. Nea eye sen biara ne sɛ, sɛ wohu ɔhaw bi a, wobetumi adi ho dwuma ntɛm ara.

Dɛn nti na ɛsɛ sɛ meyɛ ERCP nhwehwɛmu?

Nneɛma pii nti na ebia wo duruyɛfo bɛkamfo ERCP akyerɛ wo. Nea ɛtaa ba ne bere a wosusuw sɛ ɔhaw bi wɔ wo gallbladder, bile ducts, anaa pancreas mu no.

Momma yɛnhwɛ pon a ɛwɔ aseɛ ha no na yɛnhwɛ deɛ ɛtaa ba sɛ wɔyɛ ERCP.

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ansa na wɔayɛ sɔhwɛ no?

Ɛho hia paa sɛ wusiesie wo ho yiye ansa na sɔhwɛ yi aba. Wo duruyɛfo bɛma wo akwankyerɛ a emu da hɔ wɔ nea ɛsɛ sɛ woyɛ ho. Mpɛn pii no, ɛsɛ sɛ wudi akwankyerɛ ahorow yi akyi:

• Aduan ne Nsã: Ɛsɛ sɛ wokwati adidi, anom (gye nsu), anaasɛ wobɛwe anom bɛyɛ nnɔnhwerew 8 ansa na woayɛ sɔhwɛ no. Yafunu a hwee nni mu ho hia na ama wɔayɛ sɔhwɛ a ahobammɔ wom na emu da hɔ.
• Ka wo nnuru ho asɛm: Sɛ worenom nnuru a wɔde sa ayaresa tebea afoforo te sɛ asikreyare anaa mogya mmoroso, titiriw nnuru a ɛma mogya yɛ mmerɛw , akyinnye biara nni ho sɛ ɛsɛ sɛ wudi kan ka kyerɛ wo duruyɛfo. Ebia wɔbɛka akyerɛ wo sɛ gyae saa nnuru no nom nna kakraa bi.
• Nneɛma a ɛma obi ho yɛ no yaw:Sɛ woadi kan anya aduru a wɔde yɛ aduru a wɔde kum akisikuru anaasɛ aduru a wɔde yɛ nneɛma a ɛma obi ho kyere no a, ka ɛno nso ho asɛm kyerɛ wo duruyɛfo.
• Obi a ɔde wo bɛka kar akɔ fie: Esiane sɛ wɔbɛma wo nnuru a ɛma wo ho dwo wo wɔ sɔhwɛ no akyi nti, w’ankasa worentumi nka kar anaasɛ worentumi nkɔ fie. Enti, ɛho hia sɛ wunya obi a ɔde kar bɛfa wo akɔ fie.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

ERCP taa yɛ da koro sɔhwɛ, a ɛkyerɛ sɛ wubetumi akɔ fie a ɛho nhia sɛ wotra ayaresabea. Ebetumi agye bɛyɛ dɔnhwerew biako anaa abien.

1. Nnuru a ɛma wo ho dwo: Nea edi kan no, wɔde kankyee bi hyɛ ntini bi a ɛwɔ wo nsa mu mu na wɔma wo aduru a ɛma wo ho dwo na ama woada. Eyi remma worente nka sɛ wo ho nyɛ wo dɛ anaa ɛyaw biara wɔ sɔhwɛ no mu. Ebia worenkae biribi foforo biara wɔ saa bere yi mu.

2. Endoscope a wode bɛhyɛ mu: Afei, oduruyɛfo no de endoscope (tube a mfoninitwa afiri wom) no bɛhyɛ w’anom nkakrankakra, akɔ wo menewam ne wo yafunu mu, na akɔ wo dwensɔtwaa ketewaa no fã a edi kan (duodenum) mu. Wɔyɛ eyinom nyinaa bere a wɔrehwɛ wɔ monitor so no.

3. Ntini a ɛwɔ dwensɔtwaa no mu a wobehu: Sɛnea wobehu baabi a mogya ntini ne dwensɔtwaa mu ntini no abue wɔ dwensɔtwaa ketewa no mu.

4. Contrast Dye a Wɔde Gu Mu: Afei, wɔde afiri a ɛyɛ tratraa foforo fa endoscope no mu, na wɔde contrast dye fa mu gu duct no mu.

5. X-ray (Fluoroscopy): Bere a aduru no fa afiri no mu no, wɔde X-ray video a ɛkɔ (fluoroscopy) na ɛhwɛ. Saa X-ray yi yɛ nea asiane biara nni ho koraa efisɛ mframa a ɛbɔ no sua koraa.

6. Nhwehwɛmu ne ayaresa: Saa X-ray mfonini ahorow yi ma oduruyɛfo no hu nneɛma a asiw, abo, akisikuru, anaa ɔhaw afoforo a ɛwɔ nhama no mu pɛpɛɛpɛ.

