Ugqirha wakho usenokuba u-odole i-endoscopy okanye i-ultrasound scan ngenxa yentlungu yesisu sakho okanye enye imeko yezempilo. Kodwa ngamanye amaxesha, kukho izinto ezingafumanekiyo kwezi mvavanyo kwaye kufuneka zijongwe nzulu. Kulapho oogqirha bakuthumelela khona kuvavanyo olukhethekileyo olubizwa ngokuba yi-"endoscopic ultrasound." Ukuva eli gama kunokuvakala kuyoyikisa kancinci, kodwa akunzima njengoko unokucinga. Masithethe ngayo yonke into ngokulula namhlanje.
Ngamafutshane, yintoni i-endoscopic ultrasound (EUS)?
Oku kukudibanisa iindlela ezimbini zobuchwepheshe, oko kukuthi, i-endoscopy kunye ne-ultrasound scan .
Khawucinge nje, ngexesha lokuhlolwa rhoqo kwe-ultrasound, ugqirha ubeka isixhobo esincinci esiswini sakho aze ajonge amalungu angaphakathi emzimbeni wakho. Kufana nokukhanyisa ithotshi egumbini. Ungabona ezinye izinto, kodwa akucaci yonke into.
Kodwa kule endoscopic ultrasound (EUS) , ityhubhu encinci, eguquguqukayo enekhamera eqhotyoshelweyo (esiyibiza ngokuba yi "Endoscope") ifakwa ngomlomo okanye kwi-rectum, kwaye isixhobo esincinci se-ultrasound esisekupheleni kwetyhubhu sisetyenziselwa ukujonga amalungu angaphakathi emzimbeni. Ngamafutshane, kufana nokuthatha loo totshi siye egumbini size sijonge. Emva koko singasondela kakhulu kwilungu esifuna ukulihlola, ngoko ke imifanekiso esiyifumanayo icacile kwaye ineenkcukacha.
Le ndlela iluncedo kakhulu ekufumaneni ngokuchanekileyo iithumba ezincinci kakhulu, utshintsho kwiindlala, kwanakwizigaba zokuqala zomhlaza ezingabonwayo ngokuskena rhoqo.
Ngaphantsi kwaziphi iimeko ugqirha angakucela ukuba wenze olu vavanyo?
Uvavanyo lwe-EUS aluqhelekanga ukwenziwa ngumntu wonke. Lusetyenziswa kwiimeko ezikhethekileyo apho ezinye iimvavanyo zingenako ukunika isigqibo esicacileyo kwaye zifuna uphando olunzulu.
| Imeko yokujonga | Ingcaciso elula |
|---|---|
| Inqanaba kunye nokusasazeka komhlaza | Oku kunceda ukubona ngokuchanekileyo ukuba ithumba lomhlaza kwi-esophagus, pancreas, okanye imiphunga liye lajula kangakanani kwaye nokuba lisasazeke na kwii-lymph nodes ezikufutshane. Oku kubaluleke kakhulu ekucwangciseni unyango. |
| Izifo zePancreatic | I-EUS isetyenziselwa ukufunda iimeko ezifana ne -pancreatitis engapheliyo, iithumba, okanye iingxowa ezincinci ezizaliswe lulwelo (ii-cysts) kwi-pancreas. |
| Izilonda kwindlela yokugaya ukutya | Oku kusetyenziselwa ukufumanisa ukuba zeziphi izigaqa ezincinci (ii-nodules) okanye ii-tumor ezikudonga lomgudu wokugaya ukutya, nokuba ziyingozi okanye aziyingozi, kwaye kuthathwe inxalenye encinci yazo ukuze ihlolwe (i-biopsy) ukuba kuyimfuneko. |
| Iingxaki zenyongo kunye nesibindi | Oku kunceda ukufumana umfanekiso ocacileyo weemeko ezinje ngamatye enyongo, ukuvaleka kwemibhobho yenyongo, okanye ezinye iithumba esibindini. |
| Ubunzima bokulawula ukuhamba kwamathumbu | Abanye abantu baziva bengakwazi ukuzibamba iindle bengazi nokuba bayazi. I-EUS isetyenziselwa ukufumanisa unobangela woku kunye nokujonga nabuphi na ubuthathaka okanye ukungasebenzi kakuhle kwemisipha ejikeleze i-anus. |
Kulungile, ngoku masibone ukuba olu vavanyo lwenziwa njani ngokwenene.
