Yini i-Endoscopic Ultrasound? Inhloso, Inqubo & Imiphumela

I-Endoscopic ultrasound (EUS) iyinqubo ekhethekile ehlanganisa i-endoscopy ne-ultrasound ukuze kutholwe izithombe ezinemininingwane yomgudu wakho wokugaya nokunye okuseduze. Cabanga ngayo njengokuba namathuluzi amabili anamandla okuxilonga esebenza ndawonye - ishubhu eliguquguqukayo elinekhamera (i-endoscope) kanye namaza omsindo (i-ultrasound) - ukubona izindawo ezingase zingabonakali kwezinye izivivinyo.

Le nqubo isiza odokotela ukuthi bahlole izindonga zomphimbo wakho, isisu, i-duodenum, nezakhiwo ezizungezile njenge-pancreas, isibindi, nama-lymph nodes. I-probe ye-ultrasound esihlokweni se-endoscope ingakha izithombe ezinemininingwane emangalisayo ngoba isondela kakhulu kulezi zitho kune-ultrasounds yangaphandle yendabuko.

Yini i-endoscopic ultrasound?

I-Endoscopic ultrasound iyinqubo yokuxilonga encane enikeza odokotela umbono oseduze wesistimu yakho yokugaya nokunye okuseduze. Ngesikhathi sokuhlolwa, ishubhu elincane, eliguquguqukayo elibizwa nge-endoscope lidluliswa ngobumnene ngomlomo wakho nangomgudu wakho wokugaya.

Isici esikhethekile sale endoscope yi-probe encane ye-ultrasound esihlokweni sayo. Le probe ikhipha amaza omsindo aphezulu abuyayo ukuze akhe izithombe ezinemininingwane yezendlalelo zezicubu nezakhiwo. Ngenxa yokuthi i-ultrasound iseduze nezitho ezihlolwayo, izithombe zicacile futhi ziqondile.

I-EUS ingahlola izendlalelo zezicubu ezingabonwa kahle ezinye izivivinyo zokucabanga. Ibaluleke kakhulu ekubukeni i-pancreas, ama-bile ducts, kanye nezendlalelo ezijulile zezindonga zomgudu wokugaya. Lokhu kuyenza ithuluzi elihle kakhulu lokuthola izinguquko zakuqala noma ukungajwayelekile okungenzeka kungabonakali kuma-CT scans noma ama-MRI.

Kungani kwenziwa i-endoscopic ultrasound?

Udktela wakho angase ancome i-EUS uma kudingeka ukuthi bahlole izimpawu noma okutholakele okudinga ukuthi kubhekisiswe kahle isimiso sakho sokugaya nokunye okuzungezile. Le nqubo ilusizo ikakhulukazi ekuxilongeni izimo ezithinta amanyikwe, imisele ye-bile, noma izendlalelo ezijulile zomgudu wakho wokugaya.

Izizathu ezivamile ze-EUS zihlanganisa ukuhlola ubuhlungu besisu obungachazeki, ukuhlola izigaxa noma ama-cyst e-pancreatic, nokwenza izigaba zezinhlobo ezithile zomdlavuza. Le nqubo ingasiza ekunqumeni ukuthi ukukhula kulungile noma kuyingozi, futhi uma umdlavuza ukhona, ukuthi usabalale kangakanani.

I-EUS futhi inenani elikhulu ekuqondiseni ama-biopsies lapho amasampula ezicubu edingeka ezindaweni okunzima ukuzifinyelela. Ukuqondiswa kwe-ultrasound kuvumela odokotela ukuthi baqondise ngqo izindawo ezisolisayo futhi baqoqe amasampula ngokuphepha. Ukwengeza, kungasiza ekuhloleni izinkinga zemisele ye-bile, ukuhlola ukuncipha kwesisindo okungachazeki, nokuhlola izimo zokuvuvukala kwamanyikwe.

