FGDS - kodi ndi chithandizo chamankhwala, kukonzekera kuti?

Phunzirani zambiri za EGF, chomwe chiri, akufunani wodwala aliyense yemwe akulamulidwa ndi njira yoopsya. Komabe, kusokoneza uku sikuli koopsya, zikuwoneka, poyamba. Komabe ndikofunikira kukonzekera bwino.

FGDS - kodi mankhwalawa ndi chiyani?

Njirayi ili ndi mwayi wambiri. GGDS ya m'mimba imagwiritsidwa ntchito pazinthu izi:

• Amapereka zithunzithunzi kuti apitirize kufufuza kwake;
• kumathandiza kuphunzira mkhalidwe wa mucous nembanemba;
• amasonyeza zilonda, kuthirira ndi zina zomwe zimayambitsa matenda;
• kumathandizira kudziwa momwe ntchitoyo imathandizira.

Chifukwa chogwiritsa ntchito njira zolakwika zoterezi, ndizomveka kufunsa odwala kuti apeze chomwe FGDS ili - chomwe chiri. Njirayi imaonedwa ngati njira yofulumira, yotetezeka komanso yopindulitsa yophunzirira ziwalo za m'mimba. Kuponderezedwa kumachitika pogwiritsa ntchito chida chapadera - chipangizo chosinthika. Kunja ndi kachigawo kakang'ono ka chubu, komwe makulidwe ake sali oposa 1 cm. Pali endoscope kumapeto.

Ma FGD ali ndi chiopsezo - ndi chiyani?

Njirayi ndi kuphatikizapo njira ziwiri. Choyamba mwa izi ndi FGDS (ndi chiyani, ndikofunika kumvetsetsa), ndipo chachiwiri ndi chidziwitso cha singano. Ubwino waukulu wa njirayi ndi:

• tsatanetsatane wa tsatanetsatane wa fano;
• kuthekera kwa kuzindikira matanthauzo ndi mapulogalamu;
• luso loletsa kupha magazi mkati .

Kuonjezera apo, fibro-gastroduodenoscopy ya FGD ndi biopsy imalola kusankha magawo kakang'ono ka mucous memane kuti cholinga chake chichitike. Njirayi ikhoza kuchitidwa m'matumbo onse oopsa komanso owopsa. Zimathandizira kuzindikira momwe matendawa amachitira ngakhale atangoyamba kumene.

EGD - Kodi mungakonzekere bwanji?

Njira imeneyi imafuna njira yoyenera. Ngati kukonzekera kwa EHF sikuchitika moyenera, adokotala sangathe kuchita izi ndikuthandiza wodwalayo. Kuti muike mimba yanu mwadongosolo, ndikofunika kutsatira zotsatirazi:

1. Kuvutitsidwa kumapangidwa popanda chopanda kanthu m'mimba. Chakudya chomaliza chiyenera kuchitidwa 8-10 maola asanachitike. Ngati wodwalayo ali ndi mavuto aakulu mu dongosolo lakumagazi, nthawiyi ikukwera maola 12-13.
2. Iyenera kutayidwa masiku angapo FGDF isanayambe kusuta fodya, chifukwa nthendayi imapangitsa mitsempha ya magazi kukhala yovomerezeka. Kuonjezera apo, kuwonetsetsa kwa chinthu ichi kumapangitsa kuti phokoso likhale lopangidwa, kotero kuyendetsa ndi kovuta.
3. FGD - kukonzekera kafukufukuyo kumaphatikizapo kuchotsedwa kwa mano. Amatha kuletsa dokotala kuti asamayende bwino.
4. Simungathe kutsuka mano anu tsiku lachinyengo. Mungofunika kutsuka pakamwa panu ndi madzi oyera. Kuyeretsa mano kumawonjezera gag reflex.
5. Kukonzekera EGF m'mimba kumapereka kuti wodwalayo azikhazika mtima pansi, asiye mantha. Maganizo a maganizo pa nkhaniyi ndi ofunika kwambiri.
6. Musamabvala zobvala zovuta pazochitikazo.
7. Kulandira mankhwala (antibiotics, kukonzekera mahomoni ndi mankhwala ena) ayenera kugwirizanitsidwa ndi gastroenterologist.

