Wakamboitwa endoscopy here? Pamwe chiremba wako akakukumbira kuti uite bvunzo iyi yekuona chironda chemudumbu kana kumwe kusagadzikana. Paunenge uchiita bvunzo iyi, dzimwe nguva chiremba anoona kubuda ropa kubva muronda diki mudumbu mako kana muura, kana kuti matumbu madiki (polyps) akaumbwa. Kare, izvi zvaida kuvhiyiwa kudiki, asi nehunyanzvi hwemazuva ano, kune nzira dzekurapa zvinhu izvi pasina kana kuchekwa. Ndiyo imwe yenzira dzekurapa dzatiri kutaura nezvadzo nhasi. Inonzi Argon Plasma Coagulation, kana kuti APC muchidimbu.
Zvichitaurwa zviri nyore, chii chinonzi APC (Argon Plasma Coagulation)?
Zvakanaka, zita iri ringanzwika serakaoma, asi zvinoitika mune izvi zviri nyore kwazvo. Fungidzira kuti buri diki riri muchubhu iri mumuviri wedu (senge nzira yekugaya) riri kubuda ropa. Munzira iyi inonzi APC, chiremba anotumira imwe chubhu yakatetepa kuburikidza nechubhu ye endoscope (scope), uye gasi rakakosha rinonzi 'Argon' rinopinzwa naro. Zvadaro, magetsi madiki anoshandiswa kubatidza gasi. Kupisa kwakanyanya kunokonzerwa neizvi kunopisa nzvimbo inobuda ropa uye kunomisa kubuda ropa. Zvakare, kana paine matumbu madiki asingadiwe (polyps), nzira iyi inogona kuaparadza zvachose.
Izvi zvakafanana nekugadzirisa dambudziko riri mukati memuviri, pasina kucheka muviri, asi zviri nyore kubva kunze. Izvi zvinoreva kuti hapana chikonzero chekuvhiyiwa kukuru. Ndizvo zvatinoti 'zvishoma zvinokuvadza' mukurapa.
Kurapa uku kunoitwa nachiremba wezvekudya kana wemapapu.
Muzviitiko zvipi kurapwa uku kunodiwa?
Kurapa neAPC kunoshandiswa nezvikonzero zvakasiyana-siyana. Ngationei kuti chii chinonyanya kuita.
| Chirwere chiri kurapwa | Tsananguro iri nyore |
|---|---|
| Kumisa kubuda ropa mumuviri | Inoshandiswa kurapa kubuda ropa kunokonzerwa nemaronda mudumbu nemumatumbu, kubuda ropa mudumbu, kana chirwere chinonzi 'watermelon stomach' (Gastric Antral Vascular Ectasia Syndrome). |
| Kubviswa kwenyama/mamota asingadiwe | Maitiro aya anoshandiswa kubvisa matumbu madiki (polyps) kana nyama dzinogona kuita kenza muura. Inogonawo kushandiswa kuderedza bundu rekenza mumunhu asingakwanise kuvhiyiwa zvakanyanya. |
| Kurapa Barrett's Esophagus | Izvi zvinokonzerwa nechirwere chegomarara remudumbu (GERD) chinokonzeresa shanduko mumasero egurokuro. Mishonga yeAPC inoshandiswa kubvisa masero aya akachinjwa asati ashanduka kuita kenza. |
| Kuwedzera huremu mushure mekuvhiyiwa kwekudzikisa huremu | Mushure mekuvhiyiwa kwekudzikisa huremu, nzvimbo yakabatana nedumbu inogona kutambanuka nekukura nekufamba kwenguva. Zvadaro huremu hunodzoserwa. Kurapa kweAPC kunoshandiswa kusimbisa nekupfupisa nzvimbo iyoyo yakatambanudzwa zvakare. |
| Matambudziko emapapu nekufema | Nzira iyi inoshandiswawo pamwe chete nebronchoscopy kurapa bundu diki kana nzvimbo dzinobuda ropa munzira dzekufema. |
Kurapa uku kunoshanda sei?
Pane gadziriro diki yaunofanira kuita usati watanga kurapwa uku. Zvinoenderana nekuti unoda kuzviita sei.
- Endoscopy Yepamusoro: Izvi zvinosanganisira kuisa chubhu nemuromo kuti uongorore dumbu negurokuro.
- Colonoscopy: Izvi zvinosanganisira kuisa chubhu nepa rectum kuti uongorore ura hukuru.
- Bronchoscopy: Izvi zvinosanganisira kuisa chubhu nepamhino kana muromo kuti utarise mapapu.
Izvi zvisati zvaitika, chiremba wako achakukumbira kuti usadye kana kunwa kwemaawa mashoma . Nekuongororwa kwecolonoscopy, uchapihwa mushonga wekubvisa tsvina kuti ubatsire kuchenesa ura hwako. Zvakare, kana uri kutora mishonga inoderedza ropa senge aspirin, unogona kukumbirwa kuti urege kuitora kwemazuva mashoma.
Panguva yekurapwa...
