Chii chinonzi Upper Endoscopy? Chinangwa, Maitiro & Mhedzisiro

Upper endoscopy inzira yekurapa inobvumira chiremba wako kuti aone mukati memudumbu rako repamusoro achishandisa chubhu yakatetepa, inochinjika ine kamera. Muedzo uyu wakachengeteka uye unoitwa kazhinji unobatsira kuongorora matambudziko mu esophagus yako, dumbu, uye chikamu chekutanga cheura hwako hudiki hunonzi duodenum.

Maitiro acho anonziwo EGD, iyo inomirira esophagogastroduodenoscopy. Kunyange zita richinzwa kuoma, muedzo wacho pachako wakananga uye kazhinji unotora maminitsi gumi nemashanu kusvika makumi matatu kuti upedzwe.

Chii chinonzi upper endoscopy?

Upper endoscopy inzira yekuongorora uko gastroenterologist anoshandisa chishandiso chakakosha chinonzi endoscope kuti aongorore hurongwa hwako hwekugaya chikafu. Iyo endoscope ichubhu yakatetepa, inochinjika inenge yakafara semunwe wako mudiki uyo une kamera diki uye chiedza pamucheto wayo.

Munguva yemaitiro, chiremba wako anonyatso tungamira chubhu iyi nemuromo wako, pasi pahuro yako, uye mu esophagus yako, dumbu, uye duodenum. Iyo kamera yepamusoro-tsanangudzo inotumira mifananidzo yenguva chaiyo kune monitor, ichibvumira chiremba wako kuti aone zvakajeka mutsara wezvikamu izvi uye aone chero zvisina kujairika.

Kuona uku kwakananga kunobatsira vanachiremba kuongorora mamiriro angasaratidzike zvakajeka paX-rays kana mamwe maedzo ekufungidzira. Iyo endoscope inogona zvakare kushongedzerwa nematurusi madiki kuti atore sampuli yematishu kana kuita kurapwa kudiki kana zvichidikanwa.

Nei upper endoscopy ichiitwa?

Upper endoscopy inoitwa kuti iongorore zviratidzo zvinokanganisa mudumbu rako repamusoro uye kuongorora mamiriro akasiyana. Chiremba wako angakurudzira muedzo uyu kana uri kusangana nezviratidzo zvekugaya zvinoramba zviripo kana zvinonetsa zvinoda kuongororwa zvakanyanya.

Maitiro acho anogona kubatsira kuziva chikonzero chezviratidzo zvaungave uri kusangana nazvo. Heano zvimwe zvikonzero zvakajairika zvinokurudzira vanachiremba upper endoscopy:

• Kupisa kwemoyo kunoramba kuripo kana acid reflux isingavanduki nemishonga
• Kunetsa kumedza kana kunzwa sekunge chikafu chinonamatira
• Kurwadziwa mudumbu kunoramba kuripo kana kusagadzikana mudumbu
• Munguva isingatsanangurwi kusvotwa uye kurutsa
• Uchapupu hweropa mumugwagwa wako wekudya, senge kurutsa ropa kana zvigaro zvitema
• Kurasikirwa uremu kusingatsanangurwi
• Chronic anemia inogona kukonzerwa nekubuda ropa kwemukati

Upper endoscopy inogona zvakare kuona uye kuongorora mamiriro akasiyana, kubva kumatambudziko akajairika kusvika kune zvakanyanya kukosha. Chiremba wako anogona kuziva kuzvimba, maronda, bundu, kana kusagadzikana kwemuviri kunogona kukonzera zviratidzo zvako.

Dzimwe nguva vanachiremba vanoshandisa upper endoscopy nekuda kwezvinangwa zvekuongorora, kunyanya kana uine njodzi yezvimwe zvirwere zvakaita seBarrett's esophagus kana kana uine nhoroondo yemhuri yegomarara mudumbu. Maitiro acho anogona zvakare kutarisa mamiriro anozivikanwa kana kutarisa kuti kurapwa kuri kushanda sei.

Ndeapi maitiro e upper endoscopy?

Maitiro e upper endoscopy anowanzoitika munzvimbo yekunze, senge imba yeendoscopy yechipatara kana kiriniki yakakosha. Uchasvika awa rimwe usati wazotarisirwa maitiro ako kuti upedze mapepa uye ugadzirire bvunzo.

