Imibuzo engu-13 ofuna ukuyazi mayelana ne-gastroenteroscopy.

Ngokomthetho wokuthuthukiswa kwezifo, iminyaka engu-55 ubudala - iminyaka engu-15 ubudala (umjikelezo we-colon cancer evolution) = iminyaka engu-40 ubudala.Eminyakeni engu-40, ukuhlolwa okuningi kuthola kuphela ama-polyps, asuswa futhi abuyekezwe njalo futhi angeke athuthukele kumdlavuza wamathumbu.Ukuthatha igxathu elibuyela emuva, noma ngabe uphenduka umdlavuza, kungenzeka kakhulu ukuthi ube umdlavuza osesigabeni sokuqala futhi ungelapheka ngokuphelele ngaphansi kwe-colonoscopy.

Kungakho sinxuswe ukuthi sinake ukuhlolwa kusenesikhathi kwezicubu zokugaya ukudla.I-endoscopy ye-gastrointestinal efika ngesikhathi ingavimbela ngempumelelo umdlavuza wesisu kanye nomdlavuza wamathumbu.

4.Yini engcono ku-gastroenteroscopy evamile futhi engenabuhlungu?Kuthiwani ngesheke lokwesaba?

Uma unokubekezelelana okuncane futhi awukwazi ukunqoba ukwesaba kwakho okungokwengqondo futhi wesaba i-endoscopy, bese ukhetha okungenabuhlungu;uma ungenazo izinkinga ezinjalo, ungakhetha okuvamile.

I-endoscopy evamile yamathumbu izobangela ukungakhululeki okuthile: isicanucanu, ubuhlungu besisu, ukuqunjelwa, ukuhlanza, ukuba ndikindiki kwamalungu, njll. Nokho, ngaphansi kwezimo ezivamile, inqobo nje uma bengethuki ngokweqile futhi bebambisana kahle nodokotela, abantu abaningi bangakwazi ukubekezelela.Ungazihlola.Kulabo ababambisana kahle, i-endoscopy evamile yamathumbu ingafinyelela imiphumela yokuhlolwa eyanelisayo nefanelekile;nokho, uma ukungezwani okweqile kuholela ekubambisaneni okubi, imiphumela yokuhlolwa ingase ithinteke ngezinga elithile.

I-gastroenteroscopy engenabuhlungu: Uma wesaba ngempela, ungakhetha i-endoscopy yamathumbu engenabuhlungu.Yiqiniso, isisekelo siwukuthi kufanele ihlolwe udokotela futhi ihlangabezane nemibandela ye-anesthesia.Akuwona wonke umuntu ofanelekela ukulaliswa kwezinzwa.Uma kungenjalo, khona-ke singakubekezelela futhi senze okujwayelekile.Phela ukuphepha kuza kuqala!I-endoscopy ye-gastrointestinal engenabuhlungu izoba ngokukhululekile futhi enemininingwane, futhi ubunzima bokusebenza kukadokotela kuzoncipha kakhulu.

5. Yiziphi izinzuzo nezingozi ze-endoscopy yamathumbu engenabuhlungu?

Izinzuzo:

1.Akunankinga nhlobo: ulele ngesikhathi sonke senqubo, ungazi lutho, uphupha nje iphupho elimnandi.

2.Ukulimala okuncane: ngenxa yokuthi ngeke uzizwe ucanucanu noma ungakhululekile, ithuba lokulimala okubangelwa isibuko nalo lincane kakhulu.

3.Bukisisa ngokucophelela: Lapho ulele, udokotela ngeke esakwazi ukukhathazeka ngokuphatheka kabi kwakho futhi uzokubuka ngomoya ophansi nangokucophelela.

4.Yehlisa ingozi: ngoba i-gastroscopy evamile izobangela ukucasuka, umfutho wegazi, nokushaya kwenhliziyo kuzokhuphuka ngokuzumayo, kodwa akusenabuhlungu asikho isidingo sokukhathazeka ngale nkathazo.