Abanye abantu badinga i-EUS ukuze baqaphe izimo ezaziwayo ngokuhamba kwesikhathi. Isibonelo, uma une-pancreatic cysts, udokotela wakho angase asebenzise i-EUS ukuze alandele noma yiziphi izinguquko ngosayizi noma ukubukeka. Iphinde isetshenziselwe ukuhlola izimpendulo zokwelashwa emdlavuzeni othile nokuhlela izinqubo zokuhlinzwa.

Yini inqubo ye-endoscopic ultrasound?

Inqubo ye-EUS ngokuvamile ithatha imizuzu engama-30 kuya kwengama-90 futhi ivame ukwenziwa njengenqubo yeziguli eziphuma ngaphandle. Uzofika esibhedlela noma emtholampilo ngemuva kokulandela imiyalelo ethile yokulungiselela, evame ukuhlanganisa ukuzila ukudla amahora ayi-8-12 ngaphambi kwesikhathi.

Ngaphambi kokuthi inqubo iqale, uzothola i-sedation enengqondo ngomugqa we-IV ukukusiza ukuthi uphumule futhi unciphise ukungakhululeki. I-sedation yenza abantu abaningi balale futhi bazizwe bekhululekile ngaso sonke isikhathi sokuhlolwa. Ithimba lakho lezokwelapha lizogada izimpawu zakho ezibalulekile ngokuqhubekayo ngesikhathi senqubo.

Nakhu okwenzekayo ngesikhathi senqubo uqobo:

1. Uzoqala ukulala ngohlangothi lwakho lwesobunxele etafuleni lokuhlolwa
2. Kufakwa isivikeli somlomo ukuvikela amazinyo akho kanye ne-endoscope
3. Udokotela uqondisa ngobumnene i-endoscope ngomlomo wakho nangomphimbo wakho
4. Njengoba i-scope idlula emgudwini wakho wokugaya ukudla, i-probe ye-ultrasound idala izithombe
5. Udokotela uhlola izindawo ezihlukene futhi angathatha amasampula ezicubu uma kudingeka
6. Umoya noma amanzi kungase kwethulwe ukuze kuthuthukiswe ukubonakala
7. Yonke indlela yomgudu wokugaya ukudla ihlolwa ngokucophelela ngaphambi kokukhipha i-scope

Ngesikhathi senqubo, ungase uzwe ukucindezela okuthile noma ukungakhululeki okuncane njengoba i-endoscope ihamba, kodwa ukuthuliswa kuzizwa lezi zinto. Abantu abaningi abakhumbuli okuningi ngenqubo ngemva kwalokho ngenxa yemiphumela yokuthulisa.

Uma i-biopsy idingeka, ungase uzwe umuzwa wokucindezela okuncane, kodwa lokhu kuvamile ukuba mfushane futhi kumukeleke kahle. Ingxenye ye-ultrasound ayinabuhlungu ngokuphelele ngoba isebenzisa amaza omsindo kunokuba isebenzise noma yikuphi ukukhohlisa ngokomzimba.

Ungalungiselela kanjani i-endoscopic ultrasound yakho?

Ukulungiselela okufanele kubalulekile ukuze inqubo ye-EUS iphumelele. Udokotela wakho uzonikeza imiyalelo ethile, kodwa ukulungiselela kuvamile ukuqala ngosuku olwandulela ukuhlolwa kwakho. Ukulandela lezi ziqondiso ngokucophelela kusiza ekuqinisekiseni izithombe ezicacile futhi kunciphisa ubungozi bezinkinga.

Isinyathelo esibaluleke kakhulu sokulungiselela ukuzila ukudla amahora angu-8-12 ngaphambi kwenqubo. Lokhu kusho ukuthi akukho ukudla, iziphuzo, uswidi, noma uswidi ngemva kwesikhathi esishiwo. Ukuba nesisu esingenalutho kuvimbela izinhlayiya zokudla ekuphazameni ukuhlolwa futhi kunciphisa ubungozi bokufisa ngesikhathi sokuthulisa.