Maitiro asati atanga, timu yako yezvokurapa ichatarisa nhoroondo yako yezvokurapa uye mishonga iripo. Uchapfeka nguo yechipatara uye uine mutsetse weIV wakaiswa muruoko rwako wemishonga. Zviratidzo zvako zvakakosha zvichatariswa panguva yese yekuita.

Vazhinji varwere vanogamuchira conscious sedation, zvinoreva kuti uchazorodzwa uye uchizununguka asi uchiri kufema wega. Mushonga we sedative unokubatsira kuti unzwe wakasununguka uye unoderedza chero kushushikana kana kusagadzikana. Vamwe varwere vanogona kusarudza kuita maitiro acho nekungoshandisa throat spray kuti inyore nzvimbo yacho, kunyangwe izvi zvisingawanzoitiki.

Panguva chaiyo yekuongorora, uchavata padivi rako rekuruboshwe patafura yekuongorora. Chiremba wako achaisa zvinyoro nyoro endoscope nemuromo wako uye achaitungamira kudzika muhuro mako. Iyo endoscope haivhiringidzi kufema kwako, sezvo ichidzika mu esophagus yako, kwete mumuromo wako.

Chiremba wako achanyatsoongorora nzvimbo imwe neimwe, achitarisa mutsetse we esophagus yako, dumbu, uye duodenum. Vanogona kutora mapikicha kana marekodhi evhidhiyo e chero chinhu chisingaite zvakajairika. Kana zvichidikanwa, vanogona kutora sampuli diki dzematishu dzinonzi biopsies vachishandisa zviridzwa zvidiki zvinopfuudzwa ne endoscope.

Nzira yose inowanzo tora maminitsi gumi nemashanu kusvika makumi matatu, zvichienderana nezvinowanikwa nachiremba wako uye kana chero mamwe maitiro achidikanwa. Mushure mekuongorora kwapera, iyo endoscope inobviswa zvinyoro nyoro, uye uchaendeswa kunzvimbo yekupora.

Nzira yekugadzirira sei upper endoscopy yako?

Kugadzirira kwakakodzera kwakakosha kune yakabudirira upper endoscopy uye kuchengeteka kwako panguva yekuongorora. Hofisi yachiremba wako ichakupa mirairo chaiyo, asi heano matanho ekugadzirira aunozofanira kutevera.

Chinhu chakakosha chekugadzirira ndiko kutsanya usati waita maitiro ako. Unozofanira kurega kudya nekumwa kwemaawa angangoita 8 kusvika 12 usati wasvika nguva yako yakarongwa. Izvi zvinovimbisa kuti dumbu rako rakazara, richipa chiremba wako maonero akanaka uye kuderedza njodzi yematambudziko.

Unofanirawo kuongorora mishonga yako nachiremba wako pachine nguva. Dzimwe mishonga inogona kufanira kugadziriswa kana kumiswa kwenguva pfupi usati waita maitiro:

• Mishonga yekutapudza ropa yakaita se warfarin kana clopidogrel inogona kufanira kumiswa mazuva akati wandei asati aitwa
• Mishonga yeDiabetes inogona kufanira kugadziriswa nekuda kwezvinodiwa zvekutsanya
• Proton pump inhibitors ye acid reflux inogona kufanira kumiswa kuti ibvumire kuona kuri nani
• Zvimwe zvinowedzera simbi zvinogona kumiswa kwenguva pfupi sezvo zvingakanganisa kuoneka

Ita shuwa kuronga munhu wekukutyaira kumba mushure mekuvhiyiwa, sezvo mushonga wekuzorodza uchakanganisa kugona kwako kutyaira zvakachengeteka. Unofanirawo kuronga kutora zororo rezuva rese kubva kubasa kana dzimwe zviitiko kuti ubvumire mhedzisiro yekuzorodza kuti ipere zvachose.

Pazuva rekuvhiyiwa kwako, pfeka mbatya dzakanaka, dzakasununguka uye siya zvishongo nezvinhu zvinokosha kumba. Bvisa malenzi ekubata, mazino ekugadzira, kana chero basa remuromo rinobviswa pamberi pekuvhiyiwa kutanga.

Ungaverenga sei mhedzisiro yako yepamusoro endoscopy?

Mhedzisiro yako yepamusoro endoscopy inowanzo kuwanikwa pakarepo mushure mekuvhiyiwa, kunyangwe mhedzisiro yebiopsy inogona kutora mazuva akati wandei kusvika vhiki. Chiremba wako anowanzo kurukura zvawanikwa zvekutanga newe nemumwe wemhuri yako munzvimbo yekupora kana wangomuka zvakakwana kuti unzwisise.

