Yini i-Capsule Endoscopy? Inhloso, Inqubo & Nemiphumela

I-Capsule endoscopy iyindlela enobumnene yokubona ngaphakathi emathunjini akho amancane usebenzisa ikhamera encane oyigwinyayo njengepilisi. Le nqubo entsha ivumela odokotela ukuthi bahlole izindawo zohlelo lwakho lokugaya ukudla ezingafinyeleleki kalula ngama-endoscope avamile, ibanikeze umbono ocacile walokho okwenzeka emathunjini akho amancane ngaphandle kokuphazamiseka noma izinqubo ezingahlaseli.

Yini i-capsule endoscopy?

I-Capsule endoscopy isebenzisa ikhamera encane, elingana nepilisi oyigwinyayo ukuze uthathe izithombe zohlelo lwakho lokugaya ukudla. I-capsule icishe ilingane nevithamini elikhulu futhi iqukethe ikhamera encane engenantambo, amalambu e-LED, nebhethri elinika amandla idivayisi cishe amahora angu-8.

Njengoba i-capsule ihamba ngokwemvelo ngohlelo lwakho lokugaya ukudla, ithatha izinkulungwane zezithombe ezisezingeni eliphezulu. Lezi zithombe zidluliselwa ngaphandle kwentambo kumrekhoda ogqokwa ebhandeni elizungeze okhalweni lwakho. Yonke inqubo ayinabuhlungu futhi ikuvumela ukuthi uqhubeke nemisebenzi yakho yansuku zonke ngenkathi i-capsule yenza umsebenzi wayo.

I-capsule idlula ohlelweni lwakho ngokwemvelo futhi iqedwa ekuhambeni kwamathumbu akho ezinsukwini ezimbalwa. Akudingeki ukuthi uyithole, futhi abantu abaningi abaqapheli ngisho nalapho idlula.

Kungani kwenziwa i-capsule endoscopy?

Udokotela wakho angase ancome i-capsule endoscopy lapho bedinga ukuhlola amathumbu akho amancane ngezinkinga ezihlukahlukene zempilo. Lolu vivinyo lubaluleke kakhulu ngoba amathumbu amancane kunzima ukuwafinyelela ngezindlela zokuhlolwa ngama-endoscopic avamile, okwenza ikhamera ye-capsule ibe yisixazululo esifanele sokuhlolwa okuphelele.

Izizathu ezivame kakhulu odokotela abayala ngazo lolu vivinyo zihlanganisa ukuphenya ukopha okungachazwanga ohlelweni lwakho lokugaya ukudla, ikakhulukazi lapho ezinye izivivinyo zingatholanga umthombo. Kuyasiza futhi ekuxilongeni izifo zokuvuvukala kwamathumbu njengesifo sikaCrohn, ikakhulukazi lapho izimpawu zikhomba ukubandakanyeka kwamathumbu amancane.

Nawa amakhondishini nezimpawu ezingase zishukumise udokotela wakho ukuthi ancome i-capsule endoscopy:

• Ukuphuma kwegazi emathunjini okungachazeki noma i-iron deficiency anemia
• Ukucatshangelwa kwesifo sikaCrohn noma ezinye izimo zokuvuvukala kwamathumbu
• Amathumba amancane emathunjini noma ama-polyps
• Ukuqapha isifo se-Celiac kanye nezinkinga
• Ubuhlungu besisu obungachazeki noma isifo sohudo
• Ukucatshangelwa kokuvaleka kwamathumbu amancane
• Ama-syndromes e-polyposis afa ngemvelo

Kwezinye izimo, odokotela basebenzisa i-capsule endoscopy ukuqapha izimo ezaziwayo noma ukuhlola ukuthi ukwelashwa kusebenza kahle kangakanani. Lokhu kubanika ukuqonda okuqhubekayo ngempilo yakho yokugaya ukudla ngaphandle kwezinqubo eziphindaphindiwe ezingahlaseli.

Yini inqubo ye-capsule endoscopy?

Inqubo ye-capsule endoscopy iqondile futhi iqala ngokulungiselela ngosuku olwandulela ukuhlolwa kwakho. Uzothola imiyalelo ethile mayelana nokuzila ukudla futhi kungase kudingeke ukuthi usebenzise isixazululo sokulungiselela amathumbu ukuze uhlanze amathumbu akho, uqinisekise ukuthi ikhamera ithola izithombe ezicacile kakhulu.

