ERCP

ERCP yog luv luv rau endoscopic retrograde cholangiopancreatography. Nws yog tus txheej txheem uas saib cov kua tsib lub nplooj. Nws ua tiav los ntawm qhov endoscope.

• Cov kua tsib (duile ducts) yog txoj hlab uas coj cov kua tsib los ntawm nplooj siab mus rau lub qog thiab plab hnyuv.
• ERCP yog siv los kho pob zeb, qog, lossis thaj chaw nqaim ntawm cov kua tsib.

Kev tso dej (IV) kab tso rau hauv koj txhais caj npab. Koj yuav tau pw ntawm koj lub plab lossis sab laug ntawm qhov kev sim.

• Tshuaj kho kom tsaug zog lossis ua kom tsaug zog koj yuav tau muab los ntawm IV.
• Qee zaum, txau kom ua rau loog lub caj pas kuj tseem siv. Tus neeg zov qhov ncauj yuav muab tso rau hauv koj lub qhov ncauj los tiv thaiv koj cov hniav. Cov hniav cuav yuav tsum tau muab tshem tawm.

Tom qab qhov sedative siv cov nyhuv, qhov endoscope yog tso los ntawm lub qhov ncauj. Nws nkag mus rau txoj hlab pas (cov raj xa khoom noj) thiab lub plab kom txog rau thaum nws mus txog duodenum (qhov feem ntawm txoj hnyuv uas nyob ze rau lub plab).

• Koj yuav tsum tsis txhob xav tias tsis xis nyob, thiab tej zaum yuav tsis tshua nco qab txog kev kuaj.
• Koj yuav nkag mus zoo li lub raj xa koj cov hlab pas tuaj.
• Koj tuaj yeem hnov ​​qhov ncab ntawm cov ducts vim hais tias qhov kev txwv tau tso rau.

Ib txoj hlab zaws me me (catheter) dhau ntawm qhov endoscope thiab tso rau hauv cov hlab (ducts) uas ua rau kom cov txiav thiab txhauv. Ib qho xim tshwj xeeb yog txhaj rau hauv cov ducts no, thiab xoo hluav taws xob tau noj. Qhov no pab ua rau tus kws kho mob pom pob zeb, qog, thiab tej qhov chaw uas tau nqaim.

Cov cuab yeej tshwj xeeb tuaj yeem tso los ntawm qhov endoscope thiab mus rau hauv lub raj.

Cov txheej txheem feem ntau yog siv los kho lossis kuaj teeb meem ntawm lub qhov tawv nqaij lossis lub plab zom mov uas tuaj yeem ua rau mob plab (feem ntau ua rau sab xis lossis nruab nrab plab hauv plab) thiab daj tawv nqaij thiab qhov muag (daj ntseg daj).

ERCP yuav raug siv los:

• Qhib kev nkag los ntawm cov ducts mus rau hauv qhov quav (sphincterotomy)
• Ncab tawm ntu nqaim (bile txhaig ua kom nruj)
• Tshem tawm los yog zuaj cov gallstones
• Kev kuaj mob xws li mob biliary cirrhosis (cholangitis) los yog mob cholangitis
• Nqa cov ntaub so ntswg mus kuaj mob hlav ntawm cov txiav, cov kua tsib, los yog lub plab
• Cov chaw muaj dej thaiv

Nco tseg: Kev ntsuam xyuas cov duab yuav luag yuav soj ntsuam qhov ua rau cov tsos mob ua ntej ERCP ua. Cov no suav nrog ntsuas ultrasound, CT scan, lossis MRI scan.

Kev phom sij los ntawm cov txheej txheem suav nrog:

• Cov tshuaj tiv thaiv rau cov tshuaj loog, zas, lossis tshuaj siv thaum ua cov txheej txheem
• Ntshav
• Qhov (perforation) ntawm quav
• Kev mob voos rau ntawm tus kabmob (pancreatitis), uas tuaj yeem yog mob hnyav

Koj yuav tsum tsis txhob noj lossis haus tsawg kawg yog 4 teev ua ntej ntsuas. Koj yuav xee npe tso cai.

Tshem tawm tag nrho cov hniav nyiaj hniav kub kom nws thiaj li tsis cuam tshuam nrog xoo hluav taws xob.

Qhia koj tus kws kho mob yog tias koj muaj kev fab tshuaj rau iodine los yog koj muaj qhov tsis haum rau lwm yam xim xoo xoo hluav taws xob.

Koj yuav tsum tau teem caij los tsev tom qab tau sai.

Qee tus neeg yuav xav tau tsav koj mus tom tsev kho mob.

Cov cua uas siv los ua kom lub plab thiab plab hnyuv thaum lub sijhawm ERCP tuaj yeem ua rau qee qhov tsam plab lossis roj nyob ntev txog 24 teev. Tom qab cov txheej txheem, koj yuav tau mob caj dab rau thawj hnub. Yuav mob txog li 3 rau 4 hnub.

Tsuas yog muaj kev ua ub ua no rau thawj hnub tom qab ua haujlwm tiav. Zam kev nqa khoom hnyav rau thawj 48 teev.

Koj tuaj yeem kho mob mob nrog tshuaj acetaminophen (Tylenol). TSIS TXHOB noj cov tshuaj aspirin, ibuprofen, lossis naproxen. Tso cov ntaub cua sov rau ntawm koj lub plab yuav txo qhov mob thiab tsam plab.

Tus kws kho mob yuav qhia koj seb yuav noj dab tsi. Feem ntau, koj yuav xav haus dej thiab tsuas yog noj mov me me xwb hnub tom qab txoj kev ua no.

Hu rau koj tus kws khomob yog koj muaj:

• Mob plab los yog tsam plab loj tuaj
• Los ntshav tawm ntawm qhov quav los yog quav dub
• Ua npaws kub tshaj 100 ° F (37.8 ° C)
• Xeev siab los ntuav

Endoscopic retrograde cholangiopancreatography

• ERCP
• ERCP
• Endoscopic retrograde cholangio pancreatography (ERCP) - koob

Lidofsky SD. Qhov muag daj. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob Qog: Kab Mob Rau Ib Tus Mob / Tshuaj Ntsuam Xyuas / TswjCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 21.

Pappas TN, Cox ML. Kev tswj hwm ntawm mob cholangitis. Hauv: Cameron JL, Cameron AM, eds. Kev Kho Mob Tam Sim NoCov. 12th ed. Philadelphia, PA: Elsevier; 2017: 441-444.

Taylor AJ. Endoscopic retrograde cholangiopancreatography. Hauv: Gore RM, Levine MS, eds. Phau Ntawv qhia txog Txoj Kev Kho Mob Gastrointestinal RadiologyCov. 4 tug ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2015: chap 74.