iphepha_banner

Inqaku elichaza ngokweenkcukacha i-endoscopic ukupheliswa kwe-11 yemizimba ye-gestrointeinal ephezulu

Ukulungiswa kwe

1. Qonda indawo, ubume, ubungakanani kunye nokungafezeki kwezinto zangaphandle

Thatha i-X-rays rays ye-X-rays okanye i-CT, i-anterosiver kunye nembono kawonke-wonke, okanye isisu njengoko kufuneka uqonde indawo, ubume, ubungakanani kunye nobukumkani baseBharimu.

2. Ukuzila ukutya okukhawulezayo

Rhoqo, abaguli bakhawuleza iiyure ezi-6 ukuya kwezi-8 zokukhuphela imixholo yesisu, kunye nexesha lokuzila ukutya kunye nokutya okuzila ukutya kunokuhlaziyeka ngokufanelekileyo kwiGastroscopy efanelekileyo.

I-3. Uncedo lwe-Anesthesia

Abantwana, abo baneengxaki zengqondo, abo bangazisebenzisanga, okanye abo banamaziko enzonzontelo basemzini, imizimba yasemzini enkulu, okanye i-endoondopic eqinileyo okanye i-Endootrocal Intsunation ngoncedo lwehehesthiogist. Susa izinto zangaphandle.

II. Ukulungiswa kwezixhobo

1. Ukukhetha i-endoscope

Zonke iintlobo ze-gestroscopy ye-gestroscopy ifumaneka. Ukuba kuqikelelwa ukuba kunzima ukususa umzimba welinye ilizwe okanye umzimba wasemzini ukhulu, uphinda-phindwe kabini kwe-rogroscopy. I-endoscopes ene-degoreter encinci ingasetyenziselwa iintsana kunye nabantwana abancinci.

2. Ukukhetha amagunya

Ikakhulu ixhomekeke kubungakanani kunye nobume bomzimba welinye ilizwe. Izixhobo ezisetyenziswa ngokuqhelekileyo zibandakanya i-biopsy froads, umgibe, i-curping ye-gesi, i-rolls yomzimba (i-rat-umzimba we-rat-umlomo), ibhegi yomlomo we-GAW, njl.

Ukhetho lwesixhobo lunokumiselwa ngokusekwe kubungakanani, ubume, uhlobo, njl njl. Ngomzimba welinye ilizwe. Ngokweengxelo zoncwadi, i-rat-i-rati yamazinyo yeyona isetyenziswa kakhulu. Ireyithi yokusetyenziswa kwe-rat-i-rati yamazinyo yi-24.0% ~ 46.6% yazo zonke izixhobo ezisetyenzisiweyo, kunye ne-akhawunti ye-4,0% 23.6%. Kuyakholelwa ngokubanzi ukuba imigibe ilunge ngakumbi kwimizimba yasemzini ende. Enjengee-thermometers, ibrashi yamazinyo, amatyana ee-bamboo, iipensile, iicopi, njl., Njl njl.

2.1 imizimba ye-rod-imizimba yamanye amazwe kunye nemizimba yelinye ilizwe

Izinto ze-rod ezinamanye amazwe kunye nendawo egudileyo kunye nobuncinci obucekeceke obunjengamazinyo, kufanelekile ukukhetha iipliers ze-jaw, iiplith ze-rat-izinyo, iiplati zeflethi, njl.; Kwizinto zangaphandle zezangaphandle (ezinjengee-cores, iibhola zeglasi, iibhetri zeqhosha, njl njl.

2.2 Imizimba yasemzini enqabileyo ebukhali, ukugquma ukutya, kunye namatye amakhulu esiswini

Kwimizimba yasemkhosini enqabileyo ebomvu, i-axis ende yomzimba welinye ilizwe kufuneka ihambelane ne-axis yexesha elide ye-lumen, kunye nesiphelo esibukhali okanye isiphelo esivulekileyo esijonge ezantsi, kwaye sirhoxise ngelixa sitsho umoya. Ngemizimba engaphandle ye-imeyile okanye imizimba yangaphandle enemingxunya, kukhuselekile ukusebenzisa indlela yokuhamba ukuyishenxisa;

Kwiziqwengana zokutya kunye namatye amakhulu esiswini, ukuluma amandla kunokusetyenziswa ukuphinda ubatyumze kwaye emva koko ususwe ngamandla amathathu-windows okanye umgibe.

