Abantu abaneengxaki kwinkqubo yokutya, ukucacisa ukuxilongwa kufuneka bafumane i-fibrogastroscopy. Eminye kwi-GDDS isisu sebonisa, makhe siqwalasele kamva kwinqaku. Le ndlela yinkcazelo enolwazi, kuba ikuvumela ukuba ufunde isimo se-mucosa esiswini kunye nesisu somlomo.
Uhlalutyo lwe-EGF - yintoni na?
Le ndlela inikeza uviwo lwendlela yokutya yokutya ngokuncedisa i-fibrogastroscope. Yisisombululo sefiber-optic esinesibane esinombane wokukhanya ekupheleni kwayo. Ityhubhu ine-channel ekhethekileyo, apho kunokwenzeka khona ukufaka i-biopsy forceps okanye ezinye izixhobo.
I-FGDS (ukuchazwa kwegama elithi "fibrogastroduestoscopy") ikuvumela ukuba ufumane idatha kunoma yikuphi utshintsho, thabatha isampuli yesikhumba kwiimvavanyo zelabhoratri, qaphela iifomposi zakudala kwiimigangatho yokuqala.
Kwakhona, le ndlela ivumela ukukhethwa kweso sikrokiti ukuhlalutya kunye nokuxilongwa, ukufumana nokuyeka ukuphuma kwegazi nokuphulukisa izilonda.
Inkqubo icetyiswa ukuba isigulane sikhala nge:
- isicefe
- ukuguquka rhoqo;
- ukulahleka kwesisindo;
- ubunzima nokuvuvukala emva kokutya;
- siphumo esingathandekiyo;
- ukuphulwa komthetho;
- ukuhlanza ngegazi.
Akukho mviwo ihlelwe:
- Abantu abanokugula ngengqondo;
- ukuxhatshazwa kwe-pulmonary insufficiency;
- Izigulane ezinesifo somqala okanye umphunga unesifo segastroscopy emva kokubuya.
Inqubo yeFGD yenziwa njani?
- Isigulane sinxiliswe nge-lidocaine kwaye sibeke phezu kombhede kwicala lasekhohlo.
- Emva koko ugqirha unikeza umlomo, osibetha ngamazinyo. Oku kunceda ukuthintela ukukhala kwe-endoscope.
- Emva koko, i-gastroenterologist ifaka i-tube kwisibilini somlomo. Esi sihlandlo esingathandekiyo. Kukho i-gag reflex kunye neempembelelo. Nangona kunjalo, intlungu ayiveki. Uphononongo luhlala malunga nomzuzu. Ukuba i-biopsy eyenziwa, isifundo sinokugqibela ukuya kwi-5-7 imizuzu.
Imvakalelo engavumelekanga ingabonwa ngelilanga. Ubungakanani bemiphumo emibi yi-1% kwaye ke, zivela ngenxa yokungenakho ulwazi logqirha.
Njani iFGD ngeempumlo?
Olunye uhlobo lwegastroscopy yendabuko yi-transnasal. Iquka ukufundwa kwamalungu angaphakathi ngokuzisa i-endoscope ngokusebenzisa indlela yokuhamba. Ingxaki ebalulekileyo eyenzekayo xa ugxininisa umphenyi kubonakala kwintlanzi yokuhlanza. Ukufakwa kwebhubhu ngeempumlo kunokunciphisa kakhulu ukuphazamiseka, oko kwenza ukuba uviwo lulungele ngakumbi.
Ukongezelela, le ndlela inezinzuzo ezininzi:
- ukufumana izifo ze-nasopharyngeal;
- ukulondolozwa kweendlela ezimbini zokuxhumana phakathi kwesigulane nodokotela;
- unempembelelo encinane emzimbeni nakwizalathisi ezinjengezinga lentliziyo kunye noxinzelelo, ngoko ke le ndlela ikhuthazwa kwabalupheleyo.
I-EGD ibonisa ntoni?
Ngethuba lophando, yonke inkcazelo iboniswa kwikhompyutha kwaye ibhalwa. Ukuba kuyimfuneko, unokushicilela imifanekiso eprintiweyo. Ugqirha, ukuvavanya iziphumo, unokufikelela ezi zigqibo:
- umonakalo kwi-mucosa (i-atrophy, ukuvuvukala, izilonda);
- ubuchule besisu, isifo;
- ubukho beempawu, izibonda, izithintelo;
- imfundo (umdlavuza, iipolisi);
- uhlobo lwesifo segastritis ;
- ubukho kunye neqondo lokuhlaziya;
- ubukho be-diverticula (iintlobo zesisu zomzimba).
Kwenzeka kaninzi kangakanani ukwenza i-EGF?
Le nkqubo ayinakubizwa ngokuba yimnandi. Kodwa ikhuselekile kwaye ayibuhlungu, ayiyingozi kumguli. Ngoko ke, akukho mithetho kwixesha lokuziphatha kwalo. I-FHDS iqhutshwa rhoqo njengoko kuyimfuneko.