ukuqunjelwa Sikhathazekile iningi labantu emhlabeni wonke. Ngo ucwaningo ngezinhloso zokuxilonga ukuvuvukala pheshana emathunjini wembula kaningi impela. Ngakho-ke, imithi yesimanje ine ubuchwepheshe obuhlukahlukene ngokushesha nangokunembile ukubona izinguquko sokugembula. Kunezindlela inombolo ezanele izifundo wezinsimbi asetshenziselwa ukuhlola isimo ipheshana wokugaya ukudla. Phakathi kwabo kukhona abathola wamaqhuzu, pH-imitha,-X-ray izindlela Ngokuphambene, biopsy ngisho laparoscopy. Izinga igolide namuhla - FEGDS (fibroezofagogastroduodenoskopiya).
izinzuzo FEGDS
Fibroezofagogastroduodenoskopiya, noma nje abe gastroscopy, inikezwa kuya ukuthola kwezinso ngomphimbo, esiswini, futhi duodenum. Nale ndlela kungenzeka ukuhlola izinguquko ezenzeka udonga emathunjini. FEGDS isinyathelo lembula ukuvuvukala, futhi ukuthatha biopsy izilonda osolisayo. Lokhu kwenza kube nokwenzeka ukuxilonga ingemuva kanye izilonda precancerous okwakuhlalwa kuzo lapho kusaqalwa, kanjalo uvimbele ukudala ezinye izinguquko neoplastic ka ipheshana wokugaya ukudla. Ngesikhathi Ukhulumé FEGDS iziguli eziningi iqala sokukhathazeka, ngoba le ndlela lihlobene ukungenisa hose kanye lokujabulela ke. Njengoba manje sekuyinto Gastroscopy kufinyeleleke ngaphansi izinzwa jikelele, lapho ungakwazi ukugwema wokunganethezeki inqubo.
Izimpawu ze-gastroscopy
FEGDS lisetshenziswa njengedivaysi izifo yaleli pheshana emathunjini, ukuze ulawule ekwelapheni izilonda kanye nezinqubo kancane koda. Ngaphezu kwalokho, gastroscopy nge biopsy skrinningovym iphathelene izindlela eyenzelwe sitholakele izinqubo ebulalayo. Izifo kungabonwa ngesikhathi FEGDS:
- esophagitis oyingozi futhi ezingalapheki.
- Kolwelwesi.
- Duodenitis.
- Stenosis zemizimba ukuthi kungaba azalwa naso noma elizuzwa ngemva ukulimala kanye ukusha.
- Ngomphimbo hernia beso.
- isilonda esiswini kanye isilonda duodenal.
- Polyp.
- diverticula ngomphimbo.
Lapho efeza ekukhetheni izindlela zokwelapha of peptic isilonda FEGDS ivumela kulinganiswa inqubo isinyathelo (ukuphakama, ukuphulukisa). Gastroscopy ngaphansi izinzwa jikelele indlela kahle, kusukela ngo-isiguli bengahlushwa ukungakhululeki ngenkathi ebambe khona. Noma kunjalo, it has izinkomba efanayo nekghono eliphezulu. Gastroscopy izingane ngaphansi izinzwa wenziwa ngenxa yezizathu ezifanayo njengoba abadala.
Colonoscopy: ngenhloso ukusetshenziswa indlela
indlela Ukuhlola ikholoni usebenzisa amasu endoscopic ngokuthi colonoscopy. Le nqubo isetshenziswa kwezokwelapha isikhathi eside, ngoba kakhulu ulwazi futhi ivumela biopsy. A colonoscopy kuyabaveza izimo ingemuva kanye precancerous, ukuhlola permeability, isakhiwo, khona zokwakheka sokugembula lonke uGu ikholoni. Ezinye iziguli zenqaba le ndlela, ngoba kuba buhlungu futhi singathandeki-aspect ngokwengqondo. Noma kunjalo, isifundo ubalulekile izifo eziningi. Okwamanje, gastroscopy futhi colonoscopy ngaphansi izinzwa jikelele ayatholakala. Ngakho-ke, inkulumo ethi ukwesaba lezi izinqubo kancane kancane inyamalala.
Gastroscopy ngaphansi izinzwa jikelele: tintfo tekudlala
Ngaphambi kokuthi uqale inqubo, isiguli kumele uzilungiselele, futhi athole imvume yakhe. Okokuqala, isiguli badinge ukuxoxa ngothandekayo injongo nezinzuzo le ndlela ukuxilongwa ke - mayelana inqubo. Uma esimisiwe Gastroscopy ngaphansi izinzwa jikelele, kufanele wazise nesineke ukuthi inqubo yenziwa esiswini esingenalutho, okusho ukuthi akanayo ngaphambi kokuba amahora mayelana 10-12. Njengoba for ukubhema, ngaphambi FEGDS is contraindicated amahora 2-3. Ngaphambi ukwethulwa endoscopic Uphenyo esifundeni ulimi nezimpande emphinjeni ziphathwe isixazululo lidocaine ukuze kuncishiswe retching, lena izinzwa wendawo futhi wenziwa zonke iziguli. Ezinye iziguli sabo noma izinkomba ekhethekile ukwenza ukubulawa kwezinzwa okuvamile, okungukuthi, ngemithambo yegazi noma sedatives ( "Diprivan", "Propofol"), ukuze sifinyelele engajulile imithi ubuthongo.
Izinkomba kwezokuphatha ukubulawa kwezinzwa okuvamile
Yenza gastroscopy ngaphansi izinzwa kungaba ubani. Noma kunjalo, kukhona izinkomba ethize lapho izinzwa uyisidingo. Lezi zihlanganisa:
- Kuqiniswa reflex Gag - lapho isiguli singenakukwazi ukulawula okuqukethwe ipheshana wokugaya ukudla.
- ukukhathazeka ngokweqile ngokwengqondo okwakwenzeke ngesikhathi esedlule ukuziphatha FEGDS.
- Uma uhlela yimuphi ukuxhaphaza ngesikhathi gastroscopy, lokhu kungase kube ukususwa polyp, diverticulum encane. Ngokuvamile, le nqubo ithatha imizuzu engaba ngu-10-15. Ngezinye zokukhwabanisa zokwelapha liyakhuphuka.
Gastroscopy ngaphansi izinzwa jikelele: Izibuyekezo nesineke
Mbiko iziguli ukuqhuba FEGDS dream omuhle, ngoba ungazizwa ukungakhululeki kwinqubo, ningagcini izinguquko sokugembula emizimbeni yabo zibukeke, okuyinto ebaluleke for ezinye zazo. Ngokuqondene imibono mayelana colonoscopy ngaphansi izinzwa jikelele ke le ndlela kufanelekile kakhulu okwazo zonke iziguli. Lena akuyona kuphela okuhlobene ukwesaba ubuhlungu obukhona kodwa futhi silondoloza iziguli ezivela umuzwa ukuphoxeka phambi kwabasebenzi bezokwelapha.