Te Ultrasound Endoscopic (EUS) | Me ako ngāwari tātou mōna

Kei te mamae tō puku, kei te wera rānei tō uma? Tērā pea i mahia e tō tākuta he matawai CT, he MRI rānei, ā, i kite ia i tētahi mea iti i runga, ā, i kī atu ia me mahi koe i tētahi whakamātautau motuhake kia mōhio ai koe ki tēnei mea. Koinei tā tātou e kōrero nei i tēnei rā, he whakamātautau tino matatau e mahia ana i ēnei wā. Te ultrasound endoscopic, te EUS rānei hei whakarapopototanga. Ahakoa he ahua uaua te ingoa, he tino māmā noa iho. Me titiro tātou ki ngā taipitopito.

He aha te ultrasound endoscopic (EUS)?

He māmā noa iho, he tikanga tirotiro te EUS i roto i tō pūnaha nakunaku, arā, ngā whekau. Mā te tohunga gastroenterologist tēnei e mahi.

Whakaarohia, he rite tēnei ki te whakakotahi i ngā hangarau e rua.

1. Endoskopi: He ngongo roa, angiangi, ngāwari tēnei, he kāmera me te mārama kei tetahi pito. Ka taea e ia te kite mārama i ngā mea kei roto i tō puku.

2. Ultrasound: Kei te pito o te ngongo he taputapu matawai iti (tirotiro). Ka tukuna e tēnei ngā ngaru oro, ka hangaia he whakaahua o ngā whekau, ngā kiko, me ngā uaua toto i roto i tō puku.

Nō reira, ina honoa ēnei mea e rua, ka taea e te tākuta te tirotiro tata atu, te tirotiro mārama hoki i ngā whekau o roto, o te taha hoki o ōu whekau, pērā i te repeure me te pūhā. He nui ake ngā taipitopito ka taea e ia te kite atu i te matawai noa.

Ko wai e hiahia ana ki te whakamātautau EUS?

He maha ngā take e taunaki ana ngā tākuta i tēnei whakamātautau EUS. Ko te nuinga o te wā ka whakamahia hei tātaritanga tika i tētahi mate hauora, hei kimi rānei i te pūtake o tētahi tohu.

E rua ngā momo matua o ngā whakamātautau EUS:

I runga i ō tohu, ka whakatau tō tākuta mēnā ka tirohia te puku o runga, o raro rānei.

1. EUS (EUS o Runga)

I tēnei mahi, ka whakauruhia he endoscope mā roto i tō waha, ā, ka tirotirohia te wāhanga o runga o tō pūnaha nakunaku.

• Te korokoro, te puku, me te wāhanga tuatahi o te whekau iti.
• Ko ngā pona lymph e karapoti ana, ngā oko toto, ngā kiore kī tonu i te wai, me ngā pukupuku matepukupuku.
• Ngā whekau tata pērā i te repeure, te pūkahukahu, me ngā awa waikura.

2. EUS (EUS o raro)

I roto i tēnei, ka whakauruhia te endoscope mā te nono, ā, ka tirotirohia te wāhanga o raro o te pūnaha nakunaku.

• Ngā uaua e karapoti ana i te nono (Anal sphincter).
• Ko ngā oko toto e karapoti ana, ko ngā kōpū lymph, ko ngā cyst kī tonu i te wai, me ngā puku.
• Te wāhanga whakamutunga o te whekau nui (te tō me te koroni).

I whakahaerehia te whakamātautau koiora i te wā kotahi me te EUS

Ko tētahi atu painga nui tēnei o te whakamātautau EUS. Mēnā ka kite te tākuta i tētahi puku whakapae, i tētahi kiko rerekē rānei i te wā o te whakamātautau, ka taea te tango i tētahi tauira iti hei whakamātautau tonu.

Kātahi ka tukuna te tauira kiko, te tauira wai rānei ki te taiwhanga. Ka tirohia e te tākuta mate, ā, ka ripoatahia mēnā kei roto he mea rerekē, pērā i ngā pūtau matepukupuku.

Me pēhea te whakarite i mua i te whakamātautau EUS?