Chirevo chakajairika chepamusoro endoscopy chicharatidza kuti esophagus yako, dumbu, uye duodenum inoita seinonzi ine hutano pasina zviratidzo zvekuzvimba, maronda, bundu, kana zvimwe zvisina kujairika. Lining inofanira kuita seinotsvedza uye yepinki, isina chero kukura kusingajairiki kana nzvimbo dzekunetseka.

Kana zvisina kujairika zvawanikwa, chiremba wako achatsanangura zvavaona uye zvinoreva chii kuhutano hwako. Zvawanikwa zvakajairika zvinogona kusanganisira:

• Gastroesophageal reflux disease (GERD) ine humbowo hwekukuvadzwa kweasidhi kune esophagus
• Peptic ulcers mudumbu kana duodenum
• Kuzvimba kwemutsara wedumbu kunonzi gastritis
• Hiatal hernia uko chikamu chedumbu chinokwira kuburikidza nedhiaphragm
• Barrett's esophagus, mamiriro apo acid reflux inochinja mutsara weesophageal
• Polyps kana kukura kudiki kunogona kuda kutarisa kana kubviswa

Kana masampuli etishu akatorwa panguva yekuongorora kwako, aya achatumirwa kune pathologist kuti aongororwe nemicroscopic. Mhedzisiro ye biopsy inobatsira kusimbisa zvirwere uye kubvisa mamiriro akakomba sekenza. Chiremba wako achakubata newe nemhedzisiro iyi uye achakurukura chero kutarisirwa kunotevera kunodiwa.

Chiremba wako achakupa mushumo wakanyorwa une mapikicha kubva pakuongorora kwako uye zvakawanikwa zvakadzama. Mushumo uyu wakakosha kuchengeta marekodhi ako ekurapa uye kugovana nevamwe vanopa hutano kana zvichidikanwa.

Ndezvipi zvinhu zvinoita kuti munhu ade upper endoscopy?

Zvimwe zvinhu zvinogona kuwedzera mukana wako wekuvandudza matambudziko ekudya ekumusoro anogona kuda kuongororwa ne upper endoscopy. Kunzwisisa izvi zvinhu zvinogona kukubatsira kuziva kana zviratidzo zvingada kutariswa kwekurapa.

Zera ndechimwe chezvinhu zvakakosha, sezvo matambudziko ekudya achiwanda sezvatinokura. Vanhu vane makore anopfuura 50 vane mukana mukuru wekuvandudza mamiriro akaita se peptic ulcers, gastritis, uye Barrett's esophagus. Zvisinei, matambudziko ekudya ekumusoro anogona kuitika pazera ripi zvaro.

Zvimwe zvinhu zvehupenyu zvinogona kuwedzera njodzi yako yekuvandudza mamiriro anogona kuda upper endoscopy:

• Kushandiswa kwenguva dzose kwemishonga isiri-steroidal anti-inflammatory drugs (NSAIDs) yakaita se ibuprofen kana aspirin
• Kunwa doro zvakanyanya, izvo zvinogona kutsamwisa dumbu
• Kusvuta, izvo zvinowedzera kugadzirwa kweasidhi uye kunonotsa kupora
• Kushushikana kusingaperi, izvo zvinogona kuwedzera acid reflux uye matambudziko emudumbu
• Tsika dzisina kunaka dzekudya, kusanganisira zvakanyanya zvinonhuwira, acidic, kana mafuta

Zvimwe zvirwere zvinowedzerawo njodzi yako yematambudziko ekudya ekumusoro. Vanhu vane chirwere cheshuga, autoimmune disorders, kana chronic kidney disease vanogona kunge vachiwanzotambura ne gastritis uye ulcers. Nhoroondo yemhuri yekenza yemudumbu kana Barrett's esophagus inogonawo kuda screening endoscopy.

Kutapukirwa nehutachiona hweHelicobacter pylori imwe njodzi yakakosha yezvironda zvepeptic uye kuzvimba mudumbu. Hutachiona uhu hunowanzoitika hunogona kuonekwa kuburikidza nemiedzo yeropa, miedzo yekufema, kana sampuli dzechitsvina, uye kurapwa kunobudirira kunowanzoita kuti zviratidzo zvine chekuita nazvo zvigadziriswe.

Ndezvipi zvingaitika zvekukanganisa kwe upper endoscopy?

