Te maimoatanga o ngā kōhatu ERCP uaua

·I muri i te pokanga LC, he rerekē te hanganga o te awaawa au, ā, ka piko te awaawa au. I te wāERCPI te wā e whakamahia ana, he "ngāwari te whakatakoto i te waea ārahi engari ehara i te mea ngāwari ki te mau" (ka taka noa iho i muri i te pikinga ake), nō reira, ina oti te whakatakoto i te waea ārahi, me pupuri tonu kia kore ai e pakaru te waea ārahi, e taka rānei ki waho o te awa au.

·He āhuatanga rerekē o te tinana te mate Mirizz e ngāwari ana te ngaro me te kore e arohia. He rangahau take: Whai muri i te pokanga LC, i pēhia e te tūroro he kōhatu o te awa cystic te awa bile noa, ā, ka puta te mate Mirrizz. Kāore i taea te tango i ngā kōhatu i raro i te tirotiro hihi-X. I te mutunga, i whakatauhia te raruraru i muri i te tātaritanga me te tango i raro i te tirohanga tika me te eyeMAX.

·MōERCPHei tango i ngā kōhatu o te awaawa o te ate i roto i ngā tūroro puku i muri i te pokanga Bi II, ko te mea nui ko te toro atu ki te uma mā te tirohanga whānui. I ētahi wā ka roa te wā (e hiahiatia ana he hinengaro pakari) kia tae atu ki te uma, ā, ki te kore e tiakina pai te waea ārahi, ka ngāwari te puta mai.

③Ētahi atu āhuatanga

He mea noa te hononga o te diverticulum peripapillary me ngā kōhatu o te awa wai. Ko te uauatanga o te mahi i tēnei wā ko te mōrearea o te tapahi me te whaanui o te uma. Ko tēnei mōrearea nui rawa atu mō ngā uma i roto i te diverticulum, ā, he iti ake te mōrearea mō ngā uma e tata ana ki te diverticulum.

I tēnei wā, he mea tika hoki kia mārama ki te nui o te whānui. Ko te kaupapa whānui o te whānui ko te whakaiti i te kino e hiahiatia ana hei tango i ngā kōhatu. Ko te iti o te kino he iti ake ngā mōrearea. I ēnei rā, ko te whānui o te poihau (CRE) o te uma huri noa i te diverticula te mea e whakamahia whānuitia ana hei karo i te EST.

Ngā tūroro e mate ana i te toto, te mahi manawa me te manawa kāore e taea te aro atu ki teERCP, me aro atu ki ngā mate hononga tuaiwi kāore e taea te manawanui ki te takoto roa ki maui, ā, me arotake hoki ina tūtaki ki ngā kōhatu uaua.

02 Te hinengaro o te aro atu ki ngā "kōhatu uaua"

Te hinengaro hē ina tūtaki ana ki ngā "kōhatu uaua": te apo me te angitu, te mangere, te whakahawea i mua i te pokanga, me ētahi atu.

· Te apo me te aroha ki ngā whakatutukitanga nunui

Ina pāngia tātou e ngā kōhatu o te awaawa o te ate, inā koa ko ērā he maha ngā kōhatu, me whakakore tonu e tātou ngā kōhatu katoa. He momo "apo" tēnei, ā, he angitu nui.

Ina hoki, he tika te tango i te katoa me te parakore, engari he "pai rawa te tango i te parakore ahakoa te aha", he mea kore haumaru, ā, ka nui ngā uauatanga me ngā uauatanga ka pā mai. Me whakatau whānuitia te maha o ngā kōhatu o te awa au i runga i te āhua o te tūroro. I ētahi wā motuhake, me whakanoho, me tango rānei te ngongo i roto i ngā puranga anake.

Ina he uaua te tango i ngā kōhatu nunui o te awa au i te wā poto, ka taea te whakaaro ki te "whakakorenga o te stent". Kaua e akiaki i te tango i ngā kōhatu nunui, ā, kaua hoki e waiho koe ki tētahi āhuatanga tino morearea.

·whakaarokore

Arā, ko te pokanga matapo me te kore he tātaritanga whānui me te rangahau ka arahi pea ki te korenga o te tango kohatu. Nō reira, me tirotirohia katoatia ngā take o ngā kohatu o te awaawa o te ate i mua i te pokanga, me te arotake i runga i te whakaaro (me whai kaha ki teERCP(me pānui ngā tākuta i ngā pikitia), me āta whakatau me te whakarite mahere mō ngā āhuatanga ohorere hei ārai i te tango ohorere o ngā kōhatu.

TeERCPMe pūtaiao, me whai whakaaro, me whānui te mahere tango kōhatu, ā, me tu atu ki te tātari me te whakaaroaro. Me piri tātou ki te mātāpono o te whakanui ake i ngā painga mō te tūroro, kaua e tūpono noa.

·whakahāwea

He ngāwari te kore aro ki ngā kōhatu ririki i te pito o raro o te awaawa au. Mēnā ka pāngia ngā kōhatu ririki e ngā raruraru hanganga i te pito o raro o te awaawa au me tōna putanga, ka tino uaua ki te tango i te kōhatu.

ERCPHe maha ngā āhuatanga rerekē o te maimoatanga mō ngā kōhatu o te awa ate, ā, he nui hoki ngā mōrearea. He uaua, he mōrearea hoki, he rite tonu ki te uaua, he teitei ake rānei i teERCPhe rongoā mō ngā pukupuku o te awaawa au. Nō reira, ki te kore koe e whakaaro noa, ka waiho e koe he ara mawhiti tika māu.

