1. N’chifukwa chiyani ndikofunikira kuchita gastroenteroscopy?
Pamene moyo ndi zizolowezi zodyera zikusintha, kuchuluka kwa matenda am'mimba nako kwasintha. Chiwerengero cha khansa ya m'mimba, m'mero ndi m'matumbo ku China chikuwonjezeka chaka ndi chaka.
Matenda a m'mimba, khansa ya m'mimba ndi m'matumbo oyambilira alibe zizindikiro zenizeni, ndipo ena alibe zizindikiro pamlingo wapamwamba. Odwala ambiri omwe ali ndi matenda otupa m'mimba amakhala kale pamlingo wapamwamba akapezeka ndi matendawa, ndipo zizindikiro za matendawa zimakhala zosiyana kwambiri.
Gastroenteroscopy ndiye muyezo wabwino kwambiri wodziwira matenda am'mimba, makamaka zotupa zoyambirira. Komabe, chifukwa chakuti anthu samvetsa bwino za endoscopy ya m'mimba, kapena kumvetsera mphekesera, safuna kapena amaopa kuchitidwa endoscopy ya m'mimba. Chifukwa cha zimenezi, anthu ambiri ataya mwayi wopeza msanga ndi kulandira chithandizo msanga. Chifukwa chake, kuwunika kwa endoscopy ya m'mimba "kopanda zizindikiro" ndikofunikira.
2. Kodi ndi liti pamene gastroenteroscopy imafunika?
Tikupangira kuti anthu onse azaka zopitilira 40 azimaliza kuchita endoscopy ya m'mimba nthawi zonse. M'tsogolomu, endoscopy ya m'mimba ikhoza kuwunikidwanso pakatha zaka 3-5 kutengera zotsatira za kafukufuku. Kwa iwo omwe nthawi zambiri amakhala ndi zizindikiro zosiyanasiyana za m'mimba, ndi bwino kuchita endoscopy ya m'mimba nthawi iliyonse. Ngati pali mbiri ya banja la khansa ya m'mimba kapena khansa ya m'mimba, ndi bwino kuyamba kutsatira gastroenteroscopy pasadakhale mpaka atakwanitsa zaka 30.
3. N’chifukwa chiyani ali ndi zaka 40?
95% ya khansa ya m'mimba ndi khansa ya m'matumbo imachokera ku ma polyps a m'mimba ndi ma polyps a m'matumbo, ndipo zimatenga zaka 5-15 kuti ma polyps asinthe kukhala khansa ya m'matumbo. Ndiye tiyeni tiwone kusintha kwa nthawi yomwe matenda oopsa amayamba m'dziko langa:
Kuchokera pa tchati tikutha kuona kuti kuchuluka kwa matenda oopsa m'dziko lathu ndi kochepa kwambiri pazaka zapakati pa 0-34, kumawonjezeka kwambiri kuyambira zaka zapakati pa 35 ndi 40, ndipo kusintha kwakukulu kumachitika munthu akafika zaka 55, ndipo kumafika pachimake pafupifupi zaka 80.
Malinga ndi lamulo la kukula kwa matenda, zaka 55 - zaka 15 (kayendedwe ka kusintha kwa khansa ya m'matumbo) = zaka 40. Akakwanitsa zaka 40, mayeso ambiri amangopeza ma polyps, omwe amachotsedwa ndikuwunikidwanso nthawi zonse ndipo sadzapita patsogolo kukhala khansa ya m'matumbo. Kuti tibwerere m'mbuyo, ngakhale ikasanduka khansa, mwina ndi khansa yoyambirira ndipo imatha kuchiritsidwa kwathunthu pogwiritsa ntchito colonoscopy.
Ichi ndichifukwa chake talimbikitsidwa kuti tizisamala kwambiri ndi kuyezetsa koyambirira kwa zotupa za m'mimba. Kuyeza m'mimba nthawi yake kungateteze khansa ya m'mimba ndi khansa ya m'matumbo.
4. N’chiyani chabwino pa gastroenteroscopy yabwinobwino komanso yopanda ululu? Nanga bwanji za kuyezetsa mantha?
Ngati muli ndi vuto losalekerera ndipo simungathe kugonjetsa mantha anu amisala ndipo mukuopa endoscopy, sankhani popanda kupweteka; ngati mulibe mavuto otere, mutha kusankha bwino.
