Ni ubuhe buryo bwo kuvura bushobora gukorwa binyuze mu rwego rwa ERCP?
Sphincterotomy
Sphincterotomy irimo guca imitsi ikikije gufungura imiyoboro, cyangwa papila.Iri gabanya ryakozwe kugirango ryagure gufungura.Gukata bikozwe mugihe umuganga wawe areba muri ERCP kurwego rwa papila, cyangwa gufungura imiyoboro.Umugozi muto kuri catheter kabuhariwe ukoresha amashanyarazi kugirango ugabanye tissue.Sphincterotomy ntabwo itera amahwemo, ntabwo ufite imitsi ihari.Igabanywa nyirizina ni rito, mubisanzwe munsi ya 1/2.Iri gabanya rito, cyangwa sphincterotomy, ryemerera kuvura bitandukanye mumiyoboro.Mubisanzwe gukata kwerekeza kumuyoboro wa bili, bita biliary sphincterotomy.Rimwe na rimwe, gukata byerekeza ku muyoboro wa pancreatic, bitewe n'ubwoko bw'imiti ukeneye.
Gukuraho Amabuye
Ubuvuzi bukunze gukoreshwa binyuze murwego rwa ERCP ni ugukuraho amabuye y'amazi.Aya mabuye ashobora kuba yarakozwe mu muhogo hanyuma akajya mu muyoboro wa bili cyangwa ashobora kwibumbira mu muyoboro ubwawo nyuma yimyaka myinshi ikuweho.Nyuma ya sphincterotomy ikozwe kugirango yongere ifungura umuyoboro wa bile, amabuye arashobora gukurwa mumiyoboro yinjira munda.Imipira itandukanye hamwe nuduseke bifatanye na catheters yihariye birashobora kunyuzwa murwego rwa ERCP mumiyoboro yemerera gukuramo amabuye.Amabuye manini cyane arashobora gusaba guhonyora mumiyoboro hamwe nigitebo cyihariye kugirango ibice bishobore gukururwa binyuze muri sphincterotomy.
Ikibanza
Stent zishyirwa mumiyoboro cyangwa mu miyoboro ya pancreatic kugirango irengere gukomera, cyangwa ibice bigabanijwe byumuyoboro.Ibi bice bigabanijwe byumuyaga cyangwa pancreatic umuyoboro biterwa nudusebe twinkovu cyangwa ibibyimba bitera guhagarika imiyoboro isanzwe.Hariho ubwoko bubiri bwa stent zikoreshwa cyane.Iya mbere ikozwe muri plastiki kandi isa nicyatsi gito.Ikibaho cya plastiki gishobora gusunikwa binyuze murwego rwa ERCP mumiyoboro ifunze kugirango amazi asanzwe.Ubwoko bwa kabiri bwa stent bukozwe mu nsinga zicyuma zisa ninsinga zambukiranya uruzitiro.Icyuma cyicyuma kiroroshye kandi amasoko afunguye kuri diametero nini kuruta plastike.Byombi bya plastiki nicyuma bikunda gufunga nyuma y amezi menshi kandi urashobora gusaba indi ERCP kugirango ushire stent nshya.Ibyuma byuma bihoraho mugihe ibyuma bya plastiki bivanwaho muburyo bworoshye.Muganga wawe azahitamo ubwoko bwiza bwa stent kubibazo byawe.
Ikirahure
Hano hari catheters ya ERCP yashyizwemo imipira yagutse ishobora gushyirwa ahantu hagufi cyangwa gukomera.Umupira wa ballon noneho urashiramo kugirango urambure kugabanuka.Kwiyongera hamwe na ballon akenshi bikorwa mugihe igitera kugabanuka ari cyiza (ntabwo ari kanseri).Nyuma yo kwaguka kwa ballon, stent yigihe gito irashobora gushyirwaho amezi make kugirango ifashe gukomeza kwaguka.
Gutoranya imyenda
Uburyo bumwe bukunze gukorwa binyuze murwego rwa ERCP nugufata ingero za tissue ziva muri papila cyangwa mumitsi cyangwa imiyoboro ya pancreatic.Hariho uburyo butandukanye bwo gutoranya nubwo ibisanzwe ari ugukaraba ahantu hamwe no gusuzuma nyuma ya selile zabonetse.Ingero z'inyama zirashobora gufasha kumenya niba gukomera, cyangwa kugabanuka, biterwa na kanseri.Niba icyitegererezo ari cyiza kuri kanseri nukuri.Kubwamahirwe, icyitegererezo cya tissue kitagaragaza kanseri ntigishobora kuba cyukuri.