Kodi pali vuto ndi mimba yanu ya m'mwamba? (Upper GI Series) Tiyeni tiphunzire za mayesowa!

Kodi nthawi zina mumamva kupweteka m'mimba, kutentha pamtima, kapena kuvutika kumeza? Kapena mumakhala ndi nseru kapena kusanza? Mukakhala ndi zizindikiro ngati izi, madokotala athu amafuna kudziwa ngati pali vuto m'mimba mwanu. Limodzi mwa mayeso apadera omwe amalangiza panthawiyo limatchedwa Upper GI Series . Tiyeni tikambirane za izi mwatsatanetsatane, mwachidule, chabwino?

Kodi (Upper GI Series) ndi chiyani? Tiyeni timvetse bwino.

Mwachidule, Upper GI Series ndi mayeso apadera a X-ray omwe amayang'ana ziwalo zomwe zili kumtunda kwa dongosolo lanu la m'mimba. Amagwiritsa ntchito njira yapamwamba ya X-ray yotchedwa Fluoroscopy.

Taganizirani izi, chithunzi cha 'X-ray' chabwinobwino chili ngati chithunzi chosasunthika chomwe chajambulidwa pamalo amodzi. Koma '(Fluoroscopy)' iyi ili ngati kanema. Izi zikutanthauza kuti, dokotala amatha kuwona momwe ziwalo zomwe zili m'mimba mwanu zimagwirira ntchito, ndiko kuti, momwe zimayendera, kudzera mu 'X-ray'. Ndicho chomwe chili chapadera pa izi. Komanso, imatha kuwona pamwamba pa ziwalo momveka bwino kuposa 'X-ray' wamba.

Tsopano mwina mukudabwa kuti, "mndandanda" uwu ndi chiyani? Ndiko kuti, panthawi yoyesa iyi, zithunzi zingapo za `(Fluoroscopy)` `X-ray` zimatengedwa motsatizana. Ichi ndichifukwa chake zimatchedwa "mndandanda".

Kodi mukuyang'ana zinthu zotani mu (Upper GI Series)?

Tinkakamba za "gawo lapamwamba la dongosolo la m'mimba." M'mawu azachipatala, timatcha izi kuti Upper Gastrointestinal Tract . Zimaphatikizapo:

• M'mero ​​mwanu ndi chubu chomwe chakudya chimatsika tikameza.
• Mimba Yanu - Malo omwe chakudya chimasungidwa ndikuyamba kugayidwa.
• Ndipo duodenum, gawo loyamba la matumbo anu ang'onoang'ono .

Ziwalo zitatu izi ndi zomwe zimayesedwa mu ``Upper GI Series''. Nchifukwa chiyani zonse zitatuzi zimayesedwa pamodzi?

• Choyamba ndi chakuti gawo ili ndi mtunda wautali kwambiri womwe chipangizo chachipatala chingapite ngati chiyikidwa kuchokera pamwamba.
• Chinanso n'chakuti, ngati mumwa kanthu, kamadutsa m'magawo atatuwa mwachangu, poyerekeza ndi matumbo ena onse, omwe ndi aatali.
• Komanso, matenda omwe amakhudza mbali imodzi mwa izi amathanso kukhudza zina. Chifukwa chake, ngakhale mutakhala ndi zizindikiro mbali imodzi yokha, zingakhale zothandiza kuyang'ana mbali zonse zitatu pamodzi.

Taganizirani ngati payipi yamadzi. Ngati pali vuto pamalo amodzi, lingakhudze malo omwe asanachitike komanso omwe akubwera, sichoncho? Umu ndi momwe zilili ndi izi.

Palinso mayeso ena a `GI X-ray`. Mwachitsanzo:

• Esophagram kapena Barium Swallow Test imangoyang'ana pa m'mero.
• (Small Bowel Series) kapena (Small Bowel Follow-Through) amangoyang'ana matumbo ang'onoang'ono.
• (Mndandanda wa Matumbo Otsika) kapenaEnema ya barium imayang'ana matumbo akuluakulu ndi gawo la pansi la matumbo ang'onoang'ono.

Choncho, dokotala amasankha chochita ndi mayesowa kutengera zizindikiro zanu.

N’chifukwa chiyani dokotala angalimbikitse kuchita izi (Upper GI Series)?