03Me pēhea te whakatau i ngā "kōhatu uaua"

Ina kitea he kōhatu uaua, me whakahaere he aromatawai whānui mō te tūroro, me whakawhānui ake, me tekete whakahoki kohatume whiriwhiri, ka whakaritea he lithotripter, ā, me hoahoa hoki he mahere kua oti te hanga me te mahere maimoatanga.

Hei huarahi kē atu, me arotake ngā painga me ngā huakore i runga i te āhua o te tūroro i mua i te haere tonu.

·Te tukatuka whakatuwheratanga

Ko te rahi o te pūaha e hangai ana ki te āhua o te kōhatu me te awaawa au. Ko te tikanga, ka whakamahia te tapahi iti me te whakawhanui nui (waenga) hei whakawhanui i te pūaha. I te wā o te EST, me karo te nui o waho me te iti o roto.

Ki te kore koe e mātau, he māmā noa te tapahi i tētahi mea "nui ki waho, iti ki roto", arā, he nui te āhua o te uma ki waho, engari kāore he tapahi ki roto. Mā tēnei ka kore e taea te tango i te kōhatu.

I te wā e tapahia ana te EST, me whakamahi te "piko papaku me te tapahi puhoi" hei ārai i te tapahi i te reti. Me tere te tapahi i ia tapahi. Kaua te maripi e "noho pūmau" i te wā e tapahia ana hei ārai i te pokanoa o te uma, me te mate pāwera.

·Te aromatawai tukatuka i te wāhanga o raro me te kaweake

Me arotake te wāhanga o raro me te putanga o te awaawa o te awaawa o te awaawa o te awaawa. Me arotake ngā wāhi e rua. Ko te whakakotahitanga o ngā mea e rua ka whakatau i te mōrearea me te uauatanga o te tapahi i te uma.

·Te lithotripsy ohorere

Ko ngā kōhatu nunui rawa, mārō rawa, me ngā kōhatu kāore e taea te tango i ngā karapu, me rongoā ki te lithotripter ohorere (lithotripter ohorere).

Ka taea te wawahi i ngā kōhatu waikura o te ate kia mongamonga noa, ā, ko te nuinga o ngā kōhatu cholesterol mārō ka taea hoki te whakaoti mā tēnei ara. Mēnā kāore e taea te tuku i te taputapu i muri i te tikinga mai, ā, kāore e taea e te lithotripter te wawahi i ngā kōhatu, he "uaua" tino nui. I tēnei wā, tera pea ka hiahiatia te eyeMAX hei tātaritanga tika me te rongoā i ngā kōhatu.

Kia mōhio: Kaua e whakamahia te lithotripsy ki te wāhanga o raro me te putanga o te awaawa aukume noa. Kaua e whakamahia te lithotripsy ki te katoa i te wā o te lithotripsy, engari waiho he wāhi mōna. He morearea te lithotripsy ohorere. I te wā o te lithotripsy ohorere, tera pea ka rerekē te tuaka pito ki te tuaka awaawa aukume, ā, tera pea ka nui rawa te taumahatanga ka kore e puta he poka.

·Kohatu whakarewa stent

Mena he nui rawa te kōhatu, ā, he uaua ki te tango, ka taea e koe te whakaaro ki te whakarewa i te stent - arā, te whakatakoto i te stent kirihou. Taria kia mimiti te kōhatu i mua i te tango i te kōhatu, kātahi ka tino teitei te tūponotanga ka angitu.

· Ngā kōhatu i roto i te ate

He pai ake ki ngā tākuta taitamariki kāore i te tino mātau ki te mahi i te maimoatanga endoscopic o ngā kōhatu o te awaawa o roto o te ate. Nā te mea kāore pea e taea te mau i ngā kōhatu o tēnei wāhi, ka hohonu ake rānei, ā, ka ārai i te mahi anō, he tino morearea, he whaiti hoki te huarahi.

·Ngā kōhatu o te awa au e honoa ana ki te diverticulum peripapillary

Me arotake te mōrearea me te tumanako o te whānui. He tino teitei te mōrearea o te poka EST, nō reira i tēnei wā ko te tikanga whānui poihau te mea e whiriwhiria ana. Me nui te rahi o te whānui hei tango i te kōhatu. Me puhoi te tukanga whānui, ā, me mahi i ia taahiraa, ā, kaua e whakaaetia te whānui kaha, te whānui rānei. Ka whānui te ngira i te wā e hiahiatia ana. Mena he toto kei muri i te whānui, me tika te maimoatanga.

Ko mātou, ko Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., he kaihanga i Haina e tohunga ana ki ngā taonga endoscopic, pērā i tengā kukupa koiora,hemoclip,mahanga poripi,ngira whakaora kiriuhi,pūwero rehu,paraihe cytology,waea ārahi,kete tiki kohatu,te katitere rerenga wai ihu me ētahi atue whakamahia whānuitia ana i roto iEMR,ESD,ERCPKua whai tiwhikete CE ā mātou hua, ā, kua whai tiwhikete ISO ā mātou whare hanga. Kua kaweakehia ā mātou taonga ki Ūropi, Amerika Te Raki, Te Rawhiti o Waenganui me tētahi wāhanga o Āhia, ā, kua whānuitia te mihi me te whakamoemiti a te kiritaki!