Kodi mayeso a ERCP ndi chiyani? Zimene muyenera kudziwa za mayesowa (ERCP Test)

Kodi inu kapena wina m'banja mwanu mwakhala mukupweteka m'mimba kwa masiku angapo? Kapena maso anu akusanduka achikasu, ngati jaundice? Mukapita kwa dokotala nthawi ngati iyi, ndipo akukuuzani kuti muyenera kuyesedwa ERCP, mungamve mantha pang'ono mwadzidzidzi. "Kodi ERCP iyi ndi chiyani?" Mungaganize. Lero, mwachidule, ngati kuti mukulankhula ndi mnzanu, tiyeni tiphunzire zonse zokhudza mayeso a ERCP awa.

Mwachidule, kodi ERCP ndi chiyani?

Dzina lonse la ERCP ndi ``Endoscopic Retrograde Cholangiopancreatography''. Ngakhale kuti dzinali ndi lalitali pang'ono, tanthauzo lake ndi losavuta. Iyi ndi njira yapadera yomwe imagwiritsidwa ntchito pozindikira komanso nthawi zina kuchiza mavuto a ndulu ndi pancreatic ducts m'mimba mwathu.

Tangoganizani izi zikuchitika ndi chida chotchedwa ``endoscope``. Ndiko kuti, chubu chopyapyala komanso chachitali. Chili ndi kamera kakang'ono ndi kuwala kumapeto kwake. Dokotala amalowetsa chubu ichi mkamwa mwanu ndikuchidutsa pang'onopang'ono m'mimba mwanu mpaka chikafika ku ``duodenum,`` gawo loyamba la matumbo ang'onoang'ono.

Akafika kumeneko, dokotala amabaya utoto wapadera kudzera mu chubu. Kenako, amajambula X-ray kuti awone momwe utoto umayendera kudzera mu chubu. Izi zingathandize kudziwa ngati pali zotsekeka kapena miyala mu chubu. Nthawi zina, ngati chinthu chonga miyala ya ndulu chakhazikika mu chubu, chimatha kuchotsedwa panthawi yoyezetsa.

Kodi ma ducts a bile ndi ma ducts a pancreatic ndi chiyani?

Izi zili ngati chitoliro chaching'ono mkati mwa matupi athu.

• Ma duct a bile: Ma duct awa amanyamula ndulu, madzi opangidwa ndi chiwindi chathu, kupita ku ndulu ndi matumbo ang'onoang'ono. ndulu iyi imathandiza kusungunula mafuta omwe ali muzakudya zomwe timadya.
• Ma duct a Pancreatic: Ma duct awa amanyamula madzi opangidwa ndi kapamba kupita nawo kumatumbo ang'onoang'ono. Madzi awa ali ndi ma enzyme omwe amathandiza kugaya chakudya chomwe timadya.

Kodi kusiyana pakati pa ERCP ndi MRCP ndi kotani?

Mwina munamvapo za MRCP. MRCP imayimira `(Magnetic Resonance Cholangiopancreatography)`. Ngakhale kuti zonsezi zimagwiritsidwa ntchito kuyang'ana njira imodzi yolumikizirana, njira ziwirizi ndizosiyana kwambiri. M'malo moyika kamera monga momwe zilili mu ERCP, MRCP imaphatikizapo kubaya madzi apadera mumtsempha ndikuchita `(MRI)` scan.

Tiyeni tiwone tebulo ili kuti timvetse kusiyana kwake.

Kodi mayeso a ERCP amafunika nthawi ziti?

Dokotala angakulangizeni ERCP pazifukwa izi:

• Ngati muli ndi kupweteka m'mimba komwe simungapeze chifukwa chake .
• Ngati maso kapena khungu lakhala lachikasu (jaundice).
• Ngati pali kukayikira kuti miyala ya m'ndulu kapena zinthu zina (monga zotupa) zikutseka njira zotulutsira ndulu.
• Ngati mukuganiza kuti njira zanu zotulutsira ndulu kapena pancreatic ducts zatsekeka kapena zachepa .
• Ngati mukukayikira kuti madzi akutuluka m'mapaipi awa.
• Yang'anani matenda m'njira ya mkodzo.

Madokotala nthawi zambiri amalangiza ERCP ngati pali chiyembekezo chochiza vutoli m'malo molizindikira. Izi zili choncho chifukwa njira iliyonse yophatikizira kulowetsa chipangizo m'thupi imakhala ndi chiopsezo chochepa. Komabe, ERCP nthawi zambiri ndi njira yochepetsera chiopsezo. Dokotala wanu adzakufotokozerani mavuto omwe angakhalepo musanachite opaleshoniyi.

Kodi mumakonzekera bwanji mayesowa?

