Enteroscopy

Enteroscopy maitiro anoshandiswa kuongorora ura hudiki (diki ura).

Thubhu yakatetepa, inochinjika (endoscope) inoiswa kuburikidza nemuromo uye munzvimbo yepamusoro yemudumbu. Munguva yekaviri-mabhaluni enteroscopy, mabhaluni akasungirirwa kune endoscope anogona kukosheswa kutendera chiremba kuti aone chikamu chemuviri mudumbu.

Mune colonoscopy, chubhu inochinjika inoiswa kuburikidza neyako rectum uye colon. Iyo chubhu inogona kazhinji kusvika kusvika kumagumo chikamu chemuviri mudumbu (ileum). Capsule endoscopy inoitwa necompule inoraswa yaunomedza.

Tissue sampuli dzakabviswa panguva ye enteroscopy inotumirwa kubazi kuti riongororwe. (Biopsies haigone kutorwa ne capsule endoscopy.)

Usatore zvigadzirwa zvine aspirin kwevhiki imwe isati yaitwa. Udza mupi wako wezvehutano kana iwe ukatora vanocheka ropa senge warfarin (Coumadin), clopidogrel (Plavix), kana apixaban (Eliquis) nekuti izvi zvinogona kupokana nemuyedzo. Usarega kutora chero mushonga kunze kwekunge waudzwa kuti uite saizvozvo nemupi wako.

Usadye chero chikafu chakasimba kana zvigadzirwa zvemukaka mushure mehusiku zuva rekuita kwako. Unogona kunge uine zvinwiwa zvakajeka kusvikira maawa mana bvunzo yako isati yaitwa.

Iwe unofanirwa kusaina fomu yekubvuma.

Iwe unozopihwa unodzikamisa uye unodzikamisa mushonga wenzira uye hauzonzwa chero kusagadzikana. Unogona kuve nekuzvimba kana kupwanya paunomuka. Izvi zvinobva kumhepo inoputirwa mudumbu kuti iwedzere nzvimbo panguva yekuita.

A capsule endoscopy inokonzeresa kusagadzikana.

Muedzo uyu unowanzoitwa kubatsira kubatsira kuongorora hutumbu hwematumbo madiki. Zvinogona kuitwa kana iwe uine:

• Zvisina kujairika x-ray mhedzisiro
• Tumota mumatumbu madiki
• Manyoka asingatsanangurike
• Kusanzwisisika kwemudumbu kubuda ropa

Mune zvakajairika bvunzo mhedzisiro, mupi haazowana masosi ekubuda ropa mudumbu mudiki, uye haazowana chero mamota kana zvimwe zvisina kujairika nyama.

Zviratidzo zvinogona kusanganisira:

• Kusagadzikana kwetishu yakanamatira ura mudiki (mucosa) kana diki, fungidziro yemunwe-pamusoro peiyo dumbu ura (villi)
• Kureba kusingaenzanisike kwemitsipa yeropa (angioectasis) mumatumbu emukati
• Masero emumuviri anonzi PAS-positive macrophages
• Polyps kana kenza
• Radiation enteritis
• Kuzvimba kana kuwedzerwa lymph node kana lymphatic midziyo
• Maronda

Shanduko dzinowanikwa pane enteroscopy inogona kunge iri zviratidzo zvekusagadzikana uye mamiriro, kusanganisira:

• Amyloidosis
• Celiac sprue
• Chirwere cheCrohn
• Folate kana vhitamini B12 kushomeka
• Giardiasis
• Inotapukira gastroenteritis
• Lymphangiectasia
• Lymphoma
• Mudumbu mudumbu angiectasia
• Kenza dumbu remudumbu
  
• Tropical sprue
• Whipple chirwere

Zvinetso hazviwanzo asi zvinogona kusanganisira:

• Kuwedzeredza kubuda ropa kubva kune iyo biopsy saiti
• Hole mune ura (ura perforation)
• Kubatwa kweiyo biopsy saiti inotungamira kune bacteremia
• Kurutsa, kuchiteverwa nekushuva mumapapu
• Iyo capsule endoscope inogona kukonzeresa kuvharika mune rakatetepa ura nezviratidzo zvekurwadziwa mudumbu uye kuzvimba
  
  

Zvinhu zvinorambidza kushandiswa kweiyi bvunzo zvinogona kusanganisira:

• Asina kubatana kana munhu akavhiringidzika
• Kusabatwa kweropa kuvhara (coagulation) kusagadzikana
• Kushandiswa kweaspirini kana mimwe mishonga inodzivirira ropa kubva pakuvhara kazhinji (anticoagulants)

Njodzi huru iri kubuda ropa. Zviratidzo zvinosanganisira:

• Marwadzo emudumbu
• Ropa muzvigaro
• Kusvipa ropa

Pushira enteroscopy; Double-chibharumu enteroscopy; Kamudzira enteroscopy

• Mudumbu ura biopsy
• Esophagogastroduodenoscopy (EGD)
• Kamudzira endoscopy

Barth B, Troendle D. Capsule endoscopy uye diki ura enteroscopy. Mune: Wyllie R, Hyams JS, Kay M, eds. Chiremba Gastrointestinal uye Chirwere Chiropa. 5 ed. Philadelphia, PA: Elsevier; 2016: chits. 63.

Marcinkowski P, Fichera A. manejimendi ezasi ezvematumbu kubuda ropa. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 341-347.

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

Waterman M, Zurad EG, Gralnek IM. Vhidhiyo capsule endoscopy. Mu: Fowler GC, rakanyorwa. Pfenninger uye Fowler's Maitiro Ekutanga Kuchengeta. 4th ed. Philadelphia, PA: Elsevier; 2020: chits. 93.