Ingabe kukhona inkinga ngesisu sakho esingaphezulu? (Uchungechunge lwe-GI oluphezulu) Ake sifunde ngokuhlolwa!

Ingabe ngezinye izikhathi uzwa ubuhlungu besisu, isilungulela, noma ubunzima bokugwinya? Noma ingabe unesicanucanu noma ukuhlanza? Uma unezimpawu ezinjengalezi, odokotela bethu bafuna ukuthola ukuthi ngabe kukhona yini inkinga engxenyeni engenhla yesistimu yakho yokugaya ukudla. Enye yezivivinyo ezikhethekile abazincomayo ngaleso sikhathi ibizwa ngokuthi i-Upper GI Series . Ake sixoxe ngalokhu ngokuningiliziwe, kalula nje, kulungile?

Kuyini (Uchungechunge lwe-Upper GI)? Ake sikuqonde kahle.

Kalula nje, i-Upper GI Series iyisivivinyo se-X-ray esikhethekile esibheka izitho ezisengxenyeni engenhla yesistimu yakho yokugaya ukudla. Sisebenzisa inqubo ye-X-ray ethuthukisiwe ebizwa ngokuthi i-Fluoroscopy.

Cabanga ngakho, isithombe esijwayelekile se-'X-ray' sifana nesithombe esinganyakazi esithathwe endaweni eyodwa. Kodwa lesi `(Fluoroscopy)` sifana nevidiyo. Okusho ukuthi, udokotela angabona ukuthi izitho ezingaphakathi kwesisu sakho zisebenza kanjani, okungukuthi, indlela ezihamba ngayo, nge-'X-ray'. Yilokho okukhethekile ngalokhu. Futhi, ingabona ubuso bezitho ngokucacile kune-'X-ray' evamile.

Manje ungase uzibuze, luyini lolu "chungechunge"? Okusho ukuthi, phakathi nalolu vivinyo, izithombe eziningana ze-`(Fluoroscopy)` `X-ray` zithathwa ngokulandelana. Yingakho lubizwa ngokuthi "uchungechunge".

Hlobo luni lwezinto ozibukayo kulolu (Upper GI Series)?

Besikhuluma "ngengxenye engenhla yesistimu yokugaya ukudla." Ngokwezokwelapha, lokhu sikubiza ngokuthi i-Upper Gastrointestinal Tract . Kuhlanganisa:

• Umphimbo wakho - ipayipi eliwela phansi ukudla uma sigwinya.
• Isisu Sakho - Indawo lapho kugcinwa khona ukudla bese kuqala ukugaywa.
• Futhi i-duodenum, ingxenye yokuqala yamathumbu akho amancane .

Lezi zitho ezintathu yizona eziyinhloko ezihlolwa ku-"Upper GI Series". Kungani zonke lezi ezintathu zihlolwa ndawonye?

• Esinye ukuthi le ngxenye icishe ibe yibanga eliphakeme kakhulu idivayisi yezokwelapha engahamba uma ifakwa isuka phezulu.
• Enye into ukuthi, uma uphuza okuthile, kuhamba kulezi zingxenye ezintathu ngokushesha, uma kuqhathaniswa namanye amathumbu, amade.
• Futhi, isifo esithinta enye yalezi zindawo singathinta nezinye. Ngakho-ke, noma ngabe unezimpawu endaweni eyodwa kuphela, kungaba usizo ukubheka zonke lezi zindawo ezintathu ndawonye.

Cabanga ngakho njengomzila wamanzi. Uma kunenkinga endaweni eyodwa, ingathinta indawo yangaphambi kanye nendawo yangemva kwalokho, akunjalo? Kunjalo nalokhu.