Nsɛm a ɛfa ayaresa ho bere a wɔreyɛ nhwehwɛmu no

Eyi yɛ mfaso akɛse a ɛwɔ ERCP so no mu biako. Sɛ wohu ɔhaw bi a, wobetumi de nnwinnade nketewa afa endoscope no mu na wɔasa no ntɛm ara.

• Abo a woyi fi hɔ: Wobetumi abubu abo a akɔhyɛ bile ntini no mu anaasɛ wɔayi afi hɔ koraa.
• Biopsy: Sɛ akisikuru anaa ntini bi a ɛyɛ adwenem naayɛ wɔ hɔ a, wobetumi afa ne fã ketewaa bi akɔyɛ nhwehwɛmu foforo.
• Ntini a ɛtrɛw: Ntini a ayɛ teateaa esiane akuru nti no betumi atrɛw.
• Stent a wɔde besisi hɔ: Sɛ ɛho hia sɛ wɔma anwenne bi bue a, wobetumi de afiri ketewaa bi a wɔde ahama ayɛ (stent) ahyɛ mu.
• Sphincterotomy a wɔde twa nipadua no mu:Wobetumi atwa ntini ketewaa bi wɔ ntini a ɛwɔ baabi a ntini no bue no mu, na ama ɔkwan a wɔabue no ayɛ kɛse na ama abo anaa bile afa mu ntɛmntɛm.

Dɛn na wubetumi ahwɛ kwan wɔ sɔhwɛ no akyi?

Sɛ woyɛ nhwehwɛmu wie a, ɛho behia sɛ wotra ayaresabea hɔ bɛyɛ dɔnhwerew biako anaa abien kosi sɛ aduru a wɔde kum nipadua no mu nsunsuanso no bɛsɛe. Ɛno akyi no, wubetumi ne onipa a ɔbaa sɛ ɔde wo bɛkɔ fie no akɔ fie.

Ebia wubenya ɔhaw nketenkete da koro anaa nnanu, te sɛ:

• Menewa mu yaw: Endoscope no betumi ama ne menewa mu ayɛ no yaw kakra. Eyi betumi atew denam nsu ne nnuan a ɛyɛ mmerɛw a wobedi so.
• Yafunu a wɔde hyɛ mu ma anaasɛ nea wɔde fi mu: Bere a wɔreyɛ sɔhwɛ no, wɔde mframa kɔ yafunu ne dwensɔtwaa mu na ama wɔatumi ahu emu no yiye. Eyi betumi ama yafunu no ayɛ basaa kakra. Eyi bɛbrɛ ase bere tiaa bi akyi.
• Akisikuru: Ebia nnipa binom bɛte akisikuru kakra esiane aduru a wɔde kum akisikuru nti. Eyi befi hɔ nkakrankakra.

Asiane bɛn na ɛwɔ ERCP nhwehwɛmu mu?

Sɛnea ɛte wɔ aduruyɛ mu adeyɛ biara ho no, asiane ketewaa bi wɔ ERCP mu. Nanso, nsɛnnennen a anibere wom ntaa mma. Nsɛnnennen ba nnipa a wɔwɔ ERCP no mu 5% kosi 10% pɛ mu.

Nsɛnnennen bi a ebetumi aba ne:

• Pancreatitis: Eyi ne ɔhaw a ɛtaa ba. Sɔhwɛ no betumi ama dwensɔtwaa no ahonhon.
• Nyarewa: Ɔyare mmoawa betumi aba ntini a ɛma mogya tu no mu.
• Mogya a ɛtɔ: Mogya ketewaa bi betumi atu sɛ wɔfa ntini bi anaa wɔtwa mu a.
• Tokuru: Ɛntaa mma koraa sɛ endoscope no betumi ama tokuru ayɛ aduannuru, yafunu, anaa dwensɔtwaa ketewa no fasu mu.

Nsɛnkyerɛnne titiriw bɛn na ɛsɛ sɛ wo ne oduruyɛfo no kasa fa ho?

Sɛ, bere a woakɔ fie wɔ nhwehwɛmu no akyi no, wunya sɛnkyerɛnne biara a emu yɛ den a ɛnyɛ ɔhaw ketewaa a wotaa nya no a, frɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) no.

Nsɛnkyerɛnne a ɛsɛ sɛ yɛhwɛ yiye wɔ ho:

• Yafunu mu yaw a emu yɛ den anaasɛ ne ho popo.
• Atiridii anaa atiridiinini.
• Ɔfe a wɔtaa fa.
• Koko mu yaw anaasɛ ɛyɛ den sɛ wobɛhome.
• Mogya a ɛtɔ fi akyi berɛmo mu anaasɛ nsu tuntum a ɛyɛ tarry a ɛtwam.

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, mmu w’ani ngu so. Hwehwɛ nnuruyɛfo afotu ntɛm ara.