Ngati muli ndi zizindikiro zokhudzana ndi gawo lapamwamba la dongosolo lanu la m'mimba, dokotala wanu adzafuna kuziyang'ana mosamala. Mndandanda wa GI wa Upper umalola dokotala wanu kuyang'ana mkati mwa mmero, m'mimba, ndi duodenum yanu, kuyang'ana kusintha kulikonse mu minofu, kapangidwe kake, ndi ntchito yake, ndipo nthawi zambiri ndiye gawo loyamba lopeza chomwe chimayambitsa zizindikirozi.

Dokotala akhoza kulamula mayesowa ngati muli ndi zizindikiro zosamvetsetseka monga:

• Mavuto a kumeza .
• Kutentha pamtima .
• Kupweteka m'mimba .
• Kusanza ndi kusanza .
• Kusadya bwino .

Kodi mungapeze chiyani mu (Upper GI Series)?

Pogwiritsa ntchito ukadaulo uwu wa ``(Fluoroscopy)``, madokotala amatha kuzindikira zinthu monga:

Kusintha kwa minofu:

• Kutupa kapena matenda a ziwalo, mwachitsanzo , gastritis (kutupa kwa m'mimba) kapena esophagitis (kutupa kwa m'mero).
• Kaya kuwonongeka kwa minofu kwachitika chifukwa cha acid reflux kapena bile reflux .
• Matenda a zilonda zam'mimba .
• (Barrett's esophagus) (kusintha kwa maselo a esophagus).
• (Kusintha kwa maselo a m'mimba) (kusintha kwa maselo a m'mimba).

Mavuto a kapangidwe ka ziwalo:

• (Mitsempha ya m'mimba) (kutupa kwa mitsempha ya m'mimba).
• (Kutsekeka kwa m'mero ).
• (Hiatal hernia) (gawo la m'mimba lomwe limatuluka m'chifuwa).
• Ziphuphu zazing'ono (Polyps) .
• Matenda aakulu a khansa (zotupa) .

Mavuto okhudzana ndi kugwira ntchito kwa ziwalo:

• Kuvuta kumeza chakudya (Dysphagia) .
• Mavuto oyenda m'mimba , mwachitsanzo , gastroparesis (kuchedwa kutulutsa chakudya m'mimba).
• Kulephera kugwira ntchito kwa esophageal sphincter , mwachitsanzo , Achalasia , Laryngopharyngeal reflux .
• Kulephera kugwira ntchito kwa valve ya pyloric .
• Kutsekeka kwa ngalande ya chakudya .

Kodi Upper GI Series ingathe kuzindikira acid reflux?

Madokotala nthawi zambiri amazindikira matenda a GERD (Gastroesophageal reflux disease) kutengera zizindikiro. Komabe, Upper GI Series imatha kuwona zizindikiro zakuthupi za GERD. Mwachitsanzo, imatha kuwona zizindikiro za kuwonongeka kwakukulu kwa denga la m'mero, monga zilonda, kutsekeka kwa m'mero, kapena kuchepa kwa m'mero. Imathanso kuwona zizindikiro za minofu yomwe imaletsa asidi m'mimba kuti isabwerere m'mero.

Kodi izi zitha kuzindikira khansa?

Upper GI Series ingayang'ane zotupa kapena kusintha kwa minofu komwe kungakhale kogwirizana ndi khansa, ngati ndi zazikulu mokwanira kuti ziwonekere. Komabe, mayeso okhawo sangadziwe ngati ndi khansa kapena ayi. Kuti atsimikizire ngati ndi khansa, chitsanzo cha minofu chiyenera kutengedwa ndikuyesedwa mu labu. Izi zimatchedwa biopsy . Nthawi zambiri zimachitika panthawi ya Upper Endoscopy.

Kodi kusiyana pakati pa Upper GI Series ndi Upper Endoscopy ndi kotani?

Mayeso onsewa amayang'ana gawo lapamwamba la dongosolo la m'mimba. Komabe, momwe mayesowa amachitikira ndi osiyana kwambiri.

Upper GI Series ndi mtundu wa mayeso otchedwa Radiology . Izi zikutanthauza kuti imagwiritsa ntchito mphamvu yowala kujambula zithunzi za mkati mwa thupi. (X-ray, ultrasound, ndi CT scans ndi mitundu ina ya Radiology.) Popeza mayeso a Radiology savulaza, nthawi zambiri ndi mayeso oyamba omwe madokotala amagwiritsa ntchito kuti adziwe zomwe zikuchitika mkati mwa thupi.

