1. Kungani kudingeka ukwenza i-gastroenteroscopy?
Njengoba ijubane lokuphila kanye nemikhuba yokudla kushintsha, ukwanda kwezifo zesisu nakho kushintshile. Ukwanda komdlavuza wesisu, umphimbo kanye nomdlavuza we-colorectal eShayina kuyanda unyaka nonyaka.
Ama-polyp esisu, umdlavuza wesisu kanye nowamathumbu ekuqaleni azinazo izimpawu ezithile, kanti ezinye azinazo izimpawu esigabeni esithuthukile. Iningi leziguli ezinezimila ezinobungozi zesisu sezivele zisesigabeni esithuthukile lapho zixilongwa, futhi ukubikezela kwezimila ezisezingeni lokuqala nezinga eliphezulu kuhluke ngokuphelele.
I-Gastroenteroscopy iyindinganiso yegolide yokuthola izifo zesisu, ikakhulukazi izimila ezisesigabeni sokuqala. Kodwa-ke, ngenxa yokungaqondi kwabantu nge-endoscopy yesisu, noma ukulalela amahemuhemu, abafuni noma besaba ukwenza i-endoscopy yesisu. Ngenxa yalokho, abantu abaningi balahlekelwe ithuba lokutholwa kusenesikhathi kanye nokwelashwa kusenesikhathi. Ngakho-ke, ukuhlolwa kwe-endoscopy yesisu "okungenazimpawu" kuyadingeka.
2. Kunini lapho kudingeka khona i-gastroenteroscopy?
Sincoma ukuthi abantu abavamile abaneminyaka engaphezu kwengu-40 baqede njalo i-endoscopy yesisu. Esikhathini esizayo, i-endoscopy yesisu ingabuyekezwa eminyakeni emi-3-5 ngokusekelwe emiphumeleni yokuhlolwa. Kulabo abavame ukuba nezimpawu ezahlukene zesisu, kunconywa ukuthi benze i-endoscopy yesisu nganoma yisiphi isikhathi. Uma kunomlando womndeni womdlavuza wesisu noma umdlavuza wamathumbu, kunconywa ukuthi kuqalwe ukulandelwa kwe-gastroenteroscopy kusenesikhathi kuze kube neminyaka engama-30 ubudala.
3. Kungani eneminyaka engu-40 ubudala?
Ama-95% omdlavuza wesisu kanye nomdlavuza we-colorectal ashintsha kusuka kuma-polyp esisu kanye nama-polyp emathumbu, futhi kuthatha iminyaka emi-5-15 ukuthi ama-polyp aguquke abe umdlavuza wamathumbu. Ake sibheke ukuguquka kwenkathi yokuqala kwezimila ezinobungozi ezweni lakithi:
Kusukela eshadini singabona ukuthi ukwanda kwezimila ezibulalayo ezweni lethu kuphansi kakhulu uma umuntu eneminyaka engu-0-34, kuyanda kakhulu kusukela eminyakeni engu-35 kuya kwengu-40, kuyisikhathi sokuguquka lapho umuntu eneminyaka engu-55, futhi kufinyelela esicongweni cishe eminyakeni engu-80.
Ngokomthetho wokukhula kwesifo, iminyaka engu-55 - 15 ubudala (umjikelezo wokuvela komdlavuza wamathumbu amakhulu) = 40 ubudala. Lapho uneminyaka engu-40 ubudala, ukuhlolwa okuningi kuthola kuphela ama-polyp, asuswa futhi abuyekezwe njalo futhi ngeke aqhubekele ekubeni umdlavuza wamathumbu. Ukuze ubuyele emuva, noma ngabe uphenduka umdlavuza, kungenzeka ukuthi umdlavuza usesigabeni sokuqala futhi ungelapheka ngokuphelele ngaphansi kwe-colonoscopy.
