Kua tonoa koe kia whiwhi i te Endoscopic Ultrasound (EUS)? Me kōrero māmā noa iho tātou mō tēnei!

Ina kī atu te tākuta me whai whakamātautau `(Endoscopic Ultrasound)`, `(EUS)` rānei koe, ka mataku pea koe, tika? "He aha tēnei whakamātautau hou?" "Ka mamae?" "He aha i mahia ai tēnei?" He maha ngā pātai pēnei ka puta ake pea ki te hinengaro. He mea noa. Nō reira, i tēnei rā, ka kōrero tātou mō tēnei whakamātautau `(EUS)` i roto i ngā kupu māmā noa iho, pērā i tāu kōrero ki tētahi hoa. Kātahi ka taea e koe te mārama ake ki tēnei.

Nā, he aha te ultrasound endoscopic (EUS)?

He whakarāpopototanga noa iho, he whakamātautau motuhake te EUS e tirotiro ana i roto i tō pūnaha nakunaku . Ka mahia tēnei e te tākuta tohunga ki te pūnaha nakunaku (e kiia ana he gastroenterologist).

E whakamahi ana tēnei whakamātautau ``(EUS)`` i te huinga o ngā mea matua e rua:

1. He endoscope: Whakaarohia he rite ki tētahi ngongo angiangi, roa, ngāwari hoki, he kāmera iti me te mārama e piri ana ki tētahi pito. Mā tēnei ka taea e te tākuta te kite mārama i roto i tō tinana.

2. Ultrasound: Kei te pito o te endoscope, me te kāmera, he taputapu ultrasound iti (tirotiro). Ka whakamahia e tēnei he ngaru oro hei hanga pikitia o ō whekau o roto, o ō kiko, me ō uaua toto . He rite ki te matawai ultrasound ka whiwhi tō pēpi, engari ka mahia i roto i tō tinana.

Nō reira, ina honoa ēnei mea e rua, ka taea e te tākuta te whiwhi pikitia mārama mō ngā pakitara (ngā paparanga) o tō pūnaha nakunaku, tae atu ki ngā whekau kē atu e tata ana ki reira (hei tauira, te repeure me te pūkahukahu).

Ko wai te hunga e hiahia ana ki tēnei whakamātautau EUS?

Ehara i te mea me whai i tēnei whakamātautau "(EUS)" te katoa. Tērā pea ka tūtohu te tākuta kia whakamahia hei tirotiro, hei whakaū rānei i ētahi āhuatanga hauora. Anei ētahi tauira:

• Ki te mamae tonu tō puku, tō uma rānei , kimihia te pūtake.
• Mena kei te whakapaetia kua horapa te mate pukupuku ki ētahi atu wāhanga o te tinana (mate pukupuku metastatic) .
• Mena kua kite koe i tētahi puku, whara, tipu rānei i tētahi matawai CT, MRI rānei o mua, kimihia he aha rawa te take.
• Mena he raruraru tōu ki tō pūnaha nakunaku , hei tauira, he mate pēnei i te Inflammatory Bowel Disease (IBD), te mate pukupuku koroni, te ngatata o te ihu rānei.
• Te mate pūkahukahu , arā, mēnā he kohatu pūkahukahu tōu, he mumura rānei tōu o te pūkahukahu (cholecystitis).
• Kimihia ngā mōhiohio e pā ana ki ētahi mate pūkahukahu , pērā i te mate pukupuku pūkahukahu.
• Ngā mate repeureKimihia ētahi atu kōrero. Kei roto i tēnei ko ngā āhuatanga pēnei i te mate pukupuku repeure, ngā whēwhe repeure, me te pancreatitis.
• Mena he uaua ki a koe te horomi i te kai , hei tauira, ko ngā āhuatanga pēnei i te "esophagus a Barrett".

I roto i ēnei āhuatanga ka taea e te EUS te āwhina i ngā tākuta ki te titiro ki roto me te whakatau tika i te mate.

He aha ngā momo matua o te whakamātautau EUS?

E rua ngā wāhanga matua o ngā whakamātautau EUS, i runga i te wāhi e mahia ai te whakamātautau.