Upper endoscopy kazhinji inzira yakachengeteka kwazvo ine njodzi shoma yekukanganisa. Matambudziko akakomba haawanzoitiki, achiitika mune isingasviki 1% yezviitiko. Zvisinei, semamwe maitiro ekurapa, pane zvimwe zvingangoitika zvaunofanira kuziva.

Mhedzisiro yakajairika ndeyekureruka uye yenguva pfupi. Unogona kuona huro inorwadza kwezuva kana maviri mushure mekuita, zvakafanana nezvaunganzwa mushure mekuita mazino. Vamwe vanhu vanonzwawo vakazvimba kana kuva nekusagadzikana mudumbu kubva kumhepo inoshandiswa kuzvimba dumbu panguva yekuongorora.

Matambudziko akakomba haawanzoitiki asi anogona kusanganisira:

• Kubuda ropa, kunyanya kana biopsies dzatorwa kana polyps dzabviswa
• Kupunzika kana kubvaruka kudiki mumadziro emugumbo rekudya
• Kutapukirwa, kunyangwe izvi zvisingawanzoitiki nemaitiro emazuva ano ekuchenesa
• Zvisina kunaka kune mishonga yekuzorodza
• Kufema kana zvirimo mudumbu zvapinda mumapapu

Njodzi yekukanganisa yakakwira zvishoma kana uine mamwe mamiriro ekurapa, akadai sechirwere chemoyo chakakomba kana chirwere chemapapu, kana kana uri kutora mishonga yekutapudza ropa. Chiremba wako achanyatsoongorora njodzi dzako usati akurudzira maitiro acho.

Matambudziko mazhinji, kana akaitika, madiki uye anogona kurapwa zvinobudirira. Chikwata chako chekurapa chakadzidziswa kuziva nekugadzirisa chero matambudziko anogona kumuka panguva kana mushure mekuita. Zvakanakira kuwana kuongororwa kwakaringana zvinowanzoita kuti njodzi diki dzibatane.

Ndingafanira kuona chiremba rini kuti ndiende ku upper endoscopy?

Unofanira kufunga nezvekukurukura upper endoscopy nachiremba wako kana uri kusangana nezviratidzo zvinoramba zvichiitika kana zvinonetesa zvine chekuita ne digestive tract yako yepamusoro. Chinhu chikuru ndechokuziva kana zviratidzo zviri kupfuura kungonetsa nguva nenguva uye zvingaratidza mamiriro anoda kuongororwa kwekurapa.

Tsvaga rubatsiro rwekurapa nekukurumidza kana uine chero chimwe chezviratidzo izvi zvakakomba, sezvo zvingaratidza mamiriro anoda kuongororwa nekukurumidza:

• Kurutsa ropa kana zvinhu zvinoita sevanhu vakagaya kofi
• Black, tarry stools inogona kuratidza kubuda ropa kwemukati
• Kurwadziwa kwakanyanya mudumbu kusingavandudzi nemishonga inowanikwa pasina mushonga
• Kutadza kumedza kuri kuipa kana kukutadzisa kudya zvakajairika
• Kurasikirwa uremu kusingatsananguriki kunopfuura mapaundi gumi
• Kurutsa kunoramba kuchikudzivirira kubva pakuchengeta chikafu kana zvinwiwa pasi

Unofanirawo kutaura nachiremba wako nezve upper endoscopy kana uine zviratidzo zvisingaperi zvinokanganisa zvakanyanya hupenyu hwako. Heartburn inoitika kanopfuura kaviri pavhiki, kurwadziwa mudumbu kunoramba kuripo, kana kusvotwa uye kurutsa kunoramba kuchidikanwa kuongororwa kwekurapa.

Kana uri pamusoro pe50 uye uine njodzi dzakaita senhoroondo yemhuri yegomarara mudumbu, chiremba wako anogona kukurudzira kuongororwa kwe endoscopy kunyangwe usina zviratidzo. Saizvozvowo, kana uine Barrett's esophagus kana mamwe mamiriro anowedzera njodzi yegomarara, endoscopy yenguva dzose yekutarisa inogona kukurudzirwa.

Usazeza kukurukura zviratidzo zvako nachiremba wako wekutanga, uyo anogona kubatsira kuona kana upper endoscopy yakakodzera mamiriro ako. Kuongororwa nekukurumidza uye kurapwa kwematambudziko ekugaya kazhinji kunotungamira kumigumisiro iri nani uye kunogona kudzivirira matambudziko akakomba.

