Kutheni ukuba ugqirha wakho wayala i-endoscopy, yintoni eyasetyenziswa ukuxilonga, kwaye ungayilungisa njani ngaphambi kokuba wenze le nkqubo? Kwenzeka ntoni emva kwenkqubo, ufumana njani iziphumo zakho, kwaye ziphi izifo ezingenziwa nge-endoscopy ephezulu?
Inkcazo
I-endoscopy yinkqubo evumela oogqirha ukuba bajonge ngaphakathi emzimbeni. Abantu abaninzi baqhelana ne-endoscopy "ephantsi", iikhooloncopies ezisetyenziselwa ukukhangela umdlavuza wekoloni.
Endoscopy "ephezulu", eyaziwa nangokuthi i-esophagogroduodenoscopy okanye i-EGD, ivumela ugqirha ukuba ahlole ngaphakathi kwesisu sakho, isisu, kunye ne-duodenum-inxalenye yokuqala yesisu esincinci-esinesixhobo esibizwa ngokuthi i-endoscope. I-endoscope yinkomfa encinci, eguquguqukayo enokuphela kombane ophethe ikhamera.
I-endoscopy ephezulu ivumela ukuba oogqirha babone (kwaye bathathe isampula ye-biopsy okanye izicubu ezifunekayo kwiinkcubeko ze-bacterial if needed) iindonga kunye nezicubu zecandelo eliphezulu lokutya.
Iimpawu kunye neZalathisi
I-endoscopy ivame ukubalelwa ukuba kukho ukukhathazeka ukuba kunokuba nesimo esingaqhelekanga kwisisu, isisu okanye i-duodenum (inxalenye yokuqala yesisu esincinci.) Ezinye izizathu ziquka:
- I-anemia ("ukulahleka kwegazi" kubonakala i-anemia okanye i-vitamin failure ye-anemia) Okunye ukuphazamiseka kwephepha lesisu kunakhokelela ekulahlekelweni kwegazi, oku kungakhokelela ekudleni kwegazi. Ezinye iingxaki zogxobhozo nazo zingabangela ukungaphumeleli kwe-vitamin, ngokufanayo kubangele i-anemia. Ukongeza, i- anemia nomhlaza unokudibaniswa ngeendlela ezininzi .
- Ukuguquka
- Intlungu zesisu
- Igazi elimnyama (ukubonakala kwekhofi yomhlaba) kwisitulo
- Isihlunu kunye nokuhlanza
- Unzima ukugwinya okanye ukugwinya (dysphagia)
- Ukukhwehlela okuqhubekayo - I-acid engapheliyo i-reflux ngamanye amaxesha ingabangela ukukhwehlela okungapheliyo
- Ukulahlekelwa kwesisindo esingenakunqwenelekayo okanye esingachazwanga - Ukulahlekelwa kwesisindo esingenalutho kuchazwa njengokulahlekelwa okungenani ama-5 ekhulwini weesisindo somzimba (ama-5 ngeepounds ezilikhulu zamanqanaba okwesisindo) ngaphezu kweenyanga ezili-6 ukuya kwezi-12
Iziphumo kunye neziphumo
Ngokuxhomekeke kwiimpawu zokuphela kwe-endoscopy, kunokukunceda ukuxilongwa kweemeko ezahlukeneyo. Ezinye zazo ziquka "
- Isifo sikaBarrett - Isimo esinqabileyo se-esophagus sivame ukubangelwa yiGERD engapheliyo
- Isifo seCeliac
- Esophagitis
- Iimpawu ezixhasayo
- I-GERD (isifo se-reflux gastroesophageal)
- Izilonda zamapeptic
- Usulelo lweHl pylori
- I-Cancer - I-biopsy ngexesha lokuphela kwe-endoscopy ingasetyenziselwa ukuxilonga umdlavuza wesisu kunye nesisu (isisu) somhlaza
- Gastritis
- I-Mallory-Weiss inyembezi
Indlela yokulungiselela
Uninzi ukuba uya kukwazi ukuba ugqirha wakho ufuna ntoni ngaphambi kokuba uqhubeke nenkqubo yakho. Ukuba akunjalo, kufuneka uxoxe ngezizathu zokuba kutheni ukhuthaze i-endoscopy kunye naluphi uvavanyo olulindele ukuba alufumane. Enye into omele uxoxe nayo ngogqirha wakho ngeyiphi imithi, iivithamini, kunye nezongezelelo ozithathayo. Eyona nto, ufuna ukuchaza yonke into oyithatha ngomlomo imihla ngemihla okanye rhoqo.
