Unewo kurwadziwa nemudumbu, kunzwa kupisa muchipfuva chako here? Pamwe chiremba wako akaita CT scan kana MRI akaona chimwe chinhu chidiki pairi ndokukuudza kuti unofanira kuita bvunzo yakakosha kuti uzive zvakawanda nezvayo. Ndizvo zvatiri kutaura nezvazvo nhasi, bvunzo yepamusoro-soro inoitwa panguva dzakadaro. Endoscopic ultrasound, kana kuti EUS muchidimbu. Kunyangwe zita racho richinzwika rakaoma zvishoma, zviri nyore kwazvo. Ngatitarisei zvakadzama.
Chii chinonzi endoscopic ultrasound (EUS)?
Zvichitaurwa zviri nyore, EUS inzira inoshandiswa kuongorora mukati medumbu rako, kana ura. Izvi zvinoitwa nachiremba wezvekudya.
Funga nezvazvo, izvi zvakafanana nekubatanidza matekinoroji maviri.
1. Endoscope: Iyi ichubhu refu, yakatetepa, inochinjika ine kamera nechiedza kune rimwe divi. Inogona kuona zviri mudumbu mako zvakajeka.
2. Ultrasound: Kumagumo kwechubhu kune mudziyo mudiki wekuskena (probe). Izvi zvinoburitsa mafungu eruzha uye zvinogadzira mifananidzo yenhengo, nyama, uye tsinga dzeropa dziri mudumbu mako.
Saka kana izvi zviviri zvabatanidzwa, chiremba anogona kunyatsoongorora nhengo dziri mukati nedzakakomberedza madziro emudumbu mako, senge pancreas negallbladder. Inogona kuona zvakawanda kupfuura kungoongororwa nguva dzose.
Ndiani anoda bvunzo yeEUS?
Vanachiremba vanokurudzira bvunzo iyi yeEUS nekuda kwezvikonzero zvakasiyana-siyana. Inonyanya kushandiswa kuongorora chirwere nemazvo kana kuwana chikonzero chechiratidzo chimwe.
| Chiratidzo kana mamiriro ezvinhu | Zvakatsanangurwa zviri nyore |
|---|---|
| Kurwadziwa kwemudumbu kana pachipfuva | Tsvaga chikonzero chaicho chekurwadziwa kusingaperi chisingawanikwe. |
| Kenza yeMetastatic | Tarisa kana kenza yapararira kune ma lymph nodes ari pedyo kana kune dzimwe nhengo dzemuviri. |
| Mapundu kana kukura kusina kujairika | Simbisa kana bundu rakaonekwa paCT kana MRI scan rapfuura riri rekenza kana kuti kwete. |
| Matambudziko ekugaya chikafu | Tarisa zvakadzama zvirwere zvakaita sechirwere chemudumbu chinoputika (IBD) uye kenza yemudumbu. |
| Zvirwere zvenduru | Tarisa zvinhu zvakaita sematombo emunduru kana cholecystitis. |
| Zvirwere zvine chekuita nemapapu | Tarisa uone kana zvinhu zvakaita sekenza yemapapu zvapararira kusvika kuma lymph nodes ari muchipfuva. |
| Zvirwere zvepancreatic | Tsvaga zvirwere zvakaita sekenza yepancreas, cysts, kana pancreatitis. |
| Kuoma kumedza | Tarisa kana paine zvirwere zvinokanganisa kumedza, zvakaita seBarrett's esophagus. |
Kune mhando mbiri huru dzebvunzo dzeEUS:
Zvichienderana nezviratidzo zvako, chiremba wako ndiye achasarudza kana oongorora dumbu repamusoro kana rezasi.
1. EUS (EUS Yepamusoro)
Mukuita izvi, endoscope inopinzwa nemuromo wako uye chikamu chepamusoro chedumbu rako chinoongororwa.
- Gurokuro, dumbu, uye chikamu chekutanga cheura hudiki.
- Ma lymph nodes akapoteredza, mitsipa yeropa, ma cysts azere nemvura, uye bundu rekenza.