Ngosuku lwenqubo yakho, uzofika emtholampilo lapho uchwepheshe ezonamathisela izinzwa esiswini sakho futhi azixhume kurekhoda yedatha. Leli rekhoda, elingaba nobukhulu besikhwama esincane, lizothatha zonke izithombe ezivela kukhamera ye-capsule njengoba ihamba ngohlelo lwakho lokugaya ukudla.

Inqubo yangempela ilandela lezi zinyathelo ezilula:

1. Uzogwinya i-capsule ngamanzi amancane, njengokuthatha noma iyiphi iphilisi
2. Uchwepheshe uzoqinisekisa ukuthi i-capsule isebenza kahle futhi idlulisa izithombe
3. Uzogqoka irekhoda yedatha ebhandeni elizungeze okhalweni lwakho cishe amahora angu-8
4. Ungabuyela ekhaya futhi uqhubeke nemisebenzi elula ngenkathi ugwema ukuzivocavoca okunzima
5. Ngemva kwamahora angu-2, ungaphuza uketshezi olucacile, futhi ngemva kwamahora angu-4, ungadla ukudla okulula
6. Uzobuyela emtholampilo ukuze ususwe irekhoda futhi ulande idatha

Ngesikhathi sokurekhoda amahora angu-8, uzogcina idayari uqaphela noma yiziphi izimpawu, imisebenzi, noma uma udla noma uphuza. Lolu lwazi lusiza odokotela ukuthi bahlobanise lokho abakubonayo ezithombeni nokuthi uzizwa kanjani ngesikhathi esithile.

Abantu abaningi bathola ukuthi okuhlangenwe nakho kulula ngokumangalisayo futhi bayakwazi ukusebenza noma bazibandakanye emisebenzini ethule usuku lonke. Ikhaphula yakhelwe ukuthi ihambe ngokwemvelo nokuhlangana okujwayelekile kwesistimu yakho yokugaya ukudla.

Ungalungiselela kanjani i-capsule endoscopy yakho?

Ukulungiselela okufanele kubalulekile ekutholeni izithombe ezicacile, eziwusizo ezivela ku-capsule endoscopy yakho. Udokotela wakho uzohlinzeka ngemiyalelo ethile eyenzelwe isimo sakho, kodwa ukulungiselela kuvame ukuqala amahora angu-24 kuya kwangu-48 ngaphambi kwenqubo yakho.

Ingxenye ebaluleke kakhulu yokulungiselela ihlanganisa ukususa ithrekhi yakho yokugaya ukudla ukuze ikhamera ikwazi ukubona kahle. Lokhu ngokuvamile kusho ukulandela ukudla oketshezi olucacile ngosuku olwandulela ukuhlolwa nokuthatha isixazululo sokulungiselela amathumbu, okufana nalokho okusetshenziselwa ukulungiselela i-colonoscopy.

Nakhu ongakulindela ngesikhathi sokulungiselela kwakho:

• Yeka ukudla ukudla okuqinile amahora angu-24 ngaphambi kwenqubo
• Phuza uketshezi olucacile kuphela njengamanzi, umhluzi ocacile, nejusi le-apula
• Thatha imithi yokulungiselela amathumbu njengoba kuyalelwe
• Gwema iziphuzo ezibomvu noma ezinsomi ezingase zithathwe njengegazi
• Yeka imithi ethile engase iphazamise ukuhlolwa
• Zila ngokuphelele amahora angu-10-12 ngaphambi kokugwinya ikhaphula

Udokotela wakho uzobukeza imithi yakho yamanje futhi angase akucele ukuthi uyeke okwesikhashana ukuthatha imithi ethile, ikakhulukazi lezo ezithinta ukujiya kwegazi noma ukunyakaza kwamathumbu. Njalo landela imiyalelo ethile kadokotela wakho kunokwenza izinguquko ngokwakho.

Ekuzeni kwakho kwenqubo, gqoka izingubo ezikhululekile, ezingaqinile ngoba uzobe ugqoke irekhoda yedatha okhalweni lwakho. Hlela usuku oluthule, ngoba kuzodingeka ukuthi ugweme imisebenzi eqinile yomzimba ngenkathi ikhephula lisebenza.

Ungazifunda kanjani imiphumela yakho ye-capsule endoscopy?

