Ingabe nawe unenkinga eqhubekayo njengokushiswa yisisu, ubuhlungu besisu, noma isicanucanu? Ungase ube nobunzima bokugwinya ukudla. Ngezikhathi ezinjengalezi, udokotela wakho kungenzeka ukuthi uthe, "Kudingeka sifake ikhamera" noma "Kudingeka senze i-endoscopy." Kuvamile ukuzizwa wesaba futhi ukhathazekile uma uzwa lokhu. Kodwa empeleni akuyona into okufanele uyesabe. Ngakho-ke namuhla, ake sixoxe ngalolu vivinyo lwe-EGD, noma i-Upper Endoscopy, ngendlela elula necacile.
Iyini ngempela le EGD test?
Igama elithi EGD lingase lizwakale liyinkimbinkimbi kancane. Igama lalo eliphelele lithi “Esophagogastroduodenoscopy”. Hawu! Igama lide, akunjalo? Ake silichaze kahle futhi siqonde.
Kalula nje, lena inqubo ehlola ingxenye engenhla yesistimu yakho yokugaya ukudla, ehlanganisa umphimbo, isisu, kanye ne-duodenum (ingxenye yokuqala yamathumbu amancane) .
Lokhu kwenziwa kusetshenziswa ithuluzi elibizwa ngokuthi i-endoscope . Liyipayipi elincane kakhulu, eliguquguqukayo. Kolunye uhlangothi lwepayipi kunekhamera encane kanye nokukhanya. Ngemva kokukunikeza imithi edingekayo ukuze ugweme noma yikuphi ukungakhululeki noma ubuhlungu nokukukwenza ulale kancane, udokotela wezifo zamathumbu ufaka leli payipi elifakwe ikhamera ngomlomo wakho futhi abone ingaphakathi lomphimbo wakho, isisu, kanye ne-duodenum ngokucacile esikrinini sekhompyutha.
Cabanga nje, lokhu kufana nokuthumela umthwebuli wezithombe omncane emzimbeni wethu bese ebheka ukuthi kwenzekani ngaphakathi.
Ubani odinga ukuhlolwa kwe-EGD?
Uma unesinye noma ngaphezulu kwezimpawu ezingezansi eziqhubeka ngaphandle kokutholwa kwesizathu, udokotela wakho angakuthumela kulolu vivinyo.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubuhlungu besisu | Ubuhlungu obungapheli besisu esingaphezulu ngaphandle kwesizathu. |
| Isicanucanu nokuhlanza | Ukucanuzela nokuhlanza njalo. |
| Izinkinga zokugwinya | Ukuzwa sengathi umphimbo wakho uyaminyana uma ugwinya ukudla noma uketshezi. |
| Isilungulela | Ukuvuvukala kwesisu okuqhubekayo (i-gastritis) okungathuthuki naphezu kokuthatha imithi. |
| Ukuhlanza igazi | Ukuhlanza ngegazi noma into efana nekhofi elicwengekile. |
| I-anemia | Inani eliphansi legazi (i-anemia) okungekho esinye isizathu esingatholakala ngenxa yalo. |
Yiziphi izifo ezingatholakala ngalesi sivivinyo?
Lokhu kuhlolwa kwe-EGD kungahlonza izifo ngokunembe kakhulu kunezivivinyo ezifana ne-X-ray ngoba kukuvumela ukuthi ubheke ngaphakathi ngqo.
- Isifo se-Gastroesophageal Reflux (GERD): Yisimo abantu abaningi abasibiza ngokuthi “i-gastritis.” I-asidi yesisu ikhuphukela emphinjeni.
- Ukuvuvukala: Ukuvuvukala kanye nezilonda emphinjeni, esiswini, noma e-duodenum (i-esophagitis, i-gastritis, i-duodenitis).
- Izilonda zesisu: Izilonda ezenzeka esiswini.
- Izifo ezithile zamathumbu ezifana nesifo se-Celiac nesifo sikaCrohn .
- Izimila ezinomdlavuza kanye nezingezona umdlavuza.
- I-hernia yesisu: Ingxenye yesisu iphuma iye esifubeni.
- Ukuthatha isampula yezicubu (i-Biopsy): Uma ubona indawo esolisayo, le divayisi efanayo ingasetshenziswa futhi ukuthatha ingxenye encane kakhulu yezicubu lapho bese uyithumela ukuze iyohlolwa kabanzi. Lokhu kubizwa ngokuthi ukuthatha i-biopsy .
Ungalungiselela kanjani ukuhlolwa kwe-EGD?
Nakuba lo msebenzi ulula ongaqedwa ngamahora ambalwa, kunezinto ezimbalwa okufanele uzilungiselele kusenesikhathi.
1. Iseluleko sezokwelapha: Qiniseka ukuthi utshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo (njengesifo sikashukela, isifo senhliziyo, umfutho wegazi ophakeme) kanye nanoma yimiphi imithi oyiphuzayo (ikakhulukazi imithi yokunciphisa igazi).Kufanele utshele udokotela wakho. Eminye imithi kungadingeka iyekwe noma umthamo ulungiswe ezinsukwini ezimbalwa ngaphambi kokuhlolwa.
