Imibuzo eyi-13 ofuna ukuyazi malunga ne-gastroenteroscopy.

Ngokomthetho wophuhliso lwezifo, iminyaka engama-55 ubudala - iminyaka eyi-15 ubudala (umjikelezo we-colon cancer evolution) = iminyaka engama-40 ubudala.Kwiminyaka engama-40, iimviwo ezininzi zifumanisa kuphela iipolyps, ezisuswayo kwaye zihlaziywe rhoqo kwaye aziyi kuqhubela phambili kumhlaza wamathumbu.Ukuthatha inyathelo umva, nokuba ujike ube ngumhlaza, kunokwenzeka ukuba ube ngumhlaza okwinqanaba lakwangoko kwaye unokunyangeka ngokupheleleyo phantsi kwe-colonoscopy.

Kungenxa yoko le nto siye sabongozwa ukuba sinikele ingqalelo ekuhlolweni kwangoko kwamathumba okugaya ukutya.I-endoscopy yesisu ngexesha elifanelekileyo inokuthintela ngokufanelekileyo umhlaza wesisu kunye nomhlaza wamathumbu.

4.Yintoni engcono kwi-gastroenteroscopy eqhelekileyo kunye nentlungu?Kuthekani ngokujonga uloyiko?

Ukuba unonyamezelo olubi kwaye awukwazi ukunqoba uloyiko lwakho lwengqondo kwaye ukwesaba i-endoscopy, ngoko ukhethe ukungabikho buhlungu;ukuba awunazo iingxaki ezinjalo, ungakhetha eqhelekileyo.

I-endoscopy ye-gastrointestinal ye-gastrointestinal iya kubangela ukungahambi kakuhle: isicaphucaphu, iintlungu zesisu, ukuqunjelwa, ukugabha, ukuba ndindisholo kwamalungu, njl. Nangona kunjalo, phantsi kweemeko eziqhelekileyo, lo gama nje bengenaxhala kakhulu kwaye basebenzisane kakuhle nogqirha, abaninzi abantu banokunyamezela.Unokuzivavanya.Kwabo basebenzisana kakuhle, i-endoscopy yesisu yesisu inokufikelela kwiziphumo zoviwo ezanelisayo nezifanelekileyo;nangona kunjalo, ukuba uxinzelelo olugqithisileyo lukhokelela kwintsebenziswano embi, iziphumo zeemviwo zinokuchaphazeleka kwinqanaba elithile.

I-gastroenteroscopy engenabuhlungu: Ukuba uyoyika ngokwenene, unokukhetha i-endoscopy yesisu engenabuhlungu.Ngokuqinisekileyo, isiseko kukuba kufuneka ihlolwe ngugqirha kwaye ihlangabezane neemeko ze-anesthesia.Akuyena wonke umntu ofanelekileyo kwi-anesthesia.Ukuba akunjalo, ngoko sinokunyamezela kuphela kwaye senze eziqhelekileyo.Ngapha koko, ukhuseleko luza kuqala!I-endoscopy yesisu esingenabuhlungu iya kuba yinto yokuphumla kunye neenkcukacha, kwaye ubunzima bokusebenza kukagqirha buya kuncitshiswa kakhulu.

5. Ziziphi iingenelo kunye nokungalunganga kwe-endoscopy yesisu esingenabuhlungu?

Izinto eziluncedo:

1.Akukho kuphazamiseka konke konke: ulala ngexesha lenkqubo yonke, ungazi nto, uphupha nje iphupha elimnandi.

2.Umonakalo omncinci: ngenxa yokuba awuyi kuziva unesicaphucaphu okanye ungakhululeki, ithuba lokulimala okwenziwa sisibuko nalo lincinci kakhulu.

3.Qwalasela ngononophelo: Xa ulele, ugqirha akasayi kuphinda akhathazeke malunga nokungakhululeki kwakho kwaye uya kukujonga ngokuzolileyo nangenyameko.

4.Nciphisa umngcipheko: ngenxa yokuba i-gastroscopy eqhelekileyo iya kubangela ukucaphuka, uxinzelelo lwegazi, kunye nesantya sentliziyo kuya kunyuka ngokukhawuleza, kodwa akukho ntlungu akukho mfuneko yokukhathazeka ngale ngxaki kwakhona.

