Kungani udokotela wakho wayala i-endoscopy, yini esetshenziselwa ukuxilonga, futhi ungayilungisa kanjani ngaphambi kokuba wenze le nqubo? Kwenzekani emva kwenqubo, uthola kanjani imiphumela yakho, futhi yikuphi ukuhlolwa okungenziwa nge-endoscopy engenhla?
Incazelo
I-endoscopy yinkqubo evumela odokotela ukuba babheke ngaphakathi komzimba. Abantu abaningi bajwayele i-endoscopy "ephansi", i- colonoscopies esetshenziselwa ukubuka umdlavuza wekoloni.
I-endoscopy "engenhla", eyaziwa nangokuthi i-esophagogroduodenoscopy noma i-EGD, ivumela udokotela ukuba ahlole ngaphakathi kwesisu sakho, isisu, kanye ne-duodenum-ingxenye yokuqala yamathumbu amancane-ngethuluzi elibizwa ngokuthi i-endoscope. I-endoscope iyitayipi elincane, eliguquguqukayo elinokuphela okukhanyayo okunamakhamera axhunyiwe.
Ngakho-ke i-endoscopy engenhla ivumela odokotela ukuba bacabange ngeso lengqondo (futhi bathathe isampula ye-biopsy noma izicubu ezidingekayo kumkhuba webhaktheriya uma kudingekile) izindonga nezicubu zegciwane eliphezulu.
Izimpawu nezinkomba
I-endoscopy ivame ukulalelwa uma kukhona ukukhathazeka ukuthi kungase kube nokungajwayelekile kwesakhiwo esiswini, isisu noma i-duodenum (ingxenye yokuqala yomathumbu amancane.) Ezinye izizathu zihlanganisa:
- I-anemia ("ukulahleka kwegazi" kubonakala sengathi i-anemia noma i-vitamin e-anemia ehlobene ne-anemia) Okunye ukuphazamiseka kwepheshana lomzimba kungaholela ekulahlekelweni kwegazi, okungaholela ekudleni kwegazi. Ezinye izinkinga zegciwane lokugaya zingabangela nokuntuleka kwamavithamini, okufanayo okubangelwa i-anemia. Ngaphezu kwalokho, i- anemia nomdlavuza kungaxhunyaniswa ngezindlela eziningana .
- Ukuguquka kwenhliziyo
- Ubuhlungu besisu
- Igazi elimnyama (ukubukeka kwekhofi emhlabathini) esitokisini
- I-nausea nokuhlanza
- Kunzima ukugwinya noma ukugwinya okubuhlungu (dysphagia)
- Ukukhwehlela okuqhubekayo - I-Acid reflux ehlala njalo ingabangela ukukhwehlela okungapheli
- Ukulahleka kwesisindo esingenalutho noma esingalindelekile - Ukulahleka kwesisindo okungenhloso kungachazwa njengokulahlekelwa okungenani amaphesenti angu-5 wesisindo somzimba (amapremu angu-5 kuwo wonke amakhilogremu ayisisindo) esikhathini esiyizinyanga ezingu-6 kuya kwezingu-12
Imiphumela nokuthola
Kuye ngezimpawu lapho i-endoscopy iyalwe khona, kungasiza ngokuxilongwa kwezimo eziningana ezehlukene. Ezinye zazo zihlanganisa "
- Isisindo sikaBarrett - Isimo esinqunyiwe se-esopha ngokuvamile esibangelwa i-GERD engapheli
- Isifo se-Celiac
- I-Esophagitis
- Ama-varic esophageal
- I-GERD (isifo se-reflux se-gastroesophageal)
- Izilonda ze-Peptic
- UHIV ukutheleleka
- I-Cancer - I-biopsy ngesikhathi sokuphela kwe-endoscopy ingasetshenziselwa ukuxilonga kokubili umdlavuza wesifo esiswini kanye nesisu (isisu) somdlavuza
- I-Gastritis
- Izinyembezi ze-Mallory-Weiss
Indlela Yokulungiselela
Cishe uzokwazi ukuthi udokotela wakho ufuna yini ngaphambi kokuba uhambe inqubo yakho. Uma kungenjalo, kufanele uxoxe ngezizathu ezenza aphakanyise i-endoscopy nokuthi yiziphi izifo angase alindele ukuthola. Enye into okufanele ukhulume nodokotela wakho mayelana nokuthi yimiphi imithi, amavithamini, kanye nezithako ezithathayo. Ngokuyinhloko, ufuna ukudalula noma yini oyithatha umlomo nsuku zonke noma njalo.
