1.Kutheni kuyimfuneko ukwenza i-gastroenteroscopy?
Njengoko isantya sobomi kunye nemikhwa yokutya itshintsha, ukwanda kwezifo zesisu nako kutshintshile. Ukwanda komhlaza wesisu, umphimbo kunye nomhlaza we-colorectal eTshayina kuyanda minyaka le.
Iipolyps zesisu, umhlaza wesisu nowamathumbu ekuqaleni azinazo iimpawu ezithile, kwaye ezinye azinazo iimpawu kwinqanaba eliphezulu. Uninzi lwezigulane ezineethumba ezinobungozi zesisu sele zikwinqanaba eliphezulu xa zifunyaniswa, kwaye i-prognosis yeethumba ezikwinqanaba lokuqala neliphezulu yahlukile ngokupheleleyo.
I-Gastroenteroscopy yeyona ndlela ibalaseleyo yokubona izifo zesisu, ingakumbi iithumba ezikwinqanaba lokuqala. Nangona kunjalo, ngenxa yokungaqondi kwabantu nge-endoscopy yesisu, okanye ukumamela amarhe, abafuni okanye bayoyika ukwenza i-endoscopy yesisu. Ngenxa yoko, abantu abaninzi balahlekelwe lithuba lokufunyaniswa kwangoko kunye nonyango lwangoko. Ke ngoko, kufuneka uvavanyo lwe-endoscopy yesisu "engenazo iimpawu".
2. Kufuneka nini i-gastroenteroscopy?
Sicebisa ukuba abantu abangaphezulu kweminyaka engama-40 ubudala bagqibe i-gastrointestinal endoscopy rhoqo. Kwixesha elizayo, i-gastrointestinal endoscopy inokujongwa emva kweminyaka emi-3-5 ngokusekelwe kwiziphumo zovavanyo. Kwabo bahlala beneempawu ezahlukeneyo ze-gastrointestinal, kucetyiswa ukuba benze i-gastrointestinal endoscopy nangaliphi na ixesha. Ukuba kukho imbali yosapho yomhlaza wesisu okanye umhlaza wamathumbu, kucetyiswa ukuba kuqalwe ulandelelwano lwe-gastroenteroscopy kwangethuba ukuya kuthi ga kwiminyaka engama-30 ubudala.
3. Kutheni le nto eneminyaka engama-40 ubudala?
Ama-95% omhlaza wesisu kunye nomhlaza we-colorectal aphuma kwi-gastric polyps kunye ne-intestinal polyps, kwaye kuthatha iminyaka emi-5-15 ukuba ii-polyps ziguquke zibe ngumhlaza wamathumbu. Makhe sijonge utshintsho kwixesha lokuqalisa kwee-moral tumors kwilizwe lam:
Kwitshathi sinokubona ukuba ukwanda kwezifo ezinobungozi kwilizwe lethu kuphantsi kakhulu xa uneminyaka eyi-0-34, kuyanda kakhulu xa uneminyaka eyi-35 ukuya kweyi-40, kukutshintsha kwexesha xa uneminyaka eyi-55, kwaye kufikelela kwinqanaba eliphezulu xa uneminyaka eyi-80.
Ngokomthetho wophuhliso lwesifo, iminyaka engama-55 ukuya kweli-15 ubudala (umjikelo wokuguquka komhlaza wamathumbu amakhulu) = iminyaka engama-40 ubudala. Kwiminyaka engama-40 ubudala, uninzi lovavanyo lufumanisa kuphela iipolyps, ezisuswayo kwaye zihlolwe rhoqo kwaye aziyi kuqhubela phambili zibe ngumhlaza wamathumbu. Ukubuyela umva, nokuba ijika ibe ngumhlaza, kusenokwenzeka ukuba ngumhlaza wesigaba sokuqala kwaye unokunyangeka ngokupheleleyo phantsi kwe-colonoscopy.
