Pamwe kukura mishonga mushonga bhizimisi uye kuwanikwa mashoko matsva ari nemamiriro muviri anotora rakakura basa mukuvandudza itsva ruzivo yekudyidzana aivabatsira basa chiremba. Saka, ndiwo nzira dzakasiyana nemwaranzi (fluoroscopy, ekisireyi, computed, rinobva resonance kana zvenyukireya rinobva tomography, angiography), uye yakananga kutarisana Diagnostics kuitika vachifunga siyana (fibrogastroduodenoscopy, esophagogastroduodenoscopy, uterine vachiongorora scatoscopy, Kamudzira videoendoscopy, duodenal achiona) , uye vamwe.
yaibvira nzira
Visual nzira vanobvumira chiremba-diagnostician zvakananga-zvechokwadi nguva kuona mamiriro zhinji nhengo dzomukati. Zvikurukuru azvinoita dzakawanda zvokudya mutopota, kuti iri pasi rokuongorora pharynx, rusvingo yegurokuro, ari mhango mudumbu, zviduku ura bile ducts uye gallbladder pacharo. Saka, zvinogona zvakananga kuona mamiriro mitumbi izvi zvinoratidza kukurwa kwevhu, kuzvimba kana urikanwi-necrotic kuchinja, bundu pezvakaitwa, uye kuongorora ukuru kurapwa kunyatsoshanda vakawana kushandisa morphological muenzaniso kana kutevera ichishanda. Zvisinei, unyanzvi uhwu hakungoitwi nzira idzi, achibatsirwa Yatanga Kuongorora kunogonawo nenguva kununura mushonga kuzotora Kuongororwa chikamu gastric muto kana bile, uyewo zvinyama ivhu kubva madhipatimendi siyana nemhaka chete. Saka, chiremba anogona kuwana zvizere mufananidzo zviri kuitika mumuviri, mune nenguva netsika kuisa zvakarurama zvokuongorora uye taurira kurapwa nemazvo.
zvakanakira endoscopy
Upper endoscopy (EGD) - mumwe vachifunga hurongwa vachishandisa micro kamera kuongorora yegurokuro, dumbu uye ura dvenadtsaperstnuyu. Chokwadi, pane imwe nzira noninvasive - ranzi kuongororwa pamusoro kugamuchira barium kuturika muchimiro ezviyo staining mucosa. Zvisinei, nzira iyi nani shoma nezvaanogona uye anobvumira kuti kuona mufananidzo kunze kuti makemikari kutsva, bundu pezvakaitwa, maronda uye erosions. Nepo endoscopy ongororo kungaratidza uye nekudeura ropa, kutora biopsies ari nemaziso kuongorora uye kuongorora miviri zvizere. Uyewo, ruzivo urwu runoita kuti kuongorora mamiriro madhipatimendi pashure pokuvhiyiwa, zvinoti zazhivlyaemost, kuvimbika mapfundo, mavanga, bvisa vatorwa zvinhu, rokuongorora varicose mutsinga zviremera.
Musimboti endoscopy
Varwere vakawanda avo vakapiwa achitungamirirwa chiremba wako pamusoro ongororo iyi, mubvunzo wacho aiwanzobvunza: "endoscopy, chii ichi?" kazhinji chidimbu Anovhundutsira varwere uye kunyange kukonzera kusabetsera vaya kumbobvira kungori ziso Diagnostics. Saka ngatiedzei kunzwisisa sei zvinoshanda. Gastric endoscopy kana zvimwe gastrointestinal kadhi kutakurwa rinokosha vachiongorora - dzinodzorwa kusanduka chubhu zvinosanganisira ane kwakavharwa nenyama zvinhu uye ane mamwe faibha optics (the kamera mutsa uye girobhu racho) uye Chinyorwa kuzvidzora unyanzvi. Izvi zvinobvumira kwete chete kuti tikarega nahwo nemudumbu, asiwo dhipuroya murutivi kana pasi kuti vanyatsonzwisisa kuona mufananidzo. Mushure kuongorora kwapera, vachiongorora chinobviswa nokungwarira kuitira kuti kusika zvokuimba iatrogenic kukuvara zvomukati anoshongwa.
zvokungwarira nzira
Asi vakawanda varwere, kunyanya chiremba, vachitya kudzidza, chiremba vanofanira kutsanangura nomumwe wavo pamberi endoscopy, ndiye, kunyange kusingafadzi, asi nzira zvakakodzera chaizvo kuti noutano hwavo pachavo. Anofanira vanotiudza kuti pane Yatanga Kuongorora akasiyana dhayamita, zvinotora nguva shoma (maminitsi 20-30 chete), uye asati ayo sumo mukushandisa novocaine aerosol muromo anesthetized. Uyewo zvakafanira kudzvinyirira gag dzepanguva, sezvo vachiongorora kuchaita kutsvinyira uvula uye pharynx baroreceptors. Naizvozvo, kana murwere Uchanzwa chinovava kuravira mumuromo kana chiduku mumatenhere rurimi, chinhu zvachose kwomuzvarirwo zvinodhaka. Mukuwedzera, mutauri akaiswa kubva yokutindivadza - chena epurasitiki mudziyo kudzivirira miromo uye meno nenyaya panguva kupinza yacho vachiongorora kupinda nemudumbu.
mamwe zvidzidzo
In akaererana zvakananga kuongorora varwere zvirwere kumwoyo rinoshandisirwa cuff kuti BP zvichiongororwa uye kuongororwa unonzi, electrocardiograph, uye mune varwere vane kufema insufficiency iri nechirwere kupomba kuyerwa rinoitwa anowedzera. Vasati radiological nzira, pane zvimwe zvakanakira endoscopy. Kugadzirira okupedzisira anenge asina kudiwa uye kunoda kutoti nzira usina chawadya, kana zviri mangwanani kana pashure maawa 6-24 pashure rokupedzisira kudya, nguva kunobva rokutanga zvawanikwa. Saka, kuchivhiringidza varwere vane hypersecretion pamusoro hydrochloric asidhi mudumbu kunoda refu gadziriro, kubvira 12 kusvika 24 maawa, uye wokuwedzera intravenous kunyaradza uye zvinodhaka unonyaradza marwadzo.
Warnings uye kurumbidza
Zvinofanira mberi kubvunza murwere kuti kuuya munyaya, uyewo kumunyevera pamusoro nzira endoscopy, zvinogona zvikuru zvinorwadza nokuda kwake nhengo dzomukati, kana hazvirevi zano chiremba kuti nzira. Uyewo rwetende bvunzo, bvisa nokudyidzana lenses, dentures, constraining zvipfeko. Uyezve, zvinofanira kuyeuchidza murwere kuti achava kunyanya salivation panguva endoscopy, asiwo nekuratidza muviri kwomuzvarirwo, uye saka havafaniri kuvhiringidza ichi. Uye kuunganidza mate dama examinee unoisa tauro yakachena (kazhinji akauya pamba), uye vakashandisa yemagetsi pombi, kana zvichidikanwa.