Ntchito ya ERCP nasobiliary drainage

ERCP ndiye chisankho choyamba chochizira miyala ya bile. Pambuyo pa mankhwala, madokotala nthawi zambiri amaika nasobiliary ngalande chubu. The nasobiliary drainage chubu ndi ofanana ndi kuyika mbali imodzi ya chubu cha pulasitiki munjira ya ndulu ndi mbali inayo kudzera mu duodenum. , M'mimba, pakamwa, ngalande za mphuno kupita ku thupi, cholinga chachikulu ndikukhetsa bile. Chifukwa pambuyo opareshoni mu ndulu ngalande, edema akhoza kuchitika m`munsi mapeto a ndulu, kuphatikizapo kutsegula kwa duodenal papilla, zomwe zingachititse osauka bile ngalande, ndi pachimake cholangitis zidzachitika kamodzi ya ndulu ngalande osauka. Cholinga choyika njira ya nasobiliary ndikuonetsetsa kuti ndulu imatha kutuluka pamene pali edema pafupi ndi bala la opaleshoni pakangopita nthawi yochepa pambuyo pa opaleshoniyo, kuti postoperative pachimake cholangitis sichidzachitika. Kugwiritsiridwa ntchito kwina ndiko kuti wodwalayo akudwala pachimake cholangitis. Pankhaniyi, chiopsezo chotenga miyala mu siteji imodzi ndichokwera kwambiri. Madokotala nthawi zambiri amayika chubu cha nasobiliary drainage munjira ya ndulu kuti mukhetse ndulu yonyansa, ndi zina zambiri. Kuchotsa miyala ndulu ikatha kapena matenda atachira bwino kumapangitsa njirayo kukhala yotetezeka ndipo wodwalayo amachira msanga. Chitsulo cha ngalande ndi chochepa kwambiri, wodwalayo samamva ululu woonekeratu, ndipo chubu cha ngalande sichimayikidwa kwa nthawi yayitali, kawirikawiri osapitirira sabata.