1. EUS o Runga

Ka tirohia tēnei te wāhanga o runga o tō pūnaha nakunaku. Arā:

• Ko te arai o roto o tō korokoro (te paipa kai), te puku (te puku), me te wāhanga o runga o tō whekau iti (duodenum).
• Ngā pūnga lymph e pā ana, ngā oko toto, ngā cysts, me ngā pukupuku.
• Ka taea hoki e ia te tirotiro i ngā whekau tata pēnei i te repe taiaki, te pūkahukahu, me ngā awa au.

2. Te iti o te EUS

Ka tirohia e tēnei whakamātautau te wāhanga o raro o tō pūnaha nakunaku. Arā:

• Ngā uaua e karapoti ana i te pūaha o te anal (anal sphincter).
• Ngā oko toto, ngā kōpū lymph, ngā cysts, me ngā pukupuku matepukupuku i taua wāhi.
• Te paparanga o roto o te wāhanga whakamutunga o te whekau nui (te tō me te koroni).

Mā te tākuta e whakatau ko tēhea o ēnei "EUS" e rua ka mahia i runga i ō tohu me ō hiahia.

Kei te whakahaerehia ētahi atu whakamātautau me te EUS?

Ae, i ētahi wā, i te wā e mahia ana te EUS, ka taea te mahi i tētahi atu tikanga nui. Arā, he Endoscopic Ultrasound-guided Fine-Needle Aspiration (FNA) .

He ingoa roa pea tēnei, engari koinei noa iho: I a ia e titiro ana ki roto me te "(EUS)", ka taea e te tākuta te titiro ki ngā whakaahua o te ultrasound, ka tukuna he ngira tino angiangi mā roto i te endoscope, ka tango i tētahi wahi iti o te kiko, o te wai rānei mai i tētahi wāhi whakapae . Ka kiia tēnei ko te "(FNA)", ā, ka kiia hoki e ētahi ko te "(biopsy)".

Kātahi ka tukuna te tauira ki tētahi taiwhanga, ka tirohia e te tohunga mate i raro i te karuārai hei rapu i ngā pūtau rerekē, pērā i ngā pūtau matepukupuku. Mā tēnei ka āwhina ki te whakaū i te āhua tuturu o te mate .

He aha ngā mea me mahi e au i mua i te whakamātautau EUS?

Ina whakaritea he whakamātautau EUS māu, ka hoatu e tō tākuta, e tō nēhi rānei ngā tohutohu mō ngā mea hei mahi me ngā mea kāore e tika kia mahia i te rā i mua atu. He mea nui kia whai tika koe i ēnei tohutohu kia angitu ai te whakamātautau . Ko te tikanga kei roto i ēnei ko ngā mea penei:

• Mō ngā rongoā e tangohia ana e koe: Mena kei te tango koe i ngā rongoā mō ngā mate pēnei i te mate huka, te toto toto tiketike, te mate ngakau rānei, inā koa ngā rongoā whakaiti toto,Mena kei te tango koe i ngā rongoā whakaiti toto (hei tauira, Coumadin®, Plavix®) me te insulin rānei, me kōrero koe ki tō tākuta i mua i te wā. Tērā pea ka hiahia tō tākuta ki te whakarerekē i te horopeta, ki te whakamutu rānei i te tango i te rongoā mō ētahi rā.
• Kai me te Inu: Ka tonoa koe kia kaua e kai, e inu rānei i tetahi mea mō ētahi haora i mua i te whakamātautau (ko te tikanga he 6-8 haora). He mea nui kia takoto kau te puku kia mārama ai te whakamātautau.
• Te whakarite puku: Mena he iti iho tō EUS, ka tohua e tō tākuta he wai motuhake e kiia nei ko te "whakarite puku" hei horoi i tō koroni. Mā tēnei ka taea e koe te kite mārama i te roto o tō koroni.
• Ētahi atu tohutohu: Tērā pea ka tukuna atu he tohutohu motuhake atu ki a koe. Whakarongo pai ki ngā tohutohu katoa, ā, whaia.

He aha tonu te mea ka tupu i te wā o te EUS o runga?

