He aha ka Ultrasound Endoscopic? Ke Kumu, ke Kaʻina Hana & Nā Hōʻike

ʻO ka ultrasound endoscopic (EUS) he hana kūikawā e hui pū ana i ka endoscopy a me ka ultrasound e kiʻi i nā kiʻi kikoʻī o kāu ʻōnaehana digestive a me nā ʻōkana kokoke. E noʻonoʻo e like me ka loaʻa ʻana o ʻelua mea hana diagnostic ikaika e hana pū ana - he paipu maʻalahi me kahi kamera (endoscope) a me nā nalu kani (ultrasound) - e ʻike i nā wahi i hiki ʻole i nā hoʻokolohua ʻē aʻe ke ʻike.

Kōkua kēia hana i nā kauka e nānā i nā paia o kou esophagus, ʻōpū, duodenum, a me nā mea a puni e like me ka pancreas, ate, a me nā lymph nodes. Hiki i ka probe ultrasound ma ka piko o ka endoscope ke hana i nā kiʻi kikoʻī loa no ka mea e kokoke loa ana i kēia mau ʻōkana ma mua o nā ultrasounds waho maʻamau.

He aha ka ultrasound endoscopic?

ʻO ka ultrasound endoscopic he hana diagnostic minimally invasive e hāʻawi ana i nā kauka i kahi hiʻohiʻona kokoke o kāu ʻōnaehana digestive a me nā ʻōkana kokoke. I ka wā o ka hoʻāʻo ʻana, e hele mālie ʻia kahi paipu lahilahi a maʻalahi i kapa ʻia he endoscope ma kou waha a i loko o kāu ʻōnaehana digestive.

ʻO ka hiʻohiʻona kūikawā o kēia endoscope ka probe ultrasound liʻiliʻi ma kona piko. Hoʻouna kēia probe i nā nalu kani kiʻekiʻe e lele hou e hana i nā kiʻi kikoʻī o nā papa ʻiʻo a me nā mea. No ka mea, kokoke loa ka ultrasound i nā ʻōkana e nānā ʻia nei, ua maopopo loa a pololei nā kiʻi.

Hiki i ka EUS ke nānā i nā papa ʻiʻo i hiki ʻole i nā hoʻokolohua kiʻi ʻē aʻe ke ʻike maikaʻi. He mea waiwai nui ia no ka nānā ʻana i ka pancreas, nā ducts bile, a me nā papa hohonu o nā paia digestive tract. ʻO kēia ka mea he mea hana maikaʻi loa ia no ka ʻike ʻana i nā loli mua a i ʻole nā ​​mea ʻino i ʻike ʻole ʻia ma nā scans CT a i ʻole MRIs.

No ke aha e hana ʻia ai ka ultrasound endoscopic?

Hiki i kāu kauka ke ʻōlelo aku i ka EUS ke pono lākou e noiʻi i nā hōʻailona a i ʻole nā mea i loaʻa e pono ai ka nānā pono ʻana i kāu ʻōnaehana digestive a me nā ʻōkana a puni. He mea kōkua nui kēia kaʻina hana no ka ʻike ʻana i nā maʻi e pili ana i ka pancreas, nā ducts bile, a i ʻole nā papa hohonu o kāu ʻōnaehana digestive.

ʻO nā kumu maʻamau no ka EUS, ʻo ia ka loiloi ʻana i ka ʻeha o ka ʻōpū i wehewehe ʻole ʻia, ka noiʻi ʻana i nā puʻupuʻu pancreatic a i ʻole nā cysts, a me ka hoʻonohonoho ʻana i kekahi mau ʻano maʻi maʻi. Hiki i ke kaʻina hana ke kōkua i ka hoʻoholo ʻana inā he maikaʻi a he ʻino paha ka ulu ʻana, a inā loaʻa ka maʻi maʻi, pehea ka mamao i laha ai.