Ukusilela:

1.Ingxaki enzima kakhulu: xa kuthelekiswa ne-endoscopy yesisu sesisu, kukho ezinye iimfuno ezongezelelweyo zokulungiswa okukhethekileyo: ukuhlolwa kwe-electrocardiogram, inaliti yokuhlala ngaphakathi iyadingeka ngaphambi koviwo, amalungu entsapho kufuneka ahambe kunye, kwaye awukwazi ukuqhuba ngosuku olu-1 emva koviwo, njl. .

2.Kuyingozi kancinci: emva koko, yi-anesthesia jikelele, umngcipheko uphezulu kunesiqhelo.Unokufumana ukuhla koxinzelelo lwegazi, ubunzima bokuphefumla, ukuphefumla ngengozi, njl.;

3.Isiyezi emva kokuba uyenzile: nangona ungeva nto kwaphela xa uyenza, uya kuziva unesiyezi emva kokuba uyenzile, njengokuba unxilile, kodwa ngokuqinisekileyo akuyi kuhlala ixesha elide;

4.Ixabiso elincinci: xa kuthelekiswa ne-endoscopy yesisu eqhelekileyo, ixabiso lokungabi nantlungu liphezulu kancinci.

5.Akuyena wonke umntu onokuyenza: uvavanyo olungenabuhlungu lufuna uvavanyo lwe-anesthesia.Abanye abantu abakwazi ukwenza uvavanyo olungenazintlungu, njengabo banembali yokungalufuni i-anesthesia kunye neziyobisi ezithomalalisa umzimba, abo bane-bronchitis ene-phlegm egqithisileyo, abo banentsalela eninzi esiswini, kunye nabo banabantu abanamandla aBantu abane-snoring kunye ne-apnea yokulala, njengoko kunye nabo batyebileyo kufuneka balumke, abantu abanezifo zentliziyo kunye nemiphunga abangakwazi ukunyamezela i-anesthesia, izigulane ezine-glaucoma, i-prostatic hyperplasia kunye nembali yokugcinwa komchamo, abafazi abakhulelweyo nabancancisayo kufuneka balumke.

6. Ngaba i-anesthesia ye-endoscopy ye-gastrointestinal engenabuhlungu yenza abantu bangabikho, ukulahlekelwa yimemori, kuchaphazele i-IQ?

Akukho mfuneko yakukhathazeka konke konke!I-intravenous anesthetic esetyenziswa kwi-endoscopy yesisu esingenazintlungu yipropofol, ulwelo olumhlophe olubisi olubizwa ngoogqirha "lubisi olonwabileyo".I-metabolizes ngokukhawuleza kwaye iya kuchithwa ngokupheleleyo kwaye ifakwe kwiiyure ezimbalwa ngaphandle kokubangela ukuqokelela..Umthamo osetyenziswayo umiselwa yi-anesthesiologist ngokusekelwe kubunzima besigulane, ukuqina komzimba kunye nezinye izinto.Ngokusisiseko, isigulana siya kuvuka ngokuzenzekelayo malunga nemizuzu eyi-10 ngaphandle kwesequelae.Inani elincinci labantu liya kuziva ngathi linxilile, kodwa bambalwa kakhulu abantu abaya kuvuka ngokuzenzekelayo.Iza kunyamalala kungekudala.

Ke ngoko, okoko nje iqhutywa ngoogqirha abaziingcali kumaziko onyango aqhelekileyo, akukho mfuneko yakuxhalaba kakhulu.

5.Ingaba kukho imingcipheko nge-anesthesia?

Imeko ethile ichazwe ngasentla, kodwa akukho msebenzi weklinikhi unokuqinisekiswa ukuba awukho umngcipheko we-100%, kodwa ubuncinane i-99.99% ingenziwa ngempumelelo.

6.Ingaba iziphawuli zethumba, umzobo wegazi, kunye novavanyo lwegazi lobugqi obulindle endaweni ye-endoscopy yesisu?