Ko te EUS o runga he tikanga ā-waho. Kāore koe e whakaurua ki te hōhipera mō tēnei tikanga. Heoi, nā te mea ka hoatu he rongoā whakamoe (whakamamae) ki a koe mō tēnei tikanga, me whai tangata koe hei taraiwa i a koe ki te kāinga i muri i te tikanga. He mea pai hoki kia whai hoa koe mō te toenga o te rā. Ko te tikanga e 60 meneti te roa o te tikanga EUS o runga.

Ko ngā mea e whai ake nei ka puta i te wā o te whakamātautau:

1. Ka hurihia koe ki maui, ka meinga kia takoto.

2. Ka werohia e te nēhi he pūwero iti ki roto i te uaua i tō ringa, ā, ka hoatu he rongoā whakamoe ki a koe . Mā tēnei ka āwhina i a koe kia marino, kia kore ai koe e rongo i te whakamātautau.

3. Ka rehu ahau i tētahi rongoā hei whakangoi i tō korokoro.

4. Ka whakanohoia he ārai waha kirihou ki roto i tō waha hei ārai i te kino o ō niho, hei ārai hoki i a koe kei ngaungau i te endoscope.

5. Kātahi ka āta whakaurua e te tākuta te endoscope ultrasound mā roto i tō waha, ki raro i tō korokoro, ki roto i tō puku, kātahi ki te wāhanga o runga o tō whekau iti (duodenum). Kāore koe e mamae i tēnei wā . Ka taea e koe te manawa noa.

6. Ka tirohia e te tākuta ngā whakaahua ultrasound i runga i te mata tirotiro, ā, ka tirohia te wāhanga o runga o tō pūnaha nakunaku, ngā whekau e karapoti ana, ngā puku, me ngā pukupuku.

7. Ki te tika, ka mahia te `(FNA)` kua whakahuatia ake nei, arā, ko te tango tauira kiko i tēnei wā.

8. Kia oti te tirotiro, ka āta tangohia e te tākuta te endoscope. Ka mutu te rongoā whakamoe. Kātahi ka haria koe ki te rūma whakaora, ā, ka tatari kia hoki mārire mai tō māramatanga.

He aha te mea ka tupu i te wā e iti iho ana te EUS?

He rite tonu te whakamātautau oro-mata iti (EUS) ki te whakamātautau oro-mata iti, ā, ka mahia i taua rā anō . Ka hoatu hoki he rongoā whakamoe ki a koe, nō reira me kawe koe e tetahi ki te kāinga.

I te nuinga o te wā, e kore e neke atu i te 60 meneti te roa o tēnei whakamātautau.Koinā te mea e tupu ana. Mō te `(EUS)` e mahia ana i raro i te kiri, he iti ake te kitea o te `(FNA)`.

Koinei te mea ka tupu i te wā o te whakamātautau:

1. Ka hurihia koe ki maui, ka meinga kia takoto.

2. Ka hoatu he pire moe mā te werohanga IV hei āwhina i a koe kia marino.

3. Ka whakaurua e te tākuta te endoscope ultrasound mā roto i tō nono me tō rectum, ā, ka arahina e ia mā tō koroni. Kāore koe e mamae, e kore rānei e māharahara i te wā e mahia ana tēnei tikanga . Ka taea e koe te manawa noa.

4. Ka tirohia e te tākuta ngā whakaahua o te ultrasound i runga i te mata tirotiro, ā, ka tirohia te wāhanga o raro o tō pūnaha nakunaku, ngā whekau e karapoti ana, me ngā puku katoa.

5. Kia oti te tirotiro, ka tangohia mārire te endoscope, ā, ka mutu te rongoā whakamoe. Ka āta hoki anō tō māramatanga.

He aha ōu kare ā-roto i muri i te whakamātautau EUS?

Ko ngā pānga o te rongoā whakamoe i hoatu ki a koe ka memeha haere i roto i te 30 meneti ki te haora . I muri i tēnā, tera pea ka pāngia koe e ētahi mamae iti, pēnei i:

• Mena he iti iho tō EUS, tera pea ka pāngia koe e: te hau, te pupuhi, te kōroke rānei .
• Ki te mahi koe i tētahi EUS o runga: he korokoro mamae .