He mea waiwai nō hoʻi ka EUS no ke alakaʻi ʻana i nā biopsies ke pono nā laʻana ʻiʻo mai nā wahi paʻakikī. Hāʻawi ka alakaʻi ultrasound i nā kauka e kuhikuhi pololei i nā wahi kānalua a hōʻiliʻili i nā laʻana me ka palekana. Eia kekahi, hiki iā ia ke kōkua i ka loiloi ʻana i nā pilikia o ka bile duct, ka noiʻi ʻana i ka pohō kaumaha i wehewehe ʻole ʻia, a me ka loiloi ʻana i nā maʻi inflammatory o ka pancreas.

Pono kekahi poʻe i ka EUS e nānā i nā maʻi i ʻike ʻia i ka manawa. No ka laʻana, inā he cysts pancreatic kāu, hiki i kāu kauka ke hoʻohana i ka EUS e nānā i nā loli i ka nui a i ʻole ke ʻano. Hoʻohana ʻia nō hoʻi ia e loiloi i nā pane lapaʻau i kekahi mau maʻi maʻi a e hoʻolālā i nā kaʻina hana ʻoki.

He aha ke kaʻina hana no ka ultrasound endoscopic?

ʻO ke kaʻina hana EUS maʻamau he 30 a 90 mau minuke a hana ʻia ma ke ʻano he kaʻina hana outpatient. E hōʻea ʻoe i ka haukapila a i ʻole ka lāʻau lapaʻau ma hope o ka hahai ʻana i nā ʻōlelo hoʻomākaukau kikoʻī, e pili ana i ka hoʻokē ʻai ʻana no 8-12 mau hola ma mua.

Ma mua o ka hoʻomaka ʻana o ke kaʻina hana, e loaʻa iā ʻoe ka sedation ʻike ma o kahi laina IV e kōkua iā ʻoe e hoʻomaha a hōʻemi i ka hōʻoluʻolu ʻole. Hoʻopilikia ka sedation i ka hapa nui o nā kānaka a hōʻoluʻolu i ka wā o ka hoʻāʻo. E nānā kāu hui lapaʻau i kāu mau hōʻailona ola i ka wā o ke kaʻina hana.

Eia ka mea e hana ʻia i ka wā o ke kaʻina hana:

1. E moe ʻoe ma kou ʻaoʻao hema ma luna o ka papa hōʻike
2. Hoʻokomo ʻia kahi mea pale waha e pale i kou mau niho a me ka endoscope
3. Ke alakaʻi mālie nei ke kauka i ka endoscope ma kou waha a i lalo i kou ʻāʻī
4. I ka neʻe ʻana o ka scope ma kou ʻōpū, hana ka ultrasound probe i nā kiʻi
5. E nānā ke kauka i nā wahi like ʻole a hiki ke lawe i nā laʻana ʻiʻo inā pono
6. Hiki ke hoʻokomo ʻia ka ea a i ʻole ka wai e hoʻomaikaʻi i ka ʻike
7. E nānā pono ʻia ke ala holoʻokoʻa o ka ʻōpū ma mua o ka wehe ʻana i ka scope

I ka wā o ke kaʻina hana, hiki iā ʻoe ke manaʻo i ke kaomi a i ʻole ka ʻoluʻolu iki i ka neʻe ʻana o ka endoscope, akā kōkua ka sedation i ka hōʻemi ʻana i kēia mau manaʻo. ʻAʻole nui ka poʻe e hoʻomanaʻo nui e pili ana i ke kaʻina hana ma hope o ka hopena o ka sedative.

Inā pono ka biopsy, hiki iā ʻoe ke manaʻo i kahi manaʻo ʻuʻuku, akā he pōkole kēia a ua ʻae maikaʻi ʻia. ʻAʻole ʻeha loa ka ʻāpana ultrasound no ka mea e hoʻohana ana ia i nā hawewe kani ma mua o ka hana kino.

Pehea e hoʻomākaukau ai no kāu endoscopic ultrasound?

