1. Chifukwa chiyani ndikofunikira kuchita gastroenteroscopy?
Pamene mayendedwe a moyo ndi zizolowezi zodyera zikusintha, zochitika za matenda a m'mimba zasinthanso.Chiwopsezo cha khansa ya m'mimba, esophageal ndi colorectal ku China chikuwonjezeka chaka ndi chaka.
Matenda a m'mimba, khansa yoyambirira ya m'mimba ndi m'mimba kwenikweni alibe zizindikiro zenizeni, ndipo ena sakhala ndi zizindikiro pamene akupita patsogolo.Odwala ambiri omwe ali ndi zotupa zowopsa za m'mimba ali kale pamlingo wotsogola akapezeka, ndipo kuzindikirika kwa zotupa zam'mimba komanso zam'tsogolo ndizosiyana kwambiri.
Gastroenteroscopy ndiye muyeso wagolide wozindikira matenda am'mimba, makamaka zotupa zoyambira koyambirira.Komabe, chifukwa cha kusowa kwa anthu kumvetsetsa za endoscopy ya m'mimba, kapena kumvetsera mphekesera, sakufuna kapena amawopa kuti apite ndi endoscopy ya m'mimba.Zotsatira zake, anthu ambiri ataya mwayi wozindikira msanga komanso kulandira chithandizo msanga.Choncho, "asymptomatic" m'mimba endoscopy kuyendera n'kofunika.
2. Kodi gastroenteroscopy ndiyofunika liti?
Tikukulimbikitsani kuti anthu ambiri opitilira zaka 40 azitha kumaliza m'mimba endoscopy.M'tsogolomu, endoscopy ya m'mimba imatha kuwunikiridwanso zaka 3-5 potengera zotsatira za mayeso.Kwa iwo omwe nthawi zambiri amakhala ndi zizindikiro zosiyanasiyana za m'mimba, tikulimbikitsidwa kukhala ndi endoscopy ya m'mimba nthawi iliyonse.Ngati pali mbiri ya banja la khansa ya m'mimba kapena khansa ya m'mimba, ndi bwino kuti muyambe kufufuza gastroenteroscopy pasadakhale zaka 30.
3. N’chifukwa chiyani ali ndi zaka 40?
95% ya khansa ya m'mimba ndi khansa yapakhungu imachokera ku ma polyps am'mimba ndi ma polyps am'mimba, ndipo zimatenga zaka 5-15 kuti ma polyps asinthe kukhala khansa ya m'matumbo.Ndiye tiyeni tiwone zomwe zidasintha muzaka zakubadwa kwa zotupa zoyipa m'dziko langa:
Kuchokera pa tchati titha kuwona kuti kuchuluka kwa zotupa zowopsa m'dziko lathu ndizochepa kwambiri pazaka za 0-34, kumawonjezeka kwambiri kuyambira zaka 35 mpaka 40, ndikusintha kwazaka 55, ndikufikira pachimake. pafupifupi zaka 80.
Malinga ndi lamulo la chitukuko cha matenda, zaka 55 - zaka 15 (colon cancer evolution cycle) = zaka 40.Pazaka 40, mayeso ambiri amangowona ma polyps, omwe amachotsedwa ndikuwunikiridwa pafupipafupi ndipo sangapite patsogolo ku khansa ya m'mimba.Kubwerera mmbuyo, ngakhale itasanduka khansa, ndizotheka kukhala khansa yoyambirira ndipo imatha kuchiritsidwa kwathunthu pansi pa colonoscopy.
Ichi ndichifukwa chake talangizidwa kuti tisamalire kuwunika koyambirira kwa zotupa zam'mimba.Endoscopy ya m'mimba yanthawi yake imatha kuteteza khansa ya m'mimba komanso khansa ya m'mimba.
4.Kodi ndibwino kwa gastroenteroscopy yabwinobwino komanso yopanda ululu?Nanga bwanji za mantha?
Ngati muli ndi kulolerana kosauka ndipo simungathe kugonjetsa mantha anu a m'maganizo ndikuwopa endoscopy, ndiye sankhani zosapweteka;ngati mulibe mavuto amenewa, mukhoza kusankha yachibadwa.
