I-capsule endoscopy

I-Endoscopy yindlela yokubuka ngaphakathi komzimba. I-Endoscopy ivame ukwenziwa ngeshubhu efakwa emzimbeni udokotela angayisebenzisa ukubheka ngaphakathi.

Enye indlela yokubuka ngaphakathi ukufaka ikhamera ku-capsule (capsule endoscopy). Le capsule ifaka phakathi ikhamera eyodwa noma ezimbili, isibani, ibhethri nomsakazo.

Cishe ilingana nepilisi elikhulu lamavithamini. Umuntu ugwinya i-capsule, futhi uthatha izithombe kuyo yonke indlela yokugaya (emathunjini).

• Umsakazo uthumela izithombe kumrekhoda umuntu azigqokile okhalweni noma ehlombe.
• Uchwepheshe ulanda izithombe ezisuka kwirekhoda aye kwikhompyutha, udokotela azibuke.
• Ikhamera iphuma nokuhamba kwamathumbu futhi ishiselwa phansi endlini yangasese ngokuphepha.

Lokhu kuhlolwa kungaqalwa ehhovisi likadokotela.

• I-capsule ilingana nephilisi elikhulu lamavithamini, elingaba amasentimitha angu-2,5 ubude futhi lingaphansi kwamasentimitha angu-1.3 ububanzi. Iphilisi ngalinye lisetshenziswa kanye kuphela.
• Umhlinzeki wezokunakekelwa kwempilo angakucela ukuba ulale noma uhlale phansi ngenkathi ugwinya i-capsule. I-Capsule endoscope izoba nesembozo esishelelayo, ngakho-ke kulula ukugwinya.

I-capsule ayigaywanga noma ayingeniswa. Ihamba ngohlelo lokugaya ukudla ilandela indlela efanayo yokuhamba ukudla. Ishiya umzimba ngokunyakaza kwamathumbu futhi ingafakwa endlini yangasese ngaphandle kokulimaza amapayipi.

Irekhoda izobekwa okhalweni noma ehlombe. Kwesinye isikhathi amabala amancane e-antenna nawo angafakwa emzimbeni wakho. Ngesikhathi sokuhlolwa, ilambu elincane kwirekhoda lizocwayiza. Uma iyeka ukucwayiza, shayela umhlinzeki wakho.

I-capsule ingaba emzimbeni wakho amahora amaningana noma izinsuku eziningana. Wonke umuntu wehlukile.

• Isikhathi esiningi, i-capsule ishiya umzimba kungakapheli amahora angama-24. Gcwalisa i-capsule phansi ethoyilethi.
• Uma ungaboni i-capsule endlini encane kungakapheli amasonto amabili uyigwinyile, tshela umhlinzeki wakho. Ungadinga i-x-ray ukubona ukuthi i-capsule isekhona yini emzimbeni wakho.

Landela imiyalo yomhlinzeki wakho. Uma ungalandeli imiyalelo ngokucophelela, isivivinyo kungadingeka senziwe ngosuku oluhlukile.

Umhlinzeki wakho angakucela ukuthi:

• Thatha umuthi ukuze usule amathumbu akho ngaphambi kwalokhu kuhlolwa
• Yiba neziphuzo ezicacile kuphela amahora angama-24 ngaphambi kwalokhu kuhlolwa
• Ungadli noma uphuze, kufaka phakathi amanzi, cishe amahora ayi-12 ngaphambi kokugwinya iphilisi

UNGABHALI amahora angama-24 ngaphambi kwalokhu kuhlolwa.

Qiniseka ukuthi utshela udokotela wakho:

• Cishe yonke imithi nezidakamizwa ozithathayo, kufaka phakathi umuthi kadokotela, umuthi we-over-the-counter (OTC), amavithamini, amaminerali, izithasiselo namakhambi. Ungacelwa ukuthi ungayithathi imithi ethile phakathi naloluhlolo, ngoba ingaphazamisa ikhamera.
• Uma uxabana nanoma imuphi umuthi.
• Uma ngabe uke waba nokuvinjelwa kwamathumbu.
• Cishe nganoma yiziphi izimo zezokwelapha, njengezinkinga zokugwinya noma isifo senhliziyo noma samaphaphu.
• Uma une-pacemaker, defibrillator, noma enye into efakiwe.
• Uma uke wahlinzwa isisu noma ezinye izinkinga ngesisu sakho.

