1. Sei zvichikosha kuita gastroenteroscopy?
Sezvo kufamba kwehupenyu netsika dzekudya zvichichinja, kuwanda kwezvirwere zvemudumbu kwachinjawo. Kuwanda kwekenza yemudumbu, yegurokuro neyakura muChina kuri kuwedzera gore negore.
Mapolyps emudumbu, kenza yemudumbu neyomudumbu hazvina zviratidzo chaizvo, uye zvimwe hazvina zviratidzo zviri padanho repamusoro. Varwere vazhinji vane maronda emudumbu vanenge vatove padanho repamusoro pavanoonekwa, uye fungidziro yemaronda ari padanho rekutanga nerepamusoro yakasiyana zvachose.
Gastroenteroscopy ndiyo nzira yakanakisisa yekuona zvirwere zvemudumbu, kunyanya bundu riri padanho rekutanga. Zvisinei, nekuda kwekusanzwisisa kwevanhu nezve endoscopy yemudumbu, kana kuteerera makuhwa, havadi kana kutya kuendoscopy yemudumbu. Nekuda kweizvozvo, vanhu vazhinji vakarasikirwa nemukana wekuonekwa nekukurumidza uye kurapwa nekukurumidza. Saka, kuongororwa kwe endoscopy yemudumbu "isina zviratidzo" kunodiwa.
2. Gastroenteroscopy inodiwa rini?
Tinokurudzira kuti vanhu vose vane makore anopfuura makumi mana vagare vachiongorora gastrointestinal endoscopy. Mune ramangwana, gastrointestinal endoscopy inogona kuongororwa mumakore matatu kusvika mashanu zvichibva pane zvakabuda muongororo. Kune avo vanowanzova nezviratidzo zvakasiyana-siyana zvegastrointestinal, zvinokurudzirwa kuti vaite gastrointestinal endoscopy chero nguva. Kana paine nhoroondo yemhuri yekenza yemudumbu kana kenza yemudumbu, zvinokurudzirwa kuti utange kutevera gastroenteroscopy pachine nguva kusvika wava nemakore makumi matatu.
3. Sei makore makumi mana ekuberekwa?
95% yegomarara remudumbu nekenza yemudumbu inoshanduka kubva kumapolyps emudumbu nepolyps emudumbu, uye zvinotora makore mashanu kusvika gumi nemashanu kuti mapolyps ashanduke kuita gomarara remudumbu. Ngatitarisei kuchinja kuri kuita bundu remudumbu munyika yangu:
Kubva pachati tinogona kuona kuti kuwanda kwezvirwere zvegomarara munyika medu kwakaderera pazera remakore 0-34, kunowedzera zvakanyanya kubva pazera remakore 35 kusvika 40, ndiko kuchinja kukuru pazera remakore 55, uye kunosvika padanho repamusoro pazera remakore makumi masere.
Zvinoenderana nemutemo wekukura kwezvirwere, makore makumi mashanu nemashanu - gumi nemashanu (kutenderera kwekushanduka kwekenza yemudumbu) = makore makumi mana. Pazera remakore makumi mana, kuongororwa kwakawanda kunongoona mapolyps chete, ayo anobviswa uye anoongororwa nguva nenguva uye haazopfuuriri kuita kenza yemudumbu. Kuti tidzokere shure, kunyangwe ikashanduka kuita kenza, zvingangoita kuti ikenza yekutanga uye inogona kurapwa zvachose ne colonoscopy.
Ndosaka takakurudzirwa kuti tinyatsoongorora bundu remudumbu nekukurumidza. Kuongororwa kwemudumbu nenguva kunogona kudzivirira kenza yemudumbu nekenza yemudumbu zvinobudirira.
4. Chii chiri nani pakurapa gastroenteroscopy isingarwadzi? Ko kuongororwa kwekutya?
Kana usina kutsungirira zvakanaka uye usingakwanise kukunda kutya kwako kwepfungwa uye uchitya endoscopy, saka sarudza isina marwadzo; kana usina matambudziko akadaro, unogona kusarudza yakajairika.
Kuongororwa kwemudumbu kunowanzo kukonzera kusagadzikana: kuda kurutsa, kurwadziwa mudumbu, kuzvimba, kurutsa, kusanzwa simba kwemakumbo, nezvimwewo. Zvisinei, mumamiriro ezvinhu akajairwa, chero bedzi vasina kutya zvakanyanya uye vachishandira pamwe zvakanaka nachiremba, vanhu vazhinji vanogona kuzvitsungirira. Unogona kuzviongorora. Kune avo vanobatsirana zvakanaka, kuongororwa kwemudumbu kunowanzo kwanisa kuwana mhedzisiro yekuongorora inogutsa uye yakanaka; zvisinei, kana kushushikana kwakanyanya kuchikonzera kusashanda pamwe chete zvakanaka, mhedzisiro yekuongorora inogona kukanganiswa kusvika pamwero wakati.
