Kodi munapemphedwa kuti muyesedwe Endoscopic Ultrasound (EUS)? Tiyeni tikambirane izi mosavuta!

Dokotala akakuuzani kuti muyenera kuyesedwa `(Endoscopic Ultrasound)` kapena `(EUS)`, mungamve mantha pang'ono, eti? "Ndi mayeso atsopano ati awa?" "Kodi adzapweteka?" "Chifukwa chiyani izi zikuchitika?" Mafunso ambiri ngati amenewo mwina amabwera m'maganizo mwanga. Ndizabwinobwino. Chifukwa chake lero, tikambirana za mayeso awa `(EUS)` mwachidule, monga momwe mungalankhulire ndi mnzanu. Kenako mutha kumvetsetsa bwino.

Ndiye, kodi endoscopic ultrasound (EUS) ndi chiyani?

Mwachidule, EUS ndi mayeso apadera omwe amayang'ana mkati mwa dongosolo lanu la m'mimba . Izi zimachitika ndi dokotala yemwe ndi katswiri wa dongosolo la m'mimba (nthawi zambiri amatchedwa gastroenterologist).

Mayeso a ``(EUS)`` awa amagwiritsa ntchito kuphatikiza kwa zinthu ziwiri zazikulu:

1. Endoscope: Taganizirani ngati chubu chopyapyala kwambiri, chachitali, komanso chosinthasintha chokhala ndi kamera yaying'ono komanso kuwala komwe kumalumikizidwa kumapeto kwake. Izi ndi zomwe zimathandiza dokotala kuwona bwino mkati mwa thupi lanu.

2. Ultrasound: Kumapeto kwa endoscope, pamodzi ndi kamera, pali chipangizo chaching'ono chowunikira (probe). Izi zimagwiritsa ntchito mafunde a phokoso kupanga zithunzi za ziwalo zanu zamkati, minofu, ndi mitsempha yamagazi . Zili ngati scan ya ultrasound yomwe mwana wanu amapeza, koma imachitika mkati mwa thupi lanu.

Choncho pamene zonsezi ziphatikizidwa, dokotala amatha kupeza chithunzi chomveka bwino osati makoma (zigawo) a dongosolo lanu logaya chakudya, komanso ziwalo zina zomwe zili pafupi nalo (monga kapamba ndi ndulu).

Ndani nthawi zambiri amafunikira mayeso a EUS awa?

Si aliyense amene ayenera kuchita mayeso a ``(EUS)``. Dokotala angakulimbikitseni kuti aone kapena kutsimikizira matenda enaake. Nazi zitsanzo zingapo:

• Ngati mukuvutika ndi m'mimba kapena chifuwa , fufuzani chomwe chikuyambitsa vutoli.
• Ngati pali kukayikira kuti khansa yafalikira ku ziwalo zina za thupi (khansa yofalikira) .
• Ngati mwawonapo chotupa, chotupa, kapena chotupa pa CT scan kapena MRI scan yapitayi, dziwani bwino chomwe chili.
• Ngati muli ndi vuto lililonse ndi kugaya chakudya , mwachitsanzo, matenda monga matenda otupa m'matumbo (IBD), khansa ya m'matumbo, kapena ming'alu ya m'matumbo.
• Matenda a ndulu , kutanthauza ngati muli ndi miyala ya ndulu kapena ngati muli ndi kutupa kwa ndulu (cholecystitis).
• Dziwani matenda ena a m'mapapo , monga khansa ya m'mapapo.
• Matenda a kapambaDziwani zambiri. Izi zikuphatikizapo matenda monga khansa ya kapamba, ma cysts a kapamba, ndi kapamba.
• Ngati mukuvutika kumeza chakudya , mwachitsanzo, matenda monga "Barrett's esophagus".

Ndi pazochitika ngati izi pomwe EUS ingathandize madokotala kupeza matenda molondola poyang'ana mkati.

Kodi mitundu ikuluikulu ya mayeso a EUS ndi iti?

Mayeso a EUS angagawidwe m'magulu awiri akuluakulu, kutengera komwe mayesowo achitikira.

