Ingabe unenkinga ngomphimbo wakho noma ngomqala? Ake sifunde kabanzi ngokuhlolwa kwe-esophagoscopy!

Namuhla sizokhuluma ngokuhlolwa kwezokwelapha okungaba kusha kuwe, kodwa kungaba yinto ebaluleke kakhulu. Kubizwa ngokuthi i-esophagoscopy. Igama lingase lizwakale liyesabisa kancane, kodwa ungakhathazeki, masikwenze kube lula, akunjalo? Sizoxoxa ngakho konke okudingeka ukwazi namuhla, njengokuthi kwenzani, kungani kwenziwa, ukuthi kwenzeka kanjani, nokuthi kubuhlungu yini.

Kuyini i-esophagoscopy? Kalula nje...

Kalula nje, i-esophagoscopy inqubo ebheka eduze ingaphakathi lomphimbo wakho (ithubhu elisuka emphinjeni wakho liye esiswini sakho uma ugwinya ukudla nokuphuza). Cabanga ngakho njengokudlulisa ikhamera encane endleleni engaphakathi emzimbeni wakho.

Kulolu vivinyo, odokotela basebenzisa ithubhu elincane, eliguquguqukayo (elibizwa ngokuthi i-endoscope ). Le endoscope inekhamera encane kanye nokukhanya kolunye uhlangothi. Ngakho-ke, le thubhu ifakwa ngomlomo wakho, noma ngezinye izikhathi ekhaleni lakho, bese idluliselwa emphinjeni wakho, okuvumela udokotela ukuthi abone kahle ukuthi kukhona yini okungahambi kahle, uma kunezimpawu zesifo, noma uma kukhona okunye okungajwayelekile. Ngezinye izikhathi, le ndlela isetshenziselwa futhi ukuthatha ucezu oluncane lwezicubu (isampula yezicubu/i-biopsy) emphinjeni ukuze kuhlolwe okwengeziwe. Sizoxoxa ngalokho kamuva.

Kuvamile ukuzizwa ukhathazekile noma wesaba kancane uma utshelwa ukuthi kuzofakwa ipayipi emphinjeni noma ekhaleni lakho. Kodwa lokhu kuhlolwa kuyindlela engcono kakhulu yokwazi kahle ukuthi kwenzekani ngaphakathi kwaleli payipi elibalulekile elithwala ukudla neziphuzo zakho. Ukwazi lokho kungakusiza uzizwe ungcono.

Kungani udinga i-esophagoscopy?

Manje ungase uzibuze, 'Kungani ngingacelwa ukuba ngenze lokhu kuhlolwa?' Yebo, lowo ngumbuzo omuhle. Udokotela angakuthumela kulolu vivinyo ngezizathu eziningana ezithile. Ake sibheke ukuthi ziyini:

• Ukukhwehlela okuqhubekayo: Ngezinye izikhathi, uma ukhwehlela okunzima ukuthola imbangela futhi kungapheli ngemithi ejwayelekile, lokhu kungasiza ekunqumeni ukuthi imbangela iyinkinga emphinjeni wakho.
• Ubunzima bokugwinya (i-Dysphagia): Uma uzizwa sengathi uyaminyana noma uzwa ubuhlungu lapho ugwinya ukudla noma isiphuzo. Uma uzizwa sengathi kukhona okubambeke emphinjeni wakho, noma uma uzizwa sengathi ukudla kubambeke esifubeni sakho.
• Ukucanuzela nokuhlanza okuvamile: Uma uzwa ukucanuzela nokuhlanza okuvamile ngaphandle kwesizathu esibonakalayo, kufanele uhlole ukuthi imbangela iyinkinga yini emhubheni noma esiswini esingaphezulu.
• Isilungulela Esiqhubekayo: Uma unesisu esibuhlungu esivame ukucabanga ukuthi "siyisilungulela," kodwa singaqedwa yimithi, lokhu kuhlolwa kubalulekile ukuthola imbangela.

Ngaphezu kwalezi zimpawu, uma ukudla kubhajwa emqaleni wakho, noma uma ugwinya okuthile ngengozi (isibonelo, izingane ezincane zingagwinya izinto ezifana nezinhlamvu zemali, izingcezu zamathoyizi, noma amabhethri, akunjalo?), le nqubo ye-esophagoscopy isetshenziselwa nokususa into ebhajwe.