He mea nui ka hoʻomākaukau kūpono no kahi kaʻina hana EUS kūleʻa. E hāʻawi kāu kauka i nā ʻōlelo kikoʻī, akā hoʻomaka ka hoʻomākaukau ʻana i ka lā ma mua o kāu hoʻāʻo. ʻO ka hahai ʻana i kēia mau alakaʻi me ka mālama e kōkua i ka hōʻoia ʻana i nā kiʻi maopopo a hōʻemi i ka pilikia o nā pilikia.

ʻO ka hana hoʻomākaukau nui loa ka hoʻokē ʻai ʻana no 8-12 mau hola ma mua o ke kaʻina hana. ʻO ia hoʻi, ʻaʻohe meaʻai, mea inu, gum, a i ʻole ke kanakē ma hope o ka manawa i kuhikuhi ʻia. ʻO ka loaʻa ʻana o ka ʻōpū ʻole e pale i nā ʻāpana meaʻai mai ka hoʻopilikia ʻana i ka hoʻokolokolo a hōʻemi i ka pilikia o ka aspiration i ka wā sedation.

Pono nō hoʻi ʻoe e kūkākūkā i kāu mau lāʻau lapaʻau me kāu hui mālama ola. Pono paha e hoʻoponopono ʻia a hoʻōki paha i kekahi mau lāʻau lapaʻau, ʻo ia hoʻi nā mea hoʻoheheʻe koko e like me ka warfarin a i ʻole nā ​​anticoagulants hou. Eia naʻe, mai hoʻōki i ka lawe ʻana i nā lāʻau lapaʻau i kuhikuhi ʻia me ka ʻole o nā ʻōlelo kikoʻī mai kāu kauka.

ʻO nā ʻanuʻu hoʻomākaukau hou aku e komo pū ana:

• E hoʻonohonoho i kekahi e kalaiwa iā ʻoe i ka home ma hope o ke kaʻina hana
• E ʻaʻahu ana i nā lole ʻoluʻolu a me nā lole ākea
• E wehe ana i nā mea nani, nā niho hoʻopunipuni, a me nā aniani pili ma mua o ka hoʻokolohua
• E hōʻike ana i nā limahana e pili ana i nā maʻi āpau, ʻoiai i nā lāʻau lapaʻau a i ʻole latex
• Ke kūkākūkā ʻana i nā hopohopo e pili ana i ka sedation a i ʻole ke kaʻina hana
• E lawe mai ana i kahi papa inoa o nā lāʻau lapaʻau o kēia manawa a me ka mōʻaukala olakino

Inā he maʻi diabetes kāu, e hāʻawi kāu kauka i nā ʻōlelo aʻoaʻo kūikawā e pili ana i ka mālama ʻana i kou kōpaʻa koko a me nā lāʻau lapaʻau i ka wā o ka wā hoʻokē ʻai. Pono paha ka poʻe me nā maʻi puʻuwai a i ʻole nā pilikia olakino koʻikoʻi i nā hana mālama hou a i ʻole ka nānā ʻana.

I ka pō ma mua o kāu kaʻina hana, e hoʻāʻo e hoʻomaha pono a noho hydrated a hiki i ka hoʻomaka ʻana o ka wā hoʻokē ʻai. Inā hopohopo ʻoe e pili ana i ka hoʻokolohua, e kūkākūkā me kāu hui mālama ola - hiki iā lākou ke hāʻawi i ke kākoʻo hou a pane i nā nīnau āu e loaʻa ai.

Pehea e heluhelu ai i kāu hopena ultrasound endoscopic?

Hoʻomaka ka hoʻomaopopo ʻana i kāu hopena EUS me ka ʻike ʻana e nānā pono kahi radiologist a i ʻole gastroenterologist i nā kiʻi a me nā ʻike a pau ma mua o ka hāʻawi ʻana i kahi hōʻike kikoʻī. ʻAʻole ʻoe e loaʻa i nā hopena ma hope koke o ke kaʻina hana, no ka mea, pono nā kiʻi i ka loiloi a me ka wehewehe ʻana.

