Isiko Lokuqothula

-Delile

• Iyini isiko lokuqopha?
• Iyini inhloso yesiko lokuqopha?
• Amasiko wokuqunjelwa atholakala kanjani?
• Yiziphi izingozi ezihambisana nenkambiso yesophageal kanye nenqubo ye-biopsy?
• Yini engingayilindela ngemuva kwenqubo?
• Kufanele ngibone nini udokotela wami?
• Kuzokwenzekani uma ngithola imiphumela?

Iyini isiko lokuqopha?

Isiko lokuqopha luhlolo lwaselebhu oluhlola amasampula ezicubu zomzimba ukuthola izimpawu zokutheleleka noma umdlavuza. I-esophagus yakho iyishubhu ende phakathi komqala wakho nesisu. Ihambisa ukudla, uketshezi, namathe emlonyeni wakho kuya ohlelweni lwakho lokugaya ukudla.

Ngokwesiko lokuqopha, izicubu ezisuka emphinjeni zitholakala ngenqubo ebizwa nge-esophagogastroduodenoscopy. Lokhu kuvame ukubizwa nge-EGD noma i-endoscopy ephezulu.

Udokotela wakho angalalela lokhu kuhlolwa uma esola ukuthi unesifo esithweni sakho somzimba noma uma ungaphenduli ekwelashweni kwenkinga yokuqunjelwa.

Ama-Endoscopy ngokuvamile enziwa ngaphandle kweziguli zisebenzisa i-sedative emnene. Ngesikhathi senqubo, udokotela wakho ufaka ithuluzi elibizwa ngokuthi i-endoscope emphinjeni wakho bese wehlisa umphimbo wakho ukuthola amasampula wezicubu.

Iningi labantu liyakwazi ukubuyela emakhaya kungakapheli amahora ambalwa esivivinyo futhi libike izinhlungu noma ukungaphatheki kahle okuncane.

Amasampula wezicubu athunyelwa ebhodini ukuze ahlaziywe, futhi udokotela wakho uzokushayela imiphumela phakathi nezinsuku ezimbalwa.

Iyini inhloso yesiko lokuqopha?

Udokotela wakho angase asikisele isiko lokuqunjelwa uma ecabanga ukuthi ungaba nokutheleleka komphimbo noma uma unesifo esivele singaphenduli ekwelashweni njengoba kufanele.

Kwezinye izimo, udokotela wakho uthatha i-biopsy ngesikhathi se-EGD yakho. I-biopsy ihlola ukukhula kwamaseli okungavamile, njengomdlavuza. Izicubu ze-biopsy zingathathwa kusetshenziswa inqubo efanayo nesiko lakho lomphimbo.

Amasampuli athunyelwa elebhu futhi afakwe esitsheni sesiko izinsuku ezimbalwa ukubona ukuthi ngabe kukhona yini amabhaktheriya, isikhunta, noma amagciwane akhulayo.Uma kungekho lutho olukhula esitsheni se-laboratory, uthathwa njengomphumela ojwayelekile.

Uma kunobufakazi bokutheleleka, udokotela wakho angadinga uku-oda ukuhlolwa okwengeziwe ukuze abasize banqume imbangela nohlelo lokwelashwa.

Uma kuthathwa ne-biopsy, udokotela wezifo uzobheka amaseli noma izicubu ngaphansi kwemicroscope ukuthola ukuthi anomdlavuza noma akanasifo. Amaseli angaphambi komdlavuza amangqamuzana akwazi ukukhula abe ngumdlavuza. I-biopsy ukuphela kwendlela yokuthola umdlavuza ngokunembile.

Amasiko wokuqunjelwa atholakala kanjani?

Ukuze uthole isampula lezicubu zakho, udokotela wakho wenza i-EGD. Kulolu vivinyo, ikhamera encane, noma i-endoscope eguquguqukayo, ifakwa emphinjeni wakho. Ikhamera ifaka izithombe esikrinini egumbini lokusebenza, ivumela udokotela wakho ukuthi abe nombono ocacile wesifo sakho.

Lokhu kuhlolwa akudingi ukulungiswa okuningi kakhulu engxenyeni yakho. Ungadinga ukuyeka ukuthatha noma yiziphi izinciphisi zegazi, ama-NSAID, noma eminye imithi ethinta ukujiya kwegazi izinsuku ezimbalwa ngaphambi kokwenziwa kovivinyo.

Udokotela wakho uzokucela futhi ukuthi uzile ukudla amahora ayisithupha kuya kwayi-12 ngaphambi kwesikhathi sakho sokuhlola esihleliwe. I-EGD imvamisa yinqubo yokugula, okusho ukuthi ungaya ekhaya uyilandele ngokushesha.

