Ake sifunde ngezivivinyo ezenziwayo zezinkinga zakho zesisu? (Ukuhlolwa Kwesisu (GI))

Ingabe ngezinye izikhathi uzwa ukungakhululeki esiswini, ubuhlungu, noma izinkinga zokugaya ukudla? Ngezinye izikhathi, odokotela bayala ukuhlolwa okukhethekile ukuthola imbangela eqondile yalezi zinto. Yilokho okushiwo ukuhlolwa "kwesisu" noma ukuhlolwa kwe-GI. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Kuyini Ukuhlolwa Kwesisu (GI)?

Kalula nje, ukuhlolwa kwe-GI inqubo ekhethekile ebheka ngaphakathi kohlelo lwethu lokugaya ukudla (lonke uhlelo kusukela lapho sithatha khona ukudla kuya lapho sikhipha khona imfucuza). Cabanga ngakho njengekhamera ebheka izitho ezingaphakathi kwesisu sethu.

Odokotela basebenzisa ubuchwepheshe be-X-ray ukwenza lezi zivivinyo. Kodwa lokhu akufani ne-X-ray evamile. Ngokuvamile, kusetshenziswa inqubo ekhethekile ye-X-ray ebizwa ngokuthi "i- Fluoroscopy " kulokhu. Lokhu kukuvumela ukuthi ubuke izitho ezingaphakathi kwesisu sakho ziphila, njengevidiyo. Okusho ukuthi, udokotela angabona ukuthi izinto zenzeka kanjani uma ugwinya ukudla futhi ugaya ukudla esiswini sakho. Uma ukubheka ngale ndlela, ungathola kalula ukuthi kukhona yini inkinga, ukuvaleka, noma okunye ukungajwayelekile endleleni yokugaya ukudla.

Yiziphi izinhlobo ezahlukene zokuhlolwa kwe-GI?

Kunezinhlobo ezahlukene zokuhlolwa kwe-GI. Kuncike ekutheni iyiphi ingxenye yomgudu wakho wokugaya ukudla ehlolwa. Kunezinhlobo eziningana eziyinhloko:

• Ukuhlolwa Kokugwinya Kwe-Barium (Esophagram): Lokhu kubheka kakhulu umphimbo wakho (ithubhu elithwala ukudla kusuka emphinjeni wakho liye esiswini sakho). Kubheka ukuthi uketshezi luhamba kanjani uma ulugwinya. Lokhu kuvame ukuthatha cishe ihora.
• Uchungechunge Lwe-Upper GI: Lokhu kuhlola umphimbo, isisu, kanye nengxenye engenhla yamathumbu amancane (ebizwa nangokuthi i-duodenum). Lokhu kungathatha cishe ihora nesigamu.
• Uchungechunge Lwamathumbu Amancane: Njengoba igama lisho, lokhu kubheka wonke amathumbu akho amancane. Lokhu kuthatha isikhathi, cishe amahora amabili kuya kwamane.
• Uchungechunge lwe-Barium Enema / Lower Bowel: Lokhu kubheka ingxenye yokugcina yamathumbu amancane (ileum), amathumbu amakhulu (abizwa nangokuthi ikholoni), kanye ne-rectum. Lokhu kuthatha cishe ihora noma amabili.

Kungani ngidinga ukuhlolwa kwe-GI?

Uma unalezi zimpawu, udokotela wakho angase ancome lokhu kuhlolwa kwe-GI:

• Uma unenkinga yokugwinya ukudla noma uzizwa sengathi kukhona okubhajwe emphinjeni wakho.
• Ukugcwalisa isisu kahleUma uneziqephu ezivame kakhulu zokungagayi kahle ukudla.
• Uma ifika emphinjeni, lokho kusho ukuthi uma kukhona isimo esibizwa ngokuthi `(Reflux)` .
• Uma unezinhlungu zesisu ezingapheli.
• Uma uvame ukuqunjelwa, kusho ukuthi unezimo ezifana nesifo sohudo .
• Uma uhlanza njalo.
• Uma unegazi esitulweni sakho.

Uma kuvela izimpawu ezinjengalezi, lezi zivivinyo ziwusizo kakhulu ekutholeni ukuthi yini ngempela ezibangela zona.

