Chikhalidwe cha Esophageal

Zamkati

• Kodi chikhalidwe chotsamira m'mimba ndi chiyani?
• Kodi cholinga cha chikhalidwe cha kholingo ndi chotani?
• Kodi zikhalidwe zam'maganizo zimapezeka bwanji?
• Kodi ndi zoopsa ziti zomwe zimakhudzana ndi chikhalidwe cha anthu okomoka komanso kupendekera kwapadera?
• Ndingayembekezere chiyani nditagwira ntchito?
• Ndiyenera kukawona liti dokotala wanga?
• Zikhala bwanji ndikapeza zotsatira?

Kodi chikhalidwe chotsamira m'mimba ndi chiyani?

Chikhalidwe chofuna kupha magazi ndi kuyesa labotale komwe kumayang'ana minofu kuchokera kum'mero ​​ngati kuli matenda kapena khansa. Khosi lanu ndi chubu lalitali pakati pakhosi ndi m'mimba. Amatumiza chakudya, zakumwa, ndi malovu kuchokera mkamwa mwanu kupita kumalo anu ogaya chakudya.

Pazikhalidwe zam'mimba, minofu yochokera kum'mero ​​imapezeka kudzera munjira yotchedwa esophagogastroduodenoscopy. Izi zimatchedwa kuti EGD kapena endoscopy wapamwamba.

Dokotala wanu akhoza kuyitanitsa mayesowa ngati akuganiza kuti muli ndi matenda m'mimba mwanu kapena ngati simukuyankha kuchipatala chifukwa cha vuto lakumapapo.

Ma endoscopy nthawi zambiri amachitika mopitilira kuchipatala pogwiritsa ntchito pang'ono. Mukamachita izi, dokotala wanu amalowetsa chida chotchedwa endoscope pakhosi panu ndikutsitsa kummero kwanu kuti mutenge minofu.

Anthu ambiri amatha kubwerera kwawo mkati mwa maola ochepa atayesedwa ndipo amafotokoza zopweteka kapena zovuta.

Zitsanzo zamatumbo zimatumizidwa ku labu kuti zikawunikidwe, ndipo dokotala wanu adzakuyimbirani zotsatira ndi masiku ochepa.

Kodi cholinga cha chikhalidwe cha kholingo ndi chotani?

Dokotala wanu atha kunena za chikhalidwe cha kholingo ngati akuganiza kuti mutha kukhala ndi matenda am'mero ​​kapena ngati muli ndi kachilombo komwe sikukuyankha chithandizo monga kuyenera.

Nthawi zina, dokotala wanu amatenganso zolemba zanu pa EGD yanu. Kufufuza mozama kuti khungu likule bwino, monga khansa. Matenda a biopsy amatha kutengedwa pogwiritsa ntchito njira yofanana ndi chikhalidwe chanu cha mmero.

Zitsanzozo zimatumizidwa ku labu ndikuziyika pachakudya cha masiku angapo kuti muwone ngati mabakiteriya, bowa, kapena ma virus akukula. Ngati palibe chomwe chimamera mu mbale ya labotale, mumakhala ndi zotsatira zabwinobwino.

Ngati pali umboni wokhudzana ndi matendawa, dokotala wanu angafunikire kuyitanitsa mayeso ena kuti awathandize kudziwa chomwe chikuyambitsa ndi dongosolo la mankhwala.

Ngati kachilombo ka biopsy kamatengedwanso, wodwala matenda amafufuza maselo kapena ziphuphu pansi pa microscope kuti adziwe ngati ali ndi khansa kapena othamanga. Maselo otsogola ndi maselo omwe amatha kukhala khansa. Biopsy ndiyo njira yokhayo yodziwira khansa molondola.

Kodi zikhalidwe zam'maganizo zimapezeka bwanji?

Kuti mupeze mtundu wa minofu yanu, dokotala wanu amachita EGD. Kuyesaku, kamera yaying'ono, kapena endoscope yosinthasintha, imayikidwa pakhosi panu. Kamera imapanga zithunzi pazenera m'chipinda chogwiritsira ntchito, kulola dokotala wanu kuti athe kuwona bwino pamimba panu.

Kuyesaku sikufuna kukonzekera kwambiri mbali yanu. Mungafunike kusiya kumwa zochotsa magazi, ma NSAID, kapena mankhwala ena omwe amakhudza magazi kwa masiku angapo mayeso asanachitike.