Wamba m`mimba endoscopy kuchititsa ena kusapeza: nseru, kupweteka m`mimba, bloating, kusanza, dzanzi la miyendo, etc. Komabe, muzochitika bwino, malinga ngati alibe mantha kwambiri ndi kugwirizana bwino ndi dokotala, anthu ambiri akhoza kulekerera.Mutha kudzipenda.Kwa iwo omwe amagwirizana bwino, endoscopy ya m'mimba wamba imatha kupeza zotsatira zogwira mtima komanso zoyeserera;komabe, ngati kukangana kwakukulu kumabweretsa kusagwirizana kosakwanira, zotsatira za mayeso zingakhudzidwe kumlingo wakutiwakuti.
Gastroenteroscopy yopanda ululu: Ngati mukuchita mantha, mukhoza kusankha endoscopy ya m'mimba yopanda ululu.Zoonadi, mfundo yake ndi yakuti iyenera kuyesedwa ndi dokotala ndikukwaniritsa zofunikira za anesthesia.Sikuti aliyense ali woyenera kuchitidwa opaleshoni.Ngati sichoncho, ndiye kuti tingapirire ndikuchita wamba.Ndipotu chitetezo chimadza choyamba!Kupweteka kwa m'mimba endoscopy kudzakhala kosavuta komanso tsatanetsatane, ndipo vuto la opaleshoni ya dokotala lidzachepetsedwa kwambiri.
5. Kodi ubwino ndi kuipa kwa endoscopy ya m'mimba yopanda ululu ndi yotani?
Ubwino:
1.Palibe kusapeza konse: mukugona nthawi yonseyi, osadziwa kalikonse, kungokhala ndi maloto okoma.
2.Kuwonongeka kochepa: chifukwa simudzamva nseru kapena kusamasuka, mwayi wowonongeka chifukwa cha galasi ndi wochepa kwambiri.
3.Observe mosamala: Pamene mukugona, dokotala sadzadandaulanso za kusapeza kwanu ndipo adzakuwonani mofatsa komanso mosamala.
4.Kuchepetsa chiopsezo: chifukwa gastroscopy wamba idzayambitsa kukwiya, kuthamanga kwa magazi, ndi kugunda kwa mtima kudzawonjezeka mwadzidzidzi, koma sikupwetekanso chifukwa chodandaula za vutoli.
Zochepa:
1. Zovuta kwambiri: poyerekeza ndi endoscopy ya m'mimba wamba, pali zofunikira zina zapadera zokonzekera: kuyezetsa kwa electrocardiogram, singano yojambulira mkati imafunikira musanayesedwe, achibale ayenera kutsagana nawo, ndipo simungayendetse mkati mwa tsiku limodzi mutatha kuyezetsa, ndi zina zotero. .
2.Ndizowopsa pang'ono: pambuyo pa zonse, ndi anesthesia wamba, chiopsezo ndi chachikulu kuposa wamba.Mutha kukumana ndi kutsika kwa kuthamanga kwa magazi, kupuma movutikira, kupuma mwangozi, ndi zina zambiri;
3.Chizungulire mukachichita: ngakhale simumva kalikonse mukamachita, mudzakhala ndi chizungulire mukachichita, monga ngati kuledzera, koma sizikhala nthawi yayitali;
4.Apang'ono mtengo: poyerekeza ndi endoscopy wamba m'mimba, mtengo wosapweteka ndi wokwera pang'ono.
5.Sikuti aliyense angathe kuchita: kufufuza kosapweteka kumafuna kuunika kwa anesthesia.Anthu ena sangapimidwe mopanda ululu, monga omwe ali ndi mbiri ya ziwengo ndi mankhwala osokoneza bongo, omwe ali ndi chifuwa chachikulu, omwe ali ndi zotsalira zambiri m'mimba, ndi omwe ali ndi vuto lalikulu la Anthu omwe ali ndi vuto la kupuma ndi kugona, monga komanso omwe ali onenepa kwambiri ayenera kukhala osamala, anthu omwe ali ndi matenda a mtima ndi m'mapapo omwe sangathe kulekerera opaleshoni, odwala glaucoma, prostatic hyperplasia ndi mbiri ya kusunga mkodzo, amayi apakati ndi oyamwitsa ayenera kusamala.
6. Kodi anesthesia ya endoscopy ya m'mimba yopanda ululu imapangitsa anthu kukhala opusa, kukumbukira kukumbukira, kukhudza IQ?
