Ingabe nawe unenkinga yokugwinya? Ake sifunde konke mayelana nokuhlolwa kwe-EndoFLIP!

Ngezinye izikhathi uma sidla, asikwazi ukugwinya kahle futhi ukudla kuzwakale sengathi kubhajwe emphinjeni wethu, akunjalo? Kwabanye abantu, lokhu kungaba yinto eqhubekayo. Ngakho-ke namuhla sizokhuluma ngokuhlolwa okukhethekile okwenziwa ukuthola ukuthi unalo yini lolu hlobo lobunzima bokugwinya. Kubizwa ngokuthi ukuhlolwa kwe-EndoFLIP . Lokhu kuyinto engakusiza ngempela.

Kuyini i-EndoFLIP?

Kalula nje, i-EndoFLIP ukuhlolwa okuhlola ukuthi ugwinya ukudla kahle noma ukuthi kukhona ubunzima. Uyazi, kukhona ithubhu elenziwe ngemisipha elithwala ukudla kusuka emlonyeni wethu kuya esiswini sethu (sikubiza ngokuthi isisu). Lokhu sikubiza ngokuthi i-esophagus . Kufana nepayipi lamanzi. Ngakho-ke lokhu kuhlolwa kwe-EndoFLIP kulinganisa ukuthi kunendawo engakanani ngaphakathi kwe-esophagus yakho nokuthi isabela kanjani lapho kufakwa ingcindezi kuyo. Lezi zilinganiso yilokho odokotela abangakusebenzisa ukuthola ukuthi unezimo ezivimbela ukudla ukuthi kuhambe kahle phansi kwe-esophagus kuya esiswini sakho.

Ngokuvamile, lolu vivinyo lwe-EndoFLIP lwenziwa ngesikhathi se-endoscopy ephezulu . I-endoscopy iyipayipi elincane, eliguquguqukayo elinokukhanya kanye nekhamera encane ekugcineni, ebizwa ngokuthi i-endoscope , edluliselwa emlonyeni ukuhlola izindawo ezifana nomphimbo nesisu. Phakathi nalolu vivinyo, uzonikezwa i-anesthesia, ukuze ungezwa lutho, uzobe ulele. Ngakho-ke asikho isizathu sokwesaba.

Ukuhlolwa kwe-EndoFLIP kwenziwa ngobani? Kungani kubalulekile?

Odokotela abangochwepheshe ezifweni zesisu, noma lokho esikubiza ngokuthi odokotela bezifo zamathumbu, bavame ukwenza lolu vivinyo lwe-EndoFLIP. Balusebenzisela ukuxilonga izimo ezifana nalezi:

• I-Achalasia: Lokhu kwenzeka lapho imisipha engxenyeni engezansi yomhubhe ingakhululekile ngokwanele futhi iqinile. Lokhu kungabangela ukuthi ukudla kubhajwe emhubheni esikhundleni sokuya esiswini. Cabanga ngakho njengalapho uvimba ukuphela kombhobho wamanzi bese amanzi eyeka ukugeleza. Lokhu akumnandi kancane.
• I-Eosinophilic esophagitis: Lokhu kwenzeka lapho uhlobo oluthile lweseli (ama-eosinophils) luqoqana olwelwesini lomphimbo, okubangela ukuvuvukala. Lokhu kungabangela ubunzima bokugwinya kanye nobuhlungu besifuba.
• I-GERD - Isifo Sokugobhoza Kwesisu: Lokhu kuyinto abantu abaningi abaye bezwa ngayo. Yilapho i-asidi yesisu ibuyela khona emhubheni. Sikubiza ngokuthi "isilungulela" noma "i-gastric reflux." Ngezinye izikhathi lokhu kungalimaza umhubhe futhi kubangele ubunzima bokugwinya.

Futhi, uma uke wahlinzwa emhubheni wakho, odokotela bangase benze lolu vivinyo ukuqinisekisa ukuthi konke kusebenza kahle ngemva kwalokho.

Isebenza kanjani le EndoFLIP? Ungachaza kancane?

