Nānā CPRE: he aha ia a pehea e hana ai

Anter

• No ke aha ia
• Pehea e hana ai ʻo CPRE
• Pehea e hoʻomākaukau ai no ka hoʻokolokolo
• Nā pilikia paha o ka hōʻike
• Nā Contraindications no cholangiopancreatography

ʻO Endoscopic retrograde cholangiopancreatography o ka pancreas, i ʻike ʻia ʻo ERCP wale nō, kahi hōʻike e lawelawe ai i nā maʻi i ka biliary a me ka pancreatic tract, e like me pancreatitis mau, cholangitis a i ʻole cholangiocarcinomas, no ka laʻana.

ʻO ka pōmaikaʻi nui loa o kēia hoʻokolohua, ʻo ia, ma waho o ka hana ʻana i ka hōʻailona me ka ʻole o ke kaha ʻana, hiki iā ia ke mālama i nā pilikia maʻalahi, ka wehe ʻana i nā pōhaku liʻiliʻi i hoʻonohonoho ʻia a i ʻole ka hoʻonui ʻana i nā aʻa aʻa me ka kau ʻana o stent.

Eia nō naʻe, mālama ʻia ʻo ERCP no nā hihia kahi i hiki ʻole i nā hoʻokolohua kiʻi maʻalahi, e like me ultrasound a i ʻole MRI ke hōʻoia a kuhi hewa paha i kahi kuhi.

No ke aha ia

Hiki i ka hōʻike CPRE ke kōkua i ke kauka e hōʻoia i kekahi diagnoses e pili ana i ka biliary a i ʻole ka pancreatic tract, e like me:

• Pohaku;
• Nā maʻi i loko o ka gallbladder;
• Pancreatitis;
• Nā Tumors a i ʻole ke kanesa i nā aʻa o ka bile;
• Nā tumors a i ʻole ka maʻi ʻaʻai i ka pancreas.

Hoʻohui ʻia, ʻae ʻia kēia ʻano i ka mālama maʻalahi ʻana i nā pilikia, e like me ke kū ʻana o ka pōhaku, a no laila hiki ke koho ʻia kēia hoʻāʻo ke loaʻa ka likelika kiʻekiʻe he ʻoiaʻiʻo ka hōʻoia, ʻoiai hiki iā ia ke ʻae i ka lāʻau, ma ka mea maʻalahi. nā hoʻāʻo.

Pehea e hana ai ʻo CPRE

ʻO ka ninaninau ERCP ma waena o 30 a me 90 mau minuke e hana ʻia ma lalo o ka anesthesia laulaha, i mea e hōʻeha ʻole ai i ke kanaka a ʻehaʻeha paha. E hana i ka hoʻokolohua, hoʻokomo ke kauka i kahi puʻupuʻu lahilahi me kahi pahu paʻi liʻiliʻi ma ka piko, mai ka waha a i ka duodenum, i mea e nānā ai i kahi e hoʻopili ai nā aʻa o ka iwi i ka ʻōpū.

Ma hope o ka nānā ʻana inā aia kekahi loli i kēlā wahi, inject ke kauka i kahi mea radiopaque i loko o nā aʻa oʻa, me ka hoʻohana ʻana i ka paipu like.ʻO ka hope, hana ʻia kahi X-ray ʻōpū e nānā i nā kahawai i piha i ka mea, e ʻae ai e ʻike i nā loli i nā kahawai.

Inā hiki, hiki i ke kauka ke hoʻohana i ka paipu CPRE e hemo i nā pōhaku mai ka gallbladder a i ʻole kau i kahi a stent, ʻo ia kahi pūnaewele liʻiliʻi e kōkua i ka hoʻonui ʻana i nā kahawai, ke ʻaelike loa lākou, no ka laʻana.

Pehea e hoʻomākaukau ai no ka hoʻokolokolo

ʻO ka hoʻomākaukau no ka hōʻike ERCP ka mea maʻa mau i kahi wikiwiki 8-hola, kahi āu e alo ai i ka ʻai ʻana a i ʻole ka inu ʻana. Eia nō naʻe, he mea nui e kamaʻilio pū me ke kauka ma mua o ka hoʻokolohua e ʻike ai inā makemake hou ʻia kahi mālama, e like me ka hōʻoki ʻana i ka lawe ʻana i kahi lāʻau kikoʻī, no ka laʻana.

Eia hou, ke hana ʻia nei ka hoʻokolokolo ma lalo o ka anesthesia, paipai ʻia e lawe i kahi kanaka i hiki ai iā lākou ke hoʻi me ka palekana.

Nā pilikia paha o ka hōʻike

He hana pinepine ʻo ERCP a, no kēia kumu, haʻahaʻa loa ka makaʻu o nā pilikia. Eia nō naʻe:

• ʻO ka maʻi o nā biliary a pancreatic paha;
• Kaheʻe ʻana o ke koko;
• Perforation o nā biliary a pancreatic paha.

ʻOiai he hoʻokolokolo ia i hana ʻia ma lalo o ka anesthesia laulaha, aia kekahi pilikia o ka hoʻomohala ʻana i nā hopena maikaʻi ʻole i nā anesthetics i hoʻohana ʻia. No laila, ma mua o ka hoʻokolokolo ʻana he mea nui loa ia e hoʻomaopopo i ke kauka inā loaʻa iā ʻoe kekahi pilikia me ka anesthesia i ka wā i hala.

Nā Contraindications no cholangiopancreatography

Hoʻopaʻa ʻia ʻo Pancreas endoscopic retrograde cholangiopancreatography (ERCP) i nā mea maʻi me ka pancreatitis koʻikoʻi, me ka pseudocyst pancreatic i manaʻo ʻia a i ka wā hāpai, no ka mea hoʻohana ia i ka radiation ionizing.

Hoʻopiʻi ʻia ka ERCP i nā mea maʻi me nā pacemakers, nā kino haole intraocular a i ʻole nā ​​pakalōlū o nā aneurysms intracranial, nā kōpena cochlear a i ʻole nā ​​kiʻina puʻuwai puʻuwai.