Indima yokukhipha amanzi e-nasobiliary ku-ERCP

I-ERCP iyindlela yokuqala yokwelapha amatshe e-bile duct. Ngemva kokwelashwa, odokotela bavame ukufaka ipayipi lokukhipha amanzi e-nasobiliary. Ipayipi lokukhipha amanzi e-nasobiliary lilingana nokufaka umkhawulo owodwa wepayipi lepulasitiki emgudwini we-bile kanye nomkhawulo we-duodenum. , Ukukhipha amanzi esisu, emlonyeni, ekhaleni emzimbeni, inhloso eyinhloko ukukhipha amanzi e-bile. Ngoba ngemva kokuhlinzwa emgudwini we-bile, ukuvuvukala kungase kwenzeke engxenyeni engezansi yomgudwini we-bile, okuhlanganisa nokuvulwa kwe-duodenal papilla, okuzoholela ekuphumeni kahle kwe-bile, kanye ne-acute cholangitis kuzokwenzeka uma ukuphuma kwe-bile kukubi. Inhloso yokubeka umgudwini we-nasobiliary ukuqinisekisa ukuthi i-bile ingaphuma lapho kukhona ukuvuvukala eduze kwesilonda sokuhlinzwa esikhathini esifushane ngemva kokuhlinzwa, ukuze i-acute cholangitis ngemuva kokuhlinzwa ingenzeki. Okunye ukusetshenziswa ukuthi isiguli sihlushwa yi-acute cholangitis. Kulokhu, ingozi yokuthatha amatshe esigabeni esisodwa iphezulu kakhulu. Odokotela bavame ukufaka ipayipi lokukhipha amanzi ekhaleni emgudwini we-bile ukuze bakhiphe i-bile engcolile ethelelekile, njll. Ukususwa kwamatshe ngemva kokuba i-bile isiphelile noma ukutheleleka sekupholile ngokuphelele kwenza inqubo ibe iphephile futhi isiguli silulama ngokushesha. Ipayipi lokukhipha amanzi lincane kakhulu, isiguli asizizwa ubuhlungu obusobala, futhi ipayipi lokukhipha amanzi alifakwa isikhathi eside, ngokuvamile hhayi isikhathi esingaphezu kwesonto.