Kubyimba mu gifu? Kugorwa no kumira? Reka twige ku ikizamini cya EGD (Upper Endoscopy)

Ese ufite kandi ububabare buhoraho nko kuribwa mu gifu, kubabara mu nda, cyangwa isesemi? Ushobora kandi kugira ingorane zo kumira ibiryo. Mu bihe nk'ibi, muganga wawe ashobora kuba yarakubwiye ati: "Tugomba gushyira kamera" cyangwa "Tugomba gukora endoscopy." Ni ibisanzwe kumva ufite ubwoba no guhangayika iyo ubyumvise. Ariko mu by'ukuri si ikintu cyo gutinya. None rero uyu munsi, reka tuganire kuri iki kizamini cya EGD, cyangwa Upper Endoscopy, mu buryo bworoshye kandi busobanutse.

Iki kizamini cya EGD ni iki mu by'ukuri?

Izina EGD rishobora kumvikana nk'irigoye gato. Izina ryaryo ryose ni "Esophagogastroduodenoscopy". Yewe! Izina ni rirerure, si byo se? Reka tubicemo kabiri twumve.

Muri make, ubu ni uburyo busuzuma igice cyo hejuru cy'urusobe rw'igogora, kirimo umwobo, igifu, na duodenum (igice cya mbere cy'amara mato) .

Ibi bikorwa hakoreshejwe igikoresho cyitwa endoscope . Ni umuyoboro muto cyane kandi woroshye. Ku mpera imwe y'umuyoboro hari kamera nto n'urumuri. Nyuma yo kuguha imiti ikenewe kugira ngo wirinde ububabare cyangwa ububabare no kugutera gusinzira gake, umuganga w'indwara z'igifu ashyira uyu muyoboro ufite kamera mu kanwa kawe maze akareba imbere mu muhogo wawe, mu gifu, na duodenum neza kuri ecran ya mudasobwa.

Tekereza, ibi ni nko kohereza umufotozi muto mu mubiri wacu akareba ibirimo kuba imbere.

Ni nde ukeneye ikizamini cya EGD?

Niba ufite kimwe cyangwa byinshi mu bimenyetso biri hepfo bikomeza nta mpamvu ibonetse, muganga wawe ashobora kukwohereza muri iki kizamini.

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Ni izihe ndwara zishobora gupimwa hakoreshejwe iki kizamini?

Iki kizamini cya EGD gishobora gusuzuma indwara neza kurusha ibizamini nka X-rays kuko kigufasha kureba imbere mu buryo butaziguye.

• Indwara yo kuzura mu gifu (GERD): Indwara abantu benshi bita "gastrite." Aside yo mu gifu izamuka mu muhogo.
• Kubyimba: Kubyimba n'ibisebe mu muhogo, mu gifu, cyangwa mu duodenum (esophagitis, gastritis, duodenitis).
• Ibisebe byo mu gifu: Ibisebe biba mu gifu.
• Indwara zihariye zo mu mara nka Celiac disease na Crohn's disease .
• Ibibyimba bya kanseri n'ibitari kanseri.
• Hernia yo mu nda: Igice cy'igifu kinyura mu gituza.
• Gufata icyitegererezo cy'ingingo (Biopsy): Iyo ubonye ahantu hateye amakenga, iki gikoresho gishobora no gukoreshwa mu gufata agace gato cyane k'ingingo aho ngaho ukakohereza kugira ngo ikorerwe isuzuma ryinyongera. Ibi byitwa gufata biopsy .

Ni gute wakwitegura ikizamini cya EGD?

Nubwo iki ari igikorwa cyoroshye gishobora kurangira mu masaha make, hari ibintu bike ugomba gutegura mbere y'igihe.