Uzodinga futhi ukuxoxa ngemithi yakho nethimba lakho lezempilo. Eminye imithi ingase idinge ukulungiswa noma imiswe okwesikhashana, ikakhulukazi ama-blood thinners afana ne-warfarin noma ama-anticoagulants amasha. Kodwa-ke, ungalokothi uyeke ukuthatha imithi enqunyiwe ngaphandle kwemiyalelo ecacile evela kudokotela wakho.

Ezinye izinyathelo zokulungiselela zihlanganisa:

• Ukuhlela ukuthi othile akuqhubele ekhaya ngemva kwenqubo
• Ukugqoka izingubo ezikhululekile, ezingaqinile
• Ukususa ubucwebe, amazinyo okwenziwa, namalensi ngaphambi kokuhlolwa
• Ukwazisa abasebenzi mayelana nokungezwani komzimba, ikakhulukazi emithini noma kulatex
• Ukuxoxa nganoma yikuphi ukukhathazeka mayelana nokuthuliswa noma inqubo
• Ukuletha uhlu lwemithi yamanje kanye nomlando wezokwelapha

Uma unesifo sikashukela, udokotela wakho uzonikeza imiyalelo ekhethekile mayelana nokuphatha ushukela wegazi lakho nemithi ngesikhathi sokuzila ukudla. Abantu abanezifo zenhliziyo noma ezinye izinkinga ezinkulu zezokwelapha bangase badinge izinyathelo zokuphepha ezengeziwe noma ukuqapha.

Ebusuku ngaphambi kwenqubo yakho, zama ukuphumula ngokwanele futhi uhlale unamanzi aze aqale isikhathi sokuzila ukudla. Uma uzizwa ukhathazekile ngokuhlolwa, xoxa ngalokhu nethimba lakho lezempilo - bangakunikeza ukwesekwa okwengeziwe futhi baphendule noma yimiphi imibuzo ongase ube nayo.

Ungawafunda kanjani imiphumela yakho ye-endoscopic ultrasound?

Ukuqonda imiphumela yakho ye-EUS kuqala ngokwazi ukuthi i-radiologist noma i-gastroenterologist izohlaziya ngokucophelela zonke izithombe nemiphumela ngaphambi kokuhlinzeka ngombiko onemininingwane. Ngokuvamile ngeke uthole imiphumela ngokushesha ngemva kwenqubo, njengoba izithombe zidinga ukubuyekezwa nokuhunyushwa ngokucophelela.

Imiphumela evamile ye-EUS ibonisa izitho nezicubu ngosayizi olindelekile, ukuma, nokubukeka. Izindonga zomgudu wakho wokugaya ukudla kufanele zivele njengamalayela ahlukene anobukhulu obujwayelekile, futhi izitho eziseduze njenge-pancreas kufanele zibe nokuthungwa okufanayo ngaphandle kwamaqhubu noma ama-cyst.

Okutholakele okungavamile kungase kufake phakathi izinhlobo eziningana zokushintsha. Izindonga zomgudu wokugaya ukudla eziqine zingase zikhombe ukuvuvukala noma umdlavuza, kuyilapho amaqhubu noma ama-nodules angase abonise izimila noma ama-lymph nodes andisiwe. Ama-Cyst, abonakala njengezindawo ezigcwele uketshezi, ngokuvamile awanawo ubungozi kodwa angase adinge ukuqapha.

Okutholakele okuvamile kanye nezincazelo zabo ezingaba khona zihlanganisa:

• Ama-mass e-pancreatic - angaba ama-cyst angalimazi, izinguquko zokuvuvukala, noma umdlavuza
• Ama-lymph nodes andisiwe - angabonisa ukutheleleka, ukuvuvukala, noma ukusabalala komdlavuza
• Ushintsho lwe-bile duct - lungase lusikisela amatshe, ama-strictures, noma ezinye izithiyo
• Ukuqina kodonga - kungase kubonise ukuvuvukala, ukutheleleka, noma ububi
• Ushintsho lwe-vascular - lungase lusikisela i-portal hypertension noma ezinye izinkinga zokujikeleza

Udokotela wakho uzochaza ukuthi okutholakele kusho ukuthini ngesimo sakho esithile nempilo yakho. Ukungajwayelekile okuningi okutholakala ku-EUS kulungile futhi kudinga kuphela ukuqapha, kanti okunye kungase kudingeke ukuhlolwa okwengeziwe noma ukwelashwa. Umongo wezimpawu zakho nomlando wezokwelapha ubalulekile ekuhumusheni imiphumela ngendlela efanele.