- Nhengo dziri pedyo dzakadai sepancreas, gallbladder, uye bile ducts.
2. EUS (EUS Yepasi)
Muizvi, endoscope inopinzwa kuburikidza nepaburi remudumbu uye chikamu chezasi chedumbu chinoongororwa.
- Tsandanyama dzakatenderedza anus (Anal sphincter).
- Mitsipa yeropa yakapoteredza, ma lymph nodes, ma cysts azere nemvura, uye mapundu.
- Chikamu chekupedzisira cheura hukuru (rectum neura hukuru).
Kuongororwa kwe biopsy kwakaitwa panguva imwe chete neEUS
Iyi ndeimwe mukana mukuru webvunzo yeEUS. Kana chiremba akaona bundu risingafungidzike kana nyama isina kurongeka panguva yebvunzo, sampuli diki yacho inogona kutorwa kuti iongororwe nekukasika.
Izvi zvinonzi 'Fine-Tsinde Aspiration' . Chidimbu ichi chinotorwa uchishandisa tsono diki inopfuudzwa nepa endoscope. Hauzombozvinzwi.
Nyama kana kuti mvura inoyerera inozotumirwa kurabhoritari. Nyanzvi yezvirwere inoiongorora uye inotaura kana iine chimwe chinhu chisina kujairika, senge masero ekenza.
Ungagadzirira sei bvunzo yeEUS isati yaitwa?
Chiremba achakupa mirairo yakajeka yezvaunofanira kuita nezvausingafaniri kuita usati waongororwa. Vanowanzo taura zvinhu zvakaita seizvi:
- Mishonga: Kana uri kutora mishonga inobvisa ropa kana insulin yechirwere cheshuga, chiremba wako achakuudza maitiro ekugadzirisa huwandu hwemishonga iyoyo. Usamborega kutora mishonga yako wega.
- Zvekudya Nekunwa: Uchakumbirwa kurega kudya nekunwa kwemaawa mashoma bvunzo isati yaitwa. Kazhinji maawa matanhatu kusvika masere. Izvi zvinobvisa zvese mudumbu mako uye zvinoita kuti bvunzo ibude pachena.
- Kuchenesa ura: Kana uine EUS yakaderera, chiremba wako achakupa mushonga wakakosha (kugadzirira ura) kuti uchenese ura hwako zvakakwana. Uyu unofanira kushandiswa sezvakarayirwa.
- Mutyairi: Bvunzo iyi inoitirwa kuti urarame zvishoma, saka hauzokwanisi kutyaira mushure mebvunzo. Saka uchada mumwe munhu kuti akutore uende naye kumba.
Chii chinoitika panguva yebvunzo?
Iyi inowanzoitwa kunze kwechipatara, zvichireva kuti unogona kuenda kumba usina kugara muchipatara. Maitiro ese anotora maminetsi angangoita makumi matanhatu.
Maitiro ekuita Upper EUS (nemuromo):
Uchatendeudzirwa kuruboshwe rwako wobva warara pamubhedha. Zvadaro,
1. Uchapihwa mushonga unonyaradza marwadzo netsinga kuti ukwanise kuzorora uye kurara.
2. Pfapfaidza mushonga wekuderedza kurwadziwa kwehuro.
3. Chidziviriro chemuromo chepurasitiki chichaiswa mumuromo mako kudzivirira kukuvara kwemazino ako uye kudzivirira kutsenga endoscope.
4. Chiremba anobva anyatsoisa endoscope nemuromo woipfuudza nepagurokuro ichipinda mudumbu nechikamu chekutanga cheura hudiki (duodenum).
5. Hauzonzwi kurwadziwa panguva ino. Unogona kufema zvakanaka.
6. Chiremba anotarisa chidzitiro chekuona uye anoongorora nhengo dzemukati nemapundu.
7. Kana zvichidikanwa, biopsy (chidimbu chenyama) ichatorwa sezvambotaurwa.
8. Kana bvunzo yapera, chiremba achabvisa chubhu yacho omisa mushonga weanesthesia wawakapihwa. Uchamuka uri muimba yekupona.
