Unotya ERCP here? Ngatitaurei nezvazvo zviri nyore (ERCP)

Unewo kurwadziwa kusinganzwisisike mudumbu kwave kuchiuya kwemazuva akati wandei here? Pamwe maziso ako ari kuita yero, aine zviratidzo zvakafanana nejaundice? Panguva yakaita seiyi, kana chiremba wako akakuudza kuti unofanira kuongororwa "ERCP", unganzwa kutya zvishoma paunonzwa zita iroro. Asi chaizvoizvo hazvisi zvinotyisa kudaro. Nhasi, tichataura nezvebvunzo iyi inonzi ERCP zvakajeka uye zviri nyore.

Chii chinonzi ERCP mumashoko akareruka?

Zita rekuti ERCP rinonzwika serakareba uye rakaoma kunzwisisa, handiti? Ngationgororei. ERCP ipfupiso yeEndoscopic Retrograde Cholangiopancreatography .

Zvichitaurwa zviri nyore, iyi bvunzo yakakosha inotarisa mukati memigero yedu yenyongori nepancreas . Funga nezvazvo sekuisa kamera mukati mezvikamu zvidiki zvemiviri yedu zvakaita sechubhu.

• Endoscopic: Izvi zvinoreva endoscope, zvinoreva kuti chubhu yakatetepa, inochinjika ine kamera yakabatanidzwa inoshandiswa pachinangwa ichi.
• Kudzokera shure: Izvi zvinoreva "kudzokera kumashure." Mukuyedza uku, mvura (dhayi yakasiyana) inopinzwa mumidziyo iyi nenzira yakasiyana neyakajairika.
• Cholangiopancreatography: Izvi zvinogona kupatsanurwa kuita zvikamu zviviri. "Cholangio" zvinoreva ducts dze bile. "Pancreato" zvinoreva ducts dzepancreatitis. "Graphy" zvinoreva kutora mifananidzo. Kureva, kutora mifananidzo yeX-ray yeducts dze bile neducts dzepancreas.

Kuongororwa uku kunoshandisa dhayi yakakosha, inoita kuti mukati memapaipi madiki aya muonekwe zvakanaka paX-ray. Izvi zvinoita kuti chiremba aone kana paine kuvharika kwemapaipi aya, akadai sematombo emunduru , bundu, kana mavanga. Chinhu chakanakisa ndechekuti kana dambudziko rikawanikwa, rinogona kurapwa nekukasika.

Sei ndichifanira kuongororwa ERCP?

Pane zvikonzero zvakawanda nei chiremba wako angakurudzira ERCP. Chinonyanya kuitika ndechekuti kana vachifungidzira kuti pane dambudziko negallbladder, bile ducts, kana pancreas.

Ngatitarisei tafura iri pazasi kuti tione kuti ndezvipi zvikonzero zvinowanzoita kuti munhu aite ERCP.

Ndinofanira kugadzirira sei bvunzo isati yaitwa?

Zvakakosha kuti ugadzirire zvakanaka usati waongororwa. Chiremba wako achakupa mirairo yakajeka yezvaunofanira kuita. Kazhinji, unofanira kutevedzera mirairo iyi:

• Zvekudya Nekunwa: Unofanira kurega kudya, kunwa (kunze kwemvura), kana kutsenga chingamu kwemaawa masere usati waongororwa. Dumbu risina chinhu rakakosha kuti bvunzo iongororwe zvakanaka uye zvakajeka.
• Taura nezvemishonga yako: Kana uri kutora mishonga yemamwe matambudziko ehutano, akadai sechirwere cheshuga kana BP, kunyanya mishonga inobvisa ropa rakawanda, unofanira kuudza chiremba wako nguva isati yasvika. Vanogona kukukumbira kuti urege kutora mishonga iyoyo kwemazuva mashoma.
• Kurwara:Kana wakambova neallergy nemishonga inoshandiswa pakurapa kana kupenda mavara akasiyana-siyana, zivisa chiremba wako nezvazvo zvakare.
• Munhu anokuendesa kumba nemotokari: Sezvo uchizopihwa mushonga wekunyaradza mushure mekuongororwa, hauzokwanisi kutyaira kana kuenda kumba wega. Saka, zvakakosha kuti uve nemumwe munhu anokuendesa kumba nemotokari.

Chii chinoitika panguva yebvunzo?

ERCP inowanzoitwa zuva rimwe chete, zvichireva kuti unogona kuenda kumba usina kugara muchipatara. Zvinogona kutora awa imwe chete kana maviri.

1. Kunyaradza: Kutanga, cannula inoiswa mutsinga iri muruoko rwako uye mushonga wekunyaradza unopihwa kuti unzwe hope. Izvi zvinokudzivirira kuti usanzwa kusagadzikana kana kurwadziwa panguva yekuedzwa. Ungasayeuka chimwe chinhu panguva iyi.

2. Kuisa endoscope: Tevere, chiremba achaisa endoscope zvishoma nezvishoma (chubhu ine kamera) nemuromo wako, pasi pegurokuro nedumbu, uye muchikamu chekutanga cheura hwako hudiki (duodenum). Zvese izvi zvinoitwa uchitarisa uchishandisa monitor.

