Ese ufite ibibazo mu muhogo wawe cyangwa mu muhogo wawe? Reka tumenye byinshi ku ikizamini cya esophagoscopy!

Uyu munsi tugiye kuvuga ku ikizamini cya muganga gishobora kuba gishya kuri wewe, ariko gishobora kuba ingenzi cyane. Cyitwa esophagoscopy. Izina rishobora kumvikana nk'aho riteye ubwoba gato, ariko ntugahangayike, reka tubikomeze byoroshye, si byo se? Tuzavuga ku byo ukeneye kumenya uyu munsi, nko kucyo gikora, impamvu kikorwa, uko kibaho, ndetse no kumenya niba kibabaza.

Gupima umusemburo (esophagoscopy) ni iki? Mu magambo make...

Muri make, gupima amenyo ni uburyo bwo gusuzuma imbere mu muhogo wawe (umuyoboro uva mu muhogo wawe ukagera mu nda yawe iyo unywa ibiryo n'ibyo kunywa). Tekereza ko ari nko kunyuza kamera nto mu nzira iri imbere mu mubiri wawe.

Kuri iki kizamini, abaganga bakoresha umuyoboro muto woroshye (witwa endoscope ). Iyi endoscope ifite kamera nto n'urumuri ku mpera imwe. Rero, iyi endoscope ishyirwa mu kanwa kawe, cyangwa rimwe na rimwe izuru ryawe, hanyuma ikanyuzwa mu muhogo wawe, bigatuma muganga abona neza niba hari ikibazo, niba hari ibimenyetso by'indwara, cyangwa niba hari ikindi kintu kidasanzwe. Hari igihe ubu buryo bukoreshwa no gufata agace gato k'umubiri (urugero rw'ingirabuzimafatizo/biopsy) mu muhogo kugira ngo bisuzumwe kurushaho. Tuzabivugaho nyuma.

Ni ibisanzwe kumva ufite ubwoba cyangwa ubwoba iyo ubwiwe ko hari umuyoboro ugiye gushyirwa mu muhogo cyangwa mu mazuru. Ariko iki kizamini ni bwo buryo bwiza bwo kumenya neza ibirimo kuba muri uyu muyoboro w'ingenzi utwara ibyo kurya n'ibyo kunywa. Kubimenya bishobora kugufasha kumva umeze neza.

Kuki ukeneye gupima umusemburo (esophagoscopy)?

Noneho ushobora kuba wibaza uti 'Kuki nasabwa gukora iki kizamini?' Yego, icyo ni ikibazo cyiza. Muganga ashobora kukwohereza muri iki kizamini kubera impamvu nyinshi zihariye. Reka turebe ibyo ari byo:

• Inkorora idakira: Hari igihe, iyo ufite inkorora igoye kubona impamvu kandi ntigacike ukoresheje imiti isanzwe, ibi bishobora gufasha kumenya niba impamvu ari ikibazo mu muhogo wawe.
• Kugorwa no kumira (Dysphagia): Niba wumva urimo kubyimba cyangwa ubabara iyo urimo kumira ibiryo cyangwa ibinyobwa. Niba wumva ikintu cyagufashe mu muhogo, cyangwa niba wumva ibiryo bigufata mu gituza.
• Isesemi no kuruka kenshi: Niba ukunze kugira isesemi no kuruka kenshi nta mpamvu igaragara, ugomba gusuzuma niba impamvu ari ikibazo mu muhogo cyangwa mu nda yo hejuru.
• Kuribwa mu gifu bidashira: Niba ufite ikibazo cy'umuriro udashira , akenshi dukunze gutekereza ko ari "igifu", ariko nticyoroherwe n'imiti, iki kizamini ni ingenzi kugira ngo hamenyekane impamvu.

Uretse ibi bimenyetso, niba ibiryo byafatiwe mu muhogo wawe, cyangwa niba waramize ikintu utabishaka (urugero, abana bato bashobora kumira ibintu nk'ibiceri, ibice by'ibikinisho, cyangwa bateri, sibyo?), ubu buryo bwo gupima umwijima bukoreshwa no gukuraho ikintu cyafatiwe.