Yingakho siceliwe ukuba sinikele ingqalelo ekuhlolweni kwangethuba kwezimila zendlela yokugaya ukutya. I-endoscopy yesisu ngexesha elifanelekileyo inokuthintela ngempumelelo umhlaza wesisu kunye nomhlaza wamathumbu.
4. Yintoni engcono kwi-gastroenteroscopy eqhelekileyo nengenabuhlungu? Kuthekani ngokuhlolwa koloyiko?
Ukuba awukwazi ukubekezelela kwaye awukwazi ukoyisa uloyiko lwakho lwengqondo kwaye uyoyika i-endoscopy, khetha ngaphandle kwentlungu; ukuba awunazo iingxaki ezinjalo, ungakhetha eziqhelekileyo.
I-endoscopy eqhelekileyo yesisu iya kubangela ukungakhululeki okuthile: isicaphucaphu, iintlungu zesisu, ukudumba, ukuhlanza, ukungakhululeki kwamalungu omzimba, njl. Nangona kunjalo, phantsi kweemeko eziqhelekileyo, lo gama nje bengoyiki kakhulu kwaye besebenzisana kakuhle nogqirha, uninzi lwabantu lunokuyinyamezela loo nto. Ungazivavanya. Kwabo basebenzisane kakuhle, i-endoscopy eqhelekileyo yesisu inokufikelela kwiziphumo zovavanyo ezanelisayo nezifanelekileyo; nangona kunjalo, ukuba uxinzelelo olugqithisileyo lukhokelela kwintsebenziswano embi, iziphumo zovavanyo zinokuchaphazeleka kwinqanaba elithile.
I-gastroenteroscopy engenabuhlungu: Ukuba uyoyika ngokwenene, ungakhetha i-endoscopy yesisu engenabuhlungu. Kakade ke, ingcinga kukuba kufuneka ihlolwe ngugqirha kwaye ihlangabezane neemeko ze-anesthesia. Asinguye wonke umntu ofanelekileyo kwi-anesthesia. Ukuba akunjalo, ngoko sinokuyinyamezela kuphela size senze ezesiqhelo. Emva kwayo yonke loo nto, ukhuseleko luza kuqala! I-endoscopy yesisu engenabuhlungu iya kuba lula kwaye ineenkcukacha, kwaye ubunzima botyando lukagqirha buya kuncipha kakhulu.
5. Ziziphi iingenelo kunye neengxaki ze-endoscopy yesisu engenabuhlungu?
Iingenelo:
1. Akukho ntlungu konke konke: ulele kulo lonke eli xesha, ungazi nto, uphupha nje kamnandi.
2. Umonakalo omncinci: kuba awuyi kuziva unesicaphucaphu okanye ungakhululekanga, amathuba omonakalo obangelwe sisipili nawo mancinci kakhulu.
3.Jonga ngononophelo: Xa ulele, ugqirha akasayi kuphinda akhathazeke ngokungonwabi kwakho kwaye uza kukujonga ngoxolo nangononophelo.
4.Nciphisa umngcipheko: kuba i-gastroscopy eqhelekileyo iya kubangela ukurhawuzelelwa, uxinzelelo lwegazi, kwaye isantya sentliziyo siya kunyuka ngequbuliso, kodwa akukho buhlungu akukho mfuneko yokukhathazeka ngale ngxaki.
Isiphene:
1. Ingxaki kakhulu: xa kuthelekiswa ne-endoscopy eqhelekileyo yesisu, kukho ezinye iimfuno zokulungiselela ezikhethekileyo: uvavanyo lwe-electrocardiogram, kufuneka inaliti yokujova engaphakathi ngaphambi kovavanyo, amalungu osapho kufuneka ahambe nawo, kwaye awunakuqhuba imoto zingadlulanga usuku olunye emva kovavanyo, njl.
