Created at:1/13/2025
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ʻO ka upper endoscopy kahi hana lapaʻau e hiki ai i kāu kauka ke ʻike i loko o kāu ʻōnaehana digestive luna me ka hoʻohana ʻana i kahi paipu lahilahi a maʻalahi me kahi kamera. Kōkua kēia hoʻāʻo palekana a hana pinepine ʻia e ʻike i nā pilikia i loko o kou esophagus, ʻōpū, a me ka ʻāpana mua o kou ʻōpū liʻiliʻi i kapa ʻia ʻo ka duodenum.
Kapa ʻia ka hana ʻo EGD, ʻo ia hoʻi ka esophagogastroduodenoscopy. ʻOiai ke kani paʻakikī nei ka inoa, he maʻalahi ka hoʻāʻo ʻana a maʻa mau i 15 a 30 mau minuke e hoʻopau ai.
ʻO ka upper endoscopy kahi hana diagnostic kahi e hoʻohana ai ka gastroenterologist i kahi mea hana kūikawā i kapa ʻia he endoscope e nānā i kāu ʻōnaehana digestive luna. ʻO ka endoscope he paipu lahilahi a maʻalahi e pili ana i ka laulā o kou manamana lima ʻōniʻoniʻo i loaʻa kahi kamera liʻiliʻi a me ke kukui ma kona piko.
I ka wā o ke kaʻina hana, alakaʻi mālie kāu kauka i kēia paipu ma kou waha, i lalo i kou ʻāʻī, a i loko o kou esophagus, ʻōpū, a me ka duodenum. Hoʻouna ka kamera kiʻekiʻe i nā kiʻi manawa maoli i kahi monitor, e ʻae ana i kāu kauka e ʻike maopopo i ka uhi ʻana o kēia mau ʻōkana a ʻike i nā mea ʻokoʻa.
Kōkua kēia ʻike pololei i nā kauka e ʻike i nā kūlana i ʻike ʻole ʻia ma nā X-ray a i ʻole nā hoʻokolohua kiʻi ʻē aʻe. Hiki nō hoʻi ke hoʻolako ʻia ka endoscope me nā mea hana liʻiliʻi e lawe i nā laʻana ʻiʻo a i ʻole e hana i nā lāʻau lapaʻau liʻiliʻi inā pono.
Hana ʻia ka upper endoscopy e noiʻi i nā hōʻailona e pili ana i kāu ʻōnaehana digestive luna a e ʻike i nā kūlana like ʻole. Hiki i kāu kauka ke ʻōlelo aku i kēia hoʻāʻo inā ʻoe e ʻike nei i nā hōʻailona digestive mau a i ʻole e pili ana i ka pono e nānā pono ʻia.
Hiki i ke kaʻina hana ke kōkua i ka ʻike ʻana i ke kumu o nā hōʻailona āu e ʻike nei. Eia kekahi mau kumu maʻamau e ʻōlelo ai nā kauka i ka upper endoscopy:
Hiki i ka endoscopy luna ke ʻike a me ka hōʻoia ʻana i nā kūlana like ʻole, mai nā pilikia maʻamau a i nā hopohopo koʻikoʻi. Hiki i kāu kauka ke ʻike i ka mumū, nā ʻōpū, nā maʻi ʻaʻai, a i ʻole nā mea ʻino i ke ʻano e hiki ke kumu i kāu mau hōʻailona.
I kekahi manawa hoʻohana nā kauka i ka endoscopy luna no nā kumu screening, ʻoiai inā he mau mea pilikia kāu no kekahi mau maʻi e like me ka esophagus o Barrett a i ʻole inā he moʻolelo ʻohana kou o ka maʻi maʻi ʻōpū. Hiki nō hoʻi ke nānā i ke kaʻina hana i nā kūlana i ʻike ʻia a i ʻole e nānā i ka maikaʻi o ka hana ʻana o nā lāʻau lapaʻau.
ʻO ka hana endoscopy luna e hana maʻamau i kahi wahi outpatient, e like me ka lumi endoscopy o ka haukapila a i ʻole ka hale lapaʻau kūikawā. E hōʻea ʻoe ma kahi o hoʻokahi hola ma mua o ka manawa i hoʻonohonoho ʻia e hoʻopau i nā palapala a hoʻomākaukau no ka hoʻāʻo.
