Ukuhlolwa kwezokwelapha kwezinye izitho zangaphakathi, indlela yokugcina i-endoscopy isetshenziswa lapho idivayisi ekhethekile - i-endoscope ifakwa emigwaqweni yemvelo eya emgodini wesigungu esiphenywayo noma ngokusebenzisa ukucutshungulwa kokusebenza kanye nama-punctures. Uma wenza i-endoscopy yesisu, ebizwa nangokuthi i-gastroscopy, ukuhlinzwa akudingeki, - i-endoscope ifakwa emgqonyeni nomlomo. Sizofunda ukuthi i-endoscopy yesisu isenziwa kanjani, nokuthi ungayilungiselela kanjani.
Izinkomba ze-endoscopy zesisu
Ngosizo lwe-gastroscopy, ochwepheshe bangahlola isimo se-lumen yesisu, isisu kanye ne-duodenum. Kodwa-ke, le ndlela isetshenziselwa ukuxilongwa kuphela, kodwa futhi ngezinhloso zokwelapha, ukuphathwa kabi kwezokwelapha nokusebenza. Nezifo zesimiso sokugaya, i-endoscopy yesisu isenzelwe:
- ukwakhiwa nokulungiswa kokuxilongwa (okufaka nokusola ngesigaba sokuqapha kwezempilo);
- ukutholakala kokutholakala kwendawo kanye nokusabalalisa kwenqubo yokwelapha;
- ukuqapha ukusebenza kahle kokwelashwa (okulondolozayo noma okusebenzayo);
- ama-biopsies ezakhiwe izicubu zamashubhu (ngezilonda zesilonda, ukutholakala kwamathumba, njll);
- ukucaciswa kohlobo lwe-stlorosis ye-pyloroduodenal, njll.
Ngezinhloso zokwelapha, indlela isetshenziswa ezimweni ezinjalo:
- ukukhishwa kwamagatsha angaphandle;
- ukumisa ukuphuma kwangaphakathi ;
- ukufakwa kwezidakamizwa;
- ukuze kususwe izicubu nama-polyps esiswini, njll.
Indlela yokulungiselela i-endoscopy yesisu?
Ngaphambi kwe-endoscopy yesisu, isiguli kufanele senze ukulungiswa okulula kwenqubo, okulandelayo okucatshangelwayo:
- Inqubo yenziwa ngesisu esingenalutho noma okungenani amahora angu-10 ngemva kokudla.
- Awukwazi ukubhema ngaphambi kwe-endoscopy.
- Kuvunyelwe ukuphuza inani elincane lamanzi ahlanzekile (kuze kube ngu-50 ml).
I-endoscopy yesisu kanjani?
Inqubo yenziwa kuphela ngama-endoscopists afanelekayo ehhovisi elihlomele ngokukhethekile. I-endoscope (i-gastroscopy) iyishubhu eguquguqukayo, ekugcineni kwayo kukhona isici, futhi okwesibili - ikhamera. Lapho uqhuba isifundo esilula, inqubo ihlala cishe imizuzu emibili:
- Ukuze ugweme izinzwa ezingathandeki, i-endoscopy ingenziwa ngaphansi kwe-anesthesia yendawo. Ngalesi sizathu, isigxobo somlomo kanye ne-pharynx siniselwa ngesisombululo esicacile se-agent ye-anesthetic (i-lidocaine isetshenziswa kaningi). Ukuphathwa kwe-intramuscular of sedative nakho kungenzeka. Ezimweni ezingavamile, i-anesthesia jikelele isetshenziswa, kodwa ochwepheshe abaningi bacabanga ukuthi lokhu akufanelekile.
- Ngaphambi kokusungulwa kwe-tube endoscope, isiguli sigxuma umlomo ngamazinyo akhe, bese sivuselela umphimbo noma siphunga, futhi ngalesi sikhathi udokotela ungena emgqonyeni.
- Ukusabalalisa umgodi wengxenye engenhla yomoya wamathambo emathunjini kudliwa ngethubhu.
Ukuze unciphise inani lokuhlanza, kunconywa ukuphefumula ngokujulile futhi ngokuthula.
Phakathi nenqubo, ungathatha isithombe noma ukuqoshwa kwamavidiyo nokurekhoda. Ngemuva kokukhipha idivayisi, kunomzwelo ongajabulisayo emphinjeni, owanyamalala ngemva kwezinsuku ezingu-1 kuya kwezingu-2.
Ukuqhathaniswa kwe-endoscopy yesisu:
- isimo sokwethusa;
- ukuphazamiseka okukhulu kwe-cerebral and coronary circulation;
- isithuthwane;
- ukucwiliswa kwesifo sokuphefumula kwesisu;
- ezinye izifo zesifo, njll.
I-biopsy ye-gastric ne-endoscopy
Le nqubo iyadingeka lapho kukhona isisu ngaphakathi esiswini, kanye nezifo ezihlukahlukene:
- i-hepatitis;
- i-gastritis ye-atrophic;
- dysphagia nabanye.
Ngaphakathi kwe-tube ngaphakathi kwesisu, i-forceps ekhethekile iqaliswa, okusetshenziswa ngayo izinto - izingcezu zekhanda lamangqamuzana. Kamuva, lo mbuzo uhlolwe ngaphansi kwe-microscope.