Raws li peb paub, cov lus qhia taw qhia hlau tau cuam tshuam, tshwj xeeb tshaj yog nyob rau hauv Endoscopic Retrograde Cholangiopsography (ERCP).
Tom qab ntawd Ercp yog dab tsi?
Nws yog qhov txheej txheem nyuaj siv los kuaj thiab kho cov mob hauv cov dej hauv bile thiab porcreatic ducts, xws li thaiv, pob zeb, thiab nruj me ntsis. Los ntawm kev pab taw qhia cov kev sib tw zoo nkauj no thiab cov kev txhawb nqa-hlau txhawb nqa cov kev lag luam Endoscopists hauv kev ua yeeb yam kho mob nrog qhov tseeb, kev nyab xeeb, thiab ua haujlwm.
Cia peb paub ntau ntxiv txog ERCP, uas ua ke ua ke endoscopy thiab fluoroscopy thiab kho cov fluoroscopy los tshuaj xyuas thiab kho cov tshuab pancreatic lossis pancreatic pab pawg. Cov Endoscopists xav nrhiav cov lus qhia-lub cev ntawm cov twj paj nruag los ntawm cov khoom siv xov tshij lossis cov lus qhia xov hlau kom nkag mus rau hauv cov av bile, duct. Thaum nkag tau tiav lawm, lawv tseem nyob hauv txoj kev tswj hwm txoj hauv kev thaum lwm cov cuab yeej kho kho tau raug qhia los kho tus mob duction.
Tus nqi ntawm cov lus qhia xaim xaim hauv ERCP tau raug pov thawj, tshwj xeeb hauv kev ncav cuag cov nqaim lossis kev ua raws li kev thaiv kev thaiv. Lawv cov kev siv tseem ceeb yog hauv pob zeb extraction, tso kua dej, stent tso, thiab nruj me ntsis dilation.
Nws muaj txiaj ntsig zoo li cas?
1. Kev Kho Mob
ErCP cuam tshuam cov chaw nkag siab qhov kev pheej hmoo ntawm qhov kev pheej hmoo ntawm kev sib kis ntawm cov kev sib kis tau siab. Kev tiv thaiv kab mob yog qhov kev txhawj xeeb loj zuj zus, tshwj xeeb tshaj yog cov chaw muaj kuab lom endoscopy, thiab ib qho kev siv cov lus qhia ncaj qha no los ntawm kev muab khoom tshiab, kua txob rau txhua tus neeg mob. Tsis zoo li cov neeg rov qab hais tias nws yuav tsum muaj kom tsis muaj menyuam tom qab siv, ib leeg coj cov lus qhia raug pov tseg tam sim ntawd tom qab cov txheej txheem. Qhov no txo txoj kev sib kis ntawm kis tau tus kab mob kis ntawm cov neeg mob, kom muaj kev tsis muaj chaw muaj zog rau txhua kis.
2. Txhim kho kev nyab xeeb thiab kev tswj hwm
Cov lus qhia tau siv hauv ERCP feem ntau yog muab cov khoom siv hydrophilic, uas muab cov khoom siv hydrophilic, uas muaj kev txav mus los ntawm nqaim, tortuous plab. Hydrophilic txheej quav txwv ua rau kev sib txhuam, tso cai rau cov taw qhia kom glide cloughla thiab mus rau hauv lub hom phiaj duct. Qhov no txo cov nqaij mos thiab txo qhov kev xav tau rov ua dua, xws li cov teeb meem nyuaj, xws li cov teeb meem nyuaj lossis cov kev hloov pauv nruj me ntsis. Piv txwv li, hydrophilic-coated filitires muaj txiaj ntsig zoo dua li cov xov hlau cov qauv rau kev nkag mus rau cov kaus poom txom nyem lossis ua tiav cov txheej txheem kev ua tiav hauv cov xwm txheej nyuaj.
