Ngamanye amaxesha kunzima kancinci ukufumana unobangela wento efana nobuhlungu besisu okanye ukopha kwamathumbu, akunjalo? Ingakumbi ukuba yingxaki emathunjini amancinci, angaphakathi kwinkqubo yethu yokugaya ukutya, ayinakubonwa nge-endoscopy eqhelekileyo. Kulapho oogqirha basebenzisa khona olu vavanyo lukhethekileyo olubizwa ngokuba yi-"Balloon Enteroscopy." Usenokuziva usoyika kancinci xa usiva eli gama. Kodwa eneneni olu luvavanyo olulula kakhulu nolukhuselekileyo kunokuba ucinga. Masithethe ngayo yonke into ngokucacileyo nangokulula.
Yintoni iBalloon Enteroscopy?
Cinga ngamathumbu akho amancinci njengendlela ende, egobileyo. Ikhamera ye-endoscope eqhelekileyo inokubona kuphela inxalenye yokuqala yale ndlela. Oko kukuthi, idlule esiswini ize ingene kwinxalenye yokuqala yamathumbu amancinci (i-duodenum). Kodwa ukuba ingxaki inzulu ngaphezu koko, udinga indlela eyahlukileyo yokuyibona.
Kulapho i-balloon enteroscopy ingena khona. Le ikwayityhubhu ende, eguquguqukayo. Inekhamera kunye nokukhanya ekupheleni. Kodwa into ekhethekileyo kukuba kukho ibhaluni enye okanye ezimbini ezinamathele kule tyhubhu. Ngokufutha nokufutha ezi bhaluni, esi sixhobo sihamba kancinci, njenge-caterpillar, siyehla emathunjini amancinci. Njengoko sisenza njalo, ugqirha unokubona ngokucacileyo ingaphakathi lamathumbu ngekhamera. Ngamafutshane, le yindlela ekhethekileyo esetyenziselwa ukungena nzulu emathunjini kunokuba ikhamera eqhelekileyo ingayijonga, kwaye ukuba kuyimfuneko, inyangwe apho .
Kutheni ugqirha ekucela ukuba wenze olu hlobo lovavanyo?
Ukuba ugqirha wakho ukucebisile ukuba wenze olu vavanyo, kufuneka kubekho isizathu esithile salo. Ngokwesiqhelo kwenziwa ukuze kuphandwe ngakumbi ingxaki ekrokrelwayo emathunjini amancinci engafunyanwanga zezinye iimvavanyo. Nazi ezinye zezizathu eziphambili.
| Isizathu sokuthunyelwa kuvavanyo | Ingcaciso elula |
|---|---|
| Ukopha igazi okungafumaneki sizathu | Oku kwenziwa ukuze kufunyaniswe ukuba kukho ukopha emathunjini amancinci, xa kukho igazi ekuhlanzeni okanye igazi kwindle, kodwa unobangela awunakufunyanwa nge-endoscopy eqhelekileyo kunye ne-colonoscopy. Esi sixhobo sinokufumana umthombo wokopha size siwumise apho. |
| Isifo sikaCrohn | Esi sisifo esibangela ukudumba kwamathumbu. Olu vavanyo lunceda ukubona ukuba amathumbu amancinci achaphazeleke kangakanani na. |
| Iipolyps, iithumba | Le nkqubo inokubona ukukhula okungaqhelekanga (iithumba) emathunjini amancinci, ithathe i-biopsy ukuze ifumanise ukuba zinomhlaza na, kwaye isuse ngokupheleleyo ezinye iithumba ezincinci. |
| Ukuqina kwamathumbu | Ezinye iimeko zempilo zinokubangela ukuba amathumbu abe mancinci kwaye abe mancinci. Jonga ukuba akukho nakuphi na ukuncitshiswa, kwaye ukuba kuyimfuneko, yandisa indawo encitshisiweyo ngebhaluni. |
| Izinto zibambekile | Esi sixhobo singasetyenziselwa ukufumana nokususa into encinci (umz., ilensi yekhamera) eginywe ngempazamo yaza yanamathela emathunjini. |
Ngaba zikho iintlobo zezi? Zithini iibhaluni ezi-single kunye nezi-double?
Ewe, zimbini iintlobo eziphambili zale ndlela. Nangona umgaqo osisiseko wazo zombini ufana, kukho umahluko omncinci kwindlela esebenza ngayo.
I-Enteroscopy yeBhaluni ephindwe kabini
Le yindlela yokuqala neyona isetyenziswa kakhulu. Esi sixhobo senziwe ngokungathi kukho "ityhubhu ngaphakathi kwityhubhu."
- Ityhubhu yangaphakathi: Kulapho ikhamera ikhoyo.