Ma mua o ka hoʻomaka ʻana o ke kaʻina hana, e nānā kāu hui lapaʻau i kāu mōʻaukala olakino a me nā lāʻau lapaʻau o kēia manawa. E hoʻololi ʻoe i loko o ka ʻaʻahu haukapila a e hoʻokomo ʻia kahi laina IV i kou lima no nā lāʻau lapaʻau. E nānā ʻia kāu mau hōʻailona koʻikoʻi i ke kaʻina hana holoʻokoʻa.
Loaʻa i ka hapa nui o nā maʻi ka sedation ʻike, ʻo ia hoʻi e hoʻomaha ʻoe a hiamoe akā e hanu ana nō ʻoe iā ʻoe iho. Kōkua ka lāʻau sedative iā ʻoe e ʻoluʻolu a hoʻemi i nā hopohopo a i ʻole ka ʻoluʻolu ʻole. Hiki i kekahi poʻe maʻi ke koho e hana ʻia ke kaʻina hana me ka pīpī ʻana i ka ʻāʻī e hoʻopōʻino i ka wahi, ʻoiai ʻaʻole maʻamau kēia.
I ka wā o ke kaʻina hana maoli, e moe ʻoe ma kou ʻaoʻao hema ma luna o kahi papa hoʻokolokolo. E hoʻokomo mālie kāu kauka i ka hopena o ka endoscope ma kou waha a alakaʻi iā ia i lalo i kou ʻāʻī. ʻAʻole e hoʻopilikia ka endoscope i kou hanu ʻana, no ka mea, e iho ana ia i lalo i kou esophagus, ʻaʻole i kou ʻōpū.
E nānā pono kāu kauka i kēlā me kēia wahi, e nānā ana i ka uhi ʻana o kou esophagus, ʻōpū, a me ka duodenum. Hiki iā lākou ke kiʻi i nā kiʻi a i ʻole nā wikiō o nā mea maʻamau ʻole. Inā pono, hiki iā lākou ke lawe i nā laʻana ʻiʻo liʻiliʻi i kapa ʻia ʻo biopsies me ka hoʻohana ʻana i nā mea hana liʻiliʻi i hala i ka endoscope.
ʻO ka hana holoʻokoʻa e lawe maʻamau i 15 a 30 mau minuke, ma muli o ka mea i loaʻa i kāu kauka a inā pono nā kaʻina hana hou. Ma hope o ka pau ʻana o ka hoʻokolokolo, e wehe mālie ʻia ka endoscope, a e lawe ʻia ʻoe i kahi wahi hoʻōla.
He mea nui ka hoʻomākaukau kūpono no ka endoscopy luna kūleʻa a me kou palekana i ka wā o ke kaʻina hana. E hāʻawi ke keʻena o kāu kauka iā ʻoe i nā ʻōlelo kikoʻī, akā eia nā ʻanuʻu hoʻomākaukau maʻamau e pono ai ʻoe e hahai.
ʻO ka mea nui e pono ai ka hoʻomākaukau ʻana, ʻo ka hoʻokē ʻai ʻana ma mua o kāu kaʻina hana. Pono ʻoe e hooki i ka ʻai ʻana a me ka inu ʻana no ka liʻiliʻi o 8 a 12 mau hola ma mua o ka manawa i hoʻonohonoho ʻia. E hōʻoia kēia i ka hakahaka o kou ʻōpū, e hāʻawi ana i kāu kauka i ka ʻike maikaʻi loa a me ka hōʻemi ʻana i ka pilikia o nā pilikia.
Pono ʻoe e nānā i kāu mau lāʻau lapaʻau me kāu kauka ma mua. Pono paha e hoʻoponopono ʻia kekahi mau lāʻau lapaʻau a i ʻole e hoʻōki ʻia no ka manawa ma mua o ke kaʻina hana:
E hōʻoia e hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma hope o ke kaʻina hana, no ka mea, e pili ana ka lāʻau lapaʻau i kou hiki ke hoʻokele palekana. Pono nō hoʻi ʻoe e hoʻolālā e lawe i ke koena o ka lā mai ka hana a i ʻole nā hana ʻē aʻe e ʻae ai i nā hopena o ka lāʻau lapaʻau e pau loa.
I ka lā o kāu kaʻina hana, e ʻaʻahu i nā lole ʻoluʻolu, nā lole ʻoluʻolu a waiho i nā mea nani a me nā waiwai ma ka home. Wehe i nā aniani maka, nā niho, a i ʻole kekahi hana niho hiki ke wehe ʻia ma mua o ka hoʻomaka ʻana o ke kaʻina hana.