2. Ukuzila Ukudla: Awukwazi ukudla ukudla okuqinile amahora angu-8 ngaphambi kokuhlolwa. Isisu esingenalutho sibalulekile ukuze ukuhlolwa kube msulwa. Ungaphuza uketshezi olucacile, njengamanzi, kuze kube amahora amabili ngaphambi kokuhlolwa. Udokotela wakho uzokweluleka ngalokhu.
3. Umngane: Ngenxa yokuthi uzolaliswa ubuthongo obuncane kulolu vivinyo, ngeke ukwazi ukushayela noma ukusebenzisa imishini esindayo ngosuku olulandela uvivinyo. Ngakho-ke, kufanele ulethe umuntu omdala omethembayo ozokuhambisa ekhaya.
Kwenzekani ngesikhathi sokuhlolwa nangemva kwalokho?
Ngaphambi kokuhlolwa
Uma ufika esibhedlela, umhlengikazi uzohlola izimpawu zakho ezibalulekile bese efaka ithubhu elincane (i-IV catheter) emthanjeni osengalweni yakho bese elixhumanisa nomugqa we-saline. Umuthi wokubulala izinzwa uzonikezwa ngawo. Esikhathini esiningi, ngeke ulale ngokuphelele, kodwa kunalokho uzonikezwa umuzwa wobuthongo okhanyayo (ukuthula kwengqondo). Ngaphezu kwalokho, kuzosetshenziswa isifutho ukuze uqede umphimbo wakho.
Ngesikhathi sokuhlolwa
Uzophendulwa ubheke ohlangothini lwakho lwesobunxele bese kufakwa isivikelo somlomo emlonyeni wakho ukuvikela amazinyo nolimi lwakho. Ngemuva kwalokho, udokotela uzofaka i-endoscope ngokucophelela ngomlomo wakho. Yonke inqubo izothatha imizuzu engama-30 kuya kwengama-60. Ngeke uzwe ubuhlungu.
Ngemva kokuhlolwa
Ngemva kokuphela kokuhlolwa, kuzodingeka uhlale egumbini lokubuka cishe ihora elilodwa noma amabili uze ubuye uqaphile.
- Umphimbo obuhlungu: Uma isifutho sokubulala izinzwa sesiphelile, ungase ube nomphimbo obuhlungu kancane usuku olulodwa noma ezimbili. Lokhu kungaqedwa izinto ezifana neziphuzo ezibandayo kanye ne-ayisikhilimu.
- Ukukhukhumala kwesisu: Igesi esetshenziswa ukufutha isisu ngesikhathi sokuhlolwa ingabangela umuzwa omncane wokugcwala esiswini. Lokhu kuzophela ngemva kwesikhashana.
- Inkumbulo: Ungase ube nokulahlekelwa yinkumbulo ngenxa yokuhlolwa. Lokhu kuvamile ngenxa yokuhlinzwa.
Yiziphi izinzuzo nezingozi?
Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo kanye nezingozi ezincane kakhulu.
| Izinzuzo | Izingozi - (Akuvamile kakhulu) |
|---|---|
| Ikhono lokuxilonga nokwelapha izifo ngaphandle kwengozi yokuhlinzwa okukhulu. | Ukusabela kokungezwani komzimba nemithi yokubulala izinzwa. |
| Ukungabi buhlungu nokukwazi ukuya ekhaya ngalolo suku. | Ukopha okuncane okuvela endaweni yokuhlolwa. |
| Ukukwazi ukuthola izifo ngokunembe kakhulu. | Ukubhoboka kodonga lwe-esophagus - Lokhu akuvamile kakhulu. |
Isikhathi sokubona udokotela ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlolwa, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ubuhlungu obukhulu besifuba noma ubuhlungu besisu
- Umkhuhlane kanye nomkhuhlane
- Ubunzima obukhulu bokugwinya
- Izihlalo ezimnyama, ezihlala isikhathi eside
- Ukuhlanza okuqhubekayo
Imiphumela yokuhlolwa izotholakala ngosuku olufanayo noma zingakapheli amasonto amabili uma kwenziwe i-biopsy. Uma imiphumela isivele ifakiwe, udokotela wakho uzokhuluma nawe ngayo kanye nezinyathelo ezilandelayo.
Umlayezo Wokuya Nawe Ekhaya
- I-EGD, noma i-Upper Endoscopy, iyisivivinyo esibaluleke kakhulu nesiphephile esisetshenziselwa ukuthola imbangela yezimpawu ezifana nokuvuvukala kwesisu kanye nobunzima bokugwinya.
- Ungesabi lolu vivinyo. Ngeke uzwe ubuhlungu ngoba uzonikezwa i-anesthesia.
- Landela imiyalelo kadokotela ngokucophelela ngaphambi kokuhlolwa (ikakhulukazi ukuzila ukudla).
- Kumelwe ulethe umuntu ozokuthatha akuyise ekhaya ngemva kokuhlolwa.
- Ungabi namahloni nganoma yimiphi imibuzo noma ukukhathazeka onakho bese ukhuluma nodokotela wakho.
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