Yiziphi izifo ezingahlolwa ukuhlolwa kwe-GI?

Lezi zivivinyo zingahlonza izifo ezahlukahlukene zesimiso sokugaya ukudla. Nazi izibonelo ezimbalwa:

• Izilonda esiswini noma emathunjini.
• Izimila emgudwini wokugaya ukudla (lezi zingaba umdlavuza noma zingabi umdlavuza ).
• Ama-polyp (lawa amahlumela amancane akha ebusweni bangaphakathi bekholoni).
• Ama-hernias e-hiatal (lokhu kwenzeka lapho ingxenye yesisu iphuma iye esifubeni).
• I-Diverticulosis kanye ne -Diverticulitis (lezi yizikhwama ezincane ezakheka emathunjini amakhulu bese zitheleleka).
• Izifo zomphimbo .
• I-Barrett's esophagus (lapho amaseli asemgogodleni eshintsha khona).
• I-Dysphagia (ubunzima bokugwinya ukudla).
• Ukushisa kwesisu okuvamile kubizwa ngokuthi i-GERD (Gastroesophageal Reflux Disease) .
• I-Gastritis (ukuvuvukala kolwelwesi lwesisu).
• I-Enteritis (ukuvuvukala kwamathumbu amancane).
• I-Gastroenteritis (evame ukubizwa ngokuthi "umkhuhlane wesisu") ukutheleleka kokubili esiswini namathumbu.
• `I-IBS (I-Irritable Bowel Syndrome)` (lapho izimpawu ezifana nobuhlungu besisu, ukuqunjelwa, ukuqunjelwa noma uhudo zingavela ngokushintshana).
• IBD (Isifo Sokuvuvukala Kwamathumbu) (Lesi yisimo esibi sokuvuvukala kwamathumbu, njengesifo sikaCrohn).

Ngingalutholaphi ukuhlolwa kwe-GI? (Ngingalutholaphi ukuhlolwa kwe-GI?)

Lezi zivivinyo ze-"(Fluoroscopy)" zivame ukwenziwa emnyangweni we-X-ray oxhumene nehhovisi likadokotela, isikhungo se-X-ray esikhethekile, noma isibhedlela. Udokotela wakho uzoncoma indawo engcono kakhulu kuwe.

Ubani owenza lezi zivivinyo ze-GI?

Lezi zivivinyo zenziwa ochwepheshe bemisebe ababhalisiwe nabanamalayisense abathole ukuqeqeshwa okukhethekile kulokhu.Ochwepheshe Be-Radiologic. Futhi, ngemva kokuhlolwa, izithombe ze-X-ray ziyabuyekezwa futhi ukuxilongwa kwenziwa ngochwepheshe be-radiology abaqinisekiswe yibhodi . Ngakho ungaqiniseka ukuthi usezandleni eziphephile.

Isebenza kanjani le `(Fluoroscopy)`? (Isebenza kanjani i-fluoroscopy?)

Cabanga ngomshini we-X-ray ojwayelekile. Umshini we-fluoroscopy uyafana, kodwa awuthathi isithombe esisodwa nje kuphela. Uthumela umsebe oqhubekayo we-X-ray emzimbeni wakho futhi ubonise izithombe esikrinini, njengevidiyo. Lokhu kuvumela odokotela ukuthi babone ukuthi izitho zakho zisebenza kanjani ngesikhathi sangempela. Kungakubonisa uma kunenkinga ngendlela izitho zakho ezisebenza ngayo, uma kukhona ukuvaleka kwendlela yakho yokugaya ukudla, noma uma kukhona ukungajwayelekile ngobukhulu, ukuma, noma isikhundla sezitho zakho.

Ukuhlolwa okuningi kwe-fluoroscopy kusebenzisa into ekhethekile ebizwa ngokuthi i-barium ukuze izitho zangaphakathi zibonakale ngokucacile. Kuwuketshezi olumhlophe, olufana ne-chalk. Unganikwa i-barium ukuthi uyiphuze noma uyifake e-rectum yakho njenge-enema. Lokhu kuncike ekutheni ubheka ingxenye ephezulu (i-Upper GI) noma ephansi (i-Lower GI) yomgudu wakho wokugaya ukudla.

