Udokotela wakho kungenzeka ukuthi u-ode ukuhlolwa kwe-endoscopy noma kwe-ultrasound ngenxa yobuhlungu besisu sakho noma esinye isimo sezokwelapha. Kodwa ngezinye izikhathi, kunezinto ezingatholakali kunoma yikuphi kwalokhu kuhlolwa futhi ezidinga ukubhekisiswa ngokujulile. Yilapho odokotela bekudlulisela khona ekuhlolweni okukhethekile okubizwa ngokuthi "i-endoscopic ultrasound." Ukuzwa leli gama kungase kuzwakale kuyesabisa kancane, kodwa akunzima njengoba ungase ucabange. Ake sixoxe ngakho konke ngamagama alula namuhla.
Kalula nje, iyini i-endoscopic ultrasound (EUS)?
Empeleni lokhu kuyinhlanganisela yobuchwepheshe obubili. Okungukuthi, i-endoscopy kanye ne-ultrasound scan .
Cabanga nje, ngesikhathi sokuhlolwa okuvamile kwe-ultrasound, udokotela ubeka ithuluzi elincane esiswini sakho bese ebheka izitho zomzimba wakho. Kufana nokukhanyisa ithoshi ekamelweni. Ungabona ezinye izinto, kodwa akuzona zonke izinto ezicacile.
Kodwa kule endoscopic ultrasound (EUS) , ithubhu elincane, eliguquguqukayo elinekhamera enamathiselwe (esikubiza ngokuthi "i-Endoscope") lifakwa ngomlomo noma e-rectum, bese kusetshenziswa idivayisi encane ye-ultrasound ekugcineni kwethubhu ukubheka izitho zomzimba ngaphakathi komzimba. Kalula nje, kufana nokufaka lelo thoshi egumbini bese sibheka. Ngemuva kwalokho singasondela kakhulu esithweni esifuna ukusihlola, ngakho izithombe esizitholayo zicacile futhi zinemininingwane.
Le ndlela iwusizo kakhulu ekutholeni ngokunembile izimila ezincane kakhulu, izinguquko ezindlaleni, ngisho nezigaba zokuqala zomdlavuza ezingatholakali ngokuskena okuvamile.
Kungaphansi kwaziphi izimo udokotela angakucela ukuthi wenze lokhu kuhlolwa?
Ukuhlolwa kwe-EUS akuvamile ukwenziwa yiwo wonke umuntu. Kusetshenziswa ezimweni ezikhethekile lapho ezinye izivivinyo zingakwazi ukunikeza isiphetho esicacile futhi zidinga ucwaningo olujulile.
| Isimo sokuhlola | Incazelo elula |
|---|---|
| Isigaba kanye nokusabalala komdlavuza | Lokhu kusiza ukubona ngokunembile ukuthi isimila somdlavuza esise-esophagus, pancreas, noma emaphashini sesijule kangakanani nokuthi ngabe sisakazekele yini kuma-lymph node aseduze. Lokhu kubaluleke kakhulu ekuhleleni ukwelashwa. |
| Izifo ze-pancreatic | I-EUS isetshenziselwa ukutadisha izimo ezifana ne -pancreatitis engapheli, izimila, noma amasaka amancane agcwele uketshezi (ama-cyst) ku-pancreas. |
| Izilonda endleleni yokugaya ukudla | Lokhu kusetshenziselwa ukuthola ukuthi yiziphi izigaxa ezincane (amaqhubu) noma izimila ezisodongeni lomgudu wokugaya ukudla, ukuthi ziyingozi noma cha, kanye nokuthatha ingxenye encane yazo ukuze iyohlolwa (i-biopsy) uma kudingeka. |
| Izinkinga zenyongo nesibindi | Lokhu kusiza ukuthola isithombe esicacile sezimo ezifana namatshe enyongo, ukuvaleka kwemisele yenyongo, noma ezinye izimila esibindini. |
| Ubunzima bokulawula ukunyakaza kwamathumbu | Abanye abantu babhekana nokungakwazi ukuzibamba indle ngaphandle kokuqaphela. I-EUS isetshenziselwa ukuthola imbangela yalokhu nokuhlola noma yikuphi ubuthakathaka noma ukungasebenzi kahle kwemisipha ezungeze indunu. |
Kulungile, manje ake sibone ukuthi lokhu kuhlolwa kwenziwa kanjani ngempela.
