Kuzodingeka ube ne-endoscopy ukuze utholakale
Ukuxilongwa kwesifo se-celiac ngokuvamile kuhilela ukuhlolwa kwegazi bese i-endoscopy, okuyinto inqubo yezokwelapha evumela udokotela wakho ukuba abheke ngqo emathunjini akho amancane futhi athathe amasampuli amancane ukuhlola ngokuqhubeka ngaphansi kwe-microscope.
Uma ukuhlolwa kwegazi le-celiac igazi kubuyele emuva, udokotela wakho cishe uzokutusa ukuthi ube ne-endoscopy .
Khumbula ukuthi kufanele uqhubeke udla i-gluten ukuze uthole isifo esilungile sesifo se-celiac , ngakho-ke ungangeni mahhala kuze kudokotela wakho akunike kahle.
Yini Ngempela I-Endoscopy?
Igama elithi "endoscopy" libhekisela kunoma iyiphi inqubo evumela odokotela ukuba bafake ithuluzi lezokwelapha elibizwa ngokuthi i-endoscope ngokusebenzisa ukuvulwa emzimbeni (mhlawumbe ngokusebenzisa ukuvulwa kwemvelo njengomlomo wakho, noma ngezinye izikhathi ngokusebenzisa ukufakwa kokuhlinzwa). Lokhu kuvumela odokotela ukuba babheke nxazonke futhi babone ukuthi konke kuhlelekile, noma mhlawumbe ukuthola inkinga. Ngezinye izikhathi baze bakwazi ngisho nokulungisa inkinga ngesikhathi esifanayo.
I-endoscope ngokwayo iyitayipi elincane, eliguquguqukayo elinomthombo wokukhanyisa we-fiberoptic kanye nekhamera encane yevidiyo esihlokweni. Ngokungeziwe kumakhamera, i-endoscopes ine okungenani isiteshi esisodwa okungenzeka sidluliselwe ngamathuluzi amancane. Lawa mathuluzi angasetshenziselwa ukususa isampula encane yokuhlolwa ngaphansi kwe-microscope, ukulawula ukuphuma kwegazi, ukususa ama-polyps, ukwelula izindawo ezincishisiwe, kanye nezinye izindlela eziningi zokwelashwa.
Amaposcopi aphezulu kakhulu emathunjini (GI) ayenziwa yi- gastroenterologists . Phakathi nenqubo, udokotela wakho angahlola isisu, isisu, nokuqala komathumbu omncane (okuthiwa i-duodenum). Njengoba udokotela wakho ethuthukisa i-endoscope ngomzimba, umbono obanzi ovela kwikhamera yevidiyo engxenyeni yensimbi uboniswa kwi-TV noma kwikhompyutheni yekhompuyutha, ukubonisa okucacile, okuningiliziwe.
Ngaphezu kokusebenzisa amathuluzi ekupheleni kwesilinganiso ukuthatha izingcezu ezincane zezicubu zamasampuli we-biopsy, udokotela angaphinde athathe isibhamu esithile sesikrini (namanje izithombe) zezindawo ezibuzayo.
I-endoscopies ingenziwa ehhovisi likadokotela, isikhungo sokuhlinzeka ngokugqekeza, noma esibhedlela. Lapho okwenziwe khona kuzoxhomekeka kunoma ngabe uneminye imithi yokwelashwa engadinga ukunakwa okukhethekile.
Ngaphambi kwe-Endoscopy yakho ye-Upper GI
Udokotela wakho uzokunikeza imiyalo ebhaliwe kusengaphambili ukuthi ungalungisa kanjani. Ngokuvamile, odokotela abaningi bacela ukuthi uyeke ukudla nokuphuza cishe amahora ayisishiyagalolunye kuya kwangu-10 ngaphambi kwenqubo, ngoba ukudla esiswini kuzovimbela umbono ngokusebenzisa i-endoscope futhi kungabangela nokuhlanza. Ungabuye utshelwe ukuba uyeke ukuthatha i-aspirin, ibuprofen, noma iminye imithi yokwehlisa igazi izinsuku ezimbalwa kusengaphambili.