Okushodayo:

1.Izinkathazo ngokuqhathaniswa: uma kuqhathaniswa ne-endoscopy evamile ye-gastrointestinal, kunezinye izidingo ezikhethekile zokulungiselela ezengeziwe: ukuhlolwa kwe-electrocardiogram, inaliti yomjovo wangaphakathi iyadingeka ngaphambi kokuhlolwa, amalungu omndeni kufanele ahambisane, futhi awukwazi ukushayela phakathi no-1 usuku ngemva kokuhlolwa, njll. .

2.Kuyingozi kancane: emva kwakho konke, i-anesthesia ejwayelekile, ubungozi bungaphezu kokujwayelekile.Ungathola ukwehla komfutho wegazi, ukuphefumula kanzima, ukuhogela ngephutha, njll.;

3.Isiyezi ngemva kokukwenza: nakuba ungezwa lutho nhlobo ngenkathi usenza, uzozizwa unesiyezi ngemva kokukwenza, njengokudakwa, kodwa-ke ngeke kuhlale isikhathi eside;

4.Kubiza kancane: uma kuqhathaniswa ne-endoscopy evamile yamathumbu, intengo yokungabi nabuhlungu iphakeme kancane.

5.Akuwona wonke umuntu ongakwenza: ukuhlolwa okungenabuhlungu kudinga ukuhlolwa kwe-anesthesia.Abanye abantu abakwazi ukuhlolwa okungenabuhlungu, njengalabo abanomlando wokungezwani nezidakamizwa ezibulala izinzwa nezidakamizwa ezilalisa umzimba, labo abane-bronchitis ene-phlegm eyeqile, abanezinsalela eziningi esiswini, nalabo abanobunzima obunamandla Abantu abanokuhona nokulala, njengoba kanye nalabo abakhuluphele ngokweqile kufanele baqaphele, abantu abanezifo zenhliziyo namaphaphu abangakwazi ukubekezelela i-anesthesia, iziguli ezine-glaucoma, i-prostatic hyperplasia kanye nomlando wokugcinwa komchamo, abesifazane abakhulelwe nabancelisayo kufanele baqaphele.

6. Ingabe i-anesthesia ye-endoscopy yamathumbu engenabuhlungu izokwenza abantu babe iziwula, ukulahlekelwa inkumbulo, kuthinte i-IQ?

Asikho isidingo sokukhathazeka nhlobo!Isibulali-zinzwa esifakwa emthanjeni esisetshenziswa ku-endoscopy yamathumbu engenabuhlungu i-propofol, uketshezi olumhlophe olune-milky odokotela abalubiza ngokuthi “ubisi olujabulisayo”.Igaywa ngokushesha kakhulu futhi izobola ngokuphelele futhi igaywe emahoreni ambalwa ngaphandle kokubangela ukunqwabelana..Umthamo osetshenziswayo unqunywa udokotela obulala izinzwa ngokusekelwe esisindweni sesiguli, ukuqina komzimba nezinye izici.Ngokuyisisekelo, isiguli sizovuka ngokuzenzakalelayo emaminithini angaba ngu-10 ngaphandle kwanoma iyiphi i-sequelae.Inani elincane labantu lizozizwa sengathi lidakiwe, kodwa bambalwa kakhulu abantu abazovuka ngokuzenzakalelayo.Izonyamalala maduze.

Ngakho-ke, inqobo nje uma isetshenziswa odokotela abangochwepheshe ezikhungweni zezokwelapha ezivamile, asikho isidingo sokukhathazeka kakhulu.

5.Ingabe zikhona izingozi ngokubulala izinzwa?

Isimo esithile sichazwe ngenhla, kodwa akukho ukuhlinzwa komtholampilo okungaqinisekiswa ukuthi akunabungozi ngo-100%, kodwa okungenani u-99.99% ongenziwa ngempumelelo.

6.Ingabe izimpawu zesimila, umdwebo wegazi, nokuhlolwa kwegazi okunefecal okukusebenzelayo kungangena esikhundleni se-endoscopy yamathumbu?

