Kodi munachitidwapo opaleshoni ya endoscopy? Mwina dokotala wanu wakupemphani kuti muyesedwe ngati muli ndi chilonda cha m'mimba kapena kusapeza bwino kwina. Mukamachita mayesowa, nthawi zina dokotala amaona kutuluka magazi kuchokera pachilonda chaching'ono m'mimba mwanu kapena m'matumbo, kapena zotupa zazing'ono (polyps) zapangika. Kale, izi zikanafunika opaleshoni yaying'ono, koma ndi ukadaulo wapamwamba wamakono, pali njira zochiritsira zinthuzi popanda kuduladula. Imeneyo ndi imodzi mwa njira zamakono zomwe tikukamba lero. Imatchedwa Argon Plasma Coagulation, kapena APC mwachidule.
Mwachidule, kodi APC (Argon Plasma Coagulation) ndi chiyani?
Chabwino, dzinali lingamveke ngati lovuta pang'ono, koma zomwe zimachitika apa n'zosavuta kwambiri. Tangoganizani kuti dzenje laling'ono mu chubu mkati mwa thupi lathu (monga njira yogayira chakudya) likutuluka magazi. Mu njira iyi yotchedwa APC, dokotala amatumiza chubu china choonda kudzera mu chubu cha endoscope (scope), ndipo mpweya wapadera wotchedwa 'Argon' umalowetsedwa kudzera mmenemo. Kenako, mphamvu yamagetsi yaying'ono kwambiri imagwiritsidwa ntchito kuyatsa mpweyawo. Kutentha kwakukulu komwe kumachitika chifukwa cha izi kumawotcha malo otuluka magazi ndikuletsa kutuluka magazi. Komanso, ngati pali zotupa zazing'ono zosafunikira (polyps), njira iyi ikhoza kuziwononga kwathunthu.
Izi zili ngati kuthetsa vuto mkati mwa thupi, popanda kudula thupi, koma mosamala kwambiri kuchokera kunja. Izi zikutanthauza kuti palibe chifukwa chochita opaleshoni yayikulu. Ndicho chimene timachitcha 'chosavulaza kwambiri' mu zamankhwala.
Chithandizochi chimachitidwa ndi gastroenterologist kapena pulmonologist.
Ndi nthawi ziti pamene chithandizochi chimafunika?
Chithandizo cha APC chimagwiritsidwa ntchito pazifukwa zosiyanasiyana. Tiyeni tiwone zomwe chimachita makamaka.
| Matenda omwe akuchiritsidwa | Kufotokozera kosavuta |
|---|---|
| Kuletsa kutuluka magazi m'thupi | Amagwiritsidwa ntchito pochiza kutuluka magazi chifukwa cha zilonda m'mimba ndi m'matumbo, kutuluka magazi m'matumbo, kapena vuto lotchedwa 'watermelon stomach' (Gastric Antral Vascular Ectasia Syndrome). |
| Kuchotsa minofu/zotupa zomwe sizikufunidwa | Njirayi imagwiritsidwa ntchito kuchotsa tinthu ting'onoting'ono (ma polyps) kapena minofu yomwe ingakhale khansa m'matumbo. Ingagwiritsidwenso ntchito kuchepetsa chotupa cha khansa mwa munthu amene sangathe kuchitidwa opaleshoni yayikulu. |
| Kuchiza Barrett's Esophagus | Izi zimachitika chifukwa cha matenda a gastritis a nthawi yayitali (GERD) omwe amachititsa kusintha kwa maselo a m'mero. Ma APC amagwiritsidwa ntchito kuchotsa maselo osinthidwawa asanakhale khansa. |
| Kulemera pambuyo pa opaleshoni yochepetsa thupi | Pambuyo pa opaleshoni yochepetsa thupi, malo omwe mimba inali italumikizidwa amatha kutambasuka ndikukula pakapita nthawi. Kenako kulemerako kudzabwezeretsedwanso. Chithandizo cha APC chimagwiritsidwa ntchito kulimbitsa ndikuchepetsanso malo otambasukawo. |
| Mavuto a m'mapapo ndi kupuma | Njirayi imagwiritsidwanso ntchito limodzi ndi bronchoscopy pochiza zotupa zazing'ono kapena malo omwe magazi amatuluka m'njira zopumira. |
Kodi chithandizochi chimagwira ntchito bwanji?
Pali kukonzekera pang'ono komwe muyenera kuchita musanalandire chithandizochi. Zimadalira momwe mukufunira kuchita.
- Upper Endoscopy: Izi zimaphatikizapo kulowetsa chubu kudzera pakamwa kuti aone mimba ndi mmero.
- Colonoscopy: Izi zimaphatikizapo kulowetsa chubu kudzera mu rectum kuti akaone matumbo akuluakulu.
- Bronchoscopy: Izi zimaphatikizapo kulowetsa chubu kudzera m'mphuno kapena pakamwa kuti muone mapapo.
Zisanachitike izi, dokotala wanu adzakupemphani kuti musamadye kapena kumwa kwa maola angapo . Mukalandira colonoscopy, mudzapatsidwa njira yokonzekera matumbo kuti muyeretse matumbo anu. Komanso, ngati mukumwa mankhwala ochepetsa magazi monga aspirin, mungapemphedwe kuti musiye kumwa kwa masiku angapo.
Panthawi ya chithandizo...