Kukonzekera chapamimba chosakanizidwa m'madzi - zifukwa zingapo zofunika

Njirayi isanayambe kutsata chakudya chapadera. Zakudya zoterozo zidzathandiza dokotala kuchita kafukufuku monga momwe angathere. Kwa masiku atatu EGF sichikhoza kudya mankhwalawa:

• mapulasitiki, tomato, apricots ndi zipatso zina zowawa ndi masamba;
• mowa;
• mapeyala, mavwende, yamatcheri ndi zakudya zina zomwe zimavuta kukumba;
• Zakudya zozizira - jelly, ayisikilimu, odzola;
• nyemba;
• khofi;
• chokoleti;
• mkaka;
• mowa;
• timadziti;
• mabulu.

Kodi mungakonzekere bwanji ECG ya m'mimba, dokotala amadziwa. Adzapereka zomwe akuyenera kudya. Zakudya zabwino - zisanu ndi chimodzi. Wodwalayo adzalangizidwa kuti adye mankhwala awa:

• chumacho, oatmeal kapena phala ya tirigu;
• zipatso kapena ndiwo zamasamba;
• nyama yophika nkhuku;
• mikate yoyera;
• omelet;
• pangani tiyi kapena tiyi.

Fibrogastroduodenoscopy - zizindikiro

Kawirikawiri njirayi imasankhidwa, pamene pakufunika kukayezetsa matenda a tsamba lapamwamba la GI. FGDS kapena popanda biopsy imaperekedwa pazochitika izi:

• kukhetsa ;
• nthawi zambiri ululu wopweteka umene sumawoneka okha;
• Kukhalapo kwa magazi mu chitseko;
• kupweteka kwakukulu;
• kupweteka ;
• mavuto ndi kumeza chakudya;
• matenda a chilonda kapena chotupa;
• magazi;
• kuchepetsa chilakolako.

FDDS - zotsutsana

Pali zochitika zambiri pamene njirayi isakonzedwe. Zovomerezeka za m'mimba za GGDS zili ndi izi:

• aortic aneurysm;
• Kuphwanya mu magazi ;
• kupotoza kwa mimba;
• matenda osokonezeka maganizo;
• mawonekedwe amphamvu a mphumu yowononga;
• kupweteka kwa mtima kapena kukwapula;
• Matenda opatsirana mu malo ovuta;
• kuwonjezera chithokomiro cha chithokomiro;
• chiwonongeko;
• kunenepa kwambiri.

Kodi digroadastroduodenoscopy imachitidwa bwanji?

Ndondomekoyi imachitika mu chipinda chapadera cha matenda. Zimakonzedwa kapena mwadzidzidzi. Pambuyo pa EGF, dokotala kapena namwino amamwetsera odwala opopera ndi mankhwala osokoneza bongo. Nthawi zambiri, lidocaine amagwiritsidwa ntchito pa izi. Asanasankhe mankhwala osokoneza bongo, dokotala amayesa kuyesa kuti adziwe ngati pali mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo.

Fibrogastroduodenoscopy - algorithm

Pambuyo pochiza larynx ndi mankhwala ophera tizilombo ndi mankhwala osokoneza bongo, dokotala amapitirira njirayo. Makhalidwe ake ndi awa:

