Ukuhlolwa kwe-EGD (Esophagogastroduodenoscopy)

-Delile

• Kungani kwenziwa ukuhlolwa kwe-EGD
• Ilungiselela ukuhlolwa kwe-EGD
• Ukuhlolwa kwe-EGD kwenziwa kuphi futhi kanjani
• Izingozi nezinkinga zokuhlolwa kwe-EGD
• Ukuqonda imiphumela
• Yini ongayilindela ngemuva kokuhlolwa

Kuyini ukuhlolwa kwe-EGD?

Udokotela wakho wenza i-esophagogastroduodenoscopy (EGD) ukuhlola ulwelwesi lwe-esophagus, isisu, ne-duodenum yakho. I-esophagus iyishubhu yemisipha exhuma umphimbo wakho esiswini sakho kanye ne-duodenum, okuyingxenye ephezulu yamathumbu akho amancane.

I-endoscope iyikhamera encane esethunjini. Ukuhlolwa kwe-EGD kuhilela ukudlulisa i-endoscope phansi komphimbo wakho nangobude besisu sakho.

Kungani kwenziwa ukuhlolwa kwe-EGD

Udokotela wakho angancoma ukuhlolwa kwe-EGD uma unezimpawu ezithile, kufaka phakathi:

• isilungulela esibi, esingapheli
• ukuhlanza igazi
• indle emnyama noma yokulibala
• ukuvuselela ukudla
• ubuhlungu esiswini sakho esingenhla
• i-anemia engachazeki
• isicanucanu esiphikelelayo noma ukuhlanza
• ukuncipha kwesisindo okungaqondakali
• umuzwa wokugcwala ngemuva kokudla okuncane kunokujwayelekile
• umuzwa wokuthi ukudla kufakwe ngemuva kwesifuba sakho
• ubuhlungu noma ubunzima bokugwinya

Udokotela wakho futhi angasisebenzisa lesi sivivinyo ukusiza ukubona ukuthi ukwelashwa kuhamba kahle kangakanani noma ukulandelela izinkinga uma une:

• Isifo sikaCrohn
• izilonda ezinamachaphazelo
• ukuqina kwesibindi
• imithambo evuvukile endaweni yakho engezansi

Ilungiselela ukuhlolwa kwe-EGD

Udokotela wakho uzokweluleka ukuthi uyeke ukuthatha imishanguzo efana ne-aspirin (iBufferin) namanye ama-agent anciphisa igazi izinsuku ezimbalwa ngaphambi kokuhlolwa kwe-EGD.

Ngeke ukwazi ukudla noma yini amahora ayisithupha kuya kwayishumi nambili ngaphambi kokuhlolwa. Abantu abagqoka amazinyo okufakelwa bazocelwa ukuthi bawasuse ukuze bahlolwe. Njengakho konke ukuhlolwa kwezokwelapha, uzocelwa ukuthi usayine ifomu lokuvuma unolwazi ngaphambi kokwenza inqubo.

Ukuhlolwa kwe-EGD kwenziwa kuphi futhi kanjani

Ngaphambi kokuphatha i-EGD, udokotela wakho cishe uzokunika isidambisi nesithomalalisi sezinhlungu. Lokhu kukuvimbela ekubeni uzwe ubuhlungu. Imvamisa, abantu abakhumbuli ngisho nokuhlolwa.

Udokotela wakho angaphinde afafaze i-anesthetic yendawo emlonyeni wakho ukukuvimba ekugigizeni noma ekukhwehleleni njengoba kufakwa i-endoscope. Kuzofanele ugqoke isivikelo somlomo ukuvimbela ukulimala kwamazinyo akho noma kwekhamera.

Udokotela ube esefaka inaliti efakwa emthanjeni (IV) engalweni yakho ukuze bakunikeze imishanguzo kulo lonke uvivinyo. Uzocelwa ukuba ulale ngohlangothi lwakho lwesobunxele ngesikhathi senqubo.

Lapho izidambisi seziqalile ukusebenza, i-endoscope ifakwa engxenyeni yakho yomzimba bese idluliselwa esiswini sakho nasengxenyeni engenhla yamathumbu akho amancane. Umoya bese udluliswa nge-endoscope ukuze udokotela wakho abone kahle ulwelwesi lomqala wakho.

