I-FGDS - yintoni emachiza, indlela yokulungiselela inkqubo?

Funda kabanzi malunga ne-EGF, ukuba yintoni, ifuna zonke izigulane ezinqunywe ngenkqubo ngegama elinoyikisayo. Nangona kunjalo, oku kukhangeka akukwenzeki kakhulu, kubonakala ngathi, ekuqalekeni. Kanti kubalulekile ukulungiselela ngokufanelekileyo.

I-FGDS - yintoni emachiza?

Le nkqubo inamanani amaninzi. I-GGDS yesisu isetyenziselwa ezi njongo:

• inikezela ukuqokelela izicubu ukuze kuqhutywe uviwo lwakhe;
• unceda ukufundisisa imeko yeembrane ezinamaqabunga;
• ibonisa izilonda, ukuchelela kunye nezinye izifo zendlela yokugaya;
• inceda ekufumaneni ukuphumelela kwonyango.

Ngenxa yokuba uluhlu olubanzi lwezicelo zokuxhaphaza, kunengqiqo ukubuza izigulane ukufumana ukuba yiyiphi i-FGDS - yintoni na. Le nkqubo ibonwa njengendlela ekhuselekileyo, ekhuselekileyo neyobuchule yokufunda iziko zenkqubo yokutya. Ukuqhutyelwa kwenziwa ngokusetyenziswa kwesixhobo esikhethekileyo-isisombululo esinokuguquguquka. Ngaphandle kulukhuni olude olude, ubunzima balo abudluli kwi-1 cm. Kukhona i-endoscope ekupheleni.

I-FGD nge-biopsy - yintoni na?

Le nkqubo inxulumene neendlela ezimbini. Eyokuqala kwezi zi-FGDS (yiyiphi into, kubalulekile ukuqonda), kwaye yesibini yinto-ntsho ye-needle-biopsy. Iinjongo eziphambili kule nkqubo zi:

• Umlinganiselo ophezulu weenkcukacha zomfanekiso;
• ukuba kungenzeka ukuchonga iziphumo kunye neepolisi;
• ukukwazi ukuyeka ukuphuma kwamanzi ngaphakathi .

Ukongezelela, i-fibro-gastroduodenoscopy ye-FGD kunye ne-biopsy ivumela ukukhethwa kwamacandelwana ngamanqamzana enkampu ngenjongo yokuqhuba uviwo lwe-histological olulandelayo. Le nkqubo inokwenziwa kwimizimba yomzimba. Inceda ekufumaneni inkqubo ye-pathological even in the stage of development.

EGD - njani ukulungiselela?

Le ndlela idinga indlela enzulu. Ukuba ukulungiswa kwe-EHF ayenzwanga ngokuchanekileyo, ugqirha akayi kukwazi ukwenza le nkqubo kwaye ancede isigulane. Ukubeka isisu sakho ngokufanelekileyo, kubalulekile ukugcina ezi ngcebiso ezilandelayo:

1. Ukuxhatshazwa kwenziwa kwisisu esingenalutho. Isidlo sokugqibela esifanele senziwe 8-10 iiyure ngaphambi kokuba inkqubo. Ukuba isigulane sinenkinga enzulu kwinkqubo yokutya, le meko iyakhula kwiiyure eziyi-12 ukuya kweye-13.
2. Kufuneka ilahlwe iintsuku ezimbalwa phambi kweFGDF ekubhekeni, kuba i-nicotine yenza imithwalo yegazi igqitywe. Ukongezelela, ukuvezwa kwesi sinyusa kwandisa umkhiqizo we-mucus, ngoko inkqubo yokuhlola iyinkimbinkimbi.
3. I-FGD - ilungiselelo lophando lubandakanya ukususwa kwamazinyo. Banokuthintela ugqirha ukuba enze inkqubo ngokufanelekileyo.
4. Awukwazi ukutshiza amazinyo akho ngosuku lokuphathwa. Kufuneka nje uhlanza umlomo wakho ngamanzi acocekileyo. Ukucoca amazinyo kwandisa i-gag reflex.
5. Ukulungiselela i-EGF yesisu isicacisa ukuba isigulane kufuneka siguqule phantsi, ukulahla ukwesaba. Isimo sengqondo sengqondo kule nto ibaluleke kakhulu.
6. Musa ukugqoka ngokukhawuleza iimpahla kwiinkqubo.
7. Ukufunyanwa kwamachiza (amayeza, ama-hormonal amalungiselelo kunye namanye amayeza) kufuneka adibaniswe ne-gastroenterologist.

