Kodi muli ndi vuto ndi matumbo anu ang'onoang'ono? Tiyeni tiphunzire za Balloon Enteroscopy!

Nthawi zina zimakhala zovuta kupeza matenda m'ziwalo zazing'ono za thupi lathu, sichoncho? Makamaka m'malo monga matumbo ang'onoang'ono m'thupi lathu. Pamenepo ndiye mayeso apadera otchedwa 'balloon enteroscopy' amakhala othandiza. Tiyeni tiwone chomwe chiri, momwe chimachitikira, komanso chifukwa chake chikufunika.

Choyamba tiyeni tiwone kuti njira iyi yopangira opaleshoni ya baluni ndi yotani.

Mwachidule, iyi ndi njira yapadera yomwe imagwiritsidwa ntchito pofufuza mavuto m'matumbo anu ang'onoang'ono , ndipo nthawi zina amawachiza pomwepo. Taganizirani ngati chubu chopyapyala chokhala ndi kamera (enteroscope) chomwe chimadutsa mu scope imodzi kapena ziwiri kuti chifufuze matumbo anu onse ang'onoang'ono. Ndi njira imodzi yowonera dongosolo lanu lonse la m'mimba popanda kuchita opaleshoni .

Ndiye kodi dongosololi limagwira ntchito bwanji?

Izi ndi zomwe zimachitika: Dokotala wanu wa m'mimba amaika enteroscope , chubu chachitali, chopyapyala chokhala ndi kamera yowoneka bwino komanso zida zazing'ono kumapeto kwake, m'matumbo anu ang'onoang'ono kudzera pakamwa panu kapena kudzera mu anus yanu. Pali baluni imodzi kapena ziwiri pa chubu ichi. Mabaluni awa amadzaza ndi madzi ndipo amatuluka. Izi zimathandiza kuti chubucho chiziyenda bwino kudzera m'matumbo anu ang'onoang'ono. Izi zimathandiza kuti chiziyenda patali kuposa chitoliro cha endoscope wamba.

N’chifukwa chiyani tikufunika dongosolo lapadera chonchi?

Tangoganizirani, matumbo anu ang'onoang'ono ndi aatali mamita pafupifupi 20 ! Ndi gawo lalitali kwambiri la dongosolo lathu logaya chakudya. Ndi lopapatiza kwambiri, ndipo lili ndi mapini ambiri mkati. Chifukwa chake, ma endoscope wamba alibe kutalika kapena kusinthasintha kokwanira kuphimba kutalika konseku. Koma entoscope iyi ndi yayitali kawiri kuposa yachizolowezi.

Ndi nthawi ziti zomwe mungafunike opaleshoni ya baluni?

Nthawi zambiri, mayesowa amachitika kuti apeze malo enieni omwe magazi amatuluka m'matumbo ndikuwachiza. Ndicho chifukwa chachikulu.

Palinso zifukwa zina kupatula zimenezo. Tiyeni tiwone zomwe zili:

• Yang'anani m'mimba mwanu mwaing'ono ngati muli ndi ma polyps , omwe ndi otupa ang'onoang'ono, kapena zotupa zina.
• Dziwani ndikuwongolera matenda monga matenda a Crohn m'matumbo ang'onoang'ono .
• Nthawi zina gawo la matumbo limatha kutsekeka , komwe ndi stricture , kapena matumbo amatha kuchepetsedwa modabwitsa. Yang'anani zinthu ngati zimenezo.
• Ngati mayeso ena, monga kapisozi kakang'ono ka m'mimba kapena endoscopy, sangathe kuchitidwa chifukwa cha vuto la kapangidwe ka m'matumbo anu.
• M'matumbo mwangoziIzi zimagwiritsidwanso ntchito kuchotsa zinthu zakunja ngati zamatirira.

Ndani amachita opaleshoni ya baluni iyi?

Mayesowa amachitidwa ndi dokotala wa matenda a m'mimba, dokotala amene waphunzitsidwa bwino pankhaniyi.

Kodi ndiyenera kukonzekera bwanji mayesowa?

