Ingaba kukho ingxaki ngesisu sakho esingaphezulu? (Uthotho lwe-GI oluphezulu) Masifunde ngovavanyo!

Ngaba ngamanye amaxesha uva iintlungu zesisu, isitshiso sentliziyo, okanye ubunzima bokuginya? Okanye ngaba unesicaphucaphu okanye ukuhlanza? Xa uneempawu ezinje, oogqirha bethu bafuna ukufumanisa ukuba kukho ingxaki na kwicandelo eliphezulu lenkqubo yakho yokugaya ukutya. Olunye lovavanyo olukhethekileyo abalucebisayo ngelo xesha lubizwa ngokuba yi-Upper GI Series . Makhe sithethe ngale nto ngokweenkcukacha, ngokulula, kulungile?

Yintoni (Uthotho lwe-Upper GI)? Masiyiqonde kakuhle.

Ngamafutshane, i-Upper GI Series luvavanyo olukhethekileyo lwe-X-ray olujonga amalungu akwinxalenye ephezulu yenkqubo yakho yokugaya ukutya. Lusebenzisa indlela ye-X-ray ephucukileyo ebizwa ngokuba yi-Fluoroscopy.

Cinga ngayo, umfanekiso oqhelekileyo we-'X-ray' ufana nefoto engashukumiyo ethathwe kwindawo enye. Kodwa le `(Fluoroscopy)` ifana nevidiyo. Oko kukuthi, ugqirha angabona indlela amalungu angaphakathi kwesisu sakho asebenza ngayo, oko kukuthi, indlela ahamba ngayo, nge-'X-ray'. Yiloo nto ikhethekileyo ngale nto. Kwakhona, ingabona umphezulu wamalungu ngokucacileyo kune-'X-ray' eqhelekileyo.

Ngoku usenokuba uyazibuza, yintoni le "chungechunge"? Oko kukuthi, ngeli xesha lovavanyo, imifanekiso emininzi ye-`(Fluoroscopy)` `X-ray` ithathwa ngokulandelelana. Yiyo loo nto ibizwa ngokuba yi-"chungechunge".

Zeziphi izinto ozijongayo kule (Upper GI Series)?

Besithetha "ngenxalenye ephezulu yenkqubo yokwetyisa." Ngokwezonyango, oku sikubiza ngokuba yi-Upper Gastrointestinal Tract . Kubandakanya:

• Umqala wakho - umbhobho ohla ukutya xa siginya.
• Isisu Sakho - Indawo apho ukutya kugcinwa khona kwaye kuqala ukugaywa.
• Kwaye i-duodenum, inxalenye yokuqala yamathumbu akho amancinci .

Ezi zitho zintathu zezona ziphambili zihlolwa kwi-"Upper GI Series". Kutheni zonke ezi zintathu zihlolwa kunye?

• Esinye sesokuba le nxalenye imalunga nomgama omkhulu onokuhanjwa sisixhobo sezonyango ukuba sifakwe phezulu.
• Enye into kukuba, ukuba usela into ethile, ihamba ngokukhawuleza kwezi ndawo zintathu, xa ithelekiswa nezinye izibilini, ezinde.
• Kwakhona, isifo esichaphazela enye yezi ndawo sinokuchaphazela nezinye. Ngoko ke, nokuba uneempawu kwindawo enye kuphela, kunokuba luncedo ukujonga zonke ezi ndawo zintathu kunye.

Cinga ngayo njengombhobho wamanzi. Ukuba kukho ingxaki kwindawo enye, inokuchaphazela indawo engaphambili nendawo engasemva, akunjalo? Kunjalo ke ngale nto.

Kukho nezinye iimvavanyo ze-'GI X-ray`. Umzekelo:

• Uvavanyo lwe-Esophagram okanye i-Barium Swallow lujonga kuphela i-esophagus.
• (Uthotho lwamathumbu amancinci) okanye (Ukulandelelana kwamathumbu amancinci) zijonga amathumbu amancinci kuphela.
• (Uthotho lwaMathumbu asezantsi) okanyeI-barium enema ijonga amathumbu amakhulu kunye nenxalenye esezantsi yamathumbu amancinci.

Ngoko ke, ugqirha ugqiba kwelokuba enze ntoni ngezi mvavanyo ngokusekelwe kwiimpawu zakho.

Kutheni ugqirha angacebisa ukwenza oku (Upper GI Series)?

