I. Gutegura abarwayi
1. Sobanukirwa ahantu, kamere, ingano no gutobora ibintu byamahanga
Fata X-imirasire cyangwa CT isuzumisha ijosi, igituza, anteroposterior nu mpande zombi, cyangwa inda nkuko bikenewe kugirango wumve aho uri, imiterere, imiterere, ingano, hamwe no gutobora umubiri wamahanga, ariko ntukore barium kumira ikizamini.
2. Kwiyiriza ubusa nigihe cyo kwiyiriza amazi
Mubisanzwe, abarwayi biyiriza ubusa amasaha 6 kugeza 8 kugirango basibe ibifu, kandi igihe cyo kwiyiriza hamwe namazi yo kwiyiriza amazi birashobora kuruhuka muburyo bukwiye bwa gastroscopi.
3. Ubufasha bwa Anesthesia
Abana, abafite ibibazo byo mu mutwe, abadakorana, cyangwa abafite imibiri y’amahanga ifunzwe, imibiri minini y’amahanga, imibiri myinshi y’amahanga, imibiri y’amahanga ityaye, cyangwa ibikorwa bya endoskopique bigoye cyangwa bifata igihe kirekire bagomba kubagwa muri anesthesia rusange cyangwa endotracheal intubation hifashishijwe anesthesiologue.Kuraho ibintu by'amahanga.
II.Gutegura ibikoresho
1. Guhitamo Endoscope
Ubwoko bwose bwimbere-kureba gastroscopi irahari.Niba bigereranijwe ko bigoye gukuramo umubiri wamahanga cyangwa umubiri wamahanga ni munini, hakoreshwa gastroscopi ya port-port ebyiri.Endoskopi ifite diameter ntoya yo hanze irashobora gukoreshwa kubana bato.
2. Guhitamo imbaraga
Ahanini biterwa nubunini n'imiterere y'umubiri w'amahanga.Ibikoresho bisanzwe bikoreshwa harimo imbaraga za biopsy, umutego, imbaraga-eshatu zasaya, imbaraga ziringaniye, imbaraga zumubiri wamahanga (imbeba-amenyo, imbaraga zo mu kanwa), igitebo cyo gukuraho amabuye, igikapo cyo gukuramo amabuye, nibindi.
Guhitamo ibikoresho birashobora kugenwa ukurikije ingano, imiterere, ubwoko, nibindi byumubiri wamahanga.Dukurikije raporo z’ubuvanganzo, imbaraga z’imbeba-amenyo nizo zikoreshwa cyane.Ikoreshwa ryimbeba-amenyo yingufu ni 24.0% ~ 46,6% yibikoresho byose byakoreshejwe, naho imitego igera kuri 4.0% ~ 23,6%.Mubisanzwe bizera ko imitego ari nziza kumibiri miremire imeze nkinkoni.Nka termometero, koza amenyo, imigano, imigati, ikiyiko, nibindi, kandi umwanya wanyuma utwikiriwe numutego ntugomba kurenza 1cm, bitabaye ibyo bizagorana gusohoka mumutima.
2.1 Imibiri y'amahanga imeze nk'inkoni n'imibiri y'amahanga
Kubintu byamahanga bifite ishusho yinkoni bifite ubuso bunoze hamwe na diametre yoroheje yo hanze nko gutobora amenyo, biroroshye cyane guhitamo ibyuma bitatu-jaw, imbeba-amenyo, amenyo, nibindi.;kubintu bya sphericale byamahanga (nka cores, imipira yikirahure, bateri ya buto, nibindi), koresha igitebo cyo gukuramo amabuye cyangwa igikapu cyo gukuramo amabuye kugirango ubikureho Biragoye kunyerera.