Yingakho sinxuswe ukuba sinake ukuhlolwa kwangaphambi kwesikhathi kwezimila zomgudu wokugaya ukudla. I-endoscopy yesisu ngesikhathi esifanele ingavimbela ngempumelelo umdlavuza wesisu kanye nomdlavuza wamathumbu.
4. Yini engcono nge-gastroenteroscopy evamile nengenabuhlungu? Kuthiwani ngokuhlolwa kokwesaba?
Uma ungabekezeleli kahle futhi ungakwazi ukunqoba ukwesaba kwakho kwengqondo futhi wesaba i-endoscopy, khetha okungenabuhlungu; uma ungenazo izinkinga ezinjalo, ungakhetha okuvamile.
I-endoscopy evamile yamathumbu izobangela ukungakhululeki okuthile: isicanucanu, ubuhlungu besisu, ukuqunjelwa, ukuhlanza, ukungakhululeki kwamalungu omzimba, njll. Kodwa-ke, ngaphansi kwezimo ezivamile, uma nje bengethuki ngokweqile futhi bebambisana kahle nodokotela, abantu abaningi bangakubekezelela lokho. Ungazihlola. Kulabo ababambisana kahle, i-endoscopy evamile yamathumbu ingafinyelela imiphumela yokuhlola eyanelisayo nefanele; noma kunjalo, uma ukucindezeleka okukhulu kuholela ekubambisaneni okubi, imiphumela yokuhlola ingathinteka ngezinga elithile.
I-gastroenteroscopy engenabuhlungu: Uma wesaba ngempela, ungakhetha i-endoscopy yesisu engenabuhlungu. Yiqiniso, isisekelo siwukuthi kumele ihlolwe udokotela futhi ihlangabezane nezimo ze-anesthesia. Akuwona wonke umuntu ofanelekela i-anesthesia. Uma kungenjalo, singakubekezelela kuphela futhi senze ezejwayelekile. Phela, ukuphepha kuza kuqala! I-endoscopy yesisu engenabuhlungu izoba lula futhi ibe nemininingwane eminingi, futhi ubunzima bokuhlinzwa kukadokotela buzoncishiswa kakhulu.
5. Yiziphi izinzuzo kanye nokungalungi kwe-endoscopy yamathumbu engenabuhlungu?
Izinzuzo:
1. Akukho ukungakhululeki nhlobo: ulele phakathi nayo yonke inqubo, awazi lutho, umane uphupha iphupho elimnandi.
2. Umonakalo omncane: ngoba ngeke uzizwe unesicanucanu noma ungakhululekile, amathuba omonakalo odalwe yisibuko nawo mancane kakhulu.
3.Qaphela ngokucophelela: Uma ulele, udokotela ngeke esakhathazeka ngokungakhululeki kwakho futhi uzokuqapha ngokuthula nangokucophelela.
4. Nciphisa ingozi: ngoba i-gastoscopy evamile izobangela ukucasuka, umfutho wegazi, kanye nokushaya kwenhliziyo kuzokhuphuka ngokuzumayo, kodwa akubuhlungu asikho isidingo sokukhathazeka ngale nkinga.
Ukushiyeka:
1. Kuyinkinga encane: uma kuqhathaniswa ne-endoscopy evamile yesisu, kunezinye izidingo ezikhethekile zokulungiselela: ukuhlolwa kwe-electrocardiogram, kudingeka inaliti yomjovo ehlala ngaphakathi ngaphambi kokuhlolwa, amalungu omndeni kumele ahambisane nawe, futhi awukwazi ukushayela kungakapheli usuku olulodwa ngemuva kokuhlolwa, njll.
2. Kuyingozi kancane: phela, kungumuthi wokubulala izinzwa ojwayelekile, ingozi iphakeme kunejwayelekile. Ungase uzwe ukwehla komfutho wegazi, ubunzima bokuphefumula, ukuphefumula ngengozi, njll.;
3. Ukuzizwa unesizungu ngemva kokukwenza: yize ungazizwa nhlobo ngesikhathi ukwenza, uzozizwa unesizungu ngemva kokukwenza, njengokungathi udakiwe, kodwa-ke ngeke kuhlale isikhathi eside;
4. Kubiza kancane: uma kuqhathaniswa ne-endoscopy evamile yamathumbu, intengo yokwelapha okungenabuhlungu iphakeme kancane.