Ayinakukwazi!Ngokubanzi, ukuhlolwa kwesisu kuya kucebisa uvavanyo lwegazi lobugqi obulindle, iimvavanyo ezine zesisu, iimpawu zokumakisha ithumba, njl.njl. Nganye inosetyenziso lwazo:

Uvavanyo lwegazi lwe-7.Fecal occult: eyona njongo iphambili kukukhangela ukopha okufihliweyo kwindlela yesisu.Amathumba okuqala, ngakumbi i-microcarcinomas, musa ukopha kwinqanaba lokuqala.Igazi le-fecal occult liyaqhubeka lilungile kwaye lifuna ingqalelo enkulu.

8.Uvavanyo lomsebenzi weGastric: injongo ephambili kukujonga i-gastrin kunye ne-pepsinogen ukugqiba ukuba i-secretion iyinto eqhelekileyo.Kukuhlola kuphela ukuba abantu basemngciphekweni omkhulu womhlaza wesisu.Ukuba kufunyenwe izinto ezingaqhelekanga, uphononongo lwe-gastroscopy kufuneka lwenziwe ngokukhawuleza.

Iziphawuli zethumba: Kunokuthiwa kuphela ukuba inexabiso elithile, kodwa akufuneki isetyenziswe njengenye ireferensi yokuhlola amathumba.Ngenxa yokuba ukudumba okunye kunokubangela ukuba iziphawuli zethumba zinyuke, kwaye ezinye iithumba zisaqhelekile de zibe phakathi kunye nezigaba zamva.Ke ngoko, akuyomfuneko ukuba woyike ukuba ziphezulu, kananjalo awukwazi ukuzihoya ukuba ziqhelekile.

9. Ngaba i-capsule endoscopy, ukutya kwe-barium, uvavanyo lokuphefumula, kunye ne-CT indawo ye-endoscopy yesisu?

Ayinakwenzeka loo nto!Uvavanyo lokuphefumula lunokubona kuphela ubukho bentsholongwane ye-Helicobacter pylori, kodwa ayikwazi ukujonga imeko ye-gastric mucosa;isidlo se-barium sinokubona kuphela "isithunzi" okanye inkcazo yendlela yesisu, kwaye ixabiso layo lokuxilonga lilinganiselwe.

I-endoscopy ye-capsule ingasetyenziselwa njengendlela yokuhlola okokuqala.Nangona kunjalo, ngenxa yokungakwazi ukutsala, ukuhlanjululwa, ukufumanisa, kunye nokunyanga, nangona i-lesion ifunyenwe, i-endoscopy eqhelekileyo isafuneka kwinkqubo yesibini, ebiza kakhulu ukuyihlawula.

Uvavanyo lwe-CT lunexabiso elithile lokuxilonga kwi-tumor ye-gastrointestinal ephezulu, kodwa inovakalelo olubi kumhlaza wokuqala, izilonda ezinobungozi, kunye nezifo eziqhelekileyo ze-benign ye-gastrointestinal tract.

Ngelizwi, ukuba ufuna ukufumanisa umhlaza wesisu sokuqala, i-endoscopy yesisu ayinakuphinda ibuyiselwe.

10. Ngaba i-endoscopy yesisu engenantlungu inokwenziwa kunye?

Ewe, kufuneka kuqatshelwe ukuba phambi koviwo, nceda wazise ugqirha ngokukhawuleza kwaye ugqibezele uviwo lwe-electrocardiogram yovavanyo lwe-anesthesia.Kwangaxeshanye, ilungu lentsapho kufuneka likukhaphe.Ukuba i-gastroscopy yenziwa phantsi kwe-anesthesia kwaye i-colonoscopy yenziwa, kwaye ukuba yenziwe kunye ne-endoscopy yesisu esingenabuhlungu, Ibiza kuphela ukufumana i-anesthesia kanye, ngoko ixabisa ngaphantsi.

11. Ndinentliziyo embi.Ngaba ndingayenza i-gastroenteroscopy?

Oku kuxhomekeke kwimeko.I-Endoscopy ayikhuthazwa kwiimeko ezilandelayo:

I-1.Izifo ezinzima ze-cardiopulmonary, ezifana ne-arrhythmias enzima, ixesha lomsebenzi we-myocardial infarction, ukungaphumeleli kwentliziyo kunye ne-asthma, abantu abanokungaphumeleli kokuphefumula abangakwazi ukulala, abakwazi ukunyamezela i-endoscopy.