Uma amasampula ezicubu athathwe ngesikhathi senqubo, leyo miphumela ngokuvamile ithatha izinsuku eziningana kuya evikini ukuthi icutshungulwe. Udokotela wakho uzokuthinta ngemiphumela ye-biopsy futhi axoxe nganoma yiziphi izinyathelo ezilandelayo ezidingekayo ngokusekelwe kukho konke okutholakele ndawonye.

Ziyini izici eziyingozi zokudinga i-endoscopic ultrasound?

Izici eziningana zingase zikhuphule amathuba akho okudinga inqubo ye-EUS. Ubudala buyinto okufanele icatshangelwe, njengoba izimo eziningi ezidinga ukuhlolwa kwe-EUS ziba zivamile njengoba sikhula, ikakhulukazi ngemva kweminyaka engama-50.

Umlando womndeni udlala indima ebalulekile ekunqumeni isidingo se-EUS. Uma unezihlobo ezinomdlavuza we-pancreatic, imidlavuza yamathumbu okugaya ukudla, noma ama-syndromes athile e-genetic, udokotela wakho angase ancome i-EUS ukuze ahlolwe noma ahlolwe izimpawu ezikhathazayo.

Ezinye izimpawu nezimo zivame ukuholela ekuthunyelweni kwe-EUS. Ubuhlungu besisu obuqhubekayo, ikakhulukazi esiswini esiphezulu, bungase bufanele ukuhlolwa uma ezinye izivivinyo zingazange zinikeze izimpendulo. Ukuncipha kwesisindo okungachazeki, i-jaundice, noma izinguquko emikhubeni yamathumbu nazo zingabangela isidingo salolu hloloji oluningiliziwe.

Izici eziyingozi ezivame ukuholela ku-EUS zihlanganisa:

• Umlando womuntu siqu wama-cyst e-pancreatic noma izimila
• I-pancreatitis engamahlalakhona noma i-pancreatitis ebukhali ebuyayo
• Okutholakele okungajwayelekile ekuskeneni kwe-CT noma i-MRI
• Izimpawu zomdlavuza eziphakeme ekuhlolweni kwegazi
• Umlando wangaphambilini womdlavuza othile wamathumbu okugaya ukudla
• Ama-syndrome e-genetic ahlobene nengozi eyengeziwe yomdlavuza
• Umlando wokubhema, okwandisa ingozi yomdlavuza we-pancreatic
• Isifo sikashukela esivela kungazelelwe kubantu abadala

Izici zokuphila nazo zingathonya isidingo se-EUS. Ukuphuza utshwala obuningi kwandisa ingozi ye-pancreatitis kanye nezinkinga ezihlobene ezingase zidinge ukuhlolwa. Ukubhema akugcini nje ngokwandisa ingozi yomdlavuza kodwa kungaholela nasezinkingeni ezihlukahlukene zokugaya ukudla.

Ukuba nezimo ezithile zezokwelapha kwenza ukuthi i-EUS itholakale kakhulu. Lokhu kuhlanganisa isifo samathumbu esivuvukalayo, i-pancreatitis yezifo eziwuzuzwana, noma ukwelashwa ngemisebe kwesisu ngaphambilini. Abantu abanezimo ezinjalo bavame ukudinga ukuqapha okuningiliziwe kwamathumbu abo okugaya ukudla kanye nezitho eziqashile.

Ziyini izinkinga ezingaba khona ze-endoscopic ultrasound?

