Wakambokumbirwa here kuti uite Endoscopic Ultrasound (EUS)? Ngatikurukurei izvi zviri nyore!

Kana chiremba akakuudza kuti unofanira kuongororwa `(Endoscopic Ultrasound)` kana `(EUS)`, unogona kunzwa kutya zvishoma, handiti? "Ndeipi bvunzo itsva iyi?" "Icharwadza here?" "Sei izvi zvichiitwa?" Mibvunzo yakawanda yakadaro ingangouya mupfungwa. Zvakajairika. Saka nhasi, tichataura nezvebvunzo iyi `(EUS)` nemashoko akareruka, sekunge waizotaura neshamwari. Ipapo unogona kunzwisisa zviri nani.

Saka, chii chinonzi endoscopic ultrasound (EUS)?

Zvichitaurwa zviri nyore, EUS bvunzo yakakosha inotarisa mukati memudumbu mako . Izvi zvinoitwa nachiremba ane hunyanzvi mudumbu (anowanzonzi gastroenterologist).

Bvunzo iyi ye ``(EUS)`` inoshandisa musanganiswa wezvinhu zvikuru zviviri:

1. Endoscope: Funga nezvayo sechubhu yakatetepa, yakareba, inochinjika ine kamera diki nechiedza chakasungirirwa kumucheto mumwe. Izvi ndizvo zvinoita kuti chiremba aone zvakajeka mukati memuviri wako.

2. Ultrasound: Pakupera kwe endoscope, pamwe chete nekamera, pane mudziyo mudiki we ultrasound (probe). Izvi zvinoshandisa mafungu eruzha kugadzira mifananidzo yenhengo dzemukati mako, nyama, uye tsinga dzeropa . Zvakafanana nekuongororwa kwe ultrasound kunoitwa nemwana wako, asi zvinoitwa mukati memuviri wako.

Saka kana izvi zviviri zvabatanidzwa, chiremba anogona kuwana mufananidzo wakajeka kwete chete wemadziro (zvikamu) zvegadziriro yako yekugaya, asiwo dzimwe nhengo dziri pedyo nayo (semuenzaniso, pancreas negallbladder).

Ndiani anowanzoda bvunzo iyi yeEUS?

Haasi munhu wese anofanira kuita bvunzo iyi ye "(EUS)``. Chiremba anogona kuikurudzira kuti iongororwe kana kusimbiswa kwemamwe mamiriro ehutano. Heano mimwe mienzaniso:

• Kana muine kurwadziwa kwemudumbu kana kurwadziwa kwechipfuva nguva dzose , tsvagai chikonzero chacho.
• Kana paine fungidziro yekuti kenza yapararira kune dzimwe nhengo dzemuviri (kenza inopararira mumuviri) .
• Kana wakaona bundu, ronda, kana bundu paCT scan yekare kana MRI scan, tsvaga kuti chii chaizvo.
• Kana uine matambudziko nedumbu rako , semuenzaniso, zvirwere zvakaita seInflammatory Bowel Disease (IBD), kenza yemuura, kana kuti anal fissures.
• Chirwere chenduru , zvichireva kana uine matombo emunduru kana kana uine kuzvimba kwenduru (cholecystitis).
• Tsvaga ruzivo nezvezvimwe zvirwere zvemapapu , zvakaita sekenza yemapapu.
• Zvirwere zvepancreaticTsvaga ruzivo nezvazvo. Izvi zvinosanganisira zvirwere zvakaita sekenza yepancreas, pancreatic cysts, uye pancreatitis.
• Kana uchinetseka nekumedza chikafu , semuenzaniso, zvirwere zvakaita se "Barrett's esophagus".

Muzviitiko zvakaita seizvi ndipo panogona kubatsira vanachiremba kuona zviri mukati uye kuongorora chirwere nemazvo.

Ndedzipi mhando huru dzekuongorora kweEUS?