5. Akuwona wonke umuntu ongakwenza: ukuhlolwa okungenabuhlungu kudinga ukuhlolwa kokubulala izinzwa. Abanye abantu abakwazi ukuhlolwa okungenabuhlungu, njengalabo abanomlando wokungezwani komzimba nemithi yokubulala izinzwa kanye nemithi yokudambisa ubuhlungu, labo abane-bronchitis abane-phlegm eningi, labo abanezinsalela eziningi esiswini, kanye nalabo abanesifo esibi kakhulu. Abantu abanokuhogela kanye ne-sleep apnea, kanye nalabo abakhuluphele ngokweqile kufanele baqaphele, abantu abanezifo zenhliziyo namaphaphu abangakwazi ukubekezelela ukubulala izinzwa, iziguli ezine-glaucoma, i-prostatic hyperplasia kanye nomlando wokugcina umchamo, abesifazane abakhulelwe nabancelisayo kufanele baqaphele.
6. Ingabe i-anesthesia ye-endoscopy yamathumbu engenabuhlungu izokwenza abantu babe yiziwula, balahlekelwe yinkumbulo, futhi bathinte i-IQ?
Akunasidingo sokukhathazeka nhlobo! I-anesthetic efakwa emthanjeni esetshenziswa ku-endoscopy yokugaya ukudla engenabuhlungu yi-propofol, uketshezi olumhlophe olufana nobisi odokotela abalubiza ngokuthi "ubisi olujabulisayo". Luyashesha kakhulu ukugaywa futhi luzobola ngokuphelele futhi lugaywe phakathi namahora ambalwa ngaphandle kokubangela ukunqwabelana. . Umthamo osetshenziswayo unqunywa udokotela wezinzwa ngokusekelwe esisindweni sesiguli, ukuqina komzimba nezinye izici. Ngokuyisisekelo, isiguli sizovuka ngokuzenzakalelayo cishe ngemizuzu eyi-10 ngaphandle kwemiphumela. Inani elincane labantu lizozizwa sengathi lidakiwe, kodwa bambalwa kakhulu abantu abazovuka ngokuzenzakalelayo. Luzonyamalala maduze.
Ngakho-ke, uma nje isebenza odokotela abangochwepheshe ezikhungweni zezokwelapha ezivamile, asikho isidingo sokukhathazeka kakhulu.
5. Ingabe zikhona izingozi nge-anesthesia?
Isimo esithile sichaziwe ngenhla, kodwa akukho ukuhlinzwa kwezokwelapha okungaqinisekiswa ukuthi akunazingozi eziyi-100%, kodwa okungenani u-99.99% ungenziwa ngempumelelo.
6. Ingabe izimpawu zesimila, ukudweba igazi, kanye nokuhlolwa kwegazi elingabonakali endle kungathatha indawo ye-endoscopy yamathumbu?
Ngeke! Ngokuvamile, ukuhlolwa kwamathumbu kuzoncoma ukuhlolwa kwegazi elingabonakali lendle, ukuhlolwa okune kokusebenza kwesisu, izimpawu zomdlavuza, njll. Ngayinye inokusetshenziswa kwayo:
7. Ukuhlolwa kwegazi elingabonakali lendle: inhloso eyinhloko ukuhlola ukopha okufihliwe endleleni yokugaya ukudla. Izimila zokuqala, ikakhulukazi ama-microcarcinoma, aziphumi esiteji sokuqala. Igazi elingabonakali lendle liyaqhubeka nokuba lihle futhi lidinga ukunakwa okukhulu.