3. Kuwana migero: Tsvaga pakavhurika migero ye bile nepancreas muura hudiki.

4. Kubaya Dhayi Yekusiyanisa: Tevere, imwe chubhu yakatetepa inopfuudzwa nepa endoscope, uye dhayi yekuenzanisa inopinzwa mu duct kuburikidza nayo.

5. X-ray (Fluoroscopy): Kana dhayi richifamba nemuchubhu, rinoonekwa uchishandisa vhidhiyo yeX-ray inofamba (fluoroscopy). X-ray iyi yakachengeteka zvikuru nekuti huwandu hwemwaranzi hwakaderera zvikuru.

6. Kuongorora uye kurapwa: Mifananidzo iyi yeX-ray inobvumira chiremba kuona chaizvo kuti ndeapi mavhariji, matombo, bundu, kana mamwe matambudziko ari mukati memachubhu.

Nyaya dzekurapwa panguva yekuongororwa

Ichi chimwe chezvakanakira zvikuru zveERCP. Kana dambudziko rikaonekwa, zvishandiso zvidiki zvinogona kupfuudzwa nepa endoscope uye kurapwa nekukasika.

• Kubviswa kwematombo: Matombo akanamatira mumigero yenyongo anogona kupwanywa kana kubviswa zvachose.
• Kuongororwa kwemuviri: Kana paine bundu kana nyama inofungirwa kuti ine bundu, chidimbu chidiki chayo chinogona kutorwa kuti chiongororwe zvakare.
• Kukura kwetsinga dzeropa: Mitsipa yeropa inenge yatetepa nekuda kwemavanga inogona kukura.
• Kuiswa kwestent: Kana mudziyo uchida kuchengetwa wakavhurika, chubhu diki ye mesh (stent) inogona kuiswa mairi.
• Kuvhiyiwa kwesphincterotomy:Kuchekwa kudiki kunogona kuitwa mutsandanyama panovhurwa duct, zvichiita kuti buri racho rikure uye zvichiita kuti matombo kana nyongo zvipfuure nepakati zviri nyore.

Chii chaungatarisira mushure mekuongororwa?

Mushure mekuongororwa, muchafanira kugara muchipatara kweinenge awa imwe chete kana maviri kusvika marwadzo ekurwadziwa apera. Mushure meizvozvo, munogona kuenda kumba nemunhu akauya kuzokutorai kumba.

Unogona kunzwa kusagadzikana kudiki kwezuva rimwe kana maviri, zvakaita se:

• Huro inorwadza: Endoscope inogona kukonzera kurwadziwa kudiki pahuro. Izvi zvinogona kuderedzwa nekudya zvinwiwa nezvikafu zvakapfava.
• Kuzadza dumbu kana kubuda: Panguva yekuyedzwa, mweya unopombwa mudumbu nemumatumbu kuti uone zviri mukati zviri nani. Izvi zvinogona kukonzera kusagadzikana mudumbu. Izvi zvinozopera mushure mechinguva.
• Kusvotwa: Vamwe vanhu vanogona kunzwa kuda kurutsa zvishoma nekuda kwemushonga unonyaradza marwadzo. Izvi zvinopera zvishoma nezvishoma.

Ndeipi njodzi dzekuongororwa kweERCP?

Sezvinoitwa chero nzira ipi zvayo yekurapa, ERCP ine njodzi diki. Zvisinei, matambudziko akakomba haawanzoitiki. Matambudziko anoitika mu5% kusvika 10% chete yevanhu vane ERCP.

Mamwe matambudziko anogona kuitika ndeaya:

• Pancreatitis: Iri ndiro dambudziko rinowanzoitika. Kuongororwa uku kunogona kukonzera kuti pancreatitis izvimbe.
• Utachiona: Utachiona hunogona kuitika mumigero ye bile.
• Kubuda ropa: Kubuda ropa kudiki kunogona kuitika kana sampuli yenyama ikatorwa kana kuti pakaitwa cheko.
• Kuboorwa: Kashoma, endoscope inogona kukonzera buri pamadziro egurokuro, dumbu, kana ura hudiki.

Ndezvipi zviratidzo zvakakosha zvaunofanira kutaura nachiremba nezvazvo?

Kana, mushure mekudzokera kumba mushure mekuongororwa, ukava nezviratidzo zvakakomba kunze kwekusagadzikana kudiki kwaunowanzoona, fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.

Zviratidzo zvekuchenjerera:

• Kurwadziwa kwakanyanya mudumbu kana kuzvimba.
• Fivha kana kutonhora.
• Kurutsa kakawanda.
• Kurwadziwa pachipfuva kana kufema zvakaoma.
• Kubuda ropa kubva mudumbu kana kubuda tsvina nhema, tsvina yekunonoka kubuda.

Kana uine chimwe chezviratidzo izvi, usazviregeredza. Tsvaga rubatsiro rwechiremba nekukasika.