Gastroenteroscopy isina marwadzo: Kana uchitya zvechokwadi, unogona kusarudza endoscopy yemudumbu isina marwadzo. Ehe, pfungwa ndeyekuti inofanira kuongororwa nachiremba uye kusangana nemamiriro ezvinhu eanesthesia. Haasi munhu wese akakodzera anesthesia. Kana zvisina kudaro, tinogona kungotsungirira chete toita zvakajairika. Pamusoro pezvose, kuchengetedzeka kunouya pekutanga! Endoscopy yemudumbu isina marwadzo ichave yakasununguka uye yakadzama, uye kuoma kwekuvhiyiwa kwachiremba kuchaderedzwawo zvakanyanya.
5. Ndezvipi zvakanakira uye zvazvakaipira zve endoscopy yemudumbu isingarwadzi?
Zvakanakira:
1. Hapana kusagadzikana zvachose: uri kurara panguva yese, usingazive chero chinhu, uri kurota hope dzinotapira.
2. Kukuvadzwa kushoma: nekuti hauzonzwi kuda kurutsa kana kusagadzikana, mukana wekukuvadzwa kunokonzerwa negirazi wakadererawo.
3.Cherechedza nokungwarira: Paunenge wakarara, chiremba haazonetseki nezvekusagadzikana kwako uye achakutarisa zvinyoro nyoro uye nokungwarira.
4. Deredza njodzi: nekuti gastroscopy yakajairika inokonzera kutsamwa, BP, uye kurova kwemoyo kuchawedzera kamwe kamwe, asi hazvirwadzi hapana chikonzero chekunetseka nezvedambudziko iri zvakare.
Kukanganisa:
1. Zvinonetsa zvishoma: zvichienzaniswa ne endoscopy yemudumbu, kune zvimwe zvinodiwa zvekugadzirira: kuongororwa kwe electrocardiogram, tsono yejekiseni inogara mumuviri inodiwa usati waongororwa, nhengo dzemhuri dzinofanira kuperekedzwa, uye haugone kutyaira mukati mezuva rimwe chete mushure mekuongororwa, nezvimwewo.
2. Zvine njodzi zvishoma: pamusoro pezvose, inyaya yekunzwa kusuruvara, njodzi yacho yakakura kupfuura yakajairwa. Unogona kusangana nekuderera kweBP, kunetseka kufema, kufema netsaona, nezvimwewo;
3.Dzungu mushure mekuzviita: kunyangwe usinganzwe chero chinhu paunenge uchizviita, uchanzwa dzungu mushure mekuzviita, sekunge wakadhakwa, asi hongu hazvizogari kwenguva refu;
4. Inodhura zvishoma: kana tichienzanisa ne endoscopy yemudumbu, mutengo weiyo isingarwadzi wakakwira zvishoma.
5. Havasi vese vanogona kuzviita: kuongororwa pasina kurwadziwa kunoda kuongororwa kweanesthesia. Vamwe vanhu havagone kuongororwa pasina kurwadziwa, seavo vane nhoroondo yeallergies kune anesthesia uye mishonga yekunyaradza, avo vane bronchitis vane phlegm yakawandisa, avo vane masara akawanda mudumbu, uye avo vane zvakakomba Vanhu vane ngonono uye sleep apnea, pamwe chete nevane huremu hwakanyanya vanofanira kungwarira, vanhu vane zvirwere zvemwoyo nemapapu vasingakwanise kushivirira anesthesia, varwere vane glaucoma, prostatic hyperplasia uye nhoroondo yekuchengetedza weti, vakadzi vane pamuviri nevanoyamwisa vanofanira kungwarira.
6. Ko mushonga wekubvisa marwadzo mudumbu unoshanda pasina kurwadziwa uchaita kuti vanhu vasanyanya kurangarira, vasanyanya kurangarira, uye vakanganisa IQ here?