2. Kuyingozi kancinci: emva kwayo yonke loo nto, yi-anesthesia eqhelekileyo, umngcipheko uphezulu kunesiqhelo. Unokufumana ukwehla koxinzelelo lwegazi, ubunzima bokuphefumla, ukuphefumla ngengozi, njl.njl.;
3. Ukuba nesiyezi emva kokukwenza: nangona ungaziva nto konke konke ngelixa ukwenza, uza kuziva unesiyezi emva kokukwenza, njengokuba unxilile, kodwa ewe akuyi kuhlala ixesha elide;
4. Ibiza kancinci: xa ithelekiswa ne-endoscopy eqhelekileyo yesisu, ixabiso lonyango olungenazintlungu liphezulu kancinci.
5.Ayingabo bonke abantu abanokukwenza oku: uvavanyo olungenabuhlungu lufuna uvavanyo lwe-anesthesia. Abanye abantu abanakukwenza uvavanyo olungenabuhlungu, njengabo banembali ye-allergies kwi-anesthesia kunye neziyobisi zokuthomalalisa, abo bane-bronchitis ene-phlegm egqithisileyo, abo bane-residues ezininzi esiswini, kunye nabo bane-snoring kunye ne-sleep apnea enzima. Abantu abane-sleep apnea kunye ne-sleep apnea, kunye nabo batyebileyo kufuneka balumke, abantu abanezifo zentliziyo nemiphunga abangakwaziyo ukunyamezela i-anesthesia, izigulane ezine-glaucoma, i-prostatic hyperplasia kunye nembali yokugcina umchamo, abafazi abakhulelweyo nabancancisayo kufuneka balumke.
6. Ngaba i-anesthesia ye-endoscopy yesisu engenabuhlungu iya kwenza abantu babe ziingcinga ezingento, balahlekelwe yinkumbulo, baze bachaphazele i-IQ?
Akukho mfuneko yokukhathazeka konke konke! I-anesthetic efakwa kwimithambo yegazi esetyenziswa kwi-endoscopy yesisu engenabuhlungu yipropofol, ulwelo olumhlophe olufana nobisi oogqirha abalubiza ngokuba "lubisi oluvuyayo". Luyanyibilika ngokukhawuleza kwaye luya kubola ngokupheleleyo kwaye lunyibilike kwiiyure ezimbalwa ngaphandle kokubangela ukuqokelelana. . Umlinganiselo osetyenziswayo umiselwa yingcali ye-anesthesiologist ngokusekelwe kubunzima besigulana, impilo yomzimba kunye nezinye izinto. Ngokwenyani, isigulana siya kuvuka ngokuzenzekelayo kwimizuzu eli-10 ngaphandle kweziphumo ezilandelayo. Inani elincinci labantu liya kuziva ngathi linxilile, kodwa bambalwa kakhulu abantu abaya kuvuka ngokuzenzekelayo. Luya kuphela kungekudala.
Ngoko ke, logama nje isebenza ngoogqirha abaziingcali kwiindawo zonyango eziqhelekileyo, akukho mfuneko yokukhathazeka kakhulu.
5. Ngaba kukho naziphi na iingozi nge-anesthesia?
Imeko ethile ichaziwe apha ngasentla, kodwa akukho tyando lweklinikhi lunokuqinisekiswa ukuba alunamngcipheko ngokupheleleyo, kodwa ubuncinane i-99.99% inokwenziwa ngempumelelo.
6. Ngaba iimpawu zesifo sesisu, umzobo wegazi, kunye novavanyo lwegazi oluvela kwindle zinokuthatha indawo ye-endoscopy yesisu?
Ayinakwenzeka! Ngokubanzi, uvavanyo lwesisu luya kucebisa uvavanyo lwegazi oluvela kwindle, uvavanyo olune lokusebenza kwesisu, iimpawu zethumba, njl. Ngayinye inokusetyenziswa kwayo:
7. Uvavanyo lwegazi elingaqhelekanga lendle: injongo ephambili kukujonga ukopha okufihlakeleyo kwindlela yokugaya ukutya. Iithumba zokuqala, ingakumbi ii-microcarcinomas, aziphumi endle kwinqanaba lokuqala. Igazi elingaqhelekanga lendle liyaqhubeka nokuba lihle kwaye lifuna ingqalelo enkulu.
