1.Kuki ari ngombwa gukora gastroenteroscopy?
Mugihe umuvuduko wubuzima hamwe nuburyo bwo kurya bihinduka, ubwandu bwindwara zo munda nazo zarahindutse.Umubare wa kanseri yo mu gifu, esofageal na colorectal mu Bushinwa uragenda wiyongera uko umwaka utashye.
Gastrointestinal polyps, kanseri yo mu gifu no munda hakiri kare nta bimenyetso byihariye bifite, ndetse bamwe nta bimenyetso bafite mubyiciro byateye imbere.Abenshi mu barwayi bafite ibibyimba bibi byo mu gifu basanzwe bari mu rwego rwo hejuru iyo basuzumwe, kandi guhanura ibibyimba hakiri kare kandi byateye imbere biratandukanye rwose.
Gastroenteroscopy nigipimo cya zahabu mugutahura indwara zo munda, cyane cyane ibibyimba byo hambere.Ariko, kubera abantu badasobanukiwe na endoskopi gastrointestinal, cyangwa kumva ibihuha, ntibashaka cyangwa batinya kwandura endoskopi gastrointestinal.Kubera iyo mpamvu, abantu benshi babuze amahirwe yo gutahura hakiri kare no kuvurwa hakiri kare.Kubwibyo, "asimptomatic" gastrointestinal endoscopy igenzurwa irakenewe.
2. Ni ryari gastroenteroscopi ikenewe?
Turasaba ko abaturage muri rusange barengeje imyaka 40 basanzwe barangiza endoskopi gastrointestinal.Mugihe kizaza, gastrointestinal endoscopy irashobora gusubirwamo mumyaka 3-5 ukurikije ibisubizo byikizamini.Kubasanzwe bafite ibimenyetso byigifu bitandukanye, birasabwa kugira endoskopi gastrointestinal igihe icyo aricyo cyose.Niba hari amateka yumuryango wa kanseri yigifu cyangwa kanseri yo munda, birasabwa gutangira gukurikirana gastroenteroscopi mbere yimyaka 30.
3. Kuki afite imyaka 40?
95% bya kanseri yo mu gifu na kanseri yibara biva mu mitsi yo mu gifu no mu mara, kandi bisaba imyaka 5-15 kugirango polyps ihinduke kanseri y'amara.Noneho reka turebe aho ibintu bihinduka mugihe cyo gutangira ibibyimba bibi mu gihugu cyanjye:
Duhereye ku mbonerahamwe dushobora kubona ko kwandura ibibyimba bibi mu gihugu cyacu ari bike ugereranije n’imyaka 0-34, byiyongera cyane kuva ku myaka 35 kugeza 40, ni byo bihinduka ku myaka 55, kandi bigera ku mpinga hafi imyaka 80.
Ukurikije amategeko yiterambere ryindwara, imyaka 55 - 15 ans (kanseri yinkondo yumura) = 40 ans.Ku myaka 40, ibizamini byinshi byerekana gusa polyps, ikurwaho kandi igasuzumwa buri gihe kandi ntizatera kanseri yo munda.Kugira ngo usubire inyuma, nubwo byahinduka kanseri, birashoboka cyane ko ari kanseri yo hambere kandi irashobora gukira rwose munsi ya colonoskopi.
Niyo mpamvu twasabwe kwitondera gusuzuma hakiri kare ibibyimba byo mu gifu.Indwara ya gastrointestinal ku gihe irashobora kwirinda neza kanseri yo mu gifu na kanseri y'amara.
4.Ni ikihe kintu cyiza kuri gastroenteroscopi isanzwe kandi itababaza?Bite ho kugenzura ubwoba?
Niba ufite kwihanganira nabi ukaba udashobora gutsinda ubwoba bwimitekerereze kandi ukaba utinya endoskopi, noneho hitamo ububabare;niba udafite ibibazo nkibi, urashobora guhitamo ibisanzwe.
