Izixhobo zeGastroscope Ibhasikithi yokuKhutshwa kwelitye eliMile ngeDayimane ye-Ercp

I-ERCP yokususa amatye e-bile duct yindlela ebalulekileyo yokunyanga amatye e-common bile duct, kunye neenzuzo zokungena kancinci kunye nokubuyela umva ngokukhawuleza. I-ERCP yokususa amatye e-bile duct kukusebenzisa i-endoscopy ukuqinisekisa indawo, ubungakanani kunye nenani lamatye e-bile duct nge-intracholangiography, kwaye emva koko ususe amatye e-bile duct kwinxalenye esezantsi ye-common bile duct ngebhasikithi ekhethekileyo yokukhupha amatye. Iindlela ezithile zezi zilandelayo:
1. Ukususwa nge-lithotripsy: i-common bile duct ivuleka kwi-duodenum, kwaye kukho i-sphincter ka-Oddi kwicandelo elisezantsi le-common bile duct ekuvulekeni kwe-common bile duct. Ukuba ilitye likhulu, i-sphincter ka-Oddi kufuneka inqunyulwe kancinci ukuze kwandiswe i-common bile duct, nto leyo enceda ekususweni kwamatye. Xa amatye emakhulu kakhulu ukuba angasuswa, amatye amakhulu anokuqhekeka abe ngamatye amancinci ngokutyumza amatye, nto leyo elula ukuwasusa;
2. Ukususwa kwamatye ngotyando: Ukongeza kunyango lwe-choledocholithiasis nge-endoscopic, i-choledocholithotomy encinci kakhulu inokwenziwa ukuze kususwe amatye ngotyando.
Zombini zingasetyenziselwa unyango lwamatye e-common bile duct, kwaye iindlela ezahlukeneyo kufuneka zikhethwe ngokweminyaka yesigulane, ubungakanani bokwanda kwe-bile duct, ubungakanani kunye nenani lamatye, kunye nokuba ukuvuleka kwecandelo elisezantsi le-common bile duct akuthintelwanga na.