Chithandizo cha zovuta za ercp

Kuchita opaleshoni ya LC LC PameneErcpKugwira ntchito, waya wowongolerayo ndi "wosavuta kuyika pansi koma osavuta kuvala"

Amisizz syndrome ndi vuto la anatomical lomwe limasowa mosavuta ndikunyalanyazidwa. Phunziro: Pambuyo pa opaleshoni ya LC, wodwala wokhala ndi miyala yozungulira imaponyedwa ma ducto wamba omwe amawapangitsa kuti agwiritse ntchito bile, ndikupangitsa kuti arrizz syndrome. Miyala sinathe kuchotsedwa pansi pa X-ray. Mapeto ake, vutoli lidathetsedwa litazindikira matenda ndikuchotsa m'masomphenya mwachindunji ndi diso.

·ErcpBile mwala wochotsa pakati odwala pambuyo pake bi i I Opaleshoni, chinsinsi chake ndikufika pachimake kudutsa. Nthawi zina zimatenga nthawi yayitali (zomwe zimafuna mawonekedwe amphamvu) kuti mufikire chitumbuwa, ndipo ngati wowongolera sasungidwa bwino, imatha kutuluka mosavuta.

Zochitika za ③other

Perpoapillary Remiculum yophatikizidwa ndi miyala ya bile duct imafala. Zovuta pantchitoyi panthawiyi ndikuwopseza kuphatikizika kwa nippnsion. Chiwopsezo ichi chimakhala chachikulu kwa ma nipples mkati mwa kusanja, ndipo chiwopsezo cha ma nipples pafupi ndi mawonekedwe apansi ndiocheperako.

Pakadali pano, ndikofunikiranso kuzindikira kuchuluka kwa kukula. Mfundo yowonjezera yowonjezera ndiyo kuchepetsa kuwonongeka kofunikira kuti muchotse miyala. Kuwonongeka kochepera kumatanthauza zoopsa zazing'ono. Masiku ano, kukula kwa balloon (CRIV) ya nippliculani kuzungulira nthawi zambiri amagwiritsa ntchito Est.

Odwala omwe ali ndi hemotological matenda, Cardioulmormonary ntchito omwe sangathe kulekereraErcp, kapena matenda a msana omwe sangathe kulekerera nthawi yayitali atatsala pang'ono kukhazikitsidwa ndikuwunika akamakumana ndi miyala yovuta.m

02Tology yakuyang'anizana ndi "miyala yovuta"

Malingaliro olakwika akakumana ndi "miyala yovuta": umbombo ndi kuchita bwino, kusasamala, kunyoza koyambirira, ndi zina zambiri.

COANI DZIKO LAPANSI

Tikakumana ndi miyala ya bile, makamaka yomwe ili ndi miyala ingapo, timafuna kuchotsa miyala yonse. Uwu ndi mtundu wa "umbombo" komanso wopambana kwambiri.

M'malo mwake, nkulondola kutenga onse ndi oyera, koma kutenga zotukwana zonse ndi "zabwino kwambiri", zomwe sizikuwononga komanso ndizovuta. Miyala yambiri ya bile duct iyenera kusinthidwa mokwanira malinga ndi wodwala. Mwa milandu yapadera, chubu iyenera kuyikidwa kapena kuchotsedwa m'matumba.

Pamene miyala yayikulu ya bile duct ndizovuta kuchotsa kwakanthawi, "Spant Zosasinthika" zitha kuganiziridwa. Osakakamiza kuchotsedwa kwa miyala ikuluikulu, osadziyika nokha pamalo owopsa kwambiri.

Sanatero

Ndiye kuti, kugwira ntchito kwakhungu popanda kusanthula kokwanira komanso kafukufuku nthawi zambiri kumabweretsa mwayi wochotsa miyala. Chifukwa chake, milandu ya miyala ya bile ducting iyenera kuwunika mokwanira, yoyesedwa moyenera (yofuna kuthekera kwaErcpMadokotala aziwerenga zithunzi), kusankha mosamala ndi mapulani adzidzidzi kuyenera kupangidwa kuti atetezedwe pang'ono.

AErcpCholinga cha mwalawo chiyenera kukhala chosakhudza zasayansi, cholinga, chokwanira, komanso chokhoza kusanthula ndi kuganizira. Tiyenera kutsatira mfundo kuti tikulitse phindu la wodwala osati kungoyambitsa.

Zisungu

Miyala ing'onoing'ono m'munsi mwa bile duct ndizosavuta kunyalanyaza. Ngati miyala ing'onoing'ono imakumana ndi zovuta m'munsi mwa wotsika wa bile hoctic ndi malo ogulitsira, zimakhala zovuta kwambiri kuchotsa mwalawo.

ErcpChithandizo cha miyala ya bile duct chimakhala ndi zosinthika zambiri komanso zoopsa zazikulu. Ndizovuta komanso zowopsa ngati kapena zokulirapo kuposaErcpChithandizo cha bile duct. Chifukwa chake, ngati simutenga mopepuka, mudzasiya njira yoyenera yothawirako.