E loaʻa ana kāu mau hopena endoscopy luna ma hope koke o ke kaʻina hana, ʻoiai e hiki ke lawe i kekahi mau lā a i hoʻokahi pule nā hopena biopsy. E kūkākūkā kāu kauka i nā mea i loaʻa mua me ʻoe a me kou ʻohana ma kahi o ka hoʻōla ʻana ke lawa ʻoe e hoʻomaopopo.
E hōʻike ana kahi hōʻike endoscopy luna maʻamau i ka mea i ʻike ʻia he olakino kou esophagus, ʻōpū, a me ka duodenum me ka ʻole o nā hōʻailona o ka mumū, nā ʻōpū, nā maʻi ʻaʻai, a i ʻole nā mea ʻē aʻe. Pono e ʻike ʻia ka laina he maʻemaʻe a ʻulaʻula, me ka ʻole o nā ulu ʻokoʻa a i ʻole nā wahi e hopohopo ai.
Inā loaʻa nā mea ʻokoʻa, e wehewehe kāu kauka i ka mea a lākou i ʻike ai a me ke ʻano o ia mea no kou olakino. ʻO nā mea i loaʻa maʻamau penei:
Inā i lawe ʻia nā laʻana ʻiʻo i ka wā o kāu hana, e hoʻouna ʻia kēia mau mea i kahi pathologist no ka nānā ʻana i ka microscopic. Kōkua nā hopena biopsy i ka hōʻoia ʻana i nā diagnoses a me ka hōʻole ʻana i nā maʻi koʻikoʻi e like me ka maʻi kanesa. E launa kāu kauka me ʻoe me kēia mau hopena a kūkākūkā i nā mālama e pono ai.
E hāʻawi kāu kauka iā ʻoe i kahi hōʻike i kākau ʻia e pili ana i nā kiʻi mai kāu hana a me nā ʻike kikoʻī. He mea nui kēia hōʻike e mālama ai no kāu moʻolelo olakino a e kaʻana like me nā mea mālama ola ʻē aʻe inā pono.
Hiki i kekahi mau mea ke hoʻonui i kou hiki ke hoʻomohala i nā pilikia o ka ʻōnaehana digestive luna e pono ai ka loiloi me ka endoscopy luna. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia hiki ke kōkua iā ʻoe e ʻike i ka wā e pono ai nā hōʻailona i ka lāʻau lapaʻau.
ʻO ka makahiki kekahi o nā mea pilikia nui loa, no ka mea, ʻoi aku ka maʻamau o nā pilikia digestive i ka wā e ʻelemakule ai mākou. ʻOi aku ka nui o ka poʻe ma luna o 50 e hoʻomohala i nā maʻi e like me nā ʻōpū peptic, gastritis, a me ka esophagus o Barrett. Eia naʻe, hiki ke loaʻa nā pilikia o ka ʻōnaehana digestive luna i kēlā me kēia makahiki.
Hiki i kekahi mau mea ola ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i nā maʻi e pono ai ka endoscopy luna:
Hoʻonui kekahi mau maʻi olakino i kou pilikia o nā pilikia o ka ʻōnaehana digestive luna. ʻO ka poʻe me ka maʻi diabetes, nā maʻi autoimmune, a i ʻole ka maʻi kīkī mau e ʻoi aku ka maʻalahi i ka gastritis a me nā ʻōpū. Hiki i ka mōʻaukala ʻohana o ka maʻi maʻi ʻōpū a i ʻole ka esophagus o Barrett ke pono i ka endoscopy screening.
ʻO ka maʻi me ka bacteria Helicobacter pylori kekahi mea pilikia nui no nā ʻōpū peptic a me ka mumū o ka ʻōpū. Hiki ke ʻike ʻia kēia maʻi bacteria maʻamau ma o nā hoʻokolohua koko, nā hoʻokolohua hanu, a i ʻole nā laʻana stool, a ʻo ka mālama ʻana i ka holomua e hoʻoponopono maʻamau i nā hōʻailona pili.
He hana palekana loa ka endoscopy luna me ka haʻahaʻa o nā pilikia. He kakaikahi nā pilikia koʻikoʻi, e hana ana ma lalo o 1% o nā hihia. Eia naʻe, e like me nā hana lapaʻau, aia kekahi mau pilikia hiki iā ʻoe ke ʻike.