Ukuba uneempawu ezinxulumene nenxalenye ephezulu yenkqubo yakho yokugaya ukutya, ugqirha wakho uya kufuna ukuzijonga ngononophelo. Uthotho lwe-Upper GI luvumela ugqirha wakho ukuba ajonge ngaphakathi kwe-esophagus yakho, esiswini, nakwi-duodenum, ajonge naluphi na utshintsho kwizicubu, ulwakhiwo, kunye nomsebenzi, kwaye lihlala linyathelo lokuqala ekufumaneni unobangela wezi mpawu.

Ugqirha angayalela olu vavanyo ukuba uneempawu ezingachazwanga ezifana nezi:

• Iingxaki zokuginya .
• Isitshiso sentliziyo .
• Intlungu zesisu .
• Isicaphucaphu nokuhlanza .
• Ukungagaywa kakuhle kwesisu .

Yintoni onokuyifumana kwi (Upper GI Series)?

Besebenzisa obu buchwepheshe be-"Fluoroscopy", oogqirha banokubona izinto ezifana nezi:

Utshintsho kwizicubu:

• Ukudumba okanye ukosuleleka kwamalungu omzimba, umzekelo , i-gastritis (ukudumba kwesisu) okanye i-esophagitis (ukudumba komqala).
• Nokuba kwenzeke umonakalo kwizicubu ngenxa ye -acid reflux okanye i-bile reflux .
• Isifo sesilonda sePeptic .
• (Umqala kaBarrett) (utshintsho kwiiseli zomqala).
• (Ukuguqulwa kwamathumbu esiswini) (utshintsho kwiiseli zesisu).

Iingxaki zesakhiwo kwizitho zomzimba:

• (ii-Esophageal varices) (ukudumba kwemithambo kwi-esophagus).
• (Ukuqina komlomo wesibeleko ).
• (I-Hiatal hernia) (inxalenye yesisu ephumayo esifubeni).
• Iithumba ezincinci (iiPolyps) .
• Iithumba ezinkulu okanye iimeko zomhlaza (iithumba) .

Iingxaki zokusebenza kwamalungu omzimba:

• Ubunzima bokuginya ukutya (iDysphagia) .
• Iingxaki zokunyakaza kwindlela yokugaya ukutya , umzekelo , i-gastroparesis (ukulibaziseka kokukhupha ukutya esiswini).
• Ukungasebenzi kakuhle kwe-Esophageal sphincter , umzekelo , i-Achalasia , i-Laryngopharyngeal reflux .
• Ukungasebenzi kakuhle kwevalvu ye-pyloric .
• Ukuvaleka komjelo wokutya .

Ngaba i-Upper GI Series ingayibona i-acid reflux?

Oogqirha badla ngokuxilonga i-GERD (isifo se-gastroesophageal reflux) ngokusekelwe kwiimpawu. Nangona kunjalo, i-Upper GI Series inokujonga iimpawu zomzimba ze-GERD. Umzekelo, inokujonga iimpawu zomonakalo omkhulu kulwelo lwe-esophagus, ezifana nezilonda, ukugoba, okanye ukuncitshiswa kwe-esophagus. Inokujonga neempawu zemisipha ethintela i-asidi yesisu ukuba ingabuyeli kwi-esophagus.

Ngaba oku kungade kufumaneke umhlaza?

Uthotho lwe-Upper GI lunokukhangela iithumba okanye utshintsho kwizicubu ezinokunxulunyaniswa nomhlaza, ukuba zikhulu ngokwaneleyo ukuba zibonwe. Nangona kunjalo, olu vavanyo lodwa alunakuxelela ngokuqinisekileyo ukuba zingumhlaza okanye azinjalo. Ukuze kuqinisekiswe ukuba zingumhlaza, isampuli yezicubu kufuneka ithathwe kwaye ivavanywe kwilebhu. Oku kubizwa ngokuba yi- biopsy . Idla ngokwenziwa ngexesha le-Upper Endoscopy.

Yintoni umahluko phakathi kwe-Upper GI Series kunye ne-Upper Endoscopy?

Zombini ezi mvavanyo zijonga inxalenye ephezulu yenkqubo yokugaya ukutya. Nangona kunjalo, indlela ezi mvavanyo zenziwa ngayo yahlukile kakhulu.

Uthotho lwe-Upper GI luhlobo lovavanyo olubizwa ngokuba yi -Radiology . Oku kuthetha ukuba lusebenzisa amandla agqamileyo ukuthatha imifanekiso yangaphakathi yomzimba. (Ii-X-ray, ii-ultrasound, kunye nee-CT scans nazo ziintlobo ze-Radiology.) Ngenxa yokuba uvavanyo lwe-Radiology alunazo izithintelo, ludla ngokuba luvavanyo lokuqala olusetyenziswa ngoogqirha ukufumanisa ukuba kwenzeka ntoni ngaphakathi emzimbeni.

