EGD indlela kakhulu ulwazi ukuxilongwa esiswini

EGD noma fibrogastroduodenoscopy - indlela luhlolo wezinsimbi ka esiswini futhi duodenum, olwenziwa ngosizo ithuluzi gastroscope optical. Le ndlela ingenye ukhiye ukusetshenziselwa ukuxilonga zokugula esiswini.

Izimpawu I-EGD esiswini:

- isidingo ngcono izifo eziyinhloko esiswini (kolwelwesi, peptic isilonda isifo, izimila);

- sokunquma izinguquko uhlamvu esiswini ngenxa yezinguquko izitho eduze (amathumbu, amanyikwe, isibindi nenyongo sesinye);

- ukuhlonza zemizimba angaphandle.

EGD esiswini kuboniswa ngenxa dyspepsia esiswini, ikakhulukazi uma uvele ezigulini ezineminyaka engaphezu kwengu-40, ukuhlanza igazi, uhudo isikhathi eside, yensimbi ukuntula igazi.

Izimo cwaningo:

- isifo ngomphimbo (nezibazi futhi ukuvaleka isimila, diverticulitis) nendawo ezungezile izitho (retrosternal goiter useshonile yomthambo i-aorta, ugobile abalulekile yomgogodla);

- esingamahlalakhona ezinzima zenhliziyo yamaphaphu;

- osuke usuvulekile ngemithambo emphinjeni.

Ukulungiselela EGD isisu

Ukuze siqhube EGD esiswini akudingi ukuqeqeshwa okukhethekile. Kuhlelwe ucwaningo gastroscopy kwenziwe ekuseni. Isiguli ziyokwehlela phezu elingenalutho esiswini gastroscopy noma cha emahoreni ambalwa ngaphambili kuka ezine ngemva kokungenisa, futhi kusolwa stenosis pyloric - akukho ngaphambili kwamahora ayisishiyagalombili. Ngemva kwesifundo-X-ray usebenzisa Endoscopy, barium yombala kungaba kwenziwe ngaphambili kuka ngosuku olulodwa. Eziphuthumayo gastroscopy ngezinhloso zokuxilonga nokwelapha e ukopha kakhulu esiswini wenziwa ngaphandle nokulungiselela owandulelayo nesineke nganoma yisiphi isikhathi. Kwezinye izimo, EGD ngaphansi izinzwa. Lokhu kuyadingeka ngokuyinhloko isifundo esikhuluma izinkomba zesimo esiphuthumayo.

Oku-nesineke wachaza ukuthi ngesikhathi sale nqubo, ukukhuluma niginge ngamathe. Isigamu sehora ngaphambi phansi kwesikhumba test nesineke injected atropine sulfate. Nokho, kusasele imizuzu embalwa ngaphambi kokuthi ukuhlolwa ithathwa okufakelwa kanye pharyngeal mucosa nisela dikaina isixazululo izinzwa wendawo. Sibekezele ibekwe etafuleni yokusebenza jikelele esikhundleni ohlangothini lwesobunxele. Isiqu sawo kufanele waqonda, emahlombe emuva, futhi imisipha iba mincane ekhululekile. Emlonyeni futhi isetshenziswa ufakwa uphenyo oyinyumba iqondiswa.

Isikhathi 10-15 imizuzu gastroscopy. Phakathi nesifundo, isiguli ubuhlungu engazizwa. I ingaphakathi isisu phakathi nesifundo wethula inani elincane emoyeni ngoba ukwembuleka emphethweni ulwelwesi lwamafinyila. Lokhu kungabangela umuzwa encane ekugcwaleni esiswini. Ephambi kwezinduna izimila phakathi biopsy gastroscopy bathathwa luhlolo histological kwezicubu futhi isimila uhlamvu zokuxilonga.

Emva isiguli EGD akakwazi ukudla, isiphuzo noma intuthu ngesikhathi 1-2.5 amahora kuze babuyele ngokugcwele ukugwinya. Uma ngesikhathi uphenyo bafeza biopsy - ukudla kosuku isetshenziswa chilled kuphela.

Ngaphambi EGD esiswini kuyadingeka ukuze ukuqhuba-X-ray ukuhlola isiguli ukuba ngakususi Izimo: ukuvaleka ngomphimbo, diverticulosis, varicose emithanjeni.

Lolu cwaningo angagcina yezinkinga:

- perforation we emphinjeni kanye isisu;

- ukopha ngemuva biopsy;

- ukwephula inhliziyo futhi umgudu wokuphefumula.

Kuphethe i gastroscopy ngayo yonke imithetho, izinkomba kanye contraindications nokulungiselelwa efanele nesineke ivumela yalolu cwaningo kuphephe ngokuphelele futhi ukuvimbela ukuthuthukiswa yezinkinga.