ʻO ke kuleana o ka ERCP nasobiliary drainage

ʻO ka ERCP ka koho mua no ka mālama ʻana i nā pōhaku bile duct.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 pā bile, hiki i ka edema ma ka ʻaoʻao haʻahaʻa o ka bile duct, me ka wehe ʻana o ka duodenal papilla, 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 e loaʻa i ka mea maʻi i ka cholangitis acute.I kēia hihia, ʻoi aku ka kiʻekiʻe o ka pilikia 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 maʻi i ʻoi aku ka palekana o ke kaʻina hana a hoʻōla wikiwiki ka mea maʻi.He lahilahi loa ka paipu wai, ʻaʻole ʻike ka mea maʻi i ka ʻeha, ʻaʻole hoʻokomo ʻia ka paipu wai no ka manawa lōʻihi, ʻaʻole ma mua o hoʻokahi pule.