Ukuhlolwa kwezonyango kwezinye izitho zangaphakathi, indlela yokugcina i-endoscopy isetyenziswa apho idivayisi ekhethekileyo - i-endoscope efakwe kwimigangatho yemvelo ukuya kwisigxina segungu elingaphantsi kophando okanye ngokubakho komsebenzi kunye nep punctures. Xa uqhuba i-endoscopy yesisu, ebizwa ngokuba yi-gastroscopy, ukuhlinzwa akudingeki, - i-endoscope ifakwe kwisigxobo somlomo kunye nesigxina. Siza kufunda indlela i-endoscopy yesisu isenziwa ngayo, nendlela yokuyilungiselela ngayo.
Izibonakaliso ze-endoscopy zesisu
Ngoncedo lwe-gastroscopy, iingcali ziyakwazi ukuvavanya imeko ye-lumen ye-esophagus, isisu kunye ne-duodenum. Nangona kunjalo, le ndlela isetyenziselwa ukuxilongwa kuphela, kodwa kunye neenjongo zokwelapha, ukunyanga nokusetyenziswa kwezilwanyana. Ngezifo zesistim sokutya, i-endoscopy yesisu isenzelwa:
- ukuqulunqwa kunye nokuhlengahlengiswa kokuxilongwa (kubandakanywa nokukrokra kwinqanaba le-preclinical development of pathology);
- ukufunyaniswa kwendawo kunye nokusabalalisa kwenkqubo ye-pathological;
- Ukubeka esweni ukuphumelela kwonyango (egcinayo okanye esebenzayo);
- ii-biopsies zeesayithi ezichaphazelekayo (kunye nesilonda se-peptic, ubukho be-tumors, njl);
- ukucaciswa kohlobo lwe-pyloroduodenal stenosis, njl.
Ngeenjongo zokwelapha, le ndlela isetyenziswe kwimeko:
- ukususwa kwamanye amazwe angaphandle;
- ukuyeka ukuphuma kwegazi ngaphakathi ;
- ukuqaliswa kweziyobisi;
- ukuba kususwe iimvumba kunye neeplasps esiswini, njl njl
Indlela yokulungiselela i-endoscopy yesisu?
Ngaphambi kokuba i-endoscopy isisu, isigulane kufuneka senze ukulungiswa okulula kwenkqubo, apho oku kulandelayo kuthathwa ingqalelo:
- Inqubo eyenziwa kwisisu esingenalutho okanye ubuncinane emva kweeyure ezili-10 emva kokutya.
- Awukwazi ukutshaya phambi kokuphela kwe-endoscopy.
- Kuvunyelwe ukusela isincinci esicocekileyo namanzi (ukuya kuma-50 ml).
I-endoscopy yesisu?
Inkqubo yenziwa kuphela ngama-endoscopists afanelekileyo kwiofisi ekhethekileyo. I-endoscope (i-gastroscopy) yiphubhu eguquguqukayo, ekupheleni kwayo enye i-eyepiece, kwaye yesibini-ikhamera. Xa uqhuba isifundo esilula, inkqubo iyaqhubeka malunga nemizuzu emibini:
- Ukuze ugweme ukuvakalelwa, i-endoscopy ingenziwa phantsi kwe-anesthesia yendawo. Ngenxa yale njongo, isigxina somlomo kunye ne-pharynx bancitywa ngesisombululo esicacisiweyo se-agent ye-anesthetic (i-lidocaine isetyenziswa rhoqo). Ukulawulwa kwe-intramuscular of sedative iyakwenzeka. Kwiimeko ezinqabileyo, i-anesthesia jikelele isetyenziswe, kodwa ezininzi iingcali zicinga ukuba oku kungafanelekanga.
- Ngaphambi kokungeniswa kwiphubhu ye-endoscope, isigulane sigxina umlomo kunye namazinyo akhe, emva koko sibuyise umqala okanye siphule, kwaye ngeli xesha udokotela angena kwi-tube ibe yinto.
- Ukusabalalisa umgca wesahlulo esiphakamileyo somoya wesisu esisondlo sondliwa ngetyhubhu.
Ukunciphisa inani lokuhlanza, kuyacetyiswa ukuba uphefumle ngokuzeleyo kwaye uhlalise.
Ngethuba le nkqubo, ungathatha isithunzi okanye ukurekhoda kwevidiyo kunye nokurekhoda. Emva kokukhipha ifowuni, kunemvakalelo engathandekiyo emqaleni, eyaphela emva kweentsuku ezi-1 ukuya kwezi-2.
Ukungqinelana kwe-endoscopy yesisu:
- ukutshitshiswa kobuso;
- iziphazamiso ezinzima zokujikeleza kwe-cerebral kunye ne-coronary;
- ukuhluthwa;
- ukunyanzeliswa kwe-asthma ye-bronchial;
- ezinye izifo zesifo, njl
I-biastsy gastric ne-endoscopy
Le nkqubo iyadingeka phambi kwesikhumba esiswini, kwakunye nezifo ezahlukahlukeneyo:
- i hepatitis;
- isrophic gastritis;
- dysphagia nabanye.
Ngaphakathi kwiphubhu ukuya kwisisu, i-forceps ekhethekileyo iyaziswa, ngohlobo lwezinto ezithathwayo - iziqwenga zembumba. Emva koko, izinto zihlolwe phantsi kwe-microscope.