Lokhu kuhlolwa kubaluleke kakhulu ekuxilongeni izifo ezithile zomphimbo . Nazi izibonelo ezimbalwa:

• I-Barrett's esophagus: Lesi yisimo lapho amangqamuzana engxenyeni engezansi ye-esophagus eshintsha khona ukuze afane namangqamuzana esiswini. Lesi simo singabangelwa yi-acid reflux yesikhathi eside. Sinengozi encane yokukhula sibe umdlavuza, ngakho-ke kubalulekile ukuhlolwa njalo.
• I-Dysphagia: Njengoba sishilo ngaphambili, ubunzima bokugwinya. Kungaba nezimbangela eziningi zalokhu, futhi lokhu kuzokusiza ukuthi uqonde.
• Umdlavuza we-Esophageal: Leli yigama elithusayo. Kodwa uma utholakala kusenesikhathi, amathuba okuba welashwe futhi welapheke aphezulu kakhulu. Yingakho lolu vivinyo lwenziwa uma kukhona ukungabaza.
• I-GERD (Isifo Sokuphindezela Kwesisu Esingamahlalakhona): Lesi yisimo abantu abaningi abasibiza ngokuthi “isisu.” Yilapho i-asidi yesisu ibuyela phezulu emphinjeni. Lokhu kungabangela isilungulela nomphimbo obuhlungu.
• I-LPR (i-Laryngopharyngeal Reflux): Lokhu kufana ne-GERD, kodwa kulokhu, i-asidi yesisu igeleza emphinjeni, iye ngqo emphinjeni nasebhokisini lezwi. Lokhu kungabangela izinto ezifana nokuqunjelwa njalo emphinjeni, izinguquko ezwini, kanye nokutheleleka okuqhubekayo komphimbo.

Ingabe zikhona izinhlobo ze-esophagoscopy?

Yebo, kunezindlela ezimbili eziyinhloko zokwenza lokhu kuhlola. Nakuba inqubo ifana kuzo zombili, indlela ipayipi elinekhamera elifakwe ngayo ihlukile kancane.

1. I-Transoral esophagoscopy: Kulokhu, udokotela ufaka ithubhu ebizwa ngokuthi i-esophagoscope ngomlomo wakho bese ingena emhubheni wakho. Lena yindlela evame ukusetshenziswa kakhulu.

2. I-Transnasal esophagoscopy: Kule ndlela, ithubhu ifakwa ngekhala lakho. Idlula ekhaleni lakho, yehle ngomphimbo wakho, futhi ingene emqaleni wakho. Abanye abantu bathi le ndlela ilula kancane ngoba ibangela isicanucanu esincane kunendlela yomlomo.

Zombili lezi zindlela zisebenza ngendlela efanayo. Izithombe ezivela kwikhamera ebhodleleni ziboniswa esikrinini esikhulu sekhompyutha. Udokotela angabe esebona ingaphakathi lomphimbo wakho ngokucacile. Amanye ama-esophagoscope aguquguquka, kanti amanye angamapayipi ensimbi aqinile angagobeki (i-esophagoscopy eqinile). Udokotela wakho uzonquma ukuthi yiluphi uhlobo olulungele wena ngokusekelwe esimweni sakho.

Ulungiselela kanjani i-esophagoscopy?

Kuzodingeka ulungiselele ngaphambi kwalokhu kuhlolwa, njengoba ngezinye izikhathi kusetshenziswa i-anesthesia ukuvimbela ukuthi ungezwa ubuhlungu noma ukungakhululeki ngesikhathi sokuhlolwa.Ngakho-ke akukho okufanele ukhathazeke ngakho. Udokotela wakho uzokutshela ngqo ukuthi wenzeni. Kodwa ngokuvamile, kufanele ucabange ngalezi zinto:

• Hlela ukuthi othile akuyise ekhaya ngemoto: Ezimweni eziningi, ungaya ekhaya ngosuku olufanayo nokuhlolwa. Kodwa-ke, uzoba ngaphansi kwe-anesthesia (kungaba ejwayelekile noma engaphelele) futhi ngeke ukwazi ukushayela. Ngakho-ke, kuzodingeka ulethe umuntu ozokuhambisa ekhaya ngemoto. Ungahambi wedwa, ngoba akuphephile.
• Ukulungiselela i-anesthesia: Ungase ucelwe ukuthi uyeke ukudla noma ukuphuza ngokuphelele cishe amahora ayisishiyagalombili ngaphambi kokuhlolwa. Lokhu kusho ukuthi isisu sakho kufanele sibe singenalutho. Lokhu kwenzelwa ukunciphisa ingozi yokubuyela kokuqukethwe esiswini emphinjeni wakho nasemaphashini akho ngesikhathi se-anesthesia. Ungase ucelwe futhi ukuthi uyeke ukuthatha imithi ethile, ikakhulukazi imithi yokunciphisa igazi (njenge-aspirin ne-warfarin), noma izithasiselo zamakhambi, izinsuku ezimbalwa. Udokotela wakho uzokuchazela konke lokhu.