He maʻalahi a he manawa pōkole nā hopena ʻaoʻao maʻamau. Hiki iā ʻoe ke ʻike i ka ʻeha ʻeha no hoʻokahi a ʻelua paha lā ma hope o ke kaʻina hana, e like me ka mea āu e manaʻo ai ma hope o ke kaʻina hana niho. Manaʻo kekahi poʻe i ka ʻōpū a i ʻole ka ʻoluʻolu o ka ʻōpū mai ka ea i hoʻohana ʻia e hoʻonui i ka ʻōpū i ka wā o ka hoʻokolokolo.
ʻAʻole maʻamau nā pilikia koʻikoʻi akā hiki ke komo:
He kiʻekiʻe iki ka pilikia o nā pilikia inā loaʻa iā ʻoe kekahi mau maʻi lapaʻau, e like me ka maʻi puʻuwai a i ʻole ka maʻi māmā, a i ʻole inā ʻoe e lawe ana i nā lāʻau lahilahi koko. E loiloi pono kāu kauka i kāu mau mea pilikia pilikino ma mua o ka ʻōlelo ʻana i ke kaʻina hana.
ʻO ka hapa nui o nā pilikia, inā loaʻa, he mea liʻiliʻi a hiki ke mālama pono ʻia. Hoʻomaʻamaʻa ʻia kāu hui lapaʻau e ʻike a mālama i nā pilikia e kū mai ana i ka wā a i ʻole ma hope o ke kaʻina hana. ʻOi aku ka maikaʻi o ka loaʻa ʻana o kahi hōʻailona pololei ma mua o nā pilikia liʻiliʻi i pili.
Pono ʻoe e kūkākūkā i ka endoscopy luna me kāu kauka inā ʻoe e ʻike nei i nā hōʻailona mau a i ʻole nā mea e pili ana i kāu ʻōnaehana digestive luna. ʻO ke kī, ʻo ia ka ʻike ʻana i ka wā e ʻoi aku ai nā hōʻailona ma mua o ka hōʻoluʻolu wale nō a hiki ke hōʻike i kahi maʻi e pono ai ka loiloi olakino.
E ʻimi koke i ka lāʻau lapaʻau inā ʻoe e ʻike i kekahi o kēia mau hōʻailona koʻikoʻi, no ka mea, hiki iā lākou ke hōʻike i nā maʻi e pono ai ka loiloi koke:
Pono nō hoʻi ʻoe e kamaʻilio me kāu kauka e pili ana i ka endoscopy luna inā he mau hōʻailona maʻi maʻi e pili nui ana i kou maikaʻi o ke ola. ʻO ka puʻuwai e hana ana ma mua o ʻelua manawa i ka pule, ka ʻeha o ka ʻōpū mau, a i ʻole ka nausea a me ka luaʻi ʻana e pono ai ka loiloi olakino.
Inā ʻoe ma luna o 50 a loaʻa nā mea pilikia e like me ka mōʻaukala ʻohana o ka maʻi maʻi ʻōpū, hiki i kāu kauka ke ʻōlelo aku i ka endoscopy screening inā ʻaʻole ʻoe he mau hōʻailona. Pēlā nō, inā loaʻa iā ʻoe ka esophagus o Barrett a i ʻole nā maʻi ʻē aʻe e hoʻonui ai i ka pilikia o ka maʻi maʻi, hiki ke ʻōlelo ʻia ka endoscopy surveillance maʻamau.
Mai kānalua e kūkākūkā i kāu mau hōʻailona me kāu kauka mālama mua, nāna e kōkua i ka hoʻoholo ʻana inā kūpono ka endoscopy luna no kou kūlana. ʻO ka loiloi mua a me ka mālama ʻana i nā pilikia digestive e alakaʻi pinepine i nā hopena maikaʻi a hiki ke pale i nā pilikia koʻikoʻi.
ʻAe, he mea maikaʻi loa ka endoscopy luna no ka ʻike ʻana i ka maʻi maʻi ʻōpū a ua manaʻo ʻia ʻo ia ke kūlana gula no ka ʻike ʻana i kēia maʻi. Hāʻawi ke kaʻina hana i kāu kauka e ʻike pololei i ka uhi ʻana o ka ʻōpū a ʻike i nā ulu ʻino, nā ʻōpū, a i ʻole nā loli i ka ʻiʻo e hōʻike ana i ka maʻi maʻi.