• Ukuhlolwa kwe-"Upper GI" kubheka umphimbo wakho, isisu, kanye nengxenye yokuqala yamathumbu akho amancane.
• Ukuhlolwa kwe-"Lower GI" kubheka ekugcineni kwamathumbu amancane kanye namathumbu amakhulu (okungukuthi, "ikholoni" kanye ne-rectum).

Ngingakulungiselela kanjani ukuhlolwa kwe-GI?

Lokhu kubaluleke kakhulu . Ukulungiselela ukuhlolwa kahle kungathinta kakhulu ukunemba kwemiphumela. Udokotela wakho noma abasebenzi basesibhedlela bazokunikeza imiyalelo ethile okufanele uyilandele ezinsukwini ezimbalwa ngaphambi kokuhlolwa. Kufanele ulandele leyo miyalelo ngqo.

• Ungase utshelwe ukuthi ulandele ukudla okukhethekile .
• Ungathi ukuzila ukudla (okungukuthi, ukungadli noma ukuphuza lutho) amahora ambalwa.
• Ungase futhi welulekwe ukuthi uthathe imithi yokuhlanza amathumbu ukuze uhlanze amathumbu akho kahle.
• Uma ubhema, uzocelwa ukuthi uyeke izinsuku ezimbalwa. Uma uthatha imithi ethile, kuzodingeka futhi wazise udokotela wakho ngalokhu, futhi uma kudingeka, uyeke ukuyithatha izinsuku ezimbalwa.

Ngosuku lokuhlolwa, uzocelwa ukuba ushiye izinto zakho eziyigugu, njengobucwebe namakhadi esikweletu, ekhaya. Uzonikezwa ingubo yasesibhedlela ozoyigqoka.

Okubaluleke kakhulu: Ungakhohlwa ukwazisa uchwepheshe oqhuba isivivinyo ngalezi zinto kusenesikhathi:

* Uma ukhulelwe noma uncelisa.

* Uma usebenzisa iphampu ye-insulin.

* Uma une-allergies ezintweni ezifana ne-`(Barium)`.

* Uma unenkinga yokuhlala endaweni eyodwa isikhathi eside.

Kwenzekani ngesikhathi sokuhlolwa kwe-GI?

Ngizokuchaza kancane lokhu, ukuze uqonde ukuthi akukho okufanele ukwesabe.

Ukuhlolwa kwe-Upper GI yilokhu:

Uzoqala ume etafuleni le-X-ray eligobile. Uchwepheshe uzokubopha etafuleni ngezintambo, njengoba itafula lizogobileka emuva naphambili ngesikhathi sokuhlolwa. Uma kudingeka, unganikwa umuthi wokudambisa omnene ukuze uphumule .

Ngesikhathi sokuhlolwa, uzonikezwa uketshezi olubizwa ngokuthi `(Barium)` ukuze uluphuze. Yilokhu okusiza ukubona kahle izitho ezisemzimbeni wakho wokugaya ukudla ongaphezulu. `(Barium)` ayinambitheki kahle, inoshukela kancane. Kodwa banezela ubumnandi kanye nokunambitheka kuyo, ngakho akuyona into enkulu. Kuzodingeka uphuze ingxube ye-`(Barium)` yamandla ahlukene, cishe ama-ounces angu-12 esewonke. Ngaphandle kokuphuza i-`(Barium)`, akukho ukungakhululeki okukhulu phakathi nalolu vivinyo.

Ukuhlolwa kwe-GI ephansi yilokhu:

Kulokhu, uzocelwa ukuba ulale etafuleni le-X-ray elivundlile. Uchwepheshe uzokubopha bese efaka i-barium enema nge-anus yakho. I-barium izosabalala kuyo yonke indlela yakho yokugaya ukudla engezansi, okwenza ukuphela kwamathumbu akho amancane kanye namathumbu amakhulu kubonakale ngokucacile.

Ngesikhathi sokuhlolwa, itafula litsheke ngama-engeli ahlukene ukusiza i-barium isakazeke emzimbeni wakho wonke, nokusiza i-fluoroscope ukuthi ibone ngama-engeli ahlukene. Ngezinye izikhathi, uchwepheshe angase futhi afake umoya omncane e-rectum yakho. Lokhu kusiza izithombe ze-X-ray ukuthi zicace.