8. Uvavanyo lokusebenza kwesisu: injongo ephambili kukujonga i-gastrin kunye ne-pepsinogen ukuze kuqinisekiswe ukuba ukukhutshwa kwesisu kuyinto eqhelekileyo na. Kukujonga kuphela ukuba abantu basengozini enkulu yokuba nomhlaza wesisu. Ukuba kufunyenwe izinto ezingaqhelekanga, kufuneka kuhlolwe i-gastroscopy ngoko nangoko.
Iimpawu zesifo sephepha: Kunokuthiwa kuphela ukuba zinexabiso elithile, kodwa akufuneki zisetyenziswe njengeyona ndlela isetyenziswayo yokuhlola izifo zephepha. Kuba ezinye izifo zinokubangela ukuba iimpawu zesifo sephepha zinyuke, kwaye ezinye izifo ziseseziqhelekileyo de zibe ziphakathi nasekupheleni. Ke ngoko, akufuneki woyike ukuba ziphezulu, kwaye awunakuzityeshela ukuba ziqhelekile.
9. Ngaba i-capsule endoscopy, i-barium meal, uvavanyo lokuphefumula, kunye ne-CT zinokuthatha indawo ye-gastrointestinal endoscopy?
Akunakwenzeka! Uvavanyo lokuphefumla lunokubona kuphela ubukho bosulelo lweHelicobacter pylori, kodwa alunakujonga imeko ye-mucosa yesisu; isidlo se-barium sinokubona kuphela "umthunzi" okanye umphezulu wendlela yokugaya ukutya, kwaye ixabiso laso lokuxilonga lilinganiselwe.
I-capsule endoscopy ingasetyenziswa njengendlela yokuvavanya okokuqala. Nangona kunjalo, ngenxa yokungakwazi kwayo ukutsala, ukuhlamba, ukubona, nokunyanga, nokuba kukho isilonda esifunyenweyo, i-endoscopy eqhelekileyo isafuneka kwinkqubo yesibini, ebiza kakhulu ukuyihlawula.
Uvavanyo lwe-CT lunexabiso elithile lokuxilonga iithumba zesisu eziphucukileyo, kodwa alunazo iimpawu zomhlaza wasekuqaleni, izilonda ezingaphambi komhlaza, kunye nezifo ezingapheliyo zendlela yesisu.
Ngamafutshane, ukuba ufuna ukubona umhlaza wesisu kwangethuba, i-endoscopy yesisu ayinakuthathelwa indawo.
10. Ngaba i-endoscopy yesisu engenabuhlungu ingenziwa kunye?
Ewe, kufuneka kuqatshelwe ukuba ngaphambi kovavanyo, nceda wazise ugqirha ngokukhawuleza kwaye ugqibezele uvavanyo lwe-electrocardiogram ukuze uvavanye i-anesthesia. Kwangaxeshanye, ilungu losapho kufuneka likukhaphe. Ukuba i-gastroscopy yenziwa phantsi kwe-anesthesia kwaye emva koko kwenziwa i-colonoscopy, kwaye ukuba yenziwa kunye ne-endoscopy yesisu engenabuhlungu, kubiza kuphela ukufumana i-anesthesia kube kanye, ngoko ke kubiza kancinci.
11. Ndinentliziyo embi. Ngaba ndingenza i-gastroenteroscopy?
Oku kuxhomekeke kwimeko. I-Endoscopy ayikhuthazwa kwezi meko zilandelayo:
1.Iingxaki ezinkulu zentliziyo nemiphunga, ezifana nokuphazamiseka kwentliziyo okuqatha, ixesha lokusebenza kwe-myocardial infarction, ukusilela kwentliziyo okuqatha kunye ne-asthma, abantu abanengxaki yokuphefumla abangakwaziyo ukulala phantsi, abangakwaziyo ukunyamezela i-endoscopy.
2.Izigulane ezineempawu zobomi ezirhanelekayo kunye neempawu zobomi ezingazinzanga.
