Digestive pilikia i pili loa o na kanaka a puni ka poepoe honua. I ka hoʻokō 'noiʻi no PalekanaEND_LINK hana li nui o ka gastrointestinal'āpana hōʻike loa pinepine. Nolaila, kēia lapaʻau i kekahiʻano o nā loea e koke aku, a pololei huai ae pathological loli. Aia nō he lawa helu o vocal haʻawina e hoʻohana 'ia e loiloi i ka moku'āina o ka digestive'āpana. Iwaena o lakou i fractional kaʻimiʻana, pH-mika, X-Ray Akä epekema, biopsy a hiki laparoscopy. Ka hae gula ka i keia la - FEGDS (fibroezofagogastroduodenoskopiya).
ia e pōmaikaʻi ai FEGDS
Fibroezofagogastroduodenoskopiya, a pololei i ka gastroscopy, ua häʻawi mai ai iä ka ka loaʻaʻana o esophageal abnormalities, opu, a me ka duodenum. Me keia hana ia mea hiki e loiloi i ka hoʻololi 'ia i loko o ka pā o ka naʻau liʻiliʻi. FEGDSʻanuʻu hōʻike hoʻoʻino kaʻina, a no hoi e lawe i ka biopsy ka hana kupua lesions. Kēia i mea e hiki ai e diagnose i ke kāʻei kua a me ka precancerous lesions ma ke kakahiaka nui kahua o ka hoʻonaʻauao, hiki pale neoplastic loli o ka digestive'āpana. Ma ka hoomanao ana o FEGDS loa nā mea maʻi hoʻomaka e hopohopo, no ka mea, i kēia iaoia ua pili i ka 'ai, inu o ke kaukini loloa, a me ka ka waiʻona ma o ia. E like me ka mea i manawa e ho'āmana i Gastroscopy ma lalo mau anesthesia, ma ka i 'oe ke pale ia i ka discomfort o ke kaʻina hana.
Nāʻikepili no ka gastroscopy
FEGDS hoʻohana like me kaʻike, a maʻi o ka gastrointestinal'āpana, ma ka mea e kū i ka iapaau ana o ulcers like hoʻi me ka minimally invasive kaʻina hana. Eia kekahi, gastroscopy me ka biopsy skrinningovym pili i kāu kiʻina hana 'ia no kaʻike, o malignant keʻano o ka hanaʻana. Maʻi i e ike hiki iloko FEGDS:
- Huʻi a me ka maʻi esophagitis.
- Gastritis.
- Duodenitis.
- Stenosis o nā kino i i e kekahi congenital a lilo mea ma hope o nā palapū, a'ā.
- Esophageal hernia puka.
- Gastric ulcer a duodenal ulcer.
- Polyps.
- Esophageal diverticula.
Ma ka hooko ana mai 'inikua lapaʻau o peptic ulcer FEGDS e leie aku aayoaeuiinoe kaʻinaʻanuʻu (kiʻekiʻe, hoola aku ana hoi). Gastroscopy ma lalo o kekahi mau anesthesia mea he oi akahai iaoia, mai ka hoʻomanawanui uaʻaʻoleʻike piʻi discomfort wa e paa ana ia. Aka hoi, ka mea, i ka ia nāʻikepili a me kiʻekiʻe ka hoʻokōʻana. Gastroscopy no na keiki ma lalo o anesthesia ua hana no ka ia kumu me nā mākua.
Colonoscopy: i ka manao o ka i ana o ka iaoiaeii
hana o ka hoike ana o ka AeXIeAaOIePEAaI hoʻohana endoscopicʻano hana i kapa colonoscopy. Kēia ke kaʻina hana no ka hoʻohana 'ia ma ka lapaau no ka lōʻihi manawa, no ka mea, o ka lahui informative a leie aku biopsy. A colonoscopy kōkua e kuhikuhi i ke kāʻei kua a me ka precancerous rula, e loiloi i ka permeability, 'ole, imua o pathological me ka ho okumu a pau ma ka AeXIeAaOIePEAaI. Kekahi e hoomanawanui i hōʻole i kēia hana, no ka mea, ka eha a me kaʻawaʻawa loa i loko o ka manaʻoʻike kēia lākiō. Aka hoi, ke kuka nei lakou mea nui i loko o kaʻike, o ka maʻi he nui loa. Currently, ua loaʻa gastroscopy a me ka colonoscopy ma lalo mau anesthesia. No laila, i ka makau ana o kēia mau kaʻina hana ua ke kiʻekiʻe o kēlā nalowaleʻana aku.
Gastroscopy ma lalo o kekahi mau anesthesia: hali lako a
Mua oe i hoʻomaka i ke kaʻina hana, pono e hoʻomākaukau i ke ahonui, a me ka loaa i kona 'ae' ana. Mua, i ke ahonui Pono e kamailio e pili ana i ka manao a me ka pomaikai o keia hana o kaʻike,, laila, - e pili ana i keʻano hana o ka. Inā i'ōleloʻia ai Gastroscopy ma lalo mau anesthesia, ia e hoʻomaopopo i ka hoʻomanawanui i ke kaʻina hana ua lawe mai ma luna o ka ipu opu, a 'o ia hoʻi ka mea,' aʻole i mua ia no ma kahi o 10-12 hola. Like no ka uiki, ma mua FEGDS ua contraindicated no 2-3 hola. Ma mua o ka hoʻokomo 'ia' ana o ka endoscopicʻimi māhele o ke elelo, a puʻu, aa ia me ka pāʻoihana o ke lidocaine i mea e ho'ēmi i retching, keia mea he kūloko anesthetic , a ua hana ia ma nā mea a pau nā mea maʻi. Kekahi hoʻomanawanuiʻana ma kā lākou mau noi a kūikawā nāʻikepili hana mau anesthesia,ʻo ia hoʻi, intravenously, a me kiaha dala ( "Diprivan", "Propofol"), ma ka mea e loaʻa ai i ka lepo hiamoe ka lapaʻauʻia.
Nāʻikepili no ka hooponopono ana i mau anesthesia
E ka gastroscopy ma lalo o anesthesia hiki e kekahi. Aka hoi, eia kekahi no ka nāʻikepili a anesthesia mea he pono. Mau nā:
- Heightened gag reflex - ka wā o ka hoʻomanawanui hiki kūʻole i kahi o ka digestive'āpana.
- Excessive manaʻoʻike uunu nui ia i hiki mai ai ma ka mua hana FEGDS.
- Inā e manao kekahi manipulation oiai ka gastroscopy, keia i ia i ka wehe 'ana o polyps, uuku diverticulum. Maʻamau, i ke kaʻina hana e hookiekie ae ma kahi o 10-15 minuke. At pākōlea manipulation no ka hana.
Gastroscopy ma lalo o kekahi mau anesthesia: ahonui hōʻike manaʻo
Manao o ka hoʻomanawanuiʻana, e hoʻomaka FEGDS moeuhane 'oluʻolu, no ka mea, ka mea e ole haha discomfort mai ke kaʻina hana, a me ka mai e mālama pathological loli i loko o kā lākou mau kino visually, i mea nui ia no kekahi o lakou. Like no me ka manaʻo e pili ana i ka colonoscopy ma lalo o kekahi mau anesthesia, a laila, i kēia iaoia mea kūpono no nā mea a pau nā mea maʻi. Kēia mea,ʻaʻole wale nō nā i ka makau a me ka eha ohana, akā, i ho'ōla nā mea maʻi, mai ka manao o ka pilikia o makou i ke alo o ka 'inikua kookoo.