Bvunzo dzeEUS ​​dzinogona kukamurwa kuita zvikamu zviviri zvikuru, zvichienderana nekuti bvunzo yacho inoitirwa kupi.

1. EUS Yepamusoro

Izvi zvinotarisa chikamu chepamusoro chedumbu rako. Ndizvo:

• Mucheka wemukati megurokuro (pombi yechikafu), dumbu (dumbu), uye chikamu chepamusoro cheura hwako hudiki (duodenum).
• Ma lymph nodes akabatana, mitsipa yeropa, ma cysts, uye bundu.
• Inogonawo kuongorora nhengo dziri pedyo dzakadai sepancreas, gallbladder, uye bile ducts.

2. EUS yakaderera

Bvunzo iyi inotarisa chikamu chezasi chegadziriro yako yekugaya chikafu. Izvi zvinoreva:

• Tsandanyama dzakatenderedza goko rekumashure (anal sphincter).
• Mitsipa yeropa, ma lymph nodes, ma cysts, uye bundu rekenza munzvimbo iyoyo.
• Chikamu chemukati chechikamu chekupedzisira cheura hukuru (rectum neura hukuru).

Chiremba achasarudza kuti ndeipi ye "EUS" mbiri idzi yaunofanira kuita zvichienderana nezviratidzo zvako nezvaunoda.

Mimwe miedzo inoitiswa pamwe chete neEUS here?

Ehe, dzimwe nguva, panguva yekuita EUS, imwe nzira yakakosha inogona kuitwa. Kureva, Endoscopic Ultrasound-guided Fine-Needle Aspiration (FNA) .

Izvi zvingaita sezita refu, asi zvinongoitika: Paanenge achitarisa mukati ne "(EUS)``, chiremba anogona kutarisa mifananidzo ye ultrasound, opinza tsono yakapfava nepa endoscope, uye otora chidimbu chidiki chenyama kana mvura kubva munzvimbo inofungirwa . Izvi zvinonzi ``(FNA)``, uye vamwe vanhu vanozviti ``(biopsy)```.

Muenzaniso wacho unozotumirwa kurabhoritari, uko nyanzvi yezvirwere inouongorora pasi pemaikorosikopu kuti ione kana paine masero asina kujairika, akadai semasero ekenza. Izvi zvinobatsira kusimbisa rudzi chairwo rwechirwere .

Chii chandinofanira kuita ndisati ndaita bvunzo yeEUS?

Kana wakarongerwa kuongororwa kweEUS, chiremba wako kana nesi achakupa mirairo yezvekuita uye zvekusaita zuva rakapfuura. Zvakakosha kuitevedzera nemazvo kuti uve nechokwadi chekuti bvunzo yako yabudirira . Kazhinji inosanganisira zvinhu zvakaita se:

• Nezvemishonga yaunotora: Kana uri kutora mishonga yezvinhu zvakaita sechirwere cheshuga, BP, kana chirwere chemwoyo, kunyanya mishonga inobvisa ropa rakawanda,Kana uri kutora mishonga inobvisa ropa (semuenzaniso, Coumadin®, Plavix®) kana insulin, unofanira kuudza chiremba wako pachine nguva. Chiremba wako angangoda kuchinja dose kana kurega kutora mushonga kwemazuva mashoma.
• Zvekudya Nekunwa: Uchakumbirwa kusadya kana kunwa chero chinhu kwemaawa akati wandei bvunzo isati yaitwa (kazhinji maawa matanhatu kusvika masere). Zvakakosha kuva nedumbu risina chinhu kuti bvunzo ibude pachena.
• Kugadzirira ura: Kana uine EUS yakaderera, chiremba wako achakupa mushonga unonzi "prep yeura" kuti uchenese ura hwako. Izvi zvinokubatsira kuona mukati meura hwako zvakajeka.
• Mamwe mazano: Ungapiwa mazano akajeka. Teerera zvese nokungwarira wozvitevedzera.

Chii chaizvo chinoitika panguva yeEUS yepamusoro?

