Koj puas muaj mob txawv txawv hauv plab sab saud uas tau mob ob peb hnub lawm? Tej zaum koj ob lub qhov muag tig daj, nrog rau cov tsos mob zoo li mob ntshav qab zib? Thaum lub sijhawm zoo li no, yog tias koj tus kws kho mob hais rau koj tias koj yuav tsum tau kuaj "ERCP", koj yuav ntshai me ntsis thaum koj hnov lub npe ntawd. Tab sis qhov tseeb nws tsis txaus ntshai heev. Hnub no, peb yuav tham txog qhov kev kuaj no hu ua ERCP kom meej thiab yooj yim.
ERCP yog dab tsi hauv cov lus yooj yim?
Lub npe ERCP suab ntev thiab nyuaj me ntsis, puas yog? Cia peb piav qhia me ntsis. ERCP yog ib lo lus luv rau Endoscopic Retrograde Cholangiopancreatography .
Hais yooj yim xwb, qhov no yog ib qho kev kuaj tshwj xeeb uas saib sab hauv peb cov kav dej kua tsib thiab cov kav dej pancreatic . Xav txog nws zoo li muab lub koob yees duab tso rau hauv cov qhov me me zoo li cov raj no ntawm peb lub cev.
- Endoscopic: Qhov no yog hais txog endoscope, uas txhais tau tias ib lub raj nyias nyias, yoog tau nrog lub koob yees duab txuas nrog rau lub hom phiaj no.
- Retrograde: Qhov no txhais tau tias "rov qab." Hauv qhov kev xeem no, cov kua (xim sib piv) raug txhaj rau hauv cov hlab ntsha no hauv qhov kev taw qhia rov qab rau qhov ntws ib txwm muaj.
- Cholangiopancreatography: Qhov no muaj ob ntu. "Cholangio" txhais tau tias cov kav dej kua tsib. "Pancreato" txhais tau tias cov kav dej pancreatic. "Graphy" txhais tau tias thaij duab. Uas yog, thaij duab X-ray ntawm cov kav dej kua tsib thiab cov kav dej pancreatic.
Qhov kev kuaj no siv cov xim tshwj xeeb, uas ua rau sab hauv ntawm cov kav dej me me no pom tseeb heev ntawm daim duab X-ray. Qhov no tso cai rau tus kws kho mob pom seb puas muaj kev thaiv hauv cov kav dej no, xws li pob zeb hauv lub zais zis , qog, lossis cov nqaij caws pliav. Qhov zoo tshaj plaws yog tias yog pom teeb meem, nws tuaj yeem kho tau tam sim ntawd.
Vim li cas kuv thiaj yuav tsum tau kuaj ERCP?
Muaj ntau yam ua rau koj tus kws kho mob pom zoo kom ua ERCP. Feem ntau yog thaum lawv xav tias muaj teeb meem nrog koj lub zais zis, cov hlab zis, lossis lub qog pancreas.
Cia peb saib daim ntawv teev lus hauv qab no kom pom cov laj thawj feem ntau rau kev ua ERCP yog dab tsi.
| Cov tsos mob los yog mob | ERCP nrhiav pom lossis kho dab tsi? |
|---|---|
| Mob hauv plab sab saud yam tsis muaj laj thawj pom tseeb. | Txheeb xyuas cov pob zeb hauv lub zais zis, cov ducts nqaim, lossis lwm yam kev thaiv. |
| Jaundice - Qhov muag thiab daim tawv nqaij daj. | Tshawb xyuas seb puas muaj kev thaiv cov kua tsib ntws los ntawm lub zais zis. Tshem tawm cov pob zeb, cov qog nqaij hlav, lossis lwm yam kev thaiv. |
| Cov pob zeb hauv cov hlab ntsha hauv cov zis. | Txheeb xyuas cov pob zeb no thiab tsoo lawv lossis tshem tawm lawv tag nrho. |
| Cholangitis los yog o ntawm cov kua tsib ducts. | Nrhiav qhov ua rau muaj kev kis kab mob, tshem tawm qhov txhaws, thiab rov qab kho cov kua tsib ntws. |
| Kev nruj ntawm cov biliary. | Ua kom cov hlab ntsha nqaim dua los yog ntxig ib lub raj me me (stent) kom nws qhib. |
| Cov qog nqaij hlav lossis mob qog nqaij hlav ntawm cov ducts ntawm cov kua tsib lossis cov txiav. | Siv ib daim nqaij me me (biopsy) los kuaj seb puas muaj qog. |
Kuv yuav tsum npaj li cas ua ntej qhov kev xeem?
Nws yog ib qho tseem ceeb heev uas koj yuav tsum npaj kom zoo ua ntej qhov kev kuaj no. Koj tus kws kho mob yuav muab cov lus qhia meej rau koj txog yam yuav tsum ua. Feem ntau, koj yuav tsum ua raws li cov lus qhia no:
- Khoom Noj thiab Dej Haus: Koj yuav tsum tsis txhob noj, haus dej (tshwj tsis yog dej), lossis zom cov khoom qab zib li 8 teev ua ntej qhov kev kuaj mob. Lub plab khoob yog qhov tseem ceeb rau kev kuaj mob kom muaj kev nyab xeeb thiab meej.
