Indlela yokususa amatshe e-bile duct evamile nge-ERCP
I-ERCP yokususa amatshe e-bile duct iyindlela ebalulekile yokwelapha amatshe e-bile duct evamile, ngezinzuzo zokululama okuncane nokungangeni kahle. I-ERCP yokususa amatshe e-bile duct iwukusebenzisa i-endoscopy ukuqinisekisa indawo, usayizi kanye nenani lamatshe e-bile duct nge-intracholangiography, bese ususa amatshe e-bile duct engxenyeni engezansi ye-common bile duct ngebhasikidi ekhethekile yokukhipha amatshe. Izindlela ezithile yilezi ezilandelayo:
1. Ukususwa nge-lithotripsy: i-common bile duct ivuleka e-duodenum, futhi kukhona i-sphincter ka-Oddi engxenyeni engezansi ye-common bile duct ekuvulekeni kwe-common bile duct. Uma itshe likhulu, i-sphincter ka-Oddi idinga ukunqunywa kancane ukuze kwandiswe imbobo ye-common bile duct, okusiza ekususweni kwamatshe. Uma amatshe amakhulu kakhulu ukuba angasuswa, amatshe amakhulu angaphulwa abe amatshe amancane ngokuchoboza amatshe, okulula ukuwasusa;
2. Ukususwa kwamatshe ngokuhlinzwa: Ngaphezu kokwelashwa nge-endoscopic kwe-choledocholithiasis, i-choledocholithotomy encane kakhulu ingenziwa ukuze kususwe amatshe ngokuhlinzwa.
Zombili zingasetshenziswa ekwelapheni amatshe e-common bile duct, futhi izindlela ezahlukene zidinga ukukhethwa ngokuya ngeminyaka yesiguli, izinga lokwanda kwe-bile duct, ubukhulu kanye nenani lamatshe, nokuthi ngabe ukuvuleka kwengxenye engezansi ye-common bile duct akuvimbekile yini.
Imikhiqizo yethu isetshenziselwa ukususa amatshe e-bile duct avamile nge-ERCP.
Izintambo Zokuqondisa Zokusetshenziswa Kodwa Zezokwelapha ze-ZhuoRuiHua, ezenzelwe ukusetshenziswa ngesikhathi sezinqubo ze-endoscopic biliary kanye ne-pancreati duct zokungeniswa kanye nokushintshaniswa kwe-catheter, kanye nokuthuthukisa izinga lempumelelo ye-ERCP. Izintambo zokuqondisa ziqukethe umongo we-Nitinol, ithiphu ye-radiopaque eguquguqukayo kakhulu (eqondile noma egobile) kanye nengubo ephuzi/emnyama enombala enezakhiwo eziphakeme kakhulu zokushelela. Ngokude, lezi zifakwe ingubo ye-hydrophilic. Ukuze kuvikelwe futhi kuphathwe kangcono, izintambo zisesitsheni sepulasitiki esimise okwendandatho. Lezi zintambo zokuqondisa zitholakala ngobukhulu obungu-0.025" no-0.035" kanye nobude bokusebenza obutholakala ku-260 cm no-450 cm. Isihloko sentambo yokuqondisa sinokunwebeka okuhle ukusiza ngokulinganisa ukuqina kanye nethiphu ye-hydrophilic yentambo yokuqondisa ithuthukisa ukuzulazula kwe-ductal.
Ibhasikidi lokubuyisa elilahlwayo elivela ku-ZhuoRuiHua Medical liyikhwalithi ephezulu futhi liyidizayini ehlelekile, ukuze kususwe kalula futhi kuphephile amatshe enyongo kanye nemizimba yangaphandle. Umklamo wesibambo sensimbi esisebenza kahle usiza ekuthuthukisweni nasekuhoxisweni ngesandla esisodwa ngendlela ephephile nelula. Izinto zenziwe ngensimbi engagqwali noma i-Nitinol, ngayinye inesihloko se-atraumatic. Imbobo elula yokufaka i-injection iqinisekisa ukujova okulula nokusebenziseka kalula kwe-contrast medium. Umklamo ojwayelekile wezintambo ezine ohlanganisa idayimane, i-oval, nesimo se-spiral sokuthola amatshe ahlukahlukene. Ngebhasikidi Lokubuyisa Amatshe le-ZhuoRuiHua, ungakwazi ukusingatha cishe noma yisiphi isimo ngesikhathi sokuthola amatshe.
Ama-catheter e-ZhuoRuiHua Medical Nasal Biliary Drainage asetshenziselwa ukuphambukisa okwesikhashana imibhobho ye-biliary kanye ne-pancreatic. Ahlinzeka ngokuphuma kwamanzi okusebenzayo futhi ngaleyo ndlela anciphise ingozi ye-cholangitis. Ama-catheter e-nasal biliary drainage atholakala ngezimo ezimbili eziyisisekelo ngobukhulu obungu-5 Fr, 6 Fr, 7 Fr kanye no-8 Fr ngalinye: umsila wengulube kanye nomsila wengulube onesimo se-alpha curve. Isethi iqukethe: i-probe, ipayipi lempumulo, ipayipi lokuxhuma amanzi kanye nesixhumi se-Luer Lock. I-catheter ye-Drainage yenziwe nge-radiopaque kanye nezinto ezinhle zoketshezi, ezibonakala kalula futhi ezibekwa kalula.
Isikhathi sokuthunyelwe: Meyi-13-2022