Kukonzekera izi kumaphatikizapo kutulutsa madzi m'mimba mwanu . Njira yoyenera kwa inu idzadalira komwe enteroscope yayikidwa:

• Kumwa: Mungathe kudya zakudya zamadzimadzi zokha kuyambira mutadya nkhomaliro tsiku lisanafike mayeso mpaka maola awiri mayeso asanachitike.
• Kutsegula m'mimba: Izi zimafuna kusala kudya musanayesedwe. Muyeneranso kukonzekera matumbo onse , monga momwe zimachitikira ndi colonoscopy . Izi zikutanthauza kuti mudzapatsidwa mankhwala otsekula m'mimba ndi yankho la electrolyte kuti mumwe tsiku lisanafike mayeso. Izi zingayambitse kutsegula m'mimba mpaka matumbo anu atayera bwino.

Kuwonjezera pa mankhwala amenewa, mungafunike kusiya kumwa mankhwala enaake, monga mankhwala ochepetsa magazi , mankhwala a shuga , kapena mankhwala owonjezera achitsulo , kwa kanthawi. Muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa. Iye adzakuuzani omwe muyenera kusiya kumwa komanso omwe mungapitirize kumwa.

Kodi chimachitika ndi chiyani panthawi ya enteroscopy ya baluni?

Choyamba mudzapatsidwa mankhwala oletsa ululu , kapena mankhwala oletsa ululu, kuti akugonetseni tulo. Simudzamva chilichonse. Kenako, katswiriyo adzalowetsa enteroscope kudzera pakamwa panu kapena m'matumbo. Kenako, baluniyo idzadzazidwa ndi mpweya ndi madzi mosalekeza. Nthawi iliyonse baluniyo ikadzazidwa ndi mpweya ndi madzi, chubucho chidzapita patsogolo pang'ono. Izi zingatenge pafupifupi maola awiri kuti mufufuze matumbo onse ang'onoang'ono .

Ndi mayeso ndi chithandizo chotani chomwe ndingalandire panthawiyi?

Pa opaleshoni ya baluni, zinthu zotsatirazi zitha kuchitika:

• Matumbo anu ang'onoang'ono adzafufuzidwa mosamala kuti awone ngati pali zizindikiro, monga kutupa kosazolowereka .
• Ngati pali kutuluka magazi mkati, amapeza ndi kuchiza.
• Ngati wina m'banjamo wakhala ndi khansa ya m'matumbo ang'onoang'ono , kuyezetsa khansa kumachitika kwa iwo omwe ali pachiwopsezo.
• Ngati pali ma polyps , zotupa zina zachilendo, kapena zinthu zakunja zomwe zapezeka mwangozi, zimachotsedwa.
• Kachidutswa kakang'ono ka minofu komwe kamawoneka ngati kachilendo kamatengedwa (biopsy) ndikutumizidwa ku labotale kuti kakaunikidwe pogwiritsa ntchito maikulosikopu.
• Kutsekeka m'matumbo anuNgati ilipo, ikhoza kukulitsidwa ndipo chipangizo chonga maukonde (stent) chikhoza kuyikidwa kuti chisatsekedwenso.

Kodi ubwino ndi zoopsa za njira iyi ya enteroscopy ya baluni imodzi kapena iwiri ndi ziti?

Ubwino waukulu wa njira iyi ndi wakuti ingathe kuchitika popanda opaleshoni yaikulu ya m'mimba . Izi zimapewa zoopsa za opaleshoni yaikulu, zimachepetsa nthawi yochira, ndipo zimakulolani kubwerera ku zochita zachizolowezi mwachangu.

Koma, monga njira ina iliyonse yachipatala, pali zoopsa zina zomwe zingachitike. Tiyeni tiwone zomwe zili:

• Pambuyo pa mayeso , mpweya m'mimba ukhoza kuyambitsa kupweteka ndi kusasangalala .
• Anthu ena amatha kukhala ndi pancreatitis .
• Zoopsa zokhudzana ndi mankhwala oletsa ululu ndi monga nseru ndi kusanza , kutentha thupi pang'ono , ndi mutu .
• Kawirikawiri, khoma la matumbo ang'onoang'ono limatha kubowoka (kubowoka kwa matumbo) .
• Ngati enteroscope yalowetsedwa kudzera pakamwa, mutha kumva kupweteka pakhosi pambuyo pake.