Indwara ya gastrointestinal endoscopi izatera ibibazo bimwe na bimwe: isesemi, kubabara munda, kubyimba, kuruka, kunanirwa ingingo, nibindi, ariko, mubihe bisanzwe, mugihe cyose badafite ubwoba bukabije kandi bagafatanya neza na muganga, abantu benshi barashobora kubyihanganira.Urashobora kwisuzuma wenyine.Kubakorana neza, endoskopi isanzwe ya gastrointestinal irashobora kugera kubisubizo bishimishije kandi byiza;icyakora, niba impagarara zikabije zitera ubufatanye bubi, ibisubizo byikizamini bishobora kugira ingaruka kurwego runaka.
Ububabare bwa gastroenteroscopy: Niba ufite ubwoba rwose, urashobora guhitamo endoskopi gastrointestinal idafite ububabare.Birumvikana ko icyangombwa ari uko igomba gusuzumwa na muganga kandi ikuzuza ibisabwa kugirango anesthesia.Ntabwo abantu bose babereye anesthesia.Niba atari byo, turashobora kubyihanganira gusa no gukora ibisanzwe.Nyuma ya byose, umutekano uza mbere!Indwara ya gastrointestinal endoscopi itazababara izagerwaho muburyo bworoshye kandi burambuye, kandi ingorane zo kubaga kwa muganga nazo zizagabanuka cyane.
5. Ni izihe nyungu n'ibibi bya gastrointestinal endoscopi itababara?
Ibyiza:
1.Nta kibazo na kimwe: uryamye mugihe cyose, ntacyo uzi, gusa ufite inzozi nziza.
2.Kwangirika gake: kubera ko utazumva ufite isesemi cyangwa utamerewe neza, amahirwe yo kwangizwa nindorerwamo nayo ni nto cyane.
3. Witondere witonze: Mugihe uryamye, umuganga ntazongera guhangayikishwa nuko utakwitayeho kandi azakureba neza utuje kandi witonze.
4.Gabanya ibyago: kuko gastroscopie isanzwe izatera uburakari, umuvuduko wamaraso, nigipimo cyumutima kiziyongera gitunguranye, ariko ntibibabaza ntagikeneye guhangayikishwa nibi bibazo.
Ikibura:
1.Guhangayikisha cyane: ugereranije na endoskopi isanzwe ya gastrointestinal, haribindi bisabwa byihariye byo kwitegura: isuzuma rya electrocardiogram, urushinge rwo gutera inshinge zirasabwa mbere yikizamini, abagize umuryango bagomba guherekezwa, kandi ntushobora gutwara mumunsi umwe nyuma yikizamini, nibindi. .
2.Ni akaga gato: nyuma yubundi, ni anesthesia muri rusange, ibyago birenze ibisanzwe.Urashobora guhura nigitonyanga cyumuvuduko wamaraso, ingorane zo guhumeka, guhumeka kubwimpanuka, nibindi.;
3.Kuzunguruka nyuma yo kubikora: nubwo ntacyo wumva na gato mugihe ubikora, uzumva uzunguye nyuma yo kubikora, nko gusinda, ariko birumvikana ko bitazaramba;
4.Ahenze gato: ugereranije na endoskopi isanzwe ya gastrointestinal, igiciro cyo kutagira ububabare kiri hejuru gato.
5.Ntabwo buriwese ashobora kubikora: ibizamini bitababaza bisaba gusuzuma anesthesia.Abantu bamwe ntibashobora kwisuzumisha bitababaje, nkabafite amateka ya allergie kuri anesthesia nibiyobyabwenge byangiza, abafite bronchite bafite flegime ikabije, abafite ibisigazwa byinshi munda, nabafite abantu bakomeye bafite kuniha no gusinzira apnea, nkuko kimwe n'ababyibushye cyane bagomba kwitonda, abantu bafite indwara z'umutima n'ibihaha badashobora kwihanganira anesteziya, abarwayi ba glaucoma, hyperplasia prostate n'amateka yo kugumana inkari, abagore batwite n'abonsa bagomba kwitonda.
6. Anesthesia ya endoskopi gastrointestinal itababaza izatuma abantu baceceka, kubura kwibuka, bizagira ingaruka kuri IQ?