Ukulungiselela isisityambo samanzi esisisu - iziphakamiso eziliqela ezibalulekileyo

Ngaphambi kokuba le nkqubo ihambelane nokutya okhethekileyo. Ukutya okunjalo kuya kunceda ugqirha ukuba enze uphando njengendlela enokwenzeka ngayo. Kwiintsuku ezi-3 phambi kwe-EGF akunakwenzeka ukuba zidle iimveliso ezinjalo:

• ipums, utamatisi, i-apricot kunye nezinye izithelo ezimnandi kunye nemifuno;
• iziphuzo ze-carbonate;
• amapheya, i-melon, i-cherry kunye nezinye ukutya okunzima ukugaya;
• izitya ezibandayo - i-jelly, ice cream, i-jelly;
• imbotyi;
• ikhofi;
• tshokoleta;
• iimveliso zobisi;
• utywala;
• i juices;
• buns.

Indlela yokulungiselela i-ECG yesisu, ugqirha uyazi. Uya kunika iingcomo malunga noko kukutya kufuneka kwenziwe. Ukutya okugqibeleleyo - ezintandathu. Isigulane siya kucetyiswa ukuba sidle iimveliso ezinjalo:

• i-buckwheat, i-oatmeal okanye i-porridge yengxowa;
• izithelo okanye imifuno;
• inyama yenkukhu ephekiweyo;
• iziqwenga ezimhlophe;
• omelet;
• i-compote okanye itiye.

Iifibrogastroduodenoscopy - izibonakaliso

Ngokuqhelekileyo le nkqubo inyunjwe, xa kuyimfuneko ukuphumeza izifo zesifo seGI esiphezulu. I-FGDS kunye okanye ngaphandle kwe-biopsy imiselwe kwimeko:

• ukucima ;
• Iimbandezelo ezinzima ezihlala zihamba zihamba zodwa;
• ubukho begazi kwi-stool;
• ukulahleka kwesisindo;
• ukuguquka ;
• iingxaki ngokugwinya ukutya;
• ukuxilongwa kwesilonda okanye isisu;
• ukukhulelwa kwegazi;
• nciphisa ukutya.

FDDS - iingqinisiso

Kukho inani leemeko xa le nkqubo ingacebisi. Iingqinamba zesisu se-GGDS zilandelayo:

• aneorysm;
• ukuphulwa kwi- clotting yegazi ;
• ukuchithwa kweesophagus;
• ukuphazamiseka kwengqondo kwinqanaba eliphambili;
• uhlobo olubi lwe-asthma ye-bronchial;
• ukuhlaselwa intliziyo okanye ukubetha;
• izifo ezithathelwanayo kwisigaba esicacileyo;
• ukwanda kwe-thyroid;
• gag reflex eqinile;
• ukunyanya.

I-fibroadastroduodenoscopy yenziwe njani?

Le nqubo yenziwa kwigumbi lokuxilonga elikhethekileyo. Kucetywayo okanye kwimeko engxamisekileyo. Ngaphambi kwe-EGF, ugqirha okanye umongika unkcenkceshela izigulane ezinefayili ngezenzo zokuzibulala. Ngokuqhelekileyo, i-lidocaine isetyenziselwa oku. Ngaphambi kokuba ukhethe isiqulatho ngefuthe eliqhwaqayo, ugqirha uya kwenza uvavanyo oluvumela ukuba kuqinisekiswe ukuba kukho i-drugergy esetyenziswayo.

