13 mibvunzo yaunoda kuziva nezve gastroenteroscopy.

Maererano nemutemo wekukura kwechirwere, makore makumi mashanu nemashanu - makore gumi nemashanu (colon cancer evolution cycle) = makore makumi mana.Pazera remakore makumi mana, kuongororwa kwakawanda kunongoona mapolyps, ayo anobviswa uye anoongororwa nguva dzose uye asingafambire mberi kune kenza yemukati.Kutora nhanho kumashure, kunyangwe ikashanduka kuita cancer, inogona kunge iri kenza yepakutanga uye inogona kurapwa zvachose pasi pecolonoscopy.

Ndosaka takakurudzirwa kuti ticherechedze kukurumidza kuvhenekwa kwemamota emudumbu.A yenguva gastrointestinal endoscopy anogona zvinobudirira kudzivirira gastric kenza uye mudumbu.

4.Chii chiri nani kune yakajairika uye isingarwadzi gastroenteroscopy?Zvakadini nekuongorora kutya?

Kana iwe uine kushivirira kwakashata uye usingakwanisi kukunda kutya kwako kwepfungwa uye uchitya endoscopy, zvino sarudza usingarwadzi;kana usina matambudziko akadaro, unogona kusarudza zvakajairika.

Ordinary gastrointestinal endoscopy ichakonzera kumwe kusagadzikana: kusvotwa, kurwadziwa mudumbu, kuputika, kurutsa, kusanzwa kwemakumbo nemakumbo, etc. Zvisinei, mumamiriro ezvinhu akajairika, chero bedzi vasinganyanyi kutya uye vachibatana zvakanaka nachiremba, vanhu vakawanda vanogona kuzvishivirira.Unogona kuzviongorora.Kune avo vanobatirana mushe, yakajairika gastrointestinal endoscopy inogona kuwana inogutsa uye yakanaka bvunzo mhinduro;zvisinei, kana kukakavara kwakanyanyisa kuchitungamirira kukushandira pamwe kusina kunaka, migumisiro yebvunzo inogona kukanganiswa kusvika pamwero wakati.

Painless gastroenteroscopy: Kana iwe uchitya chaizvo, unogona kusarudza isingarwadzi yedumbu endoscopy.Zvechokwadi, chirevo ndechekuti inofanira kuongororwa nachiremba uye kusangana nemamiriro ezvinhu eanesthesia.Haasi munhu wose akakodzera kuti anesthesia.Kana zvisina kudaro, tinogona chete kuzvitsungirira uye kuita zvakajairika.Pashure pezvose, kuchengeteka kunouya pakutanga!Kusarwadza kwematumbu endoscopy kuchave kwakanyanyisa uye kwakadzama, uye kuoma kwekuvhiya kwachiremba kuchaderedzwawo zvakanyanya.

5. Ndezvipi zvakanakira uye zvakaipira zvegastrointestinal endoscopy isingarwadzi?

Zvakanakira:

1.No kusagadzikana zvachose: iwe uri kurara panguva yose yekushanda, usingazivi chinhu, kungova nehope dzinotapira.

2.Kukuvadza kuduku: nokuti hauzonzwi uchinetseka kana kusagadzikana, mukana wekukuvadza kunokonzerwa negirazi zvakarewo muduku zvikuru.

3.Cherechedza zvakanyatsonaka: Paunenge wakarara, chiremba haazonetseki pamusoro pekusagadzikana kwako uye achacherechedza iwe wakadzikama uye nokungwarira.

4.Deredzai njodzi: nekuti yakajairika gastroscopy inokonzeresa kushatirwa, BP, uye kurova kwemoyo kuchawedzera kamwe kamwe, asi hazvirwadze hapana chikonzero chekunetseka nezve dambudziko iri zvakare.

Zvisina kukwana:

1.Zvinonetsa: zvichienzaniswa neyakajairika endoscopy yemudumbu, pane zvimwe zvakakosha zvekugadzirira zvinodiwa: electrocardiogram kuongororwa, jekiseni remukati rinodiwa pamberi pekuongororwa, nhengo dzemhuri dzinofanirwa kuperekedzwa, uye haugone kutyaira mukati mezuva 1 mushure mekuongororwa, nezvimwe, nezvimwe. .

2.Zvine ngozi zvishoma: shure kwezvose, ndeye anesthesia, njodzi yakakwirira kudarika yakajairika.Iwe unogona kusangana nekudonha kweropa, kunetseka kufema, kufema netsaona, nezvimwewo;

3.Dizziness mushure mekuzviita: kunyange zvazvo iwe usinganzwi chero chinhu zvachose paunenge uchizviita, iwe uchanzwa uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge rwakaita dzungu, sekunge rwakadhakwa, asi chokwadi haringatore nguva refu;

4.A bit kudhura: zvichienzaniswa neyakajairika gastrointestinal endoscopy, mutengo wekusarwadzisa wakakwira zvishoma.

