Šta je ERCP ?
Endoskopska retrogradna holangiopankreatografija (ERCP) je postupak koji kombinira endoskopiju gornjeg gastrointestinalnog (GI) i rendgenske snimke za liječenje problema žučnih i pankreasnih kanala.
Kada se radi ERCP ?
Ljekari izvode ERCP kada su vam žučni kanali ili kanali gušterače postali suženi ili začepljeni zbog:
- Žučnih kamenaca (formiraju u žučnom mjehuru) u zajedničkom žučnom vodu,
- infekcija,
- akutni i hronični pankreatitis
- traume ili hirurške komplikacije u vašim žučnim ili pankreasnim kanalima
- pseudociste gušterače
- tumori ili karcinomi žučnih vodova
- tumori ili karcinomi gušterače
ERCP se prvenstveno koristi za dijagnozu i liječenje stanja žučnih kanala i glavnog kanala pankreasa. ERCP se može izvoditi iz dijagnostičkih i terapijskih razloga, iako je razvoj sigurnijih i relativno neinvazivnih istraživanja kao što je magnetna rezonanca holangiopankreatografija (MRCP) i endoskopski ultrazvuk značilo da ERCP sada rijetko radi bez terapijske namjere.
Kako se izvodi ERCP?
Intravenska (IV) igla će vam biti stavljena u ruku kako biste dobili sedativ. Sedativ će se ubrizgati, te ćete gotovo odmah osjetiti opuštenost i pospanost. Dok ste u sedaciji, provodi se trajno praćenje vaših vitalnih funkcija, (količina kisika u krvi te vrijednosti krvnog tlaka i pulsa). Od vas će se tražiti da legnete na stol za pregled. Ljekar će pažljivo uvesti duodenoskop niz vaš jednjak, kroz želudac i u dvanaesnik. Mala kamera postavljena na duodenoskop šalje video sliku na monitor. Duodenoskop pumpa zrak u vaš želudac i dvanaesnik, čineći ih lakšim za uočavanje. Tokom ERCP-a, ljekar:
- locira otvor gdje se žučni i kanali gušterače ispuštaju u duodenum,
- provlači tanku, fleksibilnu cijev zvanu kateter kroz duodenoskop u kanale
- ubrizgava posebnu boju, također zvanu kontrastno sredstvo, kako bi kanali bili vidljiviji na rendgenskim zrakama
- koristi vrstu rendgenskog snimanja, nazvanu fluoroskopija, za pregled kanala i traženje suženih područja ili blokada
Ljekar može provući sitne alate kroz duodenoskop kako bi
- otvorio začepljene ili sužene kanale.
- razbio ili uklonio kamenje
- obavio biopsiju ili uklonio tumore u kanalima.
- umetnuo stentove—sićušne cjevčice koje ljekar ostavlja u suženim kanalima kako bi ih držao otvorenim.
Postupak najčešće traje između 1 i 2 sata.
Prvi u regionu radimo insuflaciju sa CO2
Prednosti insuflacije sa CO2 u odnosu na atmosferski zrak
12 Responses
71qjjf
you have a great blog here! would you like to make some invite posts on my blog?
Im now not sure the place you’re getting your info, however good topic. I must spend some time finding out more or understanding more. Thanks for magnificent information I was in search of this information for my mission.
gg0j7o
Hi! Do you know if they make any plugins to help with SEO?
I’m trying to get my website to rank for some targeted keywords but I’m not seeing very good
results. If you know of any please share. Many thanks!
You can read similar blog here: Wool product
sugar defender reviews I have actually dealt
with blood sugar level fluctuations for years, and it actually influenced my energy degrees throughout the day.
Considering that starting Sugar Protector, I feel more
well balanced and sharp, and I do not experience those afternoon sags anymore!
I enjoy that it’s an all-natural service that functions without
any severe side effects. It’s really been a game-changer for me sugar defender ingredients
sugar defender ingredients Finding Sugar Defender has actually been a
game-changer for me, as I have actually always been vigilant about managing my blood sugar level levels.
With this supplement, I really feel encouraged to organize my
wellness, and my most current clinical exams have actually shown a substantial turn-around.
Having a reliable ally in my edge provides me with a
sense of security and reassurance, and I’m deeply thankful for the profound distinction Sugar Protector has
made in my wellness. sugar defender official website
sugar defender official website Including Sugar Protector right into my everyday
program has been a game-changer for my total wellness.
As someone that currently prioritizes healthy consuming, sugar defender official website this supplement has actually provided an included boost of security.
in my power degrees, and my wish for harmful snacks
so easy can have such an extensive influence on my every day life.
sugar defender reviews Sugarcoating Protector to my daily routine was one of the best choices I’ve produced my health.
I’m careful regarding what I consume, but this supplement adds an additional
layer of support. I feel extra constant throughout the day, and my
food cravings have decreased substantially. It behaves to have something so straightforward that
makes such a large distinction! sugar defender official website
sugar defender official website Uncovering Sugar Protector has been a game-changer for me, as I’ve constantly been vigilant concerning managing my blood sugar degrees.
With this supplement, I really feel encouraged to take charge of
my health and wellness, and my latest medical examinations have mirrored a
considerable turn-around. Having a credible ally in my edge gives
me with a complacency and reassurance, and I’m deeply
thankful for the profound difference Sugar Protector has made in my health.
sugar defender ingredients
sugar defender
As somebody who’s constantly been cautious concerning my blood
sugar, finding Sugar Defender has been an alleviation. I really feel so much extra in control, and my current exams
have actually revealed positive renovations. Understanding I have a trusted supplement to sustain my routine offers me comfort.
I’m so grateful for Sugar Protector’s impact on my health and wellness!
sugar defender official website
sugar defender Incorporating Sugar Protector right into
my everyday routine general well-being. As someone that focuses on healthy consuming,
I value the additional defense this supplement offers.
Because beginning to take it, I’ve seen a marked
enhancement in my power levels and a substantial decrease
in my desire for harmful treats such a such a profound effect on my daily life.
sugar defender official website