Ngezinye izikhathi kunzima kancane ukuthola imbangela yento efana nobuhlungu besisu noma ukuphuma kwegazi emathunjini, akunjalo? Ikakhulukazi uma kuyinkinga emathunjini amancane, ajulile ohlelweni lwethu lokugaya ukudla, ayikwazi ukubonwa nge-endoscopy evamile. Yilapho odokotela besebenzisa khona lolu vivinyo olukhethekile olubizwa ngokuthi "i-Balloon Enteroscopy." Ungase uzizwe wesaba kancane uma uzwa leli gama. Kodwa empeleni lokhu kuyindlela elula kakhulu futhi ephephile yokuhlolwa kunalokho ocabanga. Ake sixoxe ngakho konke ngokucacile nangokulula.
Kuyini i-Balloon Enteroscopy ngamagama alula?
Cabanga ngomathumbu akho amancane njengomgwaqo omude, ogobile. Ikhamera ejwayelekile ye-endoscope ingabona ingxenye yokuqala yalo mgwaqo kuphela. Okungukuthi, idlule esiswini ingene engxenyeni yokuqala yamathumbu amancane (i-duodenum). Kodwa uma inkinga ijule kakhulu kunalokho, udinga indlela ehlukile yokuyibona.
Yilapho i-balloon enteroscopy ingena khona. Lena futhi ipayipi elide, eliguquguqukayo. Inekhamera kanye nokukhanya ekugcineni. Kodwa into ekhethekile ukuthi kunebhaluni elilodwa noma amabili anamathiselwe kule payipi. Ngokufutha nangokukhipha la mabhaluni, le divayisi ihamba kancane, njengecimbi, iye phansi emathunjini amancane. Njengoba yenza kanjalo, udokotela angabona ngokucacile ingaphakathi lamathumbu ngekhamera. Kalula nje, lena indlela ekhethekile esetshenziselwa ukungena ngokujulile emathunjini kunokuba ikhamera evamile ingaya, iyihlole, futhi uma kudingeka, yelaphe lapho .
Kungani udokotela ekucela ukuthi wenze lolu hlobo lokuhlolwa?
Uma udokotela wakho ekucebisile ukuthi wenze lokhu kuhlolwa, kumele kube nesizathu esithile salokho. Ngokuvamile kwenziwa ukuze kuhlolwe kabanzi inkinga okusolwa ukuthi ikhona emathunjini amancane engatholakalanga ezinye izivivinyo. Nazi ezinye zezizathu eziyinhloko.
| Isizathu sokudluliselwa kokuhlolwa | Incazelo elula |
|---|---|
| Ukopha okungatholakali sizathu ngakho | Lokhu kwenziwa ukuze kutholakale ukuthi kukhona yini ukopha emathunjini amancane, lapho kukhona igazi ekuhlanzeni noma igazi esitulweni, kodwa imbangela ayikwazi ukutholakala nge-endoscopy ejwayelekile kanye ne-colonoscopy. Le divayisi ingathola futhi umthombo wokopha bese iwumisa lapho. |
| Isifo sikaCrohn | Lesi yisifo esibangela ukuvuvukala kwamathumbu. Lokhu kuhlola kusiza ukubona ukuthi amathumbu amancane athinteke kangakanani. |
| Ama-polyps, izimila | Le nqubo ingabona ukukhula okungavamile (amathumba) emathunjini amancane, ithathe i-biopsy ukuze inqume ukuthi anomdlavuza yini, futhi isuse ngisho namathumba amancane ngokuphelele. |
| Ukuqina kwamathumbu | Ezinye izimo zezokwelapha zingabangela amathumbu ukuba abe mancane futhi abe mancane. Hlola ukuthi anciphile yini futhi, uma kudingeka, wandise indawo enciphile ngebhaluni. |
| Izinto zinamathele | Le divayisi ingasetshenziswa futhi ukuthola nokususa into encane (isib. ilensi yekhamera) egwinywe ngephutha futhi yabhajwa emathunjini. |
Zikhona yini izinhlobo zalokhu? Ayini amabhaluni ahamba wodwa kanye namabhaluni aphindwe kabili?
Yebo, kunezinhlobo ezimbili eziyinhloko zale ndlela. Nakuba isimiso esiyisisekelo sazo zombili sifana, kunomehluko omncane endleleni esebenza ngayo.
I-Enteroscopy Yebhaluni Ephindwe Kabili
Lena yindlela yokuqala nesetshenziswa kakhulu. Idivayisi yakhelwe sengathi kukhona "ithubhu ngaphakathi kwethubhu."
- Ipayipi langaphakathi: Yilapho ikhamera itholakala khona.
