Endoscopy

Zvemukati

• Nei ndichida endoscopy?
• Ndino gadzirira sei endoscopy?
• Ndeapi marudzi endoscopy?
• Ndedzipi nzira dzechizvino-zvino mu endoscopy tekinoroji?
• Kamudzira endoscopy
• Endoscopic kudzokorora cholangiopancreatography (ERCP)
• Chromoendoscopy
• Endoscopic ultrasound (EUS)
• Endoscopic mucosal resection (EMR)
• Narrow band imaging (NBI)
• Ndeipi njodzi dzeiyo endoscopy?
• Chii chinoitika mushure mekupedzisira?

Chii chinonzi endoscopy?

Endoscopy maitiro ekuti chiremba wako anoshandisa zvakasarudzika zviridzwa kuona nekushanda pane zvemukati mitezo nemidziyo yemuviri wako. Iyo inobvumidza vanovhiya kuti vaone matambudziko mukati memuviri wako vasina kuita kukanda kukuru.

Chiremba anovhiya endoscope kuburikidza nekucheka kudiki kana kuvhura mumuviri senge muromo. Endoscope ipombi inochinjika ine kamera yakasungirirwa inobvumidza chiremba wako kuti aone. Chiremba wako anogona kushandisa forceps uye chigero pane endoscope kushanda kana kubvisa zvinyama zvebiopsy.

Nei ndichida endoscopy?

Endoscopy inobvumira chiremba wako kuti ataridze kuongorora nhengo pasina kuita incision hombe. Chidzitiro mukamuri yekuvhiya chinoita kuti chiremba aone chaizvo zvinoonekwa neiyo endoscope.

Endoscopy inowanzo shandiswa ku:

• batsira chiremba wako kuona chinokonzera chero zviratidzo zvisina kujairika zvaunazvo
• bvisa sampuro diki yetissue, iyo inogona kuzotumirwa kubazi kuti ienderere mberi nekuyedzwa; iyi inonzi endoscopic biopsy
• batsira chiremba wako kuti aone mukati memuviri panguva yekuvhiya, sekugadzirisa ulcer yemudumbu, kana kubvisa nduru kana mamota.

Chiremba wako anogona kuraira endoscopy kana iwe uine zviratidzo zveimwe yeanotevera mamiriro:

• kuzvimba ura (IBD), senge ulcerative colitis (UC) uye chirwere cheCrohn
• chironda mudumbu
• kusingaperi kuzvimbirwa
• chirwatata
• nduru
• kubuda ropa zvisina tsananguro mudumbu
• mamota
• zvirwere
• kuvhara kwegurokuro
• gastroesophageal Reflux chirwere (GERD)
• hiatal hernia
• kubuda kweropa zvisina kujairika
• ropa mune yako weti
• dzimwe nyaya dzekugaya

Chiremba wako anoongorora zviratidzo zvako, kuita ongororo yemuviri, uye pamwe kuraira kumwe kuongororwa kweropa pamberi peiyo endoscopy. Iyi bvunzo inobatsira chiremba wako kuwana nzwisiso chaiyo yezvinogona kukonzera zvikonzero zvezviratidzo zvako. Iyi bvunzo inogona zvakare kuvabatsira kuti vaone kana matambudziko anogona kurapwa pasina endoscopy kana kuvhiyiwa.

Ndino gadzirira sei endoscopy?

Chiremba wako achakupa mirairo yakakwana yekuti ungagadzirira sei. Mazhinji marudzi endoscopy anoda kuti iwe urege kudya chikafu chakasimba kwemaawa gumi nemaviri maitiro acho asati aitwa. Mimwe mhando yezvinwiwa zvakajeka, senge mvura kana muto, zvinogona kubvumidzwa kwemaawa maviri usati waitwa. Chiremba wako achajekesa izvi newe.

Chiremba wako anogona kukupa laxatives kana enemas kuti ushandise husiku hwakatangira nzira yekubvisa yako system. Izvi zvakajairika mune maitiro anosanganisira gastrointestinal (GI) turakiti uye iyo anus.

Pamberi peiyo endoscopy, chiremba wako anozoongorora uye aongorore nhoroondo yako yezvekurapa, kusanganisira chero kuvhiya kwekutanga.

Ive neshuwa yekuudza chiremba wako nezve chero mishonga yauri kutora, kusanganisira pamusoro-the-counter zvinodhaka uye zvekuwedzera zvekuwedzera. Uyezve chenjedza chiremba wako pamusoro pehutano chero hupi zvaungave uine. Ungangoda kumira kutora mimwe mishonga kana ichikanganisa kubuda ropa, kunyanya anticoagulant kana antiplatelet zvinodhaka.

Ungangoda kuronga kuti mumwe munhu akutyaire kumba mushure mekuita nekuti ungangonzwa mushe kubva paanesthesia.

Ndeapi marudzi endoscopy?

Endoscopies inowira muzvikamu, zvichibva nenzvimbo yemuviri yavanotsvaga. IAmerican Cancer Society (ACS) inonyora anotevera marudzi eendoscopies:

Ndedzipi nzira dzechizvino-zvino mu endoscopy tekinoroji?

Kufanana nematekinoroji mazhinji, endoscopy iri kuramba ichifambira mberi. Zvizvarwa zvitsva zveendoscopes zvinoshandisa yakakwira-tsananguro imaging kugadzira mifananidzo mune inoshamisa tsananguro. Maitiro ekuvandudza anosanganisa endoscopy neyekufungidzira tekinoroji kana nzira dzekuvhiya.