- Tham txog koj cov tshuaj: Yog tias koj noj tshuaj rau lwm yam mob, xws li ntshav qab zib lossis ntshav siab, tshwj xeeb tshaj yog cov tshuaj ua kom ntshav nyias , koj yuav tsum qhia rau koj tus kws kho mob ua ntej. Lawv yuav hais kom koj tsum tsis txhob noj cov tshuaj ntawd li ob peb hnub.
- Kev ua xua:Yog tias koj tau muaj kev tsis haum tshuaj rau cov tshuaj siv rau kev siv tshuaj loog lossis cov xim sib piv, qhia rau koj tus kws kho mob txog qhov ntawd thiab.
- Ib tug neeg tsav koj mus tsev: Vim tias koj yuav tau txais tshuaj loog tom qab kev kuaj mob, koj yuav tsis tuaj yeem tsav tsheb lossis mus tsev koj tus kheej. Yog li ntawd, nws yog ib qho tseem ceeb uas koj yuav tsum muaj ib tug neeg tsav koj mus tsev.
Qhov tseem ceeb tshaj plaws yog tham nrog tus kws kho mob txog tej lus nug lossis kev ntshai uas koj muaj ua ntej koj mus kuaj. Qhov no yuav pab kom koj nkag siab zoo dua thiab xis nyob dua.
Muaj dab tsi tshwm sim thaum lub sijhawm xeem?
ERCP feem ntau yog kev kuaj tib hnub, txhais tau tias koj tuaj yeem mus tsev yam tsis tas yuav nyob hauv tsev kho mob. Nws tuaj yeem siv sijhawm li ib lossis ob teev.
1. Tshuaj loog: Ua ntej, yuav muab ib lub cannula tso rau hauv cov leeg ntshav hauv koj txhais caj npab thiab muab tshuaj loog rau koj kom koj tsaug zog. Qhov no yuav tiv thaiv koj kom tsis txhob hnov mob lossis mob thaum lub sijhawm kuaj. Tej zaum koj yuav tsis nco qab dab tsi ntxiv thaum lub sijhawm no.
2. Muab lub endoscope ntxig rau hauv: Tom ntej no, tus kws kho mob yuav maj mam muab lub endoscope (lub raj uas muaj lub koob yees duab) ntxig rau hauv koj lub qhov ncauj, nqes mus rau hauv koj lub caj pas thiab lub plab, thiab mus rau hauv thawj feem ntawm koj txoj hnyuv me (duodenum). Tag nrho cov no ua tiav thaum saib ntawm lub monitor.
3. Nrhiav cov kav dej: Nrhiav qhov qhib ntawm cov kav dej kua tsib thiab cov kav dej pancreatic hauv txoj hnyuv me.
4. Txhaj tshuaj xim sib txawv: Tom ntej no, lwm lub raj nyias nyias raug hla lub endoscope, thiab xim sib txawv raug txhaj rau hauv lub raj los ntawm nws.
5. X-ray (Fluoroscopy): Thaum cov xim zas txav mus los ntawm lub raj, nws raug saib los ntawm kev siv cov yeeb yaj kiab X-ray txav mus los (fluoroscopy). Cov X-ray no muaj kev nyab xeeb heev vim tias qhov ntau ntawm cov hluav taws xob tsawg heev.
6. Kev kuaj mob thiab kev kho mob: Cov duab X-ray no tso cai rau tus kws kho mob pom tseeb tias muaj dab tsi thaiv, pob zeb, qog, lossis lwm yam teeb meem sab hauv cov raj.
Cov xwm txheej ntawm kev kho mob thaum lub sijhawm kuaj mob
Qhov no yog ib qho ntawm cov txiaj ntsig loj tshaj plaws ntawm ERCP. Yog tias pom muaj teeb meem, cov cuab yeej me me tuaj yeem raug xa mus rau hauv lub endoscope thiab kho tam sim ntawd.
- Tshem Tawm Pob Zeb: Cov pob zeb uas daig hauv cov kav dej kua tsib tuaj yeem raug tsoo lossis tshem tawm tag nrho.
- Kev kuaj mob los ntawm kev kuaj zis: Yog tias muaj ib qho qog lossis cov nqaij mos uas yuav ua rau koj xav tias muaj qhov txawv txav, ces yuav muab ib daim me me ntawm nws coj mus kuaj ntxiv.
- Kev nthuav dav ntawm cov hlab ntsha: Cov hlab ntsha uas tau nqaim vim yog qhov caws pliav tuaj yeem nthuav dav.
- Kev Tso Stent: Yog tias lub nkoj yuav tsum tau qhib, ib lub raj me me (stent) tuaj yeem ntxig rau hauv nws.