Kukhona nezinye izivivinyo ze-'GI X-ray`. Isibonelo:

• Ukuhlolwa kwe-Esophagram noma i-Barium Swallow kubheka kuphela umphimbo.
• (Uchungechunge Lwamathumbu Amancane) noma (Ukulandela Kwamathumbu Amancane) kubheka amathumbu amancane kuphela.
• (Uchungechunge Lwamathumbu Aphansi) nomaI-barium enema ibheka amathumbu amakhulu kanye nengxenye engezansi yamathumbu amancane.

Ngakho-ke, udokotela unquma ukuthi enzeni ngalezi zivivinyo ngokusekelwe ezimpawini zakho.

Kungani udokotela angancoma ukwenza lokhu (Uchungechunge lwe-Upper GI)?

Uma unezimpawu ezihlobene nengxenye engenhla yesistimu yakho yokugaya ukudla, udokotela wakho uzodinga ukuzibheka ngokucophelela. Uchungechunge lwe-Upper GI luvumela udokotela wakho ukuthi abheke ngaphakathi komphimbo wakho, esiswini, kanye ne-duodenum, ahlole noma yiziphi izinguquko ezicutshini, esakhiweni, kanye nomsebenzi, futhi ngokuvamile kuyisinyathelo sokuqala sokuthola imbangela yalezi zimpawu.

Udokotela angase akucele lokhu kuhlolwa uma unezimpawu ezingachazeki ezifana nalezi:

• Izinkinga zokugwinya .
• Isilungulela .
• Ubuhlungu besisu .
• Isicanucanu nokuhlanza .
• Ukungagayeki kahle kokudla .

Yini ongayithola ku-(Upper GI Series)?

Besebenzisa lobu buchwepheshe be-"(Fluoroscopy)", odokotela bangathola izinto ezifana nalezi:

Izinguquko ezicutshini:

• Ukuvuvukala noma ukutheleleka kwezitho zomzimba, isibonelo , i-gastritis (ukuvuvukala kwesisu) noma i-esophagitis (ukuvuvukala komphimbo).
• Kungakhathaliseki ukuthi ukulimala kwezicubu kwenzeke ngenxa ye -acid reflux noma i-bile reflux .
• Isifo sesilonda se-peptic .
• (u-Barrett's esophagus) (ushintsho kumaseli e-esophagus).
• (Ukuguqulwa kwamathumbu esiswini) (ushintsho kumaseli esisu).

Izinkinga zesakhiwo ezithweni zomzimba:

• (I-Esophageal varices) (ukuvuvukala kwemithambo emphinjeni).
• (Ukuqina komlomo wesibeletho ).
• (i-hiatal hernia) (ingxenye yesisu ephuma esifubeni).
• Izimila ezincane (ama-Polyps) .
• Izimila ezinkulu noma izimo zomdlavuza (Amathumba) .

Izinkinga ngokusebenza kwezitho zomzimba:

• Ubunzima bokugwinya ukudla (i-Dysphagia) .
• Izinkinga zokunyakaza endleleni yokugaya ukudla , isibonelo , i-gastroparesis (ukulibaziseka kokukhipha ukudla esiswini).
• Ukungasebenzi kahle kwe-esophageal sphincter , isibonelo , i-Achalasia , i-Laryngopharyngeal reflux .
• Ukungasebenzi kahle kwe-valve ye-pyloric .
• Ukuvaleka komsele wokudla .

Ingabe i-Upper GI Series ingakwazi ukubona i-acid reflux?

Odokotela bavame ukuxilonga i-GERD (isifo se-gastroesophageal reflux) ngokusekelwe ezimpawu. Kodwa-ke, i-Upper GI Series ingabheka izimpawu zomzimba ze-GERD. Isibonelo, ingabheka izimpawu zomonakalo omkhulu olwelwesini lwe-esophagus, njengezilonda, ukuqina, noma ukuncishiswa kwe-esophagus. Ingabheka nezimpawu zemisipha evimba i-asidi yesisu ukuthi ibuyele phezulu iye ku-esophagus.

Ingabe lokhu kungawubona ngisho nomdlavuza?