Hapana chikonzero chekunetseka zvachose! Anesthetic inoshandiswa muropa inoshandiswa mu endoscopy yemudumbu isingarwadzi ipropofol, mvura chena yakaita semukaka iyo vanachiremba vanoti "mukaka unofadza". Inokurumidza kushandiswa uye inoora zvachose uye inogadziriswa mukati memaawa mashoma pasina kukonzera kuungana. . Chiyero chinoshandiswa chinosarudzwa nenyanzvi yeanesthesia zvichienderana nehuremu hwemurwere, kugwinya kwemuviri nezvimwe zvinhu. Chaizvoizvo, murwere achamuka otomatiki mumaminitsi angangoita gumi pasina zvimwe zvinotevera. Vanhu vashoma vachanzwa sekunge vakadhakwa, asi vanhu vashoma vachamuka otomatiki. Ichanyangarika munguva pfupi.
Saka, chero bedzi ichishandiswa navanachiremba vane hunyanzvi muzvipatara zvemazuva ese, hapana chikonzero chekunetseka zvakanyanya.
5. Pane njodzi here nekushandisa mushonga weanesthesia?
Mamiriro ezvinhu chaiwo akatsanangurwa pamusoro apa, asi hapana kuvhiyiwa kwekiriniki kunogona kuvimbiswa kuti hakuna njodzi zvachose, asi kanenge 99.99% inogona kuitwa zvinobudirira.
6. Ko zviratidzo zvegomarara, kutorwa kweropa, uye kuongororwa kweropa retsvina zvinogona kutsiva endoscopy yemudumbu here?
Hazvigoneke! Kazhinji, kuongororwa kwemudumbu kunokurudzira kuongororwa kweropa retsvina, bvunzo ina dzekushanda kwemudumbu, zviratidzo zvebundu, nezvimwewo. Imwe neimwe ine mashandisirwo ayo:
7. Kuongororwa kweropa retsvina: chinangwa chikuru ndechekuongorora kubuda ropa kwakavanzika mudumbu. Matumbu ekutanga, kunyanya ma microcarcinomas, haabude ropa pakutanga. Ropa retsvina rinoramba riri rakanaka uye rinoda kutarisirwa kukuru.
8. Kuongororwa kwebasa remudumbu: chinangwa chikuru ndechekuongorora gastrin nepepsinogen kuti vaone kana kubuda kweropa kwakajairika. Kunongoda chete kuongorora kana vanhu vari panjodzi huru yekubatwa nekenza yemudumbu. Kana zvikaonekwa zvisina kunaka, gastroscopy inofanira kuongororwa nekukasika.
Zviratidzo zvegomarara: Zvinongotaurwa chete kuti zvine kukosha kwakati, asi hazvifanirwe kushandiswa senzvimbo yega yekuongorora magomarara. Nekuti mamwe magomarara anogona kukonzerawo zviratidzo zvegomarara kukwira, uye mamwe magomarara achiri akajairwa kusvika ava pakati nepakati uye pakupera. Saka, haufanirwe kutya kana akakwira, uye haufanirwe kuaregeredza kana akajairika.
9. Ko capsule endoscopy, barium meal, breath test, uye CT zvinogona kutsiva gastrointestinal endoscopy here?
Hazvigoneki! Kuongororwa kwekufema kunogona kungoona chete kuvapo kwehutachiona hweHelicobacter pylori, asi hakugone kutarisa mamiriro emudumbu; barium meal inogona kungoona "mumvuri" kana chimiro chedumbu, uye kukosha kwayo kwekuongororwa kwakaganhurirwa.
Capsule endoscopy inogona kushandiswa senzira yekutanga kuongorora. Zvisinei, nekuda kwekusakwanisa kwayo kukwezva, kusuka, kuona, uye kurapa, kunyangwe kana ronda rikaonekwa, endoscopy yechinyakare ichiri kudiwa pakuita kwechipiri, izvo zvinodhura kutenga.
Kuongororwa kweCT kunobatsira pakuongorora bundu remudumbu rakakwira, asi hakunzwisisi kenza yekutanga, maronda asati aita kenza, uye zvirwere zvisina njodzi zvemudumbu.
Muchidimbu, kana uchida kuona kenza yemudumbu nekukurumidza, endoscopy yemudumbu haitsiviwi.
10. Ko endoscopy yemudumbu isingarwadzi inogona kuitwa pamwe chete here?
Ehe, zvinofanira kucherechedzwa kuti usati waongororwa, ndapota zivisa chiremba nekukurumidza uye pedzisa kuongororwa kwe electrocardiogram kuti uongororwe anesthesia. Panguva imwe chete, nhengo yemhuri inofanira kuperekedza iwe. Kana gastroscopy ikaitwa pasi peanesthesia uye colonoscopy ikaitwa, uye kana ikaitwa pamwe chete ne endoscopy yemudumbu isingarwadzi, Zvinodhura chete kuwana anesthesia kamwe chete, saka zvinodhurawo zvishoma.
