ʻO ke kuleana o ka ERCP nasobiliary drainage

ʻO ERCP ka koho mua no ka mālama ʻana i nā pōhaku ʻawaʻawa bile.Ma hope o ka mālama ʻana, kau pinepine nā kauka i kahi paipu hoʻoheheʻe nasobiliary.Ua like ka paipu hoʻokahe nasobiliary me ka hoʻokomo ʻana i kekahi ʻaoʻao o ka paipu plastik i loko o ka pā bile a ʻo kekahi hopena ma ka duodenum., ʻO ka ʻōpū, ka waha, ka puka ihu i ke kino, ʻo ke kumu nui ka hoʻokahe ʻana i ka bile.No ka mea, ma hope o ka hana ʻana i loko o ka ʻōpū bile, hiki i ka edema ma ka ʻaoʻao haʻahaʻa o ka pā bile, me ka wehe ʻana o ka papilla duodenal, kahi e alakaʻi ai i ka wai bile maikaʻi ʻole, a hiki i ka cholangitis acute i ka wā ʻilihune ka wai bile.ʻO ke kumu o ka waiho ʻana i ka nasobiliary duct e hōʻoia i ka hiki ke kahe ʻana o ka bile i ka wā e loaʻa ai ka edema ma kahi kokoke i ka ʻeha ʻoki i loko o ka manawa pōkole ma hope o ka hana, i ʻole e hiki mai ka cholangitis acute postoperative.ʻO kahi hoʻohana ʻē aʻe ʻo ia ka mea maʻi i loaʻa i ka cholangitis acute.I kēia hihia, ʻoi aku ka kiʻekiʻe o ka lawe ʻana i nā pōhaku i hoʻokahi pae.Hoʻokomo pinepine nā kauka i kahi paipu hoʻoheheʻe nasobiliary i loko o ka pahu bile e hoʻokahe i ka bile lepo i loaʻa i ka maʻi, a me nā mea ʻē aʻe. ʻO ka wehe ʻana i nā pōhaku ma hope o ka hemo ʻana o ka bile a i ʻole ka maʻi i ola maikaʻi ʻia ke kaʻina hana a ʻoi aku ka wikiwiki o ka mea maʻi.He lahilahi loa ka paipu wai, ʻaʻole ʻike ka mea maʻi i ka ʻeha, a ʻaʻole hoʻokomo ʻia ka paipu wai no ka manawa lōʻihi, ʻaʻole ma mua o hoʻokahi pule.