Awukwazi!Ngokuvamile, ukuhlolwa kwamathumbu kuzoncoma ukuhlolwa kwegazi le-fecal, ukuhlolwa okune kokusebenza kwesisu, izimpawu zesimila, njll. Ngayinye inokusetshenziswa kwayo:

7.Isivivinyo segazi se-Fecal occult: inhloso enkulu ukuhlola ukopha okufihliwe emgudwini wamathumbu.Izimila zakuqala, ikakhulukazi i-microcarcinomas, azingophi ekuqaleni.Igazi lemimoya ye-fecal liyaqhubeka nokuba lihle futhi lidinga ukunakwa okukhulu.

8.Ukuhlolwa kokusebenza kwesisu: inhloso enkulu ukuhlola i-gastrin ne-pepsinogen ukuze kutholakale ukuthi ukukhishwa kujwayelekile yini.Kuwukuhlola kuphela ukuthi abantu basengozini enkulu yini yomdlavuza wesisu.Uma kukhona okungavamile, ukuhlolwa kwe-gastroscopy kufanele kwenziwe ngokushesha.

Izimpawu zesimila: Kungashiwo kuphela ukuthi zinenani elithile, kodwa akumele zisetshenziswe njengenkomba kuphela yokuhlola izimila.Ngoba okunye ukuvuvukala kungase kubangele ukuthi izimpawu zesimila zikhuphuke, futhi ezinye izimila zisavamile kuze kube yilapho seziphakathi nezigaba zamuva.Ngakho-ke, akudingekile ukuba wesabe uma ziphakeme, futhi awukwazi ukuziba uma zijwayelekile.

9. Ingabe i-capsule endoscopy, i-barium meal, ukuhlolwa kokuphefumula, kanye ne-CT kungashintsha i-endoscopy yamathumbu?

Akunakwenzeka!Ukuhlolwa kokuphefumula kungathola kuphela ukuba khona kokutheleleka kwe-Helicobacter pylori, kodwa akukwazi ukuhlola isimo se-gastric mucosa;isidlo se-barium singabona kuphela "isithunzi" noma uhlaka lwepheshana lesisu, futhi inani laso lokuxilonga lilinganiselwe.

I-capsule endoscopy ingasetshenziswa njengendlela yokuhlola kokuqala.Kodwa-ke, ngenxa yokungakwazi ukuheha, ukugeza, ukubona, nokwelapha, ngisho noma kutholakala isilonda, i-endoscopy evamile isadingeka kunqubo yesibili, ebiza kakhulu ukuyikhokhela.

Ukuhlolwa kwe-CT kunenani elithile lokuxilonga lamathumba asemathunjini athuthukile, kodwa kunokungazweli kahle komdlavuza wangaphambi kwesikhathi, izilonda ezingaphambi komdlavuza, kanye nezifo ezivamile ezingenabungozi zepheshana lesisu.

Ngamafuphi, uma ufuna ukuthola umdlavuza wamathumbu kusenesikhathi, i-endoscopy yamathumbu ayinakushintshwa.

10. Ingabe i-endoscopy yesisu engenabuhlungu ingenziwa ndawonye?

Yebo, kufanele kuqashelwe ukuthi ngaphambi kokuhlolwa, sicela wazise udokotela ngokushesha futhi uqedele ukuhlolwa kwe-electrocardiogram ukuze kuhlolwe izinzwa.Ngesikhathi esifanayo, ilungu lomndeni kufanele likuphelezele.Uma i-gastroscopy yenziwa ngaphansi kwe-anesthesia bese kwenziwa i-colonoscopy, futhi uma yenziwa kanye ne-endoscopy yamathumbu engenabuhlungu, Kubiza kuphela ukuthola i-anesthesia kanye, ngakho futhi kubiza kancane.

11. Nginenhliziyo embi.Ngingakwazi ukwenza i-gastroenteroscopy?

Lokhu kuncike esimweni.I-Endoscopy namanje ayinconywa ezimweni ezilandelayo:

I-1.Izifo ezinzima ze-cardiopulmonary, njenge-arrhythmias enzima, isikhathi sokusebenza kwe-myocardial infarction, ukuhluleka okukhulu kwenhliziyo kanye ne-asthma, abantu abanenkinga yokuphefumula abangakwazi ukulala, abangakwazi ukubekezelela i-endoscopy.

