Abantu abanezinkinga ngesistimu yokugaya ukudla, ukucacisa ukuxilongwa kumele kutholakale i-fibrogastroscopy. Ngaphezu kwalokho okushiwo yisisu se-GDDS, ake sicabangele kamuva esihlokweni. Le ndlela iyona efundisa kakhulu, ngoba ikuvumela ukuba ufunde isimo se-mucosa esiswini nesisu esisodwa.
Ukuhlaziywa kwe-EGF - kuyini?
Le ndlela inikeza ukuhlolwa kwesimo sokugaya ukudla ngosizo lwe-fibrogastroscope. Kuyinto i-flexible fiber-optic device ene-bulb ekugcineni. I-tube ine isiteshi esikhethekile, lapho kungenzeka khona ukufaka amandla we-biopsy noma amanye amadivayisi.
I-FGDS (ukucacisa isichazamazwi kusho ukuthi "fibrogastroduestoscopy") ikuvumela ukuba uthole idatha kunoma yiziphi izinguquko, thatha isampula yamathisiphi ekuhlolweni kwelabhoratori, thola i-neoplasms zakuqala ezinyathelweni zokuqala.
Futhi, indlela ivumela ukukhethwa kwezinsolo zokusola ukuhlaziywa okulandelayo nokuxilongwa, ukuthola nokuyeka ukuphuma nokuphulukisa izilonda.
Inqubo inconywa uma isiguli sikhalaza ngalokhu:
- isicasuli;
- ukushaya kwenhliziyo njalo;
- ukulahlekelwa kwesisindo ngokushesha;
- ubunzima nokuvuvukala ngemva kokudla;
- ukuqhutshwa okungathandeki;
- ukwephulwa kwe-defecation;
- ukuhlanza ngegazi.
Akukho ukuhlolwa okuhleliwe:
- Abantu abanesifo esibi sengqondo;
- ukuhlushwa ukungakwazi ukusebenza kwamapayipi;
- iziguli ezinesifo somlomo noma isifo samaphaphu zine-gastroscopy ngemva kokululama.
Inqubo ye-FGD yenziwa kanjani?
- Isiguli sigxiliwe nge-lidocaine futhi sibeke embhedeni ngakwesobunxele.
- Khona-ke udokotela unikeza umlomo womlomo, ophihliwe ngamazinyo. Lokhu kusiza ukuvimbela ukukhala kwe-endoscope.
- Ngemva kwalokho, i-gastroenterologist ifaka ithini emgqonyeni womlomo. Lesi yisikhathi esingathandeki kakhulu. Kungase kube khona i-gag reflex kanye ne-eructation. Nokho, ubuhlungu abuzwa. Ucwaningo luhlala cishe ngomzuzu. Uma ngabe i-biopsy yenziwa, isifundo singaphelela kumaminithi angu-5-7.
Izinzwa ezingathandeki zingabonwa phakathi nosuku. Amathuba emiphumela emibi ingu-1% bese evuka ngenxa yokungazi kahle kukadokotela.
I-FGD kanjani ngekhala?
Enye indlela yokugaya i-gastroscopy yendabuko yi-transnasal. Kuhilela ukutadisha kwezitho zangaphakathi ngokusungula i-endoscope ngokusebenzisa indlela yokuhamba. Inkinga enkulu ephakama lapho ugwinya iphenyo ukubonakala kwe-reflex yokuhlanza. Ukwethulwa kwe-tube ngokusebenzisa ikhala kunganciphisa kakhulu ukungahambi kahle, ngaleyo ndlela wenze ukuhlolwa kube lula kakhulu.
Ngaphezu kwalokho, le ndlela inezinzuzo ezimbalwa:
- ukutholakala kwezifo ze-nasopharyngeal;
- ukulondolozwa kokuxhumana okubili phakathi kwesiguli nodokotela;
- kunomthelela omncane emzimbeni nasezinkomba ezinjengezinga lenhliziyo nokucindezela, ngakho-ke le ndlela inconywa asebekhulile.
Yini ekhombisa i-EGD?
Ngesikhathi sokuhlola, lonke ulwazi luboniswa kwikhompyutha futhi luqoshiwe. Uma kunesidingo, ungakwazi ukuphrinta izithombe eziphrintiwe. Udokotela, ehlola imiphumela, angathola iziphetho ezinjalo:
- umonakalo ku-mucosa (i-atrophy, ukuvuvukala, izilonda);
- ukuvelela kwesisu, isisu;
- ukutholakala kwezibazi, izimbangela, iziqu;
- imfundo (umdlavuza, ama-polyps);
- uhlobo lwe- gastritis ;
- ubukhona kanye nezinga le-reflux;
- ukutholakala kwe-diverticula (ukuhamba kwezicubu zesisu).
Kwenzeka kaningi kangakanani ukwenza i-EGF?
Le nqubo ayikwazi ukubizwa ngokuthi iyimnandi. Kodwa kuphephile ngokuphelele futhi akusizi ubuhlungu, akulimazi isiguli. Ngakho-ke, ayikho imithetho emvamisa yokuziphatha kwayo. I-FHDS yenziwa njalo uma kudingeka.