Kwenzekani ngesikhathi se-esophagoscopy?

Kulungile, manje ake sibone ukuthi kuzokwenzekani ngesikhathi sokuhlolwa kwangempela. Okokuqala, udokotela wezinzwa uzokulalisa ngokuphelele, noma akunike umuthi wokudambisa ubuhlungu. Ngemuva kwalokho, udokotela wakho uzokwenza ukuhlolwa okunje:

• Isifutho sokubulala izinzwa sendawo sifakwa emphinjeni wakho. Ithubhu lifakwa ngomlomo wakho. Uma lifakwa ngekhala lakho, ingaphakathi lekhala lakho nalo liyavaleka. Lokhu kuzokwenza kube lula kakhulu ngawe ukufaka ithubhu.
• Bese, ngokucophelela okukhulu, ithubhu ye-esophagoscope ifakwa ngomlomo noma ekhaleni.
• Ipayipi lidluliselwa kancane kancane e-esophagus, mhlawumbe kuze kufike engxenyeni engenhla yesisu (i-duodenum).
• Ividiyo evela kukhamera esethubhini iboniswa esikrinini esikhulu. Udokotela ubukela lokhu ngenkathi enza ukuhlolwa.
• Uma udokotela ethanda, bangaqopha futhi bathathe izithombe zalezi zithombe ukuze bazibuke kamuva.
• Into ebaluleke kakhulu ukuthi uma ubona okuthile okusolisayo - isibonelo, isilonda, isimila, noma izicubu ezingavamile - ungathatha i-biopsy ukuze uyihlole kabanzi. Lokhu kusho ukuthatha ingxenye encane kakhulu yezicubu bese uyibheka ngaphansi kwe-microscope. Lokhu kwenziwa yisazi sezifo , udokotela ogxile ekuhloleni izicubu. Le biopsy iyindlela kuphela yokwazi ngokuqinisekile ukuthi kukhona yini into efana nomdlavuza noma esinye isifo.

Kuthatha isikhathi esingakanani ukwenza i-esophagoscopy?

Isikhathi esizothathwa sizohluka kuye ngohlobo lokuhlolwa olwenzayo nokuthi kukhona yini okunye okudingeka kwenziwe ngesikhathi sokuhlolwa. Isibonelo, i- transnasal esophagoscopy, okuwukubuka nje ngekhala, cishe ingaqedwa ngemizuzu eyi-10-15. Kodwa-ke, i-transoral esophagoscopy, eyenziwa ngomlomo, ingathatha isikhathi eside.Okokuqala, ikakhulukazi uma kuhilela ukuthatha i-biopsy noma ukwenza ezinye izinqubo ezincane (njengokwandisa umphimbo uma uvalekile), kungathatha noma yikuphi kusukela kumaminithi angu-20 kuya ehoreni. Kodwa-ke, udokotela wakho uzokutshela kusengaphambili ukuthi kuvame ukuthatha isikhathi esingakanani.

Ingabe i-Esophagoscopy ibuhlungu?

Lona umbuzo abantu abaningi abawubuzayo, futhi yinto eyethusa abantu abaningi. Cha, lokhu kuhlolwa akubuhlungu. Eqinisweni. Lapho udokotela efaka ipayipi, ungase uzizwe ungakhululekile, uzizwe sengathi kukhona okuza emphinjeni wakho, futhi mhlawumbe unesicanucanu esincane. Kodwa akubuhlungu. Futhi ngoba uzonikezwa i-anesthesia (egcwele noma engaphelele), isikhathi esiningi ngeke uzwe lutho, noma ngeke ukukhumbule. Ngakho-ke ungesabi lokhu ngokungadingekile.

Yini ongayilindela ngemva kokuhlinzwa kwe-esophagoscopy?

