I-FGDS - iyini emithi, ukulungiselela kanjani inqubo?

Funda kabanzi mayelana ne-EGF, ukuthi iyini, ifuna wonke isiguli esinqunywe ngenqubo ngegama elisabekayo. Kodwa-ke, lokhu ukukhwabanisa empeleni akusibi kakhulu, kubonakala sengathi ekuqaleni. Kodwa kubalulekile ukuyilungiselela kahle.

I-FGDS - iyini emithi?

Le nqubo inezinhlobonhlobo zamathuba. I-GGDS yesisu isetshenziselwa izinhloso ezinjalo:

• inikeza ukuqoqwa kwezicubu ukuze kuhlolwe ukuhlolwa kwakhe;
• kusiza ukutadisha isimo se-membrane emangcwabeni;
• yembula izilonda, ukuchelela kanye nezinye izifo ze-digestive tract;
• kusiza ukunquma ukusebenza kahle kwelashwa.

Njengoba kunikezwa lolu hlelo olubanzi lwezinhlelo zokuxhaphaza, kunengqondo ukubuza iziguli ukuthi zithole ukuthi yiziphi i-FGDS - ukuthi iyini. Le nqubo ibhekwa njengendlela esheshayo, ephephile futhi ephumelelayo yokutadisha izitho zesistimu yokugaya ukudla. Ukuxhaphazwa kwenziwa ngokusebenzisa ithuluzi elikhethekile - idivayisi eguquguqukayo. Ngaphandle kungumuthi omude omude, ubukhulu bawo abudluli u-1 cm. Kukhona i-endoscope ekugcineni.

Ama-FGD nge-biopsy - iyini?

Le nqubo iyinhlanganisela yezinhlelo ezimbili. Okokuqala kulawa yi-FGDS (ukuthi yini, kubalulekile ukuyiqonda), kanti eyesibili iyinhlangano ye-biopsy encane. Izinzuzo eziyinhloko zale nqubo yilezi:

• izinga eliphakeme lemininingwane yesithombe;
• ithuba lokukhomba ukuqhutshwa kwamaphutha kanye nama-polyps;
• ikhono lokuyeka ukuphuma kwangaphakathi .

Ngaphezu kwalokho, i-fibro-gastroduodenoscopy ye-FGD nge-biopsy ivumela ukukhethwa kwezicucu zomuntu ngamunye ze-ambulance ngenhloso yokuqhuba ukuhlolwa kwe-histological okulandelayo. Le nqubo ingenziwa kuzo zombili izicubu ezinobuthi nezimbi. Kuyasiza ukukhomba inqubo yokwelapha ngisho nasesiteji sokuqala sokuthuthukiswa kwayo.

I-EGD - indlela yokulungisa?

Le ndlela idinga indlela enzima. Uma ukulungiswa kwe-EHF kungenziwanga kahle, udokotela ngeke akwazi ukwenza le nqubo futhi asize isiguli. Ukubeka isisu sakho ngokuhlelekile, kubalulekile ukugcina izincomo ezilandelayo:

1. Ukuxhaphazwa kwenziwa ngesisu esingenalutho. Ukudla kokugcina kufanele kwenziwe 8-10 amahora ngaphambi kwenqubo. Uma isiguli sinenkinga ebalulekile ohlelweni lokugaya, lesi sikhashana senyukela emahoreni angu-12-13.
2. Kufanele ilahlwe izinsuku ezimbalwa ngaphambi kokuthi i-FGDF ingabhemi, ngoba i-nicotine yenza imithwalo yegazi igubungeleke. Ngaphezu kwalokho, ukuvezwa kwalesi sakhi kwandisa ukukhiqizwa kwe-mucus, ngakho-ke inqubo yokuhlola iyinkimbinkimbi.
3. I-FGD - ukulungiselela lolu cwaningo kuhlanganisa nokususwa kwamazinyo. Bangakwazi ukuvimbela udokotela ukuba enze le nqubo ngekhwalithi.
4. Awukwazi ukuxubha amazinyo akho ngosuku lokukhwabanisa. Kumele nje ugeze umlomo wakho ngamanzi ahlanzekile. Ukuhlanza amazinyo kwandisa i-gag reflex.
5. Ukulungiselela i-EGF yesisu kuphakamisa ukuthi isiguli kumele sizolile, sishiye ukwesaba. Isimo sengqondo sengqondo kulokhu kubaluleke kakhulu.
6. Ungabeki izingubo zokucindezela ngokuqinile kule nqubo.
7. Ukwamukelwa kwemithi (ama-antibiotics, amalungiselelo e-hormonal neminye imithi) kufanele ihlanganiswe ne-gastroenterologist.

