Loluphi unyango olunokwenziwa ngomda we-ERCP?
I-Sphincterotomy
I-Sphincterotomy kukusika isihlunu esijikeleze ukuvuleka kwemibhobho, okanye i-papilla.Oku kunqunyulwa kwenzelwe ukwandisa ukuvuleka.Ukusikwa kwenziwa ngelixa ugqirha wakho ejonge kububanzi be-ERCP kwi-papilla, okanye ukuvulwa kombhobho.Ucingo oluncinane olukwicatheter ekhethekileyo lusebenzisa umsinga wombane ukusika inyama.I-sphincterotomy ayibangeli ukuphazamiseka, awunazo iziphelo zemithambo-luvo apho.Eyona nto isikiweyo incinci kakhulu, ihlala ingaphantsi kwe 1/2 intshi.Oku kusikwa kuncinci, okanye i-sphincterotomy, ivumela unyango olwahlukeneyo kwimibhobho.Ngokuqhelekileyo ukusikwa kujoliswe kumbhobho wenyongo, obizwa ngokuba yi-biliary sphincterotomy.Ngamanye amaxesha, ukusika kubhekiswe kwi-pancreatic duct, kuxhomekeke kuhlobo lonyango olufunayo.
Ukususwa Kwamatye
Olona nyango luxhaphakileyo ngobubanzi be-ERCP kukususwa kwamatye entunja.La matye anokuthi akhiwe kwi-gallbladder kwaye ahamba kwi-bile duct okanye angenza kwi-duct ngokwayo emva kweminyaka emva kokuba i-gallbladder yakho isusiwe.Emva kokuba i-sphincterotomy yenziwe ukwandisa ukuvuleka kwe-bile duct, amatye anokutsalwa ukusuka kumbhobho ukuya emathunjini.Iindidi zeebhaluni kunye neebhaskithi ezincanyathiselwe kwiikhathetha ezikhethekileyo zinokugqithiswa kububanzi be-ERCP kwimibhobho evumela ukususwa kwamatye.Amatye amakhulu kakhulu anokufuna ukutyunyuzwa kumbhobho onebhaskithi ekhethekileyo ukuze amaqhekeza atsalwe nge-sphincterotomy.
Ukubekwa kweStent
I-Stents ifakwe kwi-bile okanye i-pancreatic ducts ukuze i-bypass strictures, okanye iindawo ezinqamlekileyo zombhobho.Ezi ndawo zicutheneyo zenyongo okanye i-pancreatic duct zibangelwa kukukrala kwezicubu okanye amathumba abangela ukuvaleka kwemibhobho eqhelekileyo.Kukho iintlobo ezimbini zeestents ezisetyenziswa ngokuqhelekileyo.Eyokuqala yenziwe ngeplastiki kwaye ibonakala ngathi yi-straw encinci.I-stent yeplastiki inokutyhalwa kububanzi be-ERCP ukuya kumbhobho ovaliweyo ukuvumela ukuthuthwa kwamanzi okuqhelekileyo.Uhlobo lwesibini lwe-stent lwenziwe ngeengcingo zetsimbi ezibukeka njengeengcingo ezinqamlezayo zocingo.Intsimbi yentsimbi iyaguquguquka kwaye imithombo ivuleleke kububanzi obukhulu kunezitenti zeplastiki.Zombini iintsimbi zeplastiki kunye nezentsimbi zikholisa ukuvala emva kweenyanga ezininzi kwaye unokufuna enye i-ERCP ukuba ibeke i-stent entsha.Izitenti zesinyithi zisisigxina ngelixa izitenti zeplastiki zikhutshwa lula xa kuphinda kusenziwa inkqubo.Ugqirha wakho uya kukhetha olona hlobo lulungileyo lwe-stent kwingxaki yakho.
Ukwandiswa kwebhaluni
Kukho iicatheter ze-ERCP ezifakelwe iibhaluni ezinwebekayo ezinokubekwa kwindawo emxinwa okanye ukuqina.Ibhaluni ke ifulelwe ukuze yolule ukucutha.Ukuhlanjululwa ngeebhaluni kudla ngokuqhutywa xa unobangela wokuncipha ulungile (kungekhona umhlaza).Emva kokwandiswa kwebhaluni, i-stent yethutyana inokubekwa kwiinyanga ezimbalwa ukunceda ukugcina ukunwenwa.
Isampulu yezicubu
Enye inkqubo eyenziwa ngokuqhelekileyo ngobubanzi be-ERCP kukuthatha iisampulu zethishu kwi-papilla okanye kwi-bile okanye kwi-pancreatic ducts.Kukho iindlela ezininzi ezahlukeneyo zesampulu nangona eyona ixhaphakileyo kukubrasha indawo ngovavanyo olulandelayo lweeseli ezifunyenweyo.Iisampulu zezicubu zinokunceda ukugqiba ukuba ukuqina, okanye ukucutha, kungenxa yomhlaza.Ukuba isampulu inesi sifo somhlaza ichanekile kakhulu.Ngelishwa, isampulu yethishu engabonisi mhlaza isenokungachaneki.