Ke pilikia nei ʻoe me kou ʻōpū liʻiliʻi? E aʻo kākou e pili ana i ka Balloon Enteroscopy!

I kekahi manawa, ʻaʻole maʻalahi ka loaʻa ʻana o nā maʻi ma nā ʻāpana liʻiliʻi o ko kākou kino, ʻeā? ʻOi loa aku hoʻi ma nā wahi e like me ka ʻōpū liʻiliʻi i loko o kā kākou ʻōnaehana hoʻoheheʻe. ʻO ia ka manawa e pono ai kēia hoʻāʻo kūikawā i kapa ʻia ʻo 'balloon enteroscopy'. E nānā kākou i ke ʻano o ia mea, pehea e hana ʻia ai, a no ke aha e pono ai.

E nānā mua kākou i ke ʻano o kēia enteroscopy balloon.

I ka ʻōlelo maʻalahi, he hana kūikawā kēia i hoʻohana ʻia e ʻimi i nā pilikia i loko o kou ʻōpū liʻiliʻi , a i kekahi manawa e mālama pono iā lākou ma laila. E noʻonoʻo iā ia e like me kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia (enteroscope) e hoʻokomo ʻia ana ma o hoʻokahi a ʻelua paha mau scopes e nānā i kou ʻōpū liʻiliʻi holoʻokoʻa. ʻO ia kekahi o nā ala kakaikahi e nānā ai i kāu ʻōnaehana gastrointestinal holoʻokoʻa me ka ʻole o ka hana ʻoki kino .

No laila pehea e hana ai kēia ʻōnaehana?

Eia ka mea e hana ʻia: Hoʻokomo kāu gastroenterologist i kahi enteroscope , kahi ʻōmole lōʻihi a lahilahi me kahi kāmela maopopo loa a me nā mea hana liʻiliʻi ma kekahi ʻaoʻao, i loko o kou ʻōpū liʻiliʻi ma o kou waha a i ʻole ma o kou anus. Aia hoʻokahi a ʻelua paha mau pōpō ma kēia ʻōmole. Hoʻopiha ʻia a hoʻohaʻahaʻa ʻia kēia mau pōpō. ʻAe kēia i ka ʻōmole e neʻe palekana ma o kou ʻōpū liʻiliʻi. ʻAe kēia iā ia e hele i mua o ka hiki o kahi endoscope maʻamau.

No ke aha mākou e pono ai i ia ʻōnaehana kūikawā?

E noʻonoʻo, he 20 kapuaʻi ka lōʻihi o kou ʻōpū liʻiliʻi ! ʻO ia ka ʻāpana lōʻihi loa o kā mākou ʻōnaehana hoʻoheheʻe. He haiki loa hoʻi ia, a he nui nā kūlou i loko. No laila, ʻaʻole i loaʻa i nā endoscopes maʻamau ka lōʻihi a i ʻole ka maʻalahi e uhi i kēia lōʻihi holoʻokoʻa. Akā, ʻelua ka lōʻihi o kēia enteroscope ma mua o ka mea maʻamau.

I nā hihia hea e pono ai ʻoe i kahi enteroscopy balloon?

ʻO ka hapa nui o ka manawa, hana ʻia kēia hoʻāʻo e ʻike i kahi kikoʻī o ke kahe ʻana o ke koko i loko o ka ʻōpū a mālama iā ia. ʻO ia ke kumu nui.

Aia kekahi mau kumu ʻē aʻe ma waho aʻe o kēlā. E nānā kākou i ke ʻano o lākou:

• E nānā i kou ʻōpū liʻiliʻi no nā polyps , ʻo ia hoʻi nā ulu liʻiliʻi, a i ʻole nā ​​​​puʻupuʻu ʻē aʻe.
• E ʻike a mālama i nā kūlana e like me ka maʻi Crohn o ka ʻōpū liʻiliʻi .
• I kekahi manawa hiki ke ālai ʻia kahi ʻāpana o ka ʻōpū, ʻo ia hoʻi he stricture , a i ʻole hiki ke hoʻohaiki ʻia ka ʻōpū i ke ʻano kūpono ʻole. E nānā i nā mea e like me ia.
• Inā ʻaʻole hiki ke hana ʻia nā hoʻokolohua ʻē aʻe, e like me ka capsule bowel liʻiliʻi a i ʻole endoscopy, ma muli o kahi ʻano ʻē i ke ʻano o kou ʻōpū.
• I loko o ka ʻōpū ma ke kuhihewaHoʻohana ʻia kēia e wehe i nā mea ʻē inā paʻa.

ʻO wai ka mea e hana i kēia enteroscopy balloon?

Hana ʻia kēia hoʻokolohua e kahi gastroenterologist, he kauka i loaʻa ke aʻo ʻia ma kēia wahi.

Pehea e hoʻomākaukau ai au no kēia hoʻokolohua?

