I-Upper GI nochungechunge lwamathumbu amancane

Uchungechunge oluphezulu lwe-GI namathumbu amancane iqoqo lama-x-ray athathwe ukuyohlola isisu, isisu namathumbu amancane.

I-Barium enema isivivinyo esihambisanayo esihlola amathumbu amakhulu.

Uchungechunge oluphezulu lwe-GI namathumbu amancane lwenziwa ehhovisi lokunakekelwa kwezempilo noma emnyangweni we-radiology esibhedlela.

Ungathola umjovo womuthi ophuza ukunyakaza kwemisipha emathunjini amancane. Lokhu kwenza kube lula ukubona ukwakheka kwezitho zakho kuma-x-ray.

Ngaphambi kokuba ama-x-ray athathwe, kufanele uphuze ama-ounces ayi-16 kuye kwangama-20 (480 kuya ku-600 milliliters) esiphuzo esifana nobisi. Isiphuzo siqukethe into ebizwa nge-barium, ekhombisa kahle kuma-x-ray.

Indlela ye-x-ray ebizwa ngokuthi i-fluoroscopy ilandelela ukuthi i-barium ihamba kanjani emzimbeni wakho, esiswini nasemathunjini amancane. Izithombe zithathwa ngenkathi uhleli noma umile ezindaweni ezahlukene.

Ukuhlolwa kuvame ukuthatha cishe amahora amathathu kepha kungathatha isikhathi eside njengamahora ayisithupha ukuqeda.

Uchungechunge lwe-GI lungafaka lokhu kuhlolwa noma i-enemaum ye-barium.

Kungadingeka ukuthi ushintshe indlela odla ngayo izinsuku ezimbili noma ezintathu ngaphambi kokuhlolwa. Ezimweni eziningi, ngeke ukwazi ukudla isikhathi esithile ngaphambi kokuhlolwa.

Qiniseka ukuthi ubuza umhlinzeki wakho wezokunakekelwa kwezempilo uma udinga ukushintsha ukuthi uwuthatha kanjani omunye wemithi yakho. Imvamisa ungaqhubeka uphuze imithi oyiphuzayo ngomlomo. Ungalokothi wenze ushintsho emithini yakho ngaphandle kokuqala ukhulume nomhlinzeki wakho.

Uzocelwa ukuthi ususe konke ubucwebe entanyeni, esifubeni, noma esiswini ngaphambi kokuhlolwa.

I-x-ray ingadala ukuqunjelwa okuncane kepha akukho ukungakhululeki isikhathi esiningi. I-barium milkshake izwa i-chalky njengoba uyiphuza.

Lokhu kuhlolwa kwenziwa ukubheka inkinga ekwakhiweni noma ekusebenzeni kwesisu sakho, isisu noma amathumbu amancane.

Umphumela ojwayelekile ukhombisa ukuthi umphimbo, isisu namathumbu amancane kujwayelekile ngosayizi, ukwakheka nokunyakaza.

Amabanga wamanani ajwayelekile angahluka ngokuya ngelebhu elenza isivivinyo. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Imiphumela engavamile ku-esophagus ingabonisa izinkinga ezilandelayo:

• I-Achalasia
• I-Diverticula
• Umdlavuza we-Esophageal
• Ukuncipha kwe-Esophageal (stricture) - okuyingozi
• IHernatal hernia
• Izilonda

Imiphumela engajwayelekile esiswini ingakhombisa lezi zinkinga ezilandelayo:

• Umdlavuza wesisu
• Isilonda sesisu - esibi
• Isisu
• Ama-polyps (isimila esivame ukungabi nomdlavuza futhi sikhule kulwelwesi lwamafinyila)
• I-pyloric stenosis (ukunciphisa)

Imiphumela engavamile emathunjini amancane ingabonisa izinkinga ezilandelayo:

• Isifo se-Malabsorption
• Ukuvuvukala nokucasuka (ukuvuvukala) kwamathumbu amancane
• Izimila
• Izilonda

Ukuhlolwa kungenziwa futhi ngezimo ezilandelayo:

• Amanyikwe Annular
• Isilonda se-duodenal
• Isifo se-reflux se-gastroesophageal
• I-Gastroparesis
• Ukuvinjelwa kwamathumbu
• Indandatho engezansi yokuqunjelwa
• Ukuvinjelwa kwamanga kwamathumbu okuyisisekelo noma kwe-idiopathic

Uvezwa ezingeni eliphansi lemisebe phakathi nalokhu kuhlolwa, okunengozi encane kakhulu yomdlavuza. Ama-X-ray aqashwe futhi alawulwa ukuze kunikezwe inani elincane lokuchayeka kwemisebe edingekayo ukukhiqiza isithombe. Ochwepheshe abaningi banomuzwa wokuthi ingozi iphansi uma iqhathaniswa nezinzuzo.

Abesifazane abakhulelwe akufanele bavivinywe ezimweni eziningi. Izingane zizwela kakhulu ezingozini zama-x-ray.

I-Barium ingadala ukuqunjelwa. Khuluma nomhlinzeki wakho uma i-barium ingadlulanga kusistimu yakho ngezinsuku ezi-2 noma ezi-3 ngemuva kokuhlolwa.

Uchungechunge oluphezulu lwe-GI kufanele lwenziwe ngemuva kwezinye izinqubo ze-x-ray. Lokhu kungenxa yokuthi i-barium ehlala emzimbeni ingavimba imininingwane kokunye ukuhlolwa kwe-imaging.

Uchungechunge lwe-GI; I-Barium swallow x-ray; Uchungechunge oluphezulu lwe-GI

• Ukungeniswa kwe-Barium
• Umdlavuza wesisu, i-x-ray
• Isilonda esiswini, i-x-ray
• IVolvulus - i-x-ray
• Amathumbu amancane

UCaroline DF, Dass C, Agosto O. Isisu. Ku: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, ama-eds. I-Grainger & Allison's Diagnostic Radiology: Incwadi Yokufunda Ngezithombe. Umhlaka 6. IPhiladelphia, PA: Elsevier Churchill Livingstone; 2015: isahluko 27.

UKim DH, uPikkhardt PJ. Izinqubo zokuthwebula izithombe ku-gastroenterology. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 133.