2.Iziguli ezinokushaqeka okusolwayo kanye nezimpawu ezibalulekile ezingazinzile.

3.Abantu abagula ngengqondo noma abakhubazeke kakhulu ngokomqondo abangakwazi ukusebenzisana ne-endoscopy (i-gastroscopy engenabuhlungu uma kunesidingo).

I-4.Isifo somphimbo esibuhlungu nesinzima, lapho i-endoscope ingafakwa khona.

5.Iziguli ezinokuvuvukala okunamandla okulimazayo komminzo nesisu.

6.Iziguli ezine-aortic aneurysm esobala ye-thoracoabdominal kanye ne-stroke (enokopha kanye ne-acute infarction).

7.Ukujiya kwegazi okungavamile.

12. Iyini i-biopsy?Ingabe izodala umonakalo esiswini?

I-biopsy isetshenziswai-biopsy forcepsukususa ucezu oluncane lwezicubu emgudwini wesisu bese uluthumela ku-pathology ukuze unqume uhlobo lwezilonda zesisu.

Phakathi nenqubo ye-biopsy, abantu abaningi abezwa lutho.Ngezikhathi ezithile, bazizwa sengathi isisu sabo siyancinzwa, kodwa cishe abukho ubuhlungu.Izicubu ze-biopsy zilingana nohlamvu zelayisi kuphela futhi zibangela umonakalo omncane kakhulu ku-mucosa yesisu.Ngaphezu kwalokho, ngemva kokuthatha izicubu, udokotela uzoyeka ukopha ngaphansi kwe-gastroscopy.Uma nje ulandela imiyalelo kadokotela ngemva kokuhlolwa, amathuba okuphuma kwegazi okwengeziwe aphansi kakhulu.

13. Ingabe isidingo se-biopsy simelela umdlavuza?

Akunjalo Empeleni!Ukuthatha i-biopsy akusho ukuthi ukugula kwakho kubi kakhulu, kodwa ukuthi udokotela ukhipha ezinye zezicubu zesilonda ukuze ahlaziywe nge-pathological ngesikhathi se-gastroenteroscopy.Isibonelo: ama-polyps, ukuguguleka, izilonda, amaqhubu, amaqhuqhuva, kanye ne-atrophic gastritis kusetshenziswa ukunquma ubunjalo, ukujula, kanye nobubanzi besifo ukuze kuqondiswe ukwelashwa nokubuyekezwa.Yiqiniso, odokotela baphinde bathathe ama-biopsies izilonda okusolakala ukuthi zinomdlavuza.Ngakho-ke, i-biopsy iwukusiza kuphela ukuxilongwa kwe-gastroenteroscopy, akuzona zonke izilonda ezithathwe ku-biopsy ziyizilonda ezimbi.Ungakhathazeki kakhulu futhi ulinde ngesineke imiphumela ye-pathology.

Siyazi ukuthi abantu abaningi ukumelana ne-endoscopy yamathumbu kusekelwe kumzwelo ongokwemvelo, kodwa ngithemba ngempela ukuthi ungakwazi ukunaka i-endoscopy yamathumbu.Ngikholwa ukuthi ngemva kokufunda le Q&A, uzoba nokuqonda okucacile.

Thina, i-Jiangxi Zhuoruihua Medical Instrument Co., Ltd., singumkhiqizi waseChina ogxile ezintweni ezisetshenziswayo ze-endoscopic, ezifana i-biopsy forceps, i-hemoclip, polyp ugibe, inaliti ye-sclerotherapy, fafaza i-catheter, amabhulashi e-cytology,guidewire, ubhasikidi wokubuyisa amatshe, i-catheter ye-nasal biliary drainagenjll ezisetshenziswa kakhulu kuI-EMR, ESD,I-ERCP.Imikhiqizo yethu iqinisekiswe yi-CE, futhi izitshalo zethu ziqinisekiswe yi-ISO.Izimpahla zethu zithunyelwe eYurophu, eNyakatho Melika, eMpumalanga Ephakathi nasengxenyeni ye-Asia, futhi zithola kabanzi ikhasimende lokuqashelwa nokudumisa!