Kuongororwa kwechiremba kune dzimwe nhengo dzomukati, nzira yekupedzisira yekushandisa inoshandiswa mune imwe chigadzirwa chakakosha - endoscope inowanikwa nenzira dzepanyama kusvika muchechi yechirongwa chiri pasi pekupupurirwa kana kuburikidza nekushanda kwekushandisa uye punctures. Pakuita endoscopy yemudumbu, inonziwo gastroscopy, chirwere hachidikanwi, - endoscope inowanikwa kuburikidza nemumuromo wemumuromo uye nharaunda. Tichadzidza kuti kuguma kwenguva yakaita sei mudumbu kuchiitwa, uye kuti ungagadzirira sei.
Zviratidzo zvekupedzisira kwemuviri
Nekubatsira kwegastroscopy, nyanzvi dzinogona kuongorora hutende hwenyika, dumbu uye duodenum. Zvisinei, iyo nzira inoshandiswa kwete kwete chete kuongororwa, asiwo nokuda kwechikonzero cherapa, nokuda kwekurapa uye kushandiswa kwekushandisa. Nezvirwere zvekugadzirisa chirwere, endoscopy yemudumbu inowanikwa kune:
- kugadziriswa nekugadziridzwa kwekuongororwa (kusanganisira kusava nechokwadi kwechikwata chekutanga chekuvandudzwa kwezvirwere);
- kuonekwa kwekugara kwevanhu uye kupararira kwehutano hwehutano;
- kutarisa kubudirira kwehutano (hunochengetedza kana kushanda);
- biopsies yezvigadzirwa zvemashupu (ane peptic ulcer, kuvapo kwemamota, nezvimwewo);
- kutsanangurwa kwechimiro chepirloroduodenal stenosis, nezvimwewo.
Nezvekurapa zvinangwa, iyo nzira inoshandiswa mumamiriro ezvinhu akadaro:
- nokuda kwokubviswa kwemamwe miviri;
- kumira mukati mekubuda ropa ;
- nokuda kwekuiswa kwemishonga;
- nokuda kwekubviswa kwemakumbo nemapuropa mudumbu, nezvimwewo.
Nzira yekugadzirira sei endoscopy yedumbu?
Musati mapedza kugadzirisa mudumbu, murwere anofanirwa kutungamira nyore nyore kugadzirisa, iyo inotevera inofungidzirwa:
- Nzira yacho inowanikwa musina chinhu chisina chinhu kana mushure meawa gumi mushure mekudya.
- Iwe haugoni kusvuta tisati tasvika.
- Inobvumirwa kunwa zvishoma zvitsvene zvichiri mvura (kusvika 50 ml).
Inogadziriswa sei mudumbu?
Nzira yacho inongororwa chete nevanokwanisa kugumira kumahofisi ehofisi yakagadzirirwa. The endoscope (gastroscopy) inogadziriswa pombi, pane imwe mugumo pane pane ziso, uye pachipiri - kamera. Paunenge uchitora chidzidzo chakareruka, nzira yacho inopedza anenge maminitsi maviri:
- Kuti urege kunzwa zvisingafadzi, endoscopy inogona kuitwa pasi peanesthesia yemunharaunda. Nokuda kwechikonzero ichi, mhando yemuromo uye gorosi inomirirwa nekanyanyisa yekugadzirisa anesthetic agent (lidocaine inowanzoshandiswa). Kutungamirirwa kwepramuscular of sedative kunogonawo. Muzviitiko zvisingawanzoitiki, general anesthesia inoshandiswa, asi nyanzvi dzakawanda dzinofunga kuti izvi hazvina kururama.
- Pamberi pekuiswa kwe endoscope tube, murwere anogunzva muromo nemeno ake, anobva adzorera huro kana kutora sip, uye panguva ino chiremba anopinda muhutu muchipinda.
- Kuparadzira rutivi rwemucheto wepamusoro wepamuviri yemhepo inopedzerwa kuburikidza ne tube.
Kuti kuderedze nhamba yekurutsira, zvinokurudzirwa kufema zvakasimba uye zvakadzikama.
Panguva yekugadzirisa, iwe unogona kutora mufananidzo kana video kurekodi nekunyora. Mushure mokubvisa chigadzirwa, pane chishuwo chisingafadzi muhuro, iyo inonyangarika mushure memazuva maviri kusvika kwemaviri.
Contraindications for endoscopy yedumbu:
- kushungurudza mamiriro;
- kushungurudzika kwakanyanya kwechirebral uye coronary circulation;
- kuora mwoyo;
- kuwedzera kwechirwere chinoputika;
- zvimwe zvirwere zveputi, nezvimwewo.
Gastric biopsy ne endoscopy
Iyi nzira inotarisirwa muhupo hwechirwere mudumbu, pamwe chete nezvirwere zvakasiyana-siyana:
- hepatitis;
- atrophic gastritis;
- dysphagia nevamwe.
Kuburikidza nehuputi kusvika mudumbu, simba rinoshandiswa rinoshandiswa, kuburikidza nenzira iyo iyo nyaya inotorwa - zvidimbu zvemukati membrane. Pakupedzisira, mashoko acho anoongororwa pasi pekroscope.