5.Haasi munhu wose anogona kuzviita: kuongororwa kusingarwadzi kunoda anesthesia evaluation.Vamwe vanhu havagone kuongororwa kusingarwadzi, sevaya vane nhoroondo yekusawirirana kweanesthesia uye sedative zvinodhaka, avo vane bronchitis vane phlegm yakawandisa, avo vane zvakawanda zvakasara mudumbu, uye avo vane zvakanyanya Vanhu vane snoring uye apnea yekurara, se zvakanaka nevaya vakafuta vanofanira kungwarira, vanhu vane mwoyo nemapapu zvirwere vasingagoni kushivirira yokutindivadza, varwere glaucoma, prostatic hyperplasia uye nhoroondo weti kuchengetwa, vane pamuviri uye lactating vakadzi vanofanira kungwarira.

6. Ko anesthesia ye endoscopy yedumbu isingarwadzi inoita kuti vanhu vapusa, kurasikirwa nekuyeuka, kukanganisa IQ?

Hapana chikonzero chekunetseka zvachose!Iyo intravenous anesthetic inoshandiswa mukusarwadzisa gastrointestinal endoscopy inonzi propofol, mvura ine mukaka chena iyo vanachiremba vanodana kuti "mukaka unofadza".Inogadzika nekukurumidza uye ichave yakaora zvachose uye inogadziriswa mukati memaawa mashoma pasina kukonzera kuunganidzwa..Chiyero chinoshandiswa chinotarwa neanesthesiologist zvichienderana nehuremu hwemurwere, kusimba kwemuviri uye zvimwe zvinhu.Chaizvoizvo, murwere anomuka otomatiki mukati memaminitsi gumi pasina chero sequelae.Vanhu vashomanana vachanzwa sevakadhakwa, asi vashoma vanongomuka voga.Ichanyangarika nokukurumidza.

Naizvozvo, chero bedzi ichishandiswa navanachiremba vane hunyanzvi muzvipatara zvenguva dzose, hapana chikonzero chekunetseka zvakanyanya.

5.Pane njodzi neanesthesia here?

Mamiriro ezvinhu chaiwo akatsanangurwa pamusoro apa, asi hapana kuvhiyiwa kwekiriniki kunogona kuvimbiswa kuve 100% isina njodzi, asi kanenge 99.99% inogona kubudirira kuitwa.

6.Can tumor markers, kudhirowa ropa, uye fecal occult ropa kuongororwa kutsiva gastrointestinal endoscopy?

Haikwanise!Kazhinji, kuongorora matumbu kunokurudzira kuongororwa ropa remafecal occult, ongororo ina dzegastric function, mabundu marker, nezvimwewo. Mumwe nemumwe ane zvaanoshandisa:

7.Fecal occult blood test: chinangwa chikuru ndechekutarisa kubuda kweropa kwakavanzika mukati megumbo.Mamota ekutanga, kunyanya mamicrocarcinomas, haabude ropa padanho rekutanga.Fecal occult blood inoramba iine zvakanaka uye inoda kutariswa kukuru.

8.Gastric function test: chinangwa chikuru ndechekuongorora gastrin uye pepsinogen kuona kana secretion yakajairika.Kungotarisa chete kana vanhu vari panjodzi huru yegomarara remudumbu.Kana kukanganisa kunowanikwa, gastroscopy kuongorora kunofanira kuitwa pakarepo.

Tumor mamaki: Zvinongogona kutaurwa kuti ine imwe kukosha, asi haifanirwe kushandiswa seyo chete ratidziro yekuongorora mamota.Nekuti kumwe kuzvimba kunogonawo kukonzera bundu mamaki kusimuka, uye mamwe mapundu achiri akajairwa kusvika ave pakati nepakati nepakati.Naizvozvo, haufanirwe kutya kana vakakwirisa, zvakare haugone kuvafuratira kana vakajairwa.

9. Ko capsule endoscopy, barium meal, breath test, uye CT inogona kutsiva gastrointestinal endoscopy?

Hazvigoneki!Muedzo wekufema unogona kungoona kuvepo kweHelicobacter pylori utachiona, asi haugone kutarisa mamiriro egastric mucosa;iyo barium yekudya inogona kungoona "mumvuri" kana rondedzero yedumbu remukati, uye kukosha kwayo kwekuongorora kunogumira.

Capsule endoscopy inogona kushandiswa senzira yekutanga kuongorora.Nekudaro, nekuda kwekusakwanisa kwayo kukwezva, kusuka, kuona, uye kubata, kunyangwe kana chironda chikaonekwa, yakajairika endoscopy ichiri kudikanwa kune yechipiri process, iyo inodhura kutenga.

CT bvunzo ine imwe yekuongorora kukosha kwemapundu emudumbu epamberi, asi ine kusanzwa zvakanaka kwegomarara rekutanga, maronda ekare, uye zvirwere zvakajairika zvegastrointestinal turakiti.