Nangona kunjalo, i-(Upper Endoscopy) (ekwabizwa ngokuba yi- (Esophagogastroduodenoscopy) ) luvavanyo oluntsonkothileyo nolungena emzimbeni. Kulo, ityhubhu encinci enekhamera ebizwa ngokuba yi- (Endoscope) ifakwa entanyeni ukuze ithathe imifanekiso yangaphakathi emzimbeni. Oku kudla ngokufuna ukuba isigulane sifakwe i-anesthesia (`Anesthesia`). I-``Endoscopy`` inokubonelela ngemifanekiso ecacileyo neneenkcukacha ezingaphezulu kunovavanyo lwe-``Radiology```. Ingasebenzisa nezixhobo eziqhotyoshelwe kwi-``Endoscope``` ukuthatha isampuli yezicubu (``Biopsy``) ngqo ngaphakathi emzimbeni. Nangona kunjalo, kuba olu luvavanyo olungena emzimbeni, ludla ngokwenziwa emva kovavanyo lwe-``Radiology```, ukuba kufuneka ulwazi oluthe kratya.

Lwenziwa njani olu vavanyo? Makhe silujonge ngeenkcukacha ezithe vetshe.

Ezi ngongoma zibalulekile ukuqonda indlela olu vavanyo olusebenza ngayo:

Iteknoloji (ye-X-reyi):

Umatshini we-X-reyi uthumela umsebe wemitha ye-ionizing emzimbeni wakho. Izicubu zakho, amathambo, kunye namalungu omzimba afunxa le mitha ngokwahlukileyo ngokuxhomekeke kubuninzi bawo. Imitha efunxwa ngumzimba wakho emva koko ifikelela kwi-X-reyi detector, edala umfanekiso. Izinto ezixineneyo ezifana namathambo zifunxa imitha engaphezulu, ngoko ke zibonakala zimhlophe kumfanekiso we-X-reyi. Izinto ezithambileyo ezifana nezicubu zibonakala zingwevu.

Iteknoloji (yeFluoroscopy):

I-Fluoroscopy iyafana. Nangona kunjalo, endaweni yokuthumela umsebe omnye wemitha, ithumela umsebe oqhubekayo wemitha kangangemizuzwana embalwa okanye imizuzu embalwa, idala ividiyo emfutshane. Oku kukubeka kwindawo encinci yemitha. Nangona kunjalo, kwiimeko ezininzi, oku kuthathwa njengomgangatho okhuselekileyo. Sibekwa kwindawo encinci yemitha evela kwindalo esingqongileyo yonke imihla.

Kusetyenziswa (umahluko):

I-Fluoroscopy idla ngokusebenzisa i-contrast agent ukwenza imifanekiso ye-X-ray icace kangangoko kunokwenzeka. Xa ifakwa emzimbeni wakho, inceda ingaphakathi lomzimba wakho libonakale ngcono kwimifanekiso emnyama namhlophe. Ngamanye amaxesha unikwa le contrast agent ukuba uyisele, ngamanye amaxesha unikwa njenge-injection. Kwi-Upper GI Series, ulwelo olubizwa ngokuba yi-barium ludla ngokusetyenziswa njenge-contrast agent.

Yintoni (iBarium)?

I-Barium yinto etyebileyo, emhlophe, efana netshokhwe. Xa isetyenziswa ngaphakathi kwindlela yakho yokugaya ukutya, ibonakala kwimifanekiso ye-X-ray. Ayifunxwa yinkqubo yakho yokugaya ukutya kwaye ikhutshwa emzimbeni wakho. Ngexesha le-Upper GI Series, unikwa ulwelo olubizwa ngokuba yi-barium ukuba ulusele. Njengoko ulusela, ingcali ye-radiologist inokulubukela luhamba kwindlela yakho yokugaya ukutya engaphezulu kwaye ibone indlela amalungu akho asabela ngayo kulo.

Yintoni (Umahluko ophindwe kabini)?

Kwezinye iimeko, igesi isetyenziswa njengearhente yokwahlulahlula ukongeza kwi-Upper GI Series. Oku kubizwa ngokuba luphononongo lokwahlulahlula kabini . Igesi isetyenziselwa ukufutha nokwahlula iindonga zendlela yakho yokugaya ephezulu, okukuvumela ukuba ubone okungaphakathi ngokucacileyo. Ngenxa yokuba igesi ibonakala imnyama kwimifanekiso ye-X-ray, idala umahluko omhle ne-barium emhlophe. Ukuze ufake igesi kwindlela yakho yokugaya, unokunikwa ipilisi okanye isiselo esine-carbonated ukuze uginye.

