Sphincterotome inoraswa | "Chombo" chinobatsira chevanoongorora masero emuviri

Kushandiswa kwesphincterotomein ERCP

Kune mashandisirwo maviri makuru esphincterotomemukurapaERCP:

1. Wedzera duodenal papilla sphincter kuti ubatsire chiremba kuisa catheter muduodenal papilla achitungamirirwa newaya yekufambisa.

Kupinza kwepachubhu kunobatsirwa nekucheka kunoonekwa zvakanyanya mu "uta" uye "kusimba" kwesphincterotomePamusoro pezvo, kana yakashongedzerwa nezamu rinotendererasphincterotome, ine kudzora kwakanangana kwakasiyana-siyana senge "kumusoro, pasi, kuruboshwe, uye kurudyi". Kugona, kunogona "kuratidzwa" pakubatsirawaya yekufambisakupinza machubhu.

2. Cheka duodenal papilla sphincter kuti ikure mukana wayo kuti ikwanise kurapwa kwakadai sekubviswa kwematombo emudumbu.

Kushandiswa kwesphincterotomePano chinonyanya kukosha ndechekucheka duct sphincter, kureva chikamu chemukati chemadziro e duodenal eOddi's sphincter, saka kureba nehukuru hwekucheka kwakakodzera kudzivirira kubooka uye kusangana nekurapwa kwakadai sekubviswa kwematombo.

Zvikamu zvezvigadzirwa

1. Banga rakaita seri kwegumbo, rinozivikanwawo se "banga reuta", ndiro rinonyanya kushandiswasphincterotome. Dhizaini yearc inoumbwa nekudhonza waya inogadzirisa kona nenzvimbo yekuona kwegirazi repadivi (duodenoscope) painopinza bile nepancreatic ducts. Panguva imwe chete, kona yebow inogadziriswa nekudhonza saizi yebow, nokudaro ichichinja nzira yekucheka. Izvi zvinogonesa chiremba ari kuvhiya kudzora zvakanaka nzira yebow.sphincterotomekusvika kumaawa gumi nerimwe akatarwa.

2. Banga rakaita setsono, rinozivikanwawo se "banga retsono". Chinhu chakakosha pakushandisa arcuatesphincterotomemukurapa. Musoro webanga rakaita setsono iwaya yakaita setsono, iyo isingangove nebasa rekuboora chete, asiwo ine simba rinodiwa pakucheka nemagetsi uye "kucheka". Parizvino, banga retsono rinonyanya kushandiswa pakucheka usati wachekwa kuti ribatsire mukuisa matubhu e ...

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