1. EUS Yapamwamba

Izi zimayang'ana gawo lapamwamba la dongosolo lanu la m'mimba. Izi ndi izi:

• Chipinda chamkati cha mmero (chitoliro cha chakudya), m'mimba (m'mimba), ndi pamwamba pa matumbo anu ang'onoang'ono (duodenum).
• Ma lymph nodes, mitsempha yamagazi, ma cysts, ndi zotupa zogwirizana.
• Ikhozanso kufufuza ziwalo zapafupi monga kapamba, ndulu, ndi ndulu.

2. EUS Yotsika

Mayeso awa amayang'ana gawo la pansi la dongosolo lanu la m'mimba. Izi ndi izi:

• Minofu yozungulira malo otseguka a anal (anal sphincter).
• Mitsempha yamagazi, ma lymph nodes, ma cysts, ndi zotupa za khansa m'dera limenelo.
• Gawo lamkati la gawo lomaliza la matumbo akulu (rectum ndi colon).

Dokotala adzasankha "EUS" imodzi mwa ziwirizi kuti achite kutengera zizindikiro ndi zosowa zanu.

Kodi mayeso ena amachitidwa limodzi ndi EUS?

Inde, nthawi zina, pochita EUS, njira ina yofunika kwambiri ingachitike. Ndiko kuti, Endoscopic Ultrasound-guided Fine-Needle Aspiration (FNA) .

Izi zingawoneke ngati dzina lalitali, koma ndi izi: Akamayang'ana mkati ndi ``(EUS)``, dokotala amatha kuyang'ana zithunzi za ultrasound, kulowetsa singano yopyapyala kwambiri kudzera mu endoscope, ndikutenga chidutswa chaching'ono cha minofu kapena madzi kuchokera pamalo okayikitsa . Izi zimatchedwa ``(FNA)``, ndipo anthu ena amatchanso ``(biopsy)```.

Kenako chitsanzocho chimatumizidwa ku labu, komwe katswiri wa matenda amachiyang'ana pansi pa maikulosikopu kuti aone maselo aliwonse osazolowereka, monga maselo a khansa. Izi zimathandiza kutsimikizira mtundu weniweni wa matendawa .

Kodi ndiyenera kuchita chiyani ndisanayambe mayeso a EUS?

Mukakonzekera mayeso a EUS, dokotala wanu kapena namwino adzakupatsani malangizo a zomwe mungachite ndi zomwe simuyenera kuchita tsiku lisanafike. Ndikofunikira kuwatsatira bwino kuti mutsimikizire kuti mayeso anu apambana . Nthawi zambiri amaphatikizapo zinthu monga:

• Zokhudza mankhwala omwe mumamwa: Ngati mukumwa mankhwala a matenda monga matenda a shuga, kuthamanga kwa magazi, kapena matenda a mtima, makamaka mankhwala ochepetsa magaziNgati mukumwa mankhwala ochepetsa magazi (monga Coumadin®, Plavix®) kapena insulin, muyenera kuuza dokotala wanu pasadakhale. Dokotala wanu angafune kusintha mlingo wa mankhwalawo kapena kusiya kumwa kwa masiku angapo.
• Chakudya ndi Chakumwa: Mudzapemphedwa kuti musadye kapena kumwa chilichonse kwa maola angapo mayeso asanayambe (nthawi zambiri maola 6-8). Ndikofunikira kukhala ndi mimba yopanda kanthu kuti mayesowo amveke bwino.
• Kukonzekera matumbo: Ngati muli ndi EUS yotsika, dokotala wanu adzakupatsani mankhwala apadera otchedwa ``bowel prep'' kuti muyeretse matumbo anu. Izi zidzakuthandizani kuona bwino mkati mwa matumbo anu.
• Malangizo ena: Mungapatsidwe malangizo omveka bwino. Mvetserani onse mosamala ndikuwatsatira.

Kodi chimachitika ndi chiyani makamaka pa nthawi ya EUS yapamwamba?

Chithandizo chapamwamba cha EUS nthawi zambiri chimakhala chakunja kwa wodwala. Simudzaloledwa kuchipatala chifukwa cha chithandizochi. Komabe, chifukwa mudzapatsidwa mankhwala oletsa ululu (anesthesia) pa chithandizochi, mudzafunika wina woti akuyendetseni kunyumba mukamaliza chithandizochi. Ndibwinonso kukhala ndi munthu wina tsiku lonse. Chithandizo chapamwamba cha EUS nthawi zambiri chimatenga pafupifupi mphindi 60 .

Zinthu zotsatirazi zimachitika panthawi ya mayeso:

1. Mudzatembenuzidwira kumanzere ndipo mudzagonekedwa pansi.

2. Namwino adzaika kansalu kakang'ono m'mitsempha yanu ndikukupatsani mankhwala ochepetsa ululu . Izi zidzakuthandizani kupumula komanso kuti musamve mayeso.

3. Ndidzapopera mankhwala oti pakhosi panu pakhale dzanzi.

4. Chotetezera pakamwa cha pulasitiki chidzayikidwa mkamwa mwanu kuti mano anu asawonongeke komanso kuti musatafune endoscope.

5. Dokotalayo adzalowetsa pang'onopang'ono chipangizo cha ultrasound kudzera pakamwa panu, pansi pa mmero, m'mimba mwanu, kenako kumtunda kwa matumbo anu ang'onoang'ono (duodenum). Simudzamva kupweteka kulikonse panthawiyi . Mudzatha kupuma bwino.

6. Dokotala amayang'ana zithunzi za ultrasound pa chowunikira ndipo amafufuza gawo lapamwamba la dongosolo lanu la m'mimba, ziwalo zozungulira, zotupa, ndi zotupa.

7. Ngati pakufunika, `(FNA)` yomwe yatchulidwa kale, yomwe imatanthauza kutenga chitsanzo cha minofu, imachitika panthawiyi.

8. Dokotala akamaliza kufufuza, adzachotsa pang'onopang'ono endoscope. Mankhwala ochepetsa ululu adzayimitsidwa. Kenako mudzatengedwera ku chipinda chochiritsira ndikudikirira kuti pang'onopang'ono mubwererenso ku chikumbumtima.

Kodi chimachitika ndi chiyani pamene EUS ili yotsika?

Subtotal ultrasound (EUS) ndi yofanana ndi supratotal ultrasound, ndipo ndi mayeso a tsiku lomwelo . Mudzapatsidwanso mankhwala ochepetsa ululu, kotero wina adzafunika kukutengerani kunyumba.

Mayeso amenewa nthawi zambiri amatenga mphindi zosakwana 60.Ndicho chimene chikuchitika. Pankhani ya `(EUS)` yomwe imachitidwa pansi pa khungu, `(FNA)` si yofala kwambiri.

Izi ndi zomwe zimachitika panthawi ya mayeso:

1. Mudzatembenuzidwira kumanzere ndipo mudzagonekedwa pansi.

2. Mudzapatsidwa piritsi logonetsa kudzera mu IV kuti likuthandizeni kupumula.

3. Dokotala amaika chipangizo cha ultrasound kudzera mu anus ndi rectum ndikuchitsogolera m'matumbo anu. Simudzamva kupweteka kapena kusasangalala panthawiyi . Mudzatha kupuma bwino.

4. Dokotala amayang'ana zithunzi za ultrasound pa chowunikiracho ndipo amayang'ana gawo la pansi la dongosolo lanu la m'mimba, ziwalo zozungulira, ndi zotupa zilizonse.

5. Mukamaliza kuyezetsa, endoscope idzachotsedwa pang'onopang'ono ndipo mankhwala ogonetsa adzayimitsidwa. Pang'onopang'ono mudzachira.

Mukumva bwanji mutatha mayeso a EUS?

Mphamvu ya mankhwala ogonetsa omwe mudapatsidwa nthawi zambiri imatha mkati mwa mphindi 30 mpaka ola limodzi . Pambuyo pake, mutha kumva kusasangalala pang'ono, monga:

• Ngati muli ndi EUS yotsika, mutha kukhala ndi: mpweya, kudzimbidwa, kapena kupweteka m'mimba .
• Ngati muchita EUS yapamwamba: kupweteka pakhosi .

