EGD - esophagogastroduodenoscopy

Esophagogastroduodenoscopy (EGD) ndiyeso loyesa kupindika kwa m'mimba, m'mimba, ndi gawo loyamba la m'matumbo ang'ono (duodenum).

EGD imachitikira kuchipatala kapena kuchipatala. Njirayi imagwiritsa ntchito endoscope. Izi ndi chubu chosinthika chokhala ndi kuwala ndi kamera kumapeto.

Njirayi yachitika motere:

• Pochita izi, kupuma kwanu, kuthamanga kwa mtima, kuthamanga kwa magazi, komanso kuchuluka kwa mpweya kumayang'aniridwa. Mawaya amalumikizidwa m'malo ena amthupi mwanu komanso pamakina oyang'anira zizindikiro zofunika izi.
• Mumalandira mankhwala mumtsinje kuti zikuthandizeni kupumula. Simuyenera kumva kupweteka ndipo musakumbukire njirayi.
• Mankhwala opatsirana amatha kupopera pakamwa panu kuti muteteze kapena kukomoka mukamayika.
• Choteteza pakamwa chimagwiritsidwa ntchito kuteteza mano anu ndi kukula kwake. Mano ovekera ayenera kuchotsedwa njira isanayambe.
• Kenako mumagona kumanzere kwanu.
• Kukula kwake kumalowetsedwa kudzera m'mimba (chitoliro cha chakudya) m'mimba ndi duodenum. Duodenum ndiye gawo loyamba la m'mimba.
• Mpweya umadutsa momwe ungathandizire kuti dokotala awone.
• Mbali ya pamimba, m'mimba, ndi chapamwamba cha duodenum imayesedwa. Biopsies atha kutengedwa kudzera momwe angathere. Ma biopsies ndi zitsanzo zamatenda zomwe zimayang'aniridwa pansi pa microscope.
• Mankhwala osiyanasiyana amatha kuchitidwa, monga kutambasula kapena kukulitsa gawo locheperako la pamimba.

Chiyeso chikamalizidwa, simudzatha kukhala ndi chakudya ndi madzi mpaka gag reflex yanu ibwerere (kuti musatsamwitse).

Mayesowa amakhala pafupifupi mphindi 5 mpaka 20.

Tsatirani malangizo aliwonse omwe mwapatsidwa kuti mubwezeretse kunyumba.

Simungadye chilichonse kwa maola 6 mpaka 12 mayeso asanayesedwe. Tsatirani malangizo okhudza kuletsa aspirin ndi mankhwala ena ophera magazi musanayezedwe.

Mankhwala opatsirana amachititsa kuti zikhale zovuta kumeza. Izi zimatha posachedwa. Kukula kwake kungakupangitseni kukhala gag.

Mutha kumva mpweya komanso kuyenda kwa mimba yanu. Simungathe kumva biopsy. Chifukwa chokhala pansi, mwina simungamve kupweteka ndipo simukumbukira za mayeso.

Mutha kumva kutupidwa ndi mpweya womwe udayikidwa mthupi lanu. Kumverera kumeneku kumatha posachedwa.

EGD itha kuchitidwa ngati muli ndi zizindikilo zatsopano, zomwe sizingafotokozedwe, kapena simukuyankha chithandizo, monga:

• Mdima wakuda kapena wochedwa kapena magazi akusanza
• Kubweretsa chakudya kumbuyo (kubwezeretsanso)
• Kumva kukhuta msanga kuposa masiku onse kapena mutadya pang'ono
• Kumva ngati chakudya chakakamira kuseri kwa chifuwa
• Kutentha pa chifuwa
• Kuchuluka kwa magazi (kuchepa magazi) komwe sikungathe kufotokozedwa
• Kupweteka kapena kusapeza m'mimba chapamwamba
• Kumeza mavuto kapena kupweteka ndi kumeza
• Kuchepetsa thupi komwe sikungathe kufotokozedwa
• Nsawawa kapena kusanza komwe sikupita

Dokotala wanu amathanso kuyitanitsa mayesowa ngati:

• Mukhale ndi chiwindi cha chiwindi, kuyang'ana mitsempha yotupa (yotchedwa varices) m'makoma akumunsi kwa kholingo, komwe kumatha kuyamba kutuluka magazi
• Khalani ndi matenda a Crohn
• Mukufuna kutsatira kapena chithandizo china chazomwe zapezeka

Kuyesaku kungagwiritsidwenso ntchito kutenga chidutswa cha minofu ya biopsy.

Mimba, m'mimba, ndi duodenum ziyenera kukhala zosalala komanso zachilendo. Pasapezeke magazi, zophuka, zilonda, kapena kutupa.

EGD yachilendo ikhoza kukhala chifukwa cha:

• Matenda aceliac (kuwonongeka kwa matumbo am'mimba chifukwa chodya gluten)
• Matenda a Esophageal (mitsempha yotupa mkatikati mwa minyewa yoyambitsidwa ndi chiwindi cha chiwindi)
• Esophagitis (akalowa m'mimba amatupa kapena kutupa)
• Gastritis (akalowa m'mimba ndi duodenum amatupa kapena kutupa)
• Matenda a reflux a gastroesophageal (vuto lomwe chakudya kapena madzi kuchokera m'mimba amatuluka chammbuyo kupita kummero)
• Matenda a Hiatal (vuto lomwe gawo lina la m'mimba limatsamira pachifuwa kudzera potsegula mu diaphragm)
• Matenda a Mallory-Weiss (misozi m'mimba)
• Kupendekera kwa kholingo, monga kuchokera pachimake chotchedwa esophageal ring
• Zotupa kapena khansa m'mimba, m'mimba, kapena duodenum (gawo loyamba lamatumbo ang'ono)
• Zilonda, m'mimba (mmimba) kapena mmatumbo (m'matumbo ang'ono)

Pali mwayi wochepa wa dzenje (zotsekemera) m'mimba, duodenum, kapena kholingo kuchokera kumtunda woyenda m'malo amenewa. Palinso chiopsezo chochepa chakutuluka magazi pamalo a biopsy.

Mutha kuyankha mankhwala omwe amagwiritsidwa ntchito panthawiyi, omwe angayambitse:

• Apnea (osapuma)
• Kuvuta kupuma (kupuma kukhumudwa)
• Kutuluka thukuta kwambiri
• Kuthamanga kwa magazi (hypotension)
• Kugunda kwa mtima pang'ono (bradycardia)
• Kuphipha kwa kholingo (kholingo)

Kutsegula; Pamwamba endoscopy; Kutulutsa m'mimba

• Reflux ya gastroesophageal - kutulutsa

• Mapeto a m'mimba
• Esophagogastroduodenoscopy (EGD)

Koch MA, Zurad EG. Zolemba za Esophagogastroduodenoscopy. Mu: Fowler GC, mkonzi. Ndondomeko za Pfenninger & Fowler Zoyang'anira Poyamba. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 91.

Vargo JJ. Kukonzekera ndi zovuta za GI endoscopy. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 41.