- Ityhubhu yangaphandle/ityhubhu engaphezulu: Le idlula phezu kwetyhubhu yangaphakathi.
Kukho iibhaluni ezimbini eziphelweni zezi tyhubhu zombini.Kukho. Into eyenziwa ngugqirha kukufutha ibhaluni enye aze ayimise kwindawo ethile emathunjini. Emva koko uthumela enye ityhubhu phambili kancinci. Emva koko uyafutha loo bhaluni aze akhuphe ibhaluni yokuqala. Ngokufutha nangokukhupha iibhaluni ngokutshintshana ngale ndlela, isixhobo sihamba kancinci kancinci emathunjini.
I-Enteroscopy yeBhaluni enye
Le yindlela entsha. Njengoko igama lisitsho, inebhaluni enye kuphela . Ikwityhubhu engaphandle (overtube). Akukho bhaluni kwityhubhu engaphakathi. Endaweni yoko, yenzelwe ukugoba encamini kwaye iphumle eludongeni lwamathumbu. Umsebenzi webhaluni yesibini wenziwa yile ncam inokugotywa. Nangona le ndlela kuthiwa ikhawuleza kancinci, eyona ndlela idumileyo nesetyenziswa kakhulu kwihlabathi liphela naseSri Lanka yindlela yebhaluni ephindwe kabini.
Ndingazilungiselela njani ngaphambi kovavanyo?
Ukuze olu vavanyo luphumelele, amathumbu akho amancinci kufuneka abe angenanto kwaye acoceke ngokupheleleyo. Kulapho ikhamera inokubona kakuhle ngaphakathi. Ukuze wenze oku, kuya kufuneka wenze oku kulandelayo:
- Ukutya okumanzi: Ugqirha wakho uza kukuxelela ukuba utye kuphela ulwelo olucacileyo usuku olunye okanye ezimbini ngaphambi kovavanyo. Oku kuthetha izinto ezifana nejusi yeorenji, amanzi, amanzi anetyuwa, iti engenanto ngaphandle kweswekile, kunye nesuphu ehluziweyo. Ugqirha wakho uza kukuxelela ukuba usele ntoni na kwaye uqale nini.
- Ukulungiswa Kwamathumbu: Ukuba ikhamera ifakwe nge-rectum yakho (phantsi kwe-rectum yakho), amathumbu akho amakhulu kunye namathumbu amancinci kuya kufuneka acocwe ngokupheleleyo. Njengakwi-colonoscopy, uya kunikwa ulwelo olukhethekileyo ( i-laxative ) ukuze ulusele ukukunceda uphume endle. Kuya kufuneka uye kwigumbi lokuhlambela izihlandlo ezininzi emva kokusela oku. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.
Khumbula, ngokuqinisekileyo kufuneka wazise ugqirha wakho malunga namanye amayeza owasebenzisayo (ingakumbi amayeza eswekile kunye ne-blood thinners) ngaphambi kovavanyo. Angakucela ukuba uyeke ukuwasebenzisa loo mayeza kangangeentsuku ezimbalwa okanye utshintshe umthamo.
Kwenzeka ntoni ngokwenene ngexesha lovavanyo?
Musa ukoyika oku konke konke, kuba akuyi kuva ntlungu okanye ukungakhululeki ngenxa yoku.
Olu vavanyo lwenziwa phantsi kwe-anesthesia jikelele . Oku kuthetha ukuba yonke into yenzeka ngelixa ulele ubuthongo. Xa uvuka, yonke into iphelile.
Ugqirha uza kugqiba icala apho ikhamera iza kufakwa khona ngokusekwe kwiimpawu zakho kunye nemeko ocinga ukuba unayo.
1. Ukufakwa ngomlomo (Antegrade/Top-down): Ukuba kukho ingxaki ekrokrelwayo kwinxalenye ephezulu yamathumbu amancinci, le tube ifakwa ngomqala.
2. Ukufakwa kwe-rectal (Ukubuyisela umva/Ukubeka ezantsi phezulu):Ukuba kukho ingxaki ekrokrelwayo kwinxalenye esezantsi yamathumbu amancinci, ifakwa nge-rectum.
Nje ukuba isixhobo sifakwe, ugqirha uyayifutha kancinci aze ayikhuphe ibhaluni aze ayihambise ngekholoni. Njengoko ehamba, unokubukela imifanekiso ephilayo yangaphakathi kwekholoni kwisikrini sekhompyutha. Ukuba ubona ingxaki, unokuyinyanga ngoko nangoko.
- Ungayifumana apho ukopha khona uze uyimise.
- Into efana nethumba okanye i-polyp ingasuswa.