I-esophagoscopy imvamisa inqubo yokulaliswa esibhedlela . Lokhu kusho ukuthi ungaya ekhaya ngalolo suku. Kodwa-ke, ngenxa yokuthi unikezwe i-anesthesia, kuzodingeka uhlale ehhovisi likadokotela noma esibhedlela egumbini lokululama isikhashana kuze kube yilapho imiphumela ye-anesthesia iphela. Lokhu kuvame ukuba yihora noma amabili. Isibonelo, kungathatha cishe ihora ukuthi umuthi oqeda izinhlungu uphele emphinjeni noma ekhaleni lakho. Phakathi nalesi sikhathi, abasebenzi bezokwelapha bazoqapha isimo sakho. Uma usuphapheme ngokuphelele, ungashayela othile ukuthi eze nawe.

Umphimbo wakho ungase uzwe ubuhlungu noma uklwebheka usuku olulodwa noma ezimbili ngemva kokuhlolwa. Lokhu kujwayelekile. Ukuphuza amanzi afudumele noma ukudla into ebandayo njenge-ayisikhilimu kungasiza.

Yiziphi izinzuzo ze-esophagoscopy?

Kunezinzuzo eziningana kulolu vivinyo kuwe. Akukhona nje ukwenza into efana nale. Bheka:

• Izimo ezifana ne -Barrett's esophagus , i-GERD , kanye nezilonda zomqala zingahlolwa ngokunembile.
• Ingabona ukuthi unamaseli omdlavuza emqaleni wakho, noma ukuthi unezimo ezingaphambi komdlavuza ezingaba umdlavuza. Uma umdlavuza utholakala kusenesikhathi, amathuba okuba welashwe futhi welapheke aphezulu kakhulu. Lena enye yezinzuzo ezibaluleke kakhulu zalolu vivinyo.
• Izinto ezinamathele emqaleni (isib. izingcezu zokudla, okuthile okugwinywe yingane encane) zingasuswa.
• Ngezinye izikhathi, uma kukhona ukopha endunu, ukwelashwa okuncane kungenziwa ngalokhu ukuze kumiswe.

Ingabe zikhona izingozi nge-esophagoscopy?

Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezithile. Kodwa-ke, i-esophagoscopy inqubo ephephile kakhulu, enezinkinga ezimbalwa kakhulu. Kodwa-ke, nazi ezinye izinto ezingenzeka:

• Ukopha: Kungase kube nokopha okuthile, ikakhulukazi uma kuthathwa i-biopsy. Kodwa ngokuvamile kuyayeka ngokwako, noma kungamiswa nge-endoscope.
• Umphimbo othukuthele noma obuhlungu: Umphimbo wakho ungase uzwe ubuhlungu noma uklwebheka usuku olulodwa noma ezimbili ngemva kokuhlolwa. Lokhu kuvamile.
• Ukutheleleka: Akuvamile kakhulu.
• Ukusabela ekubulaweni yizinzwa: Lokhu nakho akuvamile kakhulu. Udokotela wezinzwa uqaphile ngalokhu.
• Ukubhoboka noma ukudabuka: Lokhu futhi kuyinkinga engavamile kakhulu futhi engathi sína. Kodwa-ke, uma kwenzeka, kungase kudingeke ukuhlinzwa. Odokotela baqaphile kakhulu futhi banolwazi kulokhu, ngakho-ke ingozi iphansi kakhulu.

"Khumbula, lezi zingozi zincane kakhulu. Udokotela wakho uku-oda lokhu kuhlolwa ngoba izinzuzo zidlula kakhulu izingozi ezincane."

Iyini imiphumela ye-esophagoscopy?

Odokotela benza lokhu kuhlolwa ngezizathu ezahlukahlukene, ngakho-ke imiphumela iyahlukahluka ngokufanele. Ake sibheke izibonelo ezimbalwa:

• Uma ukuhlolwa kukhombisa ukuthi une -GERD , udokotela wakho uzokunikeza ukwelashwa (imithi) kanye nezindlela zokuyilawula (izinguquko zendlela yokuphila, ukudla).
• Uma une -Barrett's emophagus , ukuhlolwa kungabonisa ukuthi isimo sakho sizinzile noma siya siba sibi kakhulu. Lokhu kuzosiza ekunqumeni ukuthi yini okufanele uyenze ngokulandelayo nokuthi uzohlolwa kangaki futhi.
• Uma unenkinga yokugwinya (i-dysphagia) , lokhu kuhlolwa kungasiza ekutholeni imbangela. Kungaba ukuvaleka komphimbo noma enye inkinga. Ukwelashwa kungaqalwa ngokufanele.
• Uma wenza i-biopsy, ungazi kahle ukuthi unomdlavuza noma esinye isifo esithile.

