Ngaba nawe unengxaki yokuginya? Masifunde yonke into malunga novavanyo lwe-EndoFLIP!

Ngamanye amaxesha xa sisitya, asikwazi ukuginya kakuhle size sivakalelwe kukuba ukutya kunamathele emqaleni, akunjalo? Kwabanye abantu, oku kunokuba yinto eqhubekayo. Ngoko ke namhlanje siza kuthetha ngovavanyo olukhethekileyo olwenziwayo ukuze kufunyaniswe ukuba unalo na olu hlobo lobunzima bokuginya. Lubizwa ngokuba luvavanyo lwe-EndoFLIP . Le yinto enokukunceda ngokwenene.

Yintoni i-EndoFLIP?

Ngamafutshane, i-EndoFLIP luvavanyo olujonga ukuba ukutya ukuginya kakuhle na okanye kukho na ubunzima. Uyazi, kukho ityhubhu eyenziwe ngemisipha ethwala ukutya ukusuka emlonyeni wethu ukuya esiswini sethu (sikubiza ngokuba sisisu). Oku sikubiza ngokuba yi-esophagus . Kufana nombhobho wamanzi. Ngoko ke olu vavanyo lwe-EndoFLIP lulinganisa ukuba ingakanani indawo engaphakathi kwi-esophagus yakho kunye nendlela esabela ngayo xa uxinzelelo lufakwa kuyo. Ezi zilinganiso zezona oogqirha banokusebenzisa ukufumanisa ukuba uneemeko ezithintela ukutya ukuba kuhambe kakuhle kwi-esophagus ukuya esiswini sakho.

Amaxesha amaninzi, olu vavanyo lwe-EndoFLIP lwenziwa ngexesha le-endoscopy ephezulu . I-endoscopy yityhubhu encinci, eguquguqukayo enokukhanya kunye nekhamera encinci ekupheleni, ebizwa ngokuba yi-endoscope , edluliselwa emlonyeni ukuze ihlole iindawo ezifana nomqala kunye nesisu. Ngexesha lovavanyo, uya kunikwa i-anesthesia, ukuze ungaziva nto, uya kuba ulele. Ngoko ke akukho sizathu sokoyika.

Uvavanyo lwe-EndoFLIP lujoliswe kubani? Kutheni lubalulekile?

Oogqirha abaziingcali kwizifo zesisu, okanye oko sikubiza ngokuba ziingcali ze-gastroenterologists, badla ngokwenza olu vavanyo lwe-EndoFLIP. Balusebenzisela ukuxilonga izifo ezifana nezi:

• I-Achalasia: Oku kwenzeka xa izihlunu ezisezantsi komqala zingakhululekanga ngokwaneleyo kwaye ziqinile. Oku kunokubangela ukuba ukutya kubambeke kumqala endaweni yokuba kungene esiswini. Cinga ngako xa uvala isiphelo sombhobho wamanzi aze amanzi ayeke ukuhamba. Oku akukhululeki kancinci.
• I-Eosinophilic esophagitis: Oku kwenzeka xa uhlobo oluthile lweeseli (ii-eosinophils) luqokelelana kulwelo lwe-esophagus, nto leyo ebangela ukudumba. Oku kunokubangela ubunzima bokuginya kunye nentlungu esifubeni.
• I-GERD - Isifo se-Gastroesophageal Reflux: Le yinto abantu abaninzi abaye beva ngayo. Kulapho i-asidi yesisu ibuyela khona kwi-esophagus. Siyibiza ngokuba yi-"heartburn" okanye "gastric reflux." Ngamanye amaxesha oku kunokonakalisa i-esophagus kwaye kubangele ubunzima bokuginya.

Kwakhona, ukuba ukhe watyandwa kwi-esophagus yakho, oogqirha banokwenza olu vavanyo ukuqinisekisa ukuba yonke into isebenza kakuhle emva koko.

Isebenza njani le EndoFLIP? Ungandicacisela kancinci?

Kulungile, ngoku masibone ukuba oku kusebenza njani. Kolu vavanyo, kufakwa ityhubhu yeplastiki ebhityileyo kakhulu, ebizwa ngokuba yi-catheter , kwi-esophagus yakho. Umphezulu wale catheter ugqunywe yibhaluni encinci. Ii-sensors zinamathele kwibhaluni. Ngeentambo ezidityaniswe nezi sensors, ulwazi malunga ne-esophagus yakho luthunyelwa kwi-data recorder ngaphandle. Ayibobuchwephesha obumangalisayo na obu?