11. Ndine moyo wakaipa. Ndingakwanisa here kuita gastroenteroscopy?
Izvi zvinoenderana nemamiriro ezvinhu. Endoscopy haisati yakurudzirwa mune zvinotevera:
1. Matambudziko makuru emwoyo nemapapu, akadai sekushaya simba kwakanyanya kwemoyo, nguva yekushanda kwemoyo, kutadza kwemoyo kwakanyanya uye asthma, vanhu vane kutadza kufema vasingagone kurara pasi, vasingakwanisi kushivirira endoscopy.
2.Varwere vane zviratidzo zvekurohwa nehana uye zviratidzo zvehupenyu zvisingachinji.
3. Vanhu vane chirwere chepfungwa kana kuremara kwakanyanya kwepfungwa vasingakwanise kushanda pamwe chete ne endoscopy (gastoscopy isina marwadzo kana zvichidikanwa).
4. Chirwere chehuro chakanyanya uye chakanyanya, uko endoscope isingakwanise kuiswa.
5. Varwere vane kuzvimba kwakanyanya kwegurokuro nemudumbu.
6. Varwere vane aneurysm yeaorta yepachipfuva inoonekwa pachena uye sitiroko (vane ropa rinobuda uye infarction inorwadza).
7. Kuvhara ropa zvisina kujairika.
12. Chii chinonzi biopsy? Zvichakanganisa dumbu here?
Biopsy inoshandiswasimba re biopsykubvisa chidimbu chidiki chenyama kubva mudumbu uye kuchitumira kuzvirwere kuti chione rudzi rwemaronda emudumbu.
Panguva yekuongorora, vanhu vazhinji havanzwi chero chinhu. Dzimwe nguva, vanonzwa sekunge dumbu ravo riri kudzvanywa, asi hapana kurwadziwa kunenge kuripo. Chidimbu chebiopsy chakaenzana netsanga yemupunga uye hachina kukuvara zvakanyanya kudumbu. Uyezve, mushure mekutora chidimbu, chiremba anomisa kubuda kweropa pasi pegastroscopy. Chero bedzi uchitevera mirairo yachiremba mushure mekuongororwa, mukana wekuti ropa rirambe richibuda wakaderera zvikuru.
13. Kudiwa kwe biopsy kunomiririra kenza here?
Kwete chaizvo! Kuongororwa kweropa hakurevi kuti chirwere chako chakakomba, asi kuti chiremba anotora mamwe maronda kuti aongororwe panguva yekuongorora chirwere panguva yekurapwa kweropa. Semuenzaniso: polyps, erosions, maronda, bundu, maronda, uye atrophic gastritis zvinoshandiswa kuona rudzi, kudzika, uye huwandu hwechirwere ichi kutungamira kurapwa nekuongorora. Ehe, vanachiremba vanotorawo biopsies yemaronda anofungidzirwa kuti ane kenza. Saka, biopsy inongobatsira kuongororwa kweropa, kwete maronda ese anotorwa kubva ku biopsy ari maronda ane kenza. Usanyanya kunetseka uye ingomirira nemoyo murefu kuti uwane mhedzisiro yechirwere.
Tinoziva kuti kuramba kwevanhu vazhinji kuendoscopy yemudumbu kunobva papfungwa dzavo, asi ndinovimba kuti munogona kunyatsoteerera endoscopy yemudumbu. Ndinotenda kuti mushure mekuverenga mibvunzo nemhinduro iyi, muchanzwisisa zviri nani.
Isu, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., tinogadzira zvinhu muChina zvine chekuita ne endoscopic consumables, zvakaita se simba re biopsy, hemoclip, musungo wepolyp, tsono yekurapa sclerotherapy, katheta yekupfapfaidza, mabhurashi e cytology,waya yekufambisa, tswanda yekutorwa kwematombo, katheta yekubuditsa mvura yemumhinonezvimwewo zvinoshandiswa zvakanyanya muEMR, ESD,ERCPZvigadzirwa zvedu zvakanyoreswa neCE, uye mafekitori edu akanyoreswa neISO. Zvinhu zvedu zvakatumirwa kuEurope, North America, Middle East nedzimwe nzvimbo dzeAsia, uye zviri kuita kuti mutengi azivikanwe uye arumbidzwe zvikuru!
Nguva yekutumira: Kubvumbi-02-2024
