I-Barium Swallow
-Delile
- Kuyini ukugwinya kwe-barium?
- Kusetshenziselwa ini?
- Kungani ngidinga ukugwinya kwe-barium?
- Kwenzekani ngesikhathi sokugwinya kwe-barium?
- Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
- Ingabe zikhona izingozi esivivinyweni?
- Isho ukuthini imiphumela?
- Ngabe kukhona okunye engidinga ukukwazi mayelana nenkonjane ye-barium?
- Izinkomba
Kuyini ukugwinya kwe-barium?
Ukugwinya kwe-barium, okubizwa nangokuthi i-esophagogram, ukuhlolwa kwe-imaging okuhlola izinkinga kumgudu wakho ophezulu we-GI. Ipheshana lakho eliphezulu le-GI lifaka umlomo wakho, umphimbo, isopha, isisu, nengxenye yokuqala yamathumbu akho amancane. Ukuhlola kusebenzisa uhlobo olukhethekile lwe-x-ray olubizwa nge-fluoroscopy. I-Fluoroscopy ikhombisa izitho zangaphakathi ezihamba ngesikhathi sangempela. Isivivinyo sifaka nokuphuza uketshezi olunambitha i-chalky oluqukethe i-barium. I-Barium yinto eyenza izingxenye zomzimba wakho zivele ngokucacile ku-x-ray.
Amanye amagama: i-esophagogram, i-esophagram, uchungechunge oluphezulu lwe-GI, isifundo sokugwinya
Kusetshenziselwa ini?
Ukugwinya kwe-barium kusetshenziselwa ukusiza ukuxilonga izimo ezithinta umphimbo, isisu, isisu, nengxenye yokuqala yamathumbu amancane. Lokhu kufaka phakathi:
- Izilonda
- I-hiatal hernia, isimo lapho ingxenye yesisu sakho idlulela ku-diaphragm. I-diaphragm isicubu esiphakathi kwesisu nesifuba sakho.
- I-GERD (isifo se-reflux se-gastroesophageal), isimo lapho okuqukethwe esiswini kuvuza khona emuva esihlahleni
- Izinkinga zokwakhiwa kwepheshana le-GI, njengama-polyps (ukukhula okungavamile) kanye ne-diverticula (izikhwama odongeni lwamathumbu)
- Izimila
Kungani ngidinga ukugwinya kwe-barium?
Ungadinga lokhu kuhlolwa uma unezimpawu zesifo esiphezulu se-GI. Lokhu kufaka phakathi:
- Inkinga yokugwinya
- Ubuhlungu besisu
- Ukuhlanza
- Ukuqhakaza
Kwenzekani ngesikhathi sokugwinya kwe-barium?
Ukugwinya kwe-barium kuvame ukwenziwa yi-radiologist noma uchwepheshe we-radiology. I-radiologist ngudokotela ogxile ekusebenziseni ukuhlolwa kwe-imaging ukuxilonga nokwelapha izifo nokulimala.
Ukugwinya kwe-barium kuvame ukufaka lezi zinyathelo ezilandelayo:
- Ungahle udinge ukususa izingubo zakho. Uma kunjalo, uzonikezwa ingubo yasesibhedlela.
- Uzonikezwa isihlangu sokuhola noma iphinifa lokugqoka ngaphezulu kwendawo yakho okhalo. Lokhu kuvikela indawo emisebeni engadingekile.
- Uyoma, uhlale, noma ulale phansi etafuleni le-x-ray. Ungacelwa ukuthi ushintshe izikhundla ngesikhathi sokuhlolwa.
- Uzogwinya isiphuzo esiqukethe i-barium. Isiphuzo siwugqinsi futhi sinechalky. Imvamisa inongwe ngoshokoledi noma isitrobheli ukwenza kube lula ukugwinya.
- Ngenkathi ugwinya, i-radiologist izobuka izithombe ze-barium ezihamba ngomphimbo wakho ziye epheshaneni lakho eliphezulu le-GI.
- Ungacelwa ukuthi ubambe umoya wakho ngezikhathi ezithile.
- Izithombe zizoqoshwa ukuze zibuyekezwe ngokuhamba kwesikhathi.
Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
Cishe uzocelwa ukuthi uzile ukudla (ungadli noma uphuze) ngemuva kwamabili ngobusuku obandulela ukuhlolwa.
Ingabe zikhona izingozi esivivinyweni?
Akufanele wenze lokhu kuhlolwa uma ukhulelwe noma ucabanga ukuthi kungenzeka ukhulelwe. Imisebe ingaba yingozi enganeni engakazalwa.
Kwabanye, kunengozi encane yokuthola lolu vivinyo. Umthamo wemisebe uphansi kakhulu futhi awuthathwa njengokulimaza abantu abaningi. Kepha khuluma nomhlinzeki wakho ngakho konke ama-x-ray oke waba nawo esikhathini esedlule. Izingozi ezivela ekuvezweni ngemisebe zingaxhunyaniswa nenani lezindlela zokwelashwa ze-x oke waba nazo ngokuhamba kwesikhathi.
Isho ukuthini imiphumela?
Umphumela ojwayelekile usho ukuthi akukho okungajwayelekile ngosayizi, ukwakheka nokunyakaza okutholakele emphinjeni wakho, esophagus, esiswini, noma engxenyeni yokuqala yamathumbu amancane.
Uma imiphumela yakho ibingejwayelekile, kungasho ukuthi unalezi zimo ezilandelayo:
- IHernatal hernia
- Izilonda
- Izimila
- Ama-polyps
- I-Diverticula, isimo lapho kwakhiwa khona amasaka amancane odongeni lwangaphakathi lwamathumbu
- Ukuqina kwe-Esophageal, ukuncipha komphimbo okungenza kube nzima ukugwinya
Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.
Ngabe kukhona okunye engidinga ukukwazi mayelana nenkonjane ye-barium?
Imiphumela yakho ingakhombisa nezimpawu zomdlavuza wokuqopha. Uma umhlinzeki wakho ecabanga ukuthi ungaba nalolu hlobo lomdlavuza, angenza inqubo ebizwa nge-esophagoscopy. Ngesikhathi sokufakwa kwesisu, kufakwa ithubhu elincanyana, eliguquguqukayo ngomlomo noma ngamakhala lize liyongena emphinjeni. Ishubhu inekhamera yevidiyo ukuze umhlinzeki akwazi ukubuka indawo. Ishubhu futhi lingaba nethuluzi elihlanganisiwe elingasetshenziswa ukususa amasampula ezicubu zokuhlolwa (i-biopsy).
Izinkomba
- I-ACR: I-American College of Radiology [i-Intanethi]. I-Reston (VA): I-American College of Radiology; Yini i-Radiologist ?; [kucashunwe ngo-2020 Juni 26]; [cishe izikrini ezi-4].Kutholakala kusuka: https://www.acr.org/Practice-Management-Quality-Informatics/Practice-Toolkit/Patient-Resources/About-Radiology
- Cancer.Net [Inthanethi]. I-Alexandria (VA): I-American Society of Clinical Oncology; 2005-2020. Umdlavuza we-Esophageal: Ukuxilongwa; 2019 Oct [icashunwe ngo-2020 Juni 26]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.cancer.net/cancer-types/esophageal-cancer/diagnosis
- UHinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2nd Ed, Kindle. IPhiladelphia: I-Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Ukugwinya kwe-Barium; k. 79.
- UJohn Hopkins Medicine [Inthanethi]. IBaltimore: IJohns Hopkins University; c2020. Ezempilo: I-Barium Swallow; [kucashunwe ngo-2020 Juni 26]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/barium-swallow
- RadiologyInfo.org [Inthanethi]. I-Radiological Society yaseNyakatho Melika, Inc .; c2020. Umdlavuza we-Esophageal; [kucashunwe ngo-2020 Juni 26]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.radiologyinfo.org/en/info.cfm?pg=esophageal-cancer
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- Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida Impilo; c2020. Isifo se-reflux se-Gastroesophageal: Ukubuka konke; [kubuyekezwe ngo-2020 Juni 26; kukhonjiwe ngo-2020 Jun 26]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/gastroesophageal-reflux-disease
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Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.