Pali zinthu zingapo zomwe muyenera kukonzekera musanachite ERCP. Onetsetsani kuti mwakambirana izi ndi dokotala wanu.

• Tiuzeni za matenda ena aliwonse omwe muli nawo: Ngati muli ndi pakati, muli ndi matenda a m'mapapo kapena a mtima, muli ndi matenda a shuga, kapena muli ndi vuto lililonse la mankhwala, muyenera kutiuza zonsezi.
• Ngati mukumwa insulin chifukwa cha matenda a shuga: Mungafunike kusintha mlingo wa insulin yanu patsiku loyesa. Lankhulani ndi dokotala wanu wa matenda a shuga za izi.
• Ngati mukumwa mankhwala ochepetsa magazi: Ngati mukumwa mankhwala monga `Aspirin`, `Clopidogrel (Plavix)`, `Warfarin`, dokotala wanu angakuuzeni kuti musiye kumwa mankhwala amenewo kwa masiku angapo. Musasiye kumwa mankhwala anu popanda kufunsa dokotala wanu.
• Kusala kudya kwa maola 8: Ndi bwino kusadya kapena kumwa chilichonse kwa maola 8 mayeso asanachitike.
• Khalani ndi munthu woti akuyendetseni kunyumba: Mungamve chizungulire mukamaliza mayeso. Chifukwa chake, khalani ndi munthu wodalirika kuti akuyendetseni kunyumba. Musayendetse galimoto kapena kugwiritsa ntchito makina kwa maola 8.
• Kodi ndiyenera kukhala m'chipatala?: Mungafunike kukhala m'chipatala usiku wonse mutatha mayeso. Konzani zinthu zofunika, monga zovala, kuti muchite zimenezo.

Kodi chimachitika ndi chiyani pa nthawi ya ERCP?

Ntchito yonseyi nthawi zambiri imatenga pafupifupi ola limodzi kapena awiri. Nthawi zambiri, mutha kupita kunyumba tsiku lomwelo.

Musanayambe mayeso, pakhosi panu padzakhala dzanzi. Mudzapatsidwanso mankhwala ochepetsa ululu kudzera m'mitsempha. Kenako, dokotala adzalowetsa endoscope kudzera pakamwa panu ndikuitsogolera kumaloko.

Mankhwala omwe angachitike panthawi ya ERCP

Chimodzi mwa ubwino waukulu wa izi ndichakuti mankhwala angapo amatha kuchitidwa nthawi imodzi ndi mayesowa, popanda kuchitidwa opaleshoni ina.

• Kuchotsa miyala: Miyala ya ndulu yomwe imamatirira m'mitsempha imatha kugwidwa, kuphwanyidwa, ndikuchotsedwa ndi chida chaching'ono chonga waya chodutsa mu endoscope.
• Kufufuza za khansa: Ngati pali chinthu chokayikitsa m'mitsempha, monga chotupa, chidutswa chaching'ono chingatengedwe ndikutumizidwa kuti chikafufuzidwe kuti chione ngati pali maselo a khansa.
• Kutambasuka: Chubu chopapatiza chingakulitsidwe mwa kuyikamo baluni yaying'ono ndikuidzaza.
• Kuika Stent: Ngati chotengera chikufunika kusungidwa chotseguka, chubu chaching'ono cha maukonde chotchedwa stent chingaikidwe mkati mwake.
• Kuchotsa mano m'mimba: Nthawi zina minofu yomwe ili pa khomo la mkodzo (Sphincter of Oddi) imatha kupapatiza. Njirayi ingagwiritsidwe ntchito kukulitsa mkodzo mwa kudula pang'ono.

Kodi chimachitika ndi chiyani pambuyo pa mayeso? Ndipo zoopsa zake ndi ziti?

Pambuyo pa mayeso, mudzayang'aniridwa kwa maola pafupifupi 1-2 musanalowe m'chipinda chogona. Mutha kumva kupweteka kwakanthawi, monga kukanda pang'ono pakhosi panu.

Ngakhale kuti ERCP nthawi zambiri imakhala njira yochepetsera chiopsezo, mavuto amatha kuchitika mwa anthu ochepa kwambiri .

• Kuyankha kwa mankhwala ochepetsa ululu.
• Kutupa kwa madzi oboola (utoto).
• Kutupa kwa kapamba (pancreatitis).
• Matenda opatsirana.
• Kuvulala kapena kutuluka magazi m'mimba kapena m'matumbo chifukwa cha endoscope.

Zizindikiro zochenjeza zomwe zimafuna thandizo lachipatala mwachangu!

Ngati mukuona zizindikiro zilizonse zomwe zili pansipa mkati mwa maola 72 kuchokera pamene mwayesedwa, imbani dokotala wanu nthawi yomweyo ndipo pitani ku Chipatala cha Emergency Treatment Unit (ETU).