Kulungile, manje ake sibone ukuthi lokhu kusebenza kanjani. Kulesi sivivinyo, kufakwa ipayipi elincane kakhulu lepulasitiki, elibizwa ngokuthi i-catheter , emhubheni wakho. Ingxenye ephezulu yale catheter imbozwe ngebhaluni elincane. Izinzwa zinamathiselwe ebhaluni. Ngezintambo ezixhunywe kulezi zinzwa, ulwazi mayelana nomhubhe wakho luthunyelwa ku-data recorder ngaphandle. Akuyona yini ubuchwepheshe obumangalisayo?

Uma udokotela wakho wezifo zamathumbu efutha ibhaluni, izinzwa zilinganisa ingcindezi ngaphakathi komphimbo kanye nobubanzi bangaphakathi bomphimbo, okuyinani lesikhala ngaphakathi.

Lokhu kulinganisa ingcindezi kukhombisa ukuthi umphimbo wakho mncane kunokuvamile, noma ukuthi izindonga zawo ziqine kakhulu. Zombili lezi zinguquko zingenza kube nzima ukuthi umphimbo ucindezele ukudla esiswini. Uyaqonda? Yilokhu okunikeza odokotela umbono wokuthi inkinga yakho iyini.

Ngingalungiselela kanjani ngaphambi kwe-EndoFLIP?

Lokhu akusikho okufanele ukhathazeke ngakho. Udokotela wakho uzokutshela ngqo ukuthi wenzeni. Kodwa ngokuvamile, nazi ezinye izinto okufanele uzenze:

• Kufanele uyeke ukudla noma ukuphuza noma yini, njengamanzi, okungenani amahora amane ngaphambi kokuhlolwa. Kubalulekile ukuthi lokhu kuhlolwa kwenziwe esiswini esingenalutho.
• Ngenxa yokuthi uzonikezwa i-anesthesia, ungase uzizwe ucotha kancane futhi ulele ngemva kokuhlolwa. Ngakho-ke, hlela ukuba othile akushayele ekhaya ngemoto . Akunconywa ukushayela wedwa, futhi akuphephile.

Kwenzekani ngempela ngesikhathi sokuhlolwa kwe-EndoFLIP?

Okokuqala, udokotela wezinzwa uzokunikeza i-anesthesia nge-cannula (i- IV ) efakwe emthanjeni ongalweni yakho. Ngemuva kwalokho, udokotela wakho wezinzwa uzokwenza lezi zivivinyo ezilandelayo:

1. I-endoscope esikhulume ngayo ngaphambilini, okungukuthi, ithubhu enekhamera nokukhanya, ifakwa ngomlomo wakho iye emhubheni wakho. Le khamera ivumela udokotela ukuthi abone okungaphakathi emhubheni wakho ngesikrini.

2. Bese kuthi, kusetshenziswa izithombe ezibonwe ku-endoscope, i-catheter ye-EndoFLIP idluliselwe emhubheni.

3. Okulandelayo, ibhaluni eliku-catheter livuvukala ngokuphindaphindiwe .

4. Ukuqapha idatha yokulinganisa evela ezinzwa eziku-catheter.

5. Bese ibhaluni lincibilikiswa.

6. Ekugcineni, kokubili i-EndoFLIP kanye ne-endoscope kuyasuswa.

Inqubo yonke ye-EndoFLIP ithatha isikhathi esifushane kakhulu, cishe imizuzu eyi-15 . Ngeke uze uyizwe.

Ingabe lokhu kuhlolwa kubuhlungu?

Cha, lokhu akulona ukuhlolwa okubuhlungu . Uzobe ungaphansi kwe-anesthesia futhi ulele, ngakho ngeke uzwe ubuhlungu. Ungakhathazeki ngalokho. Kodwa-ke, ungase uzizwe ucindezelekile kancane lapho i-endoscope kanye ne-EndoFLIP kufakwa emhubheni wakho ngaphambi kokuba i-anesthesia iphele. Kodwa akusibuhlungu, umuzwa nje wokuthi kukhona okwehla emphinjeni wakho.

Okubalulekile: Uzonikezwa i-anesthesia, ngakho ngeke uzizwe ungakhululekile ngesikhathi sokuhlolwa. Ngakho ungesabi.

Kwenzekani ngemva kokuhlolwa? Ngingaya ekhaya?

Uma ukuhlolwa sekuphelile, uzoyiswa ekamelweni lokululama . Kuzodingeka uhlale lapho kuze kube yilapho imiphumela yokubulala izinzwa iphela futhi usuphapheme ngokuphelele. Lokhu kuvame ukuthatha cishe ihora. Ngemva kwalokho, ungaya ekhaya. Khumbula, ungakhohlwa ukucela othile ukuba eze nawe.

