Izindleko Zokuhlola ze-ERCP

I-Endoscopic Retrograde Cholangiopancreatography, noma I-ERCP, ukuhlolwa okusetshenziselwa ukuxilonga nokwelapha izimo zesibindi, amanyikwe, ama-bile ducts, noma i-gallbladder. Ukuhlolwa kwe-ERCP kungenziwa ukuze kuqondwe izimbangela eziyisisekelo zezimpawu ezifana ne-jaundice ezingachazwanga, njengobuhlungu besisu nokuphuzi kwesikhumba namehlo. I-ERCP isetshenziswa kakhulu ukuqoqa ulwazi olwengeziwe ezimeni ze-pancreatitis noma umdlavuza esibindini, emiseleni yenyongo, nakumanyikwe. 

Iyini i-ERCP nenjongo yayo?

I-ERCP iyinqubo yokuxilonga neyokwelapha ehlanganisa ukusetshenziswa kwe-X-ray kanye ne-an endoscope-ithubhu elincanyana, eliguquguqukayo, elikhanyayo elisetshenziselwa ukuzulazula ezingxenyeni ezihlukene zomzimba. Ngesikhathi senqubo ye-ERCP, udokotela angahlola izithombe ezibukwayo ezinikezwe i-endoscope kanye ne-X-ray yezifunda ze-pancreas, isibindi, ne-bile. Le nqubo ingase ibasize babone noma yikuphi ukungahambi kahle, ikakhulukazi ezimeni zezimpawu zesisu ezingachazwanga. Le nqubo iphinde ivumele ukuthi ama-biopsies enziwe ngokuqoqa amasampula ezindaweni ezisolisayo ukuze kuqhutshekwe nokuhlolwa kwaselabhorethri.

Ziyini Izindleko ze-ERCP eNdiya?

Izindleko zenqubo ye-ERCP zingahluka kuye ngezinto ezimbalwa ngendawo ngezindawo. E-India, intengo yokuhlola ye-ERCP ingase iqale noma yikuphi ukusuka ku-Rs. 10,000/- kanye no-Rs. 88,000/-. 

Nasi isilinganiso sezindleko ze-ERCP emadolobheni ahlukahlukene aseNdiya.

Yiziphi izici ezithinta Izindleko ze-ERCP?

Intengo ye-ERCP e-India yokuxilongwa, ukuhlinzwa, kanye nokwelashwa iyahlukahluka ezindaweni ngezindawo, kuye ngezici ezimbalwa.

• Indawo yesibhedlela: Ukwenza inqubo ye-ERCP esibhedlela esisedolobheni elikhulu kungase kubize ngaphezu kwesilinganiso uma ukhetha isibhedlela esikwamanye amadolobha ase-India.
• Ubuchwepheshe bomhlinzeki wokunakekelwa kwezempilo: Uma udokotela owelaphayo enolwazi oluningi kulo mkhakha, angakhokhisa izimali zokubonisana eziphezulu kanye nezindleko zesevisi yokwelashwa ngezinkonzo zakhe.
• Uhlobo lwe-anesthesia: Ukuhlolwa kwe-ERCP ngokuvamile kwenziwa ngaphansi i-anesthesia, kodwa uhlobo lokubulala izinzwa olunikezwayo (ukubulala izinzwa kwendawo noma okuphelele) kungase kuthinte izindleko zokuhlinza ze-ERCP, njengoba izinzwa zendawo zingase zingabizi kakhulu njengokuqeda izinzwa okuphelele.
• Kudingeka i-stenting: Uma inqubo ye-ERCP isetshenziselwa injongo yokuhlinzwa yokubeka i-stent endaweni, uhlobo lwe-stent olusetshenziswayo lungaphinda lube nomthelela enanini le-ERCP. Ukwengeza, kungase futhi kube nesidingo sokususa noma iyiphi i-stent ebekwe ngaphambilini. Ngakho, izindleko zokususa isitenti ze-ERCP zingase futhi zithinte zonke izindleko zokwelashwa.
• Izinqubo ezengeziwe: Inqubo ye-ERCP ingase ihambisane ne-biopsy uma odokotela besola ukukhula komdlavuza. I-ERCP ingaphinda isetshenziselwe ukususwa kwamatshe ngaphandle kwenhloso yayo enkulu yokuthola umbono wendawo yangaphakathi yesifunda sesisu. Izinqubo ezinjalo zingase zinyuse izindleko zokwelashwa kwe-ERCP.
• Ukutholakala komshuwalense: Ukuthi isiguli sinomshwalense noma cha, nokuthi ngabe inqubomgomo ihlanganisa izinqubo ezifana ne-ERCP, kungase futhi kube nomthelela ezindlekweni zokwelashwa.

Yiziphi ukusetshenziswa kwenqubo ye-ERCP?

Udokotela angancoma i-ERCP ukuthi ihlole indawo yesisu ngaphakathi, okungenzeka ibangele izimpawu ezingachazeki noma uma ukukhula komdlavuza kusolwa. Ingase futhi isetshenziselwe ukwelapha umdlavuza nokunquma usayizi wesimila uma sikhona kunoma yisiphi isifunda esizungeze isibindi, amanyikwe, i-bile system, ne-gallbladder. I-ERCP ingasetshenziswa futhi njengengxenye yokwelashwa. Isibonelo, ukubeka ama-stents ensimbi noma epulasitiki endaweni ye-biliary noma ye-pancreatic kungenziwa esimweni sokuvaleka kwemigudu.

