Ingabe uvame ukuba nesilungulela noma ukungagayi kahle ukudla? Noma ingabe unenkinga yokugwinya, ubuhlungu besisu obuqhubekayo, noma isicanucanu? Uma unalezi zimpawu, udokotela wakho angase akuncomele i-"Upper GI Series"
Nokho, ungase ukhathazeke kancane ngoba awazi ukuthi kuyini. Kodwa asikho isidingo sokukhathazeka. Empeleni lokhu kuyindlela elula kakhulu yokuhlola engenabuhlungu. Ake sixoxe ngakho konke ngokucacile namuhla.
Kalula nje, luyini lolu chungechunge lwe-Upper GI?
Lokhu ukuhlolwa kwe-X-ray okukhethekile ngempela. I-X-ray esivame ukuyazi ithatha isithombe esisodwa esinganyakazi. Kodwa lesi sihlukile kancane. Sisebenzisa ubuchwepheshe obubizwa ngokuthi i-fluoroscopy . Cabanga ngakho njenge-X-ray evamile ifana nesithombe, kodwa i-fluoroscopy ifana nevidiyo. Lokhu kukuvumela ukuthi ubone ukuthi izitho zomzimba wakho zisebenza kanjani, okungukuthi, zihamba kanjani, ngesikhathi sangempela, okungukuthi, ngesikhathi esifanayo.
Manje ake sibone ukuthi kusho ukuthini ukuthi "i-Upper GI" kuleli gama. Igama elithi "GI" lisho "indlela yokugaya ukudla". Kalula nje, uhlelo lwethu lokugaya ukudla . Igama elithi "Upper GI" libhekisela engxenyeni engenhla yalolu hlelo lokugaya ukudla. Ihlanganisa kakhulu:
- I-Esophagus: Ipayipi lapho ukudla kuhamba khona uma sigwinya.
- Isisu: Indawo lapho kugcinwa khona futhi kugaywe khona ukudla.
- I-Duodenum: Ingxenye yokuqala yamathumbu amancane lapho ukudla kuhamba khona ngemva kwesisu.
Igama elithi "uchungechunge" lisho ukuthi phakathi nalolu vivinyo, kuthathwa uchungechunge lwezithombe ze-X-ray, njengevidiyo. Ngakho-ke zonke lezi zihlanganiswa futhi zibizwa ngokuthi "Uchungechunge lwe-Upper GI."
Kungani udokotela angancoma lolu vivinyo?
Uma unezimpawu ezihlobene nohlelo lwakho lokugaya ukudla olungaphezulu, udokotela wakho angase akuncome lokhu kuhlolwa ukuze kutholakale imbangela. Kubheka ingaphakathi lomphimbo wakho, isisu, kanye namathumbu amancane, ukuze kubonakale ukuthi kukhona yini izinguquko ezicutshini zabo, noma yikuphi ukukhubazeka esimweni sabo, nokuthi basebenza kahle yini. Lokhu kuhlolwa kuvame ukusetshenziswa njengesinyathelo sokuqala sokuthola imbangela.
| Izimpawu ongase ube nazo | Incazelo elula |
|---|---|
| Izinkinga zokugwinya | Umuzwa wokuqina komphimbo noma ubuhlungu lapho ugwinya ukudla noma isiphuzo. |
| Isilungulela | Isishiso senhliziyo umuzwa oshisayo phakathi kwesifuba obangelwa yi-asidi yesisu ekhuphuka emphinjeni. Abanye abantu bathi ifika emphinjeni. |
| Ubuhlungu besisu | Ubuhlungu obuqhubekayo noma obuhlala bukhona, ikakhulukazi esiswini esingaphezulu. |
| Isicanucanu nokuhlanza | Ukucanuzela okuqhubekayo nokuhlanza ngaphandle kwesizathu. |
| Ukungagayeki kahle kokudla | Ukuzizwa usuthi ngemva kokudla, uzizwa sengathi isisu sakho asigayi kahle. |
Yiziphi izifo ezingatholakala ngalesi sivivinyo?
Lokhu kuhlolwa kungakunikeza ulwazi ngezinto eziningi. Udokotela angabheka izitho zakho zangaphakathi bese enquma ukuthi kukhona yini inkinga.
Into ebalulekile ukuthi noma ngabe lokhu kuhlolwa kuphakamisa ukuthi kunenkinga, kungase kudingeke ukuhlolwa okwengeziwe ukuqinisekisa ukuthi iyini ngempela. Lesi isinyathelo esisodwa esibalulekile ohambweni lokuxilonga.
