Endoscopy
Zamkati
- Chifukwa chiyani ndikufunika endoscopy?
- Kodi ndimakonzekera bwanji endoscopy?
- Mitundu ya endoscopy ndi iti?
- Kodi maluso aposachedwa kwambiri muukadaulo wa endoscopy ndi ati?
- Kapisozi endoscopy
- Endoscopic retrograde cholangiopancreatography (ERCP)
- Zojambulajambula
- Endoscopic ultrasound (EUS)
- Endoscopic mucosal resection (EMR)
- Kujambula kocheperako (NBI)
- Kodi kuopsa kwa endoscopy ndi kotani?
- Kodi chimachitika ndi chiyani pambuyo pa endoscopy?
Kodi endoscopy ndi chiyani?
Endoscopy ndi njira yomwe dokotala amagwiritsa ntchito zida zapadera kuti muwone ndikugwiritsa ntchito ziwalo zamkati ndi zotengera za thupi lanu. Amalola ochita opaleshoni kuwona mavuto mthupi lanu osapanga zocheka zazikulu.
Dokotala amalowetsa endoscope kudzera pakadulidwe kakang'ono kapena kotsegula m'thupi monga pakamwa. Endoscope ndi chubu chosinthika chokhala ndi kamera yolumikizidwa yomwe imalola dokotala wanu kuwona. Dokotala wanu amatha kugwiritsa ntchito forceps ndi lumo pa endoscope kuti agwiritse ntchito kapena kuchotsa minofu ya biopsy.
Chifukwa chiyani ndikufunika endoscopy?
Endoscopy imalola dokotala wanu kuti azitha kuwona chiwalo popanda kupanga gawo lalikulu. Chophimba m'chipinda chopangira opaleshoni chimamulola dokotala kuwona ndendende zomwe endoscope imawona.
Endoscopy amagwiritsidwa ntchito motere:
- thandizani dokotala wanu kudziwa chomwe chimayambitsa matenda aliwonse achilendo omwe mukukhala nawo
- chotsani tinthu tating'onoting'ono tating'onoting'ono, tomwe timatha kutumizidwa ku labu kukayesedwa; izi zimatchedwa biopsy yotsiriza
- thandizani dokotala wanu kuwona mkati mwa thupi panthawi yochita opaleshoni, monga kukonza zilonda zam'mimba, kapena kuchotsa miyala yam'mimba kapena zotupa
Dokotala wanu akhoza kuyitanitsa endoscopy ngati muli ndi zizindikiro za izi:
- matenda opatsirana am'mimba (IBD), monga ulcerative colitis (UC) ndi matenda a Crohn
- Zilonda zam'mimba
- kudzimbidwa kosalekeza
- kapamba
- miyala yamtengo wapatali
- Kutuluka magazi mosadziwika m'mimba
- zotupa
- matenda
- kutsekeka kwam'mero
- matenda a reflux a gastroesophageal (GERD)
- chophukacho
- kutuluka kwachilendo kwachilendo
- magazi mkodzo wanu
- zina zokhudzana ndi kugaya chakudya
Dokotala wanu adzayang'ananso zizindikiro zanu, kuyesa thupi, ndipo mwina kuyitanitsa mayeso amwazi asanafike endoscopy. Mayesowa athandiza dokotala wanu kuti amvetsetse molondola pazomwe zingayambitse matenda anu. Mayeserowa angawathandizenso kudziwa ngati mavutowa angachiritsidwe popanda endoscopy kapena opaleshoni.
Kodi ndimakonzekera bwanji endoscopy?
Dokotala wanu adzakupatsani malangizo athunthu okonzekera. Mitundu yambiri yama endoscopy imafuna kuti musiye kudya zakudya zolimba mpaka maola 12 isanachitike. Mitundu ina yamadzimadzi omveka, monga madzi kapena msuzi, atha kuloledwa kwa maola awiri chisanafike. Dokotala wanu adzakufotokozerani izi.
Dokotala wanu angakupatseni mankhwala otsekemera kapena mankhwala kuti mugwiritse ntchito usiku usanachitike kuti muchotsere makina anu. Izi ndizofala pamachitidwe okhudzana ndi m'mimba (GI) ndi anus.
Asanachitike endoscopy, adotolo amakayezetsani ndikupenda mbiri yanu yonse yazachipatala, kuphatikizapo maopaleshoni ena am'mbuyomu.