Hōʻike nā hopena EUS maʻamau i nā ʻōkana a me nā ʻiʻo me ka nui i manaʻo ʻia, ke ʻano, a me ke ʻano. Pono nā paia o kāu ʻōnaehana digestive e ʻike ʻia he mau papa like ʻole me ka mānoanoa maʻamau, a ʻo nā ʻōkana kokoke e like me ka pancreas pono e loaʻa i ke ʻano like me ka ʻole o nā puʻupuʻu a i ʻole nā cysts.

Hiki i nā ʻike maʻamau ke komo i nā ʻano loli like ʻole. Hiki i nā paia ʻōnaehana digestive mānoanoa ke hōʻike i ka mumū a i ʻole ka maʻi ʻaʻai, ʻoiai ʻo nā puʻupuʻu a i ʻole nā nodules e hōʻike ana i nā maʻi a i ʻole nā lymph node nui. ʻO nā cysts, e ʻike ʻia he mau wahi i piha i ka wai, he benign pinepine akā pono paha ka nānā ʻana.

ʻO nā ʻike maʻamau a me ko lākou manaʻo e komo pū ana:

• Nā puʻupuʻu pancreatic - he mau ʻōpū maikaʻi paha, nā loli mumū, a i ʻole ka maʻi ʻaʻai
• Nā ʻōpū lymph nui - hiki ke hōʻike i ka maʻi, ka mumū, a i ʻole ka laha ʻana o ka maʻi ʻaʻai
• Nā loli bile duct - hiki ke hōʻike i nā pōhaku, nā palena, a i ʻole nā ​​pāpā ʻē aʻe
• Ka mānoanoa o ka pā - hiki ke hōʻike i ka mumū, ka maʻi, a i ʻole ka maʻi ʻino
• Nā loli vascular - hiki ke hōʻike i ka portal hypertension a i ʻole nā ​​pilikia ʻē aʻe o ke kahe

E wehewehe kāu kauka i ke ʻano o nā mea i loaʻa no kou kūlana a me kou olakino. Nui nā mea ʻokoʻa i loaʻa ma EUS he maikaʻi a pono e nānā wale ʻia, aʻo nā mea ʻē aʻe e pono paha i nā hoʻokolohua hou a i ʻole ka mālama ʻana. He mea nui ka pōʻaiapili o kāu mau hōʻailona a me ka mōʻaukala olakino no ka unuhi pololei ʻana i nā hopena.

Inā ua lawe ʻia nā laʻana ʻiʻo i ka wā o ke kaʻina hana, lawe pinepine nā hopena i kekahi mau lā a i hoʻokahi pule e hana ai. E hoʻokaʻaʻike kāu kauka iā ʻoe me nā hopena biopsy a kūkākūkā i nā hana e pono ai e pili ana i nā mea i loaʻa.

He aha nā mea pilikia no ka pono o ka ultrasound endoscopic?

Nui nā mea e hoʻonui ai i kou hiki ke pono i kahi kaʻina hana EUS. ʻO ka makahiki kekahi mea e noʻonoʻo ai, no ka mea, nui nā kūlana e koi ai i ka loiloi EUS e lilo i mea maʻamau i ko mākou ʻelemakule ʻana, ʻoi aku ma hope o ka piha ʻana i ka makahiki 50.

He mea nui ka mōʻaukala ʻohana i ka hoʻoholo ʻana i ka pono o EUS. Inā he ʻohana kou me ka maʻi ʻaʻai pancreatic, nā maʻi ʻaʻai digestive tract, a i ʻole kekahi mau maʻi genetic, hiki i kāu kauka ke ʻōlelo aku iā EUS no ka nānā ʻana a i ʻole ka loiloi ʻana i nā hōʻailona e pili ana.