Uchungechunge lwe-Upper GI lungabheka izimila noma izinguquko ezicutshini ezingase zihlobane nomdlavuza, uma zikhulu ngokwanele ukuba zibonwe. Kodwa-ke, lokhu kuhlolwa kukodwa akukwazi ukutshela ngokuqinisekile ukuthi zingumdlavuza noma cha. Ukuze kuqinisekiswe ukuthi zingumdlavuza, isampula yezicubu idinga ukuthathwa futhi ihlolwe elebhu. Lokhu kubizwa ngokuthi i -biopsy . Ngokuvamile kwenziwa ngesikhathi se-Upper Endoscopy.

Uyini umehluko phakathi kwe-Upper GI Series kanye ne-Upper Endoscopy?

Zombili lezi zivivinyo zibheka ingxenye engenhla yesistimu yokugaya ukudla. Kodwa-ke, indlela lezi zivivinyo ezenziwa ngayo ihluke kakhulu.

Uchungechunge lwe-Upper GI luhlobo lokuhlolwa olubizwa nge -Radiology . Lokhu kusho ukuthi lusebenzisa amandla akhipha imisebe ukuthatha izithombe zangaphakathi lomzimba. (I-X-ray, i-ultrasound, kanye ne-CT scan nazo ziyizinhlobo ze-Radiology.) Ngenxa yokuthi ukuhlolwa kwe-Radiology akuhlaseli, kuvame ukuba ukuhlolwa kokuqala odokotela abakusebenzisayo ukuthola ukuthi kwenzekani ngaphakathi emzimbeni.

Kodwa-ke, i-(Upper Endoscopy) (ebizwa nangokuthi (i-Esophagogastroduodenoscopy) ) iyisivivinyo esiyinkimbinkimbi kakhulu nesingena emzimbeni. Kulokhu, ithubhu elincane elinekhamera ebizwa ngokuthi (i-Endoscope) lifakwa emphinjeni ukuze kuthathwe izithombe zangaphakathi komzimba. Lokhu kuvame ukudinga ukuthi isiguli sinikezwe i-anesthesia (`Anesthesia`). I-``Endoscopy`` inganikeza izithombe ezicacile nezinemininingwane eminingi kunokuhlolwa kwe-``Radiology```. Ingasebenzisa futhi amathuluzi axhunywe ku-``Endoscope``` ukuthatha isampula yezicubu (``Biopsy``) ngqo ngaphakathi emzimbeni. Kodwa-ke, ngoba lokhu kuyisivivinyo esingena emzimbeni, kuvame ukwenziwa ngemva kokuhlolwa kwe-``Radiology``, uma kudingeka ulwazi olwengeziwe.

Kwenziwa kanjani lokhu kuhlolwa? Ake sikubheke ngemininingwane ethe xaxa.

La maphuzu abalulekile ukuqonda ukuthi lolu vivinyo lusebenza kanjani:

Ubuchwepheshe (be-X-ray):

Umshini we-X-ray uthumela umsebe wemisebe e-ionizing emzimbeni wakho. Izicubu zakho, amathambo, kanye nezitho zomzimba zimunca lo msebe ngendlela ehlukile kuye ngokuthi zinobukhulu kangakanani. Umsebe umunca umzimba wakho ube usufika kumshini wokubona i-X-ray, odala isithombe. Izinto eziqinile njengamathambo zimunca imisebe eminingi, ngakho zibonakala zimhlophe esithombeni se-X-ray. Izinto ezithambile njengezicubu zibonakala zimpunga.

Ubuchwepheshe (be-Fluoroscopy):

I-Fluoroscopy iyafana. Kodwa-ke, esikhundleni sokuthumela umsebe owodwa wemisebe, ithumela umsebe oqhubekayo wemisebe esikhathini semizuzwana noma imizuzu embalwa, okudala ividiyo emfushane. Lokhu kukuveza emisebeni encane. Kodwa-ke, ezimweni eziningi, lokhu kubhekwa njengezinga eliphephile. Sivezwa emisebeni encane evela endaweni ezungezile nsuku zonke.

