sphincterotome enwere ike iwepu | “Ngwa ngwa” dị mma maka ndị endoscopy

Ojiji nkesphincterotomin ERCP

Enwere isi ngwa abụọ nkesphincterotomna ọgwụgwọERCP:

1. Gbasawanye sphincter duodenal papilla iji nyere dọkịta aka itinye catheter n'ime papilla duodenal n'okpuru nduzi nke waya nduzi.

Ntụnye aka mbepụ ebe a na-egosipụta nke ọma na "ụta" na "isi ike" nkesphincterotom. Na mgbakwunye, ọ bụrụ na a kwadebere ya na ọnụ ara na-agbanwe agbanwesphincterotom, ọ nwere njikwa ọtụtụ ntụziaka dị ka "elu, ala, aka ekpe na aka nri". Ikike, nwere ike “gosipụta” mgbe ị na-enyere akanduintubation.

2. Beechapụ sphincter duodenal papilla iji mee ka oghere ya gbasaa iji gboo mkpa ọgwụgwọ na-esote dị ka mwepụ nke nkume bile duct nkịtị.

Ojiji nkesphincterotomebe a bụ tumadi ịkụnye sphincter bile duct, ya bụ, akụkụ dị n'ime nke mgbidi duodenal nke sphincter Oddi, ya mere ogologo na nha nke mbepụ ahụ kwesịrị ekwesị iji zere perforation na izute ọgwụgwọ ndị na-esote dị ka iwepụ nkume.

Ụdị ngwaahịa

1. Mma dị n'ụdị arch, nke a makwaara dị ka "mma ụta", bụkwa nke a na-ejikarị eme ihesphincterotom. Nhazi arc nke a na-emepụta site na ịdọrọ waya na-eme ka akụkụ na anya nke enyo dị n'akụkụ (duodenoscope) mgbe ị na-etinye bile na pancreatic ducts. N'otu oge ahụ, a na-edozi akụkụ nke ụta ahụ site na ịdọrọ nha nke ụta ahụ, si otú ahụ na-agbanwe ntụziaka nkwụsị. Nke a na-enyere dọkịta na-awa ahụ aka ịchịkwa ntụzịaka nke ahụsphincterotomrue elekere iri na otu nke akara aka.

2. Mma dị ka agịga, nke a makwaara dị ka "mma agịga". Ọ bụ ihe mgbakwunye dị mkpa mgbe ị na-eji arcuatesphincterotomụlọ ọgwụ. N'ọnụ nke mma dị n'ụdị agịga bụ waya dị ka agịga, nke ọ bụghị nanị na ọ nwere ọrụ nke ịkpọpu ya, ma nweekwa ike nke a chọrọ maka electrocution na "ịcha". Ka ọ dị ugbu a, a na-ejikarị mma agịga eme ihe na tupu mbepụ iji nyere aka na usoro ntinye nke ntinye nkume n'ọnụ ọnụ na ntinye ọnụ ọnụ siri ike.

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