Nangmah emaw, i chhungte zinga tu emaw hian ni engemaw zat chhung chu pum na i nei tawh em? A nih loh leh i mit chu a sen a, jaundice ang maiin a rawn lang em? Hetiang hun lai hian doctor i pan a, ERCP test neih a ngai tih a hrilh che chuan rang takin i hlauthawng deuh mai thei. "He ERCP hi eng nge ni?" I ngaihtuah mai thei. Chuvangin vawiin hian awlsam takin, i thianpa nen in inbia ang maiin, he ERCP test chungchang hi i zir vek ang u.
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A awlsam zawngin ERCP chu eng nge ni?
ERCP hming kimchang chu Endoscopic Retrograde Cholangiopancreatography'' tih a ni. A hming hi sei deuh mah se, a awmzia chu a awlsam hle. Hei hi kan chaw ei leh in lama bile duct leh pancreatic duct-a harsatna awmte hriatchhuahna leh a chang chuan enkawlna atana hmanraw bik a ni.
Hei hi endoscope an tih hmanrua hmanga tih a ni tih han ngaihtuah teh. Chu chu tube te tak te, sei tak a ni. Camera te tak te a nei a, a tawp khatah light a awm bawk. Doctor chuan he tube hi i hmuiah a thun a, zawi zawiin i pum chhungah a kalpui a, chu chu duodenum, small intestine hmun hmasa ber a thlen thlengin a kalpui a ni.
Chutah chuan an thlen chuan doctor chuan tube kaltlangin dye bik a inject a. Tichuan, X-ray a la a, chu dye chu tube chhunga a luang chhuah dan a en a. Hei hian tube chhungah hian blockage emaw lung emaw a awm leh awm loh hriat theih nan a pui thei a ni. A châng chuan gallstone ang chi thil chu tube-ah a tlakbuak chuan test laiin lakchhuah theih a ni.
Bile duct leh pancreatic duct te hi eng nge ni?
Hengte hi kan taksa chhunga pipe system te tak te ang mai a ni.
- Bile ducts: Heng duct te hian kan thin siam tui, bile chu gallbladder leh small intestine ah a phur a. He bile hian kan eitur a thau awmte chu a tithianghlim thei a ni.
- Pancreatic ducts: Heng duct te hian pancreas siam tui te chu small intestine ah a phur a. Heng juices te hian enzyme a pai a, chu chuan kan ei tur chu a digest thei a ni.
ERCP leh MRCP hi eng nge an danglamna?
MRCP chungchang pawh i hre tawh mai thei. MRCP tih awmzia chu (Magnetic Resonance Cholangiopancreatography) tihna a ni. Duct system inang thlir nan an pahnih hian hman ni mah se, an hman dan pahnih hi a danglam hle. ERCP-a angin camera dah ai chuan MRCP hian vein-ah tui bik inject a, (MRI) scan a ti a ni.
A danglamna hriatthiam awlsam nan he table hi han en ila.
| Nihphung | ERCP (endoscopy hmanga tih a ni) . | MRCP (MRI scan hmangin) tih a ni. |
|---|---|---|
| Tihdan | Instrument (endoscope) chu taksaah (invasive) dah a ni. | Taksa chhungah engmah a lut lo. Pawn lam atanga scan (non-invasive) a ni. |
| Tum ber a ni | Natna hriatchhuah rual hian lung lakchhuah leh stent dahna ang chi enkawlna te pawh tih theih a ni. | Diagnosis atan chuan vascular system imaging chauh a ngai a ni. Enkawl theih a ni lo. |
| Anesthesia hmanga tihdam a ni | A tlangpuiin hriat lohna emaw, zu ruih emaw a thlen thin. | Anesthesia hman a ngai lo. |
MRCP-in harsatna a awm tih a hriat chuan, chu chu enkawl nan procedure hran (a tam zawkah chuan ERCP) i kal a ngai ngei ang.
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Check Availability →Eng dinhmunah nge ERCP test neih a ngai?
Doctor chuan a hnuaia thilte avang hian ERCP i tan a rawt thei ang:
- I pum natna i neih chuan a chhan i hmu thei lo .
- Mit emaw vun emaw a sen (jaundice) a nih chuan.
- Gallstone emaw thil dang (tumor ang chi) emaw hian bile duct a tikhawlo tih rinhlelhna a awm chuan.
- I bile duct emaw pancreatic duct emaw a block emaw a tawi emaw i tih chuan .
- Heng pipe atang hian tui a chhuak tih i rinhlelh chuan.
- Urinary system-a infection awm leh awm loh zawng rawh.
Doctor-te chuan ERCP hi a natna hmuhchhuah ai chuan enkawl beiseina a awm chuan tih an rawt tlangpui. Hei hi a chhan chu taksa chhunga hmanrua dah luh ngai procedure eng pawh hian risk tlemte a keng tel a ni. Mahse, ERCP hi risk hniam tak a ni fo. I doctor chuan i tih hmain harsatna awm thei te chu a hrilhfiah ang che.
