Ntchito ya ERCP nasobiliary drainage

ERCP ndiye chisankho choyamba chochizira miyala ya bile.Pambuyo mankhwala, madokotala nthawi zambiri amaika nasobiliary ngalande chubu.Mphuno ya nasobiliary drainage chubu ikufanana ndi kuyika mbali imodzi ya chubu chapulasitiki munjira ya ndulu ndi mbali inayo kudzera mu duodenum., M'mimba, pakamwa, mphuno ngalande kwa thupi, cholinga chachikulu ndi kukhetsa bile.Chifukwa pambuyo opareshoni mu ndulu ngalande, edema angayambe m`munsi mapeto a ndulu ngalande, 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 pakapita nthawi yochepa pambuyo pa opaleshoniyo, kuti postoperative pachimake cholangitis sichidzachitika.Ntchito ina ndikuti wodwalayo amadwala pachimake cholangitis.Pankhaniyi, chiopsezo chotenga miyala mu siteji imodzi ndichokwera kwambiri.Madokotala nthawi zambiri amayika chubu cha nasobiliary drainage chubu mumsewu wa ndulu kukhetsa ndulu yonyansa, ndi zina zambiri. Kuchotsa miyala pambuyo poti ndulu yachotsedwa kapena matenda atachira bwino kumapangitsa njirayo kukhala yotetezeka ndipo wodwalayo amachira msanga.Chitsulo cha ngalande ndi chochepa kwambiri, wodwalayo samamva ululu woonekeratu, ndipo chubu chotayira sichimayikidwa kwa nthawi yayitali, kawirikawiri osapitirira sabata.