FGDS - chii chiri mumishonga, kugadzirira sei nzira?

Dzidza zvakawanda pamusoro peEGF, zvinorevei, inotsvaka murwere wese anorayirwa nzira nezita rinotyisa. Zvisinei, kushandiswa uku hakusi kutyisa kwazvo, zvinoratidzika, pakutanga kuona. Asi zvakakosha kuti ugadzirire zvakanaka.

FGDS - chii chiri mumishonga?

Iyi nzira ine mikana yakawanda yemikana. GGDS yemudumbu inoshandiswa nokuda kwezvinangwa izvi:

• inopa tissue collection kuti iwedzere kuongorora histological;
• inobatsira kudzidza chimiro chemukati membrane;
• inobudisa zvironda, kudiridza uye zvimwe zvirwere zvegomba rekudya;
• kunobatsira kuziva kuti kubudirira kwechirapa.

Sezvo zvakasiyana-siyana zvakasiyana-siyana zvekushandiswa kwemabasa, zvinonzwisisika kubvunza varwere kuti vaone kuti FGDS chii - chii ichocho. Iyi nzira inofungidzirwa senzira yekukurumidza, yakachengeteka uye inobudirira yekudzidza nhengo dzenyika yekudya. Kugadzirisa kunoitwa kuburikidza uchishandisa chigadzirwa chakakosha - chidimbu chinoshandiswa. Kunze iyo inopera yakareba tube, iyo yakareba iyo haina kudarika 1 cm. Kune endoscope pakuguma.

FGDs ne biopsy - chii ichocho?

Iyi nzira ndeyekubatanidzwa kwemashoko maviri. Yokutanga yeiyo FGDS (chii ichocho, zvakakosha kunzwisisa), uye yechipiri inonzi thin-needle biopsy. Izvo zvinobatsira zvikuru izvi ndezvi:

• dhesi yepamusoro yemufananidzo;
• mukana wekutarisa matanho uye mapuropa;
• kukwanisa kumira mukati mekubuda ropa .

Mukuwedzera, fibro-gastroduodenoscopy yeFGD ne biopsy inobvumira kusarudzwa kwezvimwe zvikamu zvemukati mutsara kuitira chinangwa chekuita chidzidzo chechidzidzo chake chinotevera. Iyi nzira inogona kuitwa mune zvose zvinorwara uye zvinorwarisa matumbo. Inobatsira kuziva hutano hwehutano kunyange panguva yekutanga yekuvandudzwa kwayo.

EGD - sei kugadzirira?

Iyi nzira inoda nzira yakakomba. Kana kugadzirirwa kweEHF kusati kwaitwa zvakanaka, chiremba haazokwanisi kuita zvakanaka izvi uye kubatsira murwere. Kuti uise dumbu rako mukuronga, zvakakosha kuchengeta zvinotevera mazano:

1. Kushushikana kunoitwa pane chisina chinhu chiri mudumbu. Kudya kwekupedzisira kunofanirwa kuitwa 8-10 maawa asati aitika. Kana murwere ane zvinetso zvakakomba mumuviri wekudya, nguva iyi inowedzera kusvika maawa 12-13.
2. Inofanira kuraswa kwemazuva mashomanana pamberi peFGDF kusvuta, nokuti nicotine inoita kuti mutezo weropa uonekwe. Mukuwedzera, kubudiswa kwezvinhu izvi kunowedzera kubudiswa kwemanya, saka kuongorora kwakaoma.
3. FGD - Kugadzirira kwekuongorora kunosanganisira kubvisa mazinyo. Vanogona kudzivisa chiremba kuti asaite zvinoratidzika nenzira yepamusoro.
4. Iwe haugoni kuvhiringidza mazino ako pazuva rekugadzirisa. Iwe unongoda kungosuka muromo wako nemvura yakachena. Kuchenesa mazino kunowedzera gag reflex.
5. Kugadzirira EGF yemudumbu kunoratidza kuti murwere anofanira kudzikama, kurega kutya. Mafungiro epfungwa munyaya ino anokosha zvikuru.
6. Usapfeke zvakasimba kunyanya zvipfeko pamutambo.
7. Kupiwa kwemishonga (antibiotics, kugadzirira mahomoni nemimwe mishonga) inofanira kurongedzwa ne gastroenterologist.

