Kei te wehi koe i te ERCP? Me kōrero noa iho tātou (ERCP)

Kei te pāngia koe e te mamae rerekē i te puku o runga kua roa nei e haere mai ana? Tērā pea kei te kōwhai ō kanohi, me ngā tohu e rite ana ki te jaundice? I tēnei wā, ki te kī atu tō tākuta me whai whakamātautau "ERCP" koe, tera pea ka mataku koe ina rongo koe i taua ingoa. Engari ehara i te mea whakamataku. I tēnei rā, ka kōrerohia e tātou tēnei whakamātautau e kiia nei ko te ERCP, he mārama, he māmā noa iho.

He aha te ERCP i roto i ngā kupu māmā?

He ahua roa, he ahua uaua hoki te ingoa ERCP, kāore? Me wehewehe tātou. Ko te ERCP he kupu whakarāpopoto mō te Endoscopic Retrograde Cholangiopancreatography .

He whakarāpopototanga tēnei, he whakamātautau motuhake e titiro ana ki roto i ō tātou awaawa au me ngā awaawa repeure . Whakaarohia he rite ki te whakanoho i tētahi kāmera ki roto i ēnei wāhanga iti rite ki te ngongo o ō tātou tinana.

• Endoscopic: E pā ana tēnei ki te endoscope, arā, he ngongo angiangi, ngāwari me te kāmera e piri ana hei whakamahi mō tēnei kaupapa.
• Whakamuri: Ko te tikanga o tēnei ko te "whakamuri." I tēnei whakamātautau, ka werohia he wai (tae rerekē) ki roto i ēnei oko i te huarahi rerekē ki te rere noa.
• Cholangiopancreatography: Ka taea te wehewehe i tēnei kia rua ngā wāhanga. Ko te tikanga o "Cholangio" ko ngā awa au. Ko te tikanga o "Pancreato" ko ngā awa pancreatic. Ko te tikanga o "Graphy" ko te tango pikitia. Arā, ko te tango pikitia X-ray o ngā awa au me ngā awa pancreatic.

Ka whakamahia he tae motuhake i roto i tēnei whakamātautau, e kitea nuitia ai te roto o ēnei awa iti i runga i te hihi-X. Mā tēnei ka taea e te tākuta te kite mēnā he ārai kei roto i ēnei awa, pērā i ngā kōhatu o te pūkahukahu , he pukupuku, he kiko whara rānei. Ko te mea pai rawa atu, mēnā ka kitea he raruraru, ka taea te rongoā tonu.

He aha ahau me whai whakamātautau ERCP?

He maha ngā take ka tūtohu ai tō tākuta i tētahi ERCP. Ko te mea tino noa ko te wā e whakapae ana rātou he raruraru kei tō puku au, kei ngā awa au, kei te pancreas rānei.

Me titiro tātou ki te ripanga i raro nei kia kite ai he aha ngā take noa mō te mahi ERCP.

Me pēhea taku whakarite i mua i te whakamātautau?

He mea tino nui kia whakarite tika koe i mua i tēnei whakamātautau. Ka hoatu e tō tākuta he tohutohu mārama ki a koe mō ngā mea hei mahi. Ko te tikanga, me whai koe i ēnei tohutohu:

• Kai me te Inu: Me karo koe i te kai, te inu (haunga te wai), te ngaungau rānei i te kapia mō te 8 hāora i mua i te whakamātautau. He mea nui te puku kau mō te whakamātautau haumaru, mārama hoki.
• Kōrerohia ō rongoā: Mena kei te tango koe i ngā rongoā mō ētahi atu mate hauora, pērā i te mate huka, te toto toto tiketike rānei, inā koa ngā rongoā whakaiti toto , me kōrero wawe atu koe ki tō tākuta. Tērā pea ka tono atu rātou kia mutu te tango i aua rongoā mō ētahi rā.
• Mate pāwera:Mena kua pāngia koe e te mate pāwera ki te rongoā i whakamahia mō te rongoā whakamoe, mō te tae rerekē rānei, me whakamōhio atu hoki ki tō tākuta.
• He tangata hei kawe i a koe ki te kāinga: Nā te mea ka hoatu he rongoā whakamoe ki a koe i muri i te whakamātautau, kāore e taea e koe te taraiwa, te hoki rānei ki te kāinga ko koe anake. Nō reira, he mea nui kia whai tangata koe hei kawe i a koe ki te kāinga.

He aha ngā mea ka tupu i te wā o te whakamātautau?

He whakamātautau i taua rā tonu te ERCP, arā, ka taea e koe te hoki ki te kāinga me te kore e noho ki te hōhipera. Tērā pea ka roa te whakamātautau mō te haora, e rua rānei.

1. Whakamarie: Tuatahi, ka whakauruhia he cannula ki roto i te uaua i roto i tō ringa, ā, ka hoatu he rongoā whakamarie hei mea kia hiamoe koe. Mā tēnei ka ārai i a koe kei pāngia e te mamae, te kore rānei e pai te āhua i te wā o te whakamātautau. Tērā pea kāore koe e mahara ki tētahi atu mea i tēnei wā.

