He aha ka hoʻāʻo ERCP? ʻO ka mea e pono ai ʻoe e ʻike e pili ana i ia mea (Hoʻāʻo ERCP)

Ua ʻeha anei kou ʻōpū a i ʻole kekahi o kou ʻohana no kekahi mau lā? A i ʻole ke melemele nei kou mau maka, e like me ka jaundice? Ke hele ʻoe i ke kauka i ka manawa e like me kēia, a haʻi ʻo ia iā ʻoe e pono ʻoe e hana i kahi hoʻāʻo ERCP, hiki iā ʻoe ke makaʻu iki. "He aha kēia ERCP?" Manaʻo paha ʻoe. No laila i kēia lā, maʻalahi loa, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha, e aʻo kākou i nā mea āpau e pili ana i kēia hoʻāʻo ERCP.

I ka ʻōlelo maʻalahi, he aha ka ERCP?

ʻO ka inoa piha o ERCP ʻo "Endoscopic Retrograde Cholangiopancreatography". ʻOiai he lōʻihi iki ka inoa, he maʻalahi loa kona manaʻo. He hana kūikawā kēia i hoʻohana ʻia no ka ʻike ʻana a me ka mālama ʻana i nā pilikia me nā ʻauwai bile a me nā ʻauwai pancreatic i loko o kā mākou ʻōnaehana hoʻoheheʻe.

E noʻonoʻo ua hana ʻia kēia me kahi mea hana i kapa ʻia he "endoscope." ʻO ia hoʻi, he ʻōmole lahilahi a lōʻihi. Loaʻa iā ia kahi kāmela liʻiliʻi a me ke kukui ma kekahi ʻaoʻao. Hoʻokomo ke kauka i kēia ʻōmole ma kou waha a hoʻokomo mālie iā ia ma kou ʻōpū a hiki i ka "duodenum," ʻo ia ka ʻāpana mua o ka ʻōpū liʻiliʻi.

I ka hiki ʻana i laila, hoʻokomo ke kauka i kahi waihoʻoluʻu kūikawā ma o ka ʻōmole. A laila, lawe ʻo ia i kahi X-ray e ʻike i ke kahe ʻana o ka waihoʻoluʻu ma o ka ʻōmole. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he mau mea e ālai ana a i ʻole nā ​​pōhaku i loko o ka ʻōmole. I kekahi manawa, inā ua paʻa kekahi mea e like me nā pōhaku gall i loko o ka ʻōmole, hiki ke wehe ʻia i ka wā o ka hoʻāʻo.

He aha nā ʻāpana bile a me nā ʻāpana pancreatic?

Ua like kēia me kahi ʻōnaehana paipu liʻiliʻi i loko o ko mākou kino.

• Nā ʻauwai bile: Lawe kēia mau ʻauwai i ka bile, kahi wai i hana ʻia e ko kākou akepaʻa, i ka gallbladder a me ka ʻōpū liʻiliʻi. Kōkua kēia bile i ka hoʻoheheʻe ʻana i nā momona i loko o nā meaʻai a kākou e ʻai ai.
• Nā ʻauwai pancreatic: Lawe kēia mau ʻauwai i nā wai i hana ʻia e ka pancreas i ka ʻōpū liʻiliʻi. Loaʻa i kēia mau wai nā enzymes e kōkua i ka hoʻoheheʻe ʻana i ka meaʻai a mākou e ʻai ai.

He aha ka ʻokoʻa ma waena o ERCP a me MRCP?

Ua lohe paha ʻoe i ka MRCP. ʻO MRCP ke kū nei no `(Magnetic Resonance Cholangiopancreatography)`. ʻOiai ua hoʻohana ʻia nā mea ʻelua e nānā i ka ʻōnaehana duct like, ua ʻokoʻa loa nā ʻano hana ʻelua. Ma kahi o ke kau ʻana i kahi kāmela e like me ka ERCP, pili ka MRCP i ka hoʻokomo ʻana i kahi wai kūikawā i loko o kahi aa a me ka hana ʻana i kahi scan `(MRI)`.

E nānā kākou i kēia papa e hoʻomaopopo maʻalahi i ka ʻokoʻa.

I nā hihia hea e pono ai kahi hoʻāʻo ERCP?

Hiki i ke kauka ke ʻōlelo aku i kahi ERCP no ʻoe no nā kumu aʻe:

• Inā loaʻa iā ʻoe kahi ʻeha ʻōpū ʻaʻole hiki iā ʻoe ke loaʻa ke kumu .
• Inā melemele nā ​​maka a i ʻole ka ʻili (jaundice).
• Inā he kānalua e ālai ana nā pōhaku gallstones a i ʻole nā ​​​​mea ʻē aʻe (e like me nā tumors) i nā ʻauwai bile.
• Inā manaʻo ʻoe ua ālai ʻia a ua hoʻohaiki ʻia paha kāu mau ʻauwai bile a i ʻole nā ​​​​ʻauwai pancreatic.
• Inā ʻoe e kānalua nei e kahe ana kahi wai mai kēia mau paipu.
• E nānā i nā maʻi i loko o ka ʻōnaehana urinary.

ʻO ka maʻamau, paipai nā kauka i ka ERCP inā he manaʻolana e mālama i ke kūlana ma mua o ka ʻike ʻana iā ia. ʻO kēia no ka mea, ʻo kēlā me kēia kaʻina hana e pili ana i ka hoʻokomo ʻana i kahi mea hana i loko o ke kino e lawe mai i kahi liʻiliʻi o ka pilikia. Eia nō naʻe, he kaʻina hana haʻahaʻa pinepine ka ERCP. E wehewehe kāu kauka i nā pilikia hiki ke hiki iā ʻoe ma mua o ke kaʻina hana.