Ezimweni eziningi, umugqa we-intravenous (IV) uzofakwa emthanjeni engalweni yakho. Kuzolashwa i-sedative ne-painkiller nge-IV. Umhlinzeki wezokunakekelwa kwempilo angahle afafaze i-anesthetic yendawo emlonyeni wakho nasemphinjeni ukuze indikize leyo ndawo futhi ikuvimbele ekutheni ubambe ngesikhathi senqubo.

Kuzofakwa unogada womlomo ukuvikela amazinyo akho kanye ne-endoscope. Uma ugqoka amazinyo okufakelwa, uzodinga ukuwasusa ngaphambi kwesikhathi.

Uzolala ngohlangothi lwakho lwesobunxele, futhi udokotela wakho uzofaka i-endoscope ngomlomo wakho noma ngamakhala, ezansi nomphimbo wakho, nasemphinjeni wakho. Omunye umoya uzofakwa futhi ukuze kube lula kudokotela ukuthi abone.

Udokotela wakho uzokuhlola ngokusobala isisu sakho futhi angahlola isisu sakho ne-duodenum engenhla, okuyingxenye yokuqala yamathumbu amancane. Lokhu kufanele konke kubonakale kubushelelezi futhi kunombala ojwayelekile.

Uma kukhona ukopha okubonakalayo, izilonda, ukuvuvukala, noma ukukhula, udokotela wakho uzothatha ama-biopsies alezo zindawo. Kwezinye izimo, udokotela wakho uzozama ukususa noma yiziphi izicubu ezisolisayo nge-endoscope ngesikhathi senqubo.

Inqubo ngokuvamile ihlala cishe imizuzu emihlanu kuya kwengu-20.

Yiziphi izingozi ezihambisana nenkambiso yesophageal kanye nenqubo ye-biopsy?

Kukhona ithuba elincane lokugcotshwa noma ukopha phakathi nalokhu kuhlolwa. Njenganoma iyiphi inqubo yezokwelapha, ungahle ube nokusabela emithini. Lokhu kungaholela ku:

• ukuphefumula kanzima
• ukujuluka okweqile
• ama-spasms we-larynx
• umfutho wegazi ophansi
• ukushaya kwenhliziyo okuhamba kancane

Khuluma nodokotela wakho uma ukhathazekile ngokuthi izidambisi-mgomo zingakuthinta kanjani.

Yini engingayilindela ngemuva kwenqubo?

Ukulandela inqubo, kuzodingeka uhlale kude nokudla neziphuzo kuze kubuye i-gag reflex yakho. Cishe ngeke uzwe buhlungu futhi ngeke ube nenkumbulo yokusebenza. Uzokwazi ukubuyela ekhaya ngalo lelo langa.

Umphimbo wakho ungazizwa unobuhlungu obuncane izinsuku ezimbalwa. Ungase futhi uzwe ukuqunjelwa okuncane noma ukuzwa kwegesi. Lokhu kungenxa yokuthi kufakwe umoya ngenkathi kwenziwa inqubo. Kodwa-ke, iningi labantu lizizwa lincane noma lingabuzwa nhlobo ubuhlungu noma ukungakhululeki ngemuva kwe-endoscopy.

Kufanele ngibone nini udokotela wami?

Kufanele uxhumane nodokotela wakho ngokushesha uma uhlakulela noma yikuphi okulandelayo ngemuva kokuhlolwa:

• indle emnyama noma enegazi
• ukuhlanza okunegazi
• ubunzima bokugwinya
• imfiva
• ubuhlungu

Lokhu kungaba yizimpawu zokutheleleka nokopha kwangaphakathi.

Kuzokwenzekani uma ngithola imiphumela?

Uma udokotela wakho esuse noma yiziphi izicubu ezisolisayo noma amaseli angaphambi kwesikhathi ngesikhathi senqubo yakho, angakucela ukuthi uhlele i-endoscopy yokulandelela. Lokhu kuqinisekisa ukuthi wonke amaseli asusiwe nokuthi awudingi ukwelashwa okwengeziwe.

Udokotela wakho kufanele akubize ukuze uxoxe ngemiphumela yakho ezinsukwini ezimbalwa. Uma ngabe kutholakala ukutheleleka, ungadinga ukuhlolwa okwengeziwe noma udokotela wakho angakunikeza imithi yokwelapha isimo sakho.

Uma ngabe kutholakale amaseli we-biopsy kanye nomdlavuza, udokotela wakho uzozama ukukhomba uhlobo oluthile lomdlavuza, umsuka wawo, nezinye izinto. Lolu lwazi luzosiza ekunqumeni izinketho zakho zokwelashwa.