Zizindikiro zimenezi nthawi zambiri zimatha kwathunthu mkati mwa maola 24 , kotero palibe chodetsa nkhawa.

Ndi bwino kupuma tsiku lonse mutatha mayeso. Mutha kuyambiranso ntchito zanu zachizolowezi tsiku lotsatira.

Kodi ndi zoopsa kapena zovuta ziti zomwe zingachitike ndi mayeso a EUS?

EUS nthawi zambiri imaonedwa kuti ndi njira yotetezeka kwambiri . Komabe, monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali mwayi wochepa woti mavuto angachitike, omwe ndi osowa kwambiri. Izi zikuphatikizapo:

• Kusamva bwino kwa mankhwala oletsa ululu.
• Kuwonongeka kulikonse kwa kugaya chakudya kapena kutuluka magazi.
• Mu EUS yapamwamba, madzi ochokera mkamwa kapena m'mimba amalowa m'mapapo (kupuma m'mapapo).
• Kutupa kwa kapamba (pancreatitis) (izi zitha kuchitika makamaka pambuyo pa endoscopy yapamwamba (EUS) ndi biopsy ya singano).
• Bowo (kubowoka/kung'ambika) m'khoma la m'mimba.

Zinthu izi sizimachitika kawirikawiri , koma ndi bwino kuzidziwa. Ngati pali vuto, dokotala adzalichiza moyenera.

Kodi ndidzadziwa liti zotsatira za mayeso a EUS?

Akangomaliza mayeso, dokotala adzakupatsani lingaliro lomveka bwino la zomwe zinaoneka panthawi ya EUS. Komabe, ngati chitsanzo cha minofu (biopsy) chatengedwa kuchokera ku FNA ndikutumizidwa ku labu, zingatenge milungu ingapo kuti lipoti lonse lipezeke . Lipotilo likadzabwera, dokotalayo adzakubweretsaninso ndikukufotokozerani.

Kodi ndi liti pamene muyenera kupita kwa dokotala mwachangu?

Ngati mukumva chimodzi kapena zingapo mwa zizindikiro izi mutatha kuyezetsa, imbani dokotala wanu nthawi yomweyo kapena pitani kuchipatala chapafupi:

• Ngati pali magazi mu ndowe (`magazi mu ndowe`).
• Ngati muli ndi vuto kapena ululu mukupita kuchimbudzi.
• Ngati muli ndi malungo kapena zizindikiro zina za matenda (monga kuzizira ndi kupweteka kwa thupi).
• Ngati mukuvutika kumeza chakudya.
• Ngati mukumva nseru ndi kusanza kosalekeza.
• Kupweteka m'mimba kapena pachifuwa kosapiririka, koopsa, kosalekeza.
• Kupuma movutikira.

Ngati muli ndi zinthu izi, ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo.

Pomaliza, zinthu zoti muzikumbukira

Chabwino, ndikukhulupirira kuti tsopano muli ndi lingaliro labwino la mayeso a `(Endoscopic Ultrasound - EUS)`.

Kujambula kwa endoscopic ultrasound (EUS) ndi njira yotetezeka komanso yothandiza kwambiri yowunikira m'mimba mwanu. Kungathandize madokotala kupeza chomwe chimayambitsa zizindikiro zanu, makamaka mavuto am'mimba, khansa, komanso kufalikira kwa khansa. Ngati pakufunika kutero, mutha kutenga chithunzi cha minofu (biopsy / FNA).

Iyi ndi mayeso a ``osavulaza kwambiri``, kutanthauza kuti amachitika popanda kudula kwakukulu ndipo mutha kupita kunyumba tsiku lomwelo. Chifukwa chake, ngati dokotala akukuwuzani kuti muyese ``(EUS)``, musachite mantha mopanda chifukwa. Ngati muli ndi mafunso ena, lankhulani ndi dokotala wanu za iwo.

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