Fibrogastroduodenoscopy - algorithm

Emva kokunyanga i-larynx nge-antiseptic kunye ne-anesthetic, ugqirha uya kwi inkqubo ngokwayo. I-algorithm yayo ilandelayo:

1. Isigulane silele ebhedeni ngecala lasekhohlo.
2. Ngaphantsi kwentloko yakhe yalala umsila, ogqutywe ngetilu (iya kuguqula umlenze ngexesha lenkqubo).
3. Isigulane sinikezelwa ngendandatho yeplastiki (kufuneka idityaniswe ngamazinyo).
4. Ngokuvula, i-endoscope ifakwe, emva koko ugqirha ucela ukunyakaza, apho iprobethi ihamba ngeendlela zokugaya.
5. Emva kokuba igumbi lifike kwisisu, umoya uphonyelwa kule ngxenye yesondlo sesisu. Kule nqanaba, iindonga zalo mzimba utyunyiwe.
6. I-electro-pump ukusuka esiswini iphosa ngaphandle kwe-fluid (u-mucus, bile, njalonjalo).
7. Uviwo lwephepha lokugaya luqala. Ugqirha uhlola iimbumba ezinobumba kwaye uthatha izicubu zokuhlolwa kwe-histological.
8. Emva kwe-EGF, isalathisi sisuswa ngokukhawuleza.
9. Isigulana siyaphonelwa kwiwadi.

Yonke inqubo ayihlali ngaphezu kwemizuzu emi-5. Emva kwayo, kukho ukurekhodwa kwevidiyo yeemviwo, apho ugqirha unokukuphonononga ngokubanzi xa kuyimfuneko. Nangona kunjalo, emva kwenkqubo, imiphumo emibi ingenzeka. Kubalulekile ukuba isiguli singayazi kuphela i-FGDs - yintoni ngokuqhelekileyo, kodwa nokuba yiziphi iingxaki ezinokwenzeka. Ngokuqhelekileyo kukho imiphumo enjalo:

1. Ubuhlungu esiswini - bayichukunyiswa yiyo yokuba ngexesha leenkqubo, umoya waphoswa kwisisu. Uvakalelo olungathandeki luya kudlula ngokwalo kwiintsuku ezimbalwa emva kokunyanzelisa.
2. Ukulimala emlanjeni - le nkcenkcesha kwenzeka xa amazinyo omguli ekhululekile.
3. Ivakalelo lokucinywa kwi-larynx - ukuvakalelwa okunjalo kungabonakali emva kokuba i-endoscope ifakwe kwisigxina.

FGD phantsi kwe-anesthesia jikelele

Ngethuba le nkqubo, zombini i-anesthesia yendawo neyonke ingasetyenziswa. I-Fibrogastroduodenoscopy phantsi kwe-anesthesia inceda ukujamelana ne-reflex ye-emetic. Nge-anesthesia yendawo, ingcambu yolwimi ichithwe nge-anesthetic. Impembelelo efika ngokukhawuleza ize ifike kwiintsuku ezingama-20. Inzuzo ye-anesthesia yendawo kukuba ayisebenzisi izixhobo ezibiza kakhulu. Ukongezelela, i-anesthesia enjalo ithathwa njengekhuselekile kumguli.

I-anesthesia jikelele ibandakanya ukusetyenziswa kwezixhobo zokukhanya, ezifakwe kwi-intramuscularly, okanye amayeza anamandla ahanjiswa ngaphakathi. Ngolu hlobo lwe-anesthesia ngexesha le nkqubo, ugqirha usebenzisa izixhobo ezizodwa ezilawula ukuphefumula nentliziyo yesigulane. Ngokungafani ne-anesthhesia yendawo yendawo inzima kakhulu emzimbeni, ngoko akunakwenzeka ukuba isetyenziswe.

EGD - Ngaba kubuhlungu?

Ngenxa yokuba i-anesthesia isetyenziswe, iimvakalelo ziyaxhomekeka. Ngenxa yeso sizathu, i-FGDS - ibuhlungu, izigulane akufanele zijikezele kakhulu kwaye zicinga kakhulu. Ukunciphisa ubunzima, kunokuphulaphula iingcebiso zogqirha:

• ulala phantsi;
• ukuphefumula ngokuzinzile;
• musa ukwenza ukuhamba ngokukhawuleza.

EGS - ukuchonga

Emva kwenkqubo, ugqirha uhlalutya iziphumo kwaye unike isatifiketi esibhaliweyo kwisigulane. I-fibrogastroduodenoscopy ye-Diagnostic iquka ezo zihlandlo:

• Ukuvavanya kwimeko yeendonga kunye ne-mucosa yezitho zokutya, kwakunye nokusebenza kwazo;
• Ukubhalwa kwe-cardia - kwinqanaba le-esophagus kwisisu;
• ukufundisisa umthamo kwisisu;
• uviwo lomgcini wesango.