3. Izixhobo zokukhusela

Sebenzisa izixhobo zokukhusela kangangoko kunokwenzeka ukuba izinto zangaphandle ezinzima ukususa kwaye ziyingozi. Okwangoku, izixhobo zokukhusela eziqhelekileyo zibandakanya iiCAPS ezibonakalayo, iityhubhu zangaphandle, kunye nezikhuselo.

3.1 I-cap ebonakalayo

Ngexesha lokususwa komzimba welinye ilizwe, i-cap ebonakalayo kufuneka isetyenziswe ekupheleni kweelensi ze-endoscopic kangangoko kunokwenzeka ukuba isuswe ngumzimba wangaphandle, kwaye yandise i-Esophagus ukunciphisa ukuxhaswa komzimba xa umzimba wasemzini ususwe. Inganceda ukuthwala kwaye ikhuphe umzimba welinye ilizwe, oluyingenelo ekususweni komzimba welinye ilizwe. khupha.

Ukuze imizimba ye-Rrit-imizila efakwe kwi-MUCOSA kuzo zombini iziphelo ze-esophagus, i-cap ebonakalayo ingasetyenziselwa ukutyhala ngobunono i-esophageal Mucosa udonga lwe-ESophageal Mucosal ukuba lubangelwa kukususwa ngokuthe ngqo.

I-cap ebonakalayo inokubonelela ngendawo esebenzayo yokusebenza kwesixhobo, esilungele ukuqaphela kunye nokususwa kwemizimba yangaphandle kwindawo emxinwa ye-ele slophalgege.

Kwangelo xesha, i-cap ebonakalayo inokusebenzisa imbangi engalunganga yokunyanzelwa ukunceda ekuphuculeni ukutya okuphelileyo kunye nokwenza kube lula ukulungisa.

3.2 Ukuthambisa ngaphandle

Ngelixa ukukhusela i-esophagus kunye ne-Esophagege Junction-Guncric Juncric Mucosa, ityhubhu yangaphandle ihambisa ukususwa kwe-endoscopic ye-endoscopic ye-Ede, ebukhali, kunye nokususwa kwezinto zokutya, emva koko ukunciphisa ukususwa komzimba ophezulu. Yandisa ukhuseleko kunye nokusebenza konyango.

I-ovemputer ayisetyenziswanga rhoqo ebantwaneni ngenxa yomngcipheko wokonakalisa i-esophagus ngexesha lokufakwa.

3.3 Isigqubuthelo sokukhusela

Beka isiciko esikhuselayo esijonge ezantsi kwisiphelo sangaphambili se-endoscope. Emva kokuqhatha into yelinye ilizwe, kuqwenga isigqubuthelo sokukhusela ngaphezulu kwaye usonge into yelinye ilizwe xa urhoxisa i-endoscope ukuthintela izinto zangaphandle.

Iza kudibana ne-mucous membrane yephecana lokugaya kwaye idlala indima yokukhusela.

4. Iindlela zonyango zeentlobo ezahlukeneyo zemizimba yangaphandle kwi-Gastrointenal ephezulu

4.1 I-Masses yokutya kwi-Esophagus

Iingxelo zibonisa ukuba uninzi lokutya oluncinci lokutya kwi-esophagus lunokutyhilwa ngobunono esiswini kwaye ishiywe ukuba ikhutshwe ngokwemvelo, elula, inokwenzeka ukubangela iingxaki. Ngexesha lenkqubo yokuhambela phambili kweGastroscopy, ukunyuka kwamaxabiso kunokwaziswa kwi-Esophagegeal Lumen, kodwa ezinye izigulana zinokuhamba kunye ne-esophagetal Maphagegeal Trurs okanye i-stenophal stenosic stenosis (umzobo 1). Ukuba kukho ukunganyangeki kwaye uyatyhala ngogonyamelo, ukusebenzisa uxinzelelo oluninzi kakhulu kuya kwandisa umngcipheko wokungakhathali. Kucetyiswa ukuba usebenzise ibhasikithi yomnwe welitye okanye ibhegi yelitye yokususa impahla yokususa ngqo umzimba welinye ilizwe. Ukuba i-bolus yokutya inkulu, ungasebenzisa amandla omzimba angaphandle, imigibe, njl njl. Yikhuphe.