Iki kizamini kandi ni ingenzi cyane mu gusuzuma indwara zimwe na zimwe zo mu muhogo . Dore ingero nke:

• Umuyoboro wa Barrett: Iyi ni indwara aho uturemangingo two mu gice cyo hasi cy'umuyoboro duhinduka tukamera nk'uturemangingo two mu gifu. Iyi ndwara ishobora guterwa no kuzura aside igihe kirekire. Ifite ibyago bike byo kurwara kanseri, bityo ni ngombwa kwisuzumisha buri gihe.
• Kunanirwa kumira: Nkuko twabivuze mbere, kugorwa no kumira. Hari impamvu nyinshi zishobora kubitera, kandi ibi bizagufasha kubisobanukirwa.
• Kanseri yo mu nda: Iri ni ijambo riteye ubwoba. Ariko iyo ibonetse hakiri kare, amahirwe yo kuvurwa no gukira aba menshi cyane. Niyo mpamvu iki kizamini gikorwa niba hari gushidikanya.
• GERD (Indwara yo kuzura mu gifu): Iyi ni indwara abantu benshi bita gusa "igifu." Ibi ni igihe aside yo mu gifu isubira mu gifu. Ibi bishobora gutera kuribwa mu gifu no kubabara mu muhogo.
• LPR (Laryngopharyngeal Reflux): Ibi bisa na GERD, ariko muri iki gihe, aside yo mu gifu izamuka mu muhogo, ikagera mu muhogo no mu gasanduku k'ijwi. Ibi bishobora gutera ibintu nko gukurura amacandwe mu muhogo, impinduka mu ijwi, no kwandura indwara zo mu muhogo zidashira.

Ese hari ubwoko bwa esophagoscopy?

Yego, hari uburyo bubiri bw'ingenzi bwo gukora iki kizamini. Nubwo inzira ari imwe muri zombi, uburyo umuyoboro ufite kamera winjizwamo buratandukanye gato.

1. Gupima mu kanwa: Muri ubu buryo, muganga ashyiramo umuyoboro witwa esophagoscope binyuze mu kanwa kawe no mu muhogo wawe. Ubu buryo ni bwo bukoreshwa cyane.

2. Transnasal esophagoscopy: Muri ubu buryo, umuyoboro unyura mu mazuru yawe. Unyura mu mazuru yawe, mu muhogo wawe, no mu muhogo wawe. Hari abantu bavuga ko ubu buryo bworoshye gato kuko butera isesemi nkeya ugereranyije n'uburyo bwo kunywa.

Ubwo buryo bwombi bukora kimwe. Amashusho ya kamera iri kuri uyu muyoboro agaragara kuri ecran nini ya mudasobwa. Hanyuma muganga ashobora kubona neza imbere mu muhogo wawe. Zimwe muri esophagoscope zirahindagurika, izindi zikaba ari imiyoboro ikomeye kandi idahindagurika (rigid esophagoscopy). Muganga wawe azaguhitiramo ubwoko bukubereye bitewe n'uburwayi bwawe.

Witegura ute gukorerwa esophagoscopy?

Uzakenera kwitegura mbere y'iki kizamini, kuko rimwe na rimwe hakoreshwa ikinya kugira ngo wirinde kumva ububabare cyangwa kutamererwa neza mu gihe cyo gupimwa.Nta kintu na kimwe cyo guhangayika. Muganga wawe azakubwira icyo gukora neza. Ariko muri rusange, ugomba gutekereza kuri ibi bintu:

• Teganya ko umuntu agutwara mu rugo: Kenshi na kenshi, ushobora gutaha umunsi umwe n’ikizamini. Ariko, uzaba uri munsi y’ikinya (cyangwa igice) kandi ntuzashobora gutwara imodoka. Kubwibyo, uzakenera kuzana umuntu ugutwara mu rugo. Ntukajye wenyine, kuko atari byiza.
• Kwitegura ikinya: Ushobora gusabwa guhagarika kurya cyangwa kunywa burundu mu masaha umunani mbere yo gupimwa. Ibi bivuze ko igifu cyawe kigomba kuba kirimo ubusa. Ibi ni ukugabanya ibyago byo kongera kuzamuka mu gifu mu muhogo no mu bihaha mu gihe cyo kugabanya ikinya. Ushobora kandi gusabwa guhagarika gufata imiti imwe n'imwe, cyane cyane imiti igabanya amaraso (nka aspirine na warfarin), cyangwa inyunganiramirire z'ibimera, mu minsi mike. Muganga wawe azagusobanurira ibi byose.