Kugadzirira gastric vaginal drainage - mazano anokosha anoverengeka

Pamberi iyi nzira inofanira kutevedza kudya kunokosha. Kudya kwakadaro kunobatsira chiremba kuti aite sarudzo sezvinongoita sezvinokwanisa. Kwemazuva matatu EGF isati yasisirwa kudya zvinhu zvakadai:

• plums, tomato, apricots nemimwe michero yakaoma nemiriwo;
• carbonated drinks;
• pears, mavhoni, cherries uye zvimwe zvekudya izvo zvakaoma kugadzira;
• hove dzakasviba - jelly, ice cream, jelly;
• nyemba;
• kofi;
• chocolate;
• dairy products;
• doro;
• juices;
• buns.

Nzira yekugadzirira sei ECG yemudumbu, chiremba anoziva. Achapa mazano pamusoro pezvokudya zvinofanira kuiswa. Zvakanaka - zvingwa zvitanhatu. Murwere achakurudzirwa kuti adye michina yakadaro:

• buckwheat, oatmeal kana gorosi peji;
• yakabikwa michero kana miriwo;
• yakabikwa nyama nyama;
• chichena chikafu chimedu;
• omelet;
• compote kana herbal tea.

Fibrogastroduodenoscopy - zviratidzo

Kazhinji kacho nzira iyi inosarudzwa, apo zvakakosha kuita zvirwere zvezvirwere zvepamusoro peGI tract. FGDS kana pasina bhiopsy inorayirwa mumamiriro ezvinhu akadaro:

• bloating ;
• kazhinji kunokonzera marwadzo asingatauri ari oga;
• kuvapo kweropa muzvigaro;
• kuora muviri kwakanyanya;
• kuchema ;
• matambudziko nekumedza kudya;
• kuongororwa kwechirwere kana chirwere;
• anemia;
• kuderedza kudya mwoyo.

FDDS - zvinopesana

Pane mamiriro ezvinhu akawanda apo iyi nzira isingakurudzirwi. GGDS zvinopesana nedumbu zvine izvi:

• aortic aneurysm;
• kukanganisa muropa kuvhara ;
• deformation of the esophagus;
• kushungurudzika kwepfungwa mumukana wakaoma;
• chimiro chakanyanya chechirwere chechibhakoma;
• kurwadziwa kwemoyo kana kurohwa;
• zvirwere zvinotapukira mumukana wakaoma;
• yakawedzera thyroid gland;
• simba gag reflex;
• kuneta.

Inonzi fibroadastroduodenoscopy yakaitwa sei?

Iyi nzira inoitwa mune imwe nzvimbo yekutsvaga. Inorongwa kana mune imwe nguva. Pamberi peEGF, chiremba kana mukoti anonwisa varwere vane spray neanesthetic action. Kazhinji, lidocaine inoshandiswa pane izvi. Asati asarudza mishonga nemhepo inotonhora, chiremba achaita mvumo inobvumira kuti aone kana pane chirwere chinoshandiswa nemishonga inoshandiswa.

Fibrogastroduodenoscopy - algorithm

Mushure mokurapa chironga chinoputika uye chinotapira, chiremba anoenderera mberi nenzira iyo pachayo. Shanduro yaro yakashandurwa ndeyotevera:

