Kapisozi endoscopy
Endoscopy ndi njira yoyang'ana mthupi. Endoscopy nthawi zambiri imachitika ndi chubu chomwe chimayikidwa mthupi chomwe adotolo angagwiritse ntchito kuti ayang'ane mkati.
Njira ina yoyang'ana mkati ndikuyika kamera mu kapisozi (capsule endoscopy). Kapisozi kamakhala ndi kamera kamodzi kapena awiri ang'onoang'ono, babu yoyatsa, batire, ndi chopatsira wailesi.
Ili pafupi kukula kwa piritsi lalikulu la vitamini. Munthuyo amameza kapisozi, ndipo amajambula zithunzi kudzera m'mimba (m'mimba).
- Wofalitsa wailesi amatumiza zithunzi kwa ojambulira munthu yemwe wavala m'chiuno kapena paphewa.
- Katswiri walandila zithunzizo kuchokera pa chojambuliracho mpaka pakompyuta, ndipo dokotalayo amaziyang'ana.
- Kamera imatuluka ndikutuluka ndipo imakokedwa mchimbudzi bwinobwino.
Mayesowa atha kuyambitsidwa muofesi ya adotolo.
- Kapisoziyu ndi wamkulu piritsi lalikulu la mavitamini, pafupifupi mainchesi (2.5 sentimita) m'litali komanso ochepera mainchesi (1.3 masentimita). Kapsule iliyonse imagwiritsidwa ntchito kamodzi kokha.
- Wothandizira zaumoyo akhoza kukupemphani kuti mugone pansi kapena mukhale tsonga pamene mukumeza kapisozi. Capsule endoscope idzakhala ndi zokutira zoterera, kotero ndikosavuta kumeza.
The kapisozi si digested kapena odzipereka. Imayenda kudzera m'matumbo kutsatira njira yomweyo chakudya chimayendera. Imasiya thupi ili matumbo ndipo imatha kuponyedwa mchimbudzi popanda kuwononga ma plumb.
Chojambuliracho chidzaikidwa m'chiuno mwanu kapena paphewa. Nthawi zina zigamba zazing'ono zimatha kuyikidwa pathupi lanu. Pakati pa mayeso, kuwala kwakung'ono kwa chojambulira kudzawala. Ngati yaleka kunyezimira, itanani omwe akukuthandizani.
Kapisozi akhoza kukhala mthupi lanu kwa maola angapo kapena masiku angapo. Aliyense ndi wosiyana.
- Nthawi zambiri, kapisozi amatuluka mthupi pasanathe maola 24. Thirani kapisozi pansi pa chimbudzi.
- Ngati simukuwona kapisozi mchimbudzi pakadutsa milungu iwiri muchimameze, uzani omwe akukuthandizani. Mungafunike x-ray kuti muwone ngati kapisoziyo akadali mthupi lanu.
Tsatirani malangizo a omwe amakupatsani. Ngati simukutsatira mosamala malangizo, mayesowa akuyenera kuchitidwa tsiku lina.
Wopereka wanu akhoza kukupemphani kuti:
- Imwani mankhwala kuti muchotse matumbo anu musanayesedwe
- Mukhale ndi zakumwa zoonekeratu kwa maola 24 musanayezeke
- Musakhale ndi chakudya kapena chakumwa, kuphatikiza madzi, kwa maola pafupifupi 12 musanameze kapisozi
Osasuta kwa maola 24 mayeso asanakwane.
Onetsetsani kuuza dokotala wanu:
- Pafupifupi mankhwala onse ndi mankhwala omwe mumamwa, kuphatikizapo mankhwala akuchipatala, mankhwala owonjezera (OTC), mavitamini, michere, zowonjezera, ndi zitsamba. Mutha kupemphedwa kuti musamamwe mankhwala panthawi yoyesayi, chifukwa amatha kusokoneza kamera.
- Ngati matupi anu sagwirizana ndi mankhwala aliwonse.
- Ngati munakhalapo ndi zotchinga m'mimba.