- Ipayipi langaphandle/i-Overtube: Lokhu kudlula ipayipi langaphakathi.
Kunamabhaluni amabili ekugcineni kwala mashubhu womabili.Kukhona. Okwenziwa udokotela ukufutha ibhaluni elilodwa bese elimisa endaweni ethile emathunjini. Bese ethumela elinye ithubhu phambili kancane. Bese efutha lelo bhaluni bese efutha ibhaluni lokuqala. Ngokufutha nokufutha amabhaluni ngokushintshana ngale ndlela, idivayisi ihamba kancane kancane emathunjini.
I-Enteroscopy Yebhaluni Elilodwa
Lena indlela entsha kakhulu. Njengoba igama lisho, inebhaluni elilodwa kuphela . Itholakala epayipini langaphandle (i-overtube). Akukho bhaluni epayipini langaphakathi. Kunalokho, yenzelwe ukugoba esicongweni bese iphumula odongeni lwamathumbu. Umsebenzi webhaluni lesibili wenziwa yile thiphu egobekayo. Nakuba le ndlela kuthiwa ishesha kancane, indlela ethandwa kakhulu futhi esetshenziswa kabanzi emhlabeni wonke naseSri Lanka yindlela yebhaluni eliphindwe kabili.
Kufanele ngilungiselele kanjani ngaphambi kokuhlolwa?
Ukuze lokhu kuhlolwa kuphumelele, amathumbu akho amancane kumele abe angenalutho futhi ahlanzekile ngokuphelele. Yilapho ikhamera ingabona khona ngaphakathi ngokucacile. Ukuze wenze lokhu, kuzodingeka wenze okulandelayo:
- Ukudla Okuwuketshezi: Udokotela wakho uzokutshela ukuthi udle uketshezi olucacile kuphela usuku olulodwa noma ezimbili ngaphambi kokuhlolwa. Lokhu kusho izinto ezifana nojusi wewolintshi, amanzi, amanzi anosawoti, itiye elingenalutho elingenashukela, kanye nesobho elihlungiwe. Udokotela wakho uzokutshela ngqo ukuthi uphuze ini nokuthi uqale nini.
- Ukulungiswa Kwamathumbu: Uma ikhamera ifakwa nge-rectum yakho (ngaphansi kwe-rectum yakho), amathumbu akho amakhulu kanye namathumbu amancane kuzodingeka ahlanzwe ngokuphelele. Njengoba kunjalo nge-colonoscopy, uzonikezwa uketshezi olukhethekile ( i-laxative ) ukuze uluphuze ukuze lukusize ukhiphe indle. Kuzodingeka uye endlini yangasese izikhathi eziningana ngemva kokuphuza lokhu. Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
Khumbula, kufanele nakanjani wazise udokotela wakho nganoma yimiphi eminye imithi oyithathayo (ikakhulukazi imithi yesifo sikashukela kanye nemithi yokunciphisa igazi) ngaphambi kokuhlolwa. Angase akucele ukuthi uyeke ukuthatha leyo mithi izinsuku ezimbalwa noma ushintshe umthamo.
Kwenzekani ngempela ngesikhathi sokuhlolwa?
Ungesabi nhlobo lokhu, ngoba ngeke uzwe ubuhlungu noma ukungakhululeki ngenxa yalokhu.
Lokhu kuhlolwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile . Lokhu kusho ukuthi konke kwenzeka ngenkathi ulele kahle. Uma uvuka, konke kuphelile.
Udokotela uzonquma uhlangothi lapho ikhamera izofakwa khona ngokusekelwe ezimpawini zakho kanye nesimo osisolayo.
1. Ukufakwa ngomlomo (Antegrade/Top-down): Uma kusolwa ukuthi kunenkinga engxenyeni engenhla yamathumbu amancane, leli payipi lifakwa ngomphimbo.
2. Ukufakwa kwe-rectal (Ukubuyisela emuva/Ukuya phansi phezulu):Uma kusolwa ukuthi kunenkinga engxenyeni engezansi yamathumbu amancane, ifakwa nge-rectum.
Uma idivayisi isifakiwe, udokotela ufutha kancane kancane ibhaluni bese elikhipha umoya bese elihambisa ngekholoni. Njengoba ehamba, angabuka izithombe ezibukhoma zengaphakathi lekholoni esikrinini sekhompyutha. Uma ebona inkinga, angayilapha khona lapho.
- Ungathola ukuthi ukuvuza kwegazi kukuphi bese ukumisa.
- Into efana nesimila noma i-polyp ingasuswa.
- Ingcezu encane yezicubu (i-biopsy) ingathathwa endaweni esolisayo ukuze ihlolwe.