1. Murwere anorara pamubhedha kuruboshwe rwake.
2. Pasi pake musoro wake wakaisa mutsamiro, wakafukidzwa nechirabwe (iyo ichadurura saliva panguva iyo).
3. Murwere anopiwa chironga chepurasitiki (inofanira kuve yakanamirwa nemazino).
4. Kuburikidza nekuvhura, endoscope inowanikwa, mushure mokunge chiremba achikumbira kufamba kunomedza, panguva iyo probe inofamba kuburikidza nehutano hwekudya.
5. Mushure mokunge kamuri yacho yasvika mudumbu, mweya inoputirwa muchikamu chino chemuviri wepamuviri. Panguva iyi, masvingo echinhu ichi chekudya chinoruramiswa.
6. Electro-pump kubva mudumbu yakabudisa kunze kwemvura (mucus, bile, nezvimwewo).
7. Kuongororwa kwenhamba yekudya kunotanga. Chiremba anoongorora mucous membrane uye anotora mutsara wekutevera histological examination.
8. Pashure peEGF, tsvakurudzo inokurumidza kubviswa.
9. Murwere anoendeswa kudivi.

Iyo yose nzira inotora nguva inopfuura maminitsi mashanu. Mushure maro, pane rekodhi yekodhi yemuongorori, iyo chiremba anogona kuongorora zvakadzama kana zvichidikanwa. Zvisinei, mushure mokutora, migumisiro isingafadzi inogona kuitika. Zvakakosha kuti murwere asazive chete FGDs - chii chinowanzoitika, asiwo zvinetso zvinogona kuitika. Kazhinji pane mhinduro dzakadaro:

1. Pain mucheche - vanotsamwiswa nechokwadi chokuti panguva yekufamba, mweya wakaputirwa mudumbu. Chimwe chinhu chisingafadzi chichapfuura pachako mumazuva mashomanana mushure mekunyengedzwa.
2. Zvinokuvadza kumusana - izvi zvinowanzoitika kana mazino emurwere ari akasununguka.
3. Manzwiro ekudzvinyirira mumarara - manzwiro asina kufadza akadaro anoonekwa mushure mokunge endoscope ichiiswa mukati meganda.

FGD pasi pevanhu vakawanda anesthesia

Pakati pekugadzirisa, zvose zvekuno uye zvekare anesthesia zvinogona kushandiswa. Fibrogastroduodenoscopy pasi peanesthesia inobatsira kurarama neemetic reflex. Neine anesthesia yemunharaunda, mudzi we rurimi unoputirwa neine anesthetic. Iko kunopisa kunouya pakarepo uye kunopedza kusvika kumaminitsi makumi maviri. Kubatsira kweanesthesia yepanyika ndeyokuti haishandisi zvakadhura zvigadzirwa zvemari. Mukuwedzera, anesthesia yakadaro inonzi yakachengeteka kune murwere.

Jenesi anesthesia inosanganisira kushandiswa kwechiedza chechiedza, icho chinokonzerwa ne intramuscularly, kana kuti mishonga yakasimba inoponeswa mukati. Nenzira iyi yeanesthesia munguva yekugadzirisa, chiremba anoshandisa zvigadzirwa zvakasiyana-siyana zvinodzora kufema uye moyo murefu wemurwere. Kusiyana nehutano hwemagetsi aneshesia inowedzera simba kune muviri, saka hauna kushandiswa kushandiswa.

EGD - zvinorwadza here?

Nemhaka yekuti anesthesia inoshandiswa, manzwiro anonzwisisika. Nokuda kwechikonzero ichi, FGDS - zvinorwadza, varwere havafaniri kuzvikanda zvakanyanya uye vachifunga zvakanyanya. Kuderedza kusagadzikana kunogona kuva, kuteerera zvinorayirwa nachiremba:

• rara pasi;
• kufema nekudzikama;
• usapinda kufamba kamwe kamwe.

EGS - kududzira

Mushure mekugadzirisa, chiremba anoongorora zvigumisiro uye anopa chikwangwani chakanyorwa kune murwere. Kugadziriswa fibrogastroduodenoscopy kunosanganisira nguva dzakadaro:

• kuongororwa kwemamiriro emasvingo uye mucosa yezvikamu zvekudya, uyewo mararamiro avo;
• kuongorora kwe cardia - kubuda kwemasimba kusvika mudumbu;
• kudzidza kwemvura inenge mudumbu;
• kuongororwa kwomuchengeti wemagedhi.