I-ACVSD (1)

Umzobo 1 Emva kotyando lomhlaza we-Esophageli, isigulana sasihamba kunye ne-esophagetal stenosis kunye nokutya.

4.2 IIMPENDULO ZEMITHUTHA NOKUGQIBELA

Uninzi lwemizimba yangaphandle kunye ne-Blunt ingasuswa ngamandla omzimba angaphandle, imigibe, iingobozi zamatye, iingxowa ze-timel shuts, njl. (Umfanekiso 2). Ukuba umzimba wangaphandle kwi-esophagus kunzima ukuyisusa ngqo, inokutyhalwa esiswini ukuze ihlengahlengise isikhundla sayo kwaye emva koko sizame ukuyisusa. Imfutshane, imizimba yasemkhosini ebukhali inobubanzi be-2,5 cm esiswini kunokuba nzima ukudlula kwi-PYYLOUS, kunye nokungenelela kwe-endoscopic kufuneka kwenziwe ngokukhawuleza; Ukuba imizimba yangaphandle ene-seameter encinci esiswini okanye i-duodenum ayibonisi ukonakala kwe-gestrointenal, banokulinda ukukhutshwa kwabo kwendalo. Ukuba ihlala ingaphezulu kweeveki ezi-3 ukuya kwezi-4 kwaye ayinakukhutshwa, kufuneka isuswe i-tososcopic.

1

Umzobo 2 weplastiki yeplastiki kunye neendlela zokususa

4.3 imizimba yangaphandle

Izinto zangaphandle ezinobude be-≥6 cm (ezinjengee-thermometers, iibrashi zamazinyo, iipensile, iipilisi, njl. Njl.

Umgibe unokusetyenziselwa ukugubungela isiphelo esinye (akukho ngaphezulu kwe-1 cm kude kube sekupheleni), kwaye ubekwe kwindawo ebonakalayo ukuyikhupha. Isixhobo esingaphandle se-cannula sinokusetyenziselwa ukubamba umzimba welinye ilizwe emva koko siphinde siphinde sibuyele kwi-cannula yangaphandle ukunqanda ukonakalisa i-MUCOSA.

4.4 Izinto zangaphandle ezibukhali

Izinto ezibukhali zifana njengamathambo eentlanzi, amathambo enkukhu, imingxunya, amaqhosha emihla, amaphepha eepilisi, i-razor blades, kunye nepilisi i-tin Borapers (umfanekiso 3) kufuneka unikwe ingqalelo eyoneleyo. Izinto eziphathwayo ezibukhali ezinokonakalisa ngokulula ii-membrane kunye nemithambo yegazi kwaye zikhokelele kwiingxaki ezinjengezinto ezigwenxa kufuneka ziphathwe ngononophelo. Ulawulo lwe-Endoscopic kaxakeka.

I-ACVSD (3)

