Ndeapi marapirwo anogona kuitwa kuburikidza nechiyero cheERCP?
Sphincterotomy
Sphincterotomy (Sphincterotomy) kucheka tsandanyama yakatenderedza pakavhurika madhaivhi, kana kuti papilla.Kuchekwa uku kunoitwa kuti ukudze kuvhura.Kuchekwa kunoitwa apo chiremba wako anotarisa kuburikidza neERCP scope papilla, kana kuvhura duct.Waya diki pacatheter yakasarudzika inoshandisa magetsi kucheka nyama.A sphincterotomy haikonzeri kusagadzikana, iwe hauna magumo etsinga ipapo.Iyo chaiyo yekucheka idiki, kazhinji isingasviki 1/2 inch.Uku kuchekwa kudiki, kana sphincterotomy, kunobvumira kurapwa kwakasiyana-siyana mumadhamu.Kazhinji kazhinji kucheka kunonangidzirwa kune bile duct, inonzi biliary sphincterotomy.Dzimwe nguva, kucheka kunonangidzirwa kune pancreatic duct, zvichienderana nerudzi rwekurapa rwaunoda.
Kubvisa Matombo
Kunyanya kurapwa kuburikidza neERCP scope kubviswa kwebile duct matombo.Aya matombo anogona kunge akaumbwa mu gallbladder uye akafamba mu bile duct kana anogona kuumba mugero pachayo makore mushure mekunge gallbladder yako yabviswa.Mushure mekunge sphincterotomy yaitwa kuti iwedzere kuvhurwa kwebile duct, matombo anogona kudhonzwa kubva mugomba achipinda muura.Mabharumu akasiyana-siyana uye mabhasikiti akasungirirwa kune akasarudzika catheter anogona kupfuudzwa kuburikidza neERCP chiyero mumadhaidhi anobvumira kubviswa kwedombo.Matombo akakura kwazvo anogona kuda kupwanywa mugomba nebhasikiti rakasarudzika kuitira kuti zvidimbu zvikwanise kudhonzwa kuburikidza ne sphincterotomy.
Stent Placement
Stents anoiswa mubile kana pancreatic ducts kuti anyenyeredze matinji, kana akatetepa zvikamu zveiyo duct.Idzi nzvimbo dzakatetepa dze bile kana pancreatic duct imhaka yevanga matishu kana mabundu anokonzera kuvharika kweyakajairika duct drainage.Kune marudzi maviri emastents anowanzoshandiswa.Yekutanga yakagadzirwa nepurasitiki uye inoita senge diki diki.Plastic stent inogona kusundidzirwa kuburikidza neERCP scope kupinda mugwara rakavharika kuti ribvumire mvura yakajairika.Rudzi rwechipiri rwe stent rwakagadzirwa newaya dzesimbi dzinoita senge waya dzakachinjika dzefenzi.Iyo simbi stent inochinjika uye zvitubu zvakavhurika kune yakakura dhayamita kupfuura stents epurasitiki.Zvese zviri zviviri epurasitiki nesimbi stents zvinowanzovharika mushure memwedzi yakati wandei uye ungangoda imwe ERCP kuisa stent nyowani.Metal stents ndeyechigarire nepo mapurasitiki stents achibviswa zviri nyore pakudzokorora maitiro.Chiremba wako achasarudza yakanakisa mhando ye stent yedambudziko rako.
Balloon Dilation
Kune ERCP makateta akaiswa mabharumu anotsemuka anogona kuiswa munzvimbo yakamanikana kana kuomarara.Bharumu rinobva rafuridzirwa kuti ritambanudze kutetepa.Dilation nemabharumu kunowanzoitwa kana chikonzero chekudzikisa chisina kunaka (kwete kenza).Mushure mekuputika kwebharumu, stent yechinguva inogona kuiswa kwemwedzi mishoma kuti ibatsire kuchengetedza kuwedzera.
Tissue Sampling
Imwe nzira inowanzoitwa kuburikidza neERCP chiyero ndeyekutora sampuli dzematishu kubva papilla kana kubva bile kana pancreatic ducts.Kune akati wandei akasiyana sampling matekiniki kunyangwe anonyanya kuzivikanwa ndeyekukwesha nzvimbo nekuzotevera kuongororwa kwemasero akawanikwa.Tissue samples inogona kubatsira kusarudza kana kuomeswa, kana kutetepa, kuri nekuda kwegomarara.Kana sampuli iri positive yegomarara ndeyechokwadi.Nehurombo, sampling yetishu isingaratidze gomarara inogona kunge isiri iyo chaiyo.