Heano mimwe mienzaniso yeazvino endoscopy matekinoroji.

Kamudzira endoscopy

Maitiro echimurenga anozivikanwa sekapsule endoscopy anogona kushandiswa kana kumwe kuyedza kusiri kukwana. Munguva ye capsule endoscopy, iwe unomedza piritsi diki ine kamera diki mukati. Iyo kapsule inopfuura nepakuzeya kwako nzira, isina chero kunetseka kwauri, uye inogadzira zviuru zvemifananidzo yematumbu painofamba.

Endoscopic kudzokorora cholangiopancreatography (ERCP)

ERCP inosanganisa X-rays neepamusoro GI endoscopy kuongorora kana kurapa matambudziko neiyo bile uye pancreatic ducts.

Chromoendoscopy

Chromoendoscopy inzira inoshandisa rakasvibisa banga kana dhayi pane yekumukati mematumbo panguva yekupedzisira endoscopy maitiro. Iyo dhayi inobatsira chiremba zvirinani kuona kana paine chero chinhu chisina kujairika pamatumbo mudumbu.

Endoscopic ultrasound (EUS)

EUS inoshandisa ultrasound pamwe chete ne endoscopy. Izvi zvinobvumidza vanachiremba kuti vaone nhengo uye zvimwe zvivakwa zvisingawanzo kuoneka panguva yenguva dzose endoscopy. Tsono nhete inogona kubva yaiswa mune iyo nhengo kana chimiro kuti itore mamwe matissue ekuona pasi pe microscope. Maitiro aya anonzi akanaka tsono shuwa.

Endoscopic mucosal resection (EMR)

EMR inzira inoshandiswa kubatsira vanachiremba kubvisa kenza munyama mudumbu. MuEMR, tsono inopfuudzwa kuburikidza neiyo endoscope kuti irove mvura iripasi pechitunha chisina kujairika. Izvi zvinobatsira kupatsanura kenza yemukati kubva kune mamwe matanda kuti igone kubviswa zviri nyore.

Narrow band imaging (NBI)

NBI inoshandisa yakasarudzika firita kuti ibatsire kugadzira kusiyana kwakawanda pakati pemidziyo uye mucosa. Iyo mucosa ndiyo yemukati mutsetse wedumbu rekugaya.

Ndeipi njodzi dzeiyo endoscopy?

Endoscopy ine njodzi yakadzika kwazvo yekubuda ropa uye hutachiona pane kuvhiya kwakavhurika. Zvakadaro, endoscopy inzira yekurapa, saka ine imwe njodzi yekubuda ropa, hutachiona, uye zvimwe zvinetso zvisingawanzo zvakaita se:

• kurwadziwa pachipfuva
• kukuvara kunhengo dzako, kusanganisira zvinogona kuitika
• kupindwa nechando
• kurwadziwa kusingaperi munzvimbo yeiyo endoscopy
• kutsvuka uye kuzvimba pane iyo incision saiti

Njodzi dzerudzi rumwe nerumwe dzinoenderana nenzvimbo yemaitiro uye nemamiriro ako pachako.

Semuenzaniso, zvituru zvine rima, kurutsa, uye kunetseka kumedza mushure mekolonoscopy zvinogona kuratidza kuti chimwe chinhu hachina kumira zvakanaka. Iyo hysteroscopy inotakura diki njodzi yekuzvimba uterine, kubuda kweropa, kana kushungurudzika kwechibereko. Kana iwe uine capsule endoscopy, pane njodzi diki yekuti iyo capsule inogona kunamatira kumwe kunzira yekugaya. Iyo njodzi yakakwira kune vanhu vane mamiriro anokonzeresa kudzikisira kwekugaya chikafu, kunge bundu. Iyo capsule ingangodaro inoda kuvhiyiwa kubviswa.

Kumbira vanachiremba vako nezvezviratidzo zvekutarisa kunze kwekutevera yako endoscopy.

Chii chinoitika mushure mekupedzisira?

Mazhinji endoscopies ari outpatient maitirwo. Izvi zvinoreva kuti iwe unogona kuenda kumba zuva rimwe chetero.

Chiremba wako achavhara maronda ekucheka nematanda uye nekuasunga zvakanaka mushure mekuita. Chiremba wako anokupa rairo yekuti ungachengeta sei ronda iri wega.

Mushure meizvozvo, iwe ungatofanira kumirira kweawa kana maviri muchipatara kuti mhedzisiro yeiyo sedation ipere. Shamwari kana nhengo yemhuri inokuendesa kumba. Paunenge uchinge wave kumba, iwe unofanirwa kuronga kushandisa yasara yezuva rekuzorora.

Dzimwe nzira dzinogona kukusiya usina kunetseka. Zvinogona kutora imwe nguva kuti unzwe zvakanaka zvakakwana kuti uite nezvebhizimusi rako rezuva nezuva. Semuenzaniso, uchitevera yepamusoro GI endoscopy, unogona kunge uine huro huro uye uchida kudya zvinyoro nyoro kwemazuva mashoma. Iwe unogona kunge uine ropa mumurini yako mushure me cystoscopy kuti uongorore bladder rako. Izvi zvinofanirwa kupfuura mukati maawa makumi maviri nemana, asi iwe unofanirwa kubata chiremba wako kana zvikaramba.

Kana chiremba wako achifungidzira kukura kwegomarara, ivo vanozoita biopsy panguva yako endoscopy. Mhedzisiro yacho inotora mazuva mashoma. Chiremba wako achakurukura zvawanikwa newe mushure mekunge vazvidzorera kubva murabhoritari.