Imiphumela yakho ye-capsule endoscopy izohunyushwa yi-gastroenterologist oqeqeshwe ngokukhethekile ekufundeni lezi zithombe ezinemininingwane. Le nqubo ihlanganisa ukubukeza izinkulungwane zezithombe ezithathwe ngesikhathi sohambo lwekhephula ngamathumbu akho okugaya ukudla, okuthatha izinsuku eziningana ukuqedela kahle.

Imiphumela ejwayelekile ikhombisa izicubu ezinempilo ezipinki ezihlanganisa amathumbu akho amancane ngaphandle kwezimpawu zokuphuma kwegazi, ukuvuvukala, noma ukukhula okungajwayelekile. Izithombe kufanele ziveze amaphethini ezicubu abushelelezi, ajwayelekile anokubukeka kwemithambo yegazi ejwayelekile futhi kungabi namathumba angajwayelekile noma izilonda.

Lapho kutholakala okungajwayelekile, kuvame ukuhlukaniswa ngokuya ngobaluleka bazo nendawo yazo. Udokotela wakho uzokuchazela ukuthi yini okutholakele okuthile okusho ngempilo yakho nokuthi yiziphi izinketho zokwelapha ezingase zifanele.

Okutholakele okungajwayelekile okuvamile kufaka:

• Izindawo zokuphuma kwegazi noma igazi emathunjini
• Ushintsho oluvuvukalayo olusikisela isifo sikaCrohn noma ezinye izimo
• Ama-polyps amancane noma izimila
• Izilonda noma ukuguguleka emgqeni wamathumbu
• Izindawo ezinciphile ezingase zibonise izakhiwo
• Imithambo yegazi engajwayelekile engase ibangele ukuphuma kwegazi

Udokotela wakho uzohlela i-aphoyintimenti yokulandela ukuze axoxe ngemiphumela yakho ngemininingwane futhi achaze ukuthi isho ukuthini ngempilo yakho. Bazophinde bachaze noma yiziphi izinyathelo ezilandelayo ezidingekayo, ezingase zihlanganise ukuhlolwa okwengeziwe, izinguquko zemithi, noma izincomo zokwelapha.

Ziyini izici eziyingozi zokudinga i-capsule endoscopy?

Izici ezithile zikhuphula amathuba okuthi udinge i-capsule endoscopy, ngokuvamile eziphathelene nezimo ezithinta amathumbu akho amancane noma ezibangela izimpawu zokugaya ezingachazeki. Ukuqonda lezi zici eziyingozi kungakusiza ukuthi ubone ukuthi lolu vivinyo lungaba usizo nini.

Iminyaka idlala indima, njengoba ezinye izimo ezidinga i-capsule endoscopy ziba njalo njengoba ukhula. Kodwa-ke, lolu vivinyo lusetshenziswa kuwo wonke amaqembu obudala uma kukhonjiswe ngokomtholampilo, kusukela entsheni kuya ezigulini ezindala.

Izici zezokwelapha nendlela yokuphila ezingase zikhuphule isidingo sakho sale nqubo zihlanganisa:

• Umlando womndeni wesifo samathumbu esivuvukalayo noma umdlavuza we-colorectal
• Ukuxilongwa kwangaphambilini kwesifo sikaCrohn noma i-ulcerative colitis
• Ukuntuleka kwegazi okungachazeki kwensimbi
• Ubuhlungu besisu obungapheli ngaphandle kwembangela ecacile
• Umlando wokopha kwamathumbu amancane
• Isifo se-Celiac esinezimpawu eziqhubekayo naphezu kokwelashwa
• Ama-syndromes e-polyposis azuzwayo
• Ukusetshenziswa kwesikhathi eside kwemithi ethile engathinta amathumbu

Ezinye izimo zofuzo nazo zikhuphula amathuba okudinga i-capsule endoscopy ukuze kuqashwe. Uma unomlando womndeni wama-syndromes omdlavuza ozuzwayo noma isifo samathumbu esivuvukalayo, udokotela wakho angase ancome lolu vivinyo njengengxenye yokuhlolwa okuvamile.

Izici zendlela yokuphila njengengcindezi engapheli, amaphethini athile okudla, noma ukuhlinzwa kwesisu kwangaphambilini kungase futhi kube nomthelela ezimweni ezidinga ukuhlolwa kwe-capsule endoscopy.

Ziyini izinkinga ezingaba khona ze-capsule endoscopy?

I-Capsule endoscopy ngokuvamile iphephile kakhulu, nezinkinga ezingathi sína ezingavamile. Okukhathaza kakhulu ukugcinwa kwe-capsule, okwenzeka lapho i-capsule ingadluli ngokwemvelo ohlelweni lwakho lokugaya futhi ibhajwe endaweni ethile endleleni.

