Chii chinonzi bvunzo yeERCP? Zvaunofanira kuziva nezvazvo (bvunzo yeERCP)

Iwe kana mumwe munhu mumhuri mako akamborwadziwa nemudumbu kwemazuva akati wandei here? Kana kuti maziso ako ari kuita yero here, sejaundice? Paunoenda kuna chiremba panguva yakaita seiyi, uye anokuudza kuti unofanira kuongororwa neERCP, ungangoerekana watya zvishoma. "Chii ichi chinonzi ERCP?" Ungafunga. Saka nhasi, zviri nyore, sekunge uri kutaura neshamwari, ngatidzidzei zvese nezve bvunzo iyi yeERCP.

Zvichitaurwa zviri nyore, chii chinonzi ERCP?

Zita rakazara reERCP nderekuti ``Endoscopic Retrograde Cholangiopancreatography''. Kunyange zvazvo zita racho rakareba zvishoma, zvarinoreva zviri nyore kwazvo. Iyi inzira yakakosha inoshandiswa kuongorora uye dzimwe nguva kurapa matambudziko ane bile ducts nemapancreatic ducts mudumbu redu.

Fungidzira izvi zvichiitwa nechinhu chinonzi ``endoscope``. Kureva kuti, chubhu yakatetepa, yakareba. Ine kamera diki nechiedza kune rumwe rutivi. Chiremba anopinza chubhu iyi nemuromo wako oipfuudza zvishoma nezvishoma nedumbu rako kusvika yasvika pa``duodenum``, chikamu chekutanga cheura hudiki.

Kana vasvika ikoko, chiremba anobaya dhayi chaiyo kuburikidza nechubhu. Zvadaro, anotora X-ray kuti aone kuti dhayi iri rinoyerera sei nechubhu. Izvi zvinogona kubatsira kuona kana paine matombo akavharika kana kuti akavharika muchubhu. Dzimwe nguva, kana chimwe chinhu chakaita sematombo emudumbu chakanamira muchubhu, chinogona kubviswa panguva yekuongororwa.

Ndezvipi zvinonzi bile ducts nepancreatic ducts?

Izvi zvakafanana nehurongwa hudiki hwemapaipi huri mukati memiviri yedu.

• Mapaipi enyongo: Mapaipi aya anotakura nyongo, mvura inogadzirwa nechiropa chedu, kuenda kunyongo nedumbu diki. Nyongo iyi inobatsira kunyungudutsa mafuta ari muchikafu chatinodya.
• Mapaipi epancreatic: Mapaipi aya anotakura muto unogadzirwa nepancreas kuenda nawo kudumbu diki. Mapaipi aya ane ma enzymes anobatsira kugaya chikafu chatinodya.

Ndeupi musiyano uripo pakati peERCP neMRCP?

Ungave wakambonzwawo nezveMRCP. MRCP inomiririra `(Magnetic Resonance Cholangiopancreatography)`. Kunyangwe zvese zvichishandiswa kutarisa sisitimu imwe chete yemugero, nzira mbiri idzi dzakasiyana zvikuru. Pane kuisa kamera sezviri muERCP, MRCP inosanganisira kubaya mvura yakakosha mutsinga uye kuita scan ye`(MRI)`.

Ngatitarisei tafura iyi kuti tinzwisise musiyano wacho.

Muzviitiko zvipi panodiwa bvunzo yeERCP?

Chiremba anogona kukukurudzira kuti uwane ERCP nekuda kwezvikonzero zvinotevera:

• Kana uine kurwadziwa kwemudumbu kwausingakwanise kuwana chikonzero .
• Kana maziso kana ganda zvikaita yero (jaundice).
• Kana paine fungidziro yekuti matombo emunduru kana zvimwe zvinhu (zvakaita semabundu) zviri kuvharira ducts dzenyongo.
• Kana uchifunga kuti maburi enyongo kana pancreatic ducts ako akavharwa kana kutetepa .
• Kana uchifungidzira kuti pane mvura iri kubuda kubva mumapaipi aya.
• Tsvaga hutachiona mu weti.

Vanachiremba vanowanzokurudzira ERCP kana paine tariro yekurapa chirwere ichi pane kuchiongorora. Izvi zvinodaro nekuti chero nzira yekurapa inosanganisira kuisa mudziyo mumuviri ine njodzi shoma. Zvisinei, ERCP inowanzova nzira isina njodzi yakawanda. Chiremba wako achakutsanangurira matambudziko angangoitika usati watanga kurapwa.

Unogadzirira sei bvunzo iyi?