Umzobo 3 Iindidi ezahlukeneyo zezinto ezibukhali zelinye ilizwe

Xa ususa imizimba yelinye ilizwe ebukhali phantsi kwesipheloI-OSCOP, kulula ukubhuqa i-mucosa yephecana lokugaya. Kucetyiswa ukuba usebenzise i-cap ebonakalayo, enokuthi ityhile ngokupheleleyo i-lumen kwaye iphephe ukukrola udonga. Zama ukuzisa isiphelo somzimba wasemkhosini kufutshane nasekupheleni kwelensi ye-endoscopic ukuze isiphelo somzimba sithe sayibeka kwi-apping emzimbeni, kwaye emva koko uzame ukugcina i-aphagus yomzimba ngaphambi kokuba urhoxise kumgangatho. Amaziko elinye ilizwe angena kwelinye icala le-esophagus anokususwa ngokubeka i-cap ebonakalayo kwisiphelo se-endoscope kwaye singene kancinci kwi-Esophagegeal kwi-intanethi. Amaziko e-Esophagege efakwe kwi-Esophageal Cavity kwiziphelo zombini, isiphelo esibekiweyo esincinci kufuneka sikhululwe kuqala, sikhuphe esinye isiphelo, silungelelanise isiphelo sentloko kangangokuba sibandakanywe kwi-cap ebonakalayo, kwaye ikhuphe. Okanye emva kokusebenzisa i-serser ksike umzimba wangaphandle embindini, amava ethu kukhulula i-aortic arch okanye ecaleni kwentliziyo kuqala, emva koko uyisusile ngamanqanaba.

A.Dentges: Xa usitya, ukhohlela, okanye intethoG, abaguli banokukuwa ngengozi amazinyo abo, emva koko bangene kwi-Gastrointenal ephezulu ye-gestrointellate ngeentshukumo zokuginya. Amazinyo obukhali nge-clasps yentsimbi kuzo zombini iziphelo kulula ukuba zifakwe kwiindonga zetrekthi yokugaya, ukwenza ukuba isisu sibe nzima. Kwizigulana ezisilela kunyango oluqhelekileyo lonyango, izixhobo ezininzi zokugquma zinokusetyenziselwa ukuzama ukususwa phantsi kwe-tool ye-tooscopy.

I-B.DATE PITS: Imigca yemihla ngemihla efakwe kwi-esophagus ihlala ibukhali kwiziphelo zombini, ezinokukhokelela kwiingxaki ezinje nge-mucosam damage, ukopha, ukusula okuxhaphakileyo kunye nokungaphezulu kwexesha elifutshane, kwaye kufanele ukuphathwa ngonyango lwe-Endoscopic encodeni (umzobo 4). Ukuba akukho monakalo ye-gestrointenal, uninzi lwamatye lomhla esiswini okanye i-duodenum inokukhutshwa kwisithuba seeyure ezingama-48. Abo bangakwaziyo ukuba bakhutshwe ngokwendalo kufuneka basuswe ngokukhawuleza.

I-ACVSD (4)

Umzobo 4 Jujube Core

Kwiintsuku ezine kamva, isiguli safunyaniswa ukuba sinomzimba welinye ilizwe kwesinye isibhedlele. I-CT ibonise umzimba welinye ilizwe kwi-esophagus eneempazamo. I-jojb jujub cores kuzo zombini iziphelo zasuswa phantsi kwe-gososcopy kunye ne-gastroscopy yenziwa kwakhona. Kwafunyaniswa ukuba i-fistala yasenziwa eludongeni lwe-Esophagus.

4.5 Izinto zangaphandle eziphezulu ezinemiphetho emide kunye nemiphetho ebukhali (umzobo 5)

a. Faka i-tube yangaphandle phantsi kwe-endoscope: Faka i-gastroscope ukusuka embindini wetyhubhu yangaphandle, ukuze umphetho ongezantsi we-tube isondele kwinxalenye ye-gastroscope. Rhoqo faka i-gastroscope kufutshane nomzimba wangaphandle. Faka izixhobo ezifanelekileyo kwi-tube ye-biopsy, njengemigibe, ukunyanzelwa komzimba welinye ilizwe, njl njl.

b. Isigqubuthelo se-Mymade se-MUCOME YEMPAHLA: Sebenzisa isithupha se-thumb yegloves yerabha ye-Endoscope ufike kwi-Endoscope SPREAD SPARCE. Sisikile ecaleni kwengcambu yengcambu yegloves kwimo yexilongo. Sika umngxunya omncinci emfazweni, kwaye udlulise isiphelo sangaphambili somzimba wesipili ngomngxunya omncinci. Sebenzisa iringi encinci yerabha yokuyilungisa i-1.0cm kude kwi-gestroscope, ibeke kwisiphelo esisentla kwe-gastroscope, kwaye uyithumele kunye ne-gastroscope emzimbeni welinye ilizwe. Thatha umzimba welinye ilizwe emva koko urhoxise kunye ne-gastroscope. Umkhono okhuselayo uya kushukuma ngokomzimba welinye ilizwe ngenxa yokuxhathisa. Ukuba indlela yendlela ibuyiselwe, iya kubanjiswa ngezinto zangaphandle ukuze zikhuseleke.