ʻO kekahi mau hōʻailona a me nā kūlana e alakaʻi pinepine ai i nā kuhikuhi EUS. ʻO ka ʻeha o ka ʻōpū mau, ʻoi aku hoʻi ma ka ʻōpū luna, hiki ke hōʻoia i ka noiʻi inā ʻaʻole i hāʻawi nā hoʻokolohua ʻē aʻe i nā pane. ʻO ka lilo ʻana o ke kaumaha i wehewehe ʻole ʻia, ka jaundice, a i ʻole nā ​​loli i nā hana ʻōpū hiki ke hoʻomaka i ka pono o kēia hoʻokolokolo kikoʻī.

ʻO nā mea pilikia e alakaʻi pinepine ai i ka EUS me:

• Mōʻaukala pilikino o nā pūpū a i ʻole nā puʻupuʻu o ka pancreas
• Pancreatitis maʻi a i ʻole pancreatitis ʻoi loa e hoʻi pinepine ana
• Nā mea i loaʻa ʻole maʻamau ma nā scans CT a i ʻole MRI
• Nā hōʻailona tumora i hoʻonui ʻia i nā hoʻokolohua koko
• Mōʻaukala mua o kekahi mau maʻi ʻaʻai o ka ʻōnaehana digestive
• Nā maʻi genetic e pili ana me ka piʻi ʻana o ka pilikia o ka maʻi ʻaʻai
• Mōʻaukala puhi paka, e hoʻonui ana i ka pilikia o ka maʻi ʻaʻai pancreas
• Diabetes e ulu koke ana i nā mākua kahiko

Hiki nō hoʻi i nā mea ola ke hoʻopili i ka pono no ka EUS. Hoʻonui ka hoʻohana ʻana i ka waiʻona i ka pilikia o ka pancreatitis a me nā pilikia e pili ana e pono ai ke loiloi. ʻAʻole wale ka puhi paka e hoʻonui i ka pilikia o ka maʻi ʻaʻai akā hiki nō ke kōkua i nā pilikia digestive like ʻole.

ʻO ka loaʻa ʻana o kekahi mau maʻi e hoʻonui i ka hiki ke ʻōlelo ʻia ka EUS. Pākuʻi ʻia kēia mau mea i ka maʻi ʻōpū mumū, ka pancreatitis hoʻoilina, a i ʻole ka lāʻau radiation mua i ka ʻōpū. Pono pinepine ka poʻe me kēia mau maʻi i ka nānā ʻana i kā lākou ʻōnaehana digestive a me nā ʻōkana a puni.

He aha nā pilikia hiki ke loaʻa o ka ultrasound endoscopic?

He hana palekana loa ka EUS, akā e like me nā hana lapaʻau a pau, loaʻa nō kekahi mau pilikia. He mea maʻamau ʻole nā pilikia koʻikoʻi, e hana ana ma lalo o 1% o nā hana, akā he mea nui e hoʻomaopopo i ka mea e hiki ke hana.

He maʻalahi a he manawa pōkole nā hopena ʻaoʻao maʻamau. Pākuʻi ʻia kēia mau mea i ka ʻeha ʻāʻī no hoʻokahi a ʻelua paha lā ma hope o ke kaʻina hana, ka ʻōhū maʻalahi mai ka ea i hoʻolauna ʻia i ka wā o ka hoʻokolokolo ʻana, a me ka hiamoe manawa pōkole mai ka sedation. Ua maʻamau ka hapa nui o nā kānaka i loko o 24 hola.

Hiki ke hana ʻia nā pilikia koʻikoʻi akā ʻaʻole maʻamau, ʻoiai ke lawe ʻia nā laʻana ʻiʻo. Hiki ke kahe ke koko, ʻoiai inā ʻoe e lawe i nā lāʻau e lahilahi ai ke koko a i ʻole he mau maʻi. ʻOi aku ka kiʻekiʻe o ka pilikia ke hana ʻia nā biopsies, akā he mea maʻamau ʻole ke kahe nui ʻana e pono ai ka lapaʻau.