Umbuzo omkhulu ongase ube nawo ngalokhu kuhlolwa ukuthi kubuhlungu noma akukuphathi kahle. Impendulo iwukuthi, ngeke uzwe ubuhlungu noma ukungakhululeki . Lokhu kungenxa yokuthi uzonikezwa i-anesthesia futhi uzozizwa ulambile kancane.
Ngaphambi kokuhlolwa
Udokotela wakho uzokutshela ukuthi kufanele uzile amahora amangaki ngaphambi kokuhlolwa. Ngokuvamile, kuzodingeka uyeke ukudla noma ukuphuza cishe amahora angu-6-8. Kubaluleke kakhulu ukwazisa udokotela wakho nganoma yimiphi eminye imithi oyiphuzayo.
Ngesikhathi sokuhlolwa
1. I-Anesthesia: Okokuqala, uzonikezwa umuthi wokubulala izinzwa ngomjovo ongene emthanjeni. Lokhu kuzokufaka esimweni sokulala esincane. Ngakho ngeke uzizwe noma ukhumbule lutho.
2. Ukufakwa kwe-endoscope:Ngemuva kwalokho, udokotela ufaka ngokucophelela ithuluzi le-EUS (ipayipi elincane neliguquguqukayo) ngomlomo wakho (ukubona ingxenye engenhla yepayipi lokudla) noma nge-rectum yakho (ukubona ingxenye engezansi yepayipi lokudla).
3. Ukuhlolwa: Uma idivayisi isifakiwe, udokotela ubheka izithombe zekhamera kwenye i-monitor kanye nezithombe ze-ultrasound kwenye. Ngale ndlela, izindonga zomgudu wokugaya ukudla, i-pancreas, kanye nezitho ezizungezile, njenge-gallbladder, zihlolwa ngokucacile.
4. I-Biopsy: Uma kukhona indawo esolisayo, inaliti encane kakhulu ingadluliswa kudivayisi ye-EUS bese kuthathwa ingcezu encane yezicubu kuleyo ndawo ukuze ihlolwe. Lokhu kubizwa ngokuthi `(Fine-Needle Aspiration)`. Ngeke uzizwe lokhu nhlobo.
Lonke lolu vivinyo lungathatha imizuzu ephakathi kuka-30 no-90 .
Ngemva kokuhlolwa
Ngemva kokuhlolwa, uzogcinwa egumbini lokululama ihora elilodwa noma amabili ngenkathi umuthi wokubulala izinzwa uphela. Ungase uzizwe ulele kancane. Ngakho-ke uzodinga umuntu ozokuthatha akuyise ekhaya. Ngokuvamile ungaya ekhaya ngalolo suku. Uma ukuhlolwa kwenziwe ngomlomo, ungase ube nomuzwa wokuklwebheka kancane emphinjeni wakho usuku olulodwa noma ezimbili, okuyinto evamile.
Ingabe kukhona ingozi kulokhu?
I-EUS inqubo ephephile kakhulu . Izinkinga azivamile. Uma zenzeka, zingafaka:
- Ukungezwani komzimba nemithi yokubulala izinzwa.
- Uma kuthathwa i-biopsy, kungase kube nokopha okuncane endaweni.
- Kukhona ithuba elingavamile kakhulu lokutheleleka.
Kodwa khumbula, lokhu akunakwenzeka neze . Udokotela wakho uqeqeshwe ukuphatha konke lokhu. Uma unezinhlungu zesisu ezinzima, umkhuhlane, ukuhlanza, noma ukopha okukhulu ngemva kokuhlolwa, kufanele ushayele udokotela wakho ucingo ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Endoscopic ultrasound (EUS) iwukuhlolwa okukhethekile okunikeza izithombe ezicacile kakhulu nezinemininingwane eminingi kune-scan evamile.
- Lokhu kwenziwa ngaphansi kwe-anesthesia, ngakho ngeke uzwe ubuhlungu noma ukungakhululeki.
- Lokhu kuwusizo olukhulu ekuxilongeni izifo eziyinkimbinkimbi zomgudu wokugaya ukudla, ama-pancreas, nezitho ezizungezile.
- Lokhu ukuhlolwa okuphephile kakhulu. Ingozi yezinkinga iphansi kakhulu.
- Uma uneminye imibuzo mayelana nalolu vivinyo, ungangabazi ukubuza udokotela wakho.
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