3. Hloov tau nrog cov tshuab hlau luv luv
Qee cov tshuab hluav taws xob Ercp tam sim no cov thev naus laus zis luv luv ntawm cov xaim hluav taws xob uas ua rau kev hloov pauv ntau dua thaum cov khoom siv nkag mus, tswj kev ruaj khov rau lub hom phiaj duct. Cov tshuab hlau luv luv-cov phom sij ntawm cov kev pheej hmoo ntawm cov kev phom sij luv luv, uas yog qhov tseem ceeb rau cov txheej txheem xws li cov kev tso kawm lossis dilation. Kev cuam tshuam ntawm lub fermenewire Mid-cov txheej txheem tuaj yeem cuam tshuam cov txheej txheem thiab nce txoj kev pheej hmoo ntawm cov teeb meem, xws li muaj kev phom sij, xws li muaj kev phom sij, xws li muaj kev phom sij, xws li muaj kev phom sij, xws li kev phom sij, xws li muaj kev phom sij, xws li muaj kev phom sij, xws li kev phom sij, xws li kev phom sij.
Ntxiv mus, dab tsi yog cov yam ntxwv ntawm cov lus qhia xaim hauv ERCP?
1. Lub taub thiab ntev ntau yam: Ecp fossitive tuaj ntau yam kev sib txawv, feem ntau yog}. {1}}.}}}}.}}}}.}}}}.} Cov xaim hluav taws xob loj dua rau kev tswj cov xov, thaum muaj cov roj ntsha me me zoo dua rau cov khoom siv tsawg dua, xws li kev nkag mus me me.
2. Ntau tus taw qhia siv hauv ERCP yog nruab nrog radiopaque cov cim, ua kom yooj yim rau tus kws kho mob taug qab lawv txoj haujlwm fluoroscopy. Qhov pom no yog qhov tseem ceeb rau kev tso ua kom meej nyob hauv cov rooj plaub uas muaj tseeb yog qhov tseem ceeb rau kev ua tiav.
3. Txawv cov chaw kuaj mob sib txawv xav tau cov lus qhia sib txawv, uas nrog J-hau thiab cov lus qhia ncaj. J-Tip version pab tiv thaiv cov nqaij mos, tshwj xeeb, hauv cov nqe lus nqaim lossis cov nqe lus nqaim los yog los ntawm kev muab ib puag ncig kawg uas txo qis qis poob. Txhawm rau nkag ncaj qha, qhov ncaj-ntsis variant muab ncaj ncaj qha, tshwj xeeb tshaj yog cov lus anatomies tsawg dua.
Lub luag haujlwm hauv kev kho cov txheej txheem: ERCP cov ntawv thov
Nrog kev tswj txoj hauv kev ruaj khov, qhia tau ruaj khov pab rau cov chaw tso tseg, uas ua kom cov ducts qhib kom cia cov kua dej ntws los yog pancreatic ua kua dej. Lawv tseem muaj feem ntau hauv kev tshem pob zeb lossis cov khoom txawv teb chaws nyob hauv cov ducts, nrog rau kev zais pa dilation muab kev txhawb nqa tsim nyog thiab kev taw qhia.
Dhau li, hauv cov xwm txheej nyuaj, cov lus qhia pab tswj cov twj paj nruag hauv qab, tshwj xeeb hauv kev tsim tawm lossis ua kom zoo ua kom zoo nyob rau hauv cov chaw muaj anatomical nyuaj.
Peb yuav ua li cas rau Ecp qhia txog yav tom ntej?
Nyob rau yav tom ntej ze, peb ntseeg cov ntaub ntawv tshiab thiab tsim tau tuaj yeem ua rau cov lus qhia ntxiv yoog kom tus neeg mob lub cev kom paub meej, txhawb txoj kev siv hluav taws xob tshwj xeeb. Cov kev tsim kho no tau cog lus tias yuav txuas lub peev xwm ntawm Ercp, muaj feem cuam tshuam cov txheej txheem ntau dua nrog cov txiaj ntsig zoo dua thiab txhim kho cov neeg mob cov txiaj ntsig.
