Don nazarin lafiyar wasu gabobin ciki, an yi amfani da hanyar endoscopy inda na'urar ta musamman - an shigar da endoscope ta hanyar hanyoyi na halitta a cikin ɓoye na kwayar da aka gudanar a bincike ko ta hanyar aiki da haɗakarwa. A lokacin da yake dauke da maganin ciki daga cikin ciki, wanda ake kira gastroscopy, tiyata ba a buƙata ba, - an shigar da endoscope ta hanyar rami na tsakiya da kuma esophagus. Za mu koyi yadda za a yi endoscopy na ciki, da kuma yadda za a shirya shi.
Indications ga endoscopy na ciki
Tare da taimakon gastroscopy, kwararrun zasu iya tantance yanayin lumen na esophagus, ciki da duodenum. Duk da haka, ana amfani da hanyar ba kawai don ganewar asali ba, har ma don dalilai na asibiti, don maganin warkewa da kuma aiki. Tare da cututtuka na tsarin narkewa, endoscopy na ciki anyi ne don:
- tsarin da tsaftacewar ganewar asali (ciki har da tsammanin ƙaddamarwa na ƙaddamar da pathology);
- ganowa na ƙididdigewa da ƙaddamarwa na tsari;
- lura da tasirin magani (mazan jiya ko aiki);
- biopsies na shafukan yanar gizo masu rikitarwa (tare da ciwon mikiya, gaban ciwon sukari, da dai sauransu);
- bayani game da yanayin pyloroduodenal stenosis, da dai sauransu.
Don dalilai na wariyar launin fata, ana amfani da hanyar a cikin waɗannan lokuta:
- don kau da jikin kungiyoyin waje;
- don dakatar da zubar da ciki ;
- don gabatar da kwayoyi;
- don kau da ciwace-ciwacen daji da polyps a ciki, da dai sauransu.
Yadda za a shirya don endoscopy na ciki?
Kafin kwanciya daga cikin ciki, mai haƙuri ya kamata yayi shiri mai sauƙi don hanya, wanda aka ɗauka da wannan:
- Anyi hanya a kan komai a ciki ko akalla sa'o'i 10 bayan cin abinci.
- Ba za ku iya shan taba ba kafin endoscopy.
- An yarda ya sha karamin adadin tsarki har yanzu ruwa (har zuwa 50 ml).
Ta yaya endoscopy na ciki?
Hanyar ne kawai ke aiki ne kawai ta ƙwararrun masu amfani da endoscopists a cikin ofishin musamman. Ƙarshen ƙarancin (gastroscopy) wani mai ɗaura mai sauƙi ne, a gefe ɗaya wanda akwai idanu, kuma a kan na biyu - kyamara. Lokacin gudanar da bincike mai sauƙi, hanya tana kimanin minti biyu:
- Don kauce wa rashin jin dadin jiki, za'a iya yin aiki a ƙarƙashin maganin rigakafi na gida. A saboda wannan dalili, an rufe ɗakun murji da pharynx tare da bayani mai mahimmanci na wakili na cututtuka (lidocaine ana amfani dashi sau da yawa). Tsarin intramuscular na magani mai mahimmanci kuma yana yiwuwa. A wasu lokuta mawuyacin hali, an yi amfani da cutar shan magani gaba daya, amma mafi yawan masana sunyi la'akari da wannan ba daidai ba.
- Kafin gabatarwar tube na karshe, mai kula da ƙwaƙwalwar ƙwaƙwalwa yana tare da hakora, sa'an nan kuma ya mayar da makogwaro ko ɗaukar sutura, kuma a wannan lokacin likita ya shiga cikin bututu cikin esophagus.
- Don yada kasusuwan ɓangaren sama na gastrointestinal fili iska ana ciyar da ta tube.
Don rage yawan zubar da ruwa, ana bada shawara don numfashi numfashi da kuma kwanciyar hankali.
A lokacin aikin, zaka iya ɗaukar hoto ko rikodin bidiyo da rikodi. Bayan cire na'urar, akwai damuwa marar kyau a cikin kuturu, wanda bace bayan kwanaki 1 zuwa 2.
Contraindications don endoscopy na ciki:
- girgizar kasa;
- ƙananan cututtuka na cerebral da na jijiyoyin jini;
- kwakwalwa;
- exacerbation na bronchial fuka;
- wasu cututtuka na esophagus, da dai sauransu.
Gastric biopsy tare da endoscopy
Ana buƙatar wannan tsari a gaban ciwon ciki a cikin ciki, da kuma cututtuka daban-daban:
- hepatitis;
- gastritis atrophic;
- dysphagia da sauransu.
Ta hanyar tube a cikin ciki, an gabatar da takunkumi na musamman, ta hanyar abin da aka dauki kayan - ƙididdigar membran mucous. Bayan haka, ana nazarin abu a ƙarƙashin microscope.