ʻokiʻoki mucosal endoscopic

ʻO ka wehe ʻana o ka membrane mucosal endoscopic (EMR) kahi ʻano hana e wehe ai i nā pūnaewele kūpono ʻole mai ke kahawai digestive. Hiki i ka EMR ke wehe i ka maʻi kanesa i ka wā mua, nā pūnaewele e lilo paha i kanesa a i ʻole nā ​​pūnaewele ʻē aʻe ʻaʻole maʻamau, i kapa ʻia ʻo nā lesions. Hana nā limahana olakino i ka wehe ʻana o ka membrane mucosal endoscopic me ka hoʻohana ʻana i kahi pūpū lōʻihi a lahilahi hoʻi i kapa ʻia ʻo ka endoscope. Hoʻolako ʻia ka endoscope me kahi kukui, kāmela wikiō a me nā pono ʻē aʻe. I ka wā o ka EMR o ka ʻāpana digestive luna, hoʻokomo nā limahana olakino i ka endoscope i lalo o ka ʻāʻī. Ke alakaʻi nei lākou i nā lesions i loko o ka esophagus, ka ʻōpū a i ʻole ka ʻāpana luna o ka ʻōpū liʻiliʻi, i kapa ʻia ʻo ka duodenum.

Hiki i ka ʻoki ʻana o ka membrane endoscopic ke wehe i nā pūnaewele kūpono ʻole mai ka papa o ka ʻōnaehana digestive me ka ʻole o ka ʻoki ʻana i ka ʻili a i ʻole ka wehe ʻana i kahi ʻāpana o ka ʻōpū. ʻO kēia ka mea e lilo ai ka EMR i koho lapaʻau emi invasive ma mua o ka ʻoki ʻana. I ka hoʻohālikelike ʻana me ka ʻoki ʻana, pili ka EMR me ka emi o nā pilikia olakino a me nā kumukūʻai haʻahaʻa. Hiki i nā pūnaewele i wehe ʻia me ka EMR: Ke kanesa mua. Nā lesions e lilo paha i kanesa, i kapa ʻia hoʻi he precancerous lesions a i ʻole dysplasias. ʻO ka hapa nui, he kauka i kapa ʻia he gastroenterologist ka mea e hana ai i nā ʻoki ʻana o ka membrane endoscopic. ʻO kēia ʻano kauka ke ʻimi a mālama i nā kūlana o ka ʻōnaehana digestive. Inā pono ʻoe e loaʻa ka EMR, e ho'āʻo e koho i kahi gastroenterologist nona ka nui o ka ʻike i ka hana ʻana i ke kaʻina hana.

ʻO nā pilikia o ka endoscopic mucosal resection (EMR) e komo pū ana: Ke kahe koko. ʻO kēia ka mea nui loa e hopohopo ai. Hiki i nā limahana olakino ke ʻimi a hoʻoponopono i ke kahe koko i ka wā a ma hope paha o ka EMR. Ke kuʻi ʻia ʻana o ka esophagus. ʻO ka esophagus ka paipu lōʻihi a lahilahi e holo ana mai ka puʻu a i ka ʻōpū. ʻO ka wehe ʻana i kahi lesion e puni ana i ka esophagus he pilikia ia o ka ʻili e kuʻi ai i ka esophagus. Hiki i kēia kuʻi ʻana ke alakaʻi i ka pilikia o ka ʻai ʻana, a pono paha ke mālama hou aku ma muli o ia mea. Ka hiolo ʻana, i kapa ʻia hoʻi he perforation. He liʻiliʻi ka manawa e hiki ai i nā mea hana endoscopy ke hiolo i ka paia o ka ʻōnaehana digestive. Aia ke pilikia ma ka nui a me kahi o ka lesion i wehe ʻia. Kāhea i kāu limahana olakino a i ʻole e kiʻi i ka mālama pilikia inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka EMR: Ke kuni. Ke haʻalulu. Ka luaʻi ʻana, ʻoi aku inā like ka luaʻi me ka wai kofe a i ʻole he koko ʻulaʻula mālie i loko. Kahi ʻeleʻele. Ke koko ʻulaʻula mālie i loko o kahi ʻeleʻele. ʻEha i ka umauma a i ʻole ka ʻōpū. Ka hanu pōkole. Ka hiolo ʻana. Ka pilikia o ka ʻai ʻana a i ʻole ka ʻeha o ka puʻu e ʻoi aku ka ʻino.