Komabe, (Upper Endoscopy) (yomwe imatchedwanso (Esophagogastroduodenoscopy) ) ndi mayeso ovuta komanso owononga. Mu izi, chubu chaching'ono chokhala ndi kamera yotchedwa (Endoscope) chimayikidwa pakhosi kuti chijambule zithunzi za mkati mwa thupi. Izi nthawi zambiri zimafuna kuti wodwalayo alandire mankhwala oletsa ululu (`Anesthesia`). ``Endoscopy`` ingapereke zithunzi zomveka bwino komanso zatsatanetsatane kuposa mayeso a ``Radiology``. Ingagwiritsenso ntchito zida zomangiriridwa ku ``Endoscope`` kuti itenge chitsanzo cha minofu (``Biopsy``) mwachindunji kuchokera mkati mwa thupi. Komabe, chifukwa ichi ndi mayeso owononga, nthawi zambiri chimachitika pambuyo pa mayeso a ``Radiology``, ngati pakufunika zambiri.

Kodi mayesowa amachitika bwanji? Tiyeni tiwone mwatsatanetsatane.

Mfundo izi ndizofunikira kuti timvetse momwe mayesowa amagwirira ntchito:

Ukadaulo wa (X-ray):

Makina a X-ray amatumiza kuwala kwa ayoni m'thupi lanu. Minofu yanu, mafupa, ndi ziwalo zanu zimayamwa kuwala kumeneku mosiyana kutengera kuchuluka kwawo. Kuwala komwe kumayamwa ndi thupi lanu kumagunda chipangizo chowunikira X-ray, chomwe chimapanga chithunzi. Zinthu zokhuthala monga mafupa zimayamwa kuwala kochulukirapo, kotero zimaoneka zoyera pachithunzi cha X-ray. Zinthu zofewa monga minofu zimaoneka zotuwa.

Ukadaulo (Fluoroscopy):

Fluoroscopy ndi yofanana. Komabe, m'malo motumiza kuwala kamodzi kokha, imatumiza kuwala kosalekeza kwa masekondi kapena mphindi zochepa, zomwe zimapangitsa kanema waufupi. Izi zimakuwonetsani kuwala kochepa. Komabe, nthawi zambiri, izi zimaonedwa ngati mulingo wotetezeka. Timakumana ndi kuwala kochepa kuchokera ku chilengedwe tsiku lililonse.

(Kusiyanitsa) kumagwiritsidwa ntchito:

Fluoroscopy nthawi zambiri imagwiritsa ntchito choyezera kusiyanitsa zinthu kuti zithunzi za X-ray ziwonekere bwino momwe zingathere. Mukabayidwa m'thupi lanu, zimathandiza kuti mkati mwa thupi lanu muwoneke bwino pazithunzi zakuda ndi zoyera. Nthawi zina mumapatsidwa choyezera kusiyanitsa ichi kuti mumwe, nthawi zina mumapatsidwa ngati jakisoni. Mu Upper GI Series, madzi otchedwa barium nthawi zambiri amagwiritsidwa ntchito ngati choyezera kusiyanitsa zinthu.

Kodi (Barium) ndi chiyani?

Barium ndi chinthu chokhuthala, choyera, komanso chonga choko. Ikagwiritsidwa ntchito mkati mwa njira yanu yogaya chakudya, imaonekera pazithunzi za X-ray. Siimayamwa ndi njira yanu yogaya chakudya ndipo imatuluka m'thupi lanu. Pa nthawi ya Upper GI Series, mumapatsidwa madzi otchedwa barium kuti mumwe. Mukamamwa, katswiri wa radiology amatha kuwona akuyenda m'njira yanu yapamwamba yogaya chakudya ndikuwona momwe ziwalo zanu zimayankhira.

Kodi (Kusiyanitsa Kawiri) ndi chiyani?

Nthawi zina, mpweya umagwiritsidwa ntchito ngati choyezera kusiyana kwa mpweya kuwonjezera pa Upper GI Series. Izi zimatchedwa kafukufuku wotsutsana kawiri . Mpweyawu umagwiritsidwa ntchito kudzaza ndi kulekanitsa makoma a chigawo chanu chakumtunda chakumimba, zomwe zimakuthandizani kuwona zomwe zili mkati momveka bwino. Chifukwa mpweyawu umawoneka wakuda pazithunzi za X-ray, umapanga kusiyana kwabwino ndi barium yoyera. Kuti mulowetse mpweyawu m'chigawo chanu chakumimba, mungapatsidwe piritsi kapena chakumwa chokhala ndi carbonated kuti mumeze.

Kodi mungakonzekere bwanji (Upper GI Series)?