I-ACVSD (5)

Umzobo 5: Amathambo entlanzi ebukhali asuswa ngokungagungqiyo, enekratshi le-MUCOSAL

4.6 INDLELA YOKUZIPHATHA EMVA

Ukongeza kwiiplanga eziqhelekileyo, imizimba ye-metallic inokususwa ngenjongo ye-magnetic yomzimba wemagazini. Imizimba yeMeticic ye-Metic eyingozi enkulu okanye enzima ukuyisusa inokunyangwa ingaphantsi kwe-X-ray fluoroscopy. Kucetyiswa ukuba usebenzise ibhasikithi yesisu okanye ibhegi yelitye lokukhupha.

Iingqekembe zixhaphake kakhulu phakathi kwemizimba yasemzini kwiphecana labantwana (umzobo 6). Nangona uninzi lweengqekembe kwi-esophagus zinokupasiswa ngokwemvelo, unyango lwe-endoscopic olukhethiweyo luyacetyiswa. Kuba abantwana ababambiseki ekuhlaleni, ukususwa kwe-eOndoscopic kwimizimba yangaphandle yabantwana yenziwa phantsi kwe-anesthesia jikelele. Ukuba ingqekembe inzima ukuyisusa, inokutyhalwa esiswini emva koko ikhutshiwe. Ukuba akukho zimpawu siswini, unokulinda ukuba ikhutshwe ngokwemvelo. Ukuba ingqekembe ihlala ngaphezulu kweeveki ezi-3-4 kwaye ayigxothwanga, kufuneka inyangwe ngo-tososcophapically.

I-ACVSD (6)

Umzobo we-6 yentsimbi yentsimbi

I-4.7 yezangaphandle

Imizimba yezangaphandle engenangqondo inokubangela umonakalo kwitreyini yegatya okanye ne-necrosis. Unyango olungxamisekileyo lwe-Endoscopic luyafuneka emva kokuxilongwa. Iibhetri ngowona mzimba uphakamileyo wangaphandle kwaye uhlala usenzeka kubantwana abangaphantsi kweminyaka emi-5 ubudala (umzobo 7). Emva kokonakalisa i-esophagus, banokubangela uStenosisis. I-Endoscopy kufuneka iphononongwe kwiiveki ezimbalwa. Ukuba kusenziwa isilumka, i-esophagus kufuneka ichithwe ngokukhawuleza.

2

Umzobo 7 Into yelinye ilizwe kwibhetri, utolo olubomvu lubonisa indawo yento yelinye ilizwe

4.8 INDLELA YOKUZIPHATHA KOMNGCONO

Xa imizimba yemagneti yemagazini yamalungu angaphandle okanye imizimba yasebusweni edityanisiweyo idityaniswa nentsimbi ye-gestrointerninal, izinto zokutsala i-ischemic, i-fistula yokutsala, ukungqubana, i-peritonitis kunye nokulimala kwe-gestrointenal enkulu. , efuna unyango lwe-sugasulkopic. Izinto ezingatshatanga zemagazini kufuneka zisuswe ngokukhawuleza. Ukongeza kwiiplanga eziqhelekileyo, imizimba yasemzini ye-magnetic inokususwa phantsi kwecuba kunye ne-magnetic yomzimba.