Ukulungiselela imithombo yamanzi wesisu esiswini - iziphakamiso eziningana ezibalulekile

Ngaphambi kwalokhu inqubo kufanele ihambisane nokudla okukhethekile. Ukudla okunjalo kuzokusiza udokotela ukuba enze ucwaningo ngokulinganayo ngangokunokwenzeka. Izinsuku ezintathu ngaphambi kwe-EGF akunakwenzeka ukudla imikhiqizo enjalo:

• ama-plums, utamatisi, ama-apricot nezinye izithelo ezimuncu nemifino;
• iziphuzo ze-carbonated;
• amapheya, amakhabe, ama-cherry kanye nokunye ukudla okunzima ukugaya;
• izitsha ezibandayo - i-jelly, i-ayisikhilimu, i-jelly;
• ubhontshisi;
• ikhofi;
• ushokoledi;
• imikhiqizo yobisi;
• iziphuzo ezidakayo;
• amaju;
• buns.

Indlela yokulungiselela i-ECG yesisu, udokotela uyazi. Uzokwenza izincomo ngalokho okumelwe kudingidwe khona. Okuhle - ukudla okuyisithupha. Isiguli sizocelwa ukuba sidle imikhiqizo enjalo:

• uketshezi lwezinhlanzi, i-oatmeal noma i-porridge yekolweni;
• izithelo noma imifino ebhaka;
• inyama yenkukhu ebilisiwe;
• isinkwa esimhlophe;
• i-omelet;
• i-compote noma i-herbal tea.

I-Fibrogastroduodenoscopy - izinkomba

Ngokuvamile le nqubo iqokiwe, lapho kudingekile ukufeza izifo ze-GI ipheshana eliphezulu. I-FGDS noma ngaphandle kwe-biopsy inqunywe ezimweni ezinjalo:

• ukuvula ;
• ngokuvamile ubuhlungu obunzima obungabheki ngokwabo;
• ukutholakala kwegazi esihlalweni;
• ukulahlekelwa kwesisindo esikhulu;
• i-heartburn ;
• izinkinga ngokugwinya ukudla;
• ukuxilongwa kwesilonda noma isisu;
• i-anemia;
• ukunciphisa ukudla.

I-FDDS - ukungqinelani

Kunezimo eziningi lapho le nqubo inganconywa. I-GGDS contraindications yesisu inezi:

• aneorysm aortic;
• ukwephulwa kwegazi lokuvala ;
• ukuchithwa kwe-esophagus;
• ukuphazamiseka kwengqondo esiteji esinzima;
• uhlobo olunzima lwe-asthma ye-bronchial;
• ukuhlaselwa yinhliziyo noma ukushaywa;
• izifo ezithathelwanayo esiteshini esinzima;
• ukwandisa ukwenziwa kwegciwane;
• i-gag reflex eqinile;
• ukukhuluphala.

I-fibroadastroduodenoscopy yenziwa kanjani?

Le nqubo yenziwa ekamelweni elikhethekile lokuxilonga. Kuhlelwe noma kuphuthumayo. Ngaphambi kwe-EGF, udokotela noma umhlengikazi uqukethe iziguli ezine-spray nge-anesthetic action. Ngokuvamile, i-lidocaine isetshenziselwa lokhu. Ngaphambi kokukhetha izidakamizwa ngomphumela wokuqandisa, udokotela uzokwenza uvivinyo oluvumela ukuthi kunqunywe ukuthi kukhona yini ukungezwani komzimba kumuthi osetshenzisiwe.