Kuvhiyiwa kwepamusoro kweEUS kunowanzoitwa kunze kwechipatara. Hamuzopinzwe muchipatara nekuda kwekuita uku. Zvisinei, nekuti muchapihwa mushonga wekuderedza kushushikana (anesthesia) pakuita uku, muchada mumwe munhu anokuperekedzai nemota kuti muende kumba mushure mekuvhiyiwa uku. Zvakanakawo kuva nemumwe munhu newe kwezuva rose. Kuvhiyiwa kwepamusoro kweEUS kunowanzo tora maminetsi angangoita makumi matanhatu .

Zvinhu zvinotevera zvinoitika panguva yebvunzo:

1. Uchatendeudzirwa kuruboshwe wobva warara pasi.

2. Mukoti achaisa kannula kadiki mutsinga yeruoko rwako obva akupa mushonga wekunyaradza . Izvi zvichakubatsira kuzorora uye kusanzwa bvunzo.

3. Ndichapfapfaidza mushonga wekuti pahuro pave nechiveve.

4. Chidziviriro chemuromo chepurasitiki chichaiswa mumuromo mako kudzivirira kukuvara kwemazino ako uye kudzivirira kutsenga endoscope.

5. Chiremba achaisa zvishoma nezvishoma endoscope ye ultrasound nemuromo wako, achidzika nepagurokuro, mudumbu mako, uye ozopinda muchikamu chepamusoro cheura hwako hudiki (duodenum). Hauzonzwi kurwadziwa panguva iyi . Uchakwanisa kufema zvakanaka.

6. Chiremba anotarisa mifananidzo ye ultrasound pa monitor uye anoongorora chikamu chepamusoro chemudumbu mako, nhengo dzakakomberedza, mapundu, uye bundu.

7. Kana zvichidikanwa, `(FNA)` yambotaurwa, zvinoreva kutora tissue sampuro, inoitiswa panguva ino.

8. Kana bvunzo yapera, chiremba achabvisa endoscope zvishoma nezvishoma. Mushonga wekunyaradza uchamiswa. Wobva waendeswa kukamuri rekupora womirira kuti udzoke zvishoma nezvishoma.

Chii chinoitika panguva yeEUS yakaderera?

Subtotal ultrasound (EUS) yakafanana nesupratotal ultrasound, uye inoongororwa zuva rimwe chete . Uchapihwawo mushonga wekunyaradza, saka mumwe munhu achafanira kukuendesa kumba nemotokari.

Bvunzo iyi inowanzotora maminetsi asingasviki makumi matanhatu.Ndizvo zviri kuitika. Kana `(EUS)` ikaitwa pasi peganda, `(FNA)` hainyanyi kuwanda.

Izvi ndizvo zvinoitika panguva yebvunzo:

1. Uchatendeudzirwa kuruboshwe wobva warara pasi.

2. Uchapihwa piritsi rekurara kuburikidza neIV kuti rikubatsire kuzorora.

3. Chiremba anoisa ultrasound endoscope kuburikidza neanus yako nerectum uye anoitungamira muura hwako. Hauzonzwi kurwadziwa kana kusagadzikana panguva iyi . Uchakwanisa kufema zvakanaka.

4. Chiremba anotarisa mifananidzo ye ultrasound iri pa monitor uye anoongorora chikamu chezasi chemudumbu mako, nhengo dzakakupoteredza, uye chero mapundu.

5. Kana bvunzo yapera, endoscope ichabviswa zvishoma nezvishoma uye mushonga wekunyaradza uchamiswa. Uchawanazve pfungwa zvishoma nezvishoma.

Unonzwa sei mushure mekuyedzwa kweEUS?

Migumisiro yemushonga wekunyaradza wawakapihwa inowanzopera mukati memaminitsi makumi matatu kusvika paawa imwe chete . Mushure meizvozvo, unogona kunzwa kusagadzikana kudiki, kwakadai se:

• Kana uine EUS yakaderera, unogona kunzwa: gasi, kuzvimba, kana kurwadziwa kwemusoro .
• Kana ukaita EUS yepamusoro: pahuro panorwadza .