ʻO ka hoʻomākaukau ʻana no kēia mea nui e pili ana i ka hoʻokahe ʻana i kou ʻōpū liʻiliʻi . ʻO ke ʻano kūpono iā ʻoe e hilinaʻi ia i kahi i hoʻokomo ʻia ai ka enteroscope:

• Ma ka waha: Hiki iā ʻoe ke ʻai i ka meaʻai wai wale nō mai ka ʻaina awakea i ka lā ma mua o ka hoʻāʻo a hiki i ʻelua hola ma mua o ka hoʻāʻo.
• Rectal: Pono kēia i ka hoʻokē ʻai ma mua o ka hoʻāʻo ʻana. Pono nō hoʻi ʻoe e hana i kahi hoʻomākaukau piha o ka ʻōpū , e like me ka colonoscopy . ʻO ke ʻano kēia e hāʻawi ʻia ʻoe i nā laxatives a me kahi hopena electrolyte e inu i ka lā ma mua o ka hoʻāʻo ʻana. E hoʻoulu kēia i ka maʻi diarrhea a hiki i ka maʻemaʻe loa o kou ʻōpū.

Ma waho aʻe o kēia hoʻomākaukau ʻana, pono paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau, e like me nā lāʻau hoʻokahe koko , nā lāʻau lapaʻau maʻi diabetes , a i ʻole nā ​​​​mea hoʻohui hao , no kekahi manawa. Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. E haʻi aku ʻo ia iā ʻoe i nā mea āu e hoʻōki ai i ka lawe ʻana a me nā mea āu e hiki ai ke hoʻomau i ka lawe ʻana.

He aha ka mea e hana ʻia i ka wā o ka balloon enteroscopy?

E hāʻawi mua ʻia ʻoe i kahi mea hoʻomaha , a i ʻole ka anesthesia laulā, e hoʻomoe iā ʻoe. ʻAʻole ʻoe e manaʻo i kekahi mea. A laila, e hoʻokomo ke kauka loea i ka enteroscope ma kou waha a i ʻole ka rectum. A laila, e hoʻopiha mau ʻia ka pōpō a hoʻohaʻahaʻa ʻia. I kēlā me kēia manawa e hoʻopiha ʻia ai ka pōpō a hoʻohaʻahaʻa ʻia, e neʻe iki ka ʻōmole i mua. Hiki i kēia ke hala ma kahi o ʻelua hola e nānā ai i ka ʻōpū liʻiliʻi holoʻokoʻa .

He aha nā hoʻokolohua a me nā lāʻau lapaʻau e loaʻa iaʻu i kēia kaʻina hana?

I ka wā o ka enteroscopy balloon, hiki ke hana ʻia nā mea aʻe:

• E nānā pono ʻia kou ʻōpū liʻiliʻi no nā hōʻailona, ​​​​e like me ka pehu ʻana i mea ʻē .
• Inā he kahe koko i loko, loaʻa iā lākou a mālama ʻia.
• Inā ua loaʻa kekahi o ka ʻohana i ka maʻi ʻaʻai ʻōpū liʻiliʻi , hana ʻia nā hoʻāʻo ʻana no ka poʻe i pilikia.
• Inā he mau polyp , nā ulu ʻē aʻe ʻē aʻe, a i ʻole nā ​​​​mea ʻē i hoʻokomo hewa ʻia, e wehe ʻia lākou.
• Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo i ʻike ʻia he ʻano ʻē (biopsy) a hoʻouna ʻia i kahi hale hana e nānā ʻia ma lalo o kahi microscope.
• He koʻikoʻi i loko o kou ʻōpūInā he hoʻokahi, hiki ke hoʻonui ʻia a hiki ke hoʻokomo ʻia kahi mea like me ka mesh (stent) e pale aku ai i ka pani hou ʻia ʻana.

He aha nā pono a me nā pilikia o kēia ʻano hana enteroscopy balloon hoʻokahi a i ʻole ka pālua?

ʻO ka pōmaikaʻi nui o kēia ʻano hana, hiki ke hana ʻia me ka ʻole o ke ʻoki ʻana i ka ʻōpū nui . Hōʻalo kēia i nā pilikia o ke ʻoki nui, hōʻemi i ka manawa hoʻōla, a hiki iā ʻoe ke hoʻi koke i nā hana maʻamau.

Akā, e like me nā hana lapaʻau āpau, aia kekahi mau pilikia e pili ana. E nānā kākou i ke ʻano o lākou:

• Ma hope o ka hoʻāʻo ʻana , hiki i ke kinoea i loko o ka ʻōpū ke hoʻoulu i ka ʻeha a me ka ʻoluʻolu ʻole .
• Hiki i kekahi poʻe ke loaʻa i ka pancreatitis .
• ʻO nā pilikia e pili ana me ka anesthesia e komo pū me ka nausea a me ka luaʻi ʻana , ka mahana o ke kino haʻahaʻa , a me ke poʻo ʻeha .
• I ka manawa kākaʻikahi loa, hiki i ka paia o ka ʻōpū liʻiliʻi ke lilo i perforated (bowel perforation) .
• Inā hoʻokomo ʻia ka enteroscope ma ka waha, hiki iā ʻoe ke ʻeha ka puʻu ma hope.