Mune izwi, kana iwe uchida kuona kenza yekutanga yemudumbu, gastrointestinal endoscopy haigoneke.

10. Ko endoscopy yemudumbu isingarwadzi ingaitwa pamwechete here?

Hongu, zvinofanirwa kucherechedzwa kuti musati maongororwa, ndapota zivisai chiremba proactively uye pedzisai electrocardiogram bvunzo yeanesthesia evaluation.Panguva imwe chete, nhengo yemhuri inofanira kukuperekedza.Kana gastroscopy ikaitwa pasi peanesthesia uye ipapo colonoscopy inoitwa, uye kana ikaitwa pamwe chete nekurwadziwa kwepamuviri endoscopy, Inongodhura kuwana anesthesia kamwe chete, saka inodhurawo zvishoma.

11. Ndine mwoyo wakaipa.Ndinogona kuita gastroenteroscopy?

Izvi zvinoenderana nemamiriro ezvinhu.Endoscopy haisati yakurudzirwa mune zvinotevera zviitiko:

1.Severe cardiopulmonary disorders, yakadai seyakanyanya arrhythmias, myocardial infarction nguva yekushanda, kuora mwoyo kwakanyanya uye asthma, vanhu vane kushaya simba kwekufema vasingagoni kurara pasi, vasingakwanisi kushivirira endoscopy.

2.Varwere vane kufungidzirwa kuvhunduka uye kusagadzikana zviratidzo zvinokosha.

3.Vanhu vane chirwere chepfungwa kana hurema hwakanyanya hwepfungwa vasingagoni kuwirirana ne endoscopy (kurwadziwa-pasina gastroscopy kana zvichidiwa).

4.Acute uye yakaoma huro chirwere, apo endoscope haigoni kuiswa.

5.Varwere vane acute corrosive kuzvimba kwegurokuro uye mudumbu.

6.Varwere vane pachena thoracoabdominal aortic aneurysm uye sitiroko (ine kubuda ropa uye acute infarction).

7.Abnormal blood coagulation.

12. Chii chinonzi biopsy?Ichakonzera kukanganisa mudumbu here?

Biopsy inoshandiswabiopsy forcepskubvisa chidimbu chiduku chemuviri kubva mudumbu remukati uye kuitumira kune pathology kuti ione maitiro ezvipembenene zvegastric.

Munguva yebiopsy maitiro, vanhu vazhinji havanzwi chero chinhu.Pano neapo, vanonzwa sekuti mudumbu mavo muri kudzvinywa, asi panenge pasisina kurwadza.Iyo biopsy tissue ingori saizi yetsanga yemupunga uye inokonzeresa kukuvadzwa kushoma kune gastric mucosa.Uyezve, mushure mekutora mhuka, chiremba achamisa kubuda ropa pasi pegastroscopy.Chero bedzi iwe uchitevera mirairo yechiremba mushure mekuongorora, mukana wekuwedzera kubuda ropa kwakaderera zvikuru.

13. Ko kudiwa kwebiopsy kunomiririra gomarara here?

Kwete saizvozvo!Kutora biopsy hazvireve kuti hurwere hwako hwakakomba, asi kuti chiremba anobvisa mamwe maronda ekuongororwa kwechirwere panguva yegastroenteroscopy.Semuenzaniso: polyps, erosions, ulcers, bulges, nodules, uye atrophic gastritis inoshandiswa kuona chimiro, kudzika, uye chiyero chechirwere kutungamirira kurapwa nekuongorora.Hongu, vanachiremba vanotorawo biopsies yezvironda zvinofungidzirwa kuti zvine kenza.Naizvozvo, biopsy ndeyekubatsira gastroenteroscopy kuongororwa, kwete ese maronda anotorwa kubva kubiopsy maronda akaipa.Usanetseka zvakanyanya uye ingo mirira nemoyo murefu mhedzisiro ye pathology.

Isu tinoziva kuti vanhu vazhinji kuramba kwegastrointestinal endoscopy kunoenderana nenjere, asi ndinovimba kuti unogona kuterera kune endoscopy yedumbu.Ndinotenda kuti mushure mekuverenga iyi Q&A, iwe uchave nekunzwisisa kwakajeka.

Isu, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., inogadzira muChina inyanzvi mune endoscopic consumables, senge. biopsy forceps, hemoclip, polyp musungo, sclerotherapy tsono, pfapfaidza catheter, cytology brushes,guidewire, dombo rekudzosa tswanda, nasal biliary drainage catheteretc. ayo anoshandiswa zvakanyanya muEMRESD,ERCP.Zvigadzirwa zvedu ndezveEC Certified, uye zvidyarwa zvedu ISO certified.Zvinhu zvedu zvakatumirwa kuEurope, North America, Middle East uye chikamu cheAsia, uye zvakanyanya kuwana mutengi wekuzivikanwa nekurumbidzwa!