Kapule endoscopy ndizofanana ndi-mapiritsi (capsule) omwe ali ndi kamera. Pilisi ikamamezedwa ku ofesi ya dokotala, imatenga zithunzi pamene imadutsa m'mimba yaing'ono . Odwala amavala mkanda umene umalandira kachilombo ka piritsi ndikulemba zithunzizo. Tsiku lotsatira, wodwalayo akhoza kubwezeretsa lamba kwa dokotala wawo, yemwe amatenga zithunzizo.
Zithunzi zomwe mapiritsi angapangidwe angapereke dokotala lingaliro labwino kwambiri pa zomwe ziwalo za m'mimba zochepa zimasonyeza ntchito iliyonse ya matenda. Izi zikhonza kuthandizira kufufuza momwe matendawa akuyendera, komanso kupanga ndondomeko ya mankhwala. Zina mwazoopsa ndi kuti kamera ikhoza kulowa mu matumbo kapena kuti zingakhale zovuta kuzimeza.
Kodi Wosankha Ndani?
Chosungunuka chamakono chimagwiridwa kuti chigwiritsidwe ntchito kwa anthu omwe ali ndi matenda a Crohn m'matumbo aang'ono. Ikhoza kugwiritsidwa ntchito kwa ana ndi akulu. Kapule yosungirako makoswe ingagwiritsidwe ntchito yokha, kapena pambuyo pa mayesero ena, monga mapulogalamu apamwamba kwambiri.
Nthawi zina matenda a Crohn, kutupa kumakhala m'mimba mwazing'ono chabe-matumbo akuluakulu samasonyeza zizindikiro zilizonse za matenda. Kwa odwalawa, capsule endoscopy ingagwiritsidwe ntchito poyang'anira matenda awo a Crohn.
Ndani Sali Wotsatsa?
Kwa anthu ena, mapiritsi sangakhale osankhidwa bwino kuti awone mkatikati mwa matumbo aang'ono.
Kapsule yomwe ili ndi kamera ndi yaing'ono kwambiri, koma pafupifupi pafupifupi 2% mwayi kuti ikhoza kusungidwa mu kathupi kakang'ono (kuti mapiritsi akhoza "kukanika"). Pokhala ndi m'mimba, kutsegula , kapena fistula kungalepheretse kapsule kudutsa njira yonse ya chakudya .
Ngati capsule isungidwa, chithandizo chingakhale chofunikira kuti chilole kapena chichoke.
Mavuto ena omwe amaletsa kugwiritsa ntchito capsule endoscopy akumeza mavuto ndi mtima zomwe zimafuna kugwiritsa ntchito pacemaker.
Ngozi
Kwa anthu ena, capsule sangathe kudutsa m'mimba mwaing'ono. Kapsule ali ndi mwayi wapang'ono wokhala "wokhazikika" ngati pali kutsekedwa kapena gawo lochepetsetsa mu thumba laling'ono. Ngati capsule siidutsa, wodwalayo adzafunika kuyang'anitsitsa. Nthawi zina, kupereka mankhwala omwe angathandize kutsegula malo oletsedwa angathandize kapsule kupitilira m'matumbo.
Palinso kachiopsezo kakang'ono kofuna kupiritsira piritsi pamene akuyesera kuchimeza. Anthu ena adanenapo kuti akukwiya khungu atayamba kumeza kapsule.
Ntchito
Matenda a Crohn angakhudze mbali iliyonse ya kapangidwe ka zakudya, kuchokera pakamwa mpaka ku anus. Kukhoza kuona m'magulu onse a zakudya zakuthengo ndizovuta. Pali mayesero angapo omwe angayang'ane mbali zosiyana siyana za m'mimba: gawo lopitirira pamwamba limapereka mwayi wopita kumimba , m'mimba, ndi m'matumbo apamwamba; colonoscopy ingathandize dokotala kuona kachilomboka ndi matumbo akuluakulu .
Komabe, pali gawo la timatabwa ting'onoting'ono tomwe timalephera kufika ndi apamwamba kwambiri kapena colonoscopy. Kapule yosungirako mankhwala imatha kulola dokotala kuti awone kutupa, kutuluka magazi, kapena umboni wina wa zochitika za Crohn's disease m'dera limenelo.
Kodi Pali Chokonzekera Ndi Capsule Endoscopy?
Inde, kuti mukhale ndi capsule endoscopy, chotupa chaching'ono chiyenera kukhala chisanafike. Choyambirira, komabe, chiri molunjika ndipo nthawi zambiri samafuna mankhwala kapena enemas. Choyamba, kuyambira m'mawa masana tsiku loyamba kumeza kapsule, muyenera kudya zakudya zamadzimadzi. Odwala ayenera kudya usiku umenewo asanayambe kumeza kapsule, makamaka kuyambira pakati pausiku.
Kawirikawiri, chakudya chokhazikika chingayambirenso pafupi maola 4 mutatha kumeza pilisi pa ofesi ya dokotala. Izi ndi zowunikira zokha, komabe, ndipo dokotala yemwe akuyesa mayeso adzapereka malangizo apadera momwe angakonzekere.
Nthawi zina, mapiritsi angayesedwe asanaperekedwe piritsi la kamera. Piritsi la kuyezetsa, lomwe limatchedwa capency capsule, lidzasungunuka kwathunthu m'matumbo ndipo ndilofanana ndi mapiritsi enieni. Kupereka mapiritsi oyeza kumaphatikizapo kumvetsetsa kwa dokotalayo, ndipo akhoza kupatsidwa ngati pali mwayi woti mapiritsi a kamera angalowe m'matumbo aang'ono. Ngati capsule ya patency ikudutsa m'mimba popanda chochitika, zikhoza kusonyeza kuti mapiritsi a kamera adzadutsanso.
Kodi Zimatenga Nthawi Yotani Kuti Zidutse?
Mayeso amatsirizidwa pafupifupi maola 8 mutatha kumeza capsule. Kwa anthu ambiri, mapiritsi amatha kupitilira pakati pa maola 24 ndi 72 atatha.
Zotsatira:
Given Imaging Ltd. "PillCam SB ya Matenda a Crohn." 2016. PillcamCrohns.com.
Albert JG. "Kuganizira Zochepa Kwambiri Poyang'anira Matenda a Crohn Odwala." Gastroenterol Res Pract . 2012; 2012: 502198.