Endoscopic ultrasound

Endoscopic ultrasound (EUS) chirwere chinobatanidza endoscopy ne ultrasound kugadzira mifananidzo yemukati memudumbu nemiviri ne tishu dziri pedyo. Panguva ye EUS, chubhu chakacheka, chinopindika chinonzi endoscope chinoiswa mukati memudumbu. Chishandiso che ultrasound chiri pamusoro pechubhu chinoshandisa mafungu esound ane simba rakakwirira kugadzira mifananidzo yakajeka yemukati memudumbu nemiviri yakaita semapapu, pancreas, gallbladder, roora uye lymph nodes. EUS inobatsira kuwana zvirwere zviri mumiviri iyi ne tishu uye mukati memudumbu.

EUS inobatsira pakuzivisa zvirwere zvinokanganisa turakiti yekudya nezvikamu zviri pedyo nemaronda. Chubhu yeEUS inoiswa pasi pehuro inotora mifananidzo yeesophagus, dumbu nechikamu cheura duku. Dzimwe nguva chubhu yeEUS inoiswa kuburikidza neanus, iyo ndiyo kuvhurika kwemhasuru kumagumo eturakiti yekudya uko manyowa anobuda mumuviri. Panguva yekuita uku, EUS inotora mifananidzo yerectum nechikamu cheura guru, rinonzi colon. EUS inogona kutora mifananidzo yemamwe matunhu nemaronda ari pedyo. Izvi zvinosanganisira: Mapapu. Lymph nodes pakati pechifuva. Rove. Gall bladder. Bile ducts. Pancreas. Dzimwe nguva, zvinyorwa zvinoshandiswa sechitsiko cheEUS-yakatarwa maitiro ekutarisa kana kurapa matunhu ari pedyo neturakiti yekudya. Semuenzaniso, tsono inogona kupfuura nepakati pemadziro e-esophagus kuenda ku lymph nodes iri pedyo. Kana tsono inogona kupfuura nepakati pemadziro edumbu kuti iise mishonga ku-pancreas. EUS nemaitiro eEUS-akatarwa anogona kushandiswa ku: Tarisa kukuvara kwezvinyama nekuda kwekuzvimba kana chirwere. Wongorora kana kenza iripo kana yakapararira ku lymph nodes. Ona kuti tumor ye-cancerous yakapararira zvakadii kune mamwe maronda. Tumor ye-cancerous inonziwo tumor yakaipa. Zivisa nhanho yekenza. Paa ruzivo rwakadzama nezvemavara akawanikwa nezvimwe zvekufananidzira. Bvisa mvura kana tishu yekuyedza. Deredza mvura kubva ku cysts. Isa mishonga kune nzvimbo yakatarwa, senge tumor ye-cancerous.

EUS inowanzova yakachengeteka kana ikaitwa pakiriniki ine timu yehutano yakakurumbira. Maitiro acho anowanzoitwa nachiremba anoziva nezvehurongwa hwekudya uye ane kudzidziswa kwakakosha pakuita maitiro eEUS. Chiremba uyu anonzi gastroenterologist. Timu yako yehutano ichakurukura newe nezvengozi dzekuoma neEUS. Ngozi dzacho kazhinji dzine chekuita nekuita fine-needle aspiration uye dzinogona kusanganisira: Kubuda ropa. Kuwanda kwehutachiona. Kuchema kwemadziro emuviri, kunonziwo perforation. Pancreatitis, iyo dzimwe nguva inoitika ne fine-needle aspiration yepancreas. Kuti uderedze njodzi yako yekukanganisa, ita shuwa kuti unotevera mirairo kubva kune timu yako yehutano paunenge uchigadzirira EUS. Fonera nhengo ye timu yako yehutano nekukurumidza kana kuenda kuchipatara chekurapwa nekukurumidza kana ukawana chero chezviratidzo izvi mushure mekuita: Kupisa. Kurwadziwa kwakanyanya kana kusingaperi mudumbu. Kurwadziwa muchiuno kana muchipfuva. Kurutsa kwakanyanya kana kurutsa. Kurutsa ropa. Tsvina dema kana rima kwazvo.

Chikwata cheutano hwako chichakudzidzisa kuti ungagadzirira sei EUS yako. Mirayiridzo inosanganisira: Kuve nenzara. Ungakumbirwa kusadya kana kunwa chinhu chero chipi zvacho kwemaawa anopfuura matanhatu usati waita nzira yekurapa kuti uve nechokwadi chekuti mudumbu mako hamuna chinhu. Kuchenesa ura. Uchada kuchenesa ura hwako kuti EUS iitwe kuburikidza nemuromo. Ungakumbirwa kushandisa mushonga wekuchenesa ura kana kutevera kudya kwemvura uye kushandisa mushonga unovhura ura. Mishonga. Chikwata cheutano hwako chingakukumbira kuti urege kutora mimwe yemishonga yako usati waita EUS. Udza chikwata cheutano hwako nezve mishonga yose inorayirwa uye isina kurairwa yaunotora. Ita shuwa yekutaura nezve mishonga yemiti uye zvinowedzerwa zvekudya zvaunoshandisa. Kudzokera kumba. Mishonga inokubatsira kuzorora kana kurara panguva yeEUS inogona kuita kuti mafambiro ako ave akaoma kana kuita kuti zvikunetsa kufunga zvakanaka mushure mekurapwa. Ita kuti mumwe munhu akutyairire kumba uye agare newe zuva rose.

Kana wakapihwa anesthesia, hauzove uchiri mufaro panguva yekurapa. Kana wakapihwa sedative, unganzwa kusagadzikana. Asi vanhu vazhinji vanorara kana kuti havazi vakangwarira zvizere panguva yeEUS. Zvimwe ucharara kurutivi rwako rwekutanga panguva yekurapa. Chiremba anopinda chubhu yakatetepa, inobata kuburikidza nehuro rako kana anus yako, zvichienderana nekuti ndeapi matumbu kana tishu zvinoda kutarwa. Mugumo wechubhu une chishandiso chidiki che ultrasound. Ichi chishandiso chinoshandisa mafungu esound kuita mifananidzo. Zvimwe zviridzwa zvinoshandiswa panguva yekurapa zvinopfuurawo nechaneri iri muchubhu. Aya maitiro anosanganisira tsono inoshandiswa kutora masampuli etishu. EUS kazhinji inotora nguva shoma kupfuura awa. Kurapa kwakaitwa neEUS kunogona kutora nguva yakareba. Ungave nekurwadziwa kwepfupa mushure mekurapa kweEUS yepamusoro. Throat lozenges inogona kubatsira huro rako kunzwa zvakanaka.