Mibvunzo inowanzo bvunzwa nezve upper endoscopy

Q.1 Ko upper endoscopy test yakanaka pakuona gomarara mudumbu here?

Hongu, upper endoscopy yakanaka zvikuru pakuona gomarara remudumbu uye inotariswa seyakajairika yekuziva mamiriro aya. Maitiro acho anobvumira chiremba wako kuti aone zvakananga mudumbu uye aone chero kukura kusinganzwisisike, maronda, kana shanduko mumaseru anogona kuratidza gomarara.

Munguva yemaitiro, chiremba wako anogona kutora masampuli emaseru kubva kunzvimbo dzese dzinofungira kuongororwa kwe biopsy. Iyi musanganiswa wekuona zvakananga uye sampling yematishu inoita kuti upper endoscopy ive yakanyatsojeka pakuona gomarara remudumbu, kunyangwe mumatanho ayo ekutanga apo kurapwa kunonyanya kushanda.

Mubvunzo 2. Inorwadza here upper endoscopy?

Upper endoscopy kazhinji haina kurwadza, kunyanya kana ichiitwa nekudzikamisa. Vanhu vazhinji vanogamuchira conscious sedation, iyo inovaita vakasununguka uye vakazorara panguva yemaitiro. Unogona kunzwa kumwe kumanikidzwa kana kusagadzikana zvishoma sezvo endoscope ichipfuura pahuro yako, asi izvi zvinowanzo kuve zvishoma uye zvinogoneka.

Mushure memaitiro, unogona kuva nehuro inorwadza zvishoma kwezuva rimwe kana maviri, zvakafanana nezvaungasangana nazvo mushure memaitiro emazino. Vamwe vanhu vanonzwawo vakazvimba zvishoma kubva mumhepo inoshandiswa panguva yekuongorora, asi izvi zvinowanzo gadzirisa nekukurumidza.

Mubvunzo 3. Zvinotora nguva yakareba sei kupora kubva ku upper endoscopy?

Kupora kubva ku upper endoscopy kunowanzo kukurumidza uye kwakananga. Vanhu vazhinji vanogona kutangazve mabasa avo akajairika mukati meawa makumi maviri nemana emaitiro. Mhedzisiro yekudzikamisa inowanzo pera mukati me2 kusvika ku4 maawa, kunyangwe iwe usingafaniri kutyaira kana kuita zvisarudzo zvakakosha kwezuva rese.

Unogona kazhinji kudya nekunwa zvakajairika kana kudzikamisa kwapera, kutanga nezvokudya zvakareruka uye zvishoma nezvishoma uchidzokera kune yako yenguva dzose kudya. Chero kurwadziwa kwehuro kana kuzvimba kunofanira kugadzirisa mukati mezuva rimwe kana maviri pasina chero kurapwa kwakakosha.

Mubvunzo 4. Upper endoscopy inogona kuona acid reflux here?

Hongu, upper endoscopy inogona kuona acid reflux uye matambudziko ayo. Maitiro acho anobvumira chiremba wako kuti aone kuzvimba, erosions, kana maronda mu esophagus anokonzerwa ne stomach acid. Uyu uchapupu hunooneka hunobatsira kusimbisa kuongororwa kwe gastroesophageal reflux disease (GERD) uye kuongorora kuomarara kwayo.

Upper endoscopy inogonawo kuziva matambudziko e long-term acid reflux, senge Barrett's esophagus, uko iyo yakajairika lining ye esophagus inochinja nekuda kwe chronic acid exposure. Ruzivo urwu runobatsira chiremba wako kugadzira chirongwa chekurapa chakakodzera mamiriro ako chaiwo.

Q.5 Ndingave ne upper endoscopy kakawanda sei?

Kuwanda kwe upper endoscopy kunoenderana nemamiriro ako ega, zviratidzo, uye chero mamiriro akawanikwa panguva yemaitiro apfuura. Vanhu vazhinji havadi endoscopy yenguva dzose kunze kwekunge vaine mamiriro chaiwo ekurapa anoda kuongororwa.

Kana uine Barrett's esophagus, chiremba wako anogona kukurudzira surveillance endoscopy muna 1 kusvika ku 3 makore zvichienderana nekuomarara. Vanhu vane nhoroondo ye stomach polyps kana mamwe mamiriro ekutanga-cancer anogonawo kuda kuongororwa nguva nenguva. Chiremba wako achapa mazano chaiwo zvichienderana nemamiriro ako ehutano uye njodzi.