Ingabe unezinkinga ngamathumbu akho amancane? Ake sifunde nge-Balloon Enteroscopy!

Ngezinye izikhathi akulula ukuthola izifo ezingxenyeni ezincane zomzimba wethu, akunjalo? Ikakhulukazi ezindaweni ezifana namathumbu amancane ohlelweni lwethu lokugaya ukudla. Yilapho-ke lolu vivinyo olukhethekile olubizwa ngokuthi 'i-balloon enteroscopy' lusiza khona. Ake sibone ukuthi kuyini, kwenziwa kanjani, nokuthi kungani kudingeka.

Ake siqale sibone ukuthi iyini le enteroscopy yebhaluni.

Kalula nje, lena inqubo ekhethekile esetshenziselwa ukubheka izinkinga emathunjini akho amancane , futhi ngezinye izikhathi zelashwe khona lapho. Cabanga ngayo njengepayipi elincane elinekhamera enamathiselwe (i-enteroscope) elidluliselwa nge-scope eyodwa noma ezimbili ukuhlola amathumbu akho amancane wonke. Futhi ingenye yezindlela ezimbalwa zokubheka lonke uhlelo lwakho lokugaya ukudla ngaphandle kokuhlinzwa .

Ngakho-ke lolu hlelo lusebenza kanjani?

Nakhu okwenzekayo: Udokotela wakho wezifo zamathumbu ufaka i -enteroscope , ithubhu elide, elincane elinekhamera ecacile kakhulu kanye nezinto ezincane ngakolunye uhlangothi, emathunjini akho amancane ngomlomo wakho noma nge-anus yakho. Kukhona ibhaluni elilodwa noma amabili kuleli thubhu. Lawa mabhaluni agcwele umoya futhi ancipha. Lokhu kuvumela ithubhu ukuthi ihambe ngokuphephile emathunjini akho amancane. Lokhu kuvumela ukuthi idlulele ngalé kwe -endoscope evamile.

Kungani sidinga uhlelo olukhethekile kangaka?

Cabanga nje, amathumbu akho amancane angaba ngamafidi angu-20 ubude ! Yingxenye ende kunazo zonke yesimiso sethu sokugaya ukudla. Futhi incane kakhulu, futhi inamagobe amaningi ngaphakathi. Ngakho-ke, ama-endoscope ajwayelekile awanayo ubude noma ukuguquguquka kokumboza bonke lobu bude. Kodwa le enteroscope icishe ibe yinde kabili kunejwayelekile.

Kukuziphi izimo lapho ungadinga khona i-balloon enteroscopy?

Esikhathini esiningi, lokhu kuhlolwa kwenziwa ukuze kutholakale indawo eqondile yokopha emathunjini bese kwelashwa. Yileso isizathu esiyinhloko.

Kunezinye izizathu ngaphandle kwalokho. Ake sibone ukuthi ziyini:

• Hlola amathumbu akho amancane ukuthi awanawo yini ama-polyp , okuyizimila ezincane, noma ezinye izigaxa .
• Thola futhi uphathe izimo ezifana nesifo sikaCrohn samathumbu amancane .
• Ngezinye izikhathi ingxenye yamathumbu ingavimbeka , okuyi -stricture , noma amathumbu angancipha ngendlela engavamile. Funa izinto ezinjalo.
• Uma ezinye izivivinyo, njenge- capsule yamathumbu amancane noma i-endoscopy, zingenakwenziwa ngenxa yokungajwayelekile kwesakhiwo samathumbu akho.
• Emathunjini ngephuthaLokhu kusetshenziselwa nokususa izinto zangaphandle uma zinamathele.

Ubani owenza le enteroscopy yebhaluni?

Lokhu kuhlolwa kwenziwa ngudokotela wezifo zamathumbu, udokotela oqeqeshwe kule ndawo.

Ngingalungiselela kanjani lolu vivinyo?