- Pazovuta zilizonse zamankhwala, monga mavuto akumeza kapena matenda amtima kapena m'mapapo.
- Ngati muli ndi pacemaker, defibrillator, kapena chida china chokhazikitsidwa.
- Ngati mwachitidwapo opaleshoni yam'mimba kapena mavuto am'mimba.
Patsiku la mayeso, pitani ku ofesi ya omwe amakupatsirani ovala zovala zosavala, zovala ziwiri.
Pomwe capsule ili mthupi lanu simuyenera kukhala ndi MRI.
Mudzauzidwa zomwe muyenera kuyembekezera mayeso asanayambe. Anthu ambiri amawona mayesowa kukhala omasuka.
Ngakhale kapisozi ili m'thupi lanu mutha kuchita zinthu wamba, koma osakweza zolemera kapena zolimbitsa thupi. Ngati mukufuna kukagwira ntchito patsiku la mayeso, uzani omwe akukuthandizani momwe mudzakhalire pantchitoyi.
Wopezayo adzakuwuzani nthawi yomwe mungadye ndikumwa kachiwiri.
Capsule endoscopy ndi njira yoti adotolo awone mkati mwazomwe mukudya.
Pali zovuta zambiri zomwe zimayang'ana, kuphatikiza:
- Magazi
- Zilonda
- Tinthu ting'onoting'ono
- Zotupa kapena khansa
- Matenda otupa
- Matenda a Crohn
- Matenda a Celiac
Kamera imatenga zithunzi masauzande ambirimbiri zam'magazi anu poyeserera. Zithunzi izi zimatsitsidwa pamakompyuta ndipo mapulogalamu amawasandutsa kanema. Wopereka wanu amayang'ana kanemayo kuti afufuze zovuta. Zitha kutenga sabata kuti muphunzire zotsatira. Ngati palibe mavuto omwe akupezeka, zotsatira zanu ndi zachilendo.
Wopereka wanu angakuuzeni ngati akupeza vuto ndi gawo lanu lakugaya chakudya, tanthauzo lake, ndi momwe angachiritsidwire.
Pali zovuta zochepa zomwe zitha kuchitika ndi capsule endoscopy. Itanani omwe akukuthandizani nthawi yomweyo ngati, mutatha kumeza kapisozi, inu:
- Khalani ndi malungo
- Zikukuvutani kumeza
- Ponyani mmwamba
- Khalani ndi chifuwa, kupweteka, kapena kupweteka m'mimba
Ngati matumbo anu atsekedwa kapena kupapatiza, capsule imatha kukakamira. Izi zikachitika, mungafunike kuchitidwa opaleshoni kuti muchotse kapisozi, ngakhale izi ndizochepa.
Ngati muli ndi MRI kapena pafupi ndi maginito amphamvu (ngati ham radio) mutha kuwonongeka kwambiri pamimba ndi pamimba.
Kapisozi enteroscopy; Opanda zingwe kapisozi endoscopy; Kanema kapisozi endoscopy (VCE); Thupi laling'ono la kapisozi endoscopy (SBCE)
- Kapisozi endoscopy
Enns RA, Hookey L, Armstrong D, ndi al. Malangizo azachipatala pakugwiritsa ntchito makapisozi endoscopy. Gastroenterology. 2017; 152 (3): 497-514. (Adasankhidwa) PMID: 28063287 www.ncbi.nlm.nih.gov/pubmed/28063287.
[Adasankhidwa] Huang CS, Wolfe MM. Endoscopic ndi kulingalira njira. Mu: Benjamin IJ, Griggs RC, Wing EJ, Fitz JG, olemba. Andreec ndi Carpenter a Cecil zofunika za mankhwala. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 34.
Huprich JE, Alexander JA, Mullan BP, Stanson AW. Kutaya magazi m'mimba. Mu: Gore RM, Levine MS, eds. Buku Lophunzitsira Radiology. Wolemba 4. Philadelphia, PA: Elsevier Saunders; 2015: chap 125.
Amasunga TJ, Jensen DM. Kutuluka m'mimba. 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 20.