Zvinetso nekudya zvinokonzera vanhu vakawanda pasi rose. Mukuita zvidzidzo zvechinangwa chekuongororwa, kurwirwa kwepurogiramu yemagumbu kunowanikwa kakawanda. Panyaya iyi, mushonga wemazuva ano wakagadzirwa nemhando dzakasiyana-siyana dzemagetsi dzinokubvumira kukurumidza uye nekunyatsoona kuchinja kwehutano. Kune zviongorori zvakakwana zvezviongorori zvishandiso izvo zvinoshandiswa kuongorora hutano hwehutachiona hwepamuviri. Inosanganisira kurira kwepakati, pH-metry, X-ray kusiyana-siyana, biopsy uye kunyange laparoscopy. Nhamba yegoridhe nhasi ndeye - FEGDS (fibroesophagogastroduodenoscopy).
Kubatsirwa kweFGGDS
Fibroesophagogastroduodenoscopy, kana kungoita gastroscopy, inoshandiswa kuzivisa zvirwere zvepopu, dumbu, uye duodenum. Nekubatsira kweiyo nzira, zvinokwanisika kuongorora kuchinja kunowanikwa mumadziro emugwagwa wekudya. FEGDS inotibvumira kuziva chirwere chekuvhiringidza, uyewo kutora biopsy yakananga kubva ku foci inoshusha. Pamusana peizvi, zvinokwanisika kuongororodza ruzivo uye zvishoma nezvishoma mumamiriro ekutanga, nokudaro kudzivirira tumarara inoshandura mumugwagwa wekudya. Apo pachitaura nezvePHEGDS, varwere vazhinji vanotanga kunetseka, sezvo nzira iyi inobatanidza nekumedza hose uye kushamwaridzwa kunofadza mukuita kudaro. Parizvino nguva gastroscopy pasi peanesthesia yave iripo, mune iyo inogona kudzivisa kusagadzikana kubva pane izvi.
Zviratidzo zvegastroscopy
FEGDS inoshandiswa sekuongororwa kwezvirwere zvemuviri wepamuviri, kuitira kuti utungamirire kurapwa kwezviremera zvekuonda, pamwe chete nekudzvinyirira zvishoma kuderedza. Mukuwedzera, gastroscopy ne-targeted biopsy inoreva nzira yekuongorora maitiro inotarisirwa kuongororwa kwezvakaipa. Zvirwere zvinogona kuonekwa munguva dzeFGGS:
- Yakanaka uye isingagumi isophagitis.
- Gastritis.
- Duodenitis.
- Stenoses yomuviri, iyo inogona kunge yakabatana uye inowanikwa mushure mekutsvaira uye kupisa.
- Hernias yekuvhara kwemasimba ekudengenyeka.
- Zvironda zvepamu uye duodenum.
- Polyps.
- Diverticulum yeeophagus.
Kana uchiita mishonga yezvinodhaka zvechirwere chepptic, PHEGDS inobvumira kuongorora dhigirii rekushanda (yakakwirira-kupisa, kuporesa). Gastroscopy pasi peanesthesia ndiyo nzira yakanyanyisa, sezvo murwere asingatambudziki panguva yaanoita. Kunyange zvakadaro, ine zviratidzo zvakafanana uye zvakakosha. Gastroscopy kuvana vari pasi peanesthesia inowanzoitirwa zviratidzo zvakafanana nevakuru.
Colonoscopy: chinangwa chekushandisa iyo nzira
Nzira yekuongororwa kwekoloni ine rubatsiro rwemaitiro ekupedzisira inonzi colonoscopy. Iyi nzira inoshandiswa mukurapa kwemazuva mazhinji, sezvo inonyanya kudzidzisa uye inobvumira kutsvaga biopsy. Colonoscopy inobatsira kuziva mamiriro ezvinhu uye zvisingatauriki, kuongorora patency, chimiro, uye kuvapo kwehutano huri mukati memukati makuru. Vamwe varwere vanoramba nzira iyi, nokuti inorwadza uye isingafadzi mune zvepfungwa. Kunyange zvakadaro, chidzidzo chinodikanwa pakuonekwa kwezvirwere zvakawanda. Iye zvino, gastroscopy uye colonoscopy pasi peanesthesia zviripo. Nokudaro, kutya kweizvi maitiro zvishoma nezvishoma kuva chinhu chekare.
Gastroscopy pasi peanesthesia: nzira yekuitisa
Usati watanga nzira yacho, zvakakosha kugadzirira murwere, pamwe nekuwana kubvumirwa kwake. Kutanga, murwere anoda kutaurira nezvechinangwa uye kubatsirwa kwemuitiro wekuongororwa, ipapo-pane nzira yekuita. Kana gastroscopy inorondedzerwa pasi pehuwandu hweanesthesia, zvakakosha kuzivisa murwere nguva isati yasvika kuti nzira yacho inoshandiswa pane isina chinhu mudumbu, kureva kuti, haafaniri kudya maawa 10-12 asati apera. Sezvo kureva kusvuta kunofanirwa, zvinopesana pamberi peFAGS kwemaawa maviri. Pamberi pekuiswa kwekutsvaga kwekupedzisira, nzvimbo inotangira rurimi uye pharynx inobatwa nemhinduro ye lidocaine, kuitira kuti kuderedza kushusha, iyi inyanzvi yemagetsi uye inoitirwa vose varwere. Vamwe varwere, pavanokumbira kana zviratidzo zvakasiyana, vanoita aneshehesia yakawanda, i.e. intravenously, kana sedatives ("Diprivan", "Propofol"), kuitira kuti vawane mishonga isina kumira.
Zviratidzo zvekuiswa kwevanhu vakawanda aneshesia
Munhu wose anogona kuita gastroscopy pasi peanesthesia. Kunyange zvakadaro, pane zviratidzo zvakananga izvo anesthesia inongova yakakodzera. Izvi zvinosanganisira:
- Kuwedzera gag reflex - kana murwere asingakwanisi kuisa zviri mukati mutsamba yekudya.
- Kunyanyisa kunetseka kwepfungwa, kwakaitika munguva yeFGGDS yapfuura.
- Kana chero kushandiswa kunorongwa panguva yegastroscopy, inogona kunge kubviswa kwema polyps, adiki diverticulum. Kazhinji, nzira yacho inotora anenge 10-15 maminitsi. Parapautic manipulations ino nguva inowedzera.
Gastroscopy pasi peanesthesia: murwere mhinduro
Mafungiro evarwere pamararamiro eFGGS mukurota akanaka, sezvo vasinganzwisisiki zvisingafadzi kubva pamitambo yacho, uye havacherechedzi kuchinja kwemaitiro munhengo dzavo vachiona, izvo zvinokosha kune vamwe vavo. Nezvekuongororwa kwekolonoscopy pasi peanesthesia, iyi nzira inogamuchirwa kune vose varwere. Izvi hazvirevi chete nekutya uye kurwadziwa kwehutano, asiwo kunoderedza varwere kubva kune manzwiro ekudzivisa pamberi pevashandi.