(Ukuqhathanisa) kusetshenziswa:

I-Fluoroscopy ivame ukusebenzisa i-contrast agent ukwenza izithombe ze-X-ray zicace ngangokunokwenzeka. Uma ijovwa emzimbeni wakho, isiza ingaphakathi lomzimba wakho ukuthi libonakale kangcono ezithombeni ezimnyama nezimhlophe. Ngezinye izikhathi unikezwa le contrast agent ukuthi uyiphuze, ngezinye izikhathi unikezwa njengomjovo. Ku-Upper GI Series, uketshezi olubizwa ngokuthi i-barium luvame ukusetshenziswa njenge-contrast agent.

Kuyini (i-Barium)?

I-Barium iyisithako esijiyile, esimhlophe, esifana noshoki. Uma isetshenziswa ngaphakathi kwendlela yakho yokugaya ukudla, ibonakala ezithombeni ze-X-ray. Ayimuncwa uhlelo lwakho lokugaya ukudla futhi idluliselwa emzimbeni wakho. Ngesikhathi se-Upper GI Series, unikezwa uketshezi olubizwa ngokuthi i-barium ukuthi uluphuze. Njengoba uluphuza, udokotela we-radiologist angalubuka luhamba ngendlela yakho yokugaya ukudla engenhla futhi abone ukuthi izitho zakho zisabela kanjani kulo.

Kuyini (Ukuqhathanisa Okubili)?

Kwezinye izimo, igesi isetshenziswa njenge-ejenti yokuhlukanisa ngaphezu kwe-Upper GI Series. Lokhu kubizwa ngokuthi ucwaningo lokuhlukanisa kabili . Igesi isetshenziselwa ukufutha nokuhlukanisa izindonga zendlela yakho yokugaya engenhla, okukuvumela ukuthi ubone okungaphakathi ngokucacile. Ngenxa yokuthi igesi ibonakala imnyama ezithombeni ze-X-ray, idala umehluko omuhle ne-barium emhlophe. Ukuze ufake igesi endleleni yakho yokugaya, unganikwa iphilisi noma isiphuzo esine-carbonated ukuze ugwinye.

Ungazilungiselela kanjani i-(Upper GI Series)?

Kubaluleke kakhulu ukunakekela lezi zinto ngaphambi kwalolu vivinyo:

• Ngaphambi kokuthi uhlele ukuhlolwa kwakho: Khuluma nodokotela wakho ngalolu vivinyo futhi uqiniseke ukuthi azikho ezinye izinto ezingakuvimbela ukuthi ube nalo. Uma usanda kuthola enye i-X-ray noma uke wavezwa emithanjeni eminingi, tshela udokotela wakho. Udokotela wakho angase akwazi ukuhlehlisa ukuhlolwa ukuze anciphise ukuchayeka kwakho ngokuphelele emithanjeni. Futhi, qiniseka ukuthi utshela udokotela wakho uma ukhulelwe . Bazokwazi ukusikisela ezinye izinketho. Ukuchayeka emithanjeni yengane esanda kuzalwa kungabangela ukukhubazeka kokuzalwa.
• Ngaphambi kokuhlolwa: Kubaluleke kakhulu ukuthi isisu sakho singenalutho ngesikhathi sokuhlolwa.Uzocelwa ukuthi ungadli noma uphuze lutho ngobusuku bangaphambi kokuhlolwa kanye nasekuseni kokuhlolwa. Ungase futhi ucelwe ukuthi uyeke okwesikhashana ukuthatha imithi ethile, njengemithi yokunciphisa i-acid (imithi yokwelapha isilungulela).

Ukuhlolwa kwenziwa kanjani ngempela?

