Udindo wa Kutulutsa kwa Ercp Nashobiliary

Ercp ndiye chisankho choyambirira chothandizira miyala ya bile. Pambuyo mankhwala, madokotala nthawi zambiri amayika chubu cha nasbililoir to batigege. Thumba la nasobililiary limakhala lofanana ndi kuyika kumapeto kwa pulasitiki mu bile duct ndipo kutsiriza kwina kudzera mu duodenum. , M'mimba, pakamwa, mkuwa, ndowa zazikulu ndikukhetsa bile. Chifukwa pambuyo pa opaleshoni mu bile duct, edema imatha kuchitika kumapeto kwa bile duden, kuphatikizapo kutseguka kwa papilla wosauka, komwe kumatsogolera ku ngalande yosauka yopanda bile, ndipo chiphokoso cha pachimake chidzachitika osauka. Cholinga choyika mutu wa nasobililililirary ndikuwonetsetsa kuti bile amatha kutuluka pomwe pali cholakwika cha opaleshoni patangopita nthawi yochepa pambuyo pa opareshoni cholangitis sichidzachitika. Kugwiritsanso ntchito kwina ndikuti wodwalayo akudwala molangitis pachimake. Pankhaniyi, chiopsezo chotenga miyala mu gawo limodzi ndilokwera. Madokotala nthawi zambiri amaika chubu cha m'mimba mu bile duct kuti mukwere bile yonyansa, etc. Chubu chochepa kwambiri, wodwalayo samamva kupweteka kwambiri, ndipo chubucho sichiyikidwa kwa nthawi yayitali, nthawi zambiri samangopitilira sabata limodzi.