Ni iki kibaho mu gihe cyo gupima umusemburo (esophagoscopy)?

Noneho reka turebe uko bigenda mu gihe cyo gupimwa. Ubwa mbere, umuganga w’ikinya azagusinzira burundu, cyangwa akaguha umuti wo kuruhuka. Hanyuma, muganga wawe azakora ikizamini nk'iki:

• Umuti wo mu muhogo ushyirwa mu muhogo wawe. Umuyoboro ushyirwa mu kanwa. Iyo ushyizwe mu mazuru, imbere mu mazuru yawe na ho haba hari ibinya. Ibi bizatuma bitoroshye cyane kwinjiza umuyoboro.
• Hanyuma, witonze cyane, umuyoboro wa esophagoscope winjizwa unyuze mu kanwa cyangwa mu mazuru.
• Umuyoboro unyura buhoro buhoro mu muhogo, wenda ukagera mu gice cyo hejuru cy'igifu (duodenum).
• Videwo yo muri kamera iri mu muyoboro igaragara kuri ecran nini. Muganga arabireba mu gihe arimo kumusuzuma.
• Iyo umuganga abishatse, ashobora gufata aya mashusho no gufata amafoto kugira ngo azayarebe nyuma.
• Igikuru ni uko niba ubonye ikintu giteye amakenga - urugero, ikibyimba, cyangwa ingingo idasanzwe - ushobora gufata biopsy kugira ngo ugisuzume neza. Ibi bivuze gufata agace gato cyane k'ingingo ukakareba muri mikorosikopi. Ibi bikorwa n'inzobere mu ndwara , umuganga w'inzobere mu gusuzuma ingingo. Iyi biopsy ni bwo buryo bwonyine bwo kumenya neza niba hari ikintu kimeze nka kanseri cyangwa indi ndwara.

Bitwara igihe kingana iki kugira ngo umuntu akore esophagoscopy?

Igihe bizamara kizatandukana bitewe n'ubwoko bw'ikizamini ugiye gukora ndetse niba hari ikindi kintu gikenewe gukorwa mu gihe cy'ikizamini. Urugero, gupima mu mazuru, bikozwe mu minota 10-15, bishobora kurangira mu minota 10-15. Ariko, gupima mu kanwa, bikozwe mu kanwa, bishobora gufata igihe kirekire.Kimwe muri byo, cyane cyane iyo bikubiyemo gufata biopsy cyangwa gukora ubundi buryo buto (nko kwagura umwobo w'amaraso iyo ufunze), bishobora gufata iminota 20 kugeza ku isaha. Ariko, muganga wawe azakubwira mbere y'igihe igihe ubusanzwe bifata.

Ese Esophagoscopy ibabaza?

Iki ni ikibazo abantu benshi bibaza, kandi ni cyo gitera ubwoba abantu benshi. Oya, iki kizamini ntabwo kibabaza. Mu by'ukuri. Iyo muganga ashyizemo umuyoboro, ushobora kumva umerewe nabi gato, ukumva ikintu kikugwa mu muhogo, ndetse wenda no kugira isesemi. Ariko ntabwo kibabaza. Kandi kubera ko uzahabwa ikinya (cyuzuye cyangwa igice), akenshi nta kintu na kimwe uzumva, cyangwa ntuzacyibuka. Rero ntugatinye ibi bitari ngombwa.

Ni iki wakwitega nyuma yo gukorerwa esophagoscopy?