Onetsetsani kuti muuze dokotala zamankhwala aliwonse omwe mukumwa, kuphatikizapo mankhwala owonjezera komanso zowonjezera zakudya. Komanso dziwitsani dokotala wanu za matenda aliwonse omwe mungakhale nawo. Mungafunike kusiya kumwa mankhwala ngati angakhudze magazi, makamaka anticoagulant kapena antiplatelet mankhwala.
Mungafune kukonzekera kuti wina adzakuyendetsani kunyumba mukatha kuchita izi chifukwa mwina simungamve bwino kuchokera ku dzanzi.
Mitundu ya endoscopy ndi iti?
Ma endoscopy amagwera m'magulu, kutengera gawo la thupi lomwe amafufuza. American Cancer Society (ACS) imatchula mitundu yotsatirayi ya ma endoscopy:
| Lembani | Dera loyesedwa | Komwe kukula kumayikidwa | Madokotala omwe amachita opaleshoniyo |
| chojambulajambula | mafupa | kudzera pobowola pang'ono pafupi ndi cholumikizira choyesedwa | opaleshoni ya mafupa |
| bronchoscopy | mapapo | m'mphuno kapena mkamwa | pulmonologist kapena opaleshoni ya thoracic |
| chiwonetsero | m'matumbo | kupyola mu chotulukira | gastroenterologist kapena proctologist |
| cystoscopy | chikhodzodzo | kudzera mkodzo | waukatswiri |
| entoscopy | matumbo aang'ono | kudzera mkamwa kapena kumatako | gastroenterologist |
| chisokonezo | mkati mwa chiberekero | kudzera kumaliseche | azimayi azachipatala kapena azachipatala azachipatala |
| laparoscopy | m'mimba kapena m'chiuno | kudzera pang'amba pang'onoting'ono pafupi ndi dera lofufuzidwa | mitundu yosiyanasiyana ya madokotala ochita opaleshoni |
| laryngoscopy | kholingo | kudzera mkamwa kapena mphuno | otolaryngologist, wotchedwanso dokotala wa khutu, mphuno, ndi mmero (ENT) |
| chiwiri | mediastinum, dera pakati pa mapapo | kudzera pobowola pamwamba pa chifuwa | dokotala wa opaleshoni |
| anayankha | rectum ndi m'munsi mwa m'matumbo akulu, otchedwa sigmoid colon | kulowa mu anus | gastroenterologist kapena proctologist |
| thoracoscopy, yomwe imadziwikanso kuti pleuroscopy | malo pakati pa mapapo ndi khoma la chifuwa | kudzera paching'onoting'ono pachifuwa | pulmonologist kapena opaleshoni ya thoracic |
| chapamwamba m'mimba endoscopy, yemwenso amadziwika kuti esophagogastroduodenoscopy | kummero ndi kumtunda kwa m'mimba | kudzera mkamwa | gastroenterologist |
| ureteroscopy | ureter | kudzera mkodzo | waukatswiri |
Kodi maluso aposachedwa kwambiri muukadaulo wa endoscopy ndi ati?
Monga matekinoloje ambiri, endoscopy ikupitilira patsogolo. Mibadwo yatsopano yama endoscopes imagwiritsa ntchito kujambula kwakukulu kuti apange zithunzi mwatsatanetsatane. Njira zophatikizira zimaphatikizaponso endoscopy ndi ukadaulo wojambula kapena njira zopangira opaleshoni.
Nazi zitsanzo za matekinoloje aposachedwa kwambiri a endoscopy.
Kapisozi endoscopy
Njira yosinthira yotchedwa capsule endoscopy itha kugwiritsidwa ntchito ngati mayeso ena sanatsimikizike. Pakati pa kapisozi endoscopy, mumeza piritsi laling'ono lokhala ndi kamera kakang'ono mkati. Kapsule imadutsa m'mimba mwanu, popanda vuto lililonse kwa inu, ndipo imapanga zithunzi zambirimbiri zamatumbo momwe zimadutsamo.
Endoscopic retrograde cholangiopancreatography (ERCP)
ERCP imaphatikiza ma X-ray ndi ma Gos endoscopy apamwamba kuti azindikire kapena kuthana ndi mavuto ndi mapope a bile ndi kapamba.
Zojambulajambula
Chromoendoscopy ndi njira yomwe imagwiritsa ntchito banga kapena utoto wapadera pakhungu la m'matumbo panthawi ya endoscopy. Utoto umathandiza dokotala kuwona bwino ngati pali china chilichonse chachilendo pamatumbo.
