Unyango lwamatye anzima amatye

Utyando lc, ubume be-bile duct bungaqhelekanga kwaye i-bile duct ijijekile. NgexeshaI-ERCPUkusebenza, iwire yesikhokelo "kulula ukuyibeka phantsi kodwa akukho lula ukunxiba" (kuyafuneka ngengozi), emva koko kwagqitywa ukunqanda iwire yeWire wire proplace.

I-mirmizz syndrome yi-anatomical engaqhelekanga ephoswa ngokulula kwaye ihoywa. Isifundo setyala: Emva kotyando lwe-LC, isigulana esinamatye esinxibisa amatye e-bile, ebangela iMirrizz syndrome. Amatye azange asuswe phantsi kwe-X-ray yokujonga. Ekugqibeleni, ingxaki yaconjululwa emva kokuxilongwa kwaye isuswe phantsi kombono ocacileyo nge-etemax.

· · KeI-ERCPI-bile duct duct yezigulana kwizigulana ze-gastric emva ko utyando lwe-BI Ngamanye amaxesha kuthatha ixesha elide (oko kufuna ubugcisa obuqinileyo) ukufikelela kwi-nipple, kwaye ukuba umsikhokelo awuzange ugcinwe kakuhle, unokuphuma ngokulula.

Iimeko ezithembisayo

I-Peripapillary Divertitylum idityaniswe namatye e-bile duct eqhelekileyo. Ubunzima ekusebenzeni ngeli xesha bukhona umngcipheko wokuphuculwa kwe-nipp kunye nokwandiswa. Lo mngcipheko mkhulu kwi-nipples kwi-diverticulum, kwaye umngcipheko weengono kufutshane ne-diverticulum incinci.

Ngeli xesha, kuyafuneka nokuqonda isidanga sokwandisa. Umgaqo jikelele wokukhula kukunciphisa umonakalo ofunekayo wokususa amatye. Umonakalo omncinci uthetha umngcipheko omncinci. Kule mihla, ukwandiswa kweBalloon (i-cre) ye-nipple ijikeleze i-diverrticula ngokubanzi isetyenziselwa ukuthintela i-EST.

Izigulana ezinesifo se-hematological, umsebenzi we-Cardiopulmonary ongenakunyamezelanaI-ERCP, okanye izifo ezidibeneyo ze-Spinal ezingenakukwazi ukunyamezela imeko yexesha elide i-ofisi ixesha elide kufuneka ithathelwe ingqalelo kwaye ihlolwe xa idibana namatye anzima.m

I-02 ye-psychology yokujongana "namatye anzima"

Ingqondo engalunganga Xa ejonge "amatye anzima": ukubawa kunye nempumelelo, ukungakhathali, ukusebenzisana kwangaphambili, njl.

Impumelelo kunye nothando lwempumelelo enkulu

Xa ujongene namatye e-bile, ngakumbi abo banamatye amaninzi, sihlala sifuna ukususa onke amatye. Olu luhlobo "lokubawa" kunye nempumelelo enkulu.

Ngapha koko, ichanekile ukuba ithathe yonke inyulu, kodwa isusa inyulu ngazo zonke iindleko "ifanelekile", engakhuselekanga kwaye iza kuzisa ubunzima kunye nobunzima obuninzi. Amatye e-bill duct agqitywa ngokupheleleyo ngokusekelwe kwimeko yesigulana. Kumatyala akhethekileyo, ityhubhu kufuneka ibekwe kuphela okanye isuswe kwiibatch.

Xa amatye amakhulu e-bile kunzima ukususa okwethutyana, "inokuqwalaselwa. Sukunyanzela ukususwa kwamatye amakhulu, kwaye ungazibeki kwimeko eyingozi kakhulu.

· · Adgest

Oko kukuthi, ukusebenza okungaboniyo ngaphandle kohlalutyo olubanzi kwaye uphando luhlala lukhokelela ekususweni kwamatye ukususwa. Ke ngoko, iimeko zamatye e-bile duct matye kufuneka avavanywe ngokupheleleyo ngaphambi koqhaqho, ahlolisise ngokufanelekileyo (efuna ukubanakhoI-ERCPOogqirha bafunda imifanekiso), ukwenza izigqibo ngononophelo kunye nezicwangciso ezingxamisekileyo kufuneka zenziwe ukukhusela ukususwa kwamatye.

II-ERCPIsicwangciso sokuCoca IziCwangciso kufuneka sibe nenzululwazi, injongo, sibanzi, kwaye siyakwazi ukumelana nohlalutyo kunye nokuqwalaselwa. Simele silandele umgaqo wokwandisa isibonelelo sobuguli kwaye singabi namsebenzi.

Ukudana

Amatye amancinci kwigumbi elingaphantsi le-bile duct kulula ukuyityeshela. Ukuba amatye amancinci adibane neengxaki zesakhiwo kwigumbi elingaphantsi le-bile duct kunye nekhukweni lwayo, kuya kuba nzima kakhulu ukulisusa ilitye.

I-ERCPUnyango lwamatye e-bile duct amatye anezinto ezininzi eziguquguqukayo kunye nemingcipheko ephezulu. Kunzima kwaye kunobungozi nje okanye nokuba ngaphezulu kweI-ERCPUnyango lwe-fuct dumors. Ke ngoko, ukuba awuyithathi lula, uya kuzishiya ngendlela efanelekileyo.