Ngesikhathi sokuhlolwa, udokotela angathatha amasampula amancane wezicubu esebenzisa i-endoscope. Lawa masampula angahlolwa kamuva ngesibonakhulu ukukhomba noma yikuphi ukungajwayelekile kumaseli akho. Le nqubo ibizwa ngokuthi yi-biopsy.

Ukwelashwa kwesinye isikhathi kungenziwa ngesikhathi se-EGD, njengokukhulisa noma yiziphi izindawo ezincane ngokungajwayelekile zesifo sakho.

Ukuhlolwa okuphelele kuhlala phakathi kwemizuzu emi-5 nengama-20.

Izingozi nezinkinga zokuhlolwa kwe-EGD

Ngokuvamile, i-EGD inqubo ephephile. Kunobungozi obuncane kakhulu bokuthi i-endoscope izodala imbobo encane emqaleni wakho, esiswini, noma emathunjini amancane. Uma kwenziwa i-biopsy, kukhona nengozi encane yokopha isikhathi eside kusayithi lapho kwathathwa khona izicubu.

Abanye abantu futhi bangaba nokuphendula kuma-sedatives kanye namaphilisi ezinhlungu asetshenziswa kuyo yonke inqubo. Lokhu kungafaka:

• ukuphefumula kanzima noma ukungakwazi ukuphefumula
• umfutho wegazi ophansi
• ukushaya kwenhliziyo okuhamba kancane
• ukujuluka okweqile
• ukudumba komphimbo

Kodwa-ke, bangaphansi koyedwa kwabangu-1 000 abantu ababhekana nalezi zinkinga.

Ukuqonda imiphumela

Imiphumela ejwayelekile isho ukuthi ulwelwesi oluphelele lwangaphakathi lwe-esophagus lubushelelezi futhi alukhombisi zimpawu zokulandelayo:

• ukuvuvukala
• ukukhula
• izilonda
• ukopha

Lokhu okulandelayo kungadala imiphumela engajwayelekile ye-EGD:

• Isifo seCeliac siphumela ekulimaleni ulwelwesi lwakho lwamathumbu futhi siyasivimba ekutholeni izakhamzimba.
• Amasongo we-Esophageal ukukhula okungavamile kwezicubu okwenzeka lapho isisu sakho sijoyina isisu sakho.
• Ama-varopha esophageal yimithambo evuvukile ngaphakathi kolwelwesi lwesifo sakho.
• I-hernia yokubeletha yisifo esibangela ukuthi ingxenye ethile yesisu sakho ikhukhumeze ngokuvuleka kwesifo sakho.
• I-Esophagitis, i-gastritis, ne-duodenitis yizimo zokuvuvukala zolwelwesi lwesisu sakho, isisu, namathumbu amancane aphezulu, ngokulandelana.
• Isifo se-reflux se-Gastroesophageal (GERD) yisifo esidala ukuthi uketshezi noma ukudla okuvela esiswini sakho kuvuze kubuyele esiqwini sakho.
• IMallory-Weiss syndrome iyisilonda esiswini sakho.
• Izilonda zingaba khona esiswini sakho noma emathunjini amancane.

Yini ongayilindela ngemuva kokuhlolwa

Umhlengikazi uzokubheka isikhathi esingangehora elandela ukuhlolwa ukuze aqiniseke ukuthi i-anesthetic igugile futhi uyakwazi ukugwinya ngaphandle kobunzima noma ukungaphatheki kahle.

Ungazizwa uqunjelwe kancane. Ungase futhi ube ne-cramping encane noma umphimbo obuhlungu. Le miphumela emibi ijwayelekile futhi kufanele iphele ngokuphelele kungakapheli amahora angama-24. Linda udle noma uphuze uze ukwazi ukugwinya ngokunethezeka. Uma usuqale ukudla, qala ngokudla okulula.

Kufanele ufune usizo lwezempilo ngokushesha uma:

• izimpawu zakho zimbi kakhulu kunangaphambi kokuhlolwa
• unenkinga yokugwinya
• uzizwa unesiyezi noma uqulekile
• uyahlanza
• unezinhlungu ezibukhali esiswini sakho
• unegazi esitulweni sakho
• awukwazi ukudla noma ukuphuza
• uchama ngaphansi kunokujwayelekile noma cha

Udokotela wakho uzobheka nawe imiphumela yokuhlolwa. Bangayalela izivivinyo eziningi ngaphambi kokuba bakunikeze ukuxilongwa noma benze uhlelo lokwelashwa.