Whakaheketanga kiri muka endoskopik

Ko te tātaritanga kiriūku (EMR) he tikanga hei tango i ngā kiko kē i roto i te pūnaha kai. Ka taea e te EMR te tango i te mate pukupuku i te tīmatanga, ngā kiko pea ka riro hei mate pukupuku, me ētahi atu kiko kaore i te noa, e kiia nei ko ngā lesions. Ka whakamahia e ngā tohunga hauora te tātaritanga kiriūku ma te whakamahi i te pūnaha roa, angiangi e kiia nei ko te endoscope. Kei te endoscope te rā, te kāmera ataata me ētahi atu taputapu. I te wā o te EMR o te pūnaha kai o runga, ka tukuna e ngā tohunga hauora te endoscope ki raro i te korokoro. Ka ārahi ratou ki ngā lesions i roto i te esophagus, te puku, te wāhanga o runga o te whekau iti, e kiia nei ko te duodenum.

Ka taea e te whakakorenga o te kiri kiri te tango i ngā kiko kē i te paparinga o te pūnaha kai me te kore e tapahi i te kiri, kāore hoki e tango i tētahi wāhanga o te pūnaha kai. Nā tēnei, he rongoā iti ake te mahi a te EMR i te pokanga. Ki te whakarite ki te pokanga, ka hono atu te EMR ki ngā tūponotanga hauora iti ake me ngā utu iti ake. Ko ngā kiko i tangohia me te EMR pea: Te mate pukupuku i te tīmatanga. Ngā whara pea ka riro hei mate pukupuku, e kiia ana hoki ko ngā whara pūmua ranei ko ngā dysplasia. Ko te nuinga o te wā, he tākuta e kiia nei he gastroenterologist te mahi i ngā whakakorenga o te kiri kiri. Ko tēnei momo tākuta te kimi me te whakaora i ngā āhuatanga o te pūnaha kai. Ki te hiahia koe ki te EMR, ngana ki te tīpako i tētahi gastroenterologist he nui te wheako ki te mahi i te tukanga.

Ko ngā tūponotanga o te whakakorenga o te papamū endoskopikau e whai ake nei: Te toto. Koinei te take tino nui. Ka taea e ngā tohunga hauora te kimi me te whakatika i te toto i te wā rānei i muri i te EMR. Te whakaiti o te kōpū. Ko te kōpū te pūnaha roa, ngū, e rere ana i te korokoro ki te puku. Ko te tango i te mate e karapotia ana te kōpū he tūponotanga o te tohu e whakaiti ana i te kōpū. Ka āhei pea tenei whakaiti ki te raruraru o te horomi, ā, ka hiahiatia pea te āwhina atu hei hua. Te whākōkī, e kiia ana hoki ko te pakaru. He iti te tūponotanga ka whākōkī ngā taputapu endoskopikau i te pakitara o te pūnaha kai. Ko te tūponotanga e whakawhirinaki ana ki te rāhi me te wāhi o te mate e tangohia ana. Karangatia tō tohunga hauora, ki te tiki rānei i te tiaki āwhina, ki te kite koe i ētahi o ēnei tohu i muri i te EMR: Te kirika. Te wiri. Te ruaki, ina koa ki te rite te ruaki ki te oneone kōpi, ki te toto whero mārama rānei kei roto. Te paru pango. Te toto whero mārama kei roto i te paru. Te mamae i te uma, i te puku rānei. Te poto o te manawa. Te ngaro o te ngākau. Te raruraru o te horomi, te mamae rānei o te korokoro e kaha ake ana.

I mua i te mahi whakaheke kiri kiri o roto (EMR), ka ui atu tō rōpū hauora ki a koe mō ēnei mōhiohio: Ngā rongoā katoa me ngā taapiri kai e inu ana koe me ō rātou horoinga. Hei tauira, he mea nui kia whakarārangihia ngā rongoā whakaiti toto, te aspirin, te ibuprofen (Advil, Motrin IB, ētahi atu), te naproxen sodium (Aleve), ngā taapiri rino, me ngā rongoā mō te mate huka, te toto teitei, te mate khớp. Ngā mate pāwera rongoā katoa. Ngā āhuatanga hauora katoa kei a koe, tae atu ki te mate ngakau, te mate manawa, te mate huka, me ngā mate toto-whakakiki. Ka tono pea tō kaimahi hauora kia mutu te inu i ētahi rongoā mō te wā poto i mua i te EMR. Kei roto i ēnei ngā rongoā e pā ana ki te whakakiki toto, te whakakiki ranei i ngā rongoā e kiia nei he rongoā whakangāwari e āwhina ana i a koe kia ngāwari i mua i te EMR. Ka whiwhi koe i ngā tohutohu tuhituhi mō te mahi i te rā i mua i tō EMR. Ka rereke pea ēnei tohutohu i runga i te wāhi o te mate, te mate rānei e tangohia ana. I te nuinga, ka whai pea ngā tohutohu: Ngā kai kore. Ka korerotia ki a koe te wā e mutu ai te kai me te inu, e kiia ana hoki ko te kai kore, i mua i te EMR. Ka kore pea e taea e koe te kai, te inu, te ngau i te ngākau, te wāhi ranei i muri i te po i mua i te EMR. Ka tono pea rātou ki a koe kia whai i te kai wai mārama i te rā i mua i tō mahi. Te horoi i te kōroke. Ki te pā te EMR ki te kōroke, ka mahi koe i ētahi mahi hei whakamama i ō whekau me te horoi i tō kōroke i mua. Hei mahi i tēnei, ka korero pea rātou ki a koe kia whakamahi i te rongoā e kiia nei he laxative wai. Rānei ka whakamahi koe i te taputapu e kiia nei he taputapu enema e tuku ana i te wai ki roto i te tūtaratanga. Ka hainatia e koe te puka whakaae whakamōhiotanga. Ka hoatu tēnei ki tō kaimahi hauora te whakaaetanga ki te mahi i te EMR i muri i te whakamārama i ngā tūponotanga me ngā painga ki a koe. I mua i tō hainatanga i te puka, ui atu ki tō kaimahi hauora mō tetahi mea kaore koe i te mōhio pai mō te mahi.

He maha ngā momo o te whakakorenga o te papamū endoskopik. Pātai atu ki tō gastroenterologist mō te āhua o te mahi a tō EMR. Ko tetahi huarahi noa e whakauru ana i ēnei kaupae: Te whakauru i te endoscope me te arataki i te pito ki te wāhi e awangawanga ana. Te whakakī i te wai i raro i te mate kia waiho hei kāpeti i waenganui i te mate me te kiko hauora kei raro i a ia. Te hiki i te mate, pea mā te whakamahi i te hūpē ngawari. Te tapahi i te mate kia wehea atu i te kiko hauora e karapoti ana. Te tango i te kiko kaore i te noa mai i roto i te tinana. Te tohu i te wāhi i te maimoatanga ki te inika kia taea ai te kimi ano i ngā whakamātautau endoskopik kei te heke mai.