2.2 Imibiri miremire ityaye yamahanga, guhunika ibiryo, namabuye manini munda
Ku mibiri miremire y’amahanga ityaye, umurongo muremure wumubiri wamahanga ugomba kuba ugereranije nu murongo muremure wa lumen, hamwe numutwe utyaye cyangwa impera ifunguye ireba hepfo, hanyuma ikagenda mugihe utera umwuka.Ku mibiri y’amahanga imeze nk'impeta cyangwa imibiri y'amahanga ifite umwobo, ni byiza gukoresha uburyo bwo guhuza imigozi kugirango ubikureho;
Kubiribwa hamwe namabuye manini mu gifu, imbaraga zo kuruma zirashobora gukoreshwa kugirango zijanjagurwe hanyuma ziveho hamwe nimbaraga eshatu cyangwa umutego.
3. Ibikoresho byo gukingira
Koresha ibikoresho birinda ibishoboka byose kubintu byamahanga bigoye kuvanaho kandi bishobora guteza akaga.Kugeza ubu, ibikoresho bisanzwe bikingira birinda imipira ibonerana, imiyoboro yo hanze, hamwe nuburinzi.
3.1 Umutwe wuzuye
Mugihe cyo gukuraho umubiri wamahanga, capa ibonerana igomba gukoreshwa kumpera ya lens ya endoskopi ibishoboka byose kugirango wirinde mucosa gutoborwa numubiri wamahanga, no kwagura esofagusi kugirango igabanye ubukana bwagaragaye mugihe umubiri wamahanga ni.Irashobora kandi gufasha gufunga no gukuramo umubiri wamahanga, ifitiye akamaro gukuramo umubiri wamahanga.gusohora.
Ku mibiri y’amahanga imeze nk'ibice byinjijwe mu mucosa ku mpande zombi za esofagusi, umutwa uciye mu mucyo urashobora gukoreshwa mu gusunika buhoro buhoro umusemburo wa esophageal ukikije uruhande rumwe rw'umubiri w'amahanga ku buryo impera imwe y'umubiri w'amahanga isohoka mu rukuta rwa Esophageal mucosal to irinde gutobora esophageal iterwa no gukuraho bitaziguye.
Igifuniko kibonerana kirashobora kandi gutanga umwanya uhagije wo gukora igikoresho, cyoroshye mugushakisha no kuvana imibiri yamahanga mugice gito cya esofageal ijosi.
Muri icyo gihe, capa ibonerana irashobora gukoresha igitutu kibi kugirango ifashe gukuramo ibiryo no koroshya gutunganya nyuma.
3.2
Mugihe urinda esofagusi na esofageal-gastric junction mucosa, umuyoboro winyuma worohereza endoskopique kuvanaho imibiri miremire, ityaye, ninshi mumahanga no kuvanaho ibiribwa, bityo bikagabanya ibibazo byingutu mugihe cyo gukuramo umubiri wa gastrointestinal yo hejuru.Ongera umutekano nuburyo bwiza bwo kuvura.
Overtubes ntabwo ikoreshwa mubana kubera ibyago byo kwangiza esofagus mugihe cyo kuyinjiza.
3.3 Igifuniko cyo gukingira
Shira igifuniko cyo gukingira hejuru kumpera yimbere ya endoscope.Nyuma yo gufunga ikintu cyamahanga, fungura igifuniko cyo gukingira hejuru hanyuma uzenguruke ikintu cyamahanga mugihe ukuyemo endoscope kugirango wirinde ibintu byamahanga.
Iza guhura na mucous membrane yinzira yigifu kandi igira uruhare mukurinda.
