Ntchito ya ERCP nasobiliary drainage

ERCP ndiye njira yoyamba yochizira miyala ya duct ya bile. Pambuyo pa chithandizo, madokotala nthawi zambiri amaika chubu chotulutsira madzi m'mphuno. Chubu chotulutsira madzi m'mphuno chimafanana ndi kuyika mbali imodzi ya chubu cha pulasitiki mu duct ya bile ndi mbali inayo kudzera mu duodenum. , Kutulutsa madzi m'mimba, pakamwa, ndi m'mphuno kupita ku thupi, cholinga chachikulu ndikutulutsa madzi m'mphuno. Chifukwa pambuyo pa opaleshoni mu duct ya bile, kutupa kumatha kuchitika kumapeto kwa duct ya bile, kuphatikizapo kutsegula kwa duodenal papilla, zomwe zimapangitsa kuti duct ya bile isatuluke bwino, ndipo cholangitis yoopsa idzachitika duct ya bile ikachepa. Cholinga choyika duct ya nasobiliary ndikuwonetsetsa kuti ndulu imatha kutuluka pamene pali kutupa pafupi ndi bala la opaleshoni mkati mwa nthawi yochepa pambuyo pa opaleshoni, kuti cholangitis yoopsa pambuyo pa opaleshoni isachitike. Ntchito ina ndi yakuti wodwalayo ali ndi vuto la cholangitis yoopsa. Pankhaniyi, chiopsezo chotenga miyala nthawi imodzi chimakhala chachikulu. Madokotala nthawi zambiri amaika chubu chotulutsira madzi m'mphuno mu duct ya ndulu kuti atulutse ndulu yonyansa yomwe yakhudzidwa, ndi zina zotero. Kuchotsa miyala pambuyo poti ndulu yatha kapena kachilombo kachira bwino kumapangitsa kuti njirayi ikhale yotetezeka ndipo wodwalayo amachira mwachangu. Chubu chotulutsira madzi ndi chopyapyala kwambiri, wodwalayo samva kupweteka koonekeratu, ndipo chubu chotulutsira madzi sichimayikidwa kwa nthawi yayitali, nthawi zambiri osapitirira sabata imodzi.