- Inxalenye encinci yesicwili (i-biopsy) inokuthathwa kwindawo erhanelekayo ukuze ihlolwe.
- Amathumbu avalekileyo anokwandiswa okanye kufakwe i-stent.
Yonke le nkqubo ingathatha naphi na ukusuka kwiyure enye ukuya kweziliqela , kuxhomekeke ekubeni ufuna ukubona umgama ongakanani kwikholoni kunye nohlobo lonyango ofuna ukulwenza.
Zithini iingenelo kunye neengozi zoku?
Njengalo naluphi na uvavanyo lwezonyango, olu luneenzuzo kunye neengozi ezincinci kakhulu.
| Iinzuzo | Iingozi |
|---|---|
| Eyona nzuzo inkulu kukuba ingathintela utyando olukhulu . Utyando lwamathumbu amancinci luyinkqubo enzima kakhulu. Iingozi ezinxulumene nalo kunye nexesha elide lokuchacha zinokuthintelwa ngale ndlela. | Iingxaki ezinkulu azixhaphakanga . Phantsi kokhathalelo lweqela lezonyango elinolwazi, amathuba okuba ezi ngxaki zenzeke mancinci kakhulu. |
| Ukuxilongwa kunye nonyango lunokwenziwa ngaxeshanye. Oko kuthetha ukuba ungayifumana ingxaki uze uyinyange kwangoko. | Ukonakala kwamathumbu: Esi sixhobo sinokubangela ukwenzakala eludongeni lwamathumbu okanye, ngokungaqhelekanga, ukugqobhoka. |
| Ukuba kufuneka uphinde uhlolwe, oku kulula kakhulu kunotyando. | I-Pancreatitis: Xa isixhobo sifakwa ngomlomo, kukho ithuba elincinci lokuba inani elincinci kakhulu labantu liya kuba nokuvuvukala kwe-pancreas. |
Kwenzeka ntoni emva kovavanyo? Ngaba ndiza kuphila ngokukhawuleza?
Ewe, ngokuqinisekileyo. Ukuchacha emva koku kukhawuleza kakhulu.
- Ukuvuka: Kuthatha malunga neyure okanye ezimbini ukuvuka ngokupheleleyo emva kokusebenzisa i-anesthesia. Ngeli xesha, uza kugcinwa kwigumbi lokujonga.
- Ukufumana iziphumo: Emva kokuba ubuyele ezingqondweni, ugqirha uza kuza kukubona aze akuchazele oko kubonwe ngexesha lovavanyo kunye nonyango olunikiweyo.
- Ukungakhululeki okuncinci: Ukuba uvavanyo lwenziwe ngomlomo, unokuba nomphimbo obuhlungu kancinci malunga nosuku. Ukuba lwenziwe phantsi kwesikhumba, ungaziva ugcwele esiswini sakho. Ezi ziqhelekile kwaye ziya kuphela ngokupheleleyo emva kosuku olunye okanye ezimbini.
- Ukuya ekhaya: Uninzi lwexesha ungaya ekhaya ngokuhlwa okufanayo .
- Eyona nto ibalulekileyo: Iziphumo ze-anesthesia zinokuhlala malunga neeyure ezingama-24. Ngoko ke ungaziva ulele kancinci kwaye ube nobunzima bokugxila. Ngoko ke, qiniseka ukuba uzisa umntu oza kukuthatha akuse ekhaya. Awuyi kukwazi ukuqhuba, ukwenza izigqibo ezibalulekileyo, okanye ukusebenzisa oomatshini ngokwakho ngaloo mini.
- Iziphumo ze-biopsy: Ukuba isiqwenga sethishu sithunyelwe ukuze sivavanywe, kungathatha malunga neveki ukufumana ingxelo.
Ngoko ke, ungabona ukuba oku akuyonto yokoyika. Le balloon enteroscopy yindlela ebaluleke kakhulu yokufumana ingxaki emathunjini amancinci nokunyanga ngaphandle kokudlula kwinto enkulu njengotyando.
Umyalezo Wokuya Ekhaya
- I-Balloon Enteroscopy luvavanyo olukhethekileyo nolukhuselekileyo olukuvumela ukuba ujonge nzulu emathunjini akho amancinci.
- Oku kukunika ithuba elihle lokuphepha utyando olukhulu.
- Awuyi kuva ntlungu kuba uza kuba ne-anesthesia kulo lonke uvavanyo.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha (ukutya ulwelo, ukucoca isisu) ngaphambi kovavanyo ukuze ufumane iziphumo eziphumelelayo.
- Kuqhelekile ukuba novalo okanye uxhalabele uvavanyo. Kodwa iqela lezonyango liza kukunyamekela kakuhle. Zive ukhululekile ukuthetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho