Kodi dokotala wanu angapange chiyani kuti apange cholembera, kodi mumagwiritsa ntchito chiyani, ndipo mungakonzekere bwanji musanachite izi? Kodi chimachitika n'chiyani mutatha njirayi, mumapeza bwanji zotsatira zanu, ndipo ndi chiyani chomwe chimapangidwira ndi chapamwamba?
Tanthauzo
Mapeto ake ndi njira yomwe imalola madokotala kuyang'ana mkati mwa thupi. Anthu ambiri amadziwika ndi endoscopy "yotsika", colonoscopies yomwe imagwiritsidwa ntchito poyang'ana khansara ya colon.
Endoscopy ya "pamwamba", yomwe imadziwikanso kuti esophagogastroduodenoscopy kapena EGD, imalola dokotala kufufuza mkati mwa mimba, m'mimba, ndi duodenum-gawo loyamba la matumbo aang'ono-ndi chida chotchedwa endoscope. Endoscope ndi chubu chochepa, chosasinthika chokhala ndi mapeto otsekemera omwe ali ndi kamera.
Malo otsika kwambiri otchedwa endoscopy amavomereza madokotala kuti aganizire (ndipo atenge zitsanzo zoyenera kapena zinyama zofunikira kuti chikhalidwe cha bakiteriya chikhale chofunika) makoma ndi matenda a m'mimba yapamwamba.
Zizindikiro ndi Zisonyezo
Nthawi zambiri amatha kulamula ngati pali vuto kuti pangakhale chosowa chachikulu m'mimba, m'mimba, kapena duodenum (gawo loyamba la matumbo aang'ono.) Zifukwa zina ndizo:
- Matenda a magazi ("magazi" omwe amawoneka kuti akusowa magazi m'thupi kapena omwe alibe vitamini okhudzana ndi kuchepa kwa magazi) Matenda ena a m'mimba angathenso kukhetsa magazi, zomwe zingayambitse kuchepa kwa magazi m'thupi. Matenda ena osokoneza ubongo angayambitsenso mavitamini, zomwe zimayambitsa matenda ochepetsa magazi m'thupi. Kuonjezera apo, kuchepa kwa magazi m'thupi ndi khansa kungagwirizanitsidwe m'njira zingapo .
- Kuthamangitsani
- Kupweteka m'mimba
- Magazi amdima (maonekedwe a khofi) mu mpando
- Nsowa ndi kusanza
- Kuvuta kukumeza kapena kumeza kumvetsa (dysphagia)
- Chifuwa chokhazikika - Chronic acid reflux nthawi zina chimakhala chifuwa chachikulu
- Kuwonongeka kosayembekezereka kapena kosadziwika - Kuwonongeka kosalemera mwadzidzidzi kumatanthawuza ngati kutaya kwa osachepera 5 peresenti ya kulemera kwa thupi (mapaundi asanu pa mapaundi olemera zana) pa nthawi ya miyezi 6 kapena 12
Zotsatira ndi Zofufuza
Malingana ndi zizindikiro zomwe endoscopy yalamulidwa, zingathandizire kuti muzindikire zochitika zosiyanasiyana. Zina mwa izi ndi "
- Mitsempha ya Barrett - Chimodzimodzinso ndi matenda omwe amapezeka chifukwa cha GERD yosatha
- Matenda a Celiac
- Esophagitis
- Esophageal varices
- GERD (matenda a reflux a gastroesophageal)
- Zilonda zapeptic
- H. pylori matenda
- Khansara - Chidziwitso pa nthawi yamagetsi amatha kugwiritsidwa ntchito kuti azindikire khansa yowopsa kwambiri komanso m'mimba (khansa).
- Gastritis
- Mallory-Weiss misozi
Mmene Mungakonzekere
Mwinamwake mudzadziwa zomwe dokotala akukufunsani musanayambe njira yanu. Ngati simukutero, muyenera kukambirana zifukwa zomwe adalimbikitsira kuti asamangokhalira kugwiritsira ntchito mankhwala osokoneza bongo komanso zomwe amatha kuyembekezera kupeza. Chinthu china chimene muyenera kuyankhula kwa dokotala wanu ndicho mankhwala, mavitamini, ndi zowonjezereka zomwe mukuzitenga. Kwenikweni, mukufuna kufotokoza zomwe mukuzitenga pakamwa tsiku ndi tsiku kapena nthawi zonse.