Ingabe lokhu kungaba nemiphumela emibi?

Imiphumela emibi evela kulolu vivinyo ayivamile kakhulu . Okusho ukuthi, imbalwa kakhulu. Ngezinye izikhathi, ngenxa yokuthi i-endoscope kanye ne-EndoFLIP kufakwa ngomphimbo, kungase kube nokuklwebheka okuncane emphinjeni, ubuhlungu obuncane kakhulu usuku olulodwa noma ezimbili. Njengalapho umphimbo ubuhlungu ngenxa yomkhuhlane. Ngaphandle kwalokho, akuyona into enkulu. Ukuphuza amanzi engeziwe nakho kuzosiza.

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Udokotela wakho angakunikeza imiphumela yokuqala yokuhlolwa ngaphambi kokuba uphume esibhedlela . Noma, angakutshela imiphumela ngesikhathi sakho esilandelayo sokuqokwa . Bazophinde bakuchazele ukuthi yini okufanele uyenze ngokulandelayo, ukuthi ngabe kukhona yini okunye ukuhlolwa okudingeka kwenziwe, noma ukuthi yikuphi ukwelashwa okudingeka kuqalwe.

Ingabe i-EndoFLIP ingcono kune-Manometry?

Ukuhlolwa okubili okusiza odokotela bezifo zesisu ukuthola izinkinga emgudwini womchamo yi -esophageal manometry kanye ne-EndoFLIP. I-esophageal manometry ilinganisa kakhulu ukuthi imisipha emgudwini womchamo isebenza kahle kangakanani, okungukuthi, ukuthi ukunyakaza okusunduza ukudla phansi ( i-peristalsis ) kusebenza kahle yini. Kodwa-ke, ukuhlolwa kwe-EndoFLIP kunganikeza ulwazi oluningiliziwe . Isibonelo, ukuthi kunendawo engakanani ngaphakathi komchamo, ukuthi izindonga zawo ziguquguquka kangakanani, nokuthi ziqine kangakanani. Ngakho udokotela wakho angakhetha ukuhlolwa okufanele kakhulu ngokusekelwe esimweni sakho.

Uma unenkinga yokugwinya, awukwazi yini ukujabulela ukudla kwakho ngendlela efanele, futhi kufanele ukhethe phakathi kwalokho ongakudla nokungakwazi ukukudla ekudleni okusepuletini lakho? Ungase ukhungatheke futhi uzibuze, "Kungani lokhu kwenzeka kimi?" Ngakho-ke, ukuba nalolu vivinyo lwe-EndoFLIP kungakusiza ukuthola impendulo yalowo mbuzo.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kulokhu?

Kulungile, ngithemba ukuthi usuyaqonda kahle ukuhlolwa kwe-EndoFLIP. Into eyinhloko ukuthi lokhu kuwukuhlolwa okubalulekile ukuze ubone ukuthi umphimbo wakho, noma ipayipi lokudla, lisebenza kahle yini.

Lokhu kungasiza ekutholeni imbangela eqondile yobunzima bakho bokugwinya. Kungase kudingeke wenze izivivinyo ezengeziwe ukuze uthole imbangela eqondile. Kodwa-ke, ukuhlolwa kwe-EndoFLIP kungaba isinyathelo sokuqala sokuqonda ukuthi kwenzekani emzimbeni wakho.

Ngemva kwaleso sinyathelo sokuqala, ungaqala ukwelashwa okudingekayo futhi ujabulele ukudla ngaphandle kokwesaba ngesikhathi sokudla, ngaphandle kokukhathazeka ngokuthi uzokwazi yini ukugwinya ukulunywa okulandelayo noma cha. Uma nawe unezinkinga ezinjalo zokugwinya, ungesabi ukubona udokotela bese uthola iseluleko. Yilokho okungcono kakhulu. Ngemuva kwalokho ungathola ikhambi lale nkinga ngokushesha.

I- EndoFLIP, ubunzima bokugwinya, umphimbo, i-endoscopy, uhlelo lokugaya ukudla, i-gastroenterologist, i-achalasia, i-GERD, i-manometry