Indima yokukhupha amanzi e-nasobiliary kwi-ERCP

I-ERCP lolona khetho lokuqala lokunyanga amatye e-bile duct. Emva konyango, oogqirha badla ngokubeka ityhubhu yokukhupha amanzi e-nasobiliary. Ityhubhu yokukhupha amanzi e-nasobiliary ilingana nokubeka isiphelo esinye setyhubhu yeplastiki kwi-bile duct kunye nesinye isiphelo nge-duodenum. , Ukukhupha amanzi esisu, umlomo, impumlo emzimbeni, injongo ephambili kukukhupha amanzi e-bile. Kuba emva kotyando kwi-bile duct, ukudumba kunokubakho kwisiphelo esisezantsi se-bile duct, kubandakanya nokuvulwa kwe-duodenal papilla, okuya kukhokelela ekuphumeni kakuhle kwe-bile, kwaye i-acute cholangitis iya kwenzeka xa ukuphuma kwe-bile kungalunganga. Injongo yokubeka i-nasobiliary duct kukuqinisekisa ukuba i-bile inokuphuma xa kukho ukudumba kufutshane nenxeba lotyando kwixesha elifutshane emva kotyando, ukuze i-postoperative acute cholangitis ingenzeki. Enye indlela yokusebenzisa kukuba isigulana sinesifo se-acute cholangitis. Kule meko, umngcipheko wokuthatha amatye kwinqanaba elithile uphezulu. Oogqirha badla ngokubeka umbhobho wokukhupha amanzi kwi-bile duct ukuze kukhutshwe i-bile engcolileyo enesifo, njl. Ukususwa kwamatye emva kokuba i-bile iphelile okanye usulelo lubuyele esiqhelweni kwenza inkqubo ibe ikhuselekile kwaye isigulana siphila ngokukhawuleza. Umbhobho wokukhupha amanzi ubhityile kakhulu, isigulana asiziva iintlungu ezibonakalayo, kwaye umbhobho wokukhupha amanzi awubekwa ixesha elide, ngesiqhelo kungabi ngaphezu kweveki.