Ma mua o ka lawe ʻana i ka endoscopic mucosal resection, e noi aku kāu hui olakino iā ʻoe no kēia mau ʻike: nā lāʻau lapaʻau a pau a me nā mea hoʻohui meaʻai āu e lawe ai a me kā lākou mau nui. No ka laʻana, he mea nui ke papa inoa i nā lāʻau lapaʻau e hoʻoemi ai i ke koko, aspirin, ibuprofen (Advil, Motrin IB, nā mea ʻē aʻe), naproxen sodium (Aleve), nā mea hoʻohui hao, a me nā lāʻau lapaʻau no ka maʻi diabetes, ke koko kiʻekiʻe a i ʻole ka maʻi ʻāʻī. Kekahi mau allergies lāʻau lapaʻau. ʻO nā kūlana olakino āpau āu e loaʻa ai, me ka maʻi naʻau, ka maʻi māmā, ka maʻi diabetes a me nā maʻi clotting koko. Hiki i kāu limahana olakino ke noi aku iā ʻoe e haʻalele i ka lawe ʻana i kekahi mau lāʻau lapaʻau no ka manawa pōkole ma mua o ka EMR. ʻO kēia ka mea e pili ana i nā lāʻau lapaʻau e hoʻopilikia ai i ke koko clotting a i ʻole nā ​​mea e hoʻopilikia ai i nā lāʻau lapaʻau i kapa ʻia he sedatives e kōkua iā ʻoe e hoʻomaha ma mua o ka EMR. E loaʻa iā ʻoe nā ʻōlelo kuhikuhi kākau e pili ana i ka mea e hana ai i ka lā ma mua o kāu EMR. Hiki i kēia mau ʻōlelo kuhikuhi ke loli ma muli o kahi o ka lesion a i ʻole nā ​​lesion e wehe ʻia ana. Ma ke ʻano laulā, ʻo nā ʻōlelo kuhikuhi paha e komo pū me: Fasting. E haʻi ʻia ʻoe i ka manawa e haʻalele ai i ka ʻai ʻana a me ka inu ʻana, i kapa ʻia hoʻi ʻo ka fasting, ma mua o ka EMR. ʻAʻole paha ʻoe e hiki ke ʻai, inu, ʻai i ka gum a i ʻole ka puhipaka ma hope o ka hapalua pō ma mua o ka EMR. Hiki iā ʻoe ke noi ʻia e hahai i ka ʻai wai maopopo i ka lā ma mua o kāu kaʻina hana. Hoʻomaʻemaʻe i ka colon. Inā pili ka EMR i ka colon, e lawe ʻoe i kekahi mau hana e hoʻopau ai i kou mau ʻōpū a hoʻomaʻemaʻe i kou colon ma mua. No ka hana ʻana i kēia, hiki iā ʻoe ke haʻi ʻia e hoʻohana i ka lāʻau lapaʻau i kapa ʻia he laxative wai. A i ʻole paha ʻoe e hoʻohana i kahi mea hana i kapa ʻia he enema kit e hoʻouna ai i ka wai i loko o ka rectum. E kau inoa pū ʻoe i kahi palapala ʻae ʻike. Hāʻawi kēia i kāu limahana olakino i ka ʻae e hana i ka EMR ma hope o ka wehewehe ʻana i nā pilikia a me nā pono iā ʻoe. Ma mua o kou kau inoa ʻana i ka palapala, e nīnau i kāu limahana olakino e pili ana i kekahi mea āu e ʻike ʻole ai e pili ana i ke kaʻina hana.

Aia kekahi mau ʻano o ka ʻoki ʻana i ka membrane o loko o ka ʻōpū. E nīnau i kāu kauka gastroenterologist e pili ana i ke ʻano o kāu EMR. ʻO kahi ala maʻamau e komo pū ai kēia mau ʻanuʻu: Ke hoʻokomo ʻana i ka endoscope a me ke alakaʻi ʻana i ka piko i ka wahi pilikia. Ke hoʻopili ʻana i kahi wai ma lalo o kahi ʻeha e hana i kahi pale ma waena o ka ʻeha a me nā pūnaewele olakino ma lalo ona. Ke hāpai ʻana i ka ʻeha, malia paha me ka hoʻohana ʻana i ka suction māmā. Ke ʻoki ʻana i ka ʻeha e hoʻokaʻawale ai mai nā pūnaewele olakino a puni. Ke wehe ʻana i nā pūnaewele ʻaʻole maʻamau mai loko mai o ke kino. Ke hōʻailona ʻana i ka wahi i mālama ʻia me ka inika i hiki ke loaʻa hou me nā hoʻokolohua endoscopic i ka wā e hiki mai ana.