Kurapwa kweanonetsa ercp matombo

· Bvumirano yeLC yekuvhiyiwa, chimiro cheBile Duct haina kujairika uye iyo Bile Duct yakamonyana. MunguvaErcpOperation, iyo WIDE YEMAHARA ndeye "nyore kuisa pasi asi isiri nyore kupfeka"

· Mchigezz syndrome is anatomical abnormality iyo inorasikirwa nyore nyore uye isina hanya. Nyaya yekudzidza: Mushure mekuvhiyiwa kweLC, murwere ane cytics duck matombo akamanikidza yakajairika bile duct, ichikonzera margirazz syndrome. Matombo aisakwanisa kubviswa pasi pe x-ray kucherechedzwa. Mukupedzisira, dambudziko rakagadziriswa mushure mekuongororwa uye kubvisa pasi zvakananga pachena neinemax.

·. ·ErcpBile Duct Dock Kubviswa muGastric Varwere Mushure meBi II Kuvhiya, kiyi ndeyekuti kusvika iyo nipple kuburikidza nechiyero. Dzimwe nguva zvinotora nguva yakareba (izvo zvinoda pfungwa dzakasimba) kuti dziregedze nipple, uye kana iyo yekutungamira isina kuchengetwa zvakanaka, inogona kubuda nyore nyore.

③Other mamiriro

Peripapallary Diverticulum yakasanganiswa neBile Duct Dock inozivikanwa. Iko kuoma mukuvhiya panguva ino ndiyo njodzi yeNipple Incision uye kuwedzera. Iyi njodzi yakakura kune nipples mukati meiyo diverticulum, uye njodzi yeNipples padhuze neDiverticulum idiki.

Panguva ino, zvinodikanwawo kuti unzwisise huwandu hwekuwedzera. Nheyo huru yekuwedzera ndeyekuderedza kukuvara kunodiwa kubvisa matombo. Kukuvara kudiki kunoreva njodzi diki. Mazuva ano, balloon kuwedzera (matende) yeiyo nipple yakatenderedza diverticula inowanzo shandiswa kudzivirira Est.

Varwere vane hematology hosha, Cardiopulmonary basa vasingakwanise kushiviriraErcp, kana matare emasangano ehupamhi asingakoshiviriri kwenguva refu kuruboshwe anofanirwa kutariswa uye kuongororwa kana kuongorora kana kusangana nematombo akaoma.m

02Tchology yekutarisana ne "matombo akaoma"

Pfungwa dzakaipa kana dzakatarisana ne "matombo akaoma": kukara uye kubudirira, kusava nehanya, kushanda-kwekuzvidza, nezvimwe.

· Kakora uye Kuda Kune Zvikuru Zvikuru

Patinosangana nematombo akabata, kunyanya avo vane mabwe mazhinji, isu tinogara tichida kubvisa matombo ese. Urwu ndirwo rudzi rwe "makaro" uye kubudirira kukuru.

Muchokwadi, iyo yakakodzera kutora iyo yakazara uye yakachena, asi kutora yakachena pamitengo yese ine "yakanaka", iyo isina kuchengetedzeka uye ichaunza matambudziko mazhinji uye matambudziko. Multiple bile duct matombo anofanirwa kuve akasarudzika akasarudza zvichienderana nemamiriro emurwere. Mune zviitiko zvakakosha, iyo tube inofanira kungoiswa kana kubviswa mumabheti.

Pakakura mabwe akakura matombo akaoma kubvisa kwenguva pfupi, "kutangira kushungurudzika" kunogona kutariswa. Usamanikidza kubviswa kwematombo makuru, uye usazviisa mumamiriro ezvinhu ane ngozi.

· Dzidziso

Ndokureva, kushanda kwemapofu hakuna kunyatsoongororwa uye kutsvagurudza kunowanzoendesa kukundikana kwemabwe kubvisa. Naizvozvo, nyaya dzeshuwa dule dzinofanirwa kuongororwa zvizere usati wavhiyiwa, dzaida kuongororwa (kuda kugona kweErcpVanachiremba kuverenga mifananidzo), kuronga kwekungwarira uye emergency kunofanirwa kuitwa kudzivirira kubviswa kwetemabwe.

The theErcpDombo rinonzwika kuronga rinofanira kunge riri resainzi, chinangwa, yakazara, uye kugona kutsungirira kuongororwa uye kufunga. Tinofanira kuomerera kune iyo nheyo yekukudza murwere yekubatsira uye kusava nekupokana.

· Orever

Matombo madiki ari muchikamu chezasi yeiyo bile duct ari nyore kufuratira. Kana matombo madiki anosangana nematambudziko ekuumbwa muchikamu chepazasi cheiyo bile duct uye kubuda kwayo, zvichave zvakaoma kwazvo kubvisa ibwe.

Ercpkurapwa kweBile dule matombo ane akawanda akasiyana uye akanyanya njodzi. Izvo zvakaoma uye zvine njodzi kunge kana kutokwira kupfuuraErcpkurapwa kweBile Duct Tumors. Naizvozvo, kana usingaitore zvishoma, iwe uchazvisiira nenzira yakakodzera yekutiza.