Ndikofunikira kwambiri kusamalira zinthu izi musanayese mayeso awa:

• Musanakonzekere mayeso anu: Lankhulani ndi dokotala wanu za mayesowa ndipo onetsetsani kuti palibe zinthu zina zomwe zingakulepheretseni kuchita nawo. Ngati mwangoyamba kumene kuchitidwa X-ray kapena mwakumana ndi ma radiation ambiri, uzani dokotala wanu. Dokotala wanu akhoza kuchedwetsa mayesowo kuti achepetse kukhudzana kwanu ndi ma radiation. Komanso, onetsetsani kuti mwauza dokotala wanu ngati muli ndi pakati . Adzatha kupereka malingaliro ena. Kukhudzana ndi ma radiation a mwana wosabadwayo kungayambitse zilema zobadwa nazo.
• Musanayesedwe: Ndikofunikira kwambiri kuti m'mimba mwanu mukhale opanda kanthu panthawi yoyezetsa.Mudzapemphedwa kuti musadye kapena kumwa chilichonse usiku usanachitike mayeso ndi m'mawa wa mayesowo. Mungapemphedwenso kuti musiye kumwa mankhwala enaake kwakanthawi, monga mankhwala oletsa asidi (mankhwala ochizira kutentha pamtima).

Kodi mayesowa amachitika bwanji kwenikweni?

Mukasintha chovala cha kuchipatala, mudzatengedwera ku chipinda choyezetsera. Pali tebulo la X-ray lomwe lingathe kuwerama. Mutha kuyimirira kapena kugonapo. Poyamba mudzayimirira, koma pambuyo pake mudzafunika kugona patebulo m'malo osiyanasiyana. Katswiri adzakumangirirani patebulo. Kenako mudzapatsidwa mankhwala osiyanitsa kuti mumwe - mwina barium, ndipo nthawi zina mpweya wa carbon dioxide .

Madzi awa ndi okometsera komanso otsekemera. Komabe, kumwa sikosangalatsa kwenikweni. Muyenera kumwa pang'onopang'ono panthawi yonse yoyeserera. Mungapatsidwe madzi osiyanasiyana, okhuthala pang'ono, nthawi zosiyanasiyana panthawi yoyeserera. Zonse pamodzi, muyenera kumwa pafupifupi ma ounces 12.

Katswiri wa radiology adzafunika kujambula zithunzi kuchokera mbali zosiyanasiyana. Adzakupemphani kuti musunthe m'njira zosiyanasiyana kuti athandize barium kufika komwe ikufunika kupita. Adzakupemphani kuti muyime ndi kugona pansi m'malo osiyanasiyana, kuyimirira ndi kuima. Angayesenso kuyang'ana mimba yanu ndi makwinya omwe ali mkati.

Kodi izi (Upper GI Series) zimatenga nthawi yayitali bwanji?

Kuyesaku kungatenge mphindi 30 mpaka maola awiri . Kwa anthu ena, zingatenge nthawi yayitali kuti barium idutse kwathunthu mu duodenum.

Kodi mudzatembenuzidwa bwanji ndi kusunthidwa panthawi ya mayeso?

Kawirikawiri mukhoza kusintha malo monga awa:

• Imani pa ngodya ya madigiri 45.
• Bwererani kumbuyo pa ngodya ya madigiri 45.
• Gona molunjika mbali imodzi.
• Gona chammbali, gwirani chinkhupule kumbuyo kwanu, kenako bwererani mmbuyo pang'ono.

Kodi Upper GI Series ndi yopweteka?

Mayesowa si opweteka . Komabe, ngati mukufuna, mutha kupempha mankhwala ochepetsa ululu kuti akuthandizeni kupumula. Mukamaliza mayesowa, mutha kumva kutupa pang'ono kapena kupweteka pang'ono m'mimba mpaka barium itatuluka m'thupi lanu. Ngati mwapatsidwa double contrast, mutha kumva kupweteka pang'ono chifukwa cha mpweya. Zizindikirozi zimatha pakatha pafupifupi tsiku limodzi.

Kodi zotsatirapo kapena zoopsa zomwe zingabwere chifukwa cha mayesowa ndi ziti?