Ake sibone kusukela kuthebula elingezansi ukuthi yiziphi izinkinga ezinkulu ezingatholakala kulokhu.
| Uhlobo lwenkinga | Izibonelo kanye nencazelo elula |
|---|---|
| 1. Izinguquko Zezicubu | |
| Ukuvuvukala noma ukutheleleka | Ukuvuvukala noma ukubomvu kwezindonga zangaphakathi zesisu (i-Gastritis) noma i-esophagus (i-Esophagitis). |
| Isifo Sezilonda Zesisu | Izilonda odongeni lwangaphakathi lwesisu noma amathumbu amancane. |
| Umonakalo we-Acid Reflux | Ukulimala kwezicubu zomhubhe okubangelwa ukuchayeka isikhathi eside ku-asidi yesisu. |
| 2. Izinkinga Zesakhiwo | |
| I-Hiatal Hernia | Ingxenye yesisu ephuma esifubeni. |
| Ukuqina Komqala | Ukuvinjelwa kokudla ngenxa yokuncipha komphimbo. |
| Ama-Polyps noma ama-Tumors | Ukukhula okungavamile ezindongeni zangaphakathi zezitho zomzimba (lokhu kungase kube umdlavuza noma kungabi umdlavuza. Kudingeka ezinye izivivinyo ukuqinisekisa lokhu). |
| 3. Izinkinga Zokusebenza | |
| Ubunzima bokugwinya (i-Dysphagia) | Inqubo yokugwinya iyaphazamiseka ngenxa yokuthi imisipha esemgogodleni ayisebenzi kahle. |
| Ukuphuza kwesisu okubambezelekile (i-Gastroparesis) | Ubuthakathaka bemisipha yesisu kubangela ukubambezeleka kwenqubo yokuthumela ukudla emathunjini. |
| Ukuvinjelwa | Isithiyo endaweni ethile endleleni yokudla. |
Uyini umehluko phakathi kwe-Upper GI Series kanye ne-Endoscopy?
Kungenzeka ukuthi uke wezwa nange -endoscopy . Nakuba zombili zibheka ingxenye engenhla yesistimu yokugaya ukudla, lezi zivivinyo ezimbili zihlukile ngokuphelele.
- Uchungechunge Lwe-Upper GI: Lolu wuhlolo olungangenisi uhlaselo . Lokhu kusho ukuthi azikho izinsimbi ezifakwa emzimbeni. Ama-X-ray aqondiswa ngaphandle ukuze kuthathwe izithombe zangaphakathi.
- I-Endoscopy: Lokhu ukuhlolwa okuhlaselayo . Lapha, kufakwa ipayipi elincane, eliguquguqukayo elinekhamera enamathiselwe ngomlomo bese lisetshenziselwa ukubheka ngqo ngaphakathi komphimbo, isisu, kanye namathumbu amancane. Ngokuvamile unikezwa i-anesthesia ngenxa yalokhu. Inzuzo ye-endoscopy ukuthi uma kunendawo esolisayo, ucezu lwezicubu (i-biopsy) lungathathwa ukuze luhlolwe.
Kalula nje, i-Upper GI Series ifana nokubuka indlu ungaphandle. I-Endoscopy ifana nokungena ngaphakathi endlini ubheke ekamelweni kuya kwelinye. Ngakho-ke, odokotela bazokwenza i-Upper GI Series kuqala, futhi uma kubonakala sengathi kunenkinga, batusa i-Endoscopy ukuze iqinisekise lokho.
Kungani lolu ketshezi olubizwa ngokuthi 'iBarium' lunikezwa ukuphuza?
Ezithombeni ze-X-ray, izinto eziqinile njengamathambo ethu zibonakala ngokucacile ngombala omhlophe, kodwa izitho ezenziwe ngezicubu ezithambile njenge-esophagus nesisu azibonakali ngokucacile.
Ukuze uthole izithombe ezicacile zalezi zitho, kusetshenziswa into ebizwa ngokuthi i-barium . Lokhu kubizwa ngokuthi i- contrast agent . Zicabange ufaka umbala entweni ethile ngombala omhlophe ukuze igqame kangcono esithombeni esimnyama nesimhlophe. I-Barium yenza into efanayo.
Uma uphuza lolu ketshezi lwe-barium, lumboza izindonga zangaphakathi zomhubhe wakho, isisu, kanye namathumbu amancane. Ngemuva kwalokho, uma uthatha i-X-ray, izindawo lapho i-barium imbozwe khona zibonakala ngokucacile ngombala omhlophe. Ngemuva kwalokho, ungakwazi ukubona kalula ukuma kwalezo zitho, noma yikuphi ukulimala, noma amaqhubu angase abe khona.
Lolu ketshezi lwe-barium lujiyile kancane futhi lunokunambitheka okufana nokwe-chalk, kodwa ngokuvamile alubi kakhulu ukuluphuza ngoba luvame ukunambitheka ngezinongo.
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Isisu sakho kumele sibe singenalutho ngokuphelele ngaphambi kwalokhu kuhlolwa. Ngaphandle kwalokho, izithombe ngeke zicace ngenxa yokudla. Ngakho-ke qiniseka ukuthi ulandela lezi zinyathelo.
- Ukudla Nokuphuza: Ungadli noma uphuze lutho ngemva kwamabili ebusuku ngaphambi kokuhlolwa.Akukuhle ukuphuza ngisho namanzi amancane.
- Imithi: Khuluma nodokotela wakho nganoma yimiphi imithi ovame ukuyithatha. Eminye imithi (ikakhulukazi leyo ye-gastritis) kungadingeka ukuthi iyekwe ngosuku olungaphambi kokuhlolwa.