1. Mudzapatsidwa mankhwala oletsa ululu kuti mumve bwino komanso kuti musamve kupweteka kulikonse. Izi zikuphatikizapo kuika chubu chaching'ono (IV line) mumtsempha womwe uli m'dzanja lanu ndikukupatsani mankhwala kudzera mumtsemphawo.
2. Kenako mudzagonekedwa pabedi lothandizira.
3. Dokotala amaika chubu chopyapyala komanso chosinthasintha (scope) chokhala ndi kamera yolumikizidwa m'thupi momwe ziyenera kukhalira (kudzera mkamwa, mphuno, kapena kumaliseche).
4. Kuti thupi lanu lisawonongeke ndi magetsi, pad yopapatiza (grounding pad) imalumikizidwa ku thupi lanu (nthawi zambiri ntchafu yanu).
5. Kenako, catheter yokhala ndi chipangizo cha APC imadutsa mu sikopu kupita kumalo oyenera.
6. Gasi wa Argon umabayidwa kaye, kenako magetsi amagwiritsidwa ntchito kuti uyatse. Kenako minofu yomwe ikufunidwa imatenthedwa.
7. Dokotala amatsiriza chithandizocho mwa kusuntha chipangizocho ngati pakufunika, kulamulira kuchuluka kwa mpweya ndi magetsi.
8. Ntchito ikatha, choyezera, katheta, ndi grounding pad zimachotsedwa.
Njira yonseyi nthawi zambiri imatenga mphindi 15 mpaka ola limodzi .
Kodi chimachitika ndi chiyani mukalandira chithandizo? Kodi pali zotsatirapo zilizonse?
Mukamaliza kulandira chithandizo, mudzasungidwa m'chipinda chochiritsira kwa kanthawi ndipo mudzatumizidwa kunyumba zotsatira za mankhwala oletsa ululu zitatha. Kusamva bwino pang'ono kungachitike.
- Kumva ngati mimba yako yadzaza.
- Kutuluka kwa mpweya ndi kupweteka pang'ono m'mimba.
- Kutopa pang'ono, chizungulire pang'ono.
Izi nthawi zambiri zimakhala zachilendo. Palibe chodetsa nkhawa. Kusasangalala kumeneku kumatha pakatha maola ochepa. Simudzamva kupweteka kulikonse panthawi ya chithandizo chifukwa mudzapatsidwa mankhwala oletsa ululu.
APC ndi njira yotetezeka kwambiri. Mavuto ndi osowa. Komabe, monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zoopsa zazing'ono. Kutuluka magazi, mavuto ndi mankhwala oletsa ululu, kuchepa kwa m'mero (stenosis), kapena kuphulika kwa minofu kungachitike kawirikawiri. Ndicho chifukwa chake ndikofunikira kuti njirazi zichitidwe ndi dokotala wodziwa bwino ntchito.
Zizindikiro zomwe zimafuna chithandizo chamankhwala mwachangu
Mukabwerera kunyumba, ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa, muyenera kupita kuchipatala nthawi yomweyo, makamaka ku Dipatimenti Yoona za Zadzidzidzi (ETU). Izi zitha kukhala zizindikiro za vuto lalikulu, choncho ndikofunikira kuchitapo kanthu mwachangu.
| Zizindikiro zochenjeza zoyenera kusamala nazo! | |
|---|---|
| 🔴 | Kupweteka kwambiri m'mimba komwe sikutha ngakhale mutatulutsa mpweya. |
| 🔴 | Kupweteka pachifuwa . |
| 🔴 | Kuvuta kupuma . |
| 🔴 | Kusanza magazi (ofiira kapena ngati khofi). |
| 🔴 | Kutuluka magazi m'matumbo (magazi ofiira kapena akuda mu ndowe). |
| 🔴 | Malungo kapena kuzizira. |
| 🔴 | Kuvuta kumeza kapena kupweteka kwambiri pakhosi. |
Mukapita kunyumba, tsatirani malangizo a dokotala molondola.
- Chifukwa cha zotsatira za mankhwala oletsa ululu, musayendetse galimoto kapena kugwiritsa ntchito makina olemera tsiku limenelo.
- Bweretsani munthu woti akutengereni kunyumba. Ndi bwino ngati wina angakhale nanu kwa maola angapo mutafika kunyumba.
- Pewani kumwa mowa.
- Dokotala adzakulangizani zomwe mungadye komanso nthawi yomwe mungayambe kudya bwino.
Uthenga Wopita Nawo Kunyumba
- Argon Plasma Coagulation (APC) ndi njira yapamwamba komanso yosavulaza yomwe imagwiritsidwa ntchito poletsa kutuluka magazi m'thupi ndikuchotsa minofu yosafunikira.
- Izi zimachitika pansi pa anesthesia, kotero simudzamva kupweteka kulikonse.
- Mukalandira chithandizo, mungamve kupweteka pang'ono, monga kutupa ndi mpweya, koma nthawi zambiri izi zimatha msanga.
- Mukapita kunyumba mukatha kulandira chithandizo, tsatirani malangizo a dokotala molondola.
- Ngati mukukumana ndi zizindikiro zilizonse zochenjeza monga kupweteka kwambiri m'mimba, kupweteka pachifuwa, kuvutika kupuma, kapena kusanza magazi, pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala nthawi yomweyo.
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