Kuvura amabuye ya ercp

· Nyuma yaho, LC yabaga, imiterere yimiyoboro y'ibinini ni idasanzwe kandi ibibyimba bigoramye. Mu giheErcpIgikorwa, insinga yo kuyobora "yoroshye gushira hasi ariko ntabwo yoroshye gushira" (igwa kubwimpanuka nyuma yo kuzamuka), bityo rero, rero rero, rero rero, rero rero, rero rero, rero rero, rero rero, rero rero, rero rero, bityo rero rero, rero rero, bityo rero rero, bityo rero rero, bityo rero rero, rero rero, rero rero, rero rero, rero rero, rero rero.

· Mirizz syndrome ni anatomique idasanzwe yabuze byoroshye kandi yirengagizwa. Kwiga Ikibazo: Nyuma yo kubaga LC, umurwayi ufite umuyoboro wumuyoboro wa cycstic yafunzwe urutoki rusanzwe, bigatuma syndrome ya Mirririzz. Amabuye ntiyashoboraga gukurwaho munsi ya x-ray. Amaherezo, ikibazo cyakemuwe nyuma yo gusuzuma no gukuraho mubyerekezo bitaziguye na eyemax.

· KuriErcpIbirwango by'ibisimba bikuraho amabuye y'abarwayi b'isi nyuma ya BI II II II kubaga, urufunguzo ni ukugera kuri asple binyuze mu rwego. Rimwe na rimwe, bisaba igihe kirekire (bisaba imitekerereze ikomeye) kugera kuri niple, kandi niba umuyobozi utarangwa neza, irashobora gusohoka.

Ibihe

PeripIpIpillary DiverticUlum yahujije hamwe namabuye ya bale ducy birasanzwe. Ingorane mubikorwa muriki gihe nizo ngaruka zo gutemekwa no kwaguka. Iyi mbaraga nini cyane yo gusambira muri Diverticulum, hamwe ningaruka zo gusambira hafi ya Diverticulum ni nto.

Muri iki gihe, birakenewe kandi gusobanukirwa nurwego rwo kwaguka. Ihame risanzwe ryo kwaguka ni ukugabanya ibyangiritse kugirango dukure amabuye. Ibyangiritse bito bisobanura ingaruka nto. Muri iki gihe, kwaguka kwa ballon (ccre) yo gushumba hafi ya diverticula muri rusange ikoreshwa mukwirinda est.

Abarwayi bafite indwara zidahwitse, umurimo wa Cardiopulmon udashobora kwihanganiraErcp, cyangwa indwara zifatika zifatika zidashobora kwihanganira umwanya muremure wasigaye ugomba kwishyurwa no gusuzuma mugihe uhuye namabuye atoroshye.m

02To psychologiya yo guhangana n "" amabuye atoroshye "

Imitekerereze itari yo iyo ihuye n '"amabuye atoroshye": Umururumba no gutsinda, uburangare, agasuzuguro, agasuzuguro mbere, nibindi.

· Umururumba n'urukundo kubintu bikomeye

Iyo uhuye namabuye yintoki, cyane cyane abafite amabuye menshi, burigihe dushaka gukuraho amabuye yose. Ubu ni ubwoko bwa "umururumba" no gutsinda cyane.

Mubyukuri, ni byiza gufata byose no kwera, ariko gufata neza uko byanze bikunze ni "byiza", bidafite umutekano, bitameze neza kandi bizazana ingorane nyinshi ningorane. Amabuye menshi yintoki agomba kumvikana akurikije uko umurwayi ameze. Mubihe byihariye, umuyoboro ugomba gushyirwaho gusa cyangwa gukurwaho mubyiciro.

Iyo amabuye manini yuzuye bigoye kuvana by'agateganyo, "gusebanya" birashobora gusuzumwa. Ntugahatire gukuraho amabuye manini, kandi ntukishyire mubihe bibi cyane.

· Bitoroshye

Ni ukuvuga, imikorere ihumye idafite isesengura nubushakashatsi akenshi biganisha ku gutsindwa kwibuye. Kubwibyo, ibibazo byamabuye yigituba bigomba gusuzumwa neza mbere yo kubagwa, byasuzumwe neza (bisaba ubushobozi bwaErcpAbaganga gusoma amashusho), gahunda yo gufata ibyemezo yitondeye gufata ibyemezo igomba gukorwa kugirango ikumire hasi itunguranye.

TheErcpGahunda yo gukuramo amabuye igomba kuba ifite ubumenyi, intego, yuzuye, kandi irashobora kwihanganira isesengura no kwitabwaho. Tugomba gukurikiza ihame ryo kunesha inyungu no kutabikora uko bishakiye.