Ukuhlolwa kwe-GI ephansi kungaba yinto engakhululekile. Ungase ube nokuqunjelwa, izinhlungu zesisu, kanye nesifiso esinamandla sokwenza ukunyakaza kwamathumbu. Ngemva kwe-X-ray embalwa yokuqala, uzosizwa ukuya endlini yokugezela, noma uzonikezwa ipani lokulala, bese ucelwa ukuthi udlule i-barium eningi ngangokunokwenzeka. Ngemuva kwalokho uzobuyela ekamelweni le-X-ray bese uthwetshulwa izithombe ezengeziwe. Kulokhu, i-barium izobonakala ezindongeni zangaphakathi zamathumbu akho.

Yini okufanele ngiyilindele ngemva kokuhlolwa kwe-GI?

Uma ukuhlolwa sekuphelile, ungabuyela emisebenzini yakho yansuku zonke kanye nokudla okuvamile ngokushesha.

• Bakukhuthaza ukuthi uphuze amanzi amaningi . Leyo barium izophuma emzimbeni wakho ngokushesha.
• Indle yakho ingase ibe mhlophe izinsuku ezimbalwa. Ungakhathazeki, lokho kungenxa yokuthi into emhlophe efana noshokoledi (iBarium) iyaphuma.
• Ngezinye izikhathi, i-barium ingabangela ukuqunjelwa okwesikhashana noma ukuqunjelwa, kodwa ngokuvamile iyaphela yodwa ngosuku olulodwa noma ezimbili.

Ingabe izivivinyo ze-GI ziphephile?

Ukuhlolwa kwe-fluoroscopic akuhlaseli futhi akubuhlungu kakhulu.Izindlela ezingenazo izingozi . Izingozi ezincane ezihilelekile azifanele ukucatshangelwa uma ziqhathaniswa nezinzuzo zalezi zindlela.

• Ngaphandle kokuthi uke wavezwa okuthile okufana ne-barium ngaphambili, amathuba okuba nokusabela kokungezwani komzimba aphansi kakhulu.
• I-Fluoroscopy ikhipha imisebe eminingi kune-X-ray evamile, kodwa ayilimazi. Kodwa-ke, akukuhle ukwenza ama-X-ray amaningana ngesikhathi esifushane. Futhi, abesifazane abakhulelwe kufanele nakanjani bayigweme le misebe.
• Ingozi yokutheleleka iphansi kakhulu kokubili ekuhlolweni kwe-GI ephezulu kanye ne-GI ephansi.
• Ingozi eyengeziwe, kodwa encane kakhulu, yokuhlolwa kwe-GI ephansi kungenzeka ukuthi kudabuke noma kuqhume imbobo odongeni lwamathumbu. Uma lokhu kwenzeka, kungase kudingeke ukuhlinzwa. Kodwa khumbula, lokhu akuvamile kakhulu.

Ngizoyithola nini imiphumela yokuhlolwa kwami ​​kwe-GI?

Udokotela wakho kufanele athole imiphumela yokuhlolwa kwakho kwe-GI zingakapheli amahora angama-24 (ngezinsuku zesonto) kusukela ekuhlolweni. Udokotela uzobe esexoxa nawe ngemiphumela.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngiyethemba ukuthi usunombono omuhle mayelana nokuhlolwa kwe-GI. Lokhu kuvame ukuba lula, akubuhlungu, futhi kungakusiza ukuthola imbangela yezinkinga zesisu sakho.

Uma unezimpawu ezingachazeki, kusukela ekugwinyeni kuya ekuthuthweni, kukhona ukuhlolwa kwe-GI okungasiza. Uma ulungiselela kahle futhi ubeke eceleni amahora ambalwa esikhathi sakho, udokotela wakho angabheka ngaphakathi kwesistimu yakho yokugaya ukudla. Bazokuchazela yonke inqubo futhi bazokwazi ukukhuluma nawe ngemiphumela ngosuku olulodwa noma ezimbili. Ngakho-ke, ungesabi, vele ulandele imiyalelo kadokotela wakho.

Uhlelo lokugaya ukudla, ukuhlolwa kwe-GI, i-barium, i-fluoroscopy, izinkinga zesisu, ukuxilongwa, ukuhlolwa kwezempilo