Inoraswa sphincterome | Iyo Hukuru "Chombo" cheEndoscopist

Kushandiswa kwesphinctetoromein Ercp

Pane maviri makuru ekushandisa esphinctetoromeMukurevaErcp:

1

Iyo yekubatwa-yakabatsirwa incabation pano inonyanya kuratidzwa mu "uta" uye "kuomarara" kwesphinctetorome. Mukuwedzera, kana yakagadzirirwa neyekukutu nipplesphinctetorome, ine marudzi mazhinji-anotungamira kudzora senge "kumusoro, pasi, kuruboshwe, uye kurudyi". Kugona, kunogona "kuratidza kure" kana uchibatsiraKutungamiraintubation.

2. Cheka iyo duodenal papeji sphincter yekuwedzera kuvhura kwayo kuzadzisa kurapwa kwakazotevera kwakadaro sekubviswa kwemabwe anozivikanwa.

Kushandiswa kwesphinctetoromePano inonyanya kuve nekuruma iyo bile duct sphincter, iyo, iyo chikamu chemukati cheiyo sphincter's sphincter, saka kureba uye saizi yechiitiko yakakodzera kudzivisa kurapwa uye kusangana nekureba kwekubvisa kwemabwe.

Zvigadzirwa Zvigadzirwa

1. Banga rakaumbwa rakaumbwa, rinozivikanwa se "banga banga", zvakare rakanyanya kushandiswasphinctetorome. Dhizaini yeArc yakaumbwa nekukwevera waya inogadzira iyo kona uye munda wekutarisa girazi girazi (duodenoscope) kana uchinhuhwirira uye pancreattic ducts. Panguva imwecheteyo, kona yeuta inogadziridzwa nekukwevera saizi yeuta, nekudaro ichinoshandura nzira yekutsvaga. Izvi zvinogonesa chiremba anoshanda kuti agadzirise kutungamira kwesphinctetoromekune yakafanorongerwa 11 oiri.

2. Banga rakaumbwa-rakaumbwa, rinozivikanwa se "sindonle banga". Iyo yakakosha yekuwedzera kana uchishandisa arcuatesphinctetoromekiriniki. Pepa renyama rakachinjika-rakacheneswa sere-kunge waya, iyo isingangoita basa rekubira, asi zvakare ine kuoma kunodiwa kuti isictirocution uye "kucheka". Parizvino, banga retsono rinonyanya kushandiswa mune pre-incision yekubatsira mune intubation maitiro ematombo ekusungwa uye akaoma nipple intubation.

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