03Chikuita Sei Ne "Matombo Akaoma"

Paunenge uchisangana nematombo akaoma, kuongororwa kwakazara kwemurwere kunofanirwa kuitwa, kuwedzera kwakaringana kunofanirwa kuitwa, aDombo rinodzosera basketinofanira kusarudzwa uye lithotripter yakagadzirirwa, uye chirongwa chakasarudzika uye kuronga kurapwa kunofanirwa kugadzirwa.

Semamwe mikana, zvakanakira uye zvakakonzerwa zvinoongororwa zvichibva pamamiriro emurwere asati aenderera.

· Pekuvarurira kugadzirira

Saizi yekuvhura yakavakirwa pamamiriro ezvinhu edombo rinonongedza uye bile duct. Kazhinji, chidimbu chidiki + chikuru (chakapindirwa) dhalation inoshandiswa kuwedzera kuvhura. Munguva yeEst, zvakafanira kudzivirira yakakura kunze uye idiki mukati.

Paunenge usina ruzivo, zviri nyore kuita chiitiko chiri "chakakura kunze asi chidiki pane zviri mukati", kureva nipple inotaridzika kunge iri kunze, asi hapana chinongedzo mukati. Izvi zvinokonzeresa kubviswa kwembwe.

Paunenge uchiita est incision, "How How How Uta uye Sporth Incision" inofanira kushandiswa kudzivirira zipper incision. Iyo incision inofanira kunge iri nekukurumidza sekunzwa kwega kwega. Iyo banga haifanire "kugara ichiripo" panguva yekudzivirira kudzivirira kwekukanganisa uye kukonzeresa pancreatitis. .

· Macrocing kuongororwa kwechikamu chepasi uye kunze kwenyika

Commle bile duct matombo anoda kuongororwa kwechikamu chezasi uye kubuda kweiyo yakajairika bile duct. Masaiti ese ari maviri anofanirwa kuongororwa. Iko kusanganiswa kwezvese zvese zvinosarudza njodzi uye kuomerwa kweiyo nipple incision chiitiko.

· Erwgengence lithotripsy

Mbwe dzakakura uye dzakaomesesa nematombo ingagone kuve dhidi kuti ifanirwe kurapwa ne emergency wallhotter (emergency litzhotripter).

Bhiza rine mabwe anonamira anogona kuzorohwa kuita zvidimbu, uye mazhinji emabwe mazhinji akaomesesa choldereterol anogona kugadziriswa nenzira iyi. Kana chishandiso chisingakwanise kusunungurwa mushure mekudzoreredzwa, uye iyo lithotripter haigoni kutyora mabwe, chiri chaicho "kuoma". Panguva ino, azeyax inogona kunge ichidikanwa kuti uongorore zvakananga uye kubata matombo.

Ongorora: Usashandise Lithotshipy muchikamu chepasi uye kubuda kweiyo yakajairika bile duct. Usashandise iyo lithotshipy yakazara panguva yeLithotshipy, asi nzvimbo dzisiyanei. Emergency litHotripy ine njodzi. Munguva yekukurumidzira mafambiro, magumo axis anogona kunge asingaenderane neiyo bile duct axis, uye kusawirirana kungave kwakanyanya kukonzeresa.

· Stereling dombo rinopera

Kana ibwe racho rakakura uye rakaoma kubvisa, unogona kufunga nezve kutambanudzwa kukuru - ndiko kuti, kuisa tendero yepurasitiki. Mirira kusvikira ibwe richipfuura risati rabvisa ibwe, saka mukana wekubudirira uchave wakakwira kwazvo.

· Intrahepat Matombo

Vanachiremba vechidiki vane ruzivo zvishoma hazvina kunaka kuti varege kuita mabasa ekutora kweIntrahepatic Bile Duct Bile Duct Duct Bile Duct Bile Duct Bile Duct Bile Duct Bile Duct Bile Duct Matombo Dule. Nekuti mabwe ari munharaunda ino anogona kunge asiri kugona kubatwa kana kuti anganise zvakadzika uye kudzivirira kumwezve kushanda, mugwagwa une ngozi zvakanyanya uye kutetepa.

· Bile duct matombo akasanganiswa nePeripapallary Diverticulum

Izvo zvinodikanwa kuti uongorore njodzi uye kutarisira kwekuwedzera. Njodzi yekusagadzikana kwekusarongeka kwakakwirira, saka nzira yekuwedzera kwekuwedzera kwekuwedzera kwakanyanya kusarudzwa. Saizi yekuwedzera inofanira kunge yakakwana kubvisa ibwe. Maitiro ekuwedzera anofanirwa kuve anononoka uye nhanho nhanho, uye hapana kuwedzera kwechisimba kana kuwedzera kunotenderwa. Syringe inowedzera pakuda. Kana paine kubuda ropa mushure mekudya, kurapwa kwakakodzera kunodiwa.

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