- Ukukhulelwa: Lokhu kubaluleke kakhulu . Uma ukhulelwe noma usola ukuthi ukhulelwe, kufanele utshele udokotela wakho kanye nabasebenzi abenza i-X-ray . Lokhu kuhlolwa akwenziwa kwabesifazane abakhulelwe ngoba imisebe ye-X-ray ingaba yingozi enganeni esibelethweni.
- Ezinye izimo zezokwelapha: Uma unesifo sezinso, isifo sikashukela, noma ezinye izimo zezokwelapha ezimbi kakhulu, yazisa udokotela wakho kusenesikhathi.
Kwenzekani ngesikhathi sokuhlolwa?
Nakuba ngangikhathazekile kancane ngokuhlolwa, empeleni kwakuyinqubo engenabuhlungu.
1. Okokuqala, uzonikezwa ingubo yasesibhedlela ozoyigqoka.
2. Ngemuva kwalokho uzoyiswa ekamelweni le-X-ray. Kukhona umbhede okhethekile ongatshekiswa uye phambili naphambili, uphakanyiswe futhi wehliswe.
3. Uzomiswa noma ulale embhedeni bese uboshelwa embhedeni ngezintambo.
4. Ngemuva kwalokho uzonikezwa isisombululo se-barium ukuze usiphuze. Kungase kudingeke uphuze isisombululo esiqinile nesincane.
5. Ngesikhathi uphuza i-barium, udokotela we-radiologist uvula umshini we-X-ray bese ebuka uketshezi luhamba phansi komphimbo wakho esikrinini.
6. Umbhede olele kuwo uzophendulwa futhi utsheke ukuqinisekisa ukuthi i-barium isakazeke ngokulinganayo. Ngezinye izikhathi uzocelwa ukuthi uphendukele ezimweni ezahlukene. Ngezinye izikhathi isisu sakho singacindezelwa kancane.
7. Le nqubo yonke ingathatha noma yikuphi kusukela kumaminithi angu-30 kuya emahoreni amabili, kuye ngokuthi i-barium ihamba ngokushesha kangakanani emzimbeni wakho.
Kwenzekani ngemva kokuhlolwa? Ingabe zikhona izingozi?
Ungadla futhi uphuze ngendlela evamile ngemva kokuhlolwa, kodwa ungalindela ukungakhululeki okuncane.
- Umbala wendle: Njengoba i-barium ingamuncwa ngumzimba, ikhishwa esitulweni. Ngakho-ke indle yakho ingaba mhlophe noma ibe nombala okhanyayo usuku olulodwa noma ezimbili ngemva kokuhlolwa. Lokhu kuvamile, ungakhathazeki.
- Ukuqunjelwa: I-Barium ingabangela ukuqunjelwa kwabanye abantu. Ukuze uvimbele lokhu , phuza amanzi amaningi . Kubaluleke kakhulu ukuphuza okungenani amalitha angu-2-3 amanzi ngosuku. Uma ungahambi ngendle ngemva kwezinsuku ezimbili noma ezintathu, khuluma nodokotela wakho.
- Ukuchayeka Emisebeni: Ama-X-ray ayimisebe. Kodwa-ke, umthamo wemisebe osetshenziswe kulolu vivinyo uphansi kakhulu futhi ubhekwa njengophephile. Kodwa-ke, ngisho nalesi silinganiso esincane asifanele abesifazane abakhulelwe.
- Ukungezwani komzimba:Ukungezwani komzimba ne-barium akuvamile kakhulu. Uma kwenzeka, kunezikhungo esibhedlela zokuyelapha.
Lokhu kuhlolwa akubeki zingozi ezinkulu kumuntu ophilile kahle. Kodwa-ke, akufaneleki kubantu abanesifo sezinso, ukuqunjelwa okukhulu, noma abesifazane abakhulelwe.
Umlayezo Wokuya Nawe Ekhaya
- Uchungechunge lwe-Upper GI luwukuhlolwa kwe-X-ray okungenabuhlungu, okulula okuhlola ingxenye engenhla yesistimu yakho yokugaya ukudla (umqala, isisu).
- Lokhu kufana nevidiyo enyakazayo esikhundleni sesithombe esinganyakazi.
- Kunikezwa uketshezi olukhethekile olubizwa ngokuthi i-barium ukuze kuthathwe izithombe zezitho zangaphakathi ngokucacile.
- Lokhu kusiza ekutholeni imbangela yezinto ezifana nobuhlungu besifuba, ubunzima bokugwinya, kanye nobuhlungu besisu obuhlala isikhathi eside.
- Ungadli noma uphuze lutho ngobusuku obandulela ukuhlolwa. Qiniseka ukuthi utshela udokotela wakho uma ukhulelwe noma usola ukuthi ukhulelwe.
- Phuza amanzi amaningi ngemva kokuhlolwa ukuze uvimbele ukuqunjelwa.
- Lesi ngokuvamile kuyisinyathelo sokuqala sokuthola isifo. Ngokusekelwe emiphumeleni, udokotela wakho uzochaza ukuthi yini okufanele uyenze ngokulandelayo.
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