Ingabe nawe uzizwa sengathi uyaminza uma ugwinya? Noma ingabe uhlushwa izinto ezifana nokukhwehlela okuqhubekayo, ubuhlungu besifuba obuvamile, kanye nesicanucanu ? Mhlawumbe udokotela wakho uphakamise ukuthi wenze i-"Esophagoscopy" ukuthola imbangela yalezi zinto. Kuvamile ukuzizwa wesaba kancane futhi ungajwayelekile uma uzwa leli gama. Kodwa ungakhathazeki. Namuhla, sizoxoxa ngalolu vivinyo ngendlela elula kakhulu ongayiqonda.
Kalula nje, iyini i-Esophagoscopy?
I-Esophagoscopy ukuhlolwa kokuhlola ngaphakathi komphimbo wakho. I-esophagus yipayipi elithwala ukudla nokuphuza kusuka emphinjeni kuya esiswini. Lolu uhlobo lokuhlolwa olubizwa ngokuthi i -endoscopy .
Cabanga ngalokhu, lokhu kwenziwa kusetshenziswa ithubhu ende, eguquguqukayo (i-endoscope) enekhamera encane kakhulu kuyo. Udokotela ufaka le thubhu ngokucophelela ngomlomo noma ekhaleni lakho, ayidlulisele emphinjeni wakho, bese ebheka ingaphakathi layo esikrinini. Lokhu kukuvumela ukuthi ubone ngokucacile ukuthi kukhona yini isifo, ukulimala, noma enye inkinga emphinjeni.
Kuvamile ukuzizwa wesaba uma uzwa ngokufakwa kwepayipi emphinjeni wakho. Kodwa lokhu kwenziwa njengesinyathelo sokuqala sokuthola imbangela eqondile yokungakhululeki kwakho nokukwenza ube ngcono.
Kungani ufuna ukwenza lolu vivinyo?
Kunezizathu eziningana zokuthi kungani udokotela engase ancome lokhu kuhlolwa. Ngokuyinhloko, ungase ucelwe ukuthi wenze lokhu kuhlolwa uma unezimpawu ezilandelayo:
| Izimpawu ezivamile |
|---|
| Ukukhwehlela okuhlala isikhathi eside. |
| Ubunzima bokugwinya ukudla noma ukuzwa ubuhlungu lapho ugwinya. |
| Ukucanuzela nokuhlanza njalo. |
| Ukushisa kwenhliziyo okuqhubekayo. |
Ngaphezu kwalezi zici, le ndlela ngezinye izikhathi isetshenziselwa ukususa into efana nocezu lokudla olubhajwa emhubheni, noma uma ugwinya okuthile ngengozi.
Futhi, lokhu kuhlolwa kubalulekile ekuxilongeni ngokunembile izimo ezithile zezokwelapha.
- I-GERD (Isifo Sokuphindezela Kwesisu Esisesiswini): Lokhu yilokho esikubiza ngokuthi isifo se-asidi yesisu ekhuphukela emphinjeni.
- I-Barrett's esophagus : Ushintsho kumaseli e-esophagus olubangelwa yi-GERD yesikhathi eside.
- I-Dysphagia : Ukuthola imbangela yobunzima bokugwinya ukudla.
- Umdlavuza we-Esophageal: Ukuthola ukuthi kukhona yini amangqamuzana omdlavuza .
- I-Laryngopharyngeal reflux (LPR): I-asidi yesisu igeleza iphindela phezulu emithanjeni yezwi nasemphinjeni.
Uzilungiselela kanjani ngaphambi kokuhlolwa?
Lokhu kuhlolwa kuvame ukwenziwa ngaphansi kwe-anesthesia ukuze ungezwa ubuhlungu noma ukungakhululeki. Ngakho-ke, udokotela wakho uzokunikeza imiyalelo ecacile yokuthi ungazilungiselela kanjani kusengaphambili. Ngokuvamile, kufanele uqaphele lezi zinto.
1. Hlela ukuthi othile akuyise ekhaya ngemoto: Ngeke ukwazi ukushayela ngemva kokuhlolwa ngenxa yemiphumela yokubulala izinzwa. Ngakho-ke, kubalulekile ukuba nomuntu ozokuhambisa ekhaya ngemoto.
2. Ukugwema ukudla nokuphuza: Ngokuvamile uzokwelulekwa ukuthi ugweme ukudla noma ukuphuza noma yini cishe amahora angu-8 ngaphambi kokuhlolwa.
3. Tshela udokotela wakho ngemithi yakho: Qiniseka ukuthi wazisa udokotela wakho kusenesikhathi nganoma yimiphi imithi oyithathayo, ikakhulukazi imithi yokunciphisa igazi noma izithasiselo zamakhambi. Angase akucele ukuthi uyeke okwesikhashana ukuthatha leyo mithi.
Kwenzekani ngesikhathi sokuhlolwa?