Ngizoyazi nini imiphumela yokuhlolwa?

Ngezinye izikhathi, udokotela angakutshela imiphumela ngokushesha nje ngemva kokuhlolwa. Okusho ukuthi, lokho okubonwa nge-endoscope. Kodwa-ke, uma udokotela ethatha amasampula ezicubu (i-biopsy) awathumele elabhorethri, kungathatha izinsuku ezimbalwa noma isonto ukuthi imiphumela ibuye. Uma lokho kwenzeka, udokotela uzokutshela ukuthi ungayilindela nini imiphumela, nokuthi udinga ukuyibuya yini ukuze uyilande, noma ukuthi bazokushayela ucingo. Ngakho ungakhathazeki.

Isikhathi sokubona udokotela futhi ngemva kokuhlolwa

Ngemva kokubuyela ekhaya ngemva kokuhlolwa, kufanele nakanjani wazise udokotela wakho uma uhlangabezana nanoma yiziphi izimpawu ezingavamile. Qaphela izinto ezifana nalezi:

• Uma ukopha ekhaleni kungayeki (uma kufakwe ipayipi ngekhala).
• Uma unesihlungu esibuhlungu esingapheli, kuze kube sezingeni lokuthi awukwazi ukugwinya.
• Uma unezinhlungu zesifuba ezinzima .
• Uma uzizwa unenkinga yokuphefumula .
• Uma unomkhuhlane (ngokuvamile ungaphezu kuka-100.4°F noma u-38°C).
• Uma udlula esitulweni esimnyama, esihlala isikhathi eside(Lokhu kungaba uphawu lokopha kwangaphakathi).
• Uma uhlanza igazi, noma uhlanza lokho kubukeka sengathi kufakwe ikhofi.
• Ubuhlungu obukhulu besisu noma ukuqunjelwa.

Uma kwenzeka into efana nale , ungalibali . Shayela udokotela wakho ngokushesha noma uye esibhedlela esiseduze.

Uyini umehluko phakathi kwe-Esophagoscopy ne-Bronchoscopy?

Zombili lezi zinhlobo ze-endoscopy . Okusho ukuthi, izindlela ezisebenzisa ithubhu enekhamera ukubheka ngaphakathi emzimbeni. Kodwa indawo yokubuka ihlukile.

I- esophagoscopy ibheka umphimbo , ipayipi lokudla, kanye nengxenye engenhla yesisu.

I-bronchoscopy ibheka izindlela zokuphefumula ku -trachea yakho (umphimbo womoya) nasemaphashini , okuyizindlela zokuphefumula ezikuvumela ukuthi uphefumule.

Ngakho-ke, udokotela wakho uzonquma ukuthi yikuphi ukuhlolwa okudingayo ngokususelwa ezimpawini zakho. Isibonelo, kunezikhathi lapho kokubili kungenziwa khona ukuthola imbangela yokukhwehlela okuqhubekayo.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, ngakho-ke ngithemba ukuthi manje usunombono omuhle nge-esophagoscopy. Khumbula, uma unezimpawu ezifana nesilungulela, ubunzima bokugwinya, noma umphimbo obuhlungu oqhubekayo, ungabi namahloni noma wesabe ukukhuluma nodokotela wakho ngakho. I-Esophagoscopy akuyona ukuhlolwa okubuhlungu, kodwa kungaba yinto engakhululekile kancane. Uma unenkinga noma ukwesaba ngalesi sivivinyo, ungangabazi ukutshela udokotela wakho. Bazokuchazela konke futhi bakunikeze ukwesekwa okudingayo ngesikhathi nangemva kwesivivinyo. Lezi zivivinyo zenzelwe ukukusiza ukuthi ubone isimo sakho kusenesikhathi futhi zikusize ukuthi ululame ngokushesha. Ngakho-ke, ungesabi ukwenza lesi sivivinyo uma kudingeka.

I- Esophagoscopy, i-esophagus, i-endoscopy, ubunzima bokugwinya, ukuvuvukala kwesifuba, i-GERD, i-biopsy