Umbuzo omkhulu onokuba nawo ngolu vavanyo kukuba ingaba lubuhlungu okanye alukhululeki. Impendulo kukuba, awuyi kuva ntlungu okanye ukungakhululeki . Oku kungenxa yokuba uza kufakwa i-anesthesia kwaye uzive uthomalalisiwe kancinci.
Ngaphambi kovavanyo
Ugqirha wakho uza kukuxelela ukuba zingaphi iiyure ekufuneka uzile ukutya ngaphambi kovavanyo. Ngokwesiqhelo, kuya kufuneka ungatyi okanye ungaseli malunga neeyure ezi-6-8. Kubaluleke kakhulu ukwazisa ugqirha wakho malunga namanye amayeza owasebenzisayo.
Ngexesha lovavanyo
1. I-Anesthesia: Okokuqala, uza kunikwa iyeza lokubulala iintlungu ngokufaka inaliti emthanjeni. Oku kuza kukubeka kwimeko yokulala kancinci. Ngoko awuyi kuva okanye ukukhumbula nantoni na.
2. Ukufakwa kwe-endoscope:Emva koko, ugqirha ufaka ngononophelo isixhobo se-EUS (ityhubhu encinci neguquguqukayo) ngomlomo wakho (ukubona inxalenye ephezulu yombhobho wokutya) okanye nge-rectum yakho (ukubona inxalenye esezantsi yombhobho wokutya).
3. Uvavanyo: Nje ukuba isixhobo sifakwe, ugqirha ujonga imifanekiso yekhamera kwenye imonitha kunye nemifanekiso ye-ultrasound kwenye. Ngale ndlela, iindonga zendlela yokugaya ukutya, i-pancreas, kunye namalungu angqongileyo, njenge-gallbladder, zijongwa ngokucacileyo.
4. I-Biopsy: Ukuba kukho indawo ekrokrisayo, inaliti encinci kakhulu ingadluliselwa kwisixhobo se-EUS kwaye iqhekeza elincinci lethishu lingathathwa kuloo ndawo ukuze lihlolwe. Oku kubizwa ngokuba yi-`(Fine-Needle Aspiration)`. Awuyi kukuva oku konke konke.
Olu vavanyo lonke ludla ngokuthatha imizuzu engama-30 ukuya kwengama-90 .
Emva kovavanyo
Emva kovavanyo, uza kugcinwa kwigumbi lokuchacha iyure enye okanye ezimbini ngelixa i-anesthesia iphela. Usenokuziva ulele kancinci. Ngoko ke ngokuqinisekileyo uya kufuna umntu oza kukusa ekhaya. Ungaya ekhaya ngaloo mini inye. Ukuba uvavanyo lwenziwe ngomlomo, unokuba nokukrweleka kancinci emqaleni wakho usuku olunye okanye ezimbini, into eqhelekileyo.
Ngaba kukho umngcipheko koku?
I-EUS yinkqubo ekhuselekileyo kakhulu . Iingxaki azixhaphakanga. Ukuba ziyenzeka, zingabandakanya:
- Ukunganyamezelani namayeza okubulala iintlungu.
- Ukuba kuthathwa i-biopsy, kunokubakho ukopha okuncinci kwindawo leyo.
- Kukho ithuba elinqabileyo kakhulu lokosuleleka.
Kodwa khumbula, oku akunakwenzeka ukuba kwenzeke . Ugqirha wakho uqeqeshwe ukulawula zonke ezi zinto. Ukuba unentlungu enkulu esiswini, umkhuhlane, ukuhlanza, okanye ukopha kakhulu emva kovavanyo, kufuneka ufowunele ugqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Endoscopic ultrasound (EUS) luvavanyo olukhethekileyo olubonelela ngemifanekiso ecacileyo neneenkcukacha ezingaphezulu kune-scan eqhelekileyo.
- Oku kwenziwa phantsi kwe-anesthesia, ukuze ungaziva ntlungu okanye ukungakhululeki.
- Oku kunceda kakhulu ekuchongeni izifo ezintsonkothileyo zendlela yokugaya ukutya, i-pancreas, kunye nezitho ezingqongileyo.
- Olu luvavanyo olukhuselekileyo kakhulu. Umngcipheko weengxaki uphantsi kakhulu.
- Ukuba uneminye imibuzo malunga nolu vavanyo, ungathandabuzi ukubuza ugqirha wakho.
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