ERCP Aaladda Saddex-jibbista LAMBARKA ISTICMAALKA KELIYA ISTICMAALKA SUNTERTOTOME EE ISTICMAALKA ENOSCOPIC
ERCP Aaladda Saddex-jibbista LAMBARKA ISTICMAALKA KELIYA ISTICMAALKA SUNTERTOTOME EE ISTICMAALKA ENOSCOPIC
Isticmaal
SPHINCTOTOTOMOWED Waxaa loo isticmaalaa cananka cananka canalka nidaamka korantada iyo sphincterotomi.
Moodel: Triple Outer Bent Offreter: Dhex-dhexaadka ah
Cabirrada ugu weyn ee loo yaqaan 'sphinpeterotome'
1. Dhexroor
Dhexroorrada sphinterotome-ka guud ahaan waa 6fr, oo qaybta apex waxaa si tartiib tartiib ah loo dhimay 4-4.5fr. Dhexroorkii Sprincterotome-ka uma baahna feejignaan badan, laakiin waa la fahmi karaa iyadoo la isku darey dhexroorkii loo yaqaan 'sphinterotome' iyo tahriibka shaqada ee endoscope-ka. Silig kale oo hagitaan ah ayaa la gudbin karaa halka sphinterotome la dhigo.
2. Dhexdeeda godka
Dhererka dabka wuxuu u baahan yahay in loo fiirsado, guud ahaan 20-30 mm. Dhererka siligga hagaha ayaa go'aamisa xagal arc ee mindida ARC iyo dhererka xoogga inta lagu jiro meesha la qalay. Sidaa darteed, siligyada dheer ee mindida, oo ku dhow "xagasha" ee ARC waxay u tahay jihada jirka ee ka mid ah jimicsiga jirka ee maqaarka, kaas oo laga yaabo inay si sahlan tahay in si guul leh loo helo. Isla mar ahaantaana, fiilooyin aad u dheer fiilooyin aad u dheer ayaa sababi kara in lagu khaldamo sphincter-ka iyo qaabdhismeedka ku xeeran, taasoo dhalisay dhibaatooyin daran sida darida, sidaa darteedna waxaa jira "mindi smart" oo buuxiya baahiyaha amniga inta ay la kulmayaan dhererka.
3. Aqoonsiga sphinneterotome
Aqoonsiga SPHINCTOTOME waa gabal aad u muhiim ah, badiyaa si loo fududeeyo hawlwadeenka si loo fududeeyo loona aqoonsado booska sphinneterostome inta lagu gudajiro qalliinka hoosaadka iyo muhiimka ah, iyo in la muujiyo booska guud iyo meesha lagu jeexay. Guud ahaan, waxaa dhowr jagooyin ah sida "Bilow", "Bilow" "," 1/4 "ee Sphingterostome waa la calaamadayn doonaa, kaas oo ah tii ugu horreysay ee mindida caqliga leh ay yihiin kuwo nabdoon, inta badan la isticmaalo. Intaa waxaa sii dheer, calaamadaha madadaalada ee sphinterotome waa radiopaque. Marka loo eego kormeerka raajada, booska qaraabada ee sphinterotome ee sphincter-ka ayaa si fiican loo fahmi karaa. Sidan, oo lagu daray dhererka mindi laga soo ifbaxay hoosta aragtida tooska ah, waxaa suurtagal ah in la ogaado in mindida si badbaado leh u fulin karto meesha la jeexay ee Sphincterter. Si kastaba ha noqotee, shirkad kastaa waxay leedahay caadooyin logo oo kala duwan oo ku jirta soosaarka astaamaha, kaas oo u baahan in la fahmo.
