He raruraru tō whekau iti? Me ako tātou mō te Balloon Enteroscopy!

I ētahi wā, ehara i te mea ngāwari te kimi i ngā mate i ngā wāhanga iti o tō tātou tinana, kāore? Ina koa i ngā wāhi pērā i te whekau iti o tō tātou pūnaha nakunaku. Koinei te wā e whai hua ai tēnei whakamātautau motuhake e kiia nei ko te 'balloon enteroscopy'. Kia kite tātou he aha tēnei, me pēhea te mahi, me te take e hiahiatia ai.

Kia titiro tuatahi tātou he aha tēnei whakamātautau pokanga poihau.

He māmā noa iho, he tikanga motuhake tēnei e whakamahia ana hei rapu i ngā raruraru i roto i tō whekau iti , ā, i ētahi wā ka rongoatia tonutia. Whakaarohia he rite ki tētahi ngongo angiangi me tētahi kāmera e piri ana (enteroscope) e tukuna ana mā roto i tētahi, i ētahi rānei karu tirotiro hei tirotiro i tō whekau iti katoa. Ko tētahi hoki tēnei o ngā huarahi torutoru hei tirotiro i tō pūnaha puku katoa me te kore e hiahiatia he pokanga .

Nā, me pēhea te mahi a tēnei pūnaha?

Koinei te mea ka tupu: Ka whakauruhia e tō tākuta puku he enteroscope , he ngongo roa, angiangi me te kāmera tino mārama me ngā taputapu iti i tetahi pito, ki roto i tō whekau iti mā tō waha, mā tō nono rānei. Kotahi, e rua rānei ngā poihau kei runga i tēnei ngongo. Ka pupuhihia, ka whakaitihia ēnei poihau. Mā tēnei ka taea e te ngongo te neke haumaru mā roto i tō whekau iti. Mā tēnei ka taea e ia te haere atu i tua atu i te endoscope noa.

He aha tātou i hiahia ai ki tētahi pūnaha motuhake pēnei?

Whakaarohia, e 20 putu te roa o tō whekau iti ! Koinei te wāhanga roa rawa atu o tō tātou pūnaha nakunaku. He tino whaiti hoki, ā, he maha ngā piko o roto. Nō reira, kāore i te roa, i te ngāwari rānei o ngā endoscope noa hei hipoki i tēnei roa katoa. Engari e rua te roa o tēnei enteroscope i te mea noa.

I roto i ēhea āhuatanga ka hiahiatia he enteroscopy poihau?

I te nuinga o te wā, ka mahia tēnei whakamātautau hei kimi i te wāhi tika o te toto i roto i te whekau , ā, hei rongoā anō hoki. Koinei te take matua.

Heoi anō ētahi atu take. Kia tirohia tātou he aha ēnei:

• Tirohia tō whekau iti mō ngā polyp , arā, he tipu iti, he puku rānei.
• Te tautuhi me te whakahaere i ngā āhuatanga pēnei i te mate a Crohn o te whekau iti .
• I ētahi wā ka āraia tētahi wāhanga o te whekau, arā, he stricture , ka taea rānei te whaiti rawa te whekau. Rapua ngā mea pēnei.
• Mena kāore e taea te mahi i ētahi atu whakamātautau, pērā i te kāpū o te whekau iti , te endoscopy rānei, nā te mea he rerekē te hanganga o tō whekau.
• I roto i te puku mā te hēKa whakamahia hoki tēnei hei tango i ngā mea tauhou mēnā ka piri.

Ko wai mā te mahi i tēnei tirotiro pūwero?

Ka whakahaerehia tēnei whakamātautau e te tohunga puku, he tākuta kua whakangungua ki tēnei mahi.

Me pēhea taku whakarite mō tēnei whakamātautau?

Ko te whakarite mō tēnei ko te whakawātea i tō whekau iti . Ko te tikanga e tika ana māu ka whakawhirinaki ki te wāhi e whakaurua ai te enteroscope:

• Mā te waha: Ka taea anake te kai i ngā kai wai mai i muri i te tina i te rā i mua i te whakamātautau tae noa ki ngā haora e rua i mua i te whakamātautau.
• Rere: Me nohopuku i mua i te whakamātautau. Me whakarite hoki koe i te puku katoa , he rite ki te colonoscopy . Ko te tikanga ka hoatu he rongoā whakawai me te wai electrolyte hei inu māu i te rā i mua i te whakamātautau. Ka puta te mate korere i tēnei tae noa ki te ma katoa o ō puku.

Haunga tēnei whakaritenga, me mutu pea te tango i ētahi rongoā, pērā i ngā rongoā whakaiti toto , ngā rongoā mate huka , ngā tāpiringa rino rānei, mō tētahi wā. Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe. Māna koe e kōrero ko ēhea ngā rongoā me mutu te tango, me ēhea hoki ka taea tonu e koe te tango.

He aha ngā mea ka tupu i te wā o te pokanga poihau?

Ka hoatu tuatahitia he rongoā whakamoe , he rongoā whakamoe whānui rānei, hei whakamoe i a koe. Kāore koe e rongo i tetahi mea. Kātahi ka whakaurua e te tohunga te enteroscope mā roto i tō waha, i tō pūtu rānei. Kātahi ka pupuhihia te poihau, ka whakaitihia tonutia. I ia wā ka pupuhihia, ka whakaitihia te poihau, ka neke whakamua te ngongo. E rua hāora pea te roa hei tirotiro i te whekau iti katoa .

He aha ngā whakamātautau me ngā maimoatanga ka riro mai i ahau i tēnei tikanga?