Ukugcinwa kwe-capsule kwenzeka cishe kuma-1-2% ezinqubo futhi kungenzeka kakhulu uma wazi ukuthi kukhona ukuqina noma ukuncipha emathunjini akho. Uma lokhu kwenzeka, i-capsule ingase idinge ukususwa ngenqubo ye-endoscopy yendabuko noma, ezimweni ezingavamile, ukuhlinzwa.

Nazi izinkinga ezingase zibe khona, ezihlelwe kusukela kwezivamile kakhulu kuya kwezingavamile kakhulu:

• Ukugcinwa kwe-Capsule okudinga ukususwa (1-2% wamacala)
• Ukuqunjelwa kwesikhashana noma ukungakhululeki ngemva kokugwinya i-capsule
• Ukuvuvukala kwesikhumba okuvela kuma-sensor anamathelayo
• Ukungasebenzi kahle kwe-capsule noma irekhoda
• Ukungeniswa kwe-capsule emaphashini (akuvamile kakhulu)
• Ukuvinjelwa kwamathumbu ezigulini ezinokuqina okukhulu

Abantu abaningi ababi nazinkinga nhlobo futhi bathola ukuthi le nqubo ilula kakhulu kunalokho obekulindelekile. I-capsule yakhelwe ngemiphetho ebushelelezi, eyindilinga ukuze kuncishiswe noma yiluphi uhlobo lokulimala njengoba idlula ohlelweni lwakho lokugaya ukudla.

Uma wazi ukuthi kukhona ukuqina noma ukuncipha emathunjini akho, udokotela wakho angase ancome i-capsule yokuvula kuqala. Le capsule encibilikayo isiza ukuqinisekisa ukuthi i-capsule yekhamera ejwayelekile ingadlula ngokuphepha ohlelweni lwakho.

Kufanele ngibone nini udokotela nge-capsule endoscopy?

Kufanele uxoxe nge-capsule endoscopy nodokotela wakho uma uhlangabezana nezimpawu zokugaya ukudla eziqhubekayo ezingachazwanga ezinye izivivinyo. Le nqubo ivame ukunconywa lapho izinqubo ze-endoscopic ezijwayelekile zingazange zinikeze izimpendulo noma lapho izimpawu zakho zikhomba ukubandakanyeka kwamathumbu amancane.

Ukuphuma kwegazi okungachazwanga emathunjini akho okugaya ukudla kungenye yezizathu ezivame kakhulu zokucabangela leli test. Uma uke waba negazi esitulweni sakho, i-anemia yokuntuleka kwensimbi, noma izivivinyo zesitulo ezinhle zegazi ngaphandle komthombo obonakalayo, i-capsule endoscopy ingase isize ukuhlonza imbangela.

Cabangela ukuxoxa ngalolu vivinyo nodokotela wakho uma uhlangabezana nalokhu:

• Ubuhlungu besisu obuqhubekayo ngaphandle kwembangela ecacile
• Ukuncipha kwesisindo okungachazeki ngezimpawu zokugaya ukudla
• Ukuqunjelwa okungapheli okungaphendulanga ekwelashweni
• Ukuntuleka kwensimbi anemia ngokucatshangelwa ukopha emathunjini
• Umlando womndeni wesifo sokuvuvukala kwamathumbu ngezimpawu ezintsha
• Ukucatshangelwa kwesifo sikaCrohn ngokuya ngokunye okutholakele
• Izimpawu eziqhubekayo naphezu kokwelashwa kwezimo ezaziwayo

Udkt wakho oqeqeshwe kahle noma i-gastroenterologist uzohlola izimpawu zakho nomlando wakho wezokwelapha ukuze anqume ukuthi i-capsule endoscopy ilungele yini isimo sakho. Bazobuye bacabange ukuthi ngabe ezinye izivivinyo kufanele zenziwe kuqala noma ngabe le nqubo iyisinyathelo esingcono kakhulu esilandelayo esimweni sakho esithile.

Unganqikazi ukubuza imibuzo mayelana nokuthi kungani le test inconywa nokuthi udkt wakho unethemba lokuthini emiphumeleni. Ukuqonda injongo kukusiza ukuthi uzizwe ukhululekile ngenqubo.

Imibuzo evame ukubuzwa mayelana ne-capsule endoscopy

Q.1 Ingabe i-capsule endoscopy ilungele ukuthola umdlavuza?