4.9 imizimba yangaphandle esiswini

Uninzi lwazo luyikhanyisela, iingcingo zentsimbi, izikhonkwane, njl njl. Ezo ziginywe ngabom ngamabanjwa. Uninzi lwezidumbu zelinye ilizwe zide kwaye zikhulu, kunzima ukudlula kwi-qweridi, kwaye zinokukrazula i-mucous membrane. Kucetyiswa ukuba usebenzise iikhondom ezihlanganisiweyo kunye ne-rat-toulth yamazinyo ukususa imizimba yangaphandle phantsi koviwo lwaseToomoscopic. Okokuqala, faka i-rat-i-ratis-toultings kwisiphelo sangaphambili se-endoscope nge-endopsy biopsy biopsy. Sebenzisa i-rat-amazinyo amazinyo ukuze ikhuphe iringi yerabha emazantsi ekhondom. Emva koko, thatha amazinyo amazinyo e-rat ukuya kumngxunya we-biopsy ukuze ubude bekhondomu butyhilwe ngaphandle komngxunya we-biopsy. Yinciphise kangangoko unakho ngaphandle kokuchaphazela icandelo lemibono, emva koko uliyingele kwi-gustric cavity kunye ne-endoscope. Emva kokufumana umzimba welinye ilizwe, faka umzimba wangaphandle kwikhondomu. Ukuba kunzima ukuyisusa, bebeka ikhondom kwi-gestric cavity, kwaye usebenzise i-rat-amazinyo amazinyo ukuqokelela umzimba wangaphandle kwaye ungene ngaphakathi.

4.10 amatye esisu

I-Gageliths yahlulwe yaba yi-gevoroliths yemifuziselo, i-geagrolithus yesilwanyana, i-guatisliths eneziyobisi kwaye ixube i-gaigrolliths. I-Geegeating Gaistrolithus yeyona ixhaphakileyo, ubukhulu becala ibangelwa kukutya isixa esikhulu se-Persimmons, iiHawthorns, imihla ebusika, i-Peolon, i-hilery, i-ceaconp kwisisu esingenanto. Kubangelwa yiyo njl. Njl. Phantsi kwesenzo se-Gastric Acid, i-Tenic yeTenic Acid yeTenid yenziwa, ibopha i-gom, i-gum, ifibre yesityalo, i-Peel, kunye ne-Peel, kunye nePheli. Amatye esisu.

Amatye e-gastric axhamle uxinzelelo kudonga lwesisu kwaye akhuthaze ukhuseleko lwe-gestric acid, enokubangela ukuba ukhukuliseko lwe-mucosal mucosal, izilonda kunye nokungafezeki. Amatye amancinci, athambileyo athambileyo achithwe nge-sodium bicarbonate kunye nezinye iziyobisi kwaye emva koko avunyelwe ukuba akhutshwe ngokwemvelo.

Kwizigulana ezisilela kunyango, ukususwa kwamatye e-Endoscopic kukhetho lokuqala (umfanekiso 8). Ngamatye e-gastric ekunzima ukuyisusa ngokuthe ngqo phantsi kwe-endoscopy ngenxa yobungakanani babo obukhulu, amaqhina omzimba angaphandle, iibhasikisha zamatye, azishenxise; Kwabo banomqalo onzima ongenakuphazamiseka, ukusika kwamatye anokuqwalaselwa, i-Laser Lithotriprick okanye i-Lhotript ye-Lithotsistry ye-Lithotripy, xa ilitye le-itrepricy lingaphantsi kwe-2cm emva kokuba liyisuse kangangoko kunokwenzeka. Inkathalo kufuneka ithathwe ukuthintela amatye amakhulu kune-2cm ekubeni ikhutshwe kwi-cavinal cavity yesisu kunye nokubangela isithintelo sethumbu.

I-ACVSD (8)

Umzobo o-8 amatye esiswini

4.11 Ingxowa yeziyobisi

Ukuqhekeka kwengxowa yeziyobisi kuya kubeka umngcipheko wokufakelwa kunye nokuchasana nonyango lwe-endoscopic. Izigulana ezingakwaziyo ukulahla ngokwemvelo okanye zikrokrelwa ukuba ne-up uppture yengxowa yeziyobisi kufuneka isebenze ngenkuthalo.