I te wā o te enteroscopy balloon, ka taea te mahi i ngā mea e whai ake nei:

• Ka tirotirohia tō whekau iti mō ngā tohu, pērā i te pupuhi rerekē .
• Mena he toto o roto, ka kitea, ā, ka rongoātia.
• Mena kua pāngia tetahi o te whānau e te mate pukupuku o te whekau iti , ka mahia he whakamātautau mate pukupuku mō te hunga e mōrearea ana.
• Mena he polyp , he tipu rerekē rānei, he mea ke rānei kua uru pōrearea mai, ka tangohia atu.
• Ka tangohia he wahi iti o te kiko e āhua rerekē ana (koiora) ka tukuna ki te taiwhanga hei tirotiro i raro i te karu hiko.
• He whakawhāiti i roto i tō pukuMena he mea kei reira, ka taea te whakauru i tētahi taputapu rite ki te mata-whatu (stent) hei whakawhānui ake, hei ārai hoki i te aukati anō.

He aha ngā painga me ngā mōrearea o tēnei tikanga tirotiro poihau kotahi, poihau takirua rānei?

Ko te painga nui o tēnei tikanga, ka taea te mahi me te kore he pokanga nui i roto i te puku . Mā tēnei ka karohia ngā mōrearea o ngā pokanga nui, ka whakaitihia te wā whakaora, ā, ka taea ai e koe te hoki wawe ki ngā mahi o ia rā.

Engari, pērā i ngā tikanga hauora katoa, kei reira ētahi mōrearea. Me titiro tātou ki ēnei:

• I muri i te whakamātautau , ka pā mai pea te mamae me te kore whakamarie i te hau i roto i te puku.
• Ka pāngia pea ētahi tāngata e te mate pāwera o te pancreas .
• Ko ngā mōrearea e pā ana ki te rongoā whakamoe ko te whakapairuaki me te ruaki , te pāmahana tinana iti , me te ānini .
• He tino onge, ka pokaia te pakitara o te whekau iti (ka pokaia te puku) .
• Ki te whakaurua te enteroscope mā te mangai, tera pea ka mamae te korokoro i muri mai.

Ko te mea nui, he iti noa te tūponotanga o ēnei mōrearea. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe.

Kia pēhea te roa ka taea e au te mōhio ki ngā hua o te whakamātautau?

Tērā pea ka kitea ētahi hua i te oho ake i te wā e whai ake nei koe i te rongoā whakamoe . Heoi, mēnā i tangohia e tō tākuta he koiora , i tangohia rānei he polyp , he wiki pea te roa ka puta mai ngā hua.

He aha te roa o te wā whakaora i muri i tēnei whakamātautau?

He tikanga ā-waho te Balloon enteroscopy. Ko te tikanga tēnei ka taea e koe te hoki ki te kāinga i muri i te oho ake i te mate whakamoe. Heoi, ahakoa te pai o tō āhua, kāore i te tūtohutia kia taraiwa i te rā o te tikanga . Nō reira, me whakarite koe kia hoki ki te kāinga me tētahi tangata whai kawenga i mua i te wā.

He mea nui kia nui te okiokinga i muri i tō hokinga ki te kāinga. Mena kua tangohia e koe he rongoā hei horoi i ō whekau, inumia he nui te wai , ā, kai i ngā kai whai kiko. Ka taea e te nuinga o te tangata te hoki ki ngā mahi o ia rā i muri i te whakamātautau.

He aha te rerekētanga i waenga i te Single Balloon Enteroscopy me te Double Balloon Enteroscopy?

Ko ēnei tikanga e rua, e kiia nei ko te single balloon enteroscopy me te double balloon enteroscopy , he huarahi haumaru, he huarahi whai hua hoki ki te tirotiro i tō koroni. I ngā tikanga e rua, ka whakauruhia he ngongo angiangi (overtube) ki roto i te koroni, arā, te enteroscope.Kotahi. Ko te rerekētanga matua kei te huarahi e uru ai te ngongo ki roto i te whekau.

I roto i te enteroscopy poihau kotahi , kotahi anake te poihau o te enteroscope. He ngāwari te pito o mua o te poihau. Ka mahi tēnei hei punga i te mea ka nekehia te ngongo mā roto i te koroni.

I roto i te tirotiro poka rua , ka whakakapia te pito ngāwari ki tētahi atu poka. Ka mahi tētahi poka hei punga, ko tētahi atu poka ka āwhina i te neke whakamua o te ngongo.

I te nuinga o te wā, ka taea e te enteroscope poihau takirua te haere hohonu ake ki roto i te whekau iti i te poihau kotahi, kia pai ake ai te tirohanga o te whekau iti katoa.

Ko te mea tino nui hei maumahara māu i roto i ngā mea kua kōrerotia e tātou, ko

He tikanga whai hua te Balloon enteroscopy, te Balloon-assisted enteroscopy rānei, hei tātaritanga me te rongoā i ngā mate o te whekau iti . Ka taea e ia te āwhina ki te kimi otinga mō ngā āhuatanga maha, pērā i te toto o te whekau me ngā polyp . Ko te mea nui, he ngawari ake tēnei tikanga ki tō tinana i te pokanga . Nō reira, he iti ake te mamae i te wā whakaora, ā, ka taea e koe te hoki wawe ki ō mahi o ia rā. Ki te kōrero mai te tākuta ki a koe mō tēnei momo whakamātautau, kaua e wehi. Kōrerohia ki a ia me te āta whakaaro, ka pātai atu ki a ia i ō pātai katoa.

` Te tirotiro pūwero, te whekau iti, te tirotiro pūwero, te tirotiro koroni, ngā mate puku, ngā polyp, te mate a Crohn