Endoscopic ultrasound (EUS)
EUS imagwiritsa ntchito ultrasound molumikizana ndi endoscopy. Izi zimathandiza madotolo kuti aziwona ziwalo ndi zinthu zina zomwe sizimawoneka nthawi zonse endoscopy. Singano yopyapyala imatha kulowetsedwa mu chiwalo kapena kapangidwe kake kuti ipeze minofu kuti muwone pansi pa microscope. Njirayi imatchedwa chikhumbo chabwino cha singano.
Endoscopic mucosal resection (EMR)
EMR ndi njira yomwe imagwiritsidwa ntchito kuthandiza madotolo kuchotsa minofu ya khansa m'mimba. Ku EMR, singano imadutsa mu endoscope kuti ilowetse madzi pansi pazinyalala. Izi zimathandiza kusiyanitsa minofu ya khansa ndi zigawo zina kuti izitha kuchotsedwa mosavuta.
Kujambula kocheperako (NBI)
NBI imagwiritsa ntchito fyuluta yapadera kuti ipangitse kusiyanasiyana pakati pa zotengera ndi mucosa. Mucosa ndi mkatikati mwa kagayidwe kake kagayidwe.
Kodi kuopsa kwa endoscopy ndi kotani?
Endoscopy ili ndi chiopsezo chotsika kwambiri chotaya magazi ndi matenda kuposa opaleshoni yotseguka. Komabe, endoscopy ndi njira yachipatala, chifukwa chake imatha kutenga magazi, matenda, ndi zovuta zina monga:
- kupweteka pachifuwa
- kuwonongeka kwa ziwalo zanu, kuphatikizapo zotheka kuwonongeka
- malungo
- kupweteka kosalekeza m'dera la endoscopy
- kufiira ndi kutupa pamalo obowolera
Zowopsa zamtundu uliwonse zimadalira komwe njirayi ikuyendera komanso momwe mulili.
Mwachitsanzo, mipando yakuda, kusanza, komanso kuvutika kumeza utatha colonoscopy zitha kuwonetsa kuti china chake sichili bwino. Hysteroscopy imakhala ndi chiopsezo chochepa chobowola chiberekero, kutuluka magazi m'mimba, kapena kupwetekedwa kwa khomo lachiberekero. Ngati muli ndi kapisozi endoscopy, pamakhala chiopsezo chochepa kuti kapisozi akhoza kumata penapake m'magawo am'mimba. Chiwopsezo chimakhala chachikulu kwa anthu omwe ali ndi vuto lomwe limayambitsa kuchepa kwam'mimba, ngati chotupa. Kapisozi angafunikire kuchotsedwa opaleshoni.
Funsani madokotala anu za zizindikilo zomwe muyenera kutsata mukamatsata endoscopy yanu.
Kodi chimachitika ndi chiyani pambuyo pa endoscopy?
Ma endoscopy ambiri ndi njira zopitilira kuchipatala. Izi zikutanthauza kuti mutha kupita kwanu tsiku lomwelo.
Dokotala wanu amatseka mabala am'mimbamo ndi ma ulusi ndikuwamanga bwino pambuyo pake. Dokotala wanu adzakupatsani malangizo a momwe mungasamalire bala ili nokha.
Pambuyo pake, muyenera kudikirira ola limodzi kapena awiri kuchipatala kuti zovuta ziwoneke. Mnzanu kapena wachibale wanu adzakuthamangitsani kupita kunyumba. Mukakhala kunyumba, muyenera kukonzekera kugwiritsa ntchito nthawi yotsala yopuma.
Njira zina zitha kukusiyirani zovuta. Zingatenge nthawi kuti mumve bwino kuti muchite bizinesi yanu ya tsiku ndi tsiku. Mwachitsanzo, kutsatira ma GI endoscopy apamwamba, mutha kukhala ndi zilonda zapakhosi ndipo muyenera kudya zakudya zofewa masiku angapo. Mutha kukhala ndi magazi mkodzo wanu mukatha cystoscopy kuti mufufuze chikhodzodzo. Izi ziyenera kudutsa mkati mwa maola 24, koma muyenera kulumikizana ndi dokotala ngati akupitilira.
Ngati dokotala akukayikira kuti ali ndi matenda a khansa, adzachita biopsy panthawi yanu yomaliza. Zotsatira zidzatenga masiku angapo. Dokotala wanu azikambirana nanu zotsatirazi akawabwezera kuchokera ku labotale.
Kuchuluka
Sodium hypochlorite poyizoni