1. Wodwala wagona pabedi kumanzere kwake.
2. Pansi pa mutu wake ukhale ndi miyendo, yomwe ili ndi thaulo (idzatulutsa phula panthawiyi).
3. Wodwala amapatsidwa mphete ya pulasitiki (iyenera kupsinjika ndi mano).
4. Kupyolera pa kutsegula, endoscope imayikidwa, kenako dokotala akupempha kayendetsedwe kowonongeka, pomwe pulojekiti imadutsa pamtunda.
5. Pambuyo pa chipindacho chifika pamimba, mpweya umaponyedwa mu gawo ili la m'mimba. Panthawiyi, makoma a chiwalo ichi chagudubulidwa.
6. Pulogalamu yam'mimba yam'mimba imatulutsa madzi ambiri (mucus, bile, ndi zina zotero).
7. Kufufuza kwa kapangidwe ka zakudya kumayamba. Dokotala akuyang'ana majekeseni ndipo amatenga minofu yowunika kwake.
8. Pambuyo pa EGF, kafukufukuyu achotsedwa msanga.
9. Wodwala akuperedwa kupita ku ward.

Njira yonseyi sichitha kuposa mphindi zisanu. Pambuyo pake, pali kujambula kwa kanema kafukufuku, zomwe dokotala angakhoze kufufuza mwatsatanetsatane ngati kuli kofunikira. Komabe, mutatha njirayi, zotsatira zosasangalatsa zingachitike. Ndikofunika kuti wodwala asadziwe FGDs - kodi ndi chiani, komanso zomwe zingatheke bwanji? Nthawi zambiri pali zotsatirapo izi:

1. Kupweteka m'mimba - amakwiya chifukwa chakuti panthawiyi, mpweya unaponyedwa mmimba. Chisangalalo chosasangalatsa chidzadutsa payekha patapita masiku angapo pambuyo poyendetsa.
2. Kuwonongeka kwa nsagwada - vutoli limapezeka pamene mano a wodwalayo ali otayirira.
3. Kumverera kwa kupanikizika mumtsuko - zovuta zoterezi zimachitika pambuyo poti phokoso la endoscope limalowetsedwera mumtambo.

FGD pansi pa anesthesia ambiri

Potsatira ndondomekoyi, zonsezi zimagwiritsidwa ntchito. Fibrogastroduodenoscopy pansi pa anesthesia imathandiza kuthana ndi zovuta zamatsenga. Ndi mankhwala a anesthésia, mzu wa lilime ukupopedwa ndi mankhwala osokoneza bongo. Mpweya wozizira umabwera nthawi yomweyo ndipo umatha mphindi 20. Ubwino wa anesthesia wamba ndikuti sugwiritsira ntchito zipangizo zamtengo wapatali. Kuonjezera apo, anesthesia yotereyi amaonedwa kuti ndi yotetezeka kwa wodwalayo.

Anesthésia yambiri imaphatikizapo kugwiritsira ntchito magetsi, omwe amalowa mkati mwathu, kapena mankhwala opambana omwe amaperekedwa mwachangu. Ndi njira imeneyi yowonongeka panthawiyi, dokotala amagwiritsa ntchito zipangizo zapadera zomwe zimayendetsa kupuma komanso mtima wa wodwalayo. Mosiyana ndi anesthesia wamba wamba ndi wovuta kwambiri kwa thupi, choncho sagwiritsidwa ntchito mobwerezabwereza.

EGD - kodi ndi zopweteka?

Chifukwa chakuti anesthesia imagwiritsidwa ntchito, zovuta zimakhala zolekerera. Pa chifukwa ichi, FGDS - ndi zopweteka, odwala sasowa kudzipuntha mochuluka ndikuganiza mochuluka. Zingakhale zovuta kukhala, kumvetsera malangizo a dokotala:

• khalani chete;
• kupuma mwakachetechete;
• musapange kayendedwe kadzidzidzi.

EGS - kutanthauzira

Pambuyo pa ndondomekoyi, dokotala akufufuza zotsatirazo ndi kupereka kalata yolembera kwa wodwalayo. Kuzindikira fibrogastroduodenoscopy kumaphatikizapo nthawi ngati izi:

• kuyesa mkhalidwe wa makoma ndi mucosa za ziwalo za m'mimba, komanso chikhalidwe chawo;
• Kufufuza za cardia - kutuluka kwa mimba m'mimba;
• kuphunzira za madzi akumwa mmimba;
• Kufufuza kwa mlonda wam'zipata.