Pehea ʻoe e hoʻomākaukau ai no kēia hoʻokolohua?

Aia kekahi mau mea e pono ai ʻoe e hoʻomākaukau ma mua o ka ERCP. E hōʻoia e kūkākūkā i kēia mau mea me kāu kauka.

• E haʻi mai iā mākou e pili ana i nā maʻi ʻē aʻe āu i loaʻa ai: Inā hāpai ʻoe, he maʻi māmā a puʻuwai paha, he maʻi diabetes, a i ʻole he mau maʻi allergies i nā lāʻau lapaʻau, pono ʻoe e haʻi mai iā mākou i kēia mau mea āpau.
• Inā ʻoe e lawe i ka insulin no ka maʻi diabetes: Pono paha e hoʻoponopono ʻia kāu nui o ka insulin i ka lā o ka hoʻāʻo. E kamaʻilio me kāu kauka maʻi diabetes e pili ana i kēia.
• Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko: Inā ʻoe e lawe ana i nā lāʻau lapaʻau e like me 'Aspirin', 'Clopidogrel (Plavix)', 'Warfarin', e ʻōlelo paha kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana i kēlā mau lāʻau lapaʻau no kekahi mau lā. Mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke noi ʻana i kāu kauka.
• Hoʻokē ʻai no 8 mau hola: ʻOi aku ka maikaʻi ʻaʻole e ʻai a inu paha i kekahi mea no 8 mau hola ma mua o ka hoʻāʻo.
• E hoʻokele kekahi iā ʻoe i ka home: Hiki paha iā ʻoe ke poniuniu ma hope o ka hoʻāʻo. No laila, e hoʻokele kekahi iā ʻoe i ka home. Mai hoʻokele a hoʻohana paha i nā mīkini no 8 mau hola.
• Pono anei au e noho i ka haukapila?: Pono paha ʻoe e noho i ka haukapila i ka pō ma hope o ka hoʻāʻo. E hoʻomākaukau i nā mea e pono ai, e like me ke kapa, no kēlā.

He aha ka mea e hana ana i ka wā o ka ERCP?

ʻO ka maʻamau, ma kahi o 1-2 mau hola ka lōʻihi o ke kaʻina hana holoʻokoʻa. I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.

Ma mua o ka hoʻomaka ʻana o ka hoʻāʻo, e hoʻomānoʻonoʻo ʻia kou puʻu. E hāʻawi ʻia nō hoʻi ʻoe i kahi mea hoʻomaha ma o kahi aa. A laila, e hoʻokomo ke kauka i ka endoscope ma kou waha a alakaʻi iā ia i loko o ka wahi.

Nā lāʻau lapaʻau e hiki ke hana ʻia i ka wā o ka ERCP

ʻO kekahi o nā pono nui o kēia, ʻo ia ka hiki ke hana ʻia kekahi mau lāʻau lapaʻau i ka manawa like me kēia hoʻokolohua, me ka ʻole o ka hana ʻoki kino ʻokoʻa.

• Ka wehe ʻana i ka pōhaku: Hiki ke hopu ʻia, kuʻi ʻia, a wehe ʻia nā pōhaku gall i paʻa i loko o nā ducts me kahi mea liʻiliʻi e like me ka hīnaʻi uea i hala ʻia ma o ka endoscope.
• Biopsy: Inā he mea kānalua i loko o nā ducts, e like me kahi puʻupuʻu, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ia mea a hoʻouna ʻia no ka "biopsy" e nānā i nā hunaola kanesa.
• Dilation: Hiki ke hoʻonui ʻia kahi ʻōmole haiki ma ke hoʻokomo ʻana i kahi pōpō liʻiliʻi i loko a hoʻopiha iā ia.
• Ke Kau ʻana o ka Stent: Inā pono e waiho ʻia kahi moku e wehe ʻia, hiki ke waiho ʻia kahi ʻōmole mesh liʻiliʻi i kapa ʻia he stent i loko.
• Sphincterotomy: I kekahi manawa hiki ke lilo ka ʻiʻo ma ka puka o ka urethra (Sphincter o Oddi) i mea haiki. Hiki ke hoʻohana ʻia kēia kaʻina hana e hoʻonui iā ia ma ka hana ʻana i kahi ʻoki liʻiliʻi.

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo? A me nā pilikia?

Ma hope o ka hoʻāʻo ʻana, e mālama ʻia ʻoe ma lalo o ka nānā ʻana no kahi o 1-2 mau hola ma mua o ke komo ʻana i ka lumi maʻi. Hiki iā ʻoe ke ʻike i ka ʻeha no ka manawa pōkole, e like me kahi ʻōpala iki ma kou puʻu.

ʻOiai ʻo ka ERCP ma ke ʻano laulā he hana haʻahaʻa ka pilikia, hiki ke loaʻa nā pilikia i kahi poʻe liʻiliʻi loa .

• Nā hopena i nā lāʻau hoʻomaha.
• ʻAleʻaleʻa i ka wai ʻō (dye).
• Ka mumū o ka pancreas (Pancreatitis).
• Nā kūlana maʻi.
• ʻEha a kahe koko paha i loko o ka ʻōpū a i ʻole nā ​​​​​​naʻau i hana ʻia e ka endoscope.

Nā hōʻailona e pono ai ke kōkua koke ʻana o ke kauka!

Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei i loko o 72 mau hola o ka hoʻāʻo ʻana, e kāhea koke aku i kāu kauka a hele i ka Emergency Treatment Unit (ETU) o ka haukapila.