Kuyeza m'mimba mwachizolowezi kungayambitse kusasangalala: nseru, kupweteka m'mimba, kudzimbidwa, kusanza, dzanzi la miyendo, ndi zina zotero. Komabe, nthawi zonse, bola ngati sakuchita mantha kwambiri ndipo akugwirizana bwino ndi dokotala, anthu ambiri amatha kupirira. Mutha kudziyesa nokha. Kwa iwo omwe amagwirizana bwino, kuyesa m'mimba mwachizolowezi kungathandize kupeza zotsatira zabwino komanso zokhutiritsa; komabe, ngati kupsinjika kwambiri kumabweretsa mgwirizano wosagwira ntchito, zotsatira za mayeso zingakhudzidwe pang'ono.
Kuyeza kwa m'mimba kopanda ululu: Ngati mukuopa kwambiri, mungasankhe njira yoyezera m'mimba yopanda ululu. Zachidziwikire, mfundo ndi yakuti iyenera kuyesedwa ndi dokotala ndikukwaniritsa zofunikira za mankhwala oletsa ululu. Si aliyense amene ali woyenera kugwiritsa ntchito mankhwala oletsa ululu. Ngati sichoncho, ndiye kuti tingathe kupirira ndikuchita zinthu wamba. Kupatula apo, chitetezo chimabwera poyamba! Kuyeza kwa m'mimba kopanda ululu kudzakhala kosavuta komanso kofotokozera, ndipo kuvutika kwa opaleshoni ya dokotala kudzachepa kwambiri.
5. Kodi ubwino ndi kuipa kwa endoscopy ya m'mimba yopanda ululu ndi ziti?
Ubwino:
1. Palibe vuto lililonse: mukugona nthawi yonseyi, osadziwa chilichonse, mukungolota maloto okoma.
2. Kuwonongeka kochepa: chifukwa simudzamva nseru kapena kusasangalala, mwayi wowonongeka chifukwa cha galasi nawonso ndi wochepa kwambiri.
3. Yang'anirani mosamala: Mukagona, dokotala sadzadandaulanso za kusasangalala kwanu ndipo adzakuyang'anirani modekha komanso mosamala.
4. Chepetsani chiopsezo: chifukwa gastroscopy wamba imayambitsa kuyabwa, kuthamanga kwa magazi, ndipo kugunda kwa mtima kudzakwera mwadzidzidzi, koma sikupweteka palibe chifukwa chodera nkhawa ndi vutoli.
Zofooka:
1. Zovuta pang'ono: poyerekeza ndi endoscopy yachizolowezi ya m'mimba, pali zofunikira zina zapadera zokonzekera: kuyezetsa kwa electrocardiogram, singano yolowa m'thupi imafunika musanayeze, achibale ayenera kutsagana nanu, ndipo simungathe kuyendetsa galimoto mkati mwa tsiku limodzi mutayezetsa, ndi zina zotero.
2. Ndi zoopsa pang'ono: chifukwa chake, ndi mankhwala oletsa ululu, chiopsezo chake ndi chachikulu kuposa chachizolowezi. Mutha kuvutika ndi kuthamanga kwa magazi, kupuma movutikira, kupuma mwangozi, ndi zina zotero;
3. Chizungulire mukachita izi: ngakhale simukumva chilichonse mukachita izi, mudzamva chizungulire mukachita izi, monga momwe mumachitira ndi kuledzera, koma ndithudi sizitenga nthawi yayitali;
4. Mtengo wake ndi wokwera pang'ono: poyerekeza ndi njira yodziwira matenda am'mimba, mtengo wake ndi wotsika pang'ono.
5. Si aliyense amene angathe kuchita izi: kuyezetsa popanda kupweteka kumafuna kuyezetsa kwa mankhwala oletsa ululu. Anthu ena sangathe kuyezetsa popanda kupweteka, monga omwe ali ndi mbiri ya ziwengo ndi mankhwala oletsa ululu, omwe ali ndi bronchitis yokhala ndi phlegm yambiri, omwe ali ndi zotsalira zambiri m'mimba, komanso omwe ali ndi vuto lalikulu la kukodza komanso kupuma movutikira, komanso omwe ali ndi kunenepa kwambiri ayenera kusamala, anthu omwe ali ndi matenda a mtima ndi mapapo omwe sangathe kulekerera mankhwala oletsa ululu, odwala glaucoma, prostatic hyperplasia komanso omwe akhala ndi mkodzo wosunga, amayi apakati ndi oyamwitsa ayenera kusamala.
6. Kodi mankhwala oletsa ululu a endoscopy ya m'mimba popanda kupweteka adzapangitsa anthu kupusa, kuiwala, komanso kukhudza IQ?