I ka wā o ke kaʻina hana, hiki i kāu kauka ke lawe i nā laʻana ʻiʻo mai nā wahi kānalua no ka loiloi biopsy. ʻO kēia hui pū ʻana o ka ʻike pololei a me ka lawe ʻana i ka ʻiʻo e hana i ka endoscopy luna i mea pololei loa no ka ʻike ʻana i ka maʻi maʻi ʻōpū, ʻoiai i nā pae mua i ka wā e pono ai ka mālama ʻana.
ʻAʻole ʻeha ka endoscopy luna, ʻoiai ke hana ʻia me ka sedation. Loaʻa ka sedation ʻike i ka hapa nui o nā maʻi, e hoʻomaha ai lākou a hiamoe i ka wā o ke kaʻina hana. Hiki iā ʻoe ke manaʻo i ke kaomi a i ʻole ka ʻoluʻolu iki i ka wā e hele ai ka endoscope ma kou ʻāʻī, akā he pōkole a hiki ke mālama ʻia.
Ma hope o ke kaʻina hana, hiki iā ʻoe ke loaʻa i ka ʻeha ʻāʻī iki no hoʻokahi a ʻelua paha lā, e like me ka mea āu e ʻike ai ma hope o ke kaʻina hana niho. Manaʻo kekahi poʻe i ka ʻōpū iki mai ka ea i hoʻohana ʻia i ka wā o ka hoʻokolokolo, akā hoʻoponopono koke kēia.
He wikiwiki a maʻalahi ka hoʻōla ʻana mai ka endoscopy luna. Hiki i ka hapa nui o nā kānaka ke hoʻomau i nā hana maʻamau i loko o 24 mau hola o ke kaʻina hana. Hoʻopau maʻamau nā hopena sedation i loko o 2 a 4 mau hola, ʻoiai ʻaʻole pono ʻoe e hoʻokele a hana i nā hoʻoholo nui no ke koena o ka lā.
Hiki iā ʻoe ke ʻai a inu maʻamau ke pau ka sedation, e hoʻomaka ana me nā meaʻai māmā a hoʻi mālie i kāu ʻai maʻamau. Pono e hoʻoponopono ʻia kekahi ʻeha ʻāʻī a i ʻole ka ʻōpū i loko o hoʻokahi a ʻelua paha lā me ka ʻole o ka mālama kūikawā.
ʻAe, hiki i ka endoscopy luna ke ʻike i ka acid reflux a me kona mau pilikia. Hāʻawi ke kaʻina hana i kāu kauka e ʻike i ka mumū, nā ʻeha, a i ʻole nā ʻōpū i loko o ka esophagus i hana ʻia e ka waikawa ʻōpū. Kōkua kēia hōʻike ʻike i ka hōʻoia ʻana i ka maʻi o ka gastroesophageal reflux disease (GERD) a me ka loiloi ʻana i kona paʻakikī.
Hiki nō hoʻi i ka endoscopy luna ke ʻike i nā pilikia o ka acid reflux lōʻihi, e like me ka esophagus o Barrett, kahi e loli ai ka uhi maʻamau o ka esophagus ma muli o ka ʻike ʻana i ka waikawa mau. Kōkua kēia ʻike i kāu kauka e hoʻomohala i ka hoʻolālā lapaʻau kūpono loa no kāu kūlana kikoʻī.
Aia ke alapine o ka endoscopy luna i kāu mau kūlana pilikino, nā hōʻailona, a me nā kūlana i loaʻa i nā kaʻina hana mua. ʻAʻole pono ka hapa nui o nā kānaka i ka endoscopy maʻamau ke ʻole lākou he mau maʻi olakino e pono ai ka nānā ʻana.
Inā loaʻa iā ʻoe ka esophagus o Barrett, hiki i kāu kauka ke ʻōlelo aku i ka endoscopy surveillance i kēlā me kēia 1 a 3 mau makahiki ma muli o ke koʻikoʻi. Pono paha ka poʻe me ka mōʻaukala o nā polyps ʻōpū a i ʻole nā kūlana precancerous ʻē aʻe i ka nānā ʻana i kēlā me kēia manawa. E hāʻawi kāu kauka i nā ʻōlelo paipai kikoʻī e pili ana i kāu kūlana olakino pilikino a me nā mea pilikia.