- Kev phais qhov ntswg:Yuav ua tau ib qho kev phais me me rau hauv cov leeg nqaij uas lub raj xa dej qhib, ua rau qhov qhib loj dua thiab cia cov pob zeb lossis cov kua tsib hla tau yooj yim dua.
Koj yuav tau dab tsi tom qab qhov kev xeem?
Tom qab kuaj tas, koj yuav tsum nyob hauv tsev kho mob li ib teev lossis ob teev kom txog thaum cov tshuaj loog ploj mus. Tom qab ntawd, koj tuaj yeem mus tsev nrog tus neeg uas tuaj coj koj mus tsev.
Tej zaum koj yuav muaj kev tsis xis nyob me ntsis rau ib hnub lossis ob hnub, xws li:
- Mob caj pas: Lub endoscope yuav ua rau mob caj pas me ntsis. Qhov no tuaj yeem txo qis los ntawm kev noj cov kua thiab cov khoom noj mos.
- Kev puv plab lossis kev tshem tawm: Thaum lub sijhawm kuaj, cua raug thawb mus rau hauv plab thiab cov hnyuv kom pom tau zoo dua sab hauv. Qhov no yuav ua rau me ntsis tsis xis nyob hauv plab. Qhov no yuav ploj mus tom qab ib pliag.
- Xeev siab: Tej zaum ib txhia neeg yuav xeev siab me ntsis vim yog cov tshuaj loog. Qhov no yuav maj mam ploj mus.
Cov kev pheej hmoo ntawm kev kuaj ERCP yog dab tsi?
Ib yam li lwm yam kev kho mob, ERCP muaj kev pheej hmoo me me. Txawm li cas los xij, cov teeb meem loj tsis tshua muaj. Cov teeb meem tshwm sim rau tsuas yog 5% txog 10% ntawm cov neeg uas muaj ERCP.
Qee qhov teeb meem uas yuav tshwm sim yog:
- Kab mob Pancreatitis: Qhov no yog qhov teeb meem feem ntau. Qhov kev kuaj mob no tuaj yeem ua rau lub pancreas o.
- Kev kis kab mob: Kev kis kab mob tuaj yeem tshwm sim hauv cov ducts ntawm cov kua tsib.
- Los ntshav: Tej zaum yuav muaj los ntshav me me yog tias muab ib qho qauv ntawm cov nqaij los yog ib qho kev txiav.
- Kev tho qhov: Tsis tshua muaj, lub endoscope tuaj yeem ua rau muaj qhov hauv phab ntsa ntawm txoj hlab pas, plab, lossis txoj hnyuv me.
Koj tus kws kho mob yuav piav qhia txog txhua yam kev pheej hmoo no rau koj ua ntej qhov kev kuaj mob. Tsis txhob txhawj, qhov kev kuaj mob no yog ua los ntawm cov kws tshwj xeeb uas tau kawm tiav zoo.
Cov tsos mob tshwj xeeb uas koj yuav tsum nrog kws kho mob tham txog yog dab tsi?
Yog tias, tom qab koj mus tsev tom qab kuaj tas, koj muaj cov tsos mob hnyav dua li qhov tsis xis nyob me me uas koj ib txwm muaj, hu rau koj tus kws kho mob tam sim ntawd lossis mus rau Chav Kho Mob Ceev (ETU) ntawm tsev kho mob ze tshaj plaws.
Cov tsos mob uas yuav tsum tau ceev faj txog:
- Mob plab heev los yog o.
- Kub taub hau los yog mob khaub thuas.
- ntuav ntau zaus.
- Mob hauv siab los yog ua pa nyuaj.
- Los ntshav ntawm lub qhov quav los yog tso cov quav dub, uas muaj kua nplaum.
Yog koj muaj ib qho ntawm cov tsos mob no, tsis txhob tso tseg. Nrhiav kev pab kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- ERCP yog ib qho kev kuaj mob tseem ceeb thiab siab heev uas siv los kuaj mob thiab kho cov kab mob ntsig txog cov kav dej kua tsib thiab cov kav dej pancreatic.
- Qhov kev kuaj no yuav ua thaum koj muab tshuaj uas ua rau koj tsaug zog, yog li koj yuav tsis hnov mob lossis tsis xis nyob thaum lub sijhawm ntawd.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tus kws kho mob cov lus qhia ua tib zoo ua ntej qhov kev kuaj mob, tshwj xeeb tshaj yog hais txog kev yoo mov thiab noj tshuaj.
- Txawm hais tias muaj qee qhov kev pheej hmoo cuam tshuam nrog txhua txoj kev kho mob, ERCP feem ntau muaj kev nyab xeeb heev. Cov teeb meem loj tsis tshua muaj.
- Nco ntsoov txog cov cim ceeb toom uas yuav tshwm sim tom qab kuaj. Yog tias koj muaj kev txhawj xeeb, nrhiav kev pab kho mob tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus