Ua kauoha paha kāu kauka i kahi endoscopy a i ʻole ultrasound scan no kou ʻeha ʻōpū a i ʻole kekahi maʻi olakino ʻē aʻe. Akā i kekahi manawa, aia nā mea i hiki ʻole ke loaʻa me kekahi o kēia mau hoʻokolohua a pono e nānā hohonu ʻia. ʻO ia ka manawa e kuhikuhi ai nā kauka iā ʻoe i kahi hoʻokolohua kūikawā i kapa ʻia ʻo "endoscopic ultrasound." ʻO ka lohe ʻana i kēia inoa he mea weliweli iki paha, akā ʻaʻole ia he paʻakikī e like me kou manaʻo. E kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka endoscopic ultrasound (EUS)?
He hui pū ʻana kēia o nā ʻenehana ʻelua. ʻO ia hoʻi, he endoscopy a he ultrasound scan .
E noʻonoʻo, i ka wā o kahi scan ultrasound maʻamau, kau ke kauka i kahi mea liʻiliʻi ma kou ʻōpū a nānā i nā ʻōpū i loko o kou kino. Ua like ia me ka hoʻomālamalama ʻana i kahi kukui uila i loko o kahi lumi. Hiki iā ʻoe ke ʻike i kekahi mau mea, akā ʻaʻole maopopo nā mea āpau.
Akā ma kēia ultrasound endoscopic (EUS) , ua hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia (kapa mākou i kēia "Endoscope") ma o ka waha a i ʻole ka rectum, a ua hoʻohana ʻia kahi mea ultrasound liʻiliʻi ma ka hopena o ka ʻōmole e nānā i nā ʻōpū i loko o ke kino. I ka ʻōlelo maʻalahi, ua like ia me ka lawe ʻana i kēlā kukui i loko o ka lumi a nānā. A laila hiki iā mākou ke hoʻokokoke loa i ke ʻōpū a mākou e makemake ai e nānā, no laila ua maopopo loa a kikoʻī nā kiʻi a mākou e loaʻa ai.
He kōkua nui kēia ʻano hana no ka ʻike pololei ʻana i nā puʻupuʻu liʻiliʻi loa, nā loli i loko o nā kelepa, a me nā pae mua o ke kanesa i ʻike ʻole ʻia e ka scan maʻamau.
Ma lalo o nā kūlana hea e noi aku ai ke kauka iā ʻoe e hana i kēia hoʻokolohua?
ʻAʻole hana pinepine ʻia ka hoʻāʻo ʻana o EUS no nā kānaka āpau. Hoʻohana ʻia ia i nā hihia kūikawā kahi e hiki ʻole ai i nā hoʻāʻo ʻē aʻe ke hāʻawi i kahi hopena maopopo a koi ʻia ke aʻo hohonu.
| Ke nānā nei i ke kūlana | He wehewehe maʻalahi |
|---|---|
| Kahua a me ka laha ʻana o ka maʻi kanesa | Kōkua kēia i ka ʻike pololei ʻana i ka hohonu o kahi puʻupuʻu kanesa i loko o ka esophagus, pancreas, a i ʻole nā māmā a inā ua pālahalaha aku i nā lymph node kokoke. He mea nui loa kēia no ka hoʻolālā ʻana i ka mālama ʻana. |
| Nā maʻi pancreatic | Hoʻohana ʻia ʻo EUS e aʻo i nā kūlana e like me ka pancreatitis mau loa, nā puʻupuʻu, a i ʻole nā ʻeke liʻiliʻi i piha i ka wai (cysts) i loko o ka pancreas. |
| Nā ʻōpū ma ke ala ʻai | Hoʻohana ʻia kēia e ʻike pono ai i nā puʻupuʻu liʻiliʻi (nodules) a i ʻole nā pūʻupuʻu ma ka paia o ke ala ʻai, inā he mea weliweli a ʻaʻole paha, a e lawe i kahi ʻāpana liʻiliʻi o ia mea no ka hoʻokolokolo ʻana (biopsy) inā pono. |
| Nā pilikia o ke akepaʻa a me ka gallbladder | Kōkua kēia i ka loaʻa ʻana o kahi kiʻi maopopo o nā kūlana e like me nā pōhaku gallstones, nā ālai ʻana o ke aʻa bile, a i ʻole kekahi mau puʻupuʻu i loko o ke ake. |
| Ka paʻakikī ke kāohi ʻana i nā neʻe ʻana o ka ʻōpū | Loaʻa i kekahi poʻe ka incontinence fecal me ka ʻike ʻole. Hoʻohana ʻia ʻo EUS e hoʻoholo i ke kumu o kēia a e nānā i kekahi nāwaliwali a i ʻole ka hana pono ʻole i loko o nā ʻiʻo a puni ka anus. |
ʻAe, e nānā kākou pehea e hana maoli ai kēia hoʻāʻo.
ʻO ka nīnau nui paha āu e loaʻa ai e pili ana i kēia hoʻāʻo, ʻo ia ka ʻeha a i ʻole ka ʻoluʻolu ʻole. ʻO ka pane, ʻaʻole ʻoe e ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha . ʻO kēia no ka mea e hoʻomoe ʻia ʻoe a e manaʻo iki ʻoe i ka hoʻomaha.
Ma mua o ka hoʻāʻo
E aʻo aku kāu kauka iā ʻoe i ka nui o nā hola e pono ai ʻoe e hoʻokē ʻai ma mua o ka hoʻāʻo. ʻO ka maʻamau, pono ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana no kahi o 6-8 mau hola. He mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
I ka wā o ka hoʻāʻo
1. Anesthesia: ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi lāʻau hoʻomaha ma o kahi inikini i loko o kahi aa. E hoʻokomo kēia iā ʻoe i kahi kūlana hiamoe māmā. No laila, ʻaʻole ʻoe e manaʻo a hoʻomanaʻo paha i kekahi mea.
2. Hoʻokomo ʻana o ka endoscope:A laila, hoʻokomo pono ke kauka i ka mea hana EUS (he ʻōmole lahilahi a palupalu) ma kou waha (e ʻike ana i ka ʻaoʻao o luna o ka paipu meaʻai) a i ʻole ma o kou rectum (e ʻike ana i ka ʻaoʻao o lalo o ka paipu meaʻai).
3. Hoʻokolokolo: Ke hoʻokomo ʻia ka hāmeʻa, nānā ke kauka i nā kiʻi kāmela ma kekahi monitor a me nā kiʻi ultrasound ma kekahi. Ma kēia ʻano, e nānā pono ʻia nā paia o ke ala ʻai, ka pancreas, a me nā ʻōpū e pili ana, e like me ka gallbladder.
4. Biopsy: Inā he wahi kānalua, hiki ke hoʻokomo ʻia kahi nila liʻiliʻi loa ma o ka hāmeʻa EUS a hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ia wahi no ka hoʻokolokolo ʻana. Ua kapa ʻia kēia ʻo `(Fine-Needle Aspiration)`. ʻAʻole ʻoe e ʻike iki i kēia.
Hiki i kēia hoʻāʻo holoʻokoʻa ke hala ma waena o 30 a 90 mau minuke .
Ma hope o ka hoʻāʻo
Ma hope o ka hoʻāʻo ʻana, e mālama ʻia ʻoe i loko o kahi lumi hoʻōla no hoʻokahi a ʻelua paha hola a pau ka anesthesia. Hiki iā ʻoe ke hiamoe iki. No laila e pono maoli ʻoe i kekahi e lawe iā ʻoe i ka home. Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Inā ua hana ʻia ka hoʻāʻo ma o ka waha, hiki iā ʻoe ke loaʻa kahi manaʻo ʻūlū iki i kou puʻu no hoʻokahi a ʻelua paha lā, he mea maʻamau ia.
Aia kekahi pilikia i loko o kēia?
He kaʻina hana palekana loa ka EUS. He kākaʻikahi nā pilikia. Inā loaʻa, hiki iā lākou ke komo pū me:
- Ka maʻi ʻaleka i nā lāʻau hoʻomaha.
- Inā lawe ʻia kahi biopsy, hiki ke kahe iki ke koko mai ka wahi i ʻoki ʻia.
- He mea kākaʻikahi loa ka loaʻa ʻana o ka maʻi.
Akā e hoʻomanaʻo, he mea paʻakikī loa kēia mau mea ke hana . Ua aʻo ʻia kāu kauka e hoʻokele i kēia mau mea āpau. Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū, ke kuni, ka luaʻi ʻana, a i ʻole ke kahe koko nui ma hope o ka hoʻāʻo ʻana, pono ʻoe e kāhea koke i kāu kauka.
Leka Lawe-Home
- He hoʻāʻo kūikawā ka Endoscopic ultrasound (EUS) e hāʻawi ana i nā kiʻi maopopo a kikoʻī hoʻi ma mua o kahi scan maʻamau.
- Hana ʻia kēia ma lalo o ka anesthesia, no laila ʻaʻole ʻoe e manaʻo i ka ʻeha a i ʻole ka pilikia.
- He kōkua nui kēia i ka ʻike ʻana i nā maʻi paʻakikī o ka ʻōpū hanu, ka pancreas, a me nā ʻōpū a puni.
- He hoʻāʻo palekana loa kēia. Haʻahaʻa loa ka pilikia o nā pilikia.
- Inā he mau nīnau hou aku kāu e pili ana i kēia hoʻāʻo, mai kānalua e nīnau i kāu kauka.
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