1. Inama z'abaganga: Menya neza ko wabwiye muganga wawe izindi ndwara zose ufite (nka diyabete, indwara z'umutima, umuvuduko ukabije w'amaraso) hamwe n'imiti iyo ari yo yose ufata (cyane cyane imiti igabanya amaraso).Ugomba kubimenyesha muganga wawe. Hari imiti ishobora gukenera guhagarikwa cyangwa guhindurwa ingano yayo iminsi mike mbere yo gupimwa.

2. Kwiyiriza ubusa: Ntushobora kurya ibiryo bikomeye amasaha 8 mbere yo kwipimisha. Kugira ngo ikizamini kibe gikeye, ugomba kunywa ibinyobwa bisukuye, nk'amazi, kugeza ku masaha 2 mbere yo kwipimisha. Muganga wawe azakugira inama kuri ibi.

3. Umugenzi: Kubera ko uzasinzira gato muri iki kizamini, ntuzashobora gutwara cyangwa gukoresha imashini ziremereye umunsi ukurikira ikizamini. Kubwibyo, ugomba kuzana umuntu mukuru wizeye kugira ngo agutware mu rugo.

Ni iki kibaho mu gihe cyo gupimwa na nyuma yacyo?

Mbere y'ikizamini

Ugeze mu bitaro, umuforomo azasuzuma ibimenyetso by'ubuzima bwawe maze ashyiremo umuyoboro muto (catheter ya IV) mu mutsi uri mu kuboko kwawe maze awushyire ku murongo wa saline. Umuti wa anesthesia uzatangwa binyuze muri wo. Akenshi, ntuzasinzira burundu, ahubwo uzahabwa kumva usinziriye (utuje). Byongeye kandi, hazakoreshwa spray kugira ngo umuhogo wawe ukomereke.

Mu gihe cy'ikizamini

Uzahindurirwa ibumoso bwawe hanyuma ushyireho agakoresho ko kurinda amenyo yawe n'ururimi mu kanwa kawe kugira ngo karinde amenyo yawe n'ururimi rwawe. Hanyuma, muganga azashyiramo endoscope witonze mu kanwa kawe. Igikorwa cyose kizamara iminota iri hagati ya 30 na 60. Nta bubabare uzumva.

Nyuma y'ikizamini

Nyuma y'uko ikizamini kirangiye, ugomba kuguma mu cyumba cy'indeberezi mu gihe cy'isaha imwe cyangwa ebyiri kugeza igihe wongeye kugarura ubwenge.

• Kubabara mu muhogo: Iyo spray yo kugabanya ububabare imaze kurangira, ushobora kubabara mu muhogo mu gihe cy'umunsi umwe cyangwa ibiri. Ibi bishobora koroherwa n'ibintu nk'ibinyobwa bikonje na ice cream.
• Kubyimba igifu: Imyuka ikoreshwa mu gutera igifu ubushyuhe mu gihe cyo gupima ishobora gutuma igifu kiyumva nk'icyuzuye. Ibi bizashira nyuma y'igihe runaka.
• Ubwitonzi: Ushobora kugira ikibazo cyo kwibagirwa nyuma yo gupimwa. Ibi ni ibisanzwe bitewe n'ikinyabutabire.

Ni izihe nyungu n'ingaruka byagira?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari inyungu n'ingaruka nto cyane.

Igihe cyo kubonana na muganga ako kanya

Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo gupimwa, menyesha muganga wawe ako kanya cyangwa ujye mu bitaro bikuru by’ubutabazi bw’ibanze (ETU) biri hafi yawe.

• Ububabare bukomeye mu gituza cyangwa mu nda
• Umuriro n'ibicurane
• Kugorwa cyane no kumira
• Ibyuma by'umukara, intebe zo gutegereza
• Kuruka bidashira

Ibisubizo by'ibizamini bizaboneka uwo munsi cyangwa mu byumweru bibiri niba hakozwe isuzuma rya biopsy. Ibisubizo nibimara gutangwa, muganga wawe azakubwira ibyabyo n'intambwe zikurikiraho.