E āwangawanga raruraru kūnatu te nuinga o te iwi a tawhio noa te ao. I roto i te whakahaere rangahau mō ngā take tātaritanga whakakitea rawa maha mumura o te wahi gastrointestinal. Na reira, kua he whānuitanga o ngā hangarau ki te hohoro a tika kitea huringa pathological rongoā hou. He he maha rawaka o rangahau mauhaa e whakamahia ana ki te aro mātai i te āhua o te wahi kūnatu. I roto ia ratou he Tārewa hautanga, pH-mita, X-ray tikanga rerekē, unuhanga me ara laparoscopy. Ko te paerewa koura he tenei ra - FEGDS (fibroezofagogastroduodenoskopiya).
hua FEGDS
Fibroezofagogastroduodenoskopiya, ranei tika i te gastroscopy, kua whakaritea ki te rapunga o abnormalities esophageal, puku, me duodenum. Ki tenei tikanga ko reira taea ki te arotake i te huringa puta i roto i te taiepa o te whēkau. heheu FEGDS taahiraa tukanga inflammatory, a hoki ana ki te tango i te unuhanga i te pāpaka hihira. hanga tenei reira taea ki te tātari i te papamuri me pāpaka precancerous i roto i te tīmatanga o nga wāhanga, reira te ārai huringa neoplastic o te wahi kūnatu. I te whakahua o FEGDS nuinga tūroro tīmata ki te māharahara, no te mea e hāngai ana tenei tikanga te ki te ingestion o te ngongo, me te sensation o reira. Ka rite kua reira riro i teie nei Gastroscopy wātea i raro i rehunga whānui, i roto i nei ka taea e koe te karo i te hūhi o te tukanga.
Tuhinga mō te gastroscopy
whakamahia FEGDS rite te tātaritanga o mate o te wahi gastrointestinal, i roto i te tikanga ki te whakahaere me te te maimoatanga o tuwhenua mō ngā tukanga minimally urutomo. I tua atu, gastroscopy ki unuhanga skrinningovym pā ana ki ngā tikanga hangaia mo te tātaritanga o ngā tukanga mārere. Mate e taea te kite i roto i FEGDS:
- esophagitis whakapeka, me te ma'i.
- Gastritis.
- Duodenitis.
- Stenosis o tinana e kia rānei congenital riro ranei he i muri i whara, a pau.
- whaturama Esophageal piata.
- whewhe pekitīlia me whewhe duodenal.
- Polyps.
- diverticula Esophageal.
I roto i te mau ana i roto i te maimoatanga hauora o FEGDS whewhe keté taea tata tukanga taahiraa (teitei, whakaora). Gastroscopy i raro i rehunga whānui ko te tikanga ake ngawari, mai kore e te manawanui ite hūhi i pupuri i te reira. Otiia, kua reira te taua tohu, me te kakama tiketike. Kei te whakamana Gastroscopy mō ngā tamariki i raro i rehunga mo te taua take rite pakeke.
Colonoscopy: te whakaaro o te whakamahi o te tikanga
tikanga o te whakamātautau o te kopirua te whakamahi i te tikanga endoscopic i huaina colonoscopy. whakamahia ana tēnei tukanga te i roto i te rongoa mo te wa roa, no te mea te mea he nui ngā mōhiohio ki a taea unuhanga. tauturu te colonoscopy ki te tautuhi i te tikanga papamuri me precancerous, ki te aromātai i te uruhanga, hanganga, aroaro o ngā pathological katoa haere te kopirua. Ētahi tūroro kore tenei tikanga, no te mea he mahi whakauaua me kino i roto i te āhuatanga hinengaro. Otiia, he faufaa i roto i te tātaritanga o maha mate te ako. I tēnei wā, e wātea ana gastroscopy me colonoscopy raro rehunga whānui. Na reira, kei te āta ngaro te wehi o enei ngā tukanga.
Gastroscopy i raro i rehunga whānui: taputapu e mau ana
I mua i timata koe i te tukanga, me kia rite te manawanui, me ki whiwhi tona whakaae. Tuatahi, Me ki kōrero e pā ana ki te whakaaro me te painga o tenei tikanga o te tātaritanga, ka te manawanui - e pā ana ki te tikanga o. Ki te whakaritea Gastroscopy raro rehunga whānui, me e te reira te manawanui e kawea te tukanga i roto i runga i te puku kau, e te tikanga e kore e whai i te reira i mua i reira mo e pā ana ki 10-12 haora. Ka rite ki hoki e paowa ana, ki te aroaro o FEGDS te contraindicated hoki 2-3 haora. I mua i te whakataki o te rohe uiuia endoscopic o arero me pakiaka korokoro tukinotia ki te otinga o te lidocaine i roto i te tikanga ki te whakaiti i retching, ko te tenei rongoā rohe me te whakamana i roto i te tūroro katoa. Ētahi tūroro i to ratou tono ranei tohu motuhake te mahi rehunga whānui, e ko, e pâmuhia, ranei sedatives ( "Diprivan", "Propofol"), i roto i te tikanga ki te whakatutuki i te pāpaku rongoā moe.
Tuhinga mō te whakahaere o te rehunga whānui
Hanga he gastroscopy i raro i rehunga taea e te tangata. Otiia, i reira he tohu motuhake hoki i rehunga ko te pau. Ko ētahi o ēnei:
- Â pūpū purua - ka kore e taea e te manawanui whakahaere i nga tirotiro o te wahi kūnatu.
- manukanuka hinengaro nui i meatia i roto i te FEGDS whakahaere o mua.
- Ki te whakamahere koe i tetahi whawhe i roto i te gastroscopy, kia kia te tango o polyps, diverticulum iti tenei. Tikanga, te tikanga e pā ana ki 10-15 meneti. I whawhe whakaora Kei te piki haere.
Gastroscopy i raro i rehunga whānui: arotake manawanui
Whakaaro o tūroro ki te whakahaere i moemoea pai FEGDS, no te mea kahore ratou e ite hūhi i te tukanga, me kore e mau huringa pathological i roto i o ratou tinana e ngā, i te mea nui mo etahi o ratou. Ko te kōrero e pā ana ki te colonoscopy raro rehunga whānui, ka ko tino e tika ana mō ngā tūroro katoa tenei tikanga. Ko tenei e kore anake e pā ana ki te wehi, me te mamae whai wāhi, engari whakaora hoki tūroro i te mana'o o te haama i roto i mua o te kaimahi hauora.