Chofunika ndichakuti mwayi woti zoopsazi zichitike nthawi zambiri umakhala wochepa kwambiri. Dokotala wanu adzakufotokozerani zonsezi.

Kodi ndingadziwe bwanji zotsatira za mayeso?

Mukhoza kuona zotsatira mukangodzuka kuchokera ku mankhwala oletsa ululu . Komabe, ngati dokotala wanu wachita biopsy kapena kuchotsa polyp , nthawi zambiri zimatenga pafupifupi sabata imodzi kuti zotsatira zake zibwererenso.

Kodi nthawi yochira imakhala bwanji pambuyo pa mayesowa?

Kuyeza balloon enteroscopy ndi njira yochitira opaleshoni yakunja . Izi zikutanthauza kuti mutha kupita kunyumba mutadzuka kuchokera ku mankhwala oletsa ululu. Komabe, ngakhale mutamva bwino bwanji, sikoyenera kuyendetsa galimoto tsiku la opaleshoni . Chifukwa chake, muyenera kukonzekera kupita kunyumba ndi munthu wodalirika pasadakhale.

Ndikofunikira kupuma mokwanira mukapita kunyumba. Ngati mwamwa mankhwala oyeretsera matumbo anu, imwani madzi ambiri ndikudya zakudya zopatsa thanzi. Anthu ambiri amatha kubwerera ku zochita zawo za tsiku ndi tsiku pambuyo pa mayeso.

Kodi pali kusiyana kotani pakati pa Single Balloon Enteroscopy ndi Double Balloon Enteroscopy?

Njira zonsezi, zotchedwa single balloon enteroscopy ndi double balloon enteroscopy , ndi njira zotetezeka komanso zothandiza zowonera m'matumbo mwanu. Mu njira zonsezi, chubu chopyapyala (overtube) chimayikidwa m'matumbo, chomwe ndi enteroscope.Pali chimodzi. Kusiyana kwakukulu kuli m'njira imene chubu chimalowera m'matumbo.

Mu enteroscopy ya baluni imodzi , enteroscope imakhala ndi baluni imodzi yokha. Mbali yakutsogolo ya baluniyo imasinthasintha. Izi zimagwira ntchito ngati nangula pamene chubu chikudutsa m'matumbo.

Mu enteroscopy ya mabaluni awiri , mbali yofewa imalowetsedwa ndi baluni ina. Baluni imodzi imagwira ntchito ngati nangula, pomwe baluni inayo imathandizira kupititsa patsogolo chubu.

Kawirikawiri, enteroscope ya mabaluni awiri imatha kulowa mkati mwa matumbo ang'onoang'ono kuposa baluni imodzi, zomwe zimapangitsa kuti matumbo onse ang'onoang'ono aziwoneka bwino.

Chinthu chofunika kwambiri chomwe muyenera kukumbukira kuchokera pa zomwe takambiranazi ndi

Kuyeza magazi m'matumbo, kapena kuyeza magazi m'matumbo, ndi njira yothandiza kwambiri yomwe imagwiritsidwa ntchito pozindikira ndi kuchiza matenda a m'matumbo ang'onoang'ono . Ingathandize kupeza njira zothetsera mavuto osiyanasiyana, monga kutuluka magazi m'matumbo ndi ma polyps . Chofunika kwambiri, njira iyi ndi yofatsa kuposa opaleshoni . Chifukwa chake, pamakhala kusasangalala pang'ono panthawi yochira, ndipo mutha kubwerera ku zochita zanu za tsiku ndi tsiku mwachangu. Ngati dokotala akukuuzani za mtundu uwu wa mayeso, musachite mantha. Lankhulani naye mosamala za izi ndipo mufunseni mafunso aliwonse omwe muli nawo.

` Kuyeza magazi m'matumbo, matumbo ang'onoang'ono, enteroscope, kufufuza matumbo, matenda am'mimba, ma polyps, matenda a Crohn