Ukulungiselela lokhu kuhilela kakhulu ukukhipha amathumbu akho amancane . Indlela efanele wena izoncika ekutheni i-enteroscope ifakwe kuphi:

• Ngokudla: Ungadla ukudla okumanzi kuphela kusukela ngemva kwesidlo sasemini ngosuku olwandulela ukuhlolwa kuze kube amahora amabili ngaphambi kokuhlolwa.
• I-Rectal: Lokhu kudinga ukuzila ukudla ngaphambi kokuhlolwa. Udinga futhi ukwenza ukulungiswa kwamathumbu okuphelele , okufana ne -colonoscopy . Lokhu kusho ukuthi uzonikezwa imithi yokuhlanza isisu kanye nesisombululo se-electrolyte ukuze uphuze ngosuku olwandulela ukuhlolwa. Lokhu kuzobangela isifo sohudo kuze kube yilapho amathumbu akho ehlanzeke ngokuphelele.

Ngaphezu kwalokhu kulungiselela, kungadingeka uyeke ukuthatha imithi ethile, njengemithi yokunciphisa igazi , imithi yesifo sikashukela , noma izithasiselo zensimbi , isikhashana. Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo. Uzokutshela ukuthi yimiphi okufanele uyeke ukuyithatha nokuthi yimiphi ongaqhubeka uyithatha.

Kwenzekani ngesikhathi sokuhlinzwa kwe-balloon?

Uzoqala ngokunikezwa umuthi wokudambisa , noma i-anesthesia ejwayelekile, ukuze ulale. Ngeke uzwe lutho. Ngemuva kwalokho, uchwepheshe uzofaka i-enteroscope ngomlomo wakho noma e-rectum. Ngemuva kwalokho, ibhaluni lizovuvukala futhi livuvuke njalo. Isikhathi ngasinye lapho ibhaluni livuvukala futhi livuvukala, ithubhu lizoqhubekela phambili kancane. Lokhu kungathatha cishe amahora amabili ukuhlola wonke amathumbu amancane .

Yiziphi izivivinyo kanye nokwelashwa engingazithola phakathi nale nqubo?

Ngesikhathi se-balloon enteroscopy, izinto ezilandelayo zingenziwa:

• Amathumbu akho amancane azohlolwa ngokucophelela ukuze kutholakale izimpawu, njengokuvuvukala okungavamile .
• Uma kukhona ukopha kwangaphakathi, bayakuthola bese bekwelapha.
• Uma othile emndenini eke waba nomdlavuza wamathumbu amancane , ukuhlolwa komdlavuza kwenziwa kulabo abasengozini.
• Uma kukhona ama-polyp , ezinye izimila ezingavamile, noma izinto zangaphandle ezingene ngengozi, ziyasuswa.
• Ingcezu encane yezicubu ebonakala ingajwayelekile iyathathwa (i-biopsy) bese ithunyelwa elabhorethri ukuze ihlolwe ngaphansi kwe-microscope.
• Ukuqina emathunjini akhoUma ikhona, ingandiswa futhi kungafakwa idivayisi efana ne-mesh (i-stent) ukuze ivinjwe futhi.

Yiziphi izinzuzo nezingozi zale ndlela ye-enteroscopy yebhaluni elilodwa noma ebhaluni eliphindwe kabili?

Inzuzo enkulu yale ndlela ukuthi ingenziwa ngaphandle kokuhlinzwa okukhulu kwesisu . Lokhu kugwema izingozi zokuhlinzwa okukhulu, kunciphisa isikhathi sokululama, futhi kukuvumela ukuthi ubuyele emisebenzini evamile ngokushesha.

Kodwa, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezithile ezihilelekile. Ake sibheke ukuthi ziyini:

• Ngemva kokuhlolwa , igesi esiswini ingabangela ubuhlungu nokungakhululeki .
• Abanye abantu bangase babe ne-pancreatitis .
• Izingozi ezihlobene nokubulala izinzwa zifaka phakathi isicanucanu nokuhlanza , izinga lokushisa eliphansi lomzimba , kanye nekhanda elibuhlungu .
• Akuvamile kakhulu ukuthi udonga lwamathumbu amancane lukwazi ukubhoboka (ukubhoboka kwamathumbu) .
• Uma i-enteroscope ifakwa ngomlomo, ungase uzwe umphimbo obuhlungu ngemva kwalokho.