Gupima ikinya (esophagoscopy) akenshi ni uburyo bwo kuvura umuntu utaha . Ibi bivuze ko ushobora gutaha uwo munsi. Ariko, kubera ko wahawe ikinya, uzakenera kuguma kwa muganga cyangwa mu bitaro mu cyumba cyo gukira igihe gito kugeza igihe ingaruka za ikinya zirangiye. Ibi akenshi biba nk'isaha imwe cyangwa ebyiri. Urugero, bishobora gufata isaha imwe kugira ngo umuti utera ibisebe ushire mu muhogo wawe cyangwa mu mazuru yawe. Muri icyo gihe, abakozi bo kwa muganga bazakurikirana uko umerewe. Iyo umaze kumva neza, ushobora guhamagara umuntu ngo aguhamagare.

Mu muhogo wawe ushobora kumva ubabara gato cyangwa urimo gushwanyagurika mu gihe cy'umunsi umwe cyangwa ibiri nyuma yo gupimwa. Ibi ni ibisanzwe. Kunywa amazi ashyushye cyangwa kurya ikintu gikonje nka ice cream bishobora gufasha.

Ni izihe nyungu zo gukoresha esophagoscopy?

Hari inyungu nyinshi kuri iki kizamini kuri wewe. Ntabwo ari ugukora ikintu nk'iki gusa. Reba:

• Indwara nka Barrett's ugwoko , GERD , n'ibisebe byo mu muhogo zishobora gupimwa neza.
• Ishobora kumenya niba ufite uturemangingo twa kanseri mu muhogo wawe, cyangwa niba ufite indwara zibanziriza kanseri zishobora kuvamo kanseri. Iyo kanseri igaragaye hakiri kare, amahirwe yo kuvurwa no gukira aba menshi cyane. Iki ni kimwe mu byiza by'ingenzi by'iki kizamini.
• Ibintu byafatiwe mu muhogo (urugero: ibice by'ibiryo, ikintu cyamizwe n'umwana muto) bishobora gukurwaho.
• Hari igihe, iyo habayeho kuva amaraso mu kibuno, hashobora gukorwa uburyo buke bwo kuvura kugira ngo bihagarare.

Ese hari ingaruka ziterwa no gupima amenyo (esophagoscopy)?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe. Ariko, esophagoscopy ni uburyo bwizewe cyane, bufite ingorane nke cyane. Ariko, hari ibintu bimwe na bimwe bishobora kubaho:

• Kuva amaraso: Hashobora kubaho kuva amaraso, cyane cyane iyo hafashwe biopsy. Ariko akenshi bihagarara ubwabyo, cyangwa bigahagarikwa binyuze muri endoscope.
• Kubabara mu muhogo: Umuhogo wawe ushobora kumva ubabara cyangwa ushwanyagurika mu gihe cy'umunsi umwe cyangwa ibiri nyuma yo gupimwa. Ibi ni ibisanzwe.
• Kwandura: Ni gake cyane.
• Uburyo bwo kuvura indwara yo gusinziriza: Ibi nabyo ni gake cyane. Umuganga w’indwara yo gusinziriza aba maso kuri ibi.
• Gutobora cyangwa gucika: Iki nacyo ni ikibazo kidasanzwe kandi gikomeye. Ariko, iyo kibayeho, kubagwa bishobora kuba ngombwa. Abaganga babyitondeye kandi bafite uburambe muri ibi, bityo ibyago ni bike cyane.

"Wibuke ko izi ngaruka ari nto cyane. Muganga wawe arimo kugutegeka iki kizamini kuko inyungu ziruta kure ingaruka nto."

Ni izihe ngaruka zo gukoresha esophagoscopy?

Abaganga bakora iki kizamini kubera impamvu zitandukanye, bityo ibisubizo biratandukana bitewe n'ibyo. Reka turebe ingero nke:

• Niba ikizamini cyerekanye ko ufite GERD , muganga wawe azaguha uburyo bwo kuyivura (imiti) n'uburyo bwo kuyigenzura (guhindura imibereho, imirire).
• Niba ufite umuyoboro wa Barrett , ikizamini gishobora kugaragaza niba indwara yawe ihagaze neza cyangwa irushaho kuba mbi. Ibi bizagufasha kumenya icyo ugomba gukora nyuma yaho n'inshuro ugomba kongera kwipimisha.
• Niba ufite ikibazo cyo kumira (dysphagia) , iki kizamini gishobora kugufasha kumenya impamvu. Bishobora kuba ari ukuziba k'umuyoboro w'amaraso cyangwa ikindi kibazo. Hanyuma ubuvuzi bushobora gutangira uko bikwiye.
• Iyo ukoze biopsy, ushobora kumenya neza niba ufite kanseri cyangwa indi ndwara yihariye.

