Enteroscopy

Enteroscopy ndi njira yogwiritsira ntchito matumbo ang'onoang'ono (matumbo ang'onoang'ono).

Thubhu yocheperako, yosinthasintha (endoscope) imayikidwa kudzera pakamwa mpaka kumtunda kwa m'mimba. Pakati pa zibaluni ziwiri, ma balloon ophatikizidwa ndi endoscope amatha kupatsidwa mphamvu kuti adokotala athe kuwona gawo la m'matumbo ang'onoang'ono.

Mu colonoscopy, chubu chosinthika chimalowetsedwa kudzera mu rectum ndi colon yanu. Chubu chimatha kufikira kumapeto kwa matumbo ang'onoang'ono (ileum). Capsule endoscopy yachitika ndi kapisozi komwe mumatha kumeza.

Zitsanzo zamatenda zomwe zimachotsedwa pa enteroscopy zimatumizidwa ku labu kuti zikaunikidwe. (Biopsies sangathe kutengedwa ndi kapisozi endoscopy.)

Musamamwe mankhwala okhala ndi aspirin sabata imodzi isanakwane. Uzani wothandizira zaumoyo wanu ngati mutenga oyeretsetsa magazi monga warfarin (Coumadin), clopidogrel (Plavix), kapena apixaban (Eliquis) chifukwa izi zitha kusokoneza mayeso. Osasiya kumwa mankhwala pokhapokha atawauza kuti atero.

Musadye zakudya zilizonse zolimba kapena zopangira mkaka pakati pausiku tsiku lomwe mwalandira. Mutha kukhala ndi zakumwa zomveka mpaka maola 4 mayeso anu asanachitike.

Muyenera kusaina fomu yovomerezeka.

Mudzapatsidwa mankhwala otonthoza komanso ochepetsa mavutowo ndipo simungamve kupweteka. Mutha kukhala ndi zotupa kapena zopindika mukadzuka. Izi zimachokera ku mpweya womwe umaponyedwa m'mimba kuti uwonjezere malowa panthawiyi.

Kapisozi endoscopy siyimabweretsa mavuto.

Kuyesaku kumachitika nthawi zambiri kuti athandizire kupeza matenda amatumbo ang'onoang'ono. Zitha kuchitika ngati muli ndi:

• Zotsatira zachilendo za x-ray
• Zotupa m'matumbo ang'onoang'ono
• Kutsekula m'mimba mosadziwika
• Kutuluka magazi kosadziwika

Pazotsatira zodziwika bwino, woperekayo sangapeze magwero a magazi m'matumbo ang'onoang'ono, ndipo sadzapeza zotupa kapena minofu ina yachilendo.

Zizindikiro zimatha kuphatikiza:

• Zovuta za minofu yomwe imayika m'matumbo ang'ono (mucosa) kapena tinthu tating'onoting'ono tokhala ngati chala pamwamba pamatumbo ang'ono (villi)
• Kutalika kwachilendo kwamitsempha yamagazi (angioectasis) m'matumbo
• Maselo a chitetezo amatchedwa PAS-positive macrophages
• Tinthu ting'onoting'ono kapena khansa
• Poizoniyu enteritis
• Kutupa kapena kukulitsa ma lymph node kapena mitsempha yama lymphatic
• Zilonda

Zosintha zomwe zimapezeka pa enteroscopy zitha kukhala zisonyezo zamatenda ndi mikhalidwe, kuphatikiza:

• Amyloidosis
• Celiac sprue
• Matenda a Crohn
• Kuperewera kwa mavitamini kapena vitamini B12
• Mpweya
• Matenda opatsirana opatsirana
• Lymphangiectasia
• Lymphoma
• Angiectasia ya m'mimba yaying'ono
• Khansa ya m'mimba yaying'ono
  
• Kutentha kotentha
• Matenda achikwapu

Zovuta ndizosowa koma zingaphatikizepo:

• Kutaya magazi kwambiri kuchokera kutsamba latsamba
• Dzenje m'matumbo (zotsekemera m'matumbo)
• Kutenga tsamba la biopsy lomwe limatsogolera ku bacteremia
• Kusanza, kenako ndikulakalaka m'mapapu
• Capsule endoscope imatha kuyambitsa kutsekeka m'matumbo ocheperako omwe ali ndi zizindikilo zowawa m'mimba ndi zotupa
  
  

Zinthu zomwe zimaletsa kugwiritsa ntchito mayeso amenewa ndi monga:

• Wosagwirizana kapena wosokonezeka
• Matenda osokoneza bongo (coagulation) osasinthidwa
• Kugwiritsa ntchito aspirin kapena mankhwala ena omwe amaletsa magazi kuti asamaundane bwino (maanticoagulants)

Chiwopsezo chachikulu ndikutuluka magazi. Zizindikiro zimaphatikizapo:

• Kupweteka m'mimba
• Magazi pamalopo
• Kusanza magazi

Kankhirani enteroscopy; Enteroscopy ya zibaluni ziwiri; Kapisozi enteroscopy

• Zolemba zazing'ono zamatumbo
• Esophagogastroduodenoscopy (EGD)
• Kapisozi endoscopy

Barth B, Troendle D. Capsule endoscopy ndi enteroscopy yaying'ono yamatumbo. Mu: Wyllie R, Hyams JS, Kay M, olemba., Eds. Matenda a m'mimba ndi Matenda a Chiwindi. 5th ed. Philadelphia, PA: Elsevier; 2016: chap 63.

Marcinkowski P, Fichera A. Kusamalira magazi m'munsi m'mimba. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 341-347.

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

Waterman M, Zurad EG, Gralnek IM. Kanema kapisozi endoscopy. Mu: Fowler GC, mkonzi. Njira za Pfenninger ndi Fowler Zoyang'anira Poyamba. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 93.