Ngemva kokushintsha ingubo yesibhedlela, uzoyiswa egumbini lokuhlolwa. Kukhona itafula le-X-ray elingatshekiswa. Ungama noma ulale kulo. Ekuqaleni uzobe umile, kodwa kamuva kuzodingeka ulale etafuleni ngezindlela ezahlukene. Uchwepheshe uzokubophela etafuleni. Ngemuva kwalokho uzonikezwa i-contrast agent ukuze uyiphuze - cishe i-barium, futhi ngezinye izikhathi igesi ye-carbon dioxide .

Lolu ketshezi lunongiwe futhi lunoshukela. Kodwa-ke, ukuluphuza akuyona into emnandi kakhulu. Kuzodingeka ukuluphuza kancane kancane phakathi nokuhlolwa. Ungase unikezwe uketshezi oluhlukene, oluxubile noma oluqinile, ezindaweni ezahlukene ngesikhathi sokuhlolwa. Sekukonke, kuzodingeka uphuze cishe ama-ounces angu-12.

Udokotela we-X-ray kuzodingeka athathe izithombe ngezindlela ezahlukene. Bazokucela ukuthi uhambe ngezindlela ezahlukene ukusiza i-barium ifike lapho idinga ukuya khona. Bazokucela ukuthi uthathe izikhundla eziningana ezahlukene, ume futhi ulale phansi. Bangase bazame nokubheka isisu sakho kanye nezimbobo ezingaphakathi.

Kuthatha isikhathi esingakanani lokhu (Uchungechunge lwe-Upper GI)?

Lokhu kuhlolwa kungathatha noma yikuphi kusukela kumaminithi angu-30 kuya emahoreni amabili . Kwabanye abantu, kungathatha isikhathi eside ukuthi i-barium idlule ngokuphelele e-duodenum.

Uzophendulwa futhi ushukunyiswe kanjani ngesikhathi sokuhlolwa?

Ngokuvamile ungaphenduka ube yizikhundla ezinjengalezi:

• Yima nge-engeli engama-degree angu-45.
• Hlehla nge-engeli engama-degree angu-45.
• Lala ngokuvundlile ohlangothini olulodwa.
• Lala ngohlangothi olulodwa, uncike esiponjini esingemuva kwakho, bese ugoqa kancane.

Ingabe i-Upper GI Series ibuhlungu?

Ukuhlolwa akubuhlungu . Kodwa-ke, uma ufisa, ungacela umuthi wokudambisa ukuze ukusize uphumule. Ngemva kokuhlolwa, ungase uzizwe uvuvukele kancane noma ube nobuhlungu besisu kuze kube yilapho i-barium iphuma emzimbeni wakho. Uma unikezwe i-double contrast, ungase uzizwe ubuhlungu obuncane ngenxa yomoya. Lezi zimpawu zizophela cishe ngosuku.

Yimiphi imiphumela emibi noma izingozi ezingaba khona zalokhu kuhlolwa?

Lokhu kuhlolwa ngokuvamile kuphephile. Kodwa-ke, kungase kube nezingozi ezincane:

• Ukuqunjelwa: Umphumela ovame kakhulu ukuqunjelwa, okubangelwa yi-barium esele emzimbeni wakho. Uzokwaziswa ukuthi uphuze amanzi amaningi ngemva kokuhlolwa, okuzosiza i-barium ukuthi iphume emzimbeni wakho. Indle yakho izoba mhlophe cishe usuku lonke. Uma ungakwazi ukunyakaza kwamathumbu, yazisa udokotela wakho. Bazobe sebekunikeza umuthi wokuxubha.Kuyasho.
• Izinkinga zezinso: Abantu abanesifo sezinso esibi bangase baphuze igazi elingaphezulu esiswini. Futhi, uketshezi oluhlukile lungathinta ukusebenza kwezinso zabo.
• Ukuchayeka emisebeni: Ingozi yokuchayeka emisebeni iyanda ngokuhamba kwesikhathi. Ngaphandle kokuthi ukhulelwe, ukuhlolwa okukodwa kwe-`(Fluoroscopy)` akunakwenzeka ukuthi kubangele umonakalo omkhulu. Ukuchayeka emisebeni okuphawulekayo kutholakale ukuthi kubangela umdlavuza. Ukuhlolwa okukodwa kwe-`(Fluoroscopy)` akubangeli umdlavuza, kodwa ukuhlolwa okuningi esikhathini sokuphila kungabangeli.
• Ukungezwani komzimba: Uma ungakaze uvezwe izithako ezikuketshezi oluhlukanisayo ngaphambilini, kunethuba elincane lokuthi ungase ube nokusabela kokungezwani komzimba kulo.