Ngosuku lokuhlolwa, iya ehhovisi lomhlinzeki ugqoke izingubo ezikhululekile, ezingubo ezimbili.

Ngenkathi i-capsule isemzimbeni wakho akufanele ube ne-MRI.

Uzotshelwa ukuthi yini ongayilindela ngaphambi kokuqala kokuhlolwa. Iningi labantu libheka lokhu kuhlolwa kukhululekile.

Ngenkathi i-capsule isemzimbeni wakho ungenza imisebenzi ejwayelekile, kepha hhayi ukuphakamisa okunzima noma ukuvivinya umzimba. Uma uhlela ukusebenza ngosuku lokuhlolwa, tshela umhlinzeki wakho ukuthi uzosebenza kangakanani emsebenzini.

Umhlinzeki wakho uzokutshela ukuthi ungadla futhi uphuze nini futhi.

I-Capsule endoscopy yindlela yokuthi udokotela abone ngaphakathi kohlelo lwakho lokugaya ukudla.

Kunezinkinga eziningi engazifuna, kufaka phakathi:

• Ukopha
• Izilonda
• Ama-polyps
• Izimila noma umdlavuza
• Isifo samathumbu esivuthayo
• Isifo seCrohn
• Isifo seCeliac

Ikhamera ithatha izinkulungwane zezithombe zombala womgudu wakho wokugaya ukudla phakathi nalokhu kuhlolwa. Lezi zithombe zilandelwa kukhompyutha bese isoftware iziphendula ividiyo. Umhlinzeki wakho ubuka ividiyo ukuze afune izinkinga. Kungathatha kuze kube yisonto ukuthi wena ufunde imiphumela. Uma kungatholakali zinkinga, imiphumela yakho ijwayelekile.

Umhlinzeki wakho uzokutshela uma bethola inkinga ngomgudu wakho wokugaya ukudla, ukuthi kusho ukuthini, nokuthi kungalashwa kanjani.

Kunezinkinga ezimbalwa kakhulu ezingenzeka nge-capsule endoscopy. Shayela umhlinzeki wakho ngokushesha uma, ngemuva kokugwinya iphilisi, wena:

• Yiba nomkhuhlane
• Unenkinga yokugwinya
• Phalaza
• Yiba nobuhlungu besifuba, ukuqunjelwa, noma ubuhlungu besisu

Uma amathumbu akho evinjiwe noma emincane, i-capsule ingabambeka. Uma lokhu kwenzeka, ungadinga ukuhlinzwa ukuze ususe i-capsule, yize lokhu kungavamile.

Uma une-MRI noma usondela kunamandla amakhulu kazibuthe (njengomsakazo we-ham) ungaba nomonakalo omkhulu kumgudu wokugaya ukudla nasesiswini.

I-capsule enteroscopy; I-endoscopy engenantambo engenantambo; I-capsule endoscopy yevidiyo (VCE); I-endoscopy yamathumbu amancane amathumbu (SBCE)

• I-capsule endoscopy

U-Enns RA, uHookey L, u-Armstrong D, et al. Imihlahlandlela yokusebenza emitholampilo yokusetshenziswa kwe-capsule endoscopy yevidiyo. I-Gastroenterology. 2017; 152 (3): 497-514. I-PMID: 28063287 www.ncbi.nlm.nih.gov/pubmed/28063287.

IHuang CS, iWolfe MM. Izinqubo ze-Endoscopic nezokucabanga. Ku: Benjamin IJ, Griggs RC, Wing EJ, Fitz JG, ama-eds. U-Andreoli no-Carpenter’s Cecil Essentials of Medicine. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 34.

UHuprich JE, Alexander JA, Mullan BP, Stanson AW. Ukopha emathunjini. Ku: Gore RM, i-Levine MS, ama-eds. Incwadi Yemibhalo Ye-Radiology Yamathumbu. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 125.

Igcina iTJ, Jensen DM. Ukopha emathunjini. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 20.