I-EUS ngokuvamile iyinqubo ephephile kakhulu, kodwa njengazo zonke izinqubo zezokwelapha, inezingozi ezithile. Izinkinga ezingathi sína azivamile, zenzeka ngaphansi kuka-1% wezinqubo, kodwa kubalulekile ukuqonda ukuthi yini engase yenzeke.

Imiphumela emibi evame kakhulu imnene futhi yesikhashana. Lokhu kuhlanganisa umphimbo obuhlungu usuku noma ezimbili ngemva kwenqubo, ukuqunjelwa okuncane ngenxa yomoya owethulwe ngesikhathi sokuhlolwa, kanye nobuthongo besikhashana obubangelwa ukuthuliswa. Abantu abaningi bazizwa bejwayelekile kungakapheli amahora angama-24.

Izinkinga ezingathi sína kodwa ezingavamile zingenzeka, ikakhulukazi lapho kuthathwa amasampula ezicubu. Ukuphuma kwegazi kungenzeka, ikakhulukazi uma uthatha imithi yokunciphisa igazi noma unezimo ezithile zezokwelapha. Ingozi iphakeme uma kwenziwa ama-biopsy, kodwa ukuphuma kwegazi okukhulu okudinga ukwelashwa akuvamile.

Izinkinga ezingaba khona zihlanganisa:

• Ukuqhumuka (ukudabuka) kodonga lomgudu wokugaya ukudla - akuvamile kodwa kubi kakhulu
• Ukuphuma igazi ezindaweni zokuthatha izicubu - ngokuvamile kuncane futhi kuyazima ngokwako
• Ukutheleleka - akuvamile kakhulu ngobuchwepheshe obufanele obungenazo inzalo
• Ukuphendula emithini yokuthulisa - akuvamile kodwa kungaba kubi
• Ukuhogela - ukuphefumula okuqukethwe esiswini, kuvinjelwa ngokuzila ukudla
• I-Pancreatitis - ukuvuvukala okubangelwa yinqubo, akuvamile kakhulu
• Izinkinga zenhliziyo nemithambo yegazi - zihlobene nokuthulisa ezigulini ezinobungozi obukhulu

Ezinye izinto zingakhuphula ingozi yakho yezinkinga. Ubudala obuthuthukile, izimo eziningi zezokwelapha, izifo zokujiya kwegazi, kanye nokuhlinzwa kwesisu kwangaphambilini kungase kukhulise kancane izingozi. Ithimba lakho lezokwelapha lizohlola ngokucophelela isimo sakho ngaphambi kokuqhubeka.

Izimpawu ezidinga ukunakekelwa kwezokwelapha ngokushesha ngemva kwe-EUS zihlanganisa ubuhlungu obukhulu besisu, ukuhlanza okuqhubekayo, umkhuhlane, ubunzima bokugwinya, noma ukuphuma igazi okukhulu. Izinkinga eziningi, uma zenzeka, zibonakala emahoreni ambalwa okuqala ngemva kwenqubo.

Ithimba lakho lezempilo lithatha izinyathelo eziningi zokunciphisa izingozi, okuhlanganisa ukukhethwa kwesiguli ngokucophelela, ukulungiselela okufanele, ubuchwepheshe obungenazo inzalo, nokuqapha eduze ngesikhathi nangemva kwenqubo. Izinzuzo zokuthola ulwazi olubalulekile lokuxilonga ngokuvamile zidlula kakhulu izingozi ezincane ezihilelekile.

Kufanele ngibone nini udokotela mayelana nemiphumela ye-ultrasound ye-endoscopic?

Kufanele uthinte udokotela wakho ngokushesha uma uhlangabezana nezimpawu ezikhathazayo ngemva kwenqubo yakho ye-EUS. Nakuba abantu abaningi belulama ngokushesha ngaphandle kwezinkinga, ezinye izimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha ukuze kuqinisekiswe ukuphepha kwakho nenhlalakahle yakho.