Zviratidzo izvi zvinowanzopera zvachose mukati memaawa makumi maviri nemana , saka hapana chekunetseka nazvo.

Zvakanakisisa kuzorora kwezuva rose mushure mekuongororwa. Unogona kutangazve mabasa ako ezuva nezuva mangwana acho.

Ndezvipi njodzi kana matambudziko anogona kuitika nebvunzo yeEUS?

EUS inowanzoonekwa senzira yakachengeteka zvikuru . Zvisinei, sezvinoitwa chero nzira yekurapa, pane mukana mudiki wekuti matambudziko anogona kuitika, ayo asingawanzoitiki. Izvi zvinosanganisira:

• Kusawirirana kwemuviri kana munhu akanzwa ane anesthesia.
• Kukuvadzwa kwemudumbu kana kubuda ropa.
• MuEUS yepamusoro, mvura inobva mumuromo kana mudumbu inopinda mumapapu (lung aspiration).
• Kuzvimba kwepancreatitis (pancreatitis) (izvi zvinogona kuitika kunyanya mushure mekuongororwa kwepamusoro (EUS) uye kuongororwa netsono).
• Buri (kuboorwa/kubvaruka) mumadziro emudumbu.

Zvinhu izvi hazviwanzoitika , asi zvakanaka kuziva nezvazvo. Kana paine dambudziko, chiremba acharapa zvakakodzera.

Ndichaziva rini mhedzisiro yebvunzo yeEUS?

Kana bvunzo yangoitwa, chiremba achakupa pfungwa yakajeka yezvakaonekwa panguva yeEUS. Zvisinei, kana sampuro yenyama (biopsy) ikatorwa kubva kuFNA ikatumirwa kurabhoritari, zvinogona kutora mavhiki akati wandei kuti uwane mushumo wakazara . Mushure mekunge mushumo iwoyo wasvika, chiremba achakudzosai otsanangura kwamuri.

Ndirini paunofanira kuona chiremba nekukurumidza?

Kana ukaona chimwe chezviratidzo izvi mushure mekuongororwa, fonera chiremba wako nekukasika kana kuenda kuchipatara chiri pedyo:

• Kana paine ropa mutsvina ('ropa mutsvina').
• Kana uchinetseka kana kurwadziwa paunenge uchienda kuchimbuzi.
• Kana uine fivha kana zvimwe zviratidzo zvehutachiona (zvakadai sekutonhora nekurwadziwa kwemuviri).
• Kana uchinetseka kumedza chikafu.
• Kana uchiramba uchingonzwa kuda kurutsa uye kurutsa.
• Kurwadziwa kwemudumbu kana chipfuva kusingatsungiririki, kwakanyanya, kunoramba kuripo.
• Kushaya mweya.

Kana uine zvinhu izvi, zvakakosha zvikuru kutsvaga rubatsiro rwechiremba nekukurumidza.

Pakupedzisira, zvinhu zvekurangarira

Zvakanaka, saka ndinovimba ikozvino wava nepfungwa yakanaka nezvebvunzo ye `(Endoscopic Ultrasound - EUS)`.

Kuongororwa kwe endoscopic ultrasound (EUS) inzira yakachengeteka uye inoshanda yekutarisa mukati medumbu rako. Inogona kubatsira vanachiremba kuwana chikonzero chezviratidzo zvako, kunyanya matambudziko ekugaya, kenza, uye kupararira kwekenza. Kana zvichidikanwa, unogona kutora sampuro yenyama (biopsy / FNA).

Iyi bvunzo ye "minimally invasive"`, zvichireva kuti inoitirwa pasina kuchekwa kukuru uye unogona kuenda kumba zuva rimwe chete. Saka, kana chiremba akakuudza kuti uite `(EUS)``, usazvitya zvisina kufanira. Kana uine mimwe mibvunzo, taura nachiremba wako nezvayo.

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