Ungayilungiselela njani i-(Upper GI Series)?

Kubaluleke kakhulu ukunyamekela ezi zinto ngaphambi kolu vavanyo:

• Ngaphambi kokuba ucwangcise uvavanyo lwakho: Thetha nogqirha wakho ngolu vavanyo kwaye uqinisekise ukuba akukho ezinye izinto ezinokubangela umngcipheko wokuba nalo. Ukuba usandul' ukufumana enye i-X-ray okanye ukhe wachatshazelwa kakhulu yimitha, xelela ugqirha wakho. Ugqirha wakho unokukwazi ukulibazisa uvavanyo ukuze anciphise ukuvezwa kwakho yimitha yonke. Kwakhona, qiniseka ukuba uxelele ugqirha wakho ukuba ukhulelwe . Baya kukwazi ukucebisa ezinye iindlela. Ukuvezwa yimitha ye-fetus kunokubangela iziphene zokuzalwa.
• Ngaphambi kovavanyo: Kubaluleke kakhulu ukuba isisu sakho singabi nanto ngexesha lovavanyo.Uza kucelwa ukuba ungatyi okanye ungaseli nto ngobusuku bangaphambi kovavanyo nakusasa lovavanyo. Usenokucelwa ukuba uyeke okwethutyana ukuthatha amayeza athile, anjenge -antacids (amayeza okunyanga isitshiso).

Lwenziwa njani kanye kanye olu vavanyo?

Emva kokuba utshintshe ilokhwe yesibhedlele, uza kusiwa kwigumbi lovavanyo. Kukho itafile ye-X-ray enokuthambekiswa. Ungama okanye ulale kuyo. Ekuqaleni uza kuma, kodwa kamva kuya kufuneka ulale etafileni kwiindawo ezahlukeneyo. Ingcali iza kukubophelela etafileni. Emva koko uza kunikwa i-contrast agent yokusela - mhlawumbi i-barium, kwaye ngamanye amaxesha igesi ye-carbon dioxide .

Olu lwelo lunencasa kwaye lunencasa. Nangona kunjalo, ukulusela akuyonto imnandi kangako. Kuya kufuneka ulusele kancinci kancinci kulo lonke uvavanyo. Usenokunikwa ulwelo olwahlukeneyo, oluxineneyo okanye oluncinci, kwiindawo ezahlukeneyo ngexesha lovavanyo. Xa luzonke, kuya kufuneka usele malunga nee-ounces ezili-12.

Ingcali ye-radiology kuya kufuneka ithathe imifanekiso kwiikona ezahlukeneyo. Baza kukucela ukuba uhambe ngeendlela ezahlukeneyo ukunceda i-barium ifike apho kufuneka iye khona. Baza kukucela ukuba uthathe iindlela ezahlukeneyo, ume kwaye ulale phantsi. Basenokuzama nokujonga isisu sakho kunye nemiphetho engaphakathi.

Ithatha ixesha elingakanani le (Upper GI Series)?

Olu vavanyo lungathatha naphi na ukusuka kwimizuzu engama-30 ukuya kwiiyure ezimbini . Kwabanye abantu, kungathatha ixesha elide ukuba i-barium idlule ngokupheleleyo kwi-duodenum.

Uza kuphendulwa kwaye ushukunyiswe njani ngexesha lovavanyo?

Ngokwesiqhelo ungajika ube zizikhundla ezinje:

• Yima kwi-engile ye-45-degree.
• Thembela umva nge-engile ye-45-degree.
• Lala ngokuthe tye kwelinye icala.
• Lala ngecala elinye, uxhomekeke kwisiponji esingasemva kwakho, uze ujike kancinci.

Ngaba i-Upper GI Series ibuhlungu?

Uvavanyo alubuhlungu . Nangona kunjalo, ukuba uyafuna, ungacela iyeza lokuthomalalisa ukuze likuncede uphumle. Emva kovavanyo, ungaziva udumbile okanye uneentlungu zesisu kancinci de i-barium iphume emzimbeni wakho. Ukuba unikwe i-double contrast, ungaziva iintlungu ezincinci ngenxa yomoya. Ezi mpawu ziya kuphela emva kosuku olunye.

Zithini iziphumo ebezingalindelekanga okanye iingozi ezinokubakho zolu vavanyo?