Palibe chifukwa chodandaula konse!Mankhwala oletsa ululu omwe amagwiritsidwa ntchito popanga endoscopy ya m'mimba yopanda ululu ndi propofol, madzi oyera amkaka omwe madokotala amawatcha "mkaka wachimwemwe".Imapangidwa mwachangu kwambiri ndipo imawola kwathunthu ndikupangidwanso mkati mwa maola angapo osayambitsa kudzikundikira..Mlingo wogwiritsiridwa ntchito umatsimikiziridwa ndi wogonetsa wodwala kutengera kulemera kwa wodwalayo, kulimbitsa thupi ndi zina.Kwenikweni, wodwalayo amadzuka yekha mkati mwa mphindi 10 popanda sequelae iliyonse.Anthu ochepa adzamva ngati aledzera, koma ndi anthu ochepa okha amene amadzuka.Zizimiririka posachedwa.
Chifukwa chake, bola ngati imayendetsedwa ndi madokotala odziwa ntchito m'mabungwe azachipatala nthawi zonse, palibe chifukwa chodera nkhawa kwambiri.
5.Kodi pali zoopsa zilizonse ndi anesthesia?
Zomwe zafotokozedwa pamwambapa, koma palibe ntchito yachipatala yomwe ingatsimikizidwe kuti ilibe chiopsezo cha 100%, koma osachepera 99.99% akhoza kuchitidwa bwino.
6.Kodi zolembera zotupa, kujambula magazi, ndi kuyezetsa magazi kwamatsenga am'mimba m'malo mwa endoscopy ya m'mimba?
Simungathe!Nthawi zambiri, kuyezetsa m'mimba kumalimbikitsa kuyezetsa magazi amatsenga, kuyezetsa magazi anayi m'mimba, zolembera zotupa, ndi zina zambiri. Aliyense ali ndi ntchito zake:
7.Fecal zamatsenga zamatsenga magazi: cholinga chachikulu ndi kufufuza magazi obisika m`mimba thirakiti.Zotupa zoyamba, makamaka ma microcarcinomas, sizimatuluka magazi atangoyamba kumene.Magazi amatsenga a Fecal akupitirizabe kukhala abwino ndipo amafunikira chidwi chachikulu.
8.Kuyezetsa ntchito ya m'mimba: cholinga chachikulu ndicho kufufuza gastrin ndi pepsinogen kuti mudziwe ngati kutsekemera kuli koyenera.Ndikungoyang'ana ngati anthu ali pachiwopsezo chachikulu cha khansa ya m'mimba.Ngati matenda apezeka, gastroscopy iyenera kuchitidwa nthawi yomweyo.
Zolemba zotupa: Tingangonena kuti zili ndi mtengo wake, koma siziyenera kugwiritsidwa ntchito ngati njira yokhayo yowunika zotupa.Chifukwa kutupa kwina kungayambitsenso zizindikiro za chotupa, ndipo zotupa zina zimakhala zachilendo mpaka zitafika pakati ndi mochedwa.Choncho, simuyenera kuchita mantha ngati ali okwera, komanso simungathe kuwanyalanyaza ngati ali abwinobwino.
9. Kodi kapisozi endoscopy, barium chakudya, kupuma mpweya, ndi CT m'malo endoscopy m'mimba?
N’zosatheka!Kuyezetsa mpweya kumangowona kukhalapo kwa matenda a Helicobacter pylori, koma sikungathe kuyang'ana mkhalidwe wa m'mimba mucosa;chakudya cha barium chimatha kuona "mthunzi" kapena ndondomeko ya m'mimba, ndipo phindu lake lodziwika ndilochepa.
Endoscopy ya capsule ingagwiritsidwe ntchito ngati njira yowunikira koyambirira.Komabe, chifukwa chakulephera kwake kukopa, kutsuka, kuzindikira, ndi kuchiza, ngakhale zilonda zitapezeka, endoscopy yodziwika bwino imafunikirabe panjira yachiwiri, yomwe ndi yokwera mtengo.
Kuyeza kwa CT kuli ndi phindu linalake la zotupa zam'mimba zam'mimba, koma sikungamve bwino za khansa yoyambirira, zotupa zam'mimba, komanso matenda oopsa am'mimba.
Mwachidule, ngati mukufuna kudziwa khansa ya m'mimba, m'mimba endoscopy ndi irreplaceable.