1. Uchapihwa mushonga wekuti unzwe wakasununguka uye usanzwe kurwadziwa. Izvi zvinosanganisira kuisa chubhu diki (IV line) mutsinga iri muruoko rwako uye kukupa mushonga kuburikidza nayo.
2. Zvadaro uchaitwa kuti urare pamubhedha wekurapwa.
3. Chiremba anoisa chubhu yakatetepa, inochinjika (scope) ine kamera yakabatanidzwa mumuviri sezvakakodzera (nemuromo, mhino, kana kuti huro).
4. Kuti muviri wako usakuvadzwe nemagetsi, padhi rakatsetseka (grounding pad) rinonamirwa mumuviri wako (kazhinji pachidya chako).
5. Tevere, catheter ine mudziyo weAPC inopfuudzwa nepascope kuenda kunzvimbo yakakodzera.
6. Gasi reArgon rinotanga rapinzwa, rozoshandiswa magetsi kuribatidza. Zvadaro nyama yacho inotsva.
7. Chiremba anopedzisa kurapwa nekufambisa mudziyo sezvinodiwa, achidzora huwandu hwegasi nemagetsi.
8. Kana basa rapera, scope, catheter, uye grounding pad zvinobviswa.
Maitiro ese aya anowanzo tora maminetsi gumi nemashanu kusvika paawa imwe .
Chii chinoitika mushure mekurapwa? Pane mimwe migumisiro yakaipa here?
Mushure mekurapwa, uchachengetwa muimba yekupona kwenguva yakati uye uchadzoserwa kumba mushure mekunge mushonga weanesthesia wapera. Kusanzwa zvakanaka kunogona kuitika.
- Kunzwa sekuti dumbu rako razara.
- Kubuda kwegasi uye kurwadziwa kudiki kwemudumbu.
- Kuneta zvishoma, dzungu zvishoma.
Izvi zvinowanzova zvakajairika. Hapana chekunetseka nazvo. Kusagadzikana uku kunozopera mumaawa mashoma. Hauzonzwi kurwadziwa panguva yekurapwa nekuti uchapihwa mushonga wekurwadziwa.
APC inzira yakachengeteka zvikuru. Matambudziko haawanzoitiki. Zvisinei, sezvinoitwa chero nzira ipi zvayo yekurapa, pane dzimwe njodzi diki. Kubuda ropa, matambudziko ekushandisa anesthesia, kutetepa kwegurokuro (stenosis), kana kuputika kwenyama zvinogona kuitika kashoma. Ndosaka zvichikosha kuti nzira idzi dziitwe nachiremba ane ruzivo.
Zviratidzo zvinoda kurapwa nekukurumidza
Mushure mekudzokera kumba, kana ukaona chimwe chezviratidzo zviri pazasi, unofanira kuenda kuchipatara nekukasika, kunyanya kuEmergency Department (ETU). Izvi zvinogona kuva zviratidzo zvechimwe chinhu chakakomba, saka zvakakosha kuti uite chimwe chinhu nekukurumidza.
| Zviratidzo zvekuchenjerera! | |
|---|---|
| 🔴 | Kurwadziwa kwakanyanya mudumbu kusingaderere kunyangwe mushure mekubuda gasi. |
| 🔴 | Kurwadziwa kwechipfuva . |
| 🔴 | Kutadza kufema zvakanaka . |
| 🔴 | Kurutsa ropa (kutsvuka kana kuti kwakaita sekofi yakakuyiwa). |
| 🔴 | Kubuda ropa mutsvina (ropa dzvuku kana dema rakasviba). |
| 🔴 | Fivha kana kutonhora. |
| 🔴 | Kuoma kumedza kana kuwedzera kurwadziwa pahuro. |
Kana wadzokera kumba, tevera mirairo yachiremba nemazvo.
- Nekuda kwemigumisiro yemushonga unonyaradza marwadzo, usatyaira motokari kana kushandisa michina inorema zuva iroro.
- Uya nemumwe munhu kuti akutore uende naye kumba. Zviri nani kana mumwe munhu akagara newe kwemaawa mashoma mushure mekunge wasvika kumba.
- Dzivisa kunwa doro.
- Chiremba achakupa mazano ezvaunogona kudya uye kuti ungatanga riini kudya zvakajairika.
Mharidzo Yekuenda Nayo Kumba
- Argon Plasma Coagulation (APC) inzira yepamusoro yekurapa isingakuvadzi muviri inoshandiswa kumisa kubuda ropa mumuviri uye kubvisa nyama dzisingadiwe.
- Izvi zvinoitwa pasi peanesthesia, saka hauzonzwi kurwadziwa.
- Mushure mekurapwa, unogona kunzwa kusagadzikana kudiki, sekunge kuzvimba uye gasi, asi izvi zvinowanzopera nekukurumidza.
- Paunodzokera kumba mushure mekurapwa, tevera mirairo yachiremba nemazvo.
- Kana ukaona zviratidzo zvekunyevera zvakaita sekurwadziwa mudumbu zvakanyanya, kurwadziwa muchipfuva, kuoma kufema, kana kurutsa ropa, enda kuchipatara kuEmergency Department (ETU) nekukasika.
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