2.Izigulane ezinomothuko okrokrelekayo kunye neempawu ezibalulekileyo ezingazinzanga.

3.Abantu abanesifo sengqondo okanye ukukhubazeka okukhulu kwengqondo abangakwazi ukusebenzisana ne-endoscopy (i-gastroscopy engenazintlungu xa kuyimfuneko).

I-4.Isifo somqala esibuhlungu kunye nesinzima, apho i-endoscope ayikwazi ukufakwa.

5.Izigulane ezine-acute corrosive ukudumba kommizo kunye nesisu.

6.Izigulane ezine-aortic aneurysm ebonakalayo ye-thoracoabdominal kunye ne-stroke (ngokuphuma kwegazi kunye ne-acute infarction).

7.Ukujija kwegazi okungaqhelekanga.

12. Yintoni i-biopsy?Ngaba iya kubangela umonakalo kwisisu?

Ukusetyenziswa kwe-biopsyi-biopsy forcepsukususa isiqwenga esincinci kwisisu esiswini kwaye usithumele kwi-pathology ukugqiba uhlobo lwezilonda zesisu.

Ngexesha lenkqubo ye-biopsy, abaninzi abantu abaziva nto.Ngamathub’ athile, baye bavakalelwe kukuba isisu sabo siyaxinwa, kodwa akukho ntlungu.Ithishu ye-biopsy inobungakanani benkozo yerayisi kwaye ibangela umonakalo omncinci kwi-gastric mucosa.Ngaphezu koko, emva kokuthatha isicatshulwa, ugqirha uya kumisa ukuphuma kwegazi phantsi kwe-gastroscopy.Ngethuba nje ulandela imiyalelo kagqirha emva koviwo, amathuba okuphuma kwegazi ngakumbi aphantsi kakhulu.

13. Ngaba imfuno ye-biopsy imele umhlaza?

Hayi ncma!Ukuthatha i-biopsy akuthethi ukuba isigulo sakho sibi kakhulu, kodwa ukuba ugqirha ukhupha ezinye zezicubu zesilonda kuhlalutyo lwe-pathological ngexesha le-gastroenteroscopy.Ngokomzekelo: i-polyps, i-erosions, izilonda, i-bulges, i-nodules, kunye ne-atrophic gastritis zisetyenziselwa ukucacisa uhlobo, ubunzulu, kunye nobubanzi besifo ukukhokela unyango kunye nokuhlaziywa.Ewe, oogqirha bakwathatha i-biopsies kwizilonda ekurhaneleka ukuba zinomhlaza.Ngoko ke, i-biopsy yokunceda kuphela ukuxilongwa kwe-gastroenteroscopy, ayizizo zonke izilonda ezithathwe kwi-biopsy ziyizilonda ezimbi.Ungakhathazeki kakhulu kwaye ulinde nje ngomonde iziphumo ze-pathology.

Siyazi ukuba ukuxhathisa kwabantu abaninzi kwi-endoscopy yesisu kusekelwe kwithuku, kodwa ngokwenene ndiyathemba ukuba unokunikela ingqalelo kwi-endoscopy yesisu.Ndiyakholelwa ukuba emva kokufunda le Q&A, uya kuba nokuqonda okucacileyo.

Thina, i-Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ngumvelisi e-China ogxile kwizinto ezityiwayo ze-endoscopic, ezifana i-biopsy forceps, i-hemoclip, polyp umgibe, inaliti ye-sclerotherapy, fafaza i-catheter, iibrashi zecytology,guidewire, ibhasikithi yokubuyiswa kwamatye, i-catheter ye-biliary drainage yeempumlonjl ezisetyenziswa ngokubanzi kwiI-EMRESD,I-ERCP.Iimveliso zethu ziqinisekisiwe nge-CE, kwaye izityalo zethu ziqinisekisiwe nge-ISO.Impahla yethu ithunyelwe eYurophu, kuMntla Melika, kuMbindi Mpuma kunye nenxalenye yeAsia, kwaye ifumana ngokubanzi umthengi wokuqatshelwa kunye nendumiso!