03 Kuthana ndi "miyala yovuta"

Mukakumana ndi miyala yovuta, kuwunika kokwanira kwa wodwalayo kuyenera kuchitika, kufalikira kokwanira kuyenera kuchitika, amtanga wobwereza wamwalaAyenera kusankhidwa ndipo Lithotripter adakonzekeretsa, ndipo dongosolo lokonzedwa ndi dongosolo la chithandizo liyenera kupangidwa.

Monga njira ina, izi ndi zovuta ziyenera kuyesedwa motengera mkhalidwe wa wodwalayo musanachitike.

Kusambira

Kukula kwa kutsegulira kwatsegulidwa kumachokera mu mkhalidwe wa mwala wa chandamale ndi bile duct. Nthawi zambiri, kuchepa kwapadera + (zapakatikati) kugwiritsidwa ntchito kukuwonjezera kutsegulira. M'nkhani ya Est, ndikofunikira kupewa kunja ndi yaying'ono mkati.

Mukakhala osadziwa zambiri, ndizosavuta kupanga kuti "zazikulu kunja koma zazing'ono" Izi zidzapangitsa kuti kuchotsa mwala kuchotsa.

Mukamayendetsa est esta, "uta wosaya komanso wosasunthika uyenera kugwiritsidwa ntchito popewa zipper. Chiwonetsero chizikhala chachangu mwachangu. Mpeni sayenera "kukhalabe" nthawi yopewera kuletsa kwa Nappredsm ndikuyambitsa kapancreatitis. .

Kuwunikira kuwunikira gawo lotsika ndi kutumiza kunja

Miyala wamba ya bile duct imafunikira kuwunika gawo lotsika ndi malo ogulitsira a bile. Masamba onse awiri ayenera kuyesedwa. Kuphatikiza kwa onsewa kumatsimikizira chiopsezo ndi kuvuta kwa njira ya nipple.

· · · · · · · ·N ·nripsy

Miyala yayikulu ndi yolimba ndi miyala yomwe singathe kukhala yoletsedwa kuyenera kuthandizidwa ndi Lithotnetriptript (wadzidzidzi Lithototript).

Miyala ya nkhumba imatha kung'ambika, ndipo kwambiri miyala yolimba ya cholesterol imatha kuthetsedwa motere. Ngati chipangizocho sichingatulutsidwe pambuyo pobweza, ndipo Luthotringter sangathe kuthyola miyala, ndi zovuta zenizeni ". Pakadali pano, Evemax itha kufunikira kuzindikira mwachindunji ndi kuchitira miyala.

Chidziwitso: Osagwiritsa ntchito Lithitripsy mu gawo lotsika ndikutuluka kwa bocto wamba. Osagwiritsa ntchito Lithotripsy wathunthu mu Lithupsy, koma siyani malo. Zadzidzidzi Lithotripsy ndizowopsa. Panthawi yadzidzidzi Lithotripsy, kumapeto kumatha kusagwirizana ndi bile duct axis, ndipo mikangano ikhoza kukhala yayikulu kwambiri kuyambitsa mafuta.

· SESE Slandung Mwala

Mwala ukakulirakulira komanso wovuta kuchotsa, mutha kulingalira za kuwonongeka kwa nthunzi - ndiye kuti ndikuyika pulasitiki. Yembekezani mpaka mwala uja usazeke musanachoke mwalawo, ndiye mwayi wopambana udzakhala wokwera kwambiri.

Miyala intuthepathetic

Madokotala achichepere omwe ali ndi chidziwitso pang'ono sachita mankhwala othandizira a Endoscopic a miyala ya bile. Chifukwa miyala m'derali mwina sangathe kugwidwa kapena kuthamangira mwakuya ndikuletsa kugwira ntchito kwina, msewu ndi wowopsa komanso wopapatiza.

Miyala yabile duct ducton yophatikizidwa ndi perpepillary reziculum

Ndikofunikira kuwunika chiopsezo ndi chiyembekezo chokuchulukitsa. Chiwopsezo cha matenda a Est ali okwera kwambiri, kotero njira yowonjezera baluon imasankhidwa kwenikweni. Kukula kwa kukula kuyenera kukhala kokwanira kungochotsa mwala. Njira yowonjezera iyenera kukhala yochedwetsa komanso yozungulira, ndipo palibe kukula kwankhanza kapena kukulitsa komwe kumaloledwa. Syringe imawonjezeranso chifuniro. Ngati pali magazi pambuyo pa dietice, chithandizo choyenera chimafunikira.

IEAMNXI Zhuouria Chachipatala co., Ltd.Zowongolera za biopsy,hemoclip,Msampha wa Polyp,Sclerotherapy singano,Spray Catheter,Nkhondo za Cytology,gongo,Mtanga Wobwezeretsa Mlandu,Minda yamimba yamkuntho ya Nsasal Catheter etc. zomwe zimagwiritsidwa ntchito kwambiriEmr,Ezd,Ercp. Zogulitsa zathu ndi CE kutsimikizika, ndipo mbewu zathu ndiotsimikizika. Katundu wathu watumizidwa ku Europe, North America, Middle East ndi gawo la Asia, ndipo amapeza kasitomala wodziwika kuti avomereze ndi matamando!