4. Uburyo bwo kuvura ubwoko butandukanye bwimibiri yamahanga mumyanya yo hejuru ya gastrointestinal
4.1 Ibiryo byinshi muri esofagus
Raporo zerekana ko ibyinshi mu biribwa bito muri esofagus bishobora gusunikwa buhoro mu gifu hanyuma bigasigara bisohoka mu buryo busanzwe, byoroshye, byoroshye kandi ntibishobora gutera ibibazo.Mugihe cyo gutera imbere kwa gastroscopi, ifaranga rikwiye rishobora kwinjizwa mumyanya myibarukiro, ariko abarwayi bamwe bashobora guherekezwa nibibyimba bibi bya esophageal cyangwa ibibyimba nyuma ya Esophageal anastomotic stenosis (Ishusho 1).Niba hari ukurwanya kandi ugasunika cyane, gukoresha umuvuduko mwinshi bizongera ibyago byo gutobora.Birasabwa gukoresha igitebo cyo gukuramo amabuye cyangwa igikapu cyo gukuramo amabuye kugirango ukureho umubiri wamahanga.Niba ibiryo bolus ari binini, urashobora gukoresha imbaraga zumubiri zamahanga, imitego, nibindi kugirango ubishire mbere yo kubigabana.Kuramo.
Igicapo 1 Nyuma yo kubagwa kanseri yo mu nda, umurwayi yaherekejwe na esophageal stenosis no kugumana ibiryo bya bolus.
4.2 Ibintu bigufi kandi bitagaragara
Imibiri myinshi ngufi kandi itagaragara irashobora gukurwaho binyuze mumbaraga zumubiri zamahanga, imitego, ibiseke byo gukuraho amabuye, imifuka yo gukuramo amabuye, nibindi (Ishusho 2).Niba umubiri w’amahanga muri esofagusi bigoye kuwukuraho mu buryo butaziguye, urashobora gusunikwa mu gifu kugirango uhindure umwanya wacyo hanyuma ugerageze kuwukuraho.Imibiri migufi, idahwitse ifite diameter ya> cm 2,5 mu gifu biragoye kunyura muri pylorus, kandi intervention endoscopique igomba gukorwa vuba bishoboka;niba imibiri yamahanga ifite diametero ntoya mu gifu cyangwa duodenum itagaragaza ibyangiritse gastrointestinal, barashobora gutegereza gusohoka kwabo.Niba igumyeho ibyumweru birenga 3-4 kandi ntigishobora gusohoka, igomba gukurwaho endoskopique.
Igishushanyo 2 Ibikoresho bya plastiki nuburyo bwo gukuraho
4.3 Inzego z’amahanga
Ibintu by'amahanga bifite uburebure bwa cm 6 (nka termometero, koza amenyo, imigano y'imigano, amakaramu, ibiyiko, n'ibindi) ntabwo byoroshye gusohora bisanzwe, bityo bikunze gukusanywa hamwe n'umutego cyangwa igitebo cyamabuye.
Umutego urashobora gukoreshwa kugirango utwikire impera imwe (itarenze cm 1 uvuye kumpera), hanyuma ugashyirwa mumutwe wuzuye kugirango uyikuremo.Igikoresho cyo hanze gishobora kandi gukoreshwa mu gufata umubiri w’amahanga hanyuma ugasubira inyuma neza muri kanseri yo hanze kugirango wirinde kwangiza mucosa.
4.4 Ibintu bikarishye
Ibintu bikarishye byamahanga nkamagufa y amafi, amagufwa yinkoko, amenyo, imyobo yitariki, amenyo yinyo, impapuro zipapuro, ibyuma byogosha, hamwe nudupfunyika twamabati (Isanamu 3) bigomba kwitabwaho bihagije.Ibintu bikarishye bishobora kwangiza byoroshye ururenda hamwe nimiyoboro yamaraso kandi bigatera ingorane nko gutobora bigomba kuvurwa neza.Ubuyobozi bwihutirwa bwa endoskopi.