III. Iingxaki kunye nonyango

Iingxaki zomzimba welinye ilizwe zihambelana nendalo, ubume, ixesha lokuhlala kunye nenqanaba lokusebenza kukagqirha. Iingxaki eziphambili zibandakanya ukulimala kwe-mucossal mucosal mucosal, ukopha, kunye nosulelo olulutho.

Ukuba umzimba welinye ilizwe uncinane kwaye akukho monakalo mucosal ocacileyo xa ukhutshiwe, ukulala esibhedlele akufunekanga emva kotyando, kwaye ukutya okuthambileyo kunokulandelwa emva kokuzila ukutya iiyure ezi-6.Kwigulana ene-esophagegeal mucosal ye-mucosal, Glutamine Granules, i-Aluminium phosphate gel kunye nezinye iiarhente zokukhusela i-MUCOASS zinokunikwa uqhawulo-magama. Ukuba kukho imfuneko, ukuzila ukutya kunye nesondlo se-peripheral sinokunikwa.

Kwizigulana ezinomonakalo ocacileyo we-mucosal kunye nokopha, unyango lunokwenziwa phantsi kombono othe ngqo kwi-Endoscopic, njengokutshiza isisombululo se-ice-norepinehrine, okanye i-endoscopic titanium ukuvala inxeba.

Kwizigulana ezine-CT ephambili zibonisa ukuba umzimba wasemkhosini uye wangena eludongeni lwe-esophageal emva kokususwa kwe-emoscopic, ukuba umzimba wasemzini uhlala ungaphantsi kweeyure ezingama-24 kunye ne-CT ayinakukwazi ukwenza indawo yokuphumla ngaphandle kwe-Esophagegeal Lumen, i-endoscopic ingenziwa ngokuthe ngqo. Emva kokuba umzimba wasemzini ususwe kwi-endoscope, i-tetanium ye-tetanium isetyenziselwa ukuqokelela udonga lwangaphakathi lwe-esophagus kwindawo ephantsi, enokuyeka ukopha kwaye ivale udonga lwangaphakathi lwe-esophagus ngaxeshanye. Ityhubhu ye-gastric kunye netyhubhu yokondla ijubha ibekwe phantsi kombono ocacileyo we-endoscope, kwaye isigulana silahliwe esibhedlele ukuze kuqhubeke unyango oluqhubekayo. Unyango lubandakanya unyango lwempawu ezifana nokuzila ukutya, ukubekwa kwengqondo ye-gestrointer, i-antibiotics nesondlo. Kwangelo xesha, imiqondiso ebalulekileyo efana nobushushu bomzimba kufuneka iqwalaselwe ngokusondeleyo, kunye nokuvela kweengxaki ezifana nentamo yokuthambisa intamo okanye i-MPIATYSEAL MAGYMAAMMA iqatshelwe ngosuku lwesithathu emva kotyando. Emva kwe-iodiography ye-iodine yamanzi ebonisa ukuba akukho mvuwulweyo, ukutya nokusela kunokuvunyelwa.

Ukuba umzimba welinye ilizwe ugcinwe ngaphezulu kweeyure ezingama-24, ukuba iimpawu zosuleleko ezinje nge-fever, i-chills, kunye neengxaki eziphakanyisiweyo zenzekile, ukuba i-CT ibonisa ukwenziwa kwe-esophagus, ukuba izigulana zidluliselwe kutyando ngexesha elifanelekileyo.

Iv. Ukulumkela

. Ke ukungenelela kwe-teming themonic i-endoscopic kuyimfuneko ngakumbi.

. Kungcono ukufuna ukubonisana ngezinto ezahlukeneyo kunye nokulungiselela utyando.

.

BethuUkulahla amanyeneyoisetyenziswa ngokudibeneyo nee-endoscopes ezithambileyo, ukungena kumgangatho womzimba womzimba onjengephecana lokuphefumla, i-esophagus, isisu, i-tistine kunye ne-tissuries, kwimicimbi yelinye ilizwe kunye nokuthatha izizwe ngaphandle.

I-ACVSD (9)
I-ACVSD (10)

IXESHA LOKUQALA: UJan-26-2024