Ndi EGD ndi chiyani? Kukonzekera kufufuza

Anthu ndi matenda a ziwalo m'mimba, kwa matenda zolondola, inogoda tisonyezeni njira zina matenda, mwachitsanzo fibrogastroscopy. Izi rschitana Nkhani amene kupatsira nthawi yoyamba ndipo sadziwa mmene kukonzekera EGD. Limanena za matenda amene kafukufuku kumaonekeranso. Tikambirana njira ya EGD, ntchito yokonza zofunika kufufuza ndi matenda matenda.

EGD kapena fibrogastroduodenoscopy - njira ya Kupenda dongosolo m'mimba. Zikamera wa endoscopy zachipatala zasinthiratu matenda ndi mankhwala a matenda ambiri. Ndi njira imeneyi, mukhoza zowoneka kuyendera kum'mero, m'mimba ndi mbali yoyamba ya duodenum ndi. Kasamalidwe imagwiridwa ntchito endoscope (fibrogastroskopii). Mfundo ntchito endoscope ndi zochokera Optics CHIKWANGWANI. Kunja, chipangizo ndi chubu kusintha ndi awiri a za wina centimeter. Endoscopes ntchito ana oposa awiri ang'onoang'ono ndi kutalika, motero mbali zaka. Mkati chubu ndi woonda ulusi kuwala kuti kuchititsa kuwala ndi kupatsira fano. Komanso umadutsa ngalande chubu kudzera amene mungathere chida cha biopsy, kwa jekeseni ndi magazi chilonda chida, ndi m'mabokosi wapadera kuti zimayikidwa m'mphepete mwa chilonda cha. Kudzera endoscope jekeseni mphyeya, kuti kuwongola m'makwinya a m'mimba.

Monga tanena ndendende chimatanthauza matenda matenda a dongosolo m'mimba amalola pokwaniritsa EGD. Kukonzekera izo ikuchitika pasadakhale. Njira imeneyi n'zotheka matenda a matenda a kholingo (esophagitis, diverticula, hiatal chophukacho, chotupa, etc.), m'mimba (gastritis uliwonse, zilonda chapamimba, ndi tizilombo ting'onoting'ono, khansa, etc.), mmatumbo chilonda (chilonda, khansa, ziyenera a sphincter wa Oddi neri Al.). Pa kudziwika gawo zokayikitsa kapena mucosal chilonda, morphologically zofunikira kufufuza minofu anakhudzidwa. Ndi kumayambiriro endoscopy, anthu zitheka. Mbano "kuluma" ayenera kukhala chidutswa cha nsalu. Ndi EGD zotheka osati matenda komanso kuchita mpheto achire, monga hemostasis ulimi zilonda mowa, mankhwala, etc. obkalyvanie

Kukonzekera wodwalayo EGD. Njira wochita

Ngati mukufuna kuchita chizolowezi EGD, maphunziro ayenera idzachitika pasadakhale, osati maola 12 pamaso pa mayeso. Chabe sadya kapena kumwa. Nkofunika kuti m'mimba analibe chakudya, chifukwa, choyamba, izo kumathandiza thupi kuchititsa kuyenderako, ndipo kachiwiri, chopambanitsa imfayo ndi gag reflex ndipo amachititsa zatsalira chakudya kusanza. Pamaso Kupenda mtima pa lilime ndipo pakhosi ya lidocaine kutumikiridwa ngati aerosol ku njira ampoule. mankhwala ochititsa Izi kuchepetsa ululu komanso gagging. Mkamwa amaika wapadera kamwa pulasitiki, amene kumathandiza mwangozi kutseka mano pa ndondomeko ndiponso kupewa kuwonongeka kwa endoscope lapansi. Komanso pang'onopang'ono popanda kayendedwe mwadzidzidzi, umayamba endoscope, kutembenuzira ake kusintha mapeto, motero thupi kupinda ndi mphete pa chogwirira. Ndi kumayambiriro endoscope ndi ikuchitika pang'onopang'ono kukakamiza mpweya kuwongola m'makwinya a m'mimba. Pa ndondomeko, pali musanaganizire burping mpweya ndi salivation.

Kuti Kupenda zapita mosavuta, muyenera kutsatira malamulo osavuta. kafukufukuyu - ndi ndondomeko zosasangalatsa, kotero pamaso m'pofunika kuchita zotheka kukhadzikika ndipo yesetsani kukhala nokha. Kwambiri ndi chisangalalo zambiri amapita woyamba EGD, chifukwa cha kuopa ululu komanso nkhawa. Pa zofunika ndendende kupuma kupyolera mphuno osati kuti Pomeza kayendedwe. Manja ayenera sikusokoneza kuyenderako. Iwo ayenera kusungidwa pamodzi thupi kapena "kukumbatirana" palokha. Ngati mukufuna kugwila chidutswa cha minofu maphunziro morphological ayenera kudziwa kuti mpheto izi sabweretsa chisoni mwamtheradi, monga mucosa m'mimba ndi duodenum alibe mathero imalandira.

Wodwala ayenera kukumbukira kuti ndi kumapeto mwamsanga njira EGD, maphunziro sayenera kokha akunyalanyaza chakudya dzana, komanso maganizo abwino. Ndiye kumupima zidzachitika bwino ndipo mwamsanga.