Xa ugqirha wakho wezifo zesisu efutha ibhaluni, iisensa zilinganisa uxinzelelo olungaphakathi kwe-esophagus kunye nobubanzi bangaphakathi be-esophagus, nto leyo ethetha ubungakanani bendawo ngaphakathi.

Olu vavanyo loxinzelelo lubonisa ukuba umphimbo wakho uncinci kunesiqhelo, okanye ukuba iindonga zawo ziqinile kakhulu. Zombini ezi nguqu zinokwenza kube nzima ukuba umphimbo utyhale ukutya uye esiswini. Uyaqonda? Yile nto enika oogqirha umbono wokuba yintoni ingxaki yakho.

Ndingazilungiselela njani ngaphambi kwe-EndoFLIP?

Akukho nto ifanele ixhalabise ngayo le nto. Ugqirha wakho uza kukuxelela into omawuyenze. Kodwa ngokubanzi, nazi ezinye zezinto omawuzenze:

• Ufanele uyeke ukutya okanye ukusela nantoni na, efana namanzi, ubuncinane iiyure ezine ngaphambi kovavanyo. Kubalulekile ukuba olu vavanyo lwenziwe esiswini esingenanto.
• Ngenxa yokuba uza kunikwa i-anesthesia, ungaziva ucotha kancinci kwaye ulele emva kovavanyo. Ngoko ke, cwangcisa ukuba umntu akuqhubele ekhaya . Akucetyiswa ukuqhuba wedwa, kwaye akukhuselekanga.

Kwenzeka ntoni ngokwenene ngexesha lovavanyo lwe-EndoFLIP?

Okokuqala, ingcali yokubulala iintlungu iza kukunika i-anesthesia nge-cannula (i- IV ) efakwe emthanjeni osengalweni yakho. Emva koko, ingcali yakho yesisu iza kwenza olu vavanyo lulandelayo:

1. I-endoscope esithethe ngayo ngaphambili, oko kukuthi, ityhubhu enekhamera kunye nokukhanya, ifakwa ngomlomo wakho kwi-esophagus yakho. Le khamera ivumela ugqirha ukuba abone okungaphakathi kwi-esophagus yakho kwisikrini.

2. Emva koko, kusetyenziswa imifanekiso ebonwe kwi-endoscope, i-catheter ye-EndoFLIP idluliselwa kwi-esophagus.

3. Okulandelayo, ibhaluni ekwi-catheter ivuthelwa ngokuphindaphindiweyo .

4. Ukubeka esweni idatha yokulinganisa evela kwiisensa ezikwi-catheter.

5. Emva koko ibhaluni iyancitshiswa.

6. Ekugqibeleni, zombini i-EndoFLIP kunye ne-endoscope ziyasuswa.

Lonke inkqubo ye-EndoFLIP ithatha ixesha elifutshane kakhulu, malunga nemizuzu eli-15 . Awuyi kuyiva nokuyibona.

Ingaba olu vavanyo lubuhlungu?

Hayi, olu ayilovavanyo lubuhlungu . Uza kuba phantsi kwe-anesthesia kwaye ulele, ngoko awuyi kuva ntlungu. Ungakhathazeki ngaloo nto. Nangona kunjalo, ungaziva uxinzelelo oluncinci xa i-endoscope kunye ne-EndoFLIP zifakwa kwi-esophagus yakho ngaphambi kokuba i-anesthesia iphele. Kodwa ayibuhlungu, kukuziva nje ngathi kukho into ehla emqaleni wakho.

Kubalulekile: Uza kunikwa i-anesthesia, ngoko awuyi kuva ntlungu ngexesha lovavanyo. Ngoko ke ungoyiki.

Kwenzeka ntoni emva kovavanyo? Ndingaya ekhaya?

Xa uvavanyo luphelile, uza kusiwa kwigumbi lonyango . Kuya kufuneka uhlale apho de iziphumo ze-anesthesia ziphele kwaye uzive uphilile ngokupheleleyo. Oku kudla ngokuthatha malunga neyure. Emva koko, ungagoduka. Khumbula, ungalibali ukucela umntu ukuba eze nawe.