3. Abantu abanesifo sengqondo okanye abakhubazekileyo kakhulu engqondweni abangakwaziyo ukusebenzisana ne-endoscopy (i-gastoscopy engenazintlungu ukuba kuyimfuneko).
4. Isifo somqala esiqatha nesinzima, apho i-endoscope ingenakufakwa khona.
5.Izigulane ezine-inflammation ekrakra ebangela ukudumba komphimbo nesisu.
6.Izigulane ezine-aneurysm ye-aortic ye-thoracoabdominal ecacileyo kunye ne-stroke (ene-bleeding kunye ne-infarction ebukhali).
7.Ukujiya kwegazi okungaqhelekanga.
12. Yintoni i-biopsy? Ngaba iya kubangela umonakalo esiswini?
I-Biopsy isetyenziswai-biopsy forcepsukususa iqhekeza elincinci lezicubu kwindlela yokugaya ukutya uze ulithumele kwi-pathology ukuze kuchongwe uhlobo lwezilonda zesisu.
Ngexesha lenkqubo ye-biopsy, uninzi lwabantu aluva nto. Ngamanye amaxesha, baziva ngathi isisu sabo siyacudiswa, kodwa akukho ntlungu iphantse ibekho. Izicubu ze-biopsy zilingana neqhekeza lerayisi kwaye azibangeli monakalo mkhulu kwi-mucosa yesisu. Ngaphezu koko, emva kokuthatha izicubu, ugqirha uya kuyimisa ukopha phantsi kwe-gastroscopy. Ukuba nje ulandela imiyalelo kagqirha emva kovavanyo, amathuba okopha kwakhona aphantsi kakhulu.
13. Ngaba imfuneko ye-biopsy imele umhlaza?
Hayi ngenene! Ukuthatha i-biopsy akuthethi ukuba isigulo sakho sibi kakhulu, kodwa kuthetha ukuba ugqirha ukhupha ezinye zezicubu zesilonda ukuze zihlalutywe ngexesha le-gastroenteroscopy. Umzekelo: ii-polyps, ukukhuhlana, izilonda, ukudumba, amaqhuqhuva, kunye ne-atrophic gastritis zisetyenziselwa ukumisela uhlobo, ubunzulu, kunye nobubanzi besifo ukukhokela unyango kunye nophononongo. Kakade ke, oogqirha bakwathatha ii-biopsies kwizilonda ezirhanelwa ukuba zingumhlaza. Ke ngoko, i-biopsy yenzelwe ukunceda ukuxilongwa kwe-gastroenteroscopy kuphela, ayizizo zonke izilonda ezithathwe kwi-biopsy ezizizilonda ezinobungozi. Musa ukukhathazeka kakhulu kwaye ulinde ngomonde iziphumo zesifo.
Siyazi ukuba ukuxhathisa kwabantu abaninzi kwi-endoscopy yesisu kusekelwe kwimvelo, kodwa ndiyathemba ukuba ungawunika ingqalelo kwi-endoscopy yesisu. Ndikholelwa ukuba emva kokufunda le mibuzo neempendulo, uya kuba nokuqonda okucacileyo.
Thina, Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., singumvelisi eTshayina ogxile kwizinto ezisetyenziswayo ze-endoscopic, ezifana i-biopsy forceps, i-hemoclip, umgibe we-polyp, inaliti ye-sclerotherapy, i-catheter yokutshiza, iibhrashi ze-cytology,ucingo lwesikhokelo, ibhaskithi yokuqokelela amatye, i-catheter yokukhupha amanzi empumlweninjl. ezisetyenziswa kakhulu kwiI-EMR, ESD,I-ERCPIimveliso zethu ziqinisekisiwe yi-CE, kwaye izityalo zethu ziqinisekisiwe yi-ISO. Iimpahla zethu zithunyelwe eYurophu, eMntla Melika, eMbindi Mpuma nakwinxalenye yeAsia, kwaye zifumana umthengi udumo nodumo!
Ixesha lokuthumela: Epreli-02-2024