Ingaba unengxaki ngamathumbu akho amancinci? Masifunde ngeBalloon Enteroscopy!

Ngamanye amaxesha akulula ukufumana izifo kwiindawo ezincinci zomzimba wethu, akunjalo? Ingakumbi kwiindawo ezifana namathumbu amancinci kwinkqubo yethu yokugaya ukutya. Kulapho olu vavanyo lukhethekileyo olubizwa ngokuba yi-'balloon enteroscopy' luluncedo khona. Makhe sibone ukuba yintoni, yenziwa njani, kwaye kutheni ifuneka.

Masiqale sibone ukuba yintoni le enteroscopy yebhaluni.

Ngamafutshane, le yinkqubo ekhethekileyo esetyenziselwa ukukhangela iingxaki emathunjini akho amancinci , kwaye ngamanye amaxesha uzinyange apho. Cinga ngayo njengetyhubhu encinci enekhamera eqhotyoshelweyo (enteroscope) edluliselwa kwi-scope enye okanye ezimbini ukuze ihlole amathumbu akho amancinci onke. Kwakhona yenye yeendlela ezimbalwa zokujonga yonke inkqubo yakho yesisu ngaphandle kokwenza utyando .

Ngoko ke le nkqubo isebenza njani?

Nantsi into eyenzekayo: Ingcali yakho yesisu ifaka i-enteroscope , ityhubhu ende, ebhityileyo enekhamera ecacileyo kunye nezixhobo ezincinci kwelinye icala, emathunjini akho amancinci nokuba ngomlomo wakho okanye nge-anus yakho. Kukho ibhaluni enye okanye ezimbini kule tyhubhu. Ezi bhaluni zivuthelwe kwaye ziphuma amanzi. Oku kuvumela ityhubhu ukuba ihambe ngokukhuselekileyo emathunjini akho amancinci. Oku kuvumela ukuba ihambe ngaphaya kwe -endoscope eqhelekileyo.

Kutheni sifuna inkqubo ekhethekileyo kangaka?

Khawucinge nje, amathumbu akho amancinci angama-20 eemitha ubude ! Lelona candelo lide kakhulu kwinkqubo yethu yokugaya ukutya. Ikwamxinwa kakhulu, kwaye ineendawo ezininzi ezigobileyo ngaphakathi. Ngoko ke, ii-endoscope eziqhelekileyo azinabude okanye ukuguquguquka kokugubungela obu bude bonke. Kodwa le enteroscope inde kabini kuneyeqhelekileyo.

Kukweziphi iimeko apho unokufuna khona i-balloon enteroscopy?

Ixesha elininzi, olu vavanyo lwenziwa ukuze kufunyanwe indawo echanekileyo yokopha emathunjini kwaye kunyangwe. Yiyo loo nto ke esona sizathu siphambili.

Kukho nezinye izizathu ngaphandle kwezo. Masibone ukuba zeziphi:

• Jonga amathumbu akho amancinci ukuba awanazo na iipolyps , eziziintlobo ezincinci, okanye ezinye izigaqa .
• Chonga kwaye ulawule iimeko ezifana nesifo sikaCrohn samathumbu amancinci .
• Ngamanye amaxesha inxalenye yamathumbu inokuvaleka , nto leyo ebangelwa kukuxinana kwamathumbu , okanye amathumbu anciphe ngendlela engaqhelekanga. Khangela izinto ezinjalo.
• Ukuba ezinye iimvavanyo, ezifana ne-capsule yamathumbu amancinci okanye i-endoscopy, azinakwenziwa ngenxa yokungaqheleki kwisakhiwo samathumbu akho.
• Emathunjini ngempazamoOku kukwasetyenziselwa ukususa izinto ezingaqhelekanga ukuba zibambekile.

Ngubani owenza le balloon enteroscopy?

Olu vavanyo lwenziwa yingcali yezifo zesisu, ugqirha ofumene uqeqesho kweli candelo.

Ndingazilungiselela njani ezi vavanyo?