Ngaba oku kungabangela naziphi na iziphumo ebezingalindelekanga?

Iziphumo ebezingalindelekanga ezivela kolu vavanyo azixhaphakanga . Oko kukuthi, zimbalwa kakhulu. Ngamanye amaxesha, ngenxa yokuba i-endoscope kunye ne-EndoFLIP zifakwa emqaleni, kunokubakho umkrwelo omncinci emqaleni, intlungu encinci kakhulu usuku okanye ezimbini. Njengaxa unesihlungu somqala ngenxa yomkhuhlane. Ngaphandle koko, akukho nto ibalulekileyo. Ukusela amanzi amaninzi kuya kunceda.

Kuthatha ixesha elingakanani ukwazi iziphumo?

Ugqirha wakho angakunika iziphumo zokuqala zovavanyo ngaphambi kokuba uphume esibhedlele . Okanye, angakuxelela iziphumo kwintlanganiso yakho elandelayo yokulandelela . Baza kukuchazela nokuba wenze ntoni emva koko, nokuba kukho naziphi na ezinye iimvavanyo ekufuneka zenziwe, okanye loluphi unyango ekufuneka luqalwe.

Ngaba i-EndoFLIP ingcono kuneManometry?

Iimvavanyo ezimbini ezinceda iingcali ze-gastroenterologists ukuba zichonge iingxaki kwi-esophagus yi -esophageal manometry kunye ne-EndoFLIP. I-Esophageal manometry ikakhulu ilinganisa indlela ezisebenza ngayo izihlunu kwi-esophagus, oko kukuthi, ukuba intshukumo etyhala ukutya phantsi ( i-peristalsis ) isebenza ngokufanelekileyo na. Nangona kunjalo, uvavanyo lwe-EndoFLIP lunokubonelela ngolwazi oluneenkcukacha ezingaphezulu. Umzekelo, ukuba kukho indawo engakanani ngaphakathi kwi-esophagus, ukuba iindonga zayo ziguquguquka kangakanani, kwaye ziqinile kangakanani. Ngoko ugqirha wakho unokukhetha uvavanyo olufanelekileyo ngokusekelwe kwimeko yakho.

Xa unengxaki yokuginya, awukwazi na ukuyonwabela ukutya kwakho ngendlela efanelekileyo, uze ukhethe phakathi koko unokukutya noko ungenakukutya ekutyeni okusesityeni sakho? Usenokudinwa uze uzibuze, "Kutheni oku kusenzeka kum?" Ngoko ke, ukuba nolu vavanyo lwe-EndoFLIP kunokukunceda ufumane impendulo yalo mbuzo.

Ngoko ke, zeziphi izinto ekufuneka sizikhumbule koku?

Kulungile, ndiyathemba ukuba ngoku uluqonda kakuhle uvavanyo lwe-EndoFLIP. Eyona nto iphambili kukuba olu luvavanyo olubalulekileyo lokujonga ukuba umphimbo wakho, okanye umbhobho wokutya, usebenza kakuhle na.

Oku kunokunceda ekufumaneni unobangela ochanekileyo wobunzima bakho bokuginya. Kusenokufuneka wenze iimvavanyo ezingaphezulu ukuze ufumane unobangela ochanekileyo. Nangona kunjalo, uvavanyo lwe-EndoFLIP lunokuba linyathelo lokuqala lokuqonda okwenzekayo emzimbeni wakho.

Emva kwelo nyathelo lokuqala, ungaqala unyango olufunekayo kwaye wonwabele isidlo ngaphandle koloyiko ngexesha lokutya, ungakhathazeki malunga nokuba uza kukwazi na ukuginya ukulunywa okulandelayo okanye akunjalo. Ukuba nawe uneengxaki ezinjalo zokuginya, ungoyiki ukubona ugqirha kwaye ufumane ingcebiso. Yiyo leyo into engcono. Emva koko ungafumana isisombululo sale ngxaki ngokukhawuleza.

I- EndoFLIP, ubunzima bokuginya, i-esophagus, i-endoscopy, inkqubo yokugaya ukutya, i-gastroenterologist, i-achalasia, i-GERD, i-manometry