Kev soj ntsuam CPRE: nws yog dab tsi rau thiab nws ua li cas

Zoo Siab

• Dab tsi yog nws rau
• Yuav ua li cas CPRE ua tiav
• Yuav npaj li cas rau kev kuaj mob
• Muaj kev pheej hmoo txaus ntshai ntawm kev kuaj mob
• Cov tshuaj tiv thaiv rau cholangiopancreatography

Piv txwv, Endoscopic retrograde cholangiopancreatography ntawm tus mob thiav leeg, paub tsuas yog ERCP, yog ib qho kev kuaj mob uas pabcuam rau kev kuaj mob rau cov kabmob plab biliary thiab pancreatic, xws li mob leeg mob txham, cholangitis lossis cholangiocarcinomas, piv txwv.

Qhov txiaj ntsig loj tshaj plaws ntawm kev kuaj mob no yog, ntxiv rau kev kuaj mob yam tsis muaj kev phais mob, nws tseem tuaj yeem kho cov teeb meem yooj yim, tshem cov pob zeb me me uas nyob hauv qhov chaw lossis txawm nthuav dav cov kua tsib nrog cov tso ntawm stent.

Txawm li cas los xij, ERCP feem ntau tshwj tseg rau qee kis uas lwm qhov kev sim ntsuas, xws li ultrasound lossis MRI, tsis tau lees paub lossis tsis raug kuaj mob.

Dab tsi yog nws rau

Kev kuaj mob CPRE tuaj yeem pab kws kho mob paub tseeb qee yam kev kuaj mob ntsig txog biliary lossis pancreatic, xws li:

• Gallstones;
• Cov kab mob hauv lub zais plab;
• Mob caj dab;
• Mob qog lossis mob cancer rau hauv cov kua tsib lub plab;
• Mob qog nqaij hlav lossis mob qog nqaij hlav hauv lub txiav.

Ntxiv rau, cov txheej txheem no tseem tso cai rau kev kho teeb meem yooj yim, xws li muaj pob zeb, thiab yog li ntawd qhov kev ntsuas no tuaj yeem xaiv thaum muaj qhov siab heev tias kev kuaj pom qhov tseeb, vim nws tseem tuaj yeem tso cai kho, ntawm qhov tsis yooj yim dua. cov xeem.

Yuav ua li cas CPRE ua tiav

Kev tshuaj ntsuam xyuas ERCP rau li 30 thiab 90 feeb ua tiav nyob rau hauv kev siv tshuaj loog, kom tsis txhob ua rau mob thiab tsis xis nyob rau tus neeg. Txhawm rau soj ntsuam, tus kws kho mob ntxig lub raj nyias nyias nrog lub koob yees duab me me ntawm qhov taub, ntawm qhov ncauj mus rau duodenum, txhawm rau soj ntsuam qhov chaw uas cov kua tsib lub raj txuas rau txoj hnyuv.

Tom qab saib xyuas yog tias muaj kev hloov pauv ntawm qhov chaw ntawd, tus kws kho mob txhaj tshuaj radiopaque rau hauv cov kua tsib lub raj, siv cov raj ib leeg.Thaum kawg, xoo duab plab zom zaws ua kom soj ntsuam cov channel uas tau sau los ntawm cov tshuaj, cia kom paub qhov kev hloov pauv hauv cov tshooj.

Yog tias ua tau, tus kws kho mob kuj tseem tuaj yeem siv cov hlab ntsws CPRE kom tshem cov pob zeb los ntawm lub hnab zais lossis txawm tias tso a stent, uas yog cov network me me uas pab nthuav tawm cov channels, thaum lawv muaj kev cog lus heev, piv txwv.

Yuav npaj li cas rau kev kuaj mob

Npaj rau ERCP kev xeem feem ntau suav nrog 8-teev nrawm, thaum lub sijhawm koj yuav tsum tsis txhob noj mov lossis haus. Txawm li cas los xij, nws yog ib qho tseem ceeb kom tham nrog kws kho mob ua ntej kev kuaj mob kom paub seb puas yuav tsum tau txais kev saib xyuas ntxiv, xws li tsum tsis noj ib hom tshuaj tshwj xeeb, piv txwv.

Tsis tas li ntawd, raws li kev kuaj mob tau ua tiav nyob hauv kev siv tshuaj loog, nws raug nquahu kom coj ib tus neeg kom lawv tuaj yeem rov qab mus hauv tsev nyab xeeb.

Muaj kev pheej hmoo txaus ntshai ntawm kev kuaj mob

ERCP yog cov txheej txheem sib txawv thiab vim li no, kev pheej hmoo ntawm cov teeb meem muaj tsawg heev. Txawm li cas los xij, tej zaum yuav muaj:

• Tau tus kab mob ntawm cov biliary lossis pancreatic channels;
• Ntshav;
• Perforation ntawm biliary lossis pancreatic channel.

Raws li nws yog qhov kev soj ntsuam tau ua nyob rau hauv kev siv tshuaj loog, muaj qhov pheej hmoo ntawm kev tsim cov kev phiv tshuaj rau cov tshuaj loog siv. Yog li, ua ntej kev kuaj mob nws yog ib qho tseem ceeb heev uas yuav tau qhia rau kws kho mob yog tias koj muaj teeb meem hauv tshuaj loog yav dhau los.

Cov tshuaj tiv thaiv rau cholangiopancreatography

Pancreas endoscopic retrograde cholangiopancreatography (ERCP) yog sib kis rau cov neeg mob uas muaj tus mob pancreatic zoo, nrog kev xav tias mob pancreatic pseudocyst thiab thaum cev xeeb tub, vim tias nws siv tshuaj tua hluav taws xob.

ERCP yog contraindicated rau hauv cov neeg mob nrog lub nrawm, lub cev txawv txav ntawm lub cev lossis cov duab ntxig ntawm cov leeg pob txha, cochlear kev cog hniav lossis nrog lub plawv sib luag.