Kuyesaku nthawi zambiri kumakhala kotetezeka. Komabe, pakhoza kukhala zoopsa zina zazing'ono:

• Kudzimbidwa: Zotsatira zoyipa kwambiri ndi kudzimbidwa, komwe kumachitika chifukwa cha barium yomwe ikukhalabe m'thupi lanu. Mudzalangizidwa kumwa madzi ambiri mukamaliza kuyezetsa, zomwe zingathandize barium kutuluka m'thupi lanu. Chimbudzi chanu chidzakhala choyera kwa pafupifupi tsiku limodzi. Ngati simungathe kuchita chimbudzi, dziwitsani dokotala wanu. Kenako adzakulemberani mankhwala otsekula m'mimba.Zimalamula.
• Mavuto a impso: Anthu omwe ali ndi matenda aakulu a impso amatha kutuluka magazi m'mimba. Komanso, madzi osiyanitsa akhoza kusokoneza ntchito ya impso zawo.
• Kupezeka ndi kuwala kwa dzuwa: Chiwopsezo cha kuwala kwa dzuwa chimawonjezeka pakapita nthawi. Pokhapokha ngati muli ndi pakati, mayeso amodzi a `(Fluoroscopy)` sangayambitse mavuto aakulu. Kupezeka ndi kuwala kwa dzuwa kwapezeka kuti kumayambitsa khansa. Kupezeka ndi kuwala kwa dzuwa kamodzi kokha sikumayambitsa khansa, koma mayeso ambiri pa moyo wonse angayambitse khansa.
• Matenda a ziwengo: Ngati simunakumanepo ndi zinthu zomwe zili mu madzi osiyanitsa, pali mwayi wochepa woti mungakhale ndi vuto la ziwengo.

Ndani angakhale bwino osachita izi (Upper GI Series)?

Mayeso awa si abwino kwa inu ngati muli:

• Ngati muli ndi pakati.
• Ngati muli ndi matenda a impso.
• Ngati muli kale ndi vuto la kudzimbidwa.
• Ngati mwakhala mukukhudzidwa ndi ma radiation kudzera m'njira zina.
• Ngati mukudziwa kapena mukukayikira kuti muli ndi bowo pamwamba pa mmero wanu.
• Ngati mukuvutika kumeza chakudya chomwe chimalowa m'mapapo (aspiration).

Pankhaniyi, dokotala wanu adzakupatsani mayeso ena oyenera.

Kodi zotsatira zake zimakhala bwanji? Kodi zikutiuza chiyani?

Dokotala wanu wa radiation adzaphunzira zithunzi zanu za X-ray ndikutumiza zotsatira zake kwa dokotala wanu. Dokotala wanu adzakambirana nanu za zotsatira zake. Matenda ena amatha kuzindikirika kuchokera ku zithunzi za X-ray zokha. Ena angafunike mayeso ena.

Upper GI Series ndi njira yopanda ululu, yosavulaza yomwe imathandiza dokotala wanu kuona mkati mwa mmero, m'mimba, ndi m'matumbo mwanu. Fluoroscopy imalola akatswiri a radiology kuwona momwe ziwalo zanu zikuyendera, momwe zikugwirira ntchito bwino, komanso ngati pali zolakwika zilizonse pa mawonekedwe awo. Zotsatira za mayesowa zingathandize dokotala wanu kupeza chomwe chimayambitsa zizindikiro zanu zosafotokozedwa. Ngati sichoncho, zingawapatse chitsogozo chabwino chofufuzira zina.

Pomaliza, ndiyenera kunena... (Uthenga Wopita Nawo Kunyumba)

Tonsefe timachita mantha pang'ono tikakhala ndi ululu m'mimba kapena kuvutika kumeza, sichoncho? Koma, mayeso monga Upper GI Series alipo kuti athandize kudziwa zomwe zikuchitika. Izi sizoyenera kuopa kwambiri.

• Konzekerani monga momwe dokotala wanu wanenera. Samalani kwambiri kuti musadye kapena kumwa chilichonse musanayesedwe.
• Ngati muli ndi mafunso aliwonse, musaope kufunsa dokotala kapena ogwira ntchito omwe akuchita mayesowa. Adzakufotokozerani zonse.
• Mukamaliza kuyezetsa, tsatirani malangizo a dokotala. Makamaka, musaiwale kumwa madzi ambiri.

Kumbukirani, kusamalira thanzi lanu ndiye chinthu chofunika kwambiri. Ngati mwapemphedwa kuti muyesedwe ngati zimenezi, ndiye kuti ndi bwino kwa inu nokha. Choncho, musachite mantha, yesetsani kulimba mtima! Ndikukufunirani kuti muchire mwachangu!

mndandanda wa upper gi, barium study, fluoroscopy, stomach x-ray, esophagus, duodenum, digestive system