Olu vavanyo lukhuselekile ngokubanzi. Nangona kunjalo, kunokubakho iingozi ezincinci:

• Ukuqhina: Eyona miphumo ixhaphakileyo kukuqhina, okubangelwa kukuba i-barium isele emzimbeni wakho. Uya kucetyiswa ukuba usele amanzi amaninzi emva kovavanyo, nto leyo eya kunceda i-barium iphume emzimbeni wakho. Indle yakho iya kuba mhlophe kangangeentsuku. Ukuba awukwazi ukwenza intshukumo yamathumbu, yazisa ugqirha wakho. Emva koko baya kukunika iyeza lokuhambisa isisu.Iyayalela.
• Iingxaki zezintso: Abantu abanesifo sezintso esinzima banokufumana ukopha esiswini. Kwakhona, ulwelo oluchaseneyo lunokuchaphazela ukusebenza kwezintso zabo.
• Ukuvezwa kwimitha: Umngcipheko wokuvezwa kwimitha uyanda ngokuhamba kwexesha. Ngaphandle kokuba ukhulelwe, uvavanyo olunye lwe-`(Fluoroscopy)` alunakwenzeka ukuba lubangele ingozi enkulu. Ukuvezwa kwimitha okubalulekileyo kufunyenwe kubangela umhlaza. Uvavanyo olunye lwe-`(Fluoroscopy)` alubangeli umhlaza, kodwa uvavanyo oluninzi ebomini lunokubangela.
• I-Allergy: Ukuba awuzange ukhe wadibana nezithako ezikwi-contrast fluid ngaphambili, kukho ithuba elincinci lokuba usenokuba ne-allergy kuyo.

Ngubani obenokuba ngcono ukuba akakwenzi oku (Upper GI Series)?

Olu vavanyo alukho ukhetho olufanelekileyo kuwe ukuba:

• Ukuba ukhulelwe.
• Ukuba unesifo sezintso.
• Ukuba sele unesisu.
• Ukuba ukhe wachatshazelwa yimitha ngezinye iindlela.
• Ukuba uyazi okanye ukrokrela ukuba unembobo kwinxalenye ephezulu yomqala wakho.
• Ukuba unengxaki yokuginya ukutya okungena emiphungeni (aspiration).

Kwimeko enjalo, ugqirha wakho uza kucebisa olunye uvavanyo olufanelekileyo.

Zinjani iziphumo? Zisixelela ntoni?

Ingcali yakho ye-X-ray iza kufunda imifanekiso yakho ye-X-ray ize ithumele iziphumo kugqirha wakho. Ugqirha wakho uza kuthetha nawe ngeziphumo. Ezinye iimeko zinokuchongwa kwimifanekiso ye-X-ray ngokwayo. Ezinye zinokufuna uvavanyo olongezelelweyo.

I-Upper GI Series yinkqubo engenabuhlungu, engangenisi ntlungu enceda ugqirha wakho abone ngaphakathi kwe-esophagus yakho, isisu, kunye namathumbu. I-Fluoroscopy ivumela iingcali ze-radiology ukuba zibone indlela amalungu akho ahamba ngayo, ukuba asebenza kakuhle kangakanani, kunye nokuba kukho naziphi na iingxaki kwimbonakalo yawo. Iziphumo zolu vavanyo zinokunceda ugqirha wakho afumane unobangela weempawu zakho ezingachazwanga. Ukuba akunjalo, ingabanika isikhokelo esihle sophando olongezelelekileyo.

Okokugqibela, kufuneka ndithi... (Umyalezo Wokuya Ekhaya)

Sonke siyoyika kancinci xa sibuhlungu esiswini okanye sinzima ukuginya, akunjalo? Kodwa, iimvavanyo ezifana ne-Upper GI Series zikho ukunceda ekufumaneni ukuba kwenzeka ntoni kanye kanye. Oku akuyonto ifanele ixhalatyiswe kakhulu.

• Lungisa kanye njengoko ugqirha wakho ekuxelele. Lumka kakhulu ungatyi okanye usele nantoni na ngaphambi kovavanyo.
• Ukuba unemibuzo, ungoyiki ukubuza ugqirha okanye abasebenzi abenza uvavanyo. Baza kukuchazela yonke into.
• Emva kovavanyo, landela imiyalelo kagqirha. Ngokukodwa, ungalibali ukusela amanzi amaninzi.

Khumbula, ukunyamekela impilo yakho yeyona nto ibalulekileyo. Ukuba uceliwe ukuba wenze uvavanyo olunjalo, kulungelwe wena. Ngoko ke, ungoyiki, jongana nalo ngenkalipho! Ndikunqwenelela ukuchacha ngokukhawuleza!

uthotho lwe- upper gi, uphando lwe-barium, i-fluoroscopy, i-stomach x-ray, i-esophagus, i-duodenum, inkqubo yokugaya ukutya