Okokuqala, udokotela wezinzwa uzokunikeza imithi yokukulalisa ubuthongo obuncane noma yokukwenza uzizwe ukhululekile. Bese,
- Uma ithubhu lifakwa ngomlomo , umuthi wokubulala izinzwa ufafazwa emphinjeni, kanti uma ufakwa ngekhala, ufafazwa ekhaleni.
- Udokotela ube esefaka kancane kancane nangokucophelela ithubhu le-endoscope ngomlomo noma ekhaleni bese elidlulisela emhubheni.
- Izithombe ezivela kukhamera esethubhini zibukwa esikrinini sekhompyutha kanti ingaphakathi lomphimbo lihlolwa ngokucophelela.
- Uma kukhona indawo esolisayo, kungathathwa ingcezu encane kakhulu yezicubu ukuze ihlolwe (i-biopsy) . Lokhu kuzosenza sazi uhlobo oluqondile lwalawo maseli.
Kuzothatha isikhathi esingakanani lokhu? Ingabe kuzolimaza?
Isikhathi esithathwayo siyahlukahluka kuye ngendlela yokuhlola. I-transnasal esophagoscopy ithatha cishe imizuzu eyi-15, kanti i-transoral esophagoscopy ingathatha cishe imizuzu engama-60.
Cha, lokhu akulona ukuhlolwa okubuhlungu. Uzonikezwa i-anesthesia, ngakho ngeke uzwe ubuhlungu. Ungase uzizwe ungakhululekile kancane lapho ipayipi lifakwa, kodwa alibuhlungu.
Kwenzekani ngemva kokuhlolwa?
Lokhu kuvame ukuba inqubo yokulaliswa esibhedlela. Lokhu kusho ukuthi ungaya ekhaya ngalolo suku. Kodwa-ke, kuzodingeka uhlale esibhedlela noma emtholampilo amahora ambalwa kuze kube yilapho imiphumela yomuthi wokubulala izinzwa iphela. Kungathatha cishe ihora ukuthi ukungazweli emphinjeni nasekhaleni lakho kuphele.
Yiziphi izinzuzo nezingozi zalolu vivinyo?
Izinzuzo eziyinhloko zalolu vivinyo yilezi:
- Ukukwazi ukuhlonza ngokunembile izimo ezifana ne-GERD kanye ne-Barrett's esophagus .
- Ukukwazi ukubona amangqamuzana omdlavuza emhubheni kusenesikhathi kwenza ukwelashwa kuqale ngokushesha.
- Ukukwazi ukususa izinto ezibhajwe emseleni wokukhipha amanzi ngokuphephile .
I-Esophagoscopy inqubo ephephile kakhulu. Izinkinga azivamile. Uma zenzeka, zingabandakanya:
- Ukopha okuncane
- Umphimbo obuhlungu noma ukulimala
- Ukusabela okungekuhle ku-anesthesia
- Ukubhoboka komphimbo - Lokhu akuvamile kakhulu.
Ingabe udinga ukubona udokotela ngemva kokuhlolwa?
Ngokuvamile, udokotela uzokutshela imiphumela yokuhlolwa ngokushesha. Kodwa-ke, uma kwenziwe i-biopsy, kungathatha izinsuku ezimbalwa noma isonto ukuthi umbiko ubuye. Uma kunjalo, uzonikezwa usuku lokubona udokotela ngemva kokuba umbiko ubuyile.
Kodwa-ke, uma uzwa ukungakhululeki lapho uya ekhaya ngemva kokuhlolwa, kufanele ufune iseluleko sezokwelapha ngokushesha.
| Uma unalezi zimpawu, shayela udokotela wakho ngokushesha. | |
|---|---|
| Uma ungakwazi ukuvimba ukopha ekhaleni | |
| Uma unesifo somphimbo esibuhlungu kakhulu | |
| Uma unezinhlungu zesifuba ezinzima | |
| Uma unenkinga yokuphefumula | |
| Uma uthola umkhuhlane | |
Esimweni esinjalo, ungalibali ukushayela udokotela wakho ucingo noma ukuya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- I-Esophagoscopy iyindlela yokuhlola ebaluleke kakhulu futhi ephephile ukuyihlola ngaphakathi komphimbo wakho (ipayipi lokudla).
- Lokhu akubuhlungu. Uzonikezwa umuthi wokubulala izinzwa noma wokuqeda izinhlungu ukuze ungazizwa ungakhululekile kangako.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela (njengokungadli, ukwazisa ngemithi) ngaphambi nje kokuhlolwa.
- Uma uzwa ubuhlungu obukhulu (ubuhlungu obukhulu, ubunzima bokuphefumula) ngemva kokuhlolwa, funa iseluleko sezokwelapha ngokushesha.
- Uma unenkinga nganoma yikuphi mayelana nalokhu kuhlolwa, khuluma nodokotela wakho ngakho ngokukhululekile. Angachaza ukukhathazeka kwakho.
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