Indima ye-ERCP ye-nasobiliary drainage

I-ERCP lukhetho lokuqala lokunyanga amatye e-bile duct.Emva kokunyanga, oogqirha bahlala bebeka i-nasobiliary drainage tube.Ityhubhu ye-nasobiliary drainage ilingana nokubeka enye isiphelo setyhubhu yeplastiki kwi-bile duct kunye nesinye isiphelo kwi-duodenum., Isisu, umlomo, ukuphuma kwekhala ukuya emzimbeni, injongo ephambili kukukhupha i-bile.Kuba emva kotyando kwi-bile duct, i-edema inokuthi yenzeke kumzantsi we-bile duct, kubandakanywa nokuvulwa kwe-duodenal papilla, okuya kukhokelela ekuphumeni kwe-bile, kunye ne-acute cholangitis iya kwenzeka xa i-bile drainage ingekho kakuhle.Injongo yokubeka i-nasobiliary duct kukuqinisekisa ukuba i-bile inokuphuma xa kukho i-edema kufuphi nenxeba lotyando ngexesha elifutshane emva kokusebenza, ukwenzela ukuba i-postoperative acute cholangitis ayiyi kwenzeka.Olunye usebenziso kukuba isigulane sine-cholangitis ebukhali.Kule meko, umngcipheko wokuthatha amatye kwinqanaba elinye liphezulu.Oogqirha bahlala bebeka ityhubhu ye-nasobiliary drainage kumjelo wenyongo ukukhupha inyongo emdaka eyosulelekileyo, njl.njl. Ukususwa kwamatye emva kokuba inyongo isusiwe okanye usulelo luchacha ngokupheleleyo kwenza inkqubo ikhuseleke kwaye isigulane sichacha ngokukhawuleza.Umbhobho wokukhupha amanzi uncinci kakhulu, isigulane asiva intlungu ecacileyo, kwaye ityhubhu yokukhupha amanzi ayifakwanga ixesha elide, ngokuqhelekileyo ingabi ngaphezu kweveki.