Ukulungiselela oku kubandakanya kakhulu ukukhupha amathumbu akho amancinci . Indlela efanelekileyo kuwe iya kuxhomekeka ekubeni i-enteroscope ifakwe phi:

• Ngokutya: Ungatya ukutya okumanzi kuphela ukususela emva kwesidlo sasemini ngosuku olungaphambi kovavanyo ukuya kuthi ga kwiiyure ezimbini ngaphambi kovavanyo.
• I-Rectal: Oku kufuna ukuzila ukutya ngaphambi kovavanyo. Kufuneka wenze nokulungiselela amathumbu ngokupheleleyo , ngendlela efana ne -colonoscopy . Oku kuthetha ukuba uza kunikwa amayeza okuhlamba isisu kunye nesisombululo se-electrolyte ukuze usele ngosuku olungaphambi kovavanyo. Oku kuya kubangela urhudo de amathumbu akho acoceke ngokupheleleyo.

Ukongeza kolu lungiselelo, kunokufuneka uyeke ukusebenzisa amayeza athile, anje ngamayeza okunciphisa igazi , amayeza eswekile , okanye izongezo zesinyithi , okwethutyana. Kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo. Uza kukuxelela ukuba zeziphi ekufuneka uyeke ukuzisebenzisa kunye namayeza onokuqhubeka uwasebenzisa.

Kwenzeka ntoni ngexesha le-balloon enteroscopy?

Uza kuqala unikwe i-sedative , okanye i-anesthesia eqhelekileyo, ukuze ulale. Awuyi kuva nto. Emva koko, ingcali iza kufaka i-enteroscope ngomlomo wakho okanye kwi-rectum. Emva koko, ibhaluni iza kufuthwa kwaye ikhutshwe rhoqo. Ngalo lonke ixesha ibhaluni ifuthwa kwaye ikhutshwa, umbhobho uya kuhamba phambili kancinci. Oku kungathatha malunga neeyure ezimbini ukuhlola amathumbu amancinci onke .

Ziziphi iimvavanyo kunye nonyango endinokuzifumana ngeli xesha lenkqubo?

Ngexesha le-balloon enteroscopy, ezi zinto zilandelayo zingenziwa:

• Amathumbu akho amancinci aza kuhlolwa ngononophelo ukuze kubonwe iimpawu, ezinje ngokudumba okungaqhelekanga .
• Ukuba kukho ukopha ngaphakathi, bayakufumana baze bakunyange.
• Ukuba kukho umntu kusapho okhe waba nomhlaza wamathumbu amancinci , uhlolo lomhlaza lwenziwa kwabo basengozini.
• Ukuba kukho iipolyps , ezinye izihluma ezingaqhelekanga, okanye izinto zangaphandle ezifakwe ngengozi, ziyasuswa.
• Iqhekeza elincinci lesicwili elibonakala lingaqhelekanga liyathathwa (i-biopsy) lize lithunyelwe kwilabhoratri ukuze lihlolwe phantsi kwe-microscope.
• Ukuqina emathunjini akhoUkuba ikhona, ingandiswa kwaye isixhobo esifana ne-mesh (stent) singafakwa ukuthintela ukuba singavalwa kwakhona.

Zithini iingenelo kunye neengozi zale ndlela ye-enteroscopy yebhaluni enye okanye yebhaluni ephindwe kabini?

Eyona nzuzo inkulu yale ndlela kukuba ingenziwa ngaphandle kotyando olukhulu lwesisu . Oku kuthintela iingozi zotyando olukhulu, kunciphisa ixesha lokuchacha, kwaye kukuvumela ukuba ubuyele kwimisebenzi eqhelekileyo ngokukhawuleza.

Kodwa, njengayo nayiphi na inkqubo yezonyango, kukho iingozi ezithile ezibandakanyekayo. Makhe sijonge ukuba ziyintoni na:

• Emva kovavanyo , igesi esiswini inokubangela iintlungu nokungonwabi .
• Abanye abantu banokuba ne -pancreatitis .
• Iingozi ezinxulumene ne-anesthesia ziquka isicaphucaphu nokuhlanza , ubushushu bomzimba obuphantsi , kunye nentloko ebuhlungu .
• Kunqabile kakhulu ukuba udonga lwamathumbu amancinci lunokugqobhoka (ukugqobhoka kwamathumbu) .
• Ukuba i-enteroscope ifakwa ngomlomo, unokuba nomphimbo obuhlungu emva koko.