- Amathumbu avalekile angavulwa noma kufakwe i-stent.
Yonke inqubo ingathatha noma yikuphi kusukela ehoreni elilodwa kuya kwambalwa , kuye ngokuthi ufuna ukubona ibanga elingakanani emathunjini nokuthi hlobo luni lokwelashwa ofuna ukulwenza.
Yiziphi izinzuzo nezingozi zalokhu?
Njenganoma yikuphi ukuhlolwa kwezokwelapha, lokhu kunezinzuzo kanye nezingozi ezincane kakhulu.
| Izinzuzo | Izingozi |
|---|---|
| Inzuzo enkulu ukuthi ingagwema ukuhlinzwa okukhulu . Ukuhlinzwa kwamathumbu amancane kuyinqubo eyinkimbinkimbi kakhulu. Izingozi ezihambisanayo kanye nezikhathi zokululama ezinde kungagwenywa ngale ndlela. | Izinkinga ezinkulu azivamile . Ngaphansi kokunakekelwa kwethimba lezokwelapha elinolwazi, amathuba okuba lokhu kwenzeke mancane kakhulu. |
| Ukuxilongwa nokwelashwa kungenziwa ngesikhathi esisodwa. Lokho kusho ukuthi ungayithola inkinga bese uyelapha khona lapho. | Ukulimala kwamathumbu: Le divayisi ingabangela ukulimala odongeni lwamathumbu noma, okungavamile kakhulu, ukubhoboka. |
| Uma udinga ukuhlola kabusha, lokhu kulula kakhulu kunokuhlinzwa. | I-Pancreatitis: Uma idivayisi ifakwa ngomlomo, kunethuba elincane lokuthi inani elincane kakhulu labantu lizoqala ukuvuvukala kwe-pancreas. |
Kuzokwenzekani ngemva kokuhlolwa? Ingabe ngizolulama ngokushesha?
Yebo, nakanjani. Ukululama ngemva kwalokhu kushesha kakhulu.
- Ukuvuka: Kuthatha cishe ihora noma amabili ukuvuka ngokuphelele ngemuva kokubulala izinzwa. Phakathi naleso sikhathi, uzogcinwa ewadini lokubuka.
- Ukuthola imiphumela: Ngemva kokuba usuphinde waphaphama, udokotela uzoza ukuzokubona futhi akuchazele ukuthi yini ebonwe ngesikhathi sokuhlolwa kanye nokwelashwa okwenziwe.
- Ukungakhululeki okuncane: Uma ukuhlolwa kwenziwe ngomlomo, ungase ube nomphimbo obuhlungu kancane cishe usuku lonke. Uma kwenziwe ngaphansi kwesikhumba, ungase uzizwe ugcwele esiswini sakho. Lokhu kujwayelekile futhi kuzophela ngokuphelele ngosuku olulodwa noma ezimbili.
- Ukuya ekhaya: Esikhathini esiningi ungaya ekhaya ngalobo busuku .
- Into ebaluleke kakhulu: Imiphumela ye-anesthesia ingahlala cishe amahora angama-24. Ngakho-ke ungase uzizwe ulele kancane futhi ube nobunzima bokugxilisa ingqondo. Ngakho-ke, qiniseka ukuthi uletha othile ozokuthatha akuyise ekhaya. Ngeke ukwazi ukushayela, ukwenza izinqumo ezibalulekile, noma ukusebenzisa imishini wedwa ngalolo suku.
- Imiphumela ye-biopsy: Uma ucezu lwethishu luthunyelwe ukuze luhlolwe, kungathatha cishe isonto ukuthola umbiko.
Ngakho-ke, ungabona ukuthi lokhu akusikho okufanele ukwesabe. Le enteroscopy yebhaluni iyindlela ewusizo kakhulu yokuthola inkinga emathunjini amancane nokuyelapha ngaphandle kokudlula entweni enkulu njengokuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Balloon Enteroscopy iyindlela ekhethekile nephephile yokuhlola evumela ukuthi ubheke ngokujulile emathunjini akho amancane.
- Lokhu kukunika ithuba elihle lokugwema ukuhlinzwa okukhulu.
- Ngeke uzwe ubuhlungu ngoba uzophathwa i-anesthesia phakathi nokuhlolwa.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela (ukudla uketshezi, ukuhlanza isisu) ngaphambi nje kokuhlolwa ukuze uthole umphumela ophumelelayo.
- Kuvamile ukuzizwa ukhathazekile noma ukhathazekile ngokuhlolwa. Kodwa ithimba lezokwelapha lizokunakekela kahle. Zizwe ukhululekile ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
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