Pākuʻi ʻia nā pilikia hiki ke loaʻa:

• Ka ʻōpū (hae) o ka pā o ka ʻōpū - he mea laha ʻole akā he mea koʻikoʻi
• Ke kahe ʻana mai nā wahi biopsy - maʻamau ka liʻiliʻi a kū maʻalahi
• Maʻi - ʻaʻole maʻamau me ka hana maʻemaʻe kūpono
• Ka hopena i nā lāʻau lapaʻau sedation - he mea laha ʻole akā hiki ke koʻikoʻi
• Aspiration - ka hanu ʻana i nā mea o ka ʻōpū, pale ʻia e ka ʻai ʻole
• Pancreatitis - ka mumū i hoʻokumu ʻia e ke kaʻina hana, he mea laha ʻole
• Nā pilikia cardiovascular - pili i ka sedation i nā maʻi pilikia kiʻekiʻe

Hiki i kekahi mau mea ke hoʻonui i kou pilikia o nā pilikia. ʻO ka makahiki kiʻekiʻe, nā maʻi olakino he nui, nā maʻi hoʻopaʻa koko, a me nā ʻoki ʻōpū ma mua e hoʻonui iki i nā pilikia. E loiloi pono kāu hui lapaʻau i kou kūlana pilikino ma mua o ka hoʻomau ʻana.

ʻO nā hōʻailona e pono ai ka lāʻau lapaʻau koke ma hope o ka EUS e pili ana i ka ʻeha nui o ka ʻōpū, ka luaʻi mau, ke kuni, ka pilikia o ka ʻai ʻana, a i ʻole ke kahe nui ʻana. ʻO ka hapa nui o nā pilikia, inā loaʻa, e ʻike ʻia i loko o nā hola mua ma hope o ke kaʻina hana.

Lawe kāu hui mālama ola i nā hana palekana he nui e hōʻemi i nā pilikia, me ke koho ʻana i ka mea maʻi, ka hoʻomākaukau kūpono, ka hana maʻemaʻe, a me ka nānā pono ʻana i ka wā a ma hope o ke kaʻina hana. ʻO nā pōmaikaʻi o ka loaʻa ʻana o ka ʻike diagnostic koʻikoʻi e ʻoi aku ka nui ma mua o nā pilikia liʻiliʻi i pili.

I ka manawa hea wau e ʻike ai i ke kauka e pili ana i nā hopena ultrasound endoscopic?

Pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā loaʻa iā ʻoe nā hōʻailona e pili ana ma hope o kāu kaʻina hana EUS. ʻOiai e ola wikiwiki ka hapa nui o nā kānaka me ka ʻole o nā pilikia, pono kekahi mau hōʻailona i ka lāʻau lapaʻau wikiwiki e hōʻoia i kou palekana a me kou olakino.

ʻO ka ʻeha nui o ka ʻōpū e ʻoi aku ka maikaʻi ma mua o ka maikaʻi he hae ʻulaʻula e pono ai ka loiloi koke. Pēlā nō, ʻo ka luaʻi mau ʻana, ʻoiai inā ʻaʻole hiki iā ʻoe ke mālama i nā wai, e pono ai ka mālama olakino wikiwiki. Hiki i kēia mau hōʻailona ke hōʻike i nā pilikia e pono ai ka mālama wikiwiki.

E launa koke me kāu mea mālama ola inā loaʻa iā ʻoe:

• ʻEha ʻōpū nui a i ʻole e ʻino nei
• Luaʻi mau a i ʻole hiki ʻole ke mālama i nā wai
• Liva ma luna o 101°F (38.3°C)
• He paʻakikī ke ale ʻana ʻaʻole i hoʻomaikaʻi ma hope o 24 mau hola
• Nā hōʻailona o ke kahe ʻana o ke koko e like me nā noho ʻeleʻele a i ʻole ka luaʻi ʻana i ke koko
• ʻĀwili nui a i ʻole ka hāʻule
• ʻEha umauma ʻano ʻē a i ʻole ka hanu paʻakikī

No ka nānā maʻamau e pili ana i kāu mau hopena, hoʻonohonoho ka hapa nui o nā kauka i kahi manawa e hahai ai i loko o hoʻokahi a ʻelua pule ma hope o ke kaʻina hana. Hāʻawi kēia i ka manawa no nā mea a pau i loaʻa e nānā pono ʻia a no nā hopena biopsy e hoʻi mai ana mai ka hale hana.

