Kuyini EGD? Ukulungiselela lokhu kuhlolwa

Abantu abanezifo ka izitho zokugaya, ngoba ukusazi ngokunembile isifo esikuphethe ngaphezulu, inogoda uqoke izindlela ezengeziwe zokuxilonga, isb fibrogastroscopy. Lesi sihloko rschitana kulabo balidlulisele okokuqala futhi akazi ukuthi sokulungiselela EGD. Lichaza ubulwelwe lapho inhlolovo kuboniswa. Sibheka inqubo EGD, ukulungiswa ezidingekayo luhlolo kanye nezifo sitholakale.

EGD noma fibrogastroduodenoscopy - indlela ukuhlola isimiso sokugaya ukudla bungene. Ukuvela Endoscopy bezokwelapha abangenzele yashintsha ukuxilongwa kanye nokwelashwa izifo eziningi. Nale ndlela, ungakwazi zibukeke nokuhlola emphinjeni, esiswini kanye ingxenye yokuqala duodenum. Ukuhlolwa kwenziwa Usebenzisa endoscope (fibrogastroskopii). Umgomo we operation ye endoscope esekelwe ama-fiber optic. Ngaphandle, idivayisi kuyinto tube nezimo nge ububanzi ngomunye sentimutha. Endoscopes asetshenziswa izingane phezu ubukhulu ezincane kanye nobude, ngokulandelana izici ubudala. Ngaphakathi tube umncane Imicu yotshani optical ukuthi ukuqhuba ukukhanya okuxhunyanwa isithombe. Futhi sidlula umsele ishubhu okuyinto ungachitha yithuluzi biopsy, ngoba ujova a esophayo ithuluzi, futhi kubakaki ekhethekile bafakwa emaphethelweni isilonda. Through the endoscope injected abanye umoya, ukuze qondanisa emphethweni esiswini.

Njengoba kushiwo ngenhla, azichaze ngokunembile isifo esikuphethe ukuze izifo wokugaya ukudla evumela nokufezeka kwentando EGD. Ilungiselela ke Kwenziwa kusengaphambili. Nale ndlela ukuxilongwa kungenzeka kwezifo of the emphinjeni (esophagitis, diverticula, umbhunu hiatal, isimila, njll), Isisu (kolwelwesi zonke izinhlobo, izilonda esiswini, ama-polyp, umdlavuza, njll), duodenal isilonda (isilonda, umdlavuza, ukuhlolwa sphincter ka Oddi et al.). Phezu ukuthola ingxenye ezingabazekayo noma isilonda mucosal, morphologically oludingekayo ukuze siphenye izicubu abathintekayo. Ngokwethulwa Endoscopy, sesiye kungenzeka. Nezizenze "luma" kufanele kube endwangwini. Nge EGD okungagcini nje ukuxilonga kodwa futhi ukuba bafeze zokukhwabanisa zokwelapha, efana hemostasis, ngenkasa izilonda utshwala, izidakamizwa, njll obkalyvanie

Ilungiselela isiguli EGD. Technique inqubo

Uma ufuna ukuqhuba EGD isimiso, ukuqeqeshwa kumele kwenziwe kusengaphambili, hhayi amahora angaphansi kuka-12 ngaphambi kokuba isivivinyo. Umane musa adle noma aphuze. Kubalulekile ukuthi esiswini kwakungekho ukudla, ngoba, okokuqala, it kuvimbela umzimba oqhuba ukuhlolwa, futhi okwesibili, ngokweqile avuse reflex Gag futhi kubangela ukuhlanza izinsalela zokudla. Ngaphambi luhlolo nesineke olimini uqhoqhoqho lidocaine iqondiswa njengenhlangano aerosol kusukela isixazululo ampoule. Lokhu izinzwa kuzonciphisa kabi gagging. Emlonyeni ufaka isetshenziswa ekhethekile plastic, okuyinto kuvimbela lokuvala ongahlosile amazinyo phakathi naleyo nqubo iphinde ivimbele umonakalo endoscope. Ngaphezu kwalokho kancane kancane ngaphandle ukunyakaza ngokushesha, yethulwa endoscope, ukuvula ekupheleni kwalo nezimo, ngokulandelana ukugoba bokuphila ngu emasongweni isibambo. Nge ukwethulwa endoscope wenziwa kancane kancane nokuphoqa emoyeni ukuze uqondise emphethweni esiswini. Ngesikhathi inqubo, kukhona okungalindelekile burping emoyeni futhi amathe.

Ukuze luhlolo lidlule kalula, kudingeka ukulandela imithetho elula. Lokhu inhlolovo - inqubo ezingemnandi, ngakho ngaphambi kubalulekile ukuqhuba kungenzeka ukuzola bese uzama ukulawula ngokwakho. Ikakhulukazi injabulo kanzima futhi ngokuvamile uya EGD kuqala, ngenxa yokwesaba izinhlungu nokuphatheka kabi. Phakathi ezibalulekile ncamashi uphefumula ekhaleni hhayi ukwenza ukunyakaza singagwinyi. Izandla akumele ziphazamise wokuhlola. Kufanele zihlale endleleni umzimba noma "hug" ngokwalo. Uma ufuna ukuba liyobamba ihlule izifundo morphological kudingeka bazi ukuthi lo zokukhwabanisa nakanjani kobuhlungu, njengoba le mucosa isisu kanye duodenum ayinakho eziyimpumelelo sezinzwa.

Isiguli kufanele sikhumbule ukuthi okwesikhathi ekupheleni okusheshayo EGD izinqubo, ukuqeqeshwa akufanele nje kuphela kube kuze exclusion ukudla ngayizolo, kodwa futhi isimo sengqondo zokuziphatha. Khona-ke luhlolo kuyokwenzeka kahle futhi ngokushesha.