Ukuze uthole i-endoscopy ye-GI engenhla, awudingi ukuphuza isisombululo se-electrolyte ngobusuku obuphambili, njengoba ubungathanda uma uthola i-colonoscopy (okuwukuhlolwa kokuphela kwekholoni yakho).
Uzonikezwa izidakamizwa ngaphambi kokuphela kwe-endoscopy, ngakho-ke uzodinga ukuba omunye umuntu akuqhube ekhaya ngemva kwalokho. Kufanele uhlele ukukhipha usuku lonke emsebenzini.
Uma ungumzali onabantwana abancane ekhaya, zama ukuhlela ukuba othile ahlale nawe ngalolo suku ukuze asize ukunakekelwa ukuze uphumule.
Phakathi Nendlela Yakho Ye-Endoscopy
Ngaphambi kokuba inqubo iqale, udokotela wakho uzokunika ithuba lokuzonda ukusiza uzizwe ukhululekile futhi ulele. Ungase futhi ube nomphimbo wakho osifuthowe nge-anesthetic yendawo.
Phakathi nenqubo uqobo, uzobe ulele phansi, enezingubo ezigcwele ukuze uhlale ushisa. Ezimweni eziningi, abantu baze balele. Ungaqeda ukulala ngokusebenzisa yonke inqubo. Ngisho noma ungalele ngokuphelele, kufanele uzizwe ungenabuhlungu obukhulu-eqinisweni, iningi labantu alikhumbuli ngisho nalokho okwenzeka ngesikhathi sokugcina.
Umfutho wegazi, i-pulse ne-oksijeni lizobe seliqashwe ngokucophelela.
Ngokuvamile, i-endoscopy ye-GI engenhla ithatha amaminithi angu-15 kuya kwangu-20. Uzonikwa ngomlomo ukuze usize umlomo wakho uvule. Khona-ke i-gastroenterologist izokwenza ngokucophelela ihambise i-endoscope ngomlomo wakho, isisu sakho, isisu sakho, futhi ube yingxenye yokuqala yomathumbu wakho omncane. Njengoba i-endoscope ifakwe kancane kancane, umoya ufakwa futhi, osiza udokotela ukubona kangcono. Ukuze uthole ukuthi unesifo se-celiac, udokotela wakho uzothatha amasampula amancane amancane emithini yakho emathunjini emathumbu , okuyinto ozoyihlola ngayo kamuva ngaphansi kwe-microscope. Le ngxenye yenqubo, i-biopsy, ayibuhlungu.
Ngemuva kwe-Endoscopy
Uma i-endoscopy yakho isiphelile, uzophumula endaweni yokutakula kuze kube yilapho iningi le-sedative ligugile. Uzokwazi ukuba nokuthile okuphuzayo, futhi uzobe uqaphele, kodwa ungaqapheli ngokwanele ukuzishayela ekhaya.
Ngaphambi kokuba ushiye, udokotela uzokutshela indlela inqubo eya ngayo, kodwa ngeke uthole noma iyiphi imiphumela ye-biopsy izinsuku ezimbalwa. Uzonikezwa imihlahlandlela ebhaliwe ekutshela ukuthi maduzane ungaqala kanjani ukudla futhi futhi uma ungaqhubeka nemisebenzi yakho evamile. Abanye abantu abazizwa bengenazo izimpawu kamuva. Abanye bangase babe nobuhlungu obukhulu bomphimbo noma bazizwe bevinjelwe okwesikhashana.
Zikhona Izinkinga Ezenzekayo?
Nakhu okushiwo yi-American Gastroenterological Association mayelana nezingozi ezihlobene nokuba ne-GI endoscopy ephezulu: "Iminyaka yobufakazi ibonise ukuthi i-GI endoscopy ephezulu iyinkambinkimbi ephephile futhi izinkinga azikho neze zenzeke. Lokhu kubandakanya ukuguqulwa, ukugqotshwa kwodonga lwamathumbu okudinga ukuhlinzwa ukulungiswa nokuphuma kwegazi, okungadinga ukumpontshelwa igazi. Futhi, lezi zinkinga akunakwenzeka; qiniseka ukuxoxa nganoma yikuphi ukukhathazeka okungenzeka ube nakho nodokotela wakho. "
> Imithombo:
> American Gastroenterological Association fact sheet
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. Ishidi langempela le-Upper GI Endoscopy.