Okulandelayo, hlela ukuhamba ekhaya ukusuka enkambisweni. Awuvunyelwe ukushayela amahora angu-24 ngemuva kwalokho noma kuze kube yilapho imiphumela ye-sedative ivaliwe. Kubuye kube usizo nokuba nesethi eyengeziwe yezindlebe ezitholakalayo uma udokotela wakho echaza noma yikuphi okutholakele.
Futhi njengezinqubo eziningi lapho isiguli sibheke khona, awukwazi ukudla, ukuphuza, ukubhema noma ukuhlafuna ama-gum emahoreni angu-8 okuholela enkambisweni.
Okufanele Ukulindele
Uzoya esibhedlela noma kusikhungo sokuphulukisa ukuhlolwa kwakho. Ngaphambi kwenkambiso, uzonikezwa ukuhlinzekwa komzimba wendawo okuzofakwa emqaleni wakho ukucindezela i-gag reflex kanye nokudambisa okungahambi kahle okuzokusiza ukuba uphumule.
Uzolala eceleni kwakho etafuleni lokuhlola. Khona-ke udokotela uzodlula kancane kancane i-endoscope ngomlomo wakho bese phansi phansi. I-gag reflex kanye nesifiso sokuhlanza ngokuvamile idlula lapho i-tube isendaweni. I-tube ngeke iphazamise ukuphefumula. Abantu abaningi bayamangala lapho bethola ukuthi bangakwazi ukubuka inqubo esikrinini ngaphandle kokuzwa ukungahambi kahle okubangelwa yi-tube.
Uma i-endoscope isendaweni, udokotela uzokwazi ukuhlola isisu nesisu ngokusebenzisa ikhamera encane futhi abone noma yikuphi okungavamile. Ezinye izinsimbi zingasetshenziswa ngokusebenzisa i-endoscope tube, okuzovumela udokotela ukuba enze iziqu ze-biopsies uma izimo ezifana nomdlavuza noma ukutheleleka kubonakala.
Ngemuva kwe-Endoscopy
Kuyinto evamile ukuthi ngezinsuku ezimbalwa emva kwenqubo, ungase uhlaselwe umkhuhlane. Uma uqala ukuhlanza inani elikhulu legazi noma uzwa ubuhlungu obukhulu besisu, udokotela kufanele aziswe ngokushesha ngoba lezi zibonakaliso zezinkinga.
Ukuthola Imiphumela Yakho
Udokotela wakho uzokwazi ukukutshela lokho akubona ebonakala ngokuqondile ngemuva kwenqubo. Njengoba imithi yokudambisa oyitholayo ingase ihlale isikhashana, kungumqondo omuhle ukuba umngane wakho akuthumelele ulalele lezi zithole bese uthatha amanothi. Kwezinye izimo, udokotela owenza i-endoscopy uzothumela umbiko kudokotela wakho ojwayelekile, ozoxoxa ngakho ngemiphumela nawe.
Uma ukuhlolwa kwamabhaktheriya (H. pylori) noma ama-biopsies kuthathwa ngesikhathi senqubo, uzokwaziswa ngemuva kokuba i-pathologist ibike imiphumela. Lokhu kungathatha izinsuku eziningana kuye ngokuhlolwa. Ngaphambi kokuba ushiye ngosuku lwenqubo, cela ukuthi uzokwaziswa kanjani nganoma yimiphi imiphumela. Ingabe lebhu yokugcina i-endoscopy izokwazisa noma izodokotela wakho ojwayelekile? Qinisekisa ukushayela uma ungawutholanga le miphumela ngesikhathi esifanele.
Ezinye izivivinyo zokuxilonga ezingacatshangwa
Ngaphezu kokuphela kwe-endoscopy, udokotela wakho angancoma ezinye izivivinyo. I-endoscopy ihlinzeka ngokuyinhloko ngolwazi oluhlelekile - ukuthi yini ipheshana lakho lokugaya eliphezulu elibukeka. Ulwazi oluthe xaxa mayelana nomsebenzi wepheshana lakho lokugaya lingadinga ukuhlolwa njengokugwinya kwe- barium noma ukuhlolwa kwe-pH .
Imithombo:
Ilabhulali Kazwelonke Yezokwelapha yase-US. I-Medline Plus. Esophagogastroduodenoscopy. Kubuyekezwe 08/14/15. https://medlineplus.gov/ency/article/003888.htm