Te mahi a te ERCP i roto i te ngongo nasobiliary

Ko te ERCP te whiringa tuatahi mō te rongoā i ngā kōhatu o te awaawa o te ate. I muri i te rongoā, ka whakatakotoria e ngā tākuta he ngongo waikeri nasobiliary. Ko te ngongo waikeri nasobiliary he rite ki te whakatakoto i tetahi pito o te ngongo kirihou ki roto i te awaawa o te ate, ā, ko tetahi pito mā roto i te duodenum. , Ko te rerenga o te puku, te waha, me te ihu ki te tinana, ko te kaupapa matua ko te tango i te ate. Nā te mea i muri i te pokanga i roto i te awaawa o te ate, ka puta pea te pupuhi i te pito o raro o te awaawa o te ate, tae atu ki te whakatuwheratanga o te papilla duodenal, ka arahi ki te rerenga koretake o te ate, ā, ka puta te cholangitis acute ina koretake te rerenga o te ate. Ko te kaupapa o te whakatakoto i te awaawa o te ate kia taea ai te rere o te ate i waho ina he pupuhi tata ki te patunga pokanga i roto i te wā poto i muri i te pokanga, kia kore ai e puta te cholangitis acute postoperative. Ko tētahi atu whakamahinga ko te mate cholangitis acute o te tūroro. I tēnei take, he nui te mōrearea o te tango kōhatu i te wā kotahi. He maha ngā wā ka whakatakotoria e ngā tākuta he ngongo waikeri i roto i te awaawa o te ate hei tango i te ate paru kua pangia, me ērā atu mea. Mā te tango i ngā kōhatu i muri i te whakakorenga o te ate, i te ora katoa rānei o te mate, ka haumaru ake te mahi, ā, ka tere ake te ora o te tūroro. He tino angiangi te ngongo waikeri, kāore te tūroro e rongo i te mamae mārama, ā, kāore te ngongo waikeri e whakatakotoria mō te wā roa, kāore i te neke atu i te wiki te nuinga o te wā.