Nta mpamvu yo guhangayika na gato!Anesthetic yimitsi ikoreshwa muri endoskopi gastrointestinal idafite ububabare ni propofol, amazi yera yera amata abaganga bita "amata yishimye".Ihinduranya vuba cyane kandi izabora rwose kandi ihindurwe mumasaha make idateye kwirundanya..Ingano ikoreshwa igenwa na anesthesiologue ukurikije uburemere bwumurwayi, ubuzima bwiza bwumubiri nibindi bintu.Ahanini, umurwayi azabyuka mu buryo bwikora mu minota 10 nta rukurikirane.Umubare muto wabantu bazumva basinze, ariko abantu bake cyane bazabyuka byikora.Bizashira vuba.
Kubwibyo, mugihe cyose ikorwa nabaganga babigize umwuga mubigo byubuvuzi bisanzwe, nta mpamvu yo guhangayika cyane.
5.Ese hari ingaruka ziterwa na anesthesia?
Ibihe byihariye byasobanuwe haruguru, ariko nta gikorwa cyo kwa muganga gishobora kwemezwa ko kitagira ingaruka 100%, ariko byibuze 99,99% birashobora gukorwa neza.
6.Ibimenyetso byerekana ibibyimba, gushushanya amaraso, hamwe no gupima amaraso ya fecal gusimbuza endoskopi gastrointestinal?
Ntushobora!Mubisanzwe, kwisuzumisha gastrointestinal bizasaba gupima amaraso ya fecal, gupima imikorere ine ya gastrici, ibimenyetso byibibyimba, nibindi. Buriwese afite ibyo akoresha:
7.Gupima amaraso ya fecal: intego nyamukuru nukugenzura niba amaraso yihishe mumitsi ya gastrointestinal.Ibibyimba hakiri kare, cyane cyane microcarcinoma, ntibiva amaraso hakiri kare.Amaraso yubupfumu ya fecal akomeje kuba meza kandi bisaba kwitabwaho cyane.
8.Gupima imikorere ya gastric: intego nyamukuru nukugenzura gastrine na pepsinogen kugirango umenye niba gusohora ari ibisanzwe.Ni ukureba niba abantu bafite ibyago byinshi byo kurwara kanseri yo mu gifu.Niba habonetse ibintu bidasanzwe, isuzuma rya gastroscopi rigomba gukorwa ako kanya.
Ibimenyetso bya Tumor: Birashobora kuvugwa gusa ko bifite agaciro runaka, ariko ntibigomba gukoreshwa nkibisobanuro byonyine byo gusuzuma ibibyimba.Kuberako gutwika bimwe na bimwe bishobora gutera ibimenyetso byibibyimba kuzamuka, kandi ibibyimba bimwe na bimwe biracyari ibisanzwe kugeza igihe biri hagati kandi bitinze.Kubwibyo, ntugomba gutinya niba ari muremure, nanone ntushobora kubyirengagiza niba ari ibisanzwe.
9. Ese capsule endoscopi, ifunguro rya barium, gupima umwuka, na CT gusimbuza gastrointestinal endoscopy?
Ntibishoboka!Ikizamini cyo guhumeka gishobora kumenya gusa ko Helicobacter pylori yanduye, ariko ntishobora kugenzura imiterere ya mucosa gastric;ifunguro rya barium rishobora gusa kubona "igicucu" cyangwa urucacagu rwinzira ya gastrointestinal, kandi agaciro kayo ko kwisuzumisha kugarukira.
Capsule endoscopy irashobora gukoreshwa nkuburyo bwo gusuzuma bwa mbere.Ariko, kubera kutabasha gukurura, kwoza, gutahura, no kuvura, kabone niyo haboneka igikomere, endoskopi isanzwe iracyakenewe murwego rwa kabiri, ruhenze kubigura.
Isuzuma rya CT rifite agaciro kanini ko kwisuzumisha kubyimba gastrointestinal yateye imbere, ariko rifite imyumvire mibi ya kanseri hakiri kare, ibisebe byanduye, n'indwara rusange zifata inzira zo munda.
Mu ijambo, niba ushaka kumenya kanseri yo munda hakiri kare, endoskopi ya gastrointestinal ntishobora gusimburwa.
10. Ese endoskopi gastrointestinal idafite ububabare ishobora gukorerwa hamwe?
Nibyo, twakagombye kumenya ko mbere yikizamini, nyamuneka menyesha muganga witonze kandi urangize ikizamini cya electrocardiogramu kugirango isuzume anesthesia.Muri icyo gihe, umwe mu bagize umuryango agomba kuguherekeza.Niba gastroscopie ikozwe munsi ya anesthesia hanyuma igakorwa colonoskopi, kandi iyo ikozwe hamwe na endoskopi gastrointestinal idafite ububabare, Bisaba gusa kubona anesthesia rimwe, bityo nayo igura make.