Maitiro ekuita Lower EUS (pa rectum):
Izvi zvakafanana nezvataurwa pamusoro apa. Unotendeudzirwa kuruboshwe rwako worara zvishoma. Wobva warara zvishoma.
1. Chiremba anopinza endoscope kuburikidza nepaburi remusana obva aiendesa muura hukuru.
2. Hauzonzwi kurwadziwa kana kusagadzikana panguva iyi. Uchakwanisa kufema zvakanaka.
3. Sisitimu yekugaya chikafu yepasi nenhengo dzakapoteredza zvinoongororwa nekutarisa pane chinoongorora.
4. Kana bvunzo yapera, chubhu inobviswa uye anesthesia inomiswa.
Chii chinoitika mushure mekuyedzwa kweEUS?
Piritsi rekurara rawakapihwa rinopera mukati memaminitsi makumi matatu kusvika makumi matanhatu. Mushure meizvozvo, unogona kunzwa kusagadzikana kudiki.
- Mushure meLower EUS: Unganzwa kuzara (gas) uye kurwadziwa mudumbu zvishoma.
- Mushure meUpper EUS: Unganzwa kurwadziwa kudiki pahuro pako.
Zviratidzo izvi zvinowanzopera zvachose mukati memaawa makumi maviri nemana. Zvakanaka kuzorora kwezuva rose. Unogona kudzokera kumabasa ako ezuva nezuva rinotevera.
Pane njodzi dziripo here?
EUS inzira yakachengeteka zvikuru, asi sezvinoitwa chero nzira ipi zvayo yekurapa, kune mamwe matambudziko anogona kuitika kashoma.
- Kusawirirana nemishonga inorwisa marwadzo.
- Kukuvara kana kubuda ropa mudumbu.
- Pakuongororwa kwedumbu repamusoro, mvura inobva mumuromo kana mudumbu inogona kupinda mumapapu (mapapu aspiration).
- Kana biopsy ikatorwa, kuzvimba kwepancreatitis kunogona kuitika.
- Buri riri muura (buri rakaboorwa).
Zvinhu izvi hazviwanzoitika. Chiremba wako achatora matanho ese ekuderedza njodzi idzi.
Unofanira kutaura nachiremba rini?
Kana ukaona zviratidzo zvisingawanzoitika mushure mekuongororwa, unofanira kufonera chiremba wako nekukasika.
| Zviratidzo zvinoda kurapwa nekukurumidza | |
|---|---|
| Kurwadziwa kwakanyanya kana kuti kunoramba kuripo | Marwadzo asingaperi mudumbu kana pachipfuva. |
| Kupindwa nechando | Zviratidzo zvehutachiona, zvakaita sefivha kana kutonhora. |
| Kuoma kumedza | Kusakwanisa kumedza chikafu kana mvura. |
| Kurutsa | Kurutsa kakawanda. |
| Ropa mutsvina | Tsvina nhema kana kuti dzine ropa. |
| Kuoma kufema | Kushaya mweya kana kufema zvakaoma. |
Mharidzo Yekuenda Nayo Kumba
- Endoscopic ultrasound (EUS) inzira yakachengeteka uye inoshanda zvikuru inoshandiswa kuongorora nhengo dziri mukati nedzakapoteredza sisitimu yekugaya chikafu.
- Izvi zvinoitwa nekukurara zvishoma, kuti usazonzwa kurwadziwa.
- Kuongororwa uku kwakakosha zvikuru kuti uwane zvikonzero zvematambudziko emudumbu, kuona kenza, uye kuona kana dzapararira.
- Kuongororwa kwemuviri (biopsy) kunogonawo kutorwa panguva yekuongororwa.
- Tevedzera mirairo yachiremba nokungwarira usati waongororwa uye mushure mekuongororwa. Kana ukaona zviratidzo zvisingawanzoitiki, zivisa chiremba nekukasika.
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