10. Kodi endoscopy ya m'mimba yopanda ululu ingachitike palimodzi?
Inde, ziyenera kudziwidwa kuti musanayezedwe, chonde dziwitsani adokotala mwachangu ndikumaliza kuyezetsa kwamtima wamtima kuti muwunikire opaleshoni.Panthaŵi imodzimodziyo, wachibale ayenera kutsagana nanu.Ngati gastroscopy ikuchitika pansi pa opaleshoni ndiyeno colonoscopy ikuchitika, ndipo ngati ichitidwa pamodzi ndi endoscopy ya m'mimba yopanda ululu, Zimangotengera kuti opaleshoni kamodzi, kotero zimakhalanso zotsika mtengo.
11. Ndili ndi mtima woipa.Kodi ndingathe kuchita gastroenteroscopy?
Izi zimadalira momwe zinthu zilili.Endoscopy akadali osavomerezeka mu milandu zotsatirazi:
1.Matenda aakulu a mtima, monga arrhythmias aakulu, nthawi ya ntchito ya myocardial infarction, kulephera kwakukulu kwa mtima ndi mphumu, anthu omwe ali ndi vuto la kupuma omwe sangathe kugona, sangathe kulekerera endoscopy.
2.Odwala omwe akuganiziridwa kuti ali ndi mantha komanso zizindikiro zosakhazikika.
3.Anthu omwe ali ndi matenda a maganizo kapena olumala kwambiri omwe sangathe kugwirizana ndi endoscopy (gastroscopy yopanda ululu ngati kuli kofunikira).
4.Acute ndi matenda aakulu a mmero, kumene endoscope sangathe kuikidwa.
5.Odwala pachimake zikuwononga kutupa kum'mero ndi m'mimba.
6.Odwala omwe ali ndi vuto lodziwikiratu la thoracoabdominal aortic aneurysm ndi sitiroko (ndi magazi ndi infarction pachimake).
7.Kuthamanga kwa magazi kwachilendo.
12. Kodi biopsy ndi chiyani?Kodi zidzawononga m'mimba?
Biopsy imagwiritsidwa ntchitobiopsy forcepskuchotsa kachidutswa kakang'ono kamene kali m'matumbo a m'mimba ndikutumiza ku matenda kuti mudziwe mtundu wa zilonda zam'mimba.
Panthawi ya biopsy, anthu ambiri samamva chilichonse.Nthaŵi zina, amamva ngati m’mimba mwatsina, koma palibe ululu.Minofu ya biopsy ndi kukula kwa njere ya mpunga ndipo imawononga pang'ono pamimba mucosa.Komanso, atatha kutenga minofu, dokotala adzasiya magazi pansi pa gastroscopy.Malingana ngati mukutsatira malangizo a dokotala mutatha kufufuza, mwayi wowonjezera magazi ndi wotsika kwambiri.
13. Kodi kufunika kwa biopsy kumayimira khansa?
Osati kwenikweni!Kupimidwa sikutanthauza kuti matenda anu ndi aakulu, koma kuti adotolo amatulutsa zina mwa zotupa kuti athe kusanthula matenda pa gastroenteroscopy.Mwachitsanzo: zotupa, kukokoloka, zilonda, zotupa, tinatake tozungulira, ndi atrophic gastritis ntchito kudziwa chikhalidwe, kuya, ndi kukula kwa matendawa kutsogolera chithandizo ndi review.Inde, madokotala amatenganso ma biopsies a zotupa zomwe akuganiza kuti ndi khansa.Choncho, biopsy ndi kuthandiza gastroenteroscopy matenda, si zotupa zonse zotengedwa biopsy ndi zilonda zilonda.Osadandaula kwambiri ndipo ingodikirani moleza mtima zotsatira za pathology.
Tikudziwa kuti anthu ambiri kukana kwa m'mimba endoscopy zachokera chibadwa, koma ine ndikuyembekeza kwenikweni mukhoza kulabadira endoscopy m'mimba.Ndikukhulupirira kuti mutawerenga Q&A iyi, mumvetsetsa bwino.
Ife, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ndi opanga ku China okhazikika pazakudya zama endoscopic, monga biopsy forceps, hemoclip, polyp msampha, sclerotherapy singano, kupopera catheter, maburashi a cytology,guidewire, dengu lochotsa miyala, catheter ya nasal biliary drainageetc. omwe amagwiritsidwa ntchito kwambiri muEMRESD,ERCP.Zogulitsa zathu ndi zovomerezeka za CE, ndipo mbewu zathu ndi zovomerezeka za ISO.Katundu wathu watumizidwa ku Europe, North America, Middle East ndi gawo la Asia, ndipo amapeza makasitomala ambiri kuzindikira ndi kutamandidwa!
Nthawi yotumiza: Apr-02-2024