Ko te tikanga ka ngaro katoa atu ēnei tohu i roto i ngā haora 24 , nō reira kāore he mea e manukanuka ai.

He pai ake te okioki mō te toenga o te rā i muri i te whakamātautau. Ka taea e koe te tīmata anō i ō mahi o ia rā i te rā e whai ake nei.

He aha ngā mōrearea, ngā raruraru rānei ka pā mai i te whakamātautau EUS?

Ko te tikanga whānui, e kiia ana ko te EUS he tikanga tino haumaru . Heoi, pērā i ngā tikanga hauora katoa, he iti noa te tūponotanga ka puta he raruraru, he tino onge ēnei. Kei roto i ēnei ko:

• He mate pāwera ki te rongoā whakamoe.
• Te kino ki te pūnaha nakunaku, te toto rānei.
• I roto i te EUS o runga, ka uru te wai mai i te waha, i te puku rānei ki ngā pukahukahu (te mimiti o te pukahukahu).
• Te mumura o te repe taiaki (pancreatitis) (ka pā tēnei ina koa i muri i te tirotiro i te taha whakarunga (EUS) me te tango i te ngira hei tango i te kiko).
• He kōhao (pūpū/haehae) i te pakitara o te puku.

Kāore ēnei mea e tino puta pinepine ana , engari he mea pai kia mōhio koe ki ēnei mea. Mēnā he raruraru, ka rongoāhia e te tākuta.

Āhea ahau ka mōhio ai ki ngā hua o te whakamātautau EUS?

Kia oti te whakamātautau, ka hoatu e te tākuta he whakaaro whānui mō ngā mea i kitea i te wā o te EUS. Heoi, mēnā i tangohia he tauira kiko (biopsy) mai i te FNA ka tukuna ki te taiwhanga, ka roa pea ētahi wiki ki te tiki i te pūrongo katoa . Whai muri i te taenga mai o taua pūrongo, ka whakahokia mai koe e te tākuta ka whakamārama atu ki a koe.

Āhea koe me toro atu ki te tākuta kia tere tonu ai?

Mena ka pāngia koe e tētahi, e ētahi rānei o ēnei tohu i muri i te whakamātautau, waea atu ki tō tākuta tonu atu , haere rānei ki te hōhipera tata:

• Mena he toto kei roto i te tūtae ('toto i roto i te tūtae').
• Mena he uaua, he mamae rānei tōu i te haerenga ki te wharepaku.
• Mena kei te pāngia koe e te kirika, e ētahi atu tohu rānei o te mate (pēnei i te makariri me te mamae o te tinana).
• Mena he uaua ki a koe te horomi i te kai.
• Mena kei te mau tonu tō whakapairuaki me te ruaki.
• Te mamae puku, te mamae uma rānei e kore e taea te whakamanawanui, te kino, te mau tonu.
• Te poto o te manawa.

Mena kei a koe ēnei āhuatanga, he mea tino nui kia rapu tohutohu hauora tonu koe.

Hei whakamutunga, ngā mea hei maumahara

Āe, ko tāku tumanako kei a koe te whakaaro pai mō te whakamātautau `(Endoscopic Ultrasound - EUS)`.

He huarahi tino haumaru, he huarahi whai hua hoki te tirotiro i roto i tō pūnaha nakunaku mā te whakamahi i te ultrasound endoscopic (EUS). Ka taea e ia te āwhina i ngā tākuta ki te kimi i te pūtake o ō tohu, inā koa ngā raruraru nakunaku, te mate pukupuku, me te horapa o te mate pukupuku. Mena e tika ana, ka taea te tango i tētahi tauira kiko (biopsy / FNA).

He whakamātautau "iti rawa te whakaekenga" tēnei, arā, kāore he tapahi nui, ā, ka taea e koe te hoki ki te kāinga i taua rā anō. Nō reira, ki te kī atu te tākuta kia "(EUS)" koe, kaua e mataku nui. Mena he pātai anō āu, kōrero ki tō tākuta mō ēnei.

` Ororongo endoscopic, EUS, pūnaha nakunaku, endoscopy, ororongo, koiora, whakamātautau matepukupuku