11. Mfite umutima mubi.Nshobora gukora gastroenteroscopy?
Ibi biterwa nuko ibintu bimeze.Endoscopy iracyasabwa mu bihe bikurikira:
1.Uburwayi bukabije bwumutima, nkumutima ukabije, igihe cyibikorwa byindwara ya myocardial, kunanirwa k'umutima na asima, abantu bafite ikibazo cyubuhumekero badashobora kuryama, badashobora kwihanganira endoskopi.
2.Abarwayi bakekwaho guhungabana nibimenyetso byingenzi bidahungabana.
3.Abantu bafite uburwayi bwo mumutwe cyangwa ubumuga bukomeye bwubwenge badashobora gufatanya na endoskopi (gastroscopie itababara nibiba ngombwa).
4.Indwara zikomeye kandi zikomeye zo mu muhogo, aho endoscope idashobora kwinjizwa.
5.Abarwayi bafite uburibwe bukabije bwa Esofagusi nigifu.
6.Abarwayi bafite thoracoabdominal aortic aneurysm na stroke (hamwe no kuva amaraso na infarction acute).
7.Kudasanzwe kw'amaraso adasanzwe.
12. Biopsy ni iki?Bizatera kwangiza igifu?
Biopsy ni ugukoreshabiopsy imbaragakuvanaho agace gato k'imitsi mu nzira ya gastrointestinal no kohereza muri patologiya kugirango umenye imiterere y'ibisebe byo mu gifu.
Mugihe cya biopsy, abantu benshi ntacyo bumva.Rimwe na rimwe, bumva ko igifu cyabo gikubiswe, ariko nta mubabaro uhari.Uturemangingo twa biopsy ni ubunini bwingano yumuceri kandi butera kwangirika cyane mucosa gastric.Byongeye kandi, nyuma yo gufata tissue, muganga azahagarika kuva amaraso munsi ya gastroscopi.Igihe cyose ukurikije amabwiriza ya muganga nyuma yo kwisuzumisha, amahirwe yo gukomeza kuva amaraso ni make cyane.
13. Gukenera biopsy byerekana kanseri?
Ntabwo ari ukuri!Gufata biopsy ntibisobanura ko uburwayi bwawe bukomeye, ariko ko muganga akuramo bimwe mubice byindwara kugirango asesengure indwara ya gastroenteroscopi.Kurugero: polyps, isuri, ibisebe, ibisebe, nodules, na gastrite ya atrophique ikoreshwa kugirango hamenyekane imiterere, ubujyakuzimu, nubunini bwindwara kugirango bayobore ubuvuzi no gusuzuma.Birumvikana ko abaganga nabo bafata biopsies kubikomere bikekwa ko ari kanseri.Kubwibyo, biopsy nugufasha gusa gupima gastroenteroscopy, ntabwo ibikomere byose byakuwe muri biopsy ari ibisebe bibi.Ntugahangayike cyane kandi utegereze wihanganye ibisubizo bya patologiya.
Turabizi ko abantu benshi barwanya gastrointestinal endoscopi ishingiye kubitekerezo, ariko ndizera rwose ko ushobora kwitondera endoskopi gastrointestinal.Nizera ko nyuma yo gusoma iki kibazo, uzasobanukirwa neza.
Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., Ni uruganda mu Bushinwa ruzobereye mu gukoresha endoskopi, nka biopsy imbaraga, hemoclip, umutego, inshinge, spray catheter, cytology,kuyobora, igitebo cyo kugarura amabuye, izuru rya biliary drainage catheternibindi bikoreshwa cyane muriEMR, ESD,ERCP.Ibicuruzwa byacu byemewe na CE, kandi ibihingwa byacu byemewe na ISO.Ibicuruzwa byacu byoherejwe mu Burayi, Amerika y'Amajyaruguru, Uburasirazuba bwo hagati ndetse no muri Aziya, kandi bigera ku bakiriya bamenyekana kandi bashimwe!
Igihe cyo kohereza: Apr-02-2024