Eyona nto ibalulekileyo kukuba amathuba okuba ezi ngozi zenzeke ahlala ephantsi kakhulu. Ugqirha wakho uza kukuchazela konke oku.

Ndingazazi nini iziphumo zovavanyo?

Usenokukwazi ukubona iziphumo ezithile kwangoko emva kokuba uvukile emva kokusebenzisa i-anesthesia . Nangona kunjalo, ukuba ugqirha wakho wenze i-biopsy okanye wasusa i-polyp , kudla ngokuthatha malunga neveki ukuba iziphumo zibuye.

Linjani ixesha lokuchacha emva kolu vavanyo?

I-balloon enteroscopy yinkqubo yokulaliswa ngaphandle . Oku kuthetha ukuba ungaya ekhaya emva kokuvuka emva kokusebenzisa i-anesthesia. Nangona kunjalo, nokuba uzive uphilile kangakanani na, akucetyiswa ukuba uqhube ngemoto ngomhla wokwenziwa kwenkqubo . Ngoko ke, kufuneka ulungiselele ukuya ekhaya nomntu onoxanduva kwangaphambili.

Kubalulekile ukuphumla ngokwaneleyo emva kokuba ubuyele ekhaya. Ukuba ukhe wasela amayeza okucoca amathumbu akho, sela amanzi amaninzi kwaye utye ukutya okunesondlo. Uninzi lwabantu lunokubuyela kwimisebenzi eqhelekileyo ngosuku olulandela uvavanyo.

Yintoni umahluko phakathi kweSingle Balloon Enteroscopy kunye neDouble Balloon Enteroscopy?

Zombini ezi nkqubo, ezibizwa ngokuba yi-single balloon enteroscopy kunye ne-double balloon enteroscopy , ziindlela ezikhuselekileyo nezisebenzayo zokujonga ikholoni yakho. Kuzo zombini ezi nkqubo, kufakwa ityhubhu encinci (overtube) kwikholoni, eyi -enteroscope.Kukho enye. Umahluko omkhulu yindlela ityhubhu engena ngayo emathunjini.

Kwi -enteroscopy yebhaluni enye , i-enteroscope inebhaluni enye kuphela. Isiphelo sangaphambili sebhaluni siyaguquguquka. Oku kusebenza njenge-ankile njengoko ityhubhu idlula kwikholoni.

Kwi -enteroscopy yeebhaluni ezimbini , isiphelo esiguquguqukayo sitshintshwa ngebhaluni enye. Ibhaluni enye isebenza njenge-ankile, ngelixa enye ibhaluni inceda ukuhambisa phambili ityhubhu.

Ngokwesiqhelo, i-enteroscope yebhaluni ezimbini inokungena nzulu emathunjini amancinci kunebhaluni enye, nto leyo evumela umbono ongcono wamathumbu amancinci onke.

Eyona nto ibalulekileyo ekufuneka uyikhumbule kwinto esithethe ngayo kukuba

I-balloon enteroscopy, okanye i-balloon-assisted enteroscopy, yinkqubo exabisekileyo esetyenziselwa ukuxilonga nokunyanga izifo zamathumbu amancinci . Inokunceda ekufumaneni izisombululo kwiimeko ezahlukeneyo, ezinje ngokopha kwamathumbu kunye nee-polyps . Okubaluleke kakhulu, le ndlela ithambile emzimbeni wakho kunotyando . Ke ngoko, akukho ntlungu ingako ngexesha lokuchacha, kwaye ungabuyela kwimisebenzi yakho yemihla ngemihla ngokukhawuleza. Ukuba ugqirha ukuxelela ngolu hlobo lovavanyo, ungoyiki. Thetha naye ngononophelo ngayo kwaye umbuze nayiphi na imibuzo onayo.

I- balloon enteroscopy, amathumbu amancinci, i-enteroscope, uhlolo lwamathumbu, izifo zesisu, ii-polyps, isifo sikaCrohn