2. Te whakauru i te endoscope: Muri iho, ka whakauru mārire te tākuta i te endoscope (he ngongo me te kāmera) mā roto i tō waha, ki raro i tō korokoro me tō puku, ā, ki roto i te wāhanga tuatahi o tō whekau iti (duodenum). Ka mahia katoatia ēnei mea i a koe e mātakitaki ana i runga i te mata tirotiro.

3. Te kimi i ngā awaawa: Kimihia te wāhi e tuwhera ana ngā awaawa au me ngā awaawa repeure i roto i te whekau iti.

4. Te Werohanga i te Tae Whakarerekētanga: Muri iho, ka tukuna tētahi atu ngongo angiangi mā roto i te endoscope, ā, ka werohangahia te tae whakarerekētanga ki roto i te putorino mā roto.

5. Hiko-X (Fluoroscopy): I te nekenga o te tae i roto i te ngongo, ka tirohia mā te whakamahi i tētahi ataata hihi-X nekeneke (fluoroscopy). He tino haumaru tēnei hihi-X nā te mea he iti rawa te nui o te irahiko.

6. Te tātaritanga me te maimoatanga: Mā ēnei whakaahua hihi-X ka taea e te tākuta te kite tika i ngā mea kua āraia, ngā kōhatu, ngā pukupuku, ngā raruraru rānei kei roto i ngā ngongo.

Ngā take maimoatanga i te wā o te whakamātautau

Koinei tētahi o ngā painga nui o te ERCP. Mēnā ka kitea he raruraru, ka taea te tuku i ngā taputapu iti mā roto i te endoscope ka rongoā tonutia.

• Te tango kōhatu: Ka taea te kuru, te tango katoa rānei i ngā kōhatu e piri ana ki roto i ngā awa au.
• Biopsy: Mena he pukupuku, he kiko rānei e whakapaetia ana, ka tangohia pea he wahi iti o taua wahi hei whakamātautau atu.
• Te whakawhānui o ngā oko toto: Ka taea te whakawhānui i ngā oko toto kua whaiti nā te whara.
• Te whakatakotoranga o te stent: Mena me waiho kia tuwhera tonu te oko toto, ka taea te whakauru i tetahi ngongo mata iti (stent) ki roto.
• Te tango i te uaua o te uaua:Ka taea te tapahi i tētahi wahi iti ki te uaua e tuwhera ana te awaawa, kia nui ake ai te pūaha, kia māmā ake ai te haere o ngā kōhatu, o te au rānei mā roto.

He aha tāu e tumanako ai i muri i te whakamātautau?

I muri i te whakamātautau, me noho koe ki te hōhipera mō te haora, e rua rānei, kia memeha ra ano ngā pānga o te rongoā whakamoe. I muri i tēnā, ka taea e koe te hoki ki te kāinga me te tangata i haere mai ki te kawe i a koe ki te kāinga.

Tērā pea ka pāngia koe e te mamae iti mō te rā kotahi, e rua rānei, pērā i:

• Korokoro mamae: Tērā pea ka pā mai he mamae iti i te korokoro mā te endoscope. Ka taea te whakaiti i tēnei mā te kai i ngā wai me ngā kai ngohengohe.
• Te whakakī, te tango rānei i te puku: I te wā o te whakamātautau, ka pupuhihia te hau ki roto i te puku me ngā whekau kia pai ake ai te kite i roto. Tērā pea ka pā he mamae iti ki te puku. Ka memeha haere tēnei i muri i tētahi wā.
• Whakapairuaki: Tērā pea ka pāngia ētahi e te whakapairuaki iti nā te rongoā whakangote. Ka memeha haere tēnei.

He aha ngā mōrearea o te whakamātautau ERCP?

Pērā i ngā tikanga hauora katoa, he iti noa te mōrearea o te ERCP. Heoi, he onge ngā raruraru nui. E 5% ki te 10% noa iho o te hunga whai ERCP ka puta ngā raruraru.

Ko ētahi raruraru pea ko:

• Te mate pāwera: Koinei te raruraru tino noa. Ka pupuhi pea te repe taiaki i te whakamātautau.
• Mate urutā: Ka pā he mate urutā ki ngā awaawa o te ate.
• Te toto: Tērā pea ka puta he toto iti mēnā ka tangohia he tauira kiko, ka tapahia rānei.
• Pūhao: He tino onge, ka puta he pūhao i te pakitara o te korokoro, te puku, te whekau iti rānei i te endoscope.

He aha ngā tohu motuhake me kōrero koe ki te tākuta?

Ki te mea, i muri i te hokinga ki te kāinga i muri i te whakamātautau, ka puta he tohu kino atu i tua atu i te mamae iti e pā ana ki a koe, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.

Ngā tohu hei tūpato māu:

• Te mamae nui o te puku, te pupuhi rānei.
• Te kirika, te makariri rānei.
• Te ruaki pinepine.
• Te mamae o te uma, te uaua rānei ki te manawa.
• Te toto e puta mai ana i te tō, te putanga rānei o ngā tūtae mangu, pōuriuri.

Ki te pā mai tētahi o ēnei tohu ki a koe, kaua e warewarehia. Rapua he tohutohu hauora tonu.