EGD indlela ulwazi kakhulu lokufunyaniswa isisu

EGD okanye fibrogastroduodenoscopy - indlela iimviwo isisixhobo ye esiswini kunye duodenum, lwenziwa ngoncedo ngesixhobo gastroscope optical. Le ndlela yenye isitshixo osetyenziswayo ngoxilongo ngezifo esiswini.

Ubungqina obubonakalayo buxela ukuba EGD isisu:

- imfuneko ukucokisa uxilongo kwezifo zamabanga esiswini (gastritis, isifo isilonda Peptic, nangezilonda);

- ukumisela utshintsho umlinganiswa esiswini ngenxa yotshintsho amalungu ezikufutshane (emathunjini, injeke, isibindi nenyongo isinyi);

- ukufumanisa namaqumrhu angaphandle.

EGD esiswini iboniswe ngenxa ukuqunjelwa esiswini, ingakumbi ukuba kubonakala kwizigulane abaneminyaka engaphezu engama-40, ukugabha wegazi, urhudo elide, ayoni anemia.

Izimo zesifundo:

- isifo esophageal (loloyiko kunye licuthe le ithumba, diverticulitis) ezingqongileyo amalungu (retrosternal kwemithambo goiter aortic, ugobile ebonakalayo yomqolo);

- insufficiency kakhulu ezesifuba pulmonary;

- inimba imithambo ze emphinjeni.

Ukulungiselela le EGD nesisu

Ukuqhuba EGD esiswini ayifuni uqeqesho olulodwa. Olucwangcisiweyo gastroscopy uphando olwenziwa kusasa. Isigulana kufuneka eze kwi gastroscopy ungatyanga okanye hayi kwiiyure ngaphambi kwe ezine emva kokungenisa, yaye kuyakrokreleka stenosis pyloric - ngaphambi ngaphezu kweeyure ezisibhozo. Emva kokuba uphononongo X-reyi usebenzisa endoscopy, barium enokwenziwa hayi ngaphambi kosuku olunye. gastroscopy Emergency ngeenjongo zokuxilonga nezinyangayo kwi ukopha esiswini yenziwa ukulungiselelwa lokuqala isigulane nangaliphi na ixesha. Kwezinye iimeko, umntu EGD phantsi zomzimba. Oku kufuneka ikakhulu isifundo kwi ezibonisa likaxakeka.

Pre-isigulane wachaza ukuba ngexesha inkqubo, sithethe ze ndiginye amathe. Makubekwe isiqingatha seyure phambi kokuba kwesikhumba uvavanyo isigulane zenyuse atropine sulfate. A imizuzu embalwa phambi kokuba uvavanyo kuthathwa amazinyo kunye isifo pharyngeal unkcenkceshele dikaina isisombululo Ukubulawa zasekuhlaleni. Nomonde obekwe kwi transliterated jikelele kwetafile yokusebenza kwisikhundla kwicala lasekhohlo. Isiqu kufuneka ayinakolulwa, amagxa umva, izihlunu bekhululekile. Emlonyeni kunye ingundaba ufakwa olumayelana wawuqalekisa alawulwa.

Ubude 10-15 imizuzu gastroscopy. Ebudeni besifundo, umguli ntlungu angacingi. Em- esiswini ngexesha isifundo lazisa imali encinane womoya ngenxa woko isondo inwebu yangaphakathi. Oku kunokubangela yakhawuleza encinci nenzaliseko esiswini. Phambi yamathumba ngexesha biopsy gastroscopy athathiweyo iimviwo histological yezihlunu kunye ithumba uphawu diagnostic.

Emva kokuba isigulane EGD makangayidli, usele okanye umsi ngexesha leeyure 1-2.5 de recovery ngokupheleleyo ligwinya. Ukuba ngexesha lophando ziqhuba biopsy - ukutya imini lisetyenziswa ibande kuphela.

Phambi EGD isisu kuyimfuneko ukuqhuba uviwo X-ray lomguli ngaphandle Izimo: exineneyo esophageal, diverticulosis, yegazi varicose.

Uphononongo lisenokuba iingxaki:

- perforation le kuvuleke iminxunya isisu;

- ukopha emva kokuba biopsy;

- ukunyhashwa intliziyo isixokelelwano sokuphefumla.

Wenza gastroscopy yonke imithetho, kubonakala kunye Izimo kunye nokulungiselela esichanekileyo isigulane ivumela olu phando kukhuselekile ngokupheleleyo kwaye iyaluthintela uphuhliso iingxaki.