I-03Waw yokujongana "namatye anzima"

Xa udibana namatye anzima, uvavanyo olubanzi lwesigulana kufuneka lwenziwe, ukwanda okwaneleyo kufuneka kwenziwe, aIbhasikithi yokuphinda iphinde ibuyekufuneka ikhethwe kwaye i-lithotripter ilungisiwe, kwaye isicwangciso sonyango esakhelwe kwangaphambili kunye nesicwangciso sonyango kufuneka senziwe.

Enye enye into, i-pris kwaye i-Cons kufuneka ivavanywe ngokusekwe kwimeko yesigulana ngaphambi kokuba uqhubeke.

Ukufihlwa

Ubungakanani bomvundla busekwe kwimeko yelitye ekujoliswe kuyo kunye ne-bile duct. Ngokubanzi, incinci i-Inciaction + enkulu (ephakathi) isetyenziselwa ukwandisa ukuvulwa. Ngexesha le-Est, kuyimfuneko ukuphepha okukhulu ngaphandle nangakumbi ngaphakathi.

Xa ungenamava, kulula ukwenza into "enkulu ngaphandle kodwa incinci ngaphakathi kodwa incinci ngaphakathi", oko kukuthi, akukho bume ngaphakathi. Oku kuya kubangela ukuba ukususwa kwelitye ukusilela.

Xa usenza isimo sengqondo esisebenzayo, "isaphetha esingaphantsi komhlaba kunye nokuncitshiswa kancinci" kufuneka isetyenziselwe ukukhusela i-iPippe. Ukuchaphazeleka kufanele ukuba kukhawuleza njengento nganye. I-push akufuneki "ihlale" ngexesha lokuncitshiswa ukuthintela ukuphazamiseka kwe-NIPLE kunye ne-pancreatitis. .

Ukuvavanywa kokuvavanywa kwecandelo eliphantsi kunye nokuthumela kwelinye ilizwe

Amatye e-bile aqhelekileyo afuna ukuvavanywa kwecandelo elisezantsi kunye nekhuphela kwi-duct eqhelekileyo. Zombini ezi ndawo kufuneka zivavanywe. Ukudityaniswa kokumiswa komngcipheko kunye nobunzima benkqubo ye-nipple i-nipple.

I-Lithotripripy

Ngamatye amakhulu kakhulu kwaye anamatye amatye kunye namatye angakwazi ukuphenjwa kufuneka aphathwe nge-tithotriverter engxamisekileyo (i-tithotrictricter).

Amatye e-biile amatye anokutyhoboza iziqwenga, kwaye uninzi lwamatye anzima amatye anokuconjululwa ngale ndlela. Ukuba ifowuni ayinakukhutshwa emva kokubuyiswa, kwaye i-lithotripter ayinakukophula amatye, yinto "yokwenene". Ngeli xesha, i-Eyemey inokufuneka ngokuthe ngqo ukuba ifumanise ngqo kwaye iwele amatye.

Qaphela: Musa ukusebenzisa i-lithotripty kwicandelo elingaphantsi kunye nokuphuma kwe-bile eqhelekileyo. Sukusebenzisa iLithotripsty epheleleyo ngexesha leLithotripty, kodwa ishiye igumbi. I-Lithotripy eNgxamisekileyo inobungozi. Ngexesha likaxakeka, i-axis ye-Axis isenokungangqinelani ne-bile duct axis, kwaye uxinzelelo lunokuba lukhulu kakhulu ukuba lube selutho.

Ilitye eliyinyibilikayo

Ukuba ilitye likhulu kakhulu kwaye kunzima ukuyisusa, unokuqwalasela ukutshintshwa kwe-STTE-oko kukuthi, ukubeka iplastiki yeplastiki. Linda de ilitye lincitshiswe ngaphambi kokuba lisuse ilitye, ke amathuba empumelelo aya kuphakama kakhulu.

Amatye angenayo

Oogqirha abancinci abanamava amancinci kungcono ukuba bangasebenzisi unyango lwe-gososcopic yamatye e-intrahepatic bile. Ngenxa yokuba amatye kule ndawo ayinakukwazi ukubanjiswa okanye angabaleke kwaye athintele ukusebenza ngakumbi, indlela iyingozi kakhulu kwaye inqabile.

I-duct yamatye ekhayoyo idityaniswa ne-Peripapillary Diverticulum

Kuyimfuneko ukuvavanya umngcipheko kunye nokulindela ukwanda. Umngcipheko wokungafezeki okuphezulu, ngoku yindlela yokwandiswa kweBalloon ekhethiweyo. Ubungakanani bokwandiswa kufanele ukuba kwanele ukususa ilitye. Inkqubo yokwandiswa kufuneka icotha kwaye inyathelo ngenyathelo, kwaye akukho lwandiso lunobundlobongela okanye ukwanda kuvunyelwe. Isirinji sanda kuya. Ukuba kukho ukopha emva kokudinwa, impatho efanelekileyo iyafuneka.

Thina, iJiangxi Zhuoruhiuuuuuuuhui-biopsy godps,i-hemoclip,I-Polyp gorare,Inaliti ye-sclerotherapy,ukutshiza i-catheter,Ibrashi ye-cytology,isikhokelo,Ibhasikithi yokubuyisa ilitye,I-Nasal Biling Draheter Catheter catheter njl. ezisetyenziswe ngokubanzi ngaphakathiEms,Esd,I-ERCP. Iimveliso zethu kufuneka ziqinisekiswe, kwaye izityalo zethu ziqinisekisiwe. Impahla yethu ithunyelwe eYurophu, iMntla Melika, eMbindi Mpuma kunye nenxalenye yeAsia, kwaye ifumana umthengi wokuqonda kunye nokudumisa!