Nrog Dab Tsi Yog Kab Mob Biliary Exam
Oct 16, 2022
Nws muaj rhiab heev thiab tshwj xeeb rau kev kuaj mob ntawm cov kab mob biliary ib ntsuj av. Kos lub gallbladder, yuav tsum yoo mov 12 teev, 4 teev ntawm kev haus dej nruj, noj hmo yav dhau los yuav tsum noj zaub mov tsis zoo. 2. Percutaneous transhepatic cholangiography tuaj yeem ua kom pom tseeb ntawm cov kab mob intrahepatic thiab extrahepatic bile ducts thiab qhov chaw ntawm kev cuam tshuam, uas yog ib qho tseem ceeb ntawm kev kuaj mob hauv kev phais biliary tam sim no. Txawm li cas los xij, tej zaum yuav muaj teeb meem xws li cov kua tsib to, los ntshav thiab kab mob biliary, yog li coagulation muaj nuj nqi thiab vitamin K yuav tsum tau kuaj ua ntej ua haujlwm. Siv cov tshuaj tua kab mob thaum tsim nyog; Npaj rau kev tshawb nrhiav laparotomy, thiab daws cov teeb meem xwm txheej ceev xws li biliary peritonitis thiab los ntshav hauv lub sijhawm. Percutaneous daim siab puncture catheter kua dej tuaj yeem tso cov kua tsib thiab txo cov jaundice. 3. Endoscopic retrograde cholangiopancreatography (ERCP) yog ua los ntawm kev siv fiberduodenoscope intubate papilla rau hauv cov kua tsib los yog pancreatic duct los ntawm papilla rau ncaj qha retrograde angiography, uas tuaj yeem nkag siab txog qhov mob ntawm duodenal papilla, qhia meej txog cov kab mob biliopancreatic, txheeb xyuas qhov chaw thiab qhov txhab ntawm qhov intrahepatic thiab extrahepatic bile duct obstruction. Qhov kev kuaj no tuaj yeem ua rau mob pancreatitis, cholangitis, plab hnyuv perforation thiab lwm yam teeb meem. 5. Kev tshawb nrhiav cov kua tsib feem ntau tom qab cholecystolithiasis lossis mob cholecystitis, yog xav tias muaj cov kab mob hauv cov kab mob los yog pob zeb, thiab lub gallbladder raug tshem tawm, kev tshawb nrhiav cov kua tsib feem ntau yuav tsum tau ua kom paub meej. T-tube kua dej feem ntau yog xav tau tom qab kev tshawb nrhiav cov kua tsib. 6. Thaum cov ntsiab lus calcium ntawm X-ray dawb zaj duab xis siab, cov pob zeb sib xyaw tuaj yeem tsim tau.
Yog tias koj muaj lus nug, thov hu rau peb. Peb lub tuam txhab tuaj yeem tsim ntau yam koob txhaj tshuaj, koob tshuaj kho mob, koob txhaj tshuaj, koob tshuaj hypodermic, koob txhaj tshuaj, koob tshuaj tiv thaiv kab mob, koob txhaj tshuaj, koob txhaj tshuaj, koob txhaj tshuaj, koob xaum koob, koob ovum khaws koob, koob txhaj tshuaj, thiab lwm yam Yog tias koj xav tau kev kho koob cov khoom, thov hu rau peb. Peb tos ntsoov rau koj qhov kev nug! Qhov zoo ntawm cov khoom tsim nyob rau hauv peb lub Hoobkas yuav txaus siab rau koj!
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