Wadanne jiyya za a iya yi ta hanyar ERCP?
Sphincterotomy
Sphincterotomy shine yanke tsokar da ke kewaye da buɗewar ducts, ko papilla.Ana yin wannan yanke don faɗaɗa buɗewa.An yanke yanke yayin da likitan ku ke duba ta wurin ERCP ikon yinsa a papilla, ko buɗaɗɗen bututu.Ƙaramar waya akan catheter na musamman na amfani da wutar lantarki don yanke nama.Shincterotomy ba ya haifar da rashin jin daɗi, ba ku da ƙarshen jijiya a can.Ainihin yanke yana da ƙananan ƙananan, yawanci ƙasa da 1/2 inch.Wannan ƙananan yanke, ko sphincterotomy, yana ba da damar jiyya daban-daban a cikin ducts.Mafi yawanci an yanke shi zuwa ga bile duct, wanda ake kira sphincterotomy biliary.Lokaci-lokaci, ana yin yankan zuwa bututun pancreatic, ya danganta da nau'in jiyya da kuke buƙata.
Cire Dutse
Mafi yawan jiyya ta hanyar ERCP shine cire duwatsun bile ducts.Wataƙila waɗannan duwatsun sun samo asali a cikin gallbladder kuma sun shiga cikin bile duct ko kuma suna iya samuwa a cikin bututun kanta shekaru bayan an cire gallbladder ɗin ku.Bayan an yi sphincterotomy don faɗaɗa buɗewar ɗigon bile, ana iya fitar da duwatsu daga bututun zuwa cikin hanji.Balloons iri-iri da kwanduna da ke haɗe zuwa ƙwararrun catheters za a iya wuce ta cikin iyakar ERCP zuwa cikin bututun da ke ba da izinin cire dutse.Manyan duwatsu na iya buƙatar murkushewa a cikin bututu tare da kwando na musamman don haka za'a iya fitar da gutsuttsura ta cikin sphincterotomy.
Wurin Wurin Wuta
Ana sanya ginshiƙai a cikin bile ko ducts na pancreatic don ƙetare tsangwama, ko kunkuntar sassan bututun.Wadannan kunkuntar wuraren bile ko bututun pancreatic suna faruwa ne saboda tabo ko ciwace-ciwacen da ke haifar da toshewar magudanar bututu na yau da kullun.Akwai nau'ikan stent iri biyu da ake amfani da su.Na farko an yi shi da filastik kuma yana kama da ƙaramin bambaro.Za a iya tura stent filastik ta hanyar ERCP zuwa cikin bututun da aka toshe don ba da damar magudanar ruwa na yau da kullun.Nau'i na biyu na stent an yi shi da wayoyi na ƙarfe waɗanda suke kama da igiyoyin giciye na shinge.Ƙarfe na ƙarfe yana da sassauƙa kuma yana buɗewa zuwa mafi girma diamita fiye da stent filastik.Dukansu stent na filastik da ƙarfe suna yin toshewa bayan wasu watanni kuma kuna iya buƙatar wani ERCP don sanya sabon stent.Ƙarfe stent na dindindin ne yayin da ake cire stent filastik cikin sauƙi a maimaita hanya.Likitanku zai zaɓi mafi kyawun nau'in stent don matsalar ku.
Ballon Dilation
Akwai catheters na ERCP waɗanda aka haɗa tare da balloons masu dilating waɗanda za a iya sanya su a cikin yanki mai kunkuntar ko takura.Daga nan ana hura balloon don shimfiɗa kunkuntar.Ana yin dilation tare da balloons sau da yawa lokacin da dalilin kunkuntar ya kasance mara kyau (ba ciwon daji ba).Bayan faɗuwar balloon, ana iya sanya stent na ɗan lokaci na ƴan watanni don taimakawa kula da dilation.
Samfurin Nama
Ɗayan hanya da aka saba yi ta hanyar ERCP shine ɗaukar samfurori na nama daga papilla ko daga bile ko pancreatic ducts.Akwai dabaru daban-daban na samfur ko da yake mafi yawanci shine goge yanki tare da binciken sel na gaba.Samfuran nama na iya taimakawa wajen yanke shawara idan takura, ko raguwa, ta kasance saboda ciwon daji.Idan samfurin yana da inganci don ciwon daji yana da inganci sosai.Abin takaici, samfurin nama wanda baya nuna kansa bazai zama daidai ba.