Binciken CPRE: menene don kuma yadda ake aikata shi

Wadatacce

• Menene don
• Ta yaya ake yin CPRE
• Yadda ake shirya wa jarrabawa
• Matsaloli da ka iya faruwa na jarrabawa
• Contraindications na cholangiopancreatography

Endoscopic retrograde cholangiopancreatography of pancreas, wanda aka sani kawai ERCP, jarrabawa ce wacce ke aiki don bincikar cututtuka a cikin ɓangaren ƙwayar cuta da ƙyallen ciki, kamar su ciwon sanƙara, cholangitis ko cholangiocarcinomas, misali.

Babban fa'idar wannan jarrabawar ita ce, baya ga yin bincike ba tare da tiyata ba, zai iya magance matsaloli mafi sauƙi, cire ƙananan duwatsu da suke wurin ko ma faɗaɗa bututun bile tare da sanya wani mai danshi.

Koyaya, ERCP galibi ana ajiye shi ne don shari'o'in da wasu, gwaje-gwaje masu sauƙi, kamar su duban dan tayi ko MRI, ba su iya tabbatarwa ko kuskuren ganewar asali ba.

Menene don

Jarabawar CPRE na iya taimaka wa likita ya tabbatar da wasu cututtukan da suka shafi biliary ko pancreatic tract, kamar:

• Duwatsu masu tsakuwa;
• Cututtuka a cikin gallbladder;
• Pancreatitis;
• Tumor ko ciwon daji a cikin bututun bile;
• Tumurai ko cutar daji a cikin matsarmama.

Bugu da kari, wannan dabarar tana ba da damar magance matsaloli masu sauki, kamar kasancewar dutse, sabili da haka ana iya zaban wannan gwajin lokacin da akwai yiwuwar samun damar sanin gaskiya ne, tunda kuma yana iya bada izinin magani, akasin sauki jarrabawa.

Ta yaya ake yin CPRE

Binciken ERCP na tsakanin minti 30 zuwa 90 ana yin sa ne a cikin maganin rigakafin cutar, don kar ya haifar da ciwo ko damuwa ga mutum. Don yin gwajin, likita ya sanya wani bututu na bakin ciki tare da karamar kyamara a saman, daga baki zuwa dodenum, domin kiyaye wurin da bututun bile ke hadewa zuwa hanji.

Bayan dubawa idan akwai wani canji a waccan wurin, likitan zaiyi amfani da abu mai maikon radiyo a cikin bututun bile, ta amfani da wannan bututun.A ƙarshe, ana yin X-ray na ciki don lura da tashoshin da abu ya cika, ba da damar gano canje-canje a tashoshin.

Idan za ta yiwu, likita na iya amfani da bututun CPRE don cire duwatsu daga cikin gallbladder ko ma sanya a mai danshi, wanda shine ƙaramin hanyar sadarwa wanda ke taimakawa faɗaɗa tashoshi, lokacin da suke ƙulla yarjejeniyoyi sosai, misali.

Yadda ake shirya wa jarrabawa

Shirya don jarrabawar ERCP galibi ya haɗa da azumin awa 8, yayin abin da ya kamata ku guji ci ko sha. Duk da haka, yana da mahimmanci a yi magana da likita kafin gwajin don gano ko akwai buƙatar ƙarin kulawa, kamar dakatar da shan takamaiman magani, misali.

Bugu da kari, kamar yadda ake yin gwajin a karkashin maganin sa barci, ana ba da shawarar a dauki mutum don su koma gida lafiya.

Matsaloli da ka iya faruwa na jarrabawa

ERCP ƙwararren fasaha ne mai saurin yawa kuma, saboda wannan dalili, haɗarin rikitarwa yana da ƙasa ƙwarai. Koyaya, akwai iya zama:

• Kamuwa da cuta daga tashoshin biliary ko pancreatic;
• Zuban jini;
• Perforation na tashoshin biliary ko pancreatic.

Tun da shike jarrabawa ce da ake yi a ƙarƙashin maganin sa rigakafin cutar, akwai kuma haɗarin haifar da munanan halayen ga maganin sa maye da aka yi amfani da su. Sabili da haka, kafin gwajin yana da matukar muhimmanci a sanar da likita idan kuna da matsaloli tare da maganin sa barci a baya.

Contraindications na cholangiopancreatography

Pancreas endoscopic retrograde cholangiopancreatography (ERCP) an hana ta ga marasa lafiya masu fama da matsananciyar cutar sankara, tare da cutar pseudocyst da ake kira da kuma a lokacin daukar ciki, saboda tana amfani da sinadarin ionizing radiation.

ERCP an hana shi cikin marasa lafiya tare da bugun zuciya, jikin baƙi na intraocular ko shirye-shiryen abubuwan da ke cikin intracranial aneurysms, cochlear implants ko da wucin gadi zuciya bawuloli.