Unenkinga yokugwinya? Ake sifunde ngokuhlolwa kwe-EndoFLIP ngendlela elula!

Ingabe uzizwa sengathi umphimbo wakho uvalekile uma udla? Mhlawumbe uphuza amanzi amancane kodwa ukuthola kunzima ukugwinya? Uma unenkinga yokugwinya, sizokhuluma ngokuhlolwa okukhethekile okungenziwa ukuthola imbangela eqondile. Ungakhathazeki uma uzwa lokhu, akuyona into enkulu njengoba ucabanga.

Kuyini i-EndoFLIP?

Kalula nje, i-EndoFLIP (i-functional luminal imaging probe) iyindlela yokuhlola ukusebenza kwe-esophagus yakho. I-esophagus yipayipi elenziwe ngemisipha ethwala ukudla esikudlayo kusuka emlonyeni wethu kuya esiswini sethu (esiswini). Ngezinye izikhathi, uma leli payipi lingasebenzi kahle, siba nobunzima bokugwinya ukudla.

Ukuhlolwa kwe-EndoFLIP kulinganisa izinto ezimbili ikakhulukazi:

1. Ubukhulu besikhala ngaphakathi komphimbo wakho (ububanzi) .

2. Indlela ekhula ngayo uma uyicindezela kancane (okungukuthi, ukuqina kwezindonga).

Lezi zilinganiso zingasiza odokotela ukuthola imbangela eqondile yobunzima bakho bokugwinya. Lokhu kuhlolwa kuvame ukwenziwa ngesikhathi se-endoscopy ephezulu . Ngenxa yokuthi ungaphansi kwe-anesthesia, ngeke uzizwe lutho futhi uzolala ngokuphelele.

Yiziphi izifo ezingatholakala ngokuhlolwa kwe-EndoFLIP?

Odokotela bezifo zamathumbu basebenzisa lolu vivinyo ukuxilonga izimo ezahlukahlukene, okuhlanganisa:

• I-Achalasia: Lokhu kwenzeka lapho imisipha engxenyeni engezansi yomhubhe ingaphumuli kahle, okubangela ukuba ukudla kubhajwe esiswini.
• I-Eosinophilic esophagitis: Isimo lapho ingaphakathi lomphimbo livuvukala ngenxa yokungezwani komzimba.
• I-GERD (Isifo Sokuphindezela Kwesisu Esisuka Emlonyeni): Lesi yisimo lapho i-asidi yesisu igeleza ibuyele emlonyeni. Luhlobo olubi kakhulu lwe-gastritis, esivame ukuyibiza ngokuthi i-gastritis.

Lokhu kuhlolwa kusetshenziselwa nokulandelela umuntu oye wahlinzwa emhubheni.

Lokhu kuhlolwa kwenziwa kanjani ngempela?

Cabanga nje, lena inqubo elula kakhulu. Kulokhu, kufakwa ipayipi elincane lepulasitiki (i-catheter) emhubheni wakho. Ekupheleni kwaleli payipi kukhona ibhaluni elincane elinezinzwa.

Njengoba udokotela efutha kancane kancane leli bhaluni, izinzwa zilinganisa ingcindezi kanye nesikhala ngaphakathi komphimbo bese zithumela leyo datha kukhompyutha.

Kufanele ngilungiselele kanjani ngaphambi kokuhlolwa?

Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu, kodwa ngokuvamile kunezinto ezimbalwa ongazenza. Ake sibone ukuthi ziyini.

Kwenzekani ngesikhathi sokuhlolwa?

Kulungile, manje ake sibone ukuthi kwenzekani isinyathelo ngesinyathelo.

1. I-Anesthesia: Okokuqala, udokotela wezinzwa uzofaka umuthi emthanjeni osengalweni yakho. Lokhu kuzokulalisa isikhashana.

2. Ukufaka i-endoscope: Udokotela uzobe esefaka i-endoscope, ipayipi elincane, eliguquguqukayo elinekhamera nokukhanya okunamathiselwe, ngomlomo wakho bese wehla ngombhobho wakho. Izithombe ezivela kule khamera zingabukwa kusikrini.

3. Ukufakwa kwe-EndoFLIP tube: Ngesikhathi ebuka izithombe ezivela kwikhamera ye-endoscope, udokotela ufaka i-EndoFLIP tube e-esophagus.

4. Ukugcwalisa ibhaluni: Ngemuva kwalokho, ibhaluni liyagcwala kancane kancane bese kuqoqwa idatha kusuka kuzinzwa.

5. Ukususwa Kwepayipi: Ngemva kokurekhoda idatha, khipha ibhaluni bese ususa ngokucophelela ipayipi le-EndoFLIP kanye ne-endoscope.

Lonke lolu hlelo luthatha isikhathi esifushane kakhulu, cishe imizuzu eyi-15 .

Ingabe lokhu kuyalimaza?

Cha, akunjalo nhlobo. Ngeke uzwe ubuhlungu ngoba ungaphansi kwe-anesthesia. Ungase uzwe ingcindezi encane lapho ipayipi lifakwa, kodwa alibuhlungu.

Ingabe ikhona imiphumela emibi?

Imiphumela emibi ayivamile kakhulu.Abanye abantu bangase babe nomphimbo obuhlungu kancane noma umphimbo obuhlungu ofana nomkhuhlane usuku olulodwa noma ezimbili ngemva kokuhlolwa. Lokhu kuvame ukunyamalala ngokwako.

Kwenzekani ngemva kokuhlolwa? Imiphumela izotholakala nini?

Uma ukuhlolwa sekuphelile, uzothunyelwa ekhaya ngemva kokuchitha isikhathi esithile egumbini lokululama kuze kube yilapho i-anesthesia iphela ngokuphelele.

Ezimweni eziningi, udokotela wakho uzoxoxa nawe ngemiphumela yokuqala yokuhlolwa ngaphambi kokuba uye ekhaya. Noma, bazokucela ukuthi uze emtholampilo ngosuku oluhlukile ukuze baxoxe ngombiko ogcwele. Bazophinde bakuchazele ukuthi yiziphi izivivinyo okudingeka zenziwe ngokulandelayo nokuthi yiziphi izindlela zokwelapha ezingaqalwa.

Yikuphi okungcono, i-EndoFLIP noma i-Manometry?

Kungenzeka ukuthi uke wezwa nangokuhlolwa okubizwa ngokuthi i-Esophageal Manometry. Lokhu kubheka nokusebenza komphimbo, ikakhulukazi ukulinganisa indlela imisipha emphimbo encipha ngayo (i-peristalsis).

Kodwa-ke, i-EndoFLIP inganikeza ulwazi olunemininingwane eminingi kune-Manometry . Ngakho-ke, odokotela bangase basebenzise i-EndoFLIP ezimweni eziyinkimbinkimbi kakhulu.

Kunezikhathi empilweni lapho unenkinga yokugwinya ukudla, akunjalo? Kucasula kangakanani ukungakwazi ukudla into oyithandayo ngaphandle kokwesaba, ukungakwazi ukujabulela ukudla kahle? Kodwa lokhu kuhlolwa kwe-EndoFLIP kuyisinyathelo esihle sokuthola imbangela eqondile yenkinga yakho. Uma usuyazi imbangela, ungaqala ukwelashwa okufanele kwayo. Khona-ke uzokwazi ukujabulela ukudla ngaphandle kokwesaba nangenjabulo futhi.