ERCP

ERCP takaice ne don endoscopic retrograde cholangiopancreatography. Hanya ce wacce take duban bututun bile. Ana yin ta ta hanyar amfani da na'urar daukar hoto.

• Bile ducts sune bututu masu ɗauke da bile daga hanta zuwa mafitsara da ƙaramar hanji.
• Ana amfani da ERCP don magance duwatsu, ciwace-ciwacen ƙwayoyi, ko ƙuntataccen wurare na bututun bile.

An saka layi (IV) a cikin hannu. Za ku kwanta a kan ciki ko a gefen hagu don gwajin.

• Magunguna don shakatawa ko kwantar da hankali za a ba ku ta cikin IV.
• Wani lokaci, ana amfani da feshi don sanya makogwaro. Za a sanya bakin kare a cikin bakinka don kare hakoran ka. Dole ne a cire hakoran roba.

Bayan maganin kwantar da hankali ya fara aiki, sai a saka endoscope a cikin baki. Yana wucewa ta cikin esophagus (bututun abinci) da ciki har sai ya isa duodenum (ɓangaren ƙaramar hanji wanda yake kusa da ciki).

• Ya kamata ku ji rashin jin daɗi, kuma ƙila ku sami ƙananan ƙwaƙwalwar gwajin.
• Kuna iya yin gag yayin da bututun yake wucewa ta cikin hanzarin ku.
• Kuna iya jin shimfida bututun kamar yadda aka saka yankin a wurin.

An wuce da sirara (catheter) na bakin ciki ta cikin ƙarshen maganin kuma an saka shi a cikin bututun (bututun) wanda ke kaiwa ga pancreas da gallbladder. Ana saka fenti na musamman a cikin waɗannan bututun, kuma ana ɗaukar x-ray. Wannan yana taimaka wa likitan ganin duwatsu, ciwace-ciwacen jini, da duk wani yanki da ya zama ya kankane.

Za'a iya sanya kayan kida na musamman ta cikin na'urar kare jijiyoyin kai tsaye zuwa cikin bututu.

Ana amfani da wannan hanya mafi yawa don magance ko gano matsalolin pancreas ko bututun bile waɗanda zasu iya haifar da ciwon ciki (galibi a yankin dama na sama ko tsakiyar ciki) da kuma rawaya fata da idanu (jaundice).

Ana iya amfani da ERCP don:

• Bude shigar bututun cikin hanji (sphincterotomy)
• Shimfida madaidaitan sassa (bile duct strictures)
• Cire ko murƙushe duwatsun gall
• Binciko yanayin kamar biliary cirrhosis (cholangitis) ko sclerosing cholangitis
• Samplesauki samfurin nama don bincikar ƙwayar ƙwayar ƙwayar cuta, kojin bile, ko gallbladder
• Kawar da wuraren da aka toshe

Lura: Ana yin gwaje-gwajen hoto gabaɗaya don bincika dalilin bayyanar cututtuka kafin a yi ERCP. Wadannan sun hada da gwaje-gwajen duban dan tayi, CT scan, ko MRI scan.

Risks daga aikin sun haɗa da:

• Amsawa ga maganin sa barci, rini, ko magani da aka yi amfani da shi yayin aikin
• Zuban jini
• Ramin (perforation) na hanji
• Kumburin pancreas (pancreatitis), wanda zai iya zama mai tsanani

Kuna buƙatar ku ci ko sha don aƙalla awanni 4 kafin gwajin. Za ku sa hannu a takardar izini.

Cire duk kayan ado don kada ya tsoma baki tare da x-ray.

Faɗa wa mai kula da lafiyar ku idan kuna da larurar iodine ko kuma kuna da martani ga sauran dyes ɗin da aka yi amfani da su don amfani da hasken rana.

Kuna buƙatar shirya hawa gida bayan aikin.

Wani zai bukaci ya kore ka gida daga asibiti.

Iskar da ake amfani da ita don kumbura ciki da hanji yayin ERCP na iya haifar da kumburin ciki ko gas na kimanin awanni 24. Bayan aikin, kuna iya samun ciwon makogwaro a rana ta farko. Ciwo zai iya wucewa har zuwa kwanaki 3 zuwa 4.

Yi aikin haske kawai a rana ta farko bayan aikin. Guji ɗaukar nauyi na awanni 48 na farko.

Kuna iya magance ciwo tare da acetaminophen (Tylenol). KADA KA shan asfirin, ibuprofen, ko naproxen. Sanya takalmin dumama a ciki na iya taimakawa zafi da kumburin ciki.

Mai bayarwa zai gaya muku abin da za ku ci. Mafi sau da yawa, kuna son shan ruwa kuma ku ci abinci mara nauyi kawai a ranar bayan aikin.

Kira mai ba ku sabis idan kuna da:

• Ciwon ciki ko tsananin kumburi
• Zuban jini daga dubura ko kuma baƙar baƙar fata
• Zazzaɓi sama da 100 ° F (37.8 ° C)
• Tashin zuciya ko amai

Endoscopic retrograde cholangiopancreatography

• ERCP
• ERCP
• Endoscopic retrograde cholangio pancreatography (ERCP) - jerin

Lidofsky SD. Jaundice. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da cututtukan hanta da cutar Fordtran: Pathophysiology / Diagnosis / Management. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 21.

Pappas TN, Cox ML. Gudanar da mummunan ƙwayar cuta. A cikin: Cameron JL, Cameron AM, eds. Far Mashi na Yanzu. 12th ed. Philadelphia, PA: Elsevier; 2017: 441-444.

Taylor AJ. Endoscopic retrograde cholangiopancreatography. A cikin: Gore RM, Levine MS, eds. Littafin rubutu na Rigakafin Gastrointestinal Radiology. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 74.