Emva koko, cwangcisa ukuhamba ekhaya ukusuka kwinkqubo. Awuvumelekanga ukuba uqhube kwiiyure ezingama-24 emva koko okanye kube yinto yokuguquka. Kwakhona kunceda ukuba ube netidi ezongezelelweyo zeendlebe ezikhoyo xa ugqirha wakho echaza nayiphi na ifunyaniso.
Yaye kunye neenkqubo ezininzi apho isigulane siphelelwe khona, awukwazi ukutya, ukusela, ukutshaya okanye ukuhlafuna i-gum kwiiyure eziyi-8 ezikhokelela kwinkqubo.
Yintoni ongayilindela
Uya kuhamba esibhedlele okanye kwisibonelelo sokufumana uvavanyo lwakho. Ngaphambi kwenkqubo, uya kunikelwa i-anesthetic yendawo eya kutshaywa emqaleni wakho ukuba unqande i-gag reflex kunye ne-intravenous sedative eyokukunceda ukhululeke.
Uya kulala ecaleni lakho kwicandelo lokuhlola. Emva koko ugqirha uya kudlula i-endoscope ngokukhawuleza emlonyeni wakho aze ahlawule. I-gag reflex kunye nesifiso sokuhlanza ngokuqhelekileyo sidlulayo xa ityhubhu isesigxina. I-tube ayiyi kuphazamisa ukuphefumla. Abantu abaninzi bayothuka xa befumanisa ukuba banokubukela inkqubo kwesikrini ngaphandle kokuva naluphi na ukukhathazeka okubangelwa yi-tube.
Emva kokuba i-endoscope isendaweni, ugqirha uya kukwazi ukuhlola isisu kunye nesisu ngekhamera encinci kwaye ufumane nayiphi na into engafanelekiyo. Ezinye izixhobo zingeniswa kwiphubhu ye-endoscope, eya kuvumela ugqirha ukuba enze ii-biopsies ukuba izimo ezinjengomdlavuza okanye izifo ziyabonakala.
Emva kwe-Endoscopy
Kuqhelekile ukuba emva kweentsuku ezimbalwa emva kwenkqubo, unokufumana umqala wakho. Ukuba uqala ukuhlanza inani elikhulu legazi okanye ufumana iintlungu ezinzima zesisu, ugqirha kufuneka waziswe ngokukhawuleza njengoko ezi ziimpawu zeengxaki.
Ukufumana iziphumo zakho
Ugqirha wakho uya kukwazi ukukuxelela oko akubonayo ngokubonakala ngqo emva kwenkqubo. Ekubeni imithi yokukhusela oyifumanayo ingahlala ixesha elide, yinto efanelekileyo ukuba umhlobo wakho ekugxothayo akuphulaphule ezi ziphumo kwaye uthathe amanqaku. Kwezinye iimeko, ugqirha owenza i-endoscopy uya kunika ingxelo kugqirha wakho oqhelekileyo, oza kuthi ke axoxe ngeziphumo nawe.
Ukuba iimvavanyo zeebhaktheriya (H. pylori) okanye i-biopsies zithathwa ngexesha lenkqubo, uya kwaziswa emva kokuba i-pathologist ibike iziphumo. Oku kungathabatha iintsuku eziliqela kuxhomekeke kwiimvavanyo. Ngaphambi kokuba uhambe ngosuku lwenkqubo, cela ukuba uza kwaziswa njani naziphi na iziphumo. Ingaba i-endoscopy lebhu iya kukwazisa okanye ingaba ugqirha wakho oqhelekileyo? Qinisekisa ukubiza ukuba awufumani ezi ziphumo ngexesha elifanelekileyo.
Ezinye iimvavanyo zokuxilongwa ezinokucatshangelwa
Ukongeza kwi-endoscopy ephezulu, ugqirha wakho unokuncoma ezinye iimvavanyo. I-endoscopy inikezela ngokubanzi ulwazi olusisiseko - into ebonakalayo yokugaya inyama. Olunye ulwazi malunga nomsebenzi wegama lakho lokutya lingafuna iimvavanyo ezifana ne- barium swallow okanye uvavanyo lwe-pH .
Imithombo:
ILayibrari yeSizwe ka-US yamayeza. Medline Plus. Esophagogastroduodenoscopy. Ukuhlaziywa 08/14/15. https://medlineplus.gov/ency/article/003888.htm