Pane zvinhu zvishoma zvaunofanira kugadzirira usati waita ERCP. Iva nechokwadi chekukurukura izvi nachiremba wako.

• Tiudzei nezvezvimwe zvirwere zvamunazvo: Kana muine pamuviri, muine chirwere chemapapu kana chemwoyo, muine chirwere cheshuga, kana muine allergies yemishonga, munofanira kutiudza zvese izvi.
• Kana ukatora insulin yechirwere cheshuga: Ungangoda kugadzirisa huwandu hwe insulin yako pazuva rekuongororwa. Taura nachiremba wako wechirwere cheshuga nezvenyaya iyi.
• Kana uri kutora mishonga inobvisa ropa: Kana uri kutora mishonga yakaita se'Aspirin', 'Clopidogrel (Plavix)', 'Warfarin', chiremba wako anogona kukuudza kuti urege kutora mishonga iyoyo kwemazuva mashoma. Usamborega kutora mushonga wako usina kubvunza chiremba wako.
• Kutsanya kwemaawa masere: Zvakanakisa kusadya kana kunwa chero chinhu kwemaawa masere bvunzo isati yaitwa.
• Ita kuti mumwe munhu akuendese kumba nemotokari: Unganzwa dzungu mushure mekuongororwa. Saka, ita kuti mumwe munhu ane mutoro akuendese kumba nemotokari. Usatyaira kana kushandisa michina kwemaawa masere.
• Ndichafanira kugara muchipatara here?: Ungafanira kugara muchipatara husiku hwese mushure mekuongororwa. Gadzirira zvinhu zvinodiwa, zvakaita sezvipfeko, zveizvozvo.

Chii chinoitika panguva yeERCP?

Maitiro ese anowanzo tora anenge awa imwe kusvika maviri. Kazhinji, unogona kuenda kumba zuva rimwe chete.

Usati watanga bvunzo, pahuro pako pachave nechinhu chisina simba. Uchapiwawo mushonga wekunyaradza kuburikidza netsinga. Zvadaro, chiremba achaisa endoscope nemuromo wako oitungamirira munzvimbo yacho.

Kurapa kunogona kuitwa panguva yeERCP

Chimwe chezvakanakira zvikuru zveizvi ndechekuti kurapwa kwakasiyana-siyana kunogona kuitwa panguva imwe chete nebvunzo iyi, pasina kuvhiyiwa kwakasiyana.

• Kubviswa kwematombo: Matombo enduru anonamirwa mumapaipi anogona kubatwa, kupwanywa, uye kubviswa nechishandiso chidiki chakaita sedengu chinopfuudzwa nepa endoscope.
• Kuongororwa kwemasero ekenza: Kana paine chimwe chinhu chinofungirwa mumigero, senge bundu, chidimbu chidiki charo chinogona kutorwa choendeswa kunoongororwa kuti chiongororwe masero ekenza.
• Kukura: Chubhu yakamanikana inogona kuwedzerwa nekuisa bharumu diki mairi woiputira.
• Kuiswa kweStent: Kana mudziyo uchida kuchengetwa wakavhurika, chubhu diki inonzi stent inogona kuiswa mukati mayo.
• Kuvhiyiwa kwetsinga dzemudumbu: Dzimwe nguva tsandanyama dziri paburi reurethra (Sphincter of Oddi) dzinogona kutetepa. Maitiro aya anogona kushandiswa kuiwedzera nekuita kucheka kudiki.

Chii chinoitika mushure mekuongororwa? Uye njodzi dzacho?

Mushure mekuongororwa, muchachengetwa muchiongororwa kweinenge awa imwe kusvika maviri musati mapinda muwadhi. Munogona kurwadziwa kwenguva pfupi, sekukwenya kudiki pahuro.

Kunyange zvazvo ERCP inowanzova nzira isina njodzi yakawanda, matambudziko anogona kuitika muvanhu vashoma kwazvo .

• Kupindura kune zvinonyaradza.
• Kurwara nemvura inobaya (dhayi).
• Kuzvimba kwepancreas (Pancreatitis).
• Zvirwere zvinotapukira.
• Kukuvara kana kubuda ropa mudumbu kana muura kunokonzerwa ne endoscope.

Zviratidzo zvekunyevera zvinoda kurapwa nekukurumidza!

Kana ukaona chimwe chezviratidzo zviri pazasi mukati memaawa makumi manomwe nemaviri kubva pakuongororwa, fonera chiremba wako nekukasika woenda kuEmergency Treatment Unit (ETU) yechipatara.