Indima ye-ERCP nasobiliary drainage

I-ERCP iyinketho yokuqala yokwelashwa kwamatshe e-bile duct. Ngemuva kokwelashwa, odokotela bavame ukubeka i-nasobiliary drainage tube. Ishubhu le-nasobiliary drainage lilingana nokubeka umkhawulo owodwa weshubhu lepulasitiki emgudwini we-bile bese enye ekugcineni nge-duodenum. , Isisu, umlomo, ukuphuma kwekhala emzimbeni, inhloso eyinhloko ukukhipha i-bile. Ngoba ngemva kokuhlinzwa ku-bile duct, i-edema ingase ivele ekugcineni okuphansi kwe-bile duct, okuhlanganisa ukuvulwa kwe-duodenal papilla, okuzoholela ekuphumeni kwe-bile, kanye ne-acute cholangitis izokwenzeka uma i-bile drainage impofu. Inhloso yokubeka i-nasobiliary duct ukuqinisekisa ukuthi i-bile ingaphuma uma kune-edema eduze kwesilonda sokuhlinzwa phakathi nesikhathi esifushane ngemva kokuhlinzwa, ukuze i-postoperative acute cholangitis ingenzeki. Okunye ukusetshenziswa ukuthi isiguli sihlushwa i-acute cholangitis. Kulesi simo, ingozi yokuthatha amatshe esigabeni esisodwa iphakeme kakhulu. Odokotela bavame ukubeka ishubhu lokudonsa amanzi enkabeni yenyongo ukuze kukhishwe i-bile engcolile enegciwane, njll. Ukususwa kwamatshe ngemva kokuba i-bile isiphumile noma ukutheleleka sekululeme ngokugcwele kwenza inqubo iphephe futhi isiguli silulame ngokushesha. I-tube yokukhipha amanzi incane kakhulu, isiguli asizwa ubuhlungu obusobala, futhi ithubhu yokukhipha amanzi ayibekwa isikhathi eside, ngokuvamile hhayi ngaphezu kwesonto.