Mai kali no kāu manawa i hoʻonohonoho ʻia inā he nīnau a hopohopo paha kāu e pili ana i kāu mau hopena. Nui nā mea mālama ola i nā laina wela o nā kahu hānai a i ʻole nā ​​puka maʻi kahi e hiki ai iā ʻoe ke nīnau i nā nīnau ma waena o nā kipa. ʻOi aku ka maikaʻi o ka nīnau ʻana e pili ana i kekahi mea e hopohopo nei iā ʻoe ma mua o ka kali a me ka noʻonoʻo.

Inā ua hōʻike kāu EUS i nā mea e pono ai ka nānā ʻana a i ʻole ka mālama ʻana, e hoʻokumu kāu kauka i kahi hoʻolālā hahai maopopo. Hiki i kēia ke komo i ka hana hou ʻana i nā kiʻi, nā hoʻokolohua hou, a i ʻole ka hoʻouna ʻana i nā loea. E hōʻoia e hoʻomaopopo ʻoe i ka manawa a me ke koʻikoʻi o kekahi mālama hahai i ʻōlelo ʻia.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka ultrasound endoscopic

Q.1 He maikaʻi anei ka hoʻāʻo ultrasound endoscopic no ka maʻi kanesa pancreatic?

ʻAe, manaʻo ʻia ʻo EUS kekahi o nā hoʻokolohua maikaʻi loa no ka ʻike ʻana a me ka loiloi ʻana i ka maʻi kanesa pancreatic. Hiki iā ia ke ʻike i nā ʻōpū liʻiliʻi ʻaʻole paha e hōʻike maopopo ʻia ma nā scans CT a i ʻole MRIs, ʻo ia hoʻi nā mea liʻiliʻi ma mua o 2 mau kenimika. ʻO ka pili kokoke o ka probe ultrasound i ka pancreas e hāʻawi i ka maikaʻi kiʻi maikaʻi.

He mea nui ka EUS no ka hoʻonohonoho ʻana i ka maʻi kanesa o ka pancreas ma hope o ka ʻike ʻia ʻana. Hiki iā ia ke hōʻike inā ua laha ka maʻi kanesa i nā kīʻaha koko kokoke, nā puʻupuʻu lymph, a i ʻole nā ʻōkana ʻē aʻe, he ʻike koʻikoʻi kēia no ka hoʻolālā ʻana i ka lāʻau lapaʻau. Kōkua kēia ʻike hoʻonohonoho i nā kauka e hoʻoholo inā hiki ke hana i ke ʻoki a me ke ʻano o ka lāʻau lapaʻau e ʻoi aku ka maikaʻi.

Q.2 ʻO ka ultrasound endoscopic abnormal ke manaʻo mau nei i ka maʻi kanesa?

ʻAʻole, ʻaʻole hōʻike mau nā hopena EUS abnormal i ka maʻi kanesa. Nui nā maʻi e hiki ke hana i nā hiʻohiʻona abnormal ma ka ultrasound, me nā cysts benign, ka mumū, nā maʻi, a me nā ulu ʻole i ka maʻi kanesa. ʻO ka ʻoiaʻiʻo, ʻo ka hapa nui o nā hopena abnormal e lilo i nā maʻi benign e pono ai ka nānā ʻana ma mua o ka lāʻau lapaʻau ikaika.

No ka laʻana, ʻike pinepine ʻia nā cysts pancreatic i ka wā EUS, a ʻo ka hapa nui o kēia mau mea he benign a ʻaʻole pono i ka lāʻau lapaʻau. Hiki i ka pancreatitis maʻi, nā pōhaku bile duct, a me nā maʻi inflammatory ke hana i nā hiʻohiʻona abnormal ʻaʻohe mea pili i ka maʻi kanesa. ʻO ia ke kumu e pono ai ka laʻana ʻana o ka ʻiʻo a me nā hoʻokolohua hou e hoʻoholo ai i ke ʻano pololei o nā hopena abnormal.