Ubani obengaba ngcono uma engakwenzi lokhu (Upper GI Series)?

Lokhu kuhlolwa akuyona inketho enhle kuwe uma:

• Uma ukhulelwe.
• Uma unesifo sezinso.
• Uma usuvele une-constipation.
• Uma uke wavezwa emisebeni ngezinye izindlela.
• Uma wazi noma usola ukuthi unembobo engxenyeni engenhla yomphimbo wakho.
• Uma unenkinga yokugwinya ukudla okungena emaphashini (i-aspiration).

Kulesi simo, udokotela wakho uzophakamisa olunye uhlolo olufanele.

Injani imiphumela? Isitshelani?

Udokotela wakho we-X-ray uzofunda izithombe zakho ze-X-ray bese ethumela imiphumela kudokotela wakho. Udokotela wakho uzobe esekhuluma nawe ngemiphumela. Ezinye izimo zingatholakala ngezithombe ze-X-ray uqobo. Ezinye zingadinga ukuhlolwa okwengeziwe.

Uchungechunge lwe-Upper GI luyinqubo engenabuhlungu, engahlaseli esiza udokotela wakho ukuthi abone ingaphakathi lomphimbo wakho, isisu, namathumbu. I-Fluoroscopy ivumela odokotela be-radiology ukuthi babone ukuthi izitho zakho zihamba kanjani, ukuthi zisebenza kahle kangakanani, nokuthi ngabe kukhona yini ukukhubazeka ekubukekeni kwazo. Imiphumela yalolu vivinyo ingasiza udokotela wakho ukuthi athole imbangela yezimpawu zakho ezingachazeki. Uma kungenjalo, ingabanika umhlahlandlela omuhle wocwaningo olwengeziwe.

Ekugcineni, kufanele ngithi... (Umyalezo Wokuya Ekhaya)

Sonke siyesaba kancane uma sinobuhlungu besisu noma sinenkinga yokugwinya, akunjalo? Kodwa, izivivinyo ezifana ne-Upper GI Series zikhona ukusiza ukuthola ukuthi kwenzekani ngempela. Lokhu akusikho okufanele ukwesabe kakhulu.

• Lungisa njengoba udokotela wakho ekutshelile. Qaphela kakhulu ukuthi ungadli noma uphuze lutho ngaphambi kokuhlolwa.
• Uma unemibuzo, ungesabi ukubuza udokotela noma abasebenzi abenza ukuhlolwa. Bazokuchazela konke.
• Ngemva kokuhlolwa, landela imiyalelo kadokotela. Ikakhulukazi, ungakhohlwa ukuphuza amanzi amaningi.

Khumbula, ukunakekela impilo yakho yinto ebaluleke kakhulu. Uma ucelwa ukuba wenze ukuhlolwa okunjalo, kungokwenzuzo yakho. Ngakho-ke, ungesabi, bhekana nakho ngesibindi! Ngikufisela ukululama okusheshayo!

uchungechunge lwe - gi ephezulu, isifundo se-barium, i-fluoroscopy, i-x-ray yesisu, i-esophagus, i-duodenum, uhlelo lokugaya ukudla