Ka hoatu e te tākuta he tohutohu mārama ki a koe mō ngā mea me mahi e koe, me ngā mea kāore e tika ana kia mahia e koe i mua i te whakamātautau. Ko te tikanga ka kīia e rātou ēnei mea:

• Ngā Rongoā: Mena kei te tango koe i ngā rongoā whakaiti toto, i te insulin rānei mō te mate huka, mā tō tākuta koe e tohutohu me pēhea te whakarerekē i te horopeta o aua rongoā. Kaua rawa e mutu te tango i tō rongoā i a koe anō.
• Kai me te Inu: Ka tonoa koe kia mutu te kai me te inu mō ētahi haora i mua i te whakamātautau. I te nuinga o te wā, tata ki te 6-8 haora. Mā tēnei ka whakawāteahia tō puku, ā, ka mārama te whakamātautau.
• Te horoi i te puku: Mena kei te pāngia koe e te EUS iti iho, ka hoatu e tō tākuta he rongoā motuhake (bowel prep) hei horoi pai i ō puku. Me whakamahi tēnei kia rite ki ngā tohutohu.
• Taraiwa: Ka mahia tēnei whakamātautau hei whakamama i a koe kia moe māmā, kia kore ai e taea e koe te taraiwa i muri i te whakamātautau. Nō reira me whai tangata koe hei kawe i a koe ki te kāinga.

He aha ngā mea ka tupu i te wā o te whakamātautau?

He tikanga tēnei mō te haere ki waho o te hōhipera, arā, ka taea e koe te hoki ki te kāinga me te kore e noho ki te hōhipera. E 60 meneti te roa o te tukanga katoa.

Me pēhea te mahi i te Upper EUS (ā-waha):

Ka hurihia koe ki tō taha maui, ka meinga kia takoto ki runga i te moenga. Kātahi,

1. Ka hoatu he rongoā whakamoe ki a koe mā roto i te uaua hei āwhina i a koe kia marino, kia moe ai hoki.

2. Rehuhia he rongoā hei whakaora i te korokoro mamae.

3. 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.

4. Kātahi ka tino āta whakaurua e te tākuta te endoscope mā te waha, ka tukuna iho i te esophagus ki te puku me te wāhanga tuatahi o te whekau iti (duodenum).

5. Kāore koe e mamae i tēnei wā. Ka taea e koe te manawa noa.

6. Ka titiro te tākuta ki te mata tirotiro, ka tirotirohia ngā whekau o roto me ngā puku.

7. Mena e tika ana, ka tangohia he koiora (he wahi kiko) e ai ki te kōrero i mua ake nei.

8. Kia mutu te whakamātautau, ka tangohia e te tākuta te ngongo ka mutu te rongoā whakamoe i hoatu ki a koe. Ka ara ake koe i roto i te rūma whakaora.

Me pēhea te mahi i te EUS o raro (mō ia rectum):

He rite tonu tēnei ki runga ake nei. Ka hurihia koe ki tō taha maui, ka whakatakotoria ki roto i te moe māmā. Kātahi,

1. Ka whakaurua e te tākuta te endoscope mā roto i te nono, ka tukuna ki runga i te whekau nui.

2. Kāore koe e rongo i te mamae, i te kore whakamarie rānei i te wā o tēnei mahi. Ka taea e koe te manawa noa.

3. Ka tirohia te pūnaha nakunaku o raro me ngā whekau e karapoti ana mā te titiro ki te mata tirotiro.

4. Kia oti te whakamātautau, ka tangohia te ngongo, ā, ka mutu te rongoā whakamoe.

He aha ngā mea ka tupu i muri i te whakamātautau EUS?

Ka memeha haere te pire moe i hoatu ki a koe i roto i te 30-60 meneti. Whai muri i tēnā, tera pea ka pāngia koe e te mamae iti.

• I muri i te EUS o raro: Tērā pea ka rongo koe i te hau me te mamae o te puku.
• I muri i te EUS o Runga: Tērā pea ka paku mamae tō korokoro.

He tūponotanga kei roto?

He tikanga tino haumaru te EUS, engari pērā i ngā tikanga hauora katoa, tera ētahi raruraru kāore e tino kitea.

• Te uruparenga mate pāwera ki ngā rongoā whakangote.
• Te pakaru, te toto rānei i roto i te pūnaha nakunaku.
• I te wā e tirotirohia ai te puku o runga, ka uru pea te wai mai i te waha, i te puku rānei ki roto i ngā pukahukahu (te mimiti i te pukahukahu).
• Mena ka tangohia he koiora, ka puta pea te mumura o te repe taiaki (pancreatitis).
• He kōhao i te pakitara o te puku (perforation).

He tino onge te puta o ēnei mea. Ka mahi tō tākuta i ngā mahi katoa hei whakaiti i ēnei mōrearea.

Āhea koe me kōrero ki te tākuta?

Mena ka pā mai ētahi tohu rerekē i muri i tō whakamātautau, me waea atu tonu koe ki tō tākuta.