Palibe chifukwa chodera nkhawa konse! Mankhwala oletsa ululu omwe amagwiritsidwa ntchito mu endoscopy yopanda ululu ya m'mimba ndi propofol, madzi oyera ngati mkaka omwe madokotala amatcha "mkaka wokondwa". Amagayidwa mwachangu kwambiri ndipo amawonongeka kwathunthu ndikusinthidwa mkati mwa maola ochepa popanda kuchititsa kuti thupi lizichulukana. . Mlingo womwe umagwiritsidwa ntchito umatsimikiziridwa ndi dokotala wa opaleshoni kutengera kulemera kwa wodwalayo, thanzi lake ndi zina. Mwachidule, wodwalayo amadzuka yekha mkati mwa mphindi 10 popanda zotsatirapo zake. Anthu ochepa adzamva ngati aledzera, koma anthu ochepa okha ndi omwe adzadzuka okha. Adzatha posachedwa.
Chifukwa chake, bola ngati ikuyendetsedwa ndi madokotala aluso m'zipatala zokhazikika, palibe chifukwa chodera nkhawa kwambiri.
5. Kodi pali zoopsa zilizonse ndi mankhwala oletsa ululu?
Mkhalidwe weniweni wafotokozedwa pamwambapa, koma palibe opaleshoni yachipatala yomwe ingatsimikizidwe kuti ndi yopanda chiopsezo 100%, koma osachepera 99.99% ikhoza kuchitidwa bwino.
6. Kodi zizindikiro za chotupa, kujambulidwa kwa magazi, ndi kuyezetsa magazi m'chimbudzi kungalowe m'malo mwa endoscopy ya m'mimba?
Sizingatheke! Kawirikawiri, kuyezetsa m'mimba kumalimbikitsa kuyezetsa magazi m'chimbudzi, mayeso anayi a ntchito ya m'mimba, zizindikiro za chotupa, ndi zina zotero. Chilichonse chili ndi ntchito zake:
7. Kuyezetsa magazi m'chimbudzi: cholinga chachikulu ndikuwona ngati pali magazi obisika m'mimba. Zotupa zoyambirira, makamaka ma microcarcinoma, sizimatuluka magazi pachiyambi. Magazi m'chimbudzi amakhalabe abwino ndipo amafunika chisamaliro chachikulu.
8. Kuyesa ntchito ya m'mimba: cholinga chachikulu ndikuwunika gastrin ndi pepsinogen kuti adziwe ngati kutulutsa kwa magazi kuli bwino. Ndiko kungofufuza ngati anthu ali pachiwopsezo chachikulu cha khansa ya m'mimba. Ngati pali zolakwika, kuwunikanso gastroscopy kuyenera kuchitidwa nthawi yomweyo.
Zizindikiro za chotupa: Zinganenedwe kuti zili ndi phindu linalake, koma siziyenera kugwiritsidwa ntchito ngati njira yokhayo yodziwira zotupa. Chifukwa kutupa kwina kungayambitsenso zizindikiro za chotupa kukwera, ndipo zotupa zina zimakhala zabwinobwino mpaka zitafika pakati komanso kumapeto. Chifukwa chake, simuyenera kuopa ngati zili zambiri, komanso simungazinyalanyaze ngati zili bwino.
9. Kodi kapisozi endoscopy, barium meal, breath test, ndi CT zingalowe m'malo mwa gastrointestinal endoscopy?
N'zosatheka! Kuyeza mpweya kungathe kuzindikira kokha kupezeka kwa matenda a Helicobacter pylori, koma sikungathe kuwona momwe mucous nembanemba ya m'mimba ilili; chakudya cha barium chimangowona "mthunzi" kapena mawonekedwe a m'mimba, ndipo kufunika kwake kozindikira matendawa ndi kochepa.
Kapisozi endoscopy ingagwiritsidwe ntchito ngati njira yowunikira koyamba. Komabe, chifukwa chakuti singathe kukopa, kutsuka, kuzindikira, ndi kuchiza, ngakhale chilonda chitapezeka, endoscopy yachikhalidwe imafunikabe pa njira yachiwiri, yomwe ndi yokwera mtengo kugula.
Kuyezetsa kwa CT kuli ndi phindu linalake lozindikira matenda a zotupa zam'mimba zomwe zakula, koma sikukhudzidwa ndi khansa yoyambirira, zilonda zomwe zisanachitike khansa, komanso matenda osaopsa a m'mimba.
Mwachidule, ngati mukufuna kuzindikira khansa ya m'mimba msanga, njira yofufuzira matenda a m'mimba siingasinthidwe.
10. Kodi njira yofufuzira matenda a m'mimba yopanda ululu ingachitike limodzi?
Inde, ziyenera kudziwika kuti musanayesedwe, chonde dziwitsani dokotalayo mwachangu ndipo malizitsani mayeso a electrocardiogram kuti muyesedwe ndi mankhwala oletsa ululu. Nthawi yomweyo, wachibale wanu ayenera kutsagana nanu. Ngati gastroscopy yachitika pansi pa mankhwala oletsa ululu kenako colonoscopy yachitika, ndipo ngati yachitika limodzi ndi endoscopy yopanda ululu ya m'mimba, zimangofunika mankhwala oletsa ululu kamodzi kokha, kotero zimawononganso mtengo wotsika.