· Gusuzugura

Amabuye mato mugice cyo hepfo yigihangano cyoroshye kwirengagiza. Niba amabuye mato yahuye nibibazo byubaka mugice cyo hepfo yigituba nigiti cyacyo, bizaba bigoye cyane kuvana ibuye.

ErcpKuvura amabuye yintoki afite impinduka nyinshi ningaruka nyinshi. Biragoye kandi bishobora guteza akaga cyangwa birenze hejuru kurutaErcpKuvura ibibyimba binini. Kubwibyo, niba utabifashe neza, uzakomeza inzira ikwiye yo guhunga.

03Ni gute guhangana n "amabuye atoroshye"

Mugihe uhuye namabuye atoroshye, isuzuma ryuzuye ryumurwayi rigomba gukorwa, kwaguka bihagije bigomba gukorwa, aIgitebo cya Restarbigomba gutoranywa hamwe na lithotritter yateguwe, hamwe na gahunda yabanjirije gahunda hamwe na gahunda yo kuvura bigomba gukorwa.

Nkibindi, ibyiza nibibi bigomba gusuzumwa hashingiwe kumiterere yumurwayi mbere yo gukomeza.

Gutunganya

Ingano yo gufungura ishingiye kumiterere yibuye ryagenewe na bacle. Mubisanzwe, gucika intege + kwaguka (hagati) bikoreshwa mugukangura. Muri Est, birakenewe kwirinda binini hanze na nto imbere.

Iyo udafite uburambe, biroroshye gukora "binini hanze ariko ni bito imbere", ni ukuvuga, nicle isa nini hanze, ariko ntaho gisuzuguro. Ibi bizatuma habaho gukuraho ibuye.

Iyo ukora ibiteregure, "umuheto ukinga kandi utontoma" bigomba gukoreshwa mu gukumira bipper. Gutemagurika bigomba kuba byihuse nka buri gitereko. Icyuma ntigikwiye "kuguma" mugihe cyo guhagarika kwivanga nipite. .

Isuzuma ryigice cyo hasi no kohereza hanze

Amabuye asanzwe yigitugu asaba gusuzuma igice cyo hasi no hanze yumuyoboro usanzwe. Imbuga zombi zigomba gusuzumwa. Guhuza byombi bigena ingaruka ningorabahizi mugihe cyipimisha.

· Kwihutirwa Lithotripsy

Birarenze amabuye manini kandi ikomeye namabuye adashobora gukekwa gukenera gufatwa hamwe na lithotrinter yihutirwa (litthotritter yihariye).

Amabuye yipimi nini arashobora gucikamo ibice, kandi amabuye menshi ya cholesterol irashobora kandi gukemurwa muri ubu buryo. Niba igikoresho kidashobora kurekurwa nyuma yo kugarura, kandi lathotriter ntishobora kumena amabuye, ni "ingorane". Muri iki gihe, Eyemax irashobora gukenerwa kugirango asuzumwe kandi afate amabuye.

Icyitonderwa: Ntukoreshe Lithotripsy mugice cyo hasi hanyuma usohoke mu muyoboro rusange. Ntukoreshe Lithotripsy yuzuye mugihe cya LITHOTRIPSY, ariko usige umwanya. LILTRI byihutirwa ni akaga. Mugihe cyihutirwa Lithotripsy, axis yanyuma irashobora kuba idahuye nintoki zipimye, kandi impagarara zirashobora kuba nini cyane kuburyo idatera imbaraga.

· Stent ibuye

Niba ibuye rinini cyane kandi rigoye kuyikuraho, urashobora gutekereza gusenywa kwatewe - ni ukuvuga gushyira stent plastiki. Tegereza kugeza amabuye agabanuka mbere yo gukuraho ibuye, noneho amahirwe yo gutsinda azaba menshi cyane.

· Amabuye

Abasore bakiri bato bafite uburambe buke nibyiza kudakora motoscopic kuvura amabuye ya artrapatique. Kuberako amabuye yo muri kano karere adashobora gufatwa cyangwa ashobora kwiyongera no gukumira izindi nzego, umuhanda ni akaga kandi gafunganye.

· Imiyoboro ya pisine yahujwe na peripugullary diverticulum

Birakenewe gusuzuma ingaruka no gutegereza kwaguka. Ibyago bya est Extration ni hejuru cyane, kuburyo rero uburyo bwo kwagura ballon bwatoranijwe ahanini. Ingano yo kwagura igomba kuba ihagije kugirango ikureho ibuye. Inzira yo kwagura igomba gutinda no gutera intambwe ku yindi, kandi nta kwagura burundu cyangwa kwaguka byemewe. Syringe yagutse aho azabikora. Niba hari amaraso nyuma yo kwaguka, birasabwa kuvurwa bikwiye.

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