ukuba ukuqunjelwa ezichaphazelekayo inkoliso yabantu ehlabathini lonke. Ekuqhubeni uphando ngeenjongo yoxilongo ukudumba iphecana zesisu kutyhilwa rhoqo kakhulu. Ngoko ke, iyeza wesimanje aye iintlobo ngentlobo zobungcaphephe ngokukhawuleza ngokuchanileyo ukubona utshintsho zophendlo lwezifo. Kukho inani elaneleyo izifundo zomculo isetyenziselwa ukuvavanya imeko lokugaya. Phakathi kwazo kukho Ukuzibona iqhezu,-pH imitha, X-reyi iindlela koko, biopsy nkqu laparoscopy. Umgangatho igolide namhlanje - FEGDS (fibroezofagogastroduodenoskopiya).
benefits FEGDS
Fibroezofagogastroduodenoskopiya, okanye ube nje gastroscopy, wabelwa ukuba ekufumanekeni ezingaqhelekanga esophageal, isisu, kunye duodenum. Ngale ndlela ke kunokwenzeka ukuvavanya ezenzeka eludongeni emathunjini. FEGDS inyathelo utyhila inkqubo kwiintetho ezikralayo, kwaye kananjalo ukuthatha biopsy ezitshangubeni ekrokrisayo. Oku kwenza kube lula ukufumanisa imvelaphi kunye amanxeba precancerous kwi zigaba zokuqala, nto leyo ethi ithintele utshintsho neoplastic le lokugaya. Xa ukukhankanywa FEGDS izigulane ezininzi iqalisa Ungakhathazeki, ngokuba le ndlela linxulunyaniswa nokudla lo mbhobho kunye kuyabuya kwalo. Njengokuba ngoku sele Gastroscopy ifikeleleke phantsi zomzimba ngokubanzi, apho unako uphephe ukungaphatheki le nkqubo.
Ubungqina obubonakalayo buxela ukuba gastroscopy
FEGDS esetyenziswa une izifo phecana zesisu, ukuze ukulawula nonyango izilonda ngokunjalo neenkqubo kancinane wesibeleko esigqibeleleyo. Ngaphezu koko, gastroscopy kunye biopsy skrinningovym inxulumene iindlela enzelwe uxilongo iinkqubo amabi. Izifo ukuze sibonwe ngexesha FEGDS:
- esophagitis Acute kunye ezigulo ezondeleyo.
- Gastritis.
- Duodenitis.
- Stenosis imizimba ukuze abe nokuba naso okanye lufundiwe emva zokonzakala kunye nokutsha.
- Ithemba Esophageal beso.
- isilonda esiswini kunye isilonda duodenal.
- Iipolyps.
- diverticula Esophageal.
Ekuphumezeni unyango lwe FEGDS isilonda Peptic ivumela ukuqikelela inkqubo inyathelo (ubude, ukuphiliswa). Gastroscopy phantsi zomzimba jikelele yindlela kakuhle, ekubeni isigulane abanazo kabi ngexesha ubambe kuyo. Kunjalo, it has iziboniso efanayo nokusebenza eliphezulu. Gastroscopy yabantwana phantsi zomzimba lwenziwa ngenxa yezizathu efanayo abadala.
Colonoscopy: injongo yokusebenzisa indlela
indlela Ukuhlolisisa ikholoni usebenzisa ubuchule endoscopic ebizwa colonoscopy. Le nkqubo isetyenziswa iyeza ixesha elide, ngenxa yokuba ulwazi kakhulu kwaye ivumela biopsy. A colonoscopy kunceda ukuchonga iimeko imvelaphi kunye precancerous, ukuba ihlole permeability, isakhiwo, ubukho kwingxelo zophendlo lwezifo zonke ecaleni ikholoni. Ezinye izigulane sokwala le ndlela, kuba sisiva buhlungu kwaye kabi nomba nasengqondweni. Noko ke, uphando kubalulekile lokufunyaniswa nezifo ezininzi. Okwangoku, gastroscopy kunye colonoscopy phantsi zomzimba jikelele ziyafumaneka. Ngoko ke, ukoyika yezi nkqubo kancane shwaka.
Gastroscopy phantsi zomzimba ngokubanzi: izixhobo ethwele
Phambi kokuba uqale inkqubo, isigulane kufuneka ilungiswe, kunye nokufumana imvume yakhe. Okokuqala, isigulana kufuneka ukuthetha malunga nenjongo kunye neenzuzo yale ndlela loxilongo, ngoko - malunga ubuchule. Ukuba uqeshiwe Gastroscopy phantsi zomzimba ngokubanzi, kufuneka azise isigulana ukuba le nkqubo olwenziwe ungatyanga, nto leyo ithetha ukuba akanayo phambi kokuba malunga 10-12 iiyure. Ke ukuba ukutshaya, phambi kokuba FEGDS into contraindicated iiyure 2-3. Phambi kokuba kuqaliswe yommandla uphenyo endoscopic ulwimi kunye neengcambu nasemqaleni kunye nesisombululo lidocaine ukuze ekunciphiseni ubuqhophololo, lo angeva zintlungu kwaye wenziwa kuzo zonke izigulane. Ezinye izigulane ngokwesicelo sabo okanye ebonisa olukhethekile zomzimba jikelele, oko kukuthi, butofelwe, okanye nadlamkisayo ( "Diprivan", "Propofol"), ukuze kuzuzwe nzulu iyeza ubuthongo.
Ubungqina obubonakalayo buxela ukuba zolawulo Ukubulawa jikelele
Yenza gastroscopy phantsi zomzimba nabanina. Noko ke, kukho izinto ezibonisa ezithile apho zomzimba kukho unxibelelwano. Ezi ziquka:
- Kwakundenza reflex gag - xa isigulane akakwazi ukulawula imixholo lokugaya.
- ixhala psychological egqithisileyo oko kwenzekileyo ngethuba lokuqhutywa FEGDS zangaphambili.
- Ukuba uceba naluphi usetyenziso ngexesha gastroscopy, oku kuqale kususwe polyp, diverticulum encinane. Ngokwesiqhelo, le nkqubo kuthatha malunga 10-15 imizuzu. Xa izakhi therapeutic luyanda.
Gastroscopy phantsi zomzimba ngokubanzi: ukubuyekeza isiguli
Uluvo izigulane ukuba baqhube FEGDS uphuphe HIV, ngenxa yokuba izikhohlakali zingamoyiki va kabi evela nkqubo, anayenza utshintsho zophendlo lwezifo emizimbeni yabo abangaboniyo, nto leyo ibalulekileyo kuba inxenye yabo. Ke ukuba izimvo malunga colonoscopy phantsi zomzimba jikelele, ngoko ke le ndlela afanelekile kakhulu ukuba zonke izigulane. Oku kuphela enxulumene uloyiko kunye neentlungu ababandakanyekayo, kodwa igcina izigulane ezivela imvakalelo nantloni phambi abasebenzi bezonyango.