He test atan hian engtin nge i inbuatsaih?
ERCP neih hma hian thil tlemte i inbuatsaih tur a awm. Hengte hi i doctor nen sawiho ngei ang che.
- Natna dang i neih te min hrilh teh: Naupai i nih chuan, lung emaw, lung lam natna i nei emaw, zunthlum i nei emaw, damdawi eng emaw allergy i neih chuan heng zawng zawng hi min hrilh vek tur a ni.
- Zunthlum tan insulin i ei chuan: Test ni-ah insulin dose i siamrem a ngai mai thei. Hemi chungchang hi i zunthlum doctor nen inbia ang che.
- Thisen tithianghlimtu i ei a nih chuan: Aspirin, Clopidogrel (Plavix), Warfarin ang chi damdawi i ei a nih chuan i doctor chuan chutiang damdawi chu ni engemaw zat ei tawh loh turin a hrilh thei che a ni. Doctor zawt lovin i damdawi ei kha bansan ngai suh.
- Darkar 8 chhung chaw nghei: Test hma darkar 8 chhung ei leh in loh a tha ber.
- In lama hruai tur che nei rawh: Test zawhah i lu a hah thei. Chuvangin, mawhphurtu tu emaw chuan in lamah khalh tir rawh. Darkar 8 chhung chu lirthei khalh emaw, machinery emaw hmang suh.
- Damdawi inah ka awm a ngai dawn em ni?: Test zawhah damdawi inah zan khat i awm a ngai mai thei. Chumi atan chuan thil tul, thawmhnaw ang chi te buatsaih rawh.
ERCP neih chhung hian eng nge thleng?
A kalphung zawng zawng hi darkar 1-2 vel a ni tlangpui. A tam zawkah chuan chu ni vek chuan i haw thei bawk.
Test tan hmain i rilru a na ang. Vein kaltlangin sedative pek i ni bawk ang. Tichuan, doctor chuan i hmuiah endoscope chu a thun lut ang a, chu lai hmunah chuan a hruai lut ang.
ERCP neih chhunga tih theih tur enkawlna te
Hei hi a thatna lian ber pakhat chu he test nen hian a rualin enkawlna engemaw zat tih theih a ni a, operation hran neih ngai lovin.
- Lung lakchhuah: Duct-a gallstone awmte chu endoscope kaltlangin wire basket ang chi hmanraw te tak te hmangin an man thei a, an tikehsawm thei a, lakchhuah theih a ni.
- Biopsy: Duct-a thil rinhlelh awm, lump ang chi a awm a nih chuan a then te te chu lak a, cancer cell awm leh awm loh enfiah turin biopsy'' turin thawn theih a ni.
- Dilation: Tube tawi tak chu a chhungah balloon te tak te dahin inflating hmangin a zau thei.
- Stent dah dan: Vessel chu hawn reng a ngai a nih chuan a chhungah mesh tube te tak te, stent an tih chu dah theih a ni.
- Sphincterotomy: A chang chuan urethra hawnna hmuna ruh (Sphincter of Oddi) chu a tawi thei bawk. Hetiang procedure hmang hian incision te tak te siamin a zau thei bawk.
Test zawhah eng nge thleng? Tin, a hlauhawmna te pawh?
Test zawhah darkar 1-2 vel enfiahna hnuaiah dah i ni ang a, chutah chuan ward-ah dah i ni ang. Hun engemaw chen chu natna i nei thei a, chu chu i kawrfual a hrual tlem ang chi hi a ni.
ERCP hi a tlangpuiin risk hniam tak ni mahse, mi tlemteah harsatna a awm thei.
- Sedatives hmanga thil tih dan (reactions).
- Piercing fluid (dye) atanga allergy nei.
- Pancreas natna (Pancreatitis) avanga natna hrik awm.
- Hri kai theihna dinhmun.
- Endoscope hmanga pum emaw, intestines-a hliam emaw thisen chhuak emaw.
Damdawi lam pan vat ngai vaukhânna chhinchhiahna!
Test atanga darkar 72 chhunga a hnuaia symptoms te hi i hmuh chuan doctor ko nghal la, damdawi in Emergency Treatment Unit (ETU) ah kal rawh.
| Ngaihtuah vat ngai symptoms te | |
|---|---|
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Take-Home Thuchah a ni
- ERCP hi bile duct leh pancreatic duct natna hriatchhuah leh enkawlna atana hmanraw pawimawh tak a ni.
- Hei hi low-risk test a ni tlangpui a, mahse doctor hnenah chuan inhawng takin sawi rawh.
- Test hmain doctor thupek (chaw nghei leh damdawi ei ang chi) uluk takin zawm hmasa phawt ang che.
- Test zawhah mi pakhatin in lama hruai tur che chu ruahman sak ngei ang che.
- Test hnua natna lan chhuah dan danglam (a bik takin pum na tak, khawsik) awm apiang chu ngaihthah suh. Damdawi lam thurawn zawng nghal rawh.
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