Q.3 Pehea ka lōʻihi o ka loaʻa ʻana o nā hopena ultrasound endoscopic?

Loaʻa pinepine nā hopena mua mai ka nānā ʻana i ka ʻike i loko o kekahi mau lā o kāu kaʻina hana. Hiki i kāu kauka ke haʻi pinepine iā ʻoe e pili ana i nā abnormalities maopopo a i ʻole nā hopena maʻamau e hōʻoluʻolu ana ma hope koke o ka nānā ʻana i nā kiʻi a me nā memo procedural.

Eia naʻe, inā ua lawe ʻia nā laʻana ʻiʻo i ka wā o ke kaʻina hana, lawe maʻamau nā hopena piha i 5-7 mau lā ʻoihana. Hiki i kekahi mau hoʻokolohua kūikawā ma nā laʻana ʻiʻo ke lōʻihi, a hiki i ʻelua pule i kekahi mau hihia. E haʻi aku kāu hui mālama ola iā ʻoe i ka manawa i manaʻo ʻia no kāu kūlana kikoʻī a e hoʻokaʻaʻike iā ʻoe i ka wā e loaʻa ai nā hopena a pau.

Q.4 Hiki iaʻu ke ʻai maʻamau ma hope o ka ultrasound endoscopic?

Hiki iā ʻoe ke hoʻomaka hou i ka ʻai ʻana ke pau ka hopena o ka sedation a ua ala loa ʻoe, maʻamau 2-4 mau hola ma hope o ke kaʻina hana. E hoʻomaka me nā mea liʻiliʻi o nā wai maʻemaʻe e like me ka wai a i ʻole ka wai ʻāpala e hōʻoia e hiki iā ʻoe ke ale me ka ʻoluʻolu me ka ʻole o ka huhū ʻana o ka ʻāʻī.

Inā ʻoe e ʻae maikaʻi i nā wai, hiki iā ʻoe ke holomua mālie i nā meaʻai palupalu a laila i kāu ʻai maʻamau. Eia naʻe, inā ua lawe ʻia nā laʻana ʻiʻo i ka wā o ke kaʻina hana, hiki i kāu kauka ke ʻōlelo aku e pale i ka waiʻona a me kekahi mau lāʻau lapaʻau no 24-48 mau hola e hōʻemi i ka pilikia o ke kahe ʻana. E hahai mau i nā ʻōlelo kuhikuhi ma hope o ke kaʻina hana i hāʻawi ʻia e kāu hui mālama ola.

Q.5 ʻOi aku ka pololei o ka ultrasound endoscopic ma mua o ka CT scan?

He mau hoʻokolohua hoʻohui ʻo EUS a me CT scans i loaʻa nā pono kikoʻī. ʻOi aku ka pololei o ka EUS no ka loiloi ʻana i ka pancreas, nā ducts bile, a me nā papa o ka paia digestive tract no ka mea e kokoke loa ka probe ultrasound i kēia mau mea ma mua o ka hiki ʻana o ke kiʻi waho.

No ka ʻike ʻana i nā maʻi maʻi pancreatic liʻiliʻi, ke komo ʻana o ka lymph node, a me ka loiloi ʻana i ka hohonu o ka maʻi maʻi, ʻoi aku ka maikaʻi o ka EUS ma mua o nā CT scans. Eia naʻe, ʻoi aku ka maikaʻi o nā CT scans no ka loaʻa ʻana o kahi ʻike holoʻokoʻa o ka ʻōpū holoʻokoʻa a no ka ʻike ʻana i ka laha ʻana o ka maʻi. Nui nā kauka e hoʻohana i nā hoʻokolohua ʻelua e kiʻi i ke kiʻi piha loa, no ka mea, hāʻawi kēlā me kēia i ka ʻike waiwai akā ʻokoʻa.