EGD - esophagogastroduodenoscopy

Esophagogastroduodenoscopy (EGD) bvunzo yekuongorora iyo lining yegurokuro, mudumbu, uye chikamu chekutanga chemukati mudumbu (duodenum).

EGD inoitwa muchipatara kana kuchipatara. Maitiro acho anoshandisa endoscope. Iyi chubhu inochinjika ine mwenje uye kamera kumagumo.

Maitiro acho anoitwa seinotevera:

• Munguva yekuita, kufema kwako, kurova kwemoyo, kuwedzerwa kweropa, uye nerojenijeni zvinotariswa. Tambo dzakanamatira kune dzimwe nzvimbo dzemuviri wako uyezve kumachina anotarisa aya akakosha zviratidzo.
• Unogamuchira mushonga mutsinga kuti ikubatsire kuzorora. Iwe haufanire kunzwa kurwadziwa uye usayeuke maitiro acho.
• Anesthetic yemuno inogona kumisidzirwa mumuromo mako kudzivirira iwe kubva pakukosora kana kuvhara kana chiyero chikaiswa.
• Murindi wemuromo unoshandiswa kuchengetedza mazino ako uye chiyero. Mazino ekugezera anofanira kubviswa maitiro acho asati atanga.
• Iwe unobva warara kuruboshwe kwako.
• Iyo chiyero chinoiswa kuburikidza nesophagus (chikafu chepombi) mudumbu uye duodenum. Iyo duodenum ndiyo yekutanga chikamu chemuviri mudumbu.
• Mhepo inoiswa nepakati pezviyero kuti zvive nyore kuti chiremba aone.
• Lining yeiyo esophagus, mudumbu, uye yepamusoro duodenum inoongororwa. Biopsies inogona kutorwa kuburikidza nehukuru. Biopsies ndiwo matomu sampu ayo anotariswa pasi peiyo microscope.
• Kurapa kwakasiyana kunogona kuitwa, sekutambanudza kana kuwedzera nzvimbo yakatetepa yegurokuro.

Mushure mekuedzwa kwapera, haugone kuwana chikafu uye mvura kusvikira gag reflex yako yadzoka (saka haukanganise).

Muedzo unotora maminetsi mashanu kusvika makumi maviri.

Tevedzera chero mirairo iwe yaunopihwa yekudzosa kumba.

Iwe haugone kudya chero chinhu kwemaawa matanhatu kusvika gumi nemaviri pamberi peyedzo. Tevedza rairo nezvekumisa aspirin uye mimwe mishonga yekuchera ropa usati waedzwa.

Iyo anesthetic spray inoita kuti zvive zvakaoma kumedza. Izvi zvinopera nguva pfupi yapfuura maitiro. Chiyero chinogona kukuita iwe gag.

Iwe unogona kunzwa gasi uye kufamba kweiyo chiyero mudumbu rako. Iwe haugone kunzwa iyo biopsy. Nekuda kwekunyaradza, unogona kusanzwa kusagadzikana uye usina ndangariro yemuyedzo.

Unogona kunzwa kubhururuka kubva mumhepo yakaiswa mumuviri wako. Kunzwa uku kunopera munguva pfupi.

EGD inogona kuitwa kana iwe uine zviratidzo izvo zvitsva, hazvigone kutsanangurwa, kana kusiri kupindura kurapwa, senge:

• Dema kana kunonoka zvituru kana kurutsa ropa
• Kuunza chikafu kumashure (kudzokazve)
• Kunzwa kuzara nekukurumidza kupfuura zvakajairwa kana mushure mekudya zvishoma pane zvakajairwa
• Kunzwa kunge chikafu chakanamatira kuseri kwebhonzo rechipfuva
• Kushungurudza
• Yakaderera ropa kuverenga (kupererwa neropa) isingakwanise kutsanangurwa
• Marwadzo kana kusagadzikana mudumbu repamusoro
• Kumedza matambudziko kana kurwadziwa nekumedza
• Kurera huremu izvo zvisingakwanise kutsanangurwa
• Kushungurudza kana kurutsa kusingaendi

Chiremba wako anogona zvakare kuraira iyi bvunzo kana iwe:

• Ita cirrhosis yechiropa, kutsvaga mitsipa yakazvimba (inonzi varices) mumadziro echikamu chezasi chegurokuro, icho chinogona kutanga kubuda ropa.
• Iva nechirwere cheCrohn
• Unoda zvimwe zvekutevera kana kurapwa kwechiitiko chakaonekwa

Muedzo uyu unogona zvakare kushandiswa kutora chidimbu chemuviri webiopsy.

Iyo esophagus, mudumbu, uye duodenum inofanirwa kuve yakatsetseka uye yeakajairika ruvara. Panofanira kunge pasina kubuda ropa, kukura, maronda, kana kuzvimba.

EGD isina kujairika inogona kuve mhedzisiro ye:

• Chirwere cheCeliac (kukuvara kune iyo lining yemukati mudumbu kubva kune mhinduro yekudya gluten)
• Esophageal varices (kuzvimba tsinga mumutsara wesophagus inokonzerwa nechiropa cirrhosis)
• Esophagitis (kumisikidza kwesophagus kunopisa kana kuzvimba)
• Gastritis (lining yemudumbu uye duodenum inopiswa kana kuzvimba)
• Gastroesophageal Reflux chirwere (mamiriro umo chikafu kana mvura kubva mudumbu inodonhedza ichidzokera kumashure kugurokuro)
• Hiatal hernia (mamiriro umo chikamu chedumbu chinonamira kumusoro muchipfuva kuburikidza nekuvhurika mudhayaphiramu)
• Mallory-Weiss chirwere (chema musvo)
• Kuderedza kwesophagus, senge kubva kune inonzi mamiriro esophageal ring
• Tumota kana kenza mudumbu, mudumbu, kana duodenum (chikamu chekutanga chemukati mudumbu)
• Zvironda, gastric (mudumbu) kana duodenal (dumbu ura)

Pane mukana mudiki wegomba (kupera) mudumbu, duodenum, kana sophagus kubva pachiyero chinofamba kuburikidza nenzvimbo idzi. Iko kune zvakare njodzi diki yekubuda ropa panzvimbo yebhiopsy.

Iwe unogona kuve nemhinduro kumushonga unoshandiswa panguva yekuita, izvo zvinogona kukonzera:

• Apnea (kwete kufema)
• Kunetseka kufema (mweya wekufema)
• Kuwedzera kudikitira
• Kuderera kweropa (hypotension)
• Inononoka kurova kwemoyo (bradycardia)
• Kupenga kweiyo larynx (laryngospasm)

Esophagogastroduodenoscopy; Kumusoro endoscopy; Gastroscopy

• Gastroesophageal Reflux - kubuda

• Gastric endoscopy
• Esophagogastroduodenoscopy (EGD)

Koch MA, Zurad EG. Esophagogastroduodenoscopy. Mu: Fowler GC, rakanyorwa. Pfenninger & Fowler's Maitiro Ekutanga Kuchengeta. 4th ed. Philadelphia, PA: Elsevier; 2020: chits. 91.

Vargo JJ. Kugadzirira uye kunetseka kweGI endoscopy. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 41.