Dokotala wanu adzakufunsaninso kuti musala kudya kwa maola 6 mpaka 12 nthawi yanu yoyesa isanakwane. EGD nthawi zambiri imakhala njira yopumira kuchipatala, kutanthauza kuti mutha kupita kwanu mukangotsatira.

Nthawi zambiri, mzere wamitsempha (IV) umalowetsedwa mumtsempha m'manja mwanu. Wokhala ndi mankhwala opha ululu adzalowetsedwa kudzera mu IV. Wopereka chithandizo chamankhwala amathanso kupopera mankhwala oletsa kupweteka pakamwa panu ndi pakhosi kuti asungunuke malowa ndikukulepheretsani kugwedezeka panthawiyi.

Padzakhala mlonda pakamwa kuti muteteze mano anu ndi endoscope. Ngati muvala zodzikongoletsera, muyenera kuzichotseratu.

Mudzagona kumanzere kwanu, ndipo dokotala wanu adzaika endoscope kudzera mkamwa kapena mphuno, pansi pakhosi panu, ndi m'mimba mwanu. Mpweya wina udzaikidwanso kuti zikhale zosavuta kuti dokotala awone.

Dokotala wanu amayang'ana m'mimba mwanu ndikuwonanso m'mimba ndi kumtunda kwa duodenum, komwe ndi gawo loyamba la m'mimba. Izi zikuyenera kuwoneka zosalala komanso zamtundu wabwinobwino.

Ngati pali magazi owoneka bwino, zilonda zam'mimba, kutupa, kapena zophuka, dokotala wanu atenga ma biopsies amalo amenewo. Nthawi zina, dokotala wanu amayesa kuchotsa ziwalo zilizonse zokayikira ndi endoscope panthawiyi.

Njirayi imatenga pafupifupi mphindi 5 mpaka 20.

Kodi ndi zoopsa ziti zomwe zimakhudzana ndi chikhalidwe cha anthu okomoka komanso kupendekera kwapadera?

Pali mwayi wochepa wowonongeka kapena kutuluka magazi panthawiyi. Monga momwe mungachitire ndi njira iliyonse yamankhwala, inunso mutha kuyankha mankhwalawo. Izi zitha kubweretsa:

• kuvuta kupuma
• thukuta kwambiri
• spasms ya m'phuno
• kuthamanga kwa magazi
• kugunda pang'onopang'ono kwa mtima

Lankhulani ndi dokotala wanu ngati mukudandaula za momwe mankhwala osokoneza bongo angakukhudzireni.

Ndingayembekezere chiyani nditagwira ntchito?

Potsatira ndondomekoyi, muyenera kukhala kutali ndi zakudya ndi zakumwa mpaka gag reflex yanu ibwerere. Mosakayikira mudzamva kupweteka ndipo simudzakumbukira za opaleshoniyi. Mutha kubwerera kunyumba tsiku lomwelo.

Khosi lanu limatha kumva kupweteka pang'ono masiku angapo. Muthanso kumva kupweteka pang'ono kapena kumva kwa mpweya. Izi ndichifukwa choti mpweya udalowetsedwa panthawiyi. Komabe, anthu ambiri samva kupweteka kwenikweni kapena samamva kupweteka pambuyo pa endoscopy.

Ndiyenera kukawona liti dokotala wanga?

Muyenera kulumikizana ndi adotolo nthawi yomweyo mukamachita izi mutayesedwa:

• chimbudzi chakuda kapena chamagazi
• masanzi amagazi
• zovuta kumeza
• malungo
• ululu

Izi zikhoza kukhala zizindikiro za matenda ndikutuluka magazi mkati.

Zikhala bwanji ndikapeza zotsatira?

Ngati dokotala wanu atachotsa minofu iliyonse yokayikitsa kapena maselo am'thupi pomwe mukuchita, atha kufunsa kuti mupange endoscopy yotsatira. Izi zimatsimikizira kuti maselo onse adachotsedwa ndikuti simukusowa chithandizo chowonjezera.

Dokotala wanu akuyenera kuti akuyimbireni kuti mukambirane zotsatira zanu masiku angapo. Ngati matenda atsegulidwa, mungafunike kuyesedwa kwina kapena dokotala wanu angakupatseni mankhwala ochizira matenda anu.

Ngati mutapezeka kuti muli ndi maselo a khansa komanso khansa, dokotala wanu ayesa kudziwa mtundu wa khansa, komwe adachokera, ndi zina. Izi zithandizira kudziwa zomwe mungasankhe.