Ni ryari nzamenya ibisubizo by'ikizamini?

Hari igihe muganga ashobora kukubwira ibisubizo nyuma gato y'ikizamini. Ni ukuvuga ibyo wabonye hakoreshejwe endoscope. Ariko, iyo muganga afashe ingero z'uturemangingo (biopsy) akatwohereza muri laboratwari, bishobora gufata iminsi mike cyangwa icyumweru kugira ngo ibisubizo bigaruke. Niba ibyo bibaye, muganga azakubwira igihe ushobora kwitega ibisubizo, n'uko ugomba kugaruka kubigufata, cyangwa niba bazaguhamagara. Ntugahangayike rero.

Igihe cyo kongera kubonana na muganga nyuma yo gusuzumwa

Umaze gutaha nyuma yo gupimwa, ugomba kumenyesha muganga wawe niba ubonye ibimenyetso bidasanzwe. Menya ibintu nk'ibi:

• Iyo amaraso y'izuru adahagaze (niba umuyoboro winjiye mu mazuru).
• Niba urwaye mu muhogo cyane , kugeza ubwo udashobora kumira.
• Niba ufite ububabare bukomeye mu gituza .
• Niba wumva bigoye guhumeka .
• Niba ufite umuriro (ubusanzwe uri hejuru ya 100.4°F cyangwa 38°C).
• Iyo unyuze mu ntebe y'umukara, iterura(Iki gishobora kuba ikimenyetso cyo kuva amaraso imbere mu mubiri).
• Iyo uruka amaraso, cyangwa uruka bisa n'ibinyobwa bya kawa.
• Kubabara cyane mu gifu cyangwa kubyimba inda.

Niba ikintu nk'iki kibaye , ntutinde . Hamagara muganga wawe ako kanya cyangwa ujye ku bitaro biri hafi yawe.

Ni irihe tandukaniro riri hagati ya Esophagoscopy na Bronchoscopy?

Ibi byombi ni ubwoko bwa endoskopi . Ni ukuvuga uburyo bukoresha umuyoboro ufite kamera kugira ngo urebe imbere mu mubiri. Ariko agace ko kurebamo karatandukanye.

Isuzuma rya esophagoscopy rireba umwobo , umuyoboro w'ibiribwa, ndetse wenda n'igice cyo hejuru cy'igifu.

Isuzuma rya bronchoscopy rireba trachea yawe (umuyoboro w'umuyaga) n'inzira z'ubuhumekero mu bihaha byawe . Ni ukuvuga inzira z'ubuhumekero zigufasha guhumeka.

Bityo rero, muganga wawe azagufatira icyemezo cy’ibizamini bibiri ukeneye bitewe n’ibimenyetso byawe. Urugero, hari igihe byombi bishobora gukorwa kugira ngo hamenyekane icyateye inkorora idakira.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Sawa, ndizera ko ubu ufite igitekerezo cyiza ku bijyanye na esophagoscopy. Wibuke ko niba ufite ibimenyetso nko kuribwa mu gifu, kugorwa no kumira, cyangwa kubabara mu muhogo bidashira, ntugire isoni cyangwa ngo utinye kubibwira muganga wawe. Esophagoscopy si ikizamini kibabaza, ariko gishobora kukubabaza gato. Niba ufite impungenge cyangwa ubwoba kuri iki kizamini, ntutindiganye kubibwira muganga wawe. Bazagusobanurira byose kandi baguhe ubufasha ukeneye mu gihe na nyuma yacyo. Ibi bizamini byagenewe kugufasha kumenya indwara yawe hakiri kare no kugufasha gukira vuba. Rero, ntutinye gukora iki kizamini nibiba ngombwa.

Esophagoscopy , umwobo, endoscopi, ingorane zo kumira, kubyimba mu gituza, GERD, biopsy