Ubuhlungu obukhulu besisu obuba bubi kunokuba ngcono buyisixwayiso esibomvu esidinga ukuhlolwa ngokushesha. Ngokufanayo, ukuhlanza okuqhubekayo, ikakhulukazi uma ungenakukwazi ukugcina uketshezi phansi, kudinga ukunakekelwa kwezokwelapha okuphuthumayo. Lezi zimpawu zingase zibonise izinkinga ezidinga ukwelashwa okusheshayo.

Xhumana nomhlinzeki wakho wezempilo ngokushesha uma uhlangabezana nalokhu:

• Ubuhlungu obukhulu noma obuqhubekayo besisu
• Ukuphalaza okuqhubekayo noma ukungakwazi ukugcina uketshezi phansi
• Umkhuhlane ongaphezu kuka-101°F (38.3°C)
• Ukushiyeka ekugwinyeni okungathuthuki ngemva kwamahora angama-24
• Izimpawu zokuphuma kwegazi njengendle emnyama noma ukuphalaza igazi
• Isiyezi esikhulu noma ukuquleka
• Ubuhlungu obungavamile besifuba noma ukushiyeka ekuphefumuleni

Ukuze kulandelwe imiphumela yakho, odokotela abaningi bahlela ukuqokwa okulandelayo phakathi nesonto elilodwa kuya kwamabili ngemva kwenqubo. Lokhu kunikeza isikhathi sokuthi zonke izinto ezitholiwe zibuyekezwe ngokucophelela nokuthi noma yimiphi imiphumela ye-biopsy ibuye ebhokisini.

Ungalindi ukuqokwa kwakho okuhleliwe uma unemibuzo noma ukukhathazeka ngemiphumela yakho. Abahlinzeki bezempilo abaningi banemigqa yezokwelapha yabanakekeli noma ama-portal eziguli lapho ungenza khona imibuzo phakathi kokuvakasha. Ngaso sonke isikhathi kungcono ukubuza ngento ekukhathazayo kunokulinda nokuzibuza.

Uma i-EUS yakho yembula izinto ezidinga ukuqashwa okuqhubekayo noma ukwelashwa, udokotela wakho uzosungula uhlelo olucacile lokulandela. Lokhu kungabandakanya ukuphinda ukuthwebula izithombe, ezinye izivivinyo, noma ukudluliselwa kochwepheshe. Qiniseka ukuthi uqonda umugqa wesikhathi nokubaluleka kwanoma yikuphi ukunakekelwa okulandelayo okunconyiwe.

Imibuzo evame ukubuzwa mayelana ne-endoscopic ultrasound

Q.1 Ingabe ukuhlolwa kwe-endoscopic ultrasound kulungile ngomdlavuza wamanyikwe?

Yebo, i-EUS ithathwa njengenye yezivivinyo ezingcono kakhulu zokuthola nokuhlola umdlavuza wamanyikwe. Ingathola izimila ezincane ezingase zingabonakali kahle kuma-CT scans noma ama-MRI, ikakhulukazi lawo amancane kunamasentimitha amabili. Ukusondela eduze kwe-probe ye-ultrasound kumanyikwe kunikeza ikhwalithi yesithombe esihle kakhulu.

I-EUS ibaluleke kakhulu ekuhleleni umdlavuza wamanyikwe uma usuqaphelwe. Ingakhombisa ukuthi umdlavuza usabalale yini emithanjeni yegazi eseduze, ama-lymph nodes, noma ezinye izitho, okuyimininingwane ebalulekile ekuhleleni ukwelashwa. Lolu lwazi lokuhlela lusiza odokotela ukuthi banqume ukuthi ukuhlinzwa kungenzeka yini nokuthi hlobo luni lokwelashwa oluzosebenza kahle kakhulu.

Q.2 Ingabe i-ultrasound ye-endoscopic engavamile ngaso sonke isikhathi isho umdlavuza?

Cha, ukutholwa kwe-EUS okungavamile akusho ngaso sonke isikhathi umdlavuza. Izimo eziningi zingabangela ukubukeka okungavamile ku-ultrasound, okuhlanganisa ama-cyst angalimazi, ukuvuvukala, izifo, nokukhula okungekona umdlavuza. Eqinisweni, iningi lokutholwa okungavamile liphenduka izimo ezingalimazi ezidinga ukuqashwa kunokwelashwa okunonya.

