ERCP Yotayidwa Yosalala Kwambiri Yokhala ndi Endoscopic Yogwiritsidwa Ntchito Panjira Yam'mimba

Chifukwa chofala cha matenda a kapamba pambuyo pa opaleshoni ndi hyperamylasemia ndikuwunika kutuluka kwa madzi a kapamba komanso kupanikizika kwamkati kwa duct ya kapamba. Jakisoni mankhwala osiyanitsa jakisoni mwachangu kwambiri, duct ya kapamba imadzaza kwambiri, imayambitsa kuthamanga kwamkati, imavulaza epithelium ya payipi, komanso zotsatira zoyipa za mankhwala osiyanitsa a acinus ndi zomwe zili mu duodenum zomwe zimayambitsa pancreatin zimapangitsa kuti duct ya kapamba iwonongeke komanso kuwonongeka kwakukulu, kotero kuti kugaya chakudya kumayamba.
Yesani komwe njira ya bile duct ndi pancreatic duct ikupita malinga ndi komwe njira ya ERCP guidewire wire ikupita, zomwe zingachepetse kuthamanga kwamkati komwe kumachitika chifukwa cha contrast agent yodzaza kwambiri ndikuchepetsa kuwonongeka kwa epithelium ya payipi ndi acinus komwe kumachitika chifukwa cha poizoni wa contrast agent. Pakadali pano, nsonga ya yellow zebra guidewire wire ndi yofewa kwambiri yokhala ndi hydrophile, yomwe ilibe kuwonongeka kwakukulu pa njira ya pancreatic duct, kotero kuti kuchuluka kwa post-ERCP pancreatitis ndi hyperamylasemia kumachepa.
Ntchito ya waya wotsogolera ya ERCP yoteteza ku X-ray ingachepetse kugwiritsa ntchito mankhwala osiyanitsa ndi kutupa komanso kuchepetsa kupezeka kwa matenda a cholangitis ndi kapamba.