I-Fibrogastroduodenoscopy - i-algorithm

Ngemva kokwelapha i-larynx nge-antiseptic ne-anesthetic, udokotela uyaqhubeka nenqubo ngokwayo. I-algorithm yayo kanje:

1. Isiguli silele embhedeni ngakwesobunxele sakhe.
2. Ngaphansi kwekhanda lakhe kwakubeka umcamelo, ogcwele ithawula (kuzokhipha umatha ngesikhathi senqubo).
3. Isiguli sinikezwa indandatho yepulasitiki (idinga ukuphoqa ngamazinyo).
4. Ngokuvula, i-endoscope ifakiwe, emva kwalokho udokotela ucela ukunyakaza, lapho i-probe ihamba khona ngendlela yokugaya.
5. Ngemuva kokuba ikamelo lifike esiswini, umoya uphonswa kulolu chungechunge lwesisu. Kulesi sigaba, izindonga zalesi sigungu sokugaya ziqondiswa.
6. I-electro-pump kusukela esiswini iqhume ngaphandle kwamanzi amaningi (i-mucus, bile, njalonjalo).
7. Ukuhlolwa kwepheshana lokugaya kuqala. Udokotela uhlola izitho zangasese futhi uthatha izicubu zokuhlolwa okulandelayo okulandelayo.
8. Ngemuva kwe-EGF, isofthiwe isuswa ngokushesha.
9. Isiguli sinikezelwa esigceme.

Yonke inqubo ingapheli imizuzu engu-5. Ngemuva kwalo, kukhona ukurekhoda kwevidiyo kokuhlolwa, okudokotela angakuhlola ngokuningiliziwe uma kunesidingo. Nokho, emva kwenqubo, imiphumela engavamile ingenzeka. Kubalulekile ukuba isiguli singazi kuphela ama-FGD - yikuphi okujwayelekile, kodwa futhi yiziphi izinkinga ezingenzeka. Ngokuvamile kukhona imiphumela enjalo:

1. Ubuhlungu esiswini - bayacasulwa ukuthi ngesikhathi senqubo, umoya uphonswa esiswini. Ukuzwa okungajabulisi kuzodlula ngokwakho ezinsukwini ezimbalwa emva kokuxhaphazwa.
2. Ukulimala emhlathini - lokhu kunenkinga kwenzeka uma amazinyo esiguli avulekile.
3. Umzwelo wokucindezela ku-larynx - ukuzwa okunjalo okungajabulisi kuyabonakala ngemva kokuba i-endoscope ifakwe emgodini.

I-FGD ngaphansi kwe-anesthesia jikelele

Phakathi nenqubo, kokubili i-anesthesia yendawo nejwayelekile ingasetshenziswa. I-Fibrogastroduodenoscopy ngaphansi kwe-anesthesia isiza ukubhekana nesibonakaliso se-emetic. Nge-anesthesia yendawo, impande yelulwimi ihlanzwa nge-anesthetic. Umphumela wokushisa ufika ngokushesha futhi ugcine kuze kufike kumaminithi angu-20. Inzuzo ye-anesthesia yendawo ukuthi ayisebenzisi imishini ekhethekile ekhethekile. Ngaphezu kwalokho, i-anesthesia enjalo ibhekwa njengokuphephile kwesiguli.

I-anesthesia jikelele ihilela ukusetshenziswa kwezidakamizwa ezikhanyayo, ezijojowe nge-intramuscularly, noma imithi enamandla. Ngalolu hlelo lwe-anesthesia ngesikhathi senqubo, udokotela usebenzisa imishini ekhethekile elawula ukuphefumula nenhliziyo yesiguli. Ngokungafani ne-anesthesia ejwayelekile yendawo yimbi kakhulu emzimbeni, ngakho-ke akuvamile ukusetshenziswa.

I-EGD - iyabuhlungu?

Ngenxa yokuthi i-anesthesia isetshenziswa, izinzwa zibekezeleleka. Ngenxa yalesi sizathu, i-FGDS - iyabuhlungu, iziguli akudingeki zizibophezele kakhulu futhi zicabange kakhulu. Ukunciphisa ukungakhululeki kungaba, ukulalela izincomo zesidakamizwa:

• qamba phansi;
• ukuphefumula ngokuthula;
• ungenzi ukunyakaza okungazelelwe.

I-EGS - ukucacisa

Emva kwenqubo, udokotela uhlaziya imiphumela futhi unikeza isitifiketi esibhaliwe isiguli. I-fibrogastroduodenoscopy yokuxilonga ihlanganisa izikhathi ezinjalo:

• ukuhlolwa kwesimo sezindonga kanye ne-mucosa yezingxenye zokugaya, kanye nokusebenza kwazo;
• Ukuhlolwa kwe-cardia - ukuhamba kwesisu ngaphakathi kwesisu;
• ukutadisha uketshezi esiswini;
• ukuhlolwa kwesango.