Inqubo ye-ERCP yenziwa kanjani?

Inqubo ye-ERCP ingenziwa ngaphansi kwe-anesthesia yendawo, njengoba i-endoscope idluliselwa emphinjeni. Ishubhu le-endoscopy libe selidlulela emphinjeni liye esiswini, futhi ukusuka lapho, liphinde liqondiswe ku-duodenum. Kuleli phuzu lapho imigudu evela kumanyikwe kanye nezinhlelo ze-biliary ihlangana khona. Ishubhu elincanyana lingase futhi lidlule ukuze lifinyelele embotsheni yenyongo futhi lijove udayi ohlukile, okuthuthukisa ukubonakala kwesifunda ngesithombe se-X-ray. Phakathi nale nqubo, isampula lingatholakala kusetshenziswa ibhulashi ngezinjongo ze-biopsy elabhorethri.

I-ERCP igqama njengenye yezinqubo ezithuthukile zokuxilonga nokwelapha izinkinga ezihlobene nesibindi, amanyikwe, kanye nezinhlelo ze-biliary. Thola isilinganiso sezindleko senqubo ye-ERCP ku- CARE Izibhedlela, lapho ungakwazi futhi ukuthola izinsiza zokubonisana nodokotela abaphezulu abanolwazi olunzulu lokusebenzisa indlela ye-ERCP.

Disclaimer

Imininingwane yezindleko nezilinganiso ezinikezwe kule webhusayithi ezezinjongo zokwaziswa kuphela futhi zisekelwe ezimweni ezimaphakathi. Azihlanganisi isilinganiso esinqunyiwe noma isiqinisekiso sezindleko zokugcina.

Izibhedlela ze-CARE azimeli noma azikukhuthazi ukuqiniseka kwalezi zibalo zezindleko. Izindleko zakho zangempela zizohluka ngokuya ngohlobo lokwelashwa, izinsiza ezikhethiwe noma izinsizakalo, indawo yesibhedlela, impilo yesiguli, ukuhlinzekwa komshwalense, kanye nezidingo zezokwelapha ezinqunywe udokotela wakho. Ukusebenzisa kwakho okuqukethwe kwale webhusayithi kusho ukuthi uyakwamukela futhi wamukele lokhu kuhlukahluka nokuthi noma yikuphi ukuthembela ezindlekweni ezilinganiselwe kuzifaka engozini ngokwakho. Ukuze uthole ulwazi lwezindleko lwamanje kakhulu nolwenzelwe wena siqu, sicela usithinte ngokuqondile noma usishayele.

Imibuzo Evame Ukubuzwa

1. Iyini izindleko ezimaphakathi ze-ERCP e-Hyderabad?

Izindleko ze-ERCP e-Hyderabad zingahluka, kodwa ngokwesilinganiso, zingasuka ku-INR 15,000 ziye ku-INR 40,000 noma ngaphezulu.

2. Kuthatha isikhathi esingakanani ukuthola imiphumela kwa-ERCP?

Imiphumela evela ku-ERCP ivame ukutholakala ngokushesha ngemva kwenqubo. Udokotela wakho uzoxoxa nawe ngalokho okutholakele ngemuva nje kokuhlolwa.

3. Ubani owenza i-ERCP?

I-ERCP ngokuvamile yenziwa i-gastroenterologist, udokotela onguchwepheshe ohlelweni lokugaya ukudla. Basebenzisa i-endoscope ukuze bahlole futhi belaphe izinkinga emiseleni ye-bile kanye ne-pancreatic duct.

4. Ingabe kukhona ukuvinjelwa kokudla ngokushesha ngemva kwe-ERCP?

Yebo, kungase kube nemikhawulo ethile yokudla ngokushesha ngemva kwe-ERCP. Udokotela wakho uzohlinzeka ngeziqondiso eziqondile, kodwa ngokuvamile, ungase welulekwe ukuba ugweme ukudla noma ukuphuza amahora ambalwa ukuze uvumele imiphumela ye-sedation iguge.

5. I-ERCP ihlala isikhathi esingakanani?

Ubude besikhathi se-ERCP siyahlukahluka, kodwa ngokwesilinganiso, inqubo ingase ithathe imizuzu engu-30 ukuya ehoreni. Lokhu kungancika ebunzimeni becala nanoma yikuphi ukungenelela okudingekayo.

6. Ingabe i-ERCP iwukuhlinzwa okukhulu?

Cha, i-ERCP ayithathwa njengokuhlinzwa okukhulu. Kuyinqubo ehlasela kancane lapho kusetshenziswa ishubhu eliguquguqukayo elinekhamera (i-endoscope) ukuze kuhlolwe futhi kwelashwe izinkinga ze-bile kanye ne-pancreatic ducts. Ngokuvamile akubandakanyi ukusika okukhulu.