Isibonelo, ama-cyst amanyikwe avame ukutholakala ngesikhathi se-EUS, futhi iningi lala alilimazi futhi alidingi ukwelashwa. I-pancreatitis engapheli, amatshe e-bile duct, nezimo zokuvuvukala nazo zingakha ukubukeka okungavamile okungenalutho oluhlobene nomdlavuza. Yingakho ukuthatha isampula lezicubu nokuhlolwa okwengeziwe kuvame ukudingeka ukuze kunqunywe uhlobo oluqondile lokutholwa okungavamile.

Q.3 Kuthatha isikhathi esingakanani ukuthola imiphumela ye-ultrasound ye-endoscopic?

Ukutholwa kokuqala okuvela ekuhlolweni okubonakalayo kuvame ukutholakala ezinsukwini ezimbalwa ngemva kwenqubo yakho. Udokotela wakho uvame ukukutshela mayelana nokungavamile okucacile noma ukutholwa okuvamile okuqinisekisayo ngokushesha ngemva kokubukeza izithombe namanothi enqubo.

Nokho, uma amasampula ezicubu athathwa ngesikhathi senqubo, imiphumela ephelele ngokuvamile ithatha izinsuku zebhizinisi eziyi-5-7. Ezinye izivivinyo ezikhethekile kumasampula ezicubu zingathatha isikhathi eside, kufika emavikini amabili ezimweni ezithile. Ithimba lakho lezempilo lizokwazisa ngesikhathi esilindelekile sesimo sakho esithile futhi lizokuthinta ngokushesha nje lapho yonke imiphumela itholakala.

Q.4 Ngingadla ngokujwayelekile ngemva kwe-ultrasound ye-endoscopic?

Ngokuvamile ungaqala kabusha ukudla lapho imiphumela yokudambisa isiphelile futhi usulapho ngokugcwele, ngokuvamile amahora angu-2-4 ngemva kwenqubo. Qala ngamanani amancane oketshezi olucacile njengamanzi noma ijusi le-apula ukuze uqiniseke ukuthi ungakwazi ukugwinya ngokunethezeka ngaphandle kokucasuka komphimbo.

Uma ukwazi ukubekezelela uketshezi kahle, ungaqhubekela kancane kancane ekudleni okuthambile bese uqhubekela ekudleni kwakho okuvamile. Kodwa-ke, uma amasampula ezicubu athathwa ngesikhathi senqubo, udokotela wakho angase ancome ukugwema utshwala nemithi ethile amahora angu-24-48 ukuze kuncishiswe ingozi yokopha. Njalo landela imiyalelo ethile ngemva kwenqubo enikezwe yithimba lakho lezempilo.

Q.5 Ingabe i-ultrasound ye-endoscopic inembile kune-CT scan?

I-EUS kanye ne-CT scans ziyizivivinyo ezihambisanayo ngasinye esinobuhle obuthile. I-EUS ngokuvamile inembile kakhulu ekuhloleni i-pancreas, ama-bile ducts, kanye nezendlalelo zodonga lomgudu wokugaya ukudla ngoba i-probe ye-ultrasound isondela kakhulu kulezi zakhiwo kunokuthi ukuthwebula kwangaphandle kungafinyeza.

Ukuze kutholwe imithombo emincane ye-pancreatic, ukubandakanyeka kwe-lymph node, nokuhlola ukujula kokuhlasela komdlavuza, i-EUS ivame ukuba ngcono kune-CT scans. Kodwa-ke, i-CT scans ingcono ekutholeni umbono ophelele wazo zonke izibilini nokuthola ukusabalala okukude kwesifo. Odokotela abaningi basebenzisa zombili izivivinyo ndawonye ukuze bathole isithombe esiphelele ngangokunokwenzeka, njengoba ngasinye sinikeza ulwazi olubalulekile kodwa oluhlukile.