ʻO ka mea nui, ʻo ka likelika o kēia mau pilikia he haʻahaʻa loa ia. Na kāu kauka e wehewehe i kēia mau mea āpau iā ʻoe.

Pehea ka wikiwiki e hiki ai iaʻu ke ʻike i nā hopena hoʻokolohua?

Hiki paha iā ʻoe ke ʻike i kekahi mau hopena ke ala koke ʻoe mai ka anesthesia . Eia nō naʻe, inā lawe kāu kauka i kahi biopsy a wehe paha i kahi polyp , maʻamau e hala ma kahi o hoʻokahi pule no ka hoʻi ʻana mai o nā hopena.

Pehea ka manawa ho'ōla ma hope o kēia hoʻokolohua?

He hana outpatient ka Balloon enteroscopy. ʻO ia hoʻi, hiki iā ʻoe ke hoʻi i ka home ma hope o ke ala ʻana mai ka anesthesia. Eia nō naʻe, ʻaʻohe mea pehea kou maikaʻi, ʻaʻole pono e hoʻokele i ka lā o ke kaʻina hana . No laila, pono ʻoe e hoʻonohonoho e hoʻi i ka home me kahi kanaka kuleana ma mua.

He mea nui e hoʻomaha nui ma hope o kou hoʻi ʻana i ka home. Inā ua lawe ʻoe i ka lāʻau lapaʻau e hoʻomaʻemaʻe i kou ʻōpū, e inu i ka wai he nui a ʻai i nā meaʻai momona. Hiki i ka hapa nui o ka poʻe ke hoʻi i nā hana maʻamau i ka lā ma hope o ka hoʻāʻo.

He aha ka ʻokoʻa ma waena o ka Single Balloon Enteroscopy a me ka Double Balloon Enteroscopy?

ʻO kēia mau kaʻina hana ʻelua, i kapa ʻia ʻo single balloon enteroscopy a me double balloon enteroscopy , he mau ala palekana a maikaʻi hoʻi e nānā ai i kou kolona. Ma nā kaʻina hana ʻelua, ua hoʻokomo ʻia kahi ʻōmole lahilahi (overtube) i loko o ke kolona, ​​ʻo ia hoʻi ka enteroscope.Hoʻokahi. ʻO ka ʻokoʻa nui ma ke ʻano o ke komo ʻana o ka paipu i loko o ka ʻōpū.

I loko o ka enteroscopy balloon hoʻokahi , hoʻokahi wale nō balloon o ka enteroscope. He palupalu ka ʻaoʻao mua o ka balloon. Hana kēia ma ke ʻano he heleuma i ka wā e hoʻokomo ʻia ai ka paipu ma o ka colon.

I ka enteroscopy balloon pālua , ua pani ʻia ka ʻaoʻao palupalu e kekahi balloon ʻē aʻe. Hana kekahi balloon ma ke ʻano he heleuma, aʻo kekahi balloon e kōkua i ka hoʻoneʻe ʻana i ka ʻōmole.

ʻO ka maʻamau, hiki i kahi enteroscope balloon pālua ke komo hohonu i loko o ka ʻōpū liʻiliʻi ma mua o kahi balloon hoʻokahi, e ʻae ana i kahi ʻike maikaʻi o ka ʻōpū liʻiliʻi holoʻokoʻa.

ʻO ka mea nui e pono ai ʻoe e hoʻomanaʻo mai ka mea a mākou i kamaʻilio ai, ʻo ia

ʻO ka Balloon enteroscopy, a i ʻole balloon-assisted enteroscopy, he hana waiwai nui ia i hoʻohana ʻia no ka ʻike ʻana a me ka mālama ʻana i nā maʻi o ka ʻōpū liʻiliʻi . Hiki iā ia ke kōkua i ka loaʻa ʻana o nā hopena i nā ʻano maʻi like ʻole, e like me ke kahe koko ʻana o ka ʻōpū a me nā polyps . ʻO ka mea nui loa, ʻoi aku ka mālie o kēia ʻano hana ma kou kino ma mua o ke ʻoki kino . No laila, ʻoi aku ka liʻiliʻi o ka ʻoluʻolu ʻole i ka wā hoʻōla, a hiki iā ʻoe ke hoʻi koke i kāu mau hana o kēlā me kēia lā. Inā haʻi aku ke kauka iā ʻoe e pili ana i kēia ʻano hoʻāʻo, mai makaʻu. E kamaʻilio pono me ia e pili ana i ia mea a nīnau iā ia i kāu mau nīnau.

ʻEnteroscopy Balloon , ʻōpū liʻiliʻi, enteroscope, hoʻokolokolo ʻōpū, nā maʻi ʻōpū, polyps, maʻi Crohn