8. Ukuhlolwa kokusebenza kwesisu: inhloso eyinhloko ukuhlola i-gastrin kanye ne-pepsinogen ukuze kutholakale ukuthi ukukhishwa kwesisu kuyinto evamile yini. Kuwukuhlola kuphela ukuthi abantu basengozini enkulu yini yomdlavuza wesisu. Uma kutholakala ukukhubazeka, ukubuyekezwa kwe-gastroscopy kumele kwenziwe ngokushesha.
Izimpawu zesifo sofuba: Kungashiwo nje ukuthi zinenani elithile, kodwa akumelwe zisetshenziswe njengokuphela kwendlela yokuhlola izimila. Ngoba ukuvuvukala okuthile kungabangela nokuthi izimpawu zesifo sofuba zikhuphuke, kanti ezinye izimila zisavamile kuze kube yilapho seziphakathi nezigaba zokugcina. Ngakho-ke, akudingeki wesabe uma ziphezulu, futhi awukwazi ukuzishaya indiva uma zivamile.
9. Ingabe i-capsule endoscopy, i-barium meal, i-breath test, kanye ne-CT kungathatha indawo ye-gastrointestinal endoscopy?
Akunakwenzeka! Ukuhlolwa kokuphefumula kungathola kuphela ukuba khona kokutheleleka kwe-Helicobacter pylori, kodwa akukwazi ukuhlola isimo se-mucosa yesisu; isidlo se-barium singabona kuphela "isithunzi" noma uhlaka lwendlela yokugaya ukudla, futhi inani laso lokuxilonga lilinganiselwe.
I-capsule endoscopy ingasetshenziswa njengendlela yokuhlola kokuqala. Kodwa-ke, ngenxa yokungakwazi kwayo ukuheha, ukugeza, ukuthola, nokwelapha, noma ngabe kutholakale isilonda, i-endoscopy evamile isadingeka enkambisweni yesibili, okubiza kakhulu ukuyikhokhela.
Ukuhlolwa kwe-CT kunenani elithile lokuxilonga izimila zesisu ezithuthukile, kodwa akuzweli kahle umdlavuza wasekuqaleni, izilonda ezingaphambi komdlavuza, kanye nezifo ezivamile ezingengozini zomgudu wesisu.
Ngamafuphi, uma ufuna ukuthola umdlavuza wesisu kusenesikhathi, i-endoscopy yesisu ayinakushintshwa.
10. Ingabe i-endoscopy yamathumbu engenabuhlungu ingenziwa ndawonye?
Yebo, kufanele kuqashelwe ukuthi ngaphambi kokuhlolwa, sicela wazise udokotela ngokushesha bese uqedela ukuhlolwa kwe-electrocardiogram ukuze kuhlolwe i-anesthesia. Ngesikhathi esifanayo, ilungu lomndeni kumele likuphelezele. Uma kwenziwa i-gastroscopy ngaphansi kwe-anesthesia bese kwenziwa i-colonoscopy, futhi uma kwenziwa kanye ne-endoscopy yamathumbu engenabuhlungu, kubiza kuphela ukuthola i-anesthesia kanye, ngakho-ke kubiza kancane.
11. Nginenhliziyo embi. Ngingayenza i-gastroenteroscopy?
Lokhu kuncike esimweni. I-Endoscopy ayikhuthazwa ezimweni ezilandelayo:
1. Izinkinga ezinkulu zenhliziyo namaphaphu, njengokuphazamiseka okukhulu kwenhliziyo, isikhathi somsebenzi we-myocardial infarction, ukwehluleka okukhulu kwenhliziyo kanye ne-asthma, abantu abanenkinga yokuphefumula abangakwazi ukulala phansi, abangakwazi ukubekezelela i-endoscopy.
2. Iziguli ezisolwa ngokushaqeka kanye nezimpawu zokuphila ezingazinzile.
3. Abantu abanesifo sengqondo noma abakhubazekile kakhulu engqondweni abangakwazi ukubambisana ne-endoscopy (i-gastoscopy engenabuhlungu uma kudingeka).