I-capsule endoscopy ingathola izimila ezincane zamathumbu nomdlavuza, kodwa akuyona ithuluzi lokuhlola umdlavuza ngokuyinhloko. Le test ilungele ukuhlonza izixuku, ama-polyps, noma ukukhula okungajwayelekile emathunjini amancane okungenzeka kungabonakali ngezinye izinqubo.

Ngenkathi i-capsule endoscopy ingathola izilonda ezinomdlavuza, ayikwazi ukuthatha amasampula ezicubu ukuze yenziwe i-biopsy njenge-endoscopy yendabuko. Uma kutholakala izindawo ezisolisayo, cishe uzodinga izinqubo ezengeziwe ukuze uqinisekise ukuxilongwa futhi unqume indlela engcono kakhulu yokwelashwa.

Q.2 Ingabe i-capsule endoscopy ibuhlungu noma ibangela ukungakhululeki?

I-capsule endoscopy ngokuvamile ayibuhlungu futhi ikhululekile kakhulu kunezinqubo ze-endoscopic zendabuko. Abantu abaningi bathola ukugwinya i-capsule akuhlukile ekuthathweni kwemithi emikhulu, futhi ngeke uyizwe ihamba ngohlelo lwakho lokugaya ukudla.

Abanye abantu bazwa ukuqunjelwa okuncane noma ukugcwala ngemva kokugwinya ikhaphule, kodwa lokhu kuvame ukuxazululeka ngokushesha. Izinzwa esikhumbeni sakho zingase zibange ukucasuka okuncane, okufana nokukhipha ibhandishi, kodwa abantu abaningi bazamukela kahle usuku lonke.

Q.3 Ingabe ikhaphule ihlala isikhathi esingakanani emzimbeni wakho?

Ikhaphule ngokuvamile idlula ohlelweni lwakho lokugaya ukudla phakathi kwamahora angu-24 kuya kwangu-72 ngemva kokuyigwinya. Abantu abaningi bakhipha ikhaphule ekuhambeni kwamathumbu abo phakathi kwezinsuku eziyi-1-3, nakuba ngezinye izikhathi kungathatha isonto kubantu abanokuhamba kokugaya ukudla okuhamba kancane.

Akudingeki ukuthi uyifune noma uyithole ikhaphule uma idlula. Ibhethri lihlala cishe amahora angu-8, ngakho liyeka ukuthatha izithombe ngaphambi kokuba likhishwe emzimbeni wakho. Ikhaphule yenzelwe ukuthi idlule ngokwemvelo ngaphandle kokubangela noma yiziphi izinkinga.

Q.4 Ngingakwazi yini ukudla ngokujwayelekile ngesikhathi senqubo ye-capsule endoscopy?

Kuzodingeka ukuthi uzile ukudla cishe amahora angu-2 ngemva kokugwinya ikhaphule ukuze uqinisekise izithombe ezicacile zomgudu wakho wokugaya ukudla ongaphezulu. Ngemva kwalesi sikhathi sokuqala, ungaqala ngamanzi acacile, bese uqhubekela ekudleni okulula ngemva kwamahora angu-4.

Udokotela wakho uzohlinzeka ngemiyalelo ethile yokudla ngosuku lwenqubo yakho. Ngokuvamile, uzofuna ukugwema ukudla okungase kufihle ukubuka kwekhamera noma ukudla okunzima ukukugaya kuze kube yilapho ikhaphule idlule ohlelweni lwakho.

Q.5 Kwenzekani uma ikhaphule ibhajwa?

Uma ikhaphule ibhajwa ohlelweni lwakho lokugaya ukudla, udokotela wakho uzonquma indlela engcono kakhulu yokuyikhipha ngokusekelwe lapho itholakala khona. Lokhu kungase kuhlanganise i-endoscopy yendabuko ukuze kutholwe ikhaphule noma, ezimweni ezingavamile, ukususwa ngokuhlinzwa.

Amakhephula amaningi agciniwe awabangi izinkinga ngokushesha, kodwa kudingeka asuswe ukuvimbela izinkinga ezingase zibe khona. Udokotela wakho uzoqapha isimo ngokucophelela futhi achaze izinketho zakho uma ukugcinwa kwekhephula kwenzeka. Le nkinga ayivamile futhi ingenzeka kakhulu kubantu abanokuncipha kwamathumbu okwaziwayo noma ukuncipha.