Kenaka, konzekerani ulendo wobwerera kunyumba kuchokera ku ndondomekoyi. Simukuloledwa kuyendetsa galimoto kwa maola makumi awiri ndi awiri kapena kupitirira mpaka zotsatira za kusokonezeka. Ndizothandiza kuti mukhale ndi makutu owonjezera pamene dokotala akufotokozera zomwe mwapeza.
Ndipo monga mwa njira zambiri zomwe wodwalayo akukhalira, simungathe kudya, kumwa, kusuta, kapena kutafuna chingamu m'maola asanu ndi atatu.
Zimene muyenera kuyembekezera
Mwinanso mukhoza kupita kuchipatala kapena kupita kuchipatala kukayezetsa. Musanayambe ndondomekoyi, mudzapatsidwa mankhwala osokoneza bongo omwe adzaponyedwe m'kamwa mwanu kuti awononge gag reflex ndi sedative sedative yomwe ingakuthandizeni kuti mukhale osangalala.
Mudzagona pambali panu patebulo. Kenaka adokotala amatha kupititsa phokoso la endoscope pang'onopang'ono ndi pakamwa. Gag reflex ndi chilakolako cha kusanza zimadutsa kamodzi kampu kamene kali pamphuno. Thumba silidzasokoneza kupuma. Anthu ambiri amadabwa kuona kuti atha kuyang'ana njirayo pawindo popanda kumva vuto lililonse chifukwa cha chubu.
Pomwe mapulogalamu a endoscope ali pomwepo, adokotala adzatha kuyesa mimba ndi m'mimba kudzera m'khamera kakang'ono ndikuwona zovuta zonse. Zida zina zikhoza kuikidwa kudzera mu chubu chotchedwa endoscope tube, zomwe zingathandize dokotala kuchita zomwe zimakhala ngati matenda a khansa kapena matenda.
Pambuyo pa Endoscopy
N'chizoloŵezi kuti kwa masiku angapo mutatha, mungadwale. Ngati mutayamba kusanza kuchuluka kwa magazi kapena kumva ululu wam'mimba, dokotala ayenera kuuzidwa mwamsanga pamene izi zizindikiro za mavuto.
Kupeza Zotsatira Zanu
Dokotala wanu adzakuuzani zomwe akuwona zowonekera mwatsatanetsatane pambuyo pa ndondomekoyi. Popeza mankhwala opatsirana omwe mumalandira angakhalepo kwa kanthawi, ndibwino kuti bwenzi lanu likuyendetsani inu kumvetsetsa izi ndikulemba. Nthaŵi zina, dokotala yemwe amapanga mapulogalamu otsirizawa amatha kutumiza lipoti kwa dokotala wanu wokhazikika, amene adzakambirane zotsatirazo ndi inu.
Ngati mayeso a mabakiteriya (H. pylori) kapena a biopsies atengedwera panthawiyi, mudzadziwitsidwa atatha kufotokoza zotsatira zake. Izi zingatenge masiku angapo malinga ndi mayeso. Musanachoke pa tsiku la ndondomekoyi, funsani momwe mungadziwire zotsatira. Kodi labu yotopetsa mapulogalamuyo idzakudziwitsani kapena kodi dokotala wanu wokhazikika? Onetsetsani kuti muitanitse ngati simunalandire zotsatirazi panthaŵi yake.
Zoyezetsa Zina Zomwe Zingaganizidwe
Kuphatikiza pa chapamwamba chapamwamba kwambiri, dokotala wanu akhoza kulangiza mayesero ena. Kupuma kwapopopi kumapereka chidziwitso chachidziwitso - chomwe chigawo chanu chakumimba chikuwonekera. Zambiri zokhudzana ndi ntchito ya kapangidwe kako kamene zingayesedwe zingadayesedwe monga ayeum swallow kapena pH kuyesa .
Zotsatira:
Laibulale ya National National Medicine. Medline Plus. Esophagogastroduodenoscopy. Kusinthidwa 08/14/15. https://medlineplus.gov/ency/article/003888.htm