4. Isifo somphimbo esibi nesinzima, lapho i-endoscope ingenakufakwa khona.
5. Iziguli ezinokuvuvukala okubhubhisayo okukhulu komphimbo nesisu.
6. Iziguli ezine-aneurysm ecacile ye-thoracoabdominal aortic kanye nesifo sohlangothi (esinokopha kanye ne-infarction ebukhali).
7. Ukujiya kwegazi okungajwayelekile.
12. Kuyini ukuhlolwa kwegazi? Ingabe kuzolimaza isisu?
I-Biopsy ingasetshenziswai-biopsy forcepsukususa ingcezu encane yezicubu endleleni yokugaya ukudla bese uyithumela ku-pathology ukuze kutholakale uhlobo lwezilonda zesisu.
Ngesikhathi senqubo ye-biopsy, abantu abaningi abazizwa lutho. Ngezinye izikhathi, bazizwa sengathi isisu sabo siyacindezelwa, kodwa cishe akukho buhlungu. Izicubu ze-biopsy zilingana nohlamvu lwelayisi futhi azibangeli umonakalo omkhulu ku-mucosa yesisu. Ngaphezu kwalokho, ngemva kokuthatha izicubu, udokotela uzomisa ukopha ngaphansi kwe-gastroscopy. Uma nje ulandela imiyalelo kadokotela ngemva kokuhlolwa, amathuba okuqhubeka nokopha aphansi kakhulu.
13. Ingabe isidingo sokuhlolwa kwegazi simelela umdlavuza?
Akunjalo ngempela! Ukuthatha i-biopsy akusho ukuthi ukugula kwakho kukhulu, kodwa kusho ukuthi udokotela ukhipha ezinye zezicubu zesilonda ukuze zihlaziywe ngesikhathi se-gastroenteroscopy. Isibonelo: ama-polyp, ukuguguleka, izilonda, ukuqubuka, amaqhubu, kanye ne-gastritis engaphelele kusetshenziselwa ukunquma uhlobo, ukujula, kanye nobubanzi besifo ukuze kuqondiswe ukwelashwa kanye nokubuyekezwa. Yiqiniso, odokotela bathatha ne-biopsy yezilonda okusolwa ukuthi zinomdlavuza. Ngakho-ke, i-biopsy iwukusiza kuphela ekuxilongweni kwe-gastroenteroscopy, akuzona zonke izilonda ezithathwe ku-biopsy eziyizilonda eziyingozi. Ungakhathazeki kakhulu futhi linda ngesineke imiphumela ye-pathology.
Siyazi ukuthi ukumelana kwabantu abaningi ne-endoscopy yamathumbu kusekelwe emvelweni, kodwa ngithemba ngempela ukuthi unganaka i-endoscopy yamathumbu. Ngikholwa ukuthi ngemva kokufunda le mibuzo nezimpendulo, uzoba nokuqonda okucacile.
Thina, iJiangxi Zhuoruihua Medical Instrument Co.,Ltd., singumkhiqizi eShayina ogxile ezintweni ezisetshenziswayo ze-endoscopic, njenge i-biopsy forceps, i-hemoclip, ugibe lwe-polyp, inaliti ye-sclerotherapy, i-catheter yokufafaza, amabhulashi e-cytology,ucingo lokuqondisa, ubhasikidi wokuthola amatshe, i-catheter yokukhipha amanzi ekhaleninjll. ezisetshenziswa kabanzi ku-I-EMR, ESD,I-ERCPImikhiqizo yethu inesitifiketi se-CE, kanti izitshalo zethu zinesitifiketi se-ISO. Izimpahla zethu zithunyelwe eYurophu, eNyakatho Melika, eMpumalanga Ephakathi kanye nengxenye ye-Asia, futhi zithola ukuqashelwa nokunconywa kakhulu ngamakhasimende!
Isikhathi sokuthunyelwe: Ephreli-02-2024