11. Ndili ndi mtima woipa. Kodi ndingathe kuchita gastroenteroscopy?
Izi zimadalira momwe zinthu zilili. Endoscopy sikuvomerezekabe pazochitika zotsatirazi:
1. Matenda aakulu a mtima ndi mapapo, monga kusakhazikika kwa mtima, nthawi yogwira ntchito ya myocardial infarction, kulephera kwa mtima ndi mphumu, anthu omwe ali ndi vuto la kupuma omwe sangathe kugona pansi, omwe sangathe kupirira endoscopy.
2. Odwala omwe akuganiziridwa kuti ali ndi mantha komanso zizindikiro zosakhazikika za moyo wawo.
3. Anthu omwe ali ndi matenda amisala kapena olumala kwambiri omwe sangathe kuvomereza endoscopy (gastoscopy yopanda ululu ngati pakufunika).
4. Matenda a pakhosi oopsa komanso oopsa, komwe endoscope singathe kuyikidwa.
5. Odwala omwe ali ndi kutupa kwamphamvu kwa m'mero ndi m'mimba.
6. Odwala omwe ali ndi vuto la thoracoabdominal aortic aneurysm komanso sitiroko (omwe ali ndi magazi komanso infarction yayikulu).
7. Kugayika kwa magazi kosazolowereka.
12. Kodi biopsy ndi chiyani? Kodi idzawononga mimba?
Biopsy imagwiritsidwa ntchitomphamvu ya biopsykuchotsa kachidutswa kakang'ono ka minofu m'mimba ndikutumiza ku matenda kuti adziwe mtundu wa zilonda zam'mimba.
Pa nthawi ya biopsy, anthu ambiri samva chilichonse. Nthawi zina, amamva ngati m'mimba mwawo mukumenyedwa, koma palibe kupweteka kulikonse. Minofu ya biopsy ndi yaikulu ngati mpunga ndipo siiwononga kwambiri mucosa ya m'mimba. Komanso, mutatha kutenga minofu, dokotalayo amaletsa kutuluka magazi pansi pa gastroscopy. Bola mutsatira malangizo a dokotala mutatha kuyezetsa, mwayi woti magazi ena atulukenso ndi wochepa kwambiri.
13. Kodi kufunika kwa biopsy kumatanthauza khansa?
Ayi ndithu! Kutenga biopsy sikutanthauza kuti matenda anu ndi aakulu, koma dokotala amatenga minofu ina ya zilonda kuti akafufuze matenda panthawi ya gastroenteroscopy. Mwachitsanzo: ma polyps, kukokoloka, zilonda, ziphuphu, timibulu, ndi atrophic gastritis zimagwiritsidwa ntchito kudziwa mtundu, kuzama, ndi kukula kwa matendawa kuti zitsogolere chithandizo ndikuwunikanso. Zachidziwikire, madokotala amatenganso biopsy ya zilonda zomwe zikuganiziridwa kuti ndi khansa. Chifukwa chake, biopsy imangothandiza kuzindikira gastroenteroscopy, si zilonda zonse zomwe zatengedwa kuchokera ku biopsy zomwe ndi zilonda zoopsa. Musadandaule kwambiri ndipo ingoyembekezerani moleza mtima zotsatira za matenda.
Tikudziwa kuti kukana kwa anthu ambiri ku endoscopy ya m'mimba kumadalira chibadwa chawo, koma ndikukhulupirira kuti mutha kulabadira endoscopy ya m'mimba. Ndikukhulupirira kuti mukawerenga mafunso ndi mayankho awa, mudzakhala ndi kumvetsetsa bwino.
Ife, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ndi opanga ku China omwe amagwira ntchito kwambiri pazinthu zogwiritsidwa ntchito m'ma endoscopic, monga mphamvu ya biopsy, hemoclip, msampha wa polyp, singano ya sclerotherapy, katheta wopopera, maburashi a cytology,waya wotsogolera, dengu lotengera miyala, katheta yotulutsira madzi m'mphunondi zina zotero zomwe zimagwiritsidwa ntchito kwambiri muEMR, ESD,ERCPZogulitsa zathu zili ndi satifiketi ya CE, ndipo mafakitale athu ali ndi satifiketi ya ISO. Katundu wathu watumizidwa ku Europe, North America, Middle East ndi mbali ina ya Asia, ndipo makasitomala ambiri amalandira ulemu ndi kutamandidwa!
Nthawi yotumizira: Epulo-02-2024