Into ebalulekile ukuthi amathuba okuba lezi zingozi zenzeke ngokuvamile aphansi kakhulu. Udokotela wakho uzochaza konke lokhu kuwe.

Ngingayibona nini imiphumela yokuhlolwa?

Ungase ukwazi ukubona imiphumela ethile ngokushesha nje lapho uvuka ngemva kokubulala izinzwa . Kodwa-ke, uma udokotela wakho ethathe i-biopsy noma esusa i-polyp , ngokuvamile kuthatha cishe isonto ukuthi imiphumela ibuye.

Sinjani isikhathi sokululama ngemva kwalokhu kuhlolwa?

I-balloon enteroscopy inqubo yokulaliswa esibhedlela . Lokhu kusho ukuthi ungaya ekhaya ngemva kokuvuka ngemva kokuhlinzwa. Kodwa-ke, kungakhathaliseki ukuthi uzizwa kahle kangakanani, akukhuthazwa ukushayela ngemoto ngosuku lwenqubo . Ngakho-ke, kufanele uhlele ukuya ekhaya nomuntu onomthwalo wemfanelo kusenesikhathi.

Kubalulekile ukuphumula ngokwanele ngemva kokubuyela ekhaya. Uma uke waphuza imithi yokuhlanza amathumbu akho, phuza amanzi amaningi futhi udle ukudla okunomsoco. Iningi labantu lingabuyela emisebenzini evamile ngosuku olulandelayo ngemva kokuhlolwa.

Uyini umehluko phakathi kwe-Single Balloon Enteroscopy kanye ne-Double Balloon Enteroscopy?

Zombili lezi zinqubo, ezibizwa ngokuthi i-single balloon enteroscopy kanye ne-double balloon enteroscopy , ziyizindlela eziphephile nezisebenzayo zokubheka ikholoni lakho. Kuzo zombili lezi zinqubo, kufakwa ithubhu elincane (overtube) kukholoni, okuyi -enteroscope.Kukhona eyodwa. Umehluko omkhulu usekutheni ipayipi elingena emathunjini.

Ku -enteroscopy yebhaluni elilodwa , i-enteroscope inebhaluni elilodwa kuphela. Ingxenye engaphambili yebhaluni iyaguquguquka. Lokhu kusebenza njenge-anchor njengoba ithubhu lidlula emathunjini.

Ku -enteroscopy yamabhaluni amabili , ingxenye egobekayo ithathelwa indawo yibhaluni elinye. Ibhaluni elilodwa lisebenza njenge-anchor, kanti elinye ibhaluni lisiza ekuqhubekiseleni phambili ithubhu.

Ngokuvamile, i-enteroscope yebhaluni eliphindwe kabili ingangena ngokujulile emathunjini amancane kunebhaluni elilodwa, okuvumela umbono ongcono wamathumbu amancane wonke.

Into ebaluleke kakhulu okudingeka uyikhumbule kulokho esikhulume ngakho ukuthi

I-balloon enteroscopy, noma i-balloon-assisted enteroscopy, inqubo ewusizo esetshenziselwa ukuxilonga nokwelapha izifo zamathumbu amancane . Ingasiza ekutholeni izixazululo zezimo ezahlukahlukene, njengokuphuma kwegazi emathunjini kanye nama-polyps . Okubaluleke kakhulu, le ndlela ithambile emzimbeni wakho kunokuhlinzwa . Ngakho-ke, kukhona ukungakhululeki okuncane ngesikhathi sokululama, futhi ungabuyela emisebenzini yakho yansuku zonke ngokushesha. Uma udokotela ekutshela ngalolu hlobo lokuhlolwa, ungesabi. Khuluma naye ngokucophelela ngakho bese umbuza noma yimiphi imibuzo onayo.

I - balloon enteroscopy, amathumbu amancane, i-enteroscope, ukuhlolwa kwamathumbu, izifo zesisu, ama-polyps, isifo sikaCrohn