Yintoni i EGD? Ukulungiselela olu viwo

Abantu abanezifo ngamalungu wokudla, moshilongo luchaneke kakhulu, inogoda ityumbe iindlela ezongezelelweyo diagnostic, umz fibrogastroscopy. Eli nqaku rschitana kwabo lugqithe okokuqala kwaye akazi ukulungiselela njani EGD. Lichaza isifo apho uphando iyaboniswa. Siqwalasela ubuchule EGD, amalungiselelo ayimfuneko oviwo kunye nezifo kwafunyaniswa.

EGD okanye fibrogastroduodenoscopy - indlela yoviwo kwinkqubo yokwetyisa. Ukuvela endoscopy yezonyango iye yaguqula uxilongo kunye unyango lwezifo ezininzi. Nale ndlela, ungenza abangaboniyo lihlole kuvuleke iminxunya, isisu kunye inxalenye yokuqala duodenum. Ukuhlolwa lwenziwa usebenzisa i mbhobho (fibrogastroskopii). Umgaqo nokusebenza mbhobho ngokusekelwe optic nefayibha. Ngaphandle, ifowuni ityhubhu bhetyebhetye enobubanzi mayelana isentimitha. Endoscopes asetyenziswa abantwana phezu ubukhulu ezincinane nobude, ngokulandelelana iimpawu ubudala. Ngaphakathi ityhubhu zibhityile imicu optic ukuziphatha ukukhanya ekudluliseleni umfanekiso. Sidlula umsele ityhubhu apho umele uchithe sisixhobo biopsy, ngokuba injecting ezophayo isixhobo isilonda, yaye kwizibiyeli ezizodwa zibekwa esesiphelweni kwethumba. Esebenzisa mbhobho zenyuse umoya, ukuze ukuqondisa ezibayeni zempahla isisu.

Njengoko kukhankanyiwe ngasentla, azichaze uxilongo izifo kwinkqubo yokwetyisa ivumela nokuphunyezwa EGD. Ukulungiselela kuliwa kwangaphambili. Ngale ndlela ukubonwa kwezifo ze kuvuleke iminxunya (esophagitis, diverticula, kunokwenzeka Ithemba hiatal, ithumba, njalo-njalo), Isisu (gastritis zonke iintlobo, izilonda esiswini, polyp, umhlaza, njalo-njalo), Duodenal isilonda (isilonda, umhlaza, ukuhlolwa sphincter of Oddi et al.). Xa efumanise isabelo ethandabuzekayo okanye isilonda mucosal, morphologically kuyimfuneko ukuphanda esikule abachaphazelekayo. Yokusungulwa endoscopy, kuye kwaba kunokwenzeka. Nozenza izifinyiso "zikutye" kufuneka kwilaphu. Nge EGD kunokwenzeka kuphela ukuxilonga kodwa ukwenza okubi enyangayo, ezifana hemostasis, unkcenkceshelo izilonda utywala, iziyobisi, njl obkalyvanie

Ukulungisa isigulane ku EGD. Technique kwenkqubo

Ukuba ufuna ukuqhuba izinto EGD, uqeqesho kufuneka yenziwe kwangaphambili, kungabi ngaphantsi kweeyure ezingama-12 phambi kokuba kwenziwe uvavanyo. Wena nje musa ndingatyi ndingaseli. Kubalulekile ukuba nesisu tu ukutya, kuba, okokuqala, oko kuthintela umzimba uqhuba uhlolo, yaye okwesibini, ngokugqithiseleyo bamqumbise i reflex gag ikwabangela ukugabha iintsalela ukutya. Phambi kokuba isigulane loviwo elwimini nasemqaleni of lidocaine iphathwa njenge kutshizwe evela isisombululo ampoule. Le ntlungu iza kunciphisa ubuhlungu gagging. Emlonyeni ukufaka ingundaba ekhethekileyo zeplastiki, nto leyo ethintela wokuvala elingenzi nto kwamazinyo ngexesha nkqubo kwaye uthintele umonakalo mbhobho wokuhlola. Ngaphezu koko ngokuthe ngcembe ngaphandle iintshukumo elirhabaxa, lokuQala mbhobho, ajike ekupheleni kwayo bhetyebhetye, ngokulandelelana ukugoba komzimba ngamakhonkco kumqheba. Ngenxa yokuqaliswa mbhobho lwenziwa ngokuthe enyanzela umoya ukuqondisa ezibayeni zempahla isisu. Ngexesha inkqubo, kukho vukele burping lomoya izinkcwe.

Ukuze zoviwo wadlula lula, kufuneka ulandele le mithetho elula. Olu phando - i inkqubo neze, ngoko phambi kokuba kuyimfuneko ukuqhuba kunokwenzeka ukuba sokwehlisa uzame ukulawula ngokwakho. Ingakumbi uchulumanco nzima yaye abadli wokuqala EGD, ngenxa yokoyika intlungu kuhlolwe. Ngexesha kubaluleke ngqo aphefumle ngokusebenzisa empumlweni kwaye ukwenza iintshukumo ukuginya. Izandla kufuneka akufuneki angqamane uhlolo. Kufuneka igcinwe ecaleni umzimba okanye "opo" ngokwayo. Ukuba ufuna ukufaka iqhekeza yethishyu izifundo morphological kufuneka bazi ukuba lo entamo yalula ngokupheleleyo, njengokuba isifo esiswini kunye duodenum akukho neziphelo nemizwa.

Isigulane kufuneka kukhunjulwe ukuba isiphelo msinya iinkqubo EGD, uqeqesho kufuneka nje ube nokungasetyenziswa ukutya imini ngaphambili, kodwa sengqondo yokuziphatha. Ke uviwo luya kuqhubeka kakuhle kwaye ngokukhawuleza.