Igicapo 3 Ubwoko butandukanye bwibintu bikarishye byamahanga
Iyo ukuyeho imibiri ityaye yamahanga munsi yumutweoscope, biroroshye gushushanya mucosa yinzira yigifu.Birasabwa gukoresha ingofero iboneye, ishobora kwerekana neza lumen kandi ikirinda gukubita urukuta.Gerageza kuzana impera yumubiri wamahanga hafi yumusozo wa endoskopi kugirango endo ya endoskopique irangire kugirango impera imwe yumubiri wamahanga ishyirwe Shyira mumutwe wa mucyo, koresha imbaraga zumubiri wamahanga cyangwa umutego kugirango ufate umubiri wamahanga, hanyuma gerageza kugumana umurongo muremure wumubiri wamahanga ugereranije na esofagus mbere yo kuva murwego.Imibiri y’amahanga yashyizwe mu ruhande rumwe rwa esofagus irashobora gukurwaho ushyira ingofero ibonerana ku mpera yimbere ya endoscope hanyuma ikinjira buhoro buhoro yinjira muri esofage.Ku mibiri y’amahanga yashyizwe mu cyuho cya esophageal ku mpande zombi, impera yinjizwamo ntoya igomba kubanza kurekurwa, ubusanzwe Ku ruhande rwegeranye, gukuramo urundi ruhande, guhindura icyerekezo cy’ikintu cy’amahanga kugira ngo umutwe w’umutwe ushyirwe mu mucyo. ingofero, hanyuma uyikuremo.Cyangwa nyuma yo gukoresha icyuma cya laser kugirango ugabanye umubiri wamahanga hagati, uburambe bwacu nukurekura aortic arch cyangwa uruhande rwumutima mbere, hanyuma tukabikuraho mubyiciro.
a.Amenyo: Iyo kurya, gukorora, cyangwa kuganirag, abarwayi barashobora kugwa kubwimpanuka zabo, hanyuma bakinjira mumaguru yo hejuru ya gastrointestinal hamwe no kumira.Amenyo akarishye afite ibyuma bifatanye ku mpande zombi biroroshye kwinjizwa mu nkuta z'inzira zifungura, bigatuma kuyikuramo bigorana.Ku barwayi bananiwe kuvura endoskopi isanzwe, ibikoresho byinshi byo gufatana birashobora gukoreshwa kugirango ugerageze kuvanaho endoskopi ebyiri.
b.Imyobo yitariki: Ibyobo byamatariki byinjijwe muri esofagus mubisanzwe bikarishye kumpande zombi, bishobora gutera ingorane nka mucosal damage, kuva amaraso, kwandura kwanduye no gutobora mugihe gito, kandi bigomba kuvurwa hakoreshejwe endoskopi yihutirwa (Ishusho 4).Niba nta gikomere cyo mu gifu, amabuye menshi yitariki mu gifu cyangwa duodenum arashobora gusohoka mugihe cyamasaha 48.Abadashobora gusohoka muburyo busanzwe bagomba kuvaho vuba bishoboka.
Igishushanyo 4 Jujube yibanze
Nyuma y'iminsi ine, umurwayi bamusuzumye umubiri w'amahanga mu bindi bitaro.CT yerekanye umubiri wamahanga muri esofagus hamwe no gutobora.Cores ya jujube ityaye kumpande zombi yakuweho munsi ya endoskopi hanyuma gastroscopi irongera ikorwa.Byagaragaye ko fistula yakozwe ku rukuta rwa esofagusi.
4.5 Ibintu binini by'amahanga bifite impande ndende n'impande zikarishye (Ishusho 5)
a.Shyiramo umuyoboro w'inyuma munsi ya endoskopi: Shyiramo gastroscope uhereye hagati yigitereko cyo hanze, kugirango impande zo hepfo yigitereko cyo hanze cyegere kuruhande rwo hejuru rwigice cya gastroscope.Shyiramo gastroscope hafi yumubiri wamahanga.Shyiramo ibikoresho bikwiye unyuze mu miyoboro ya biopsy, nk'umutego, imbaraga z'umubiri w'amahanga, n'ibindi. Nyuma yo gufata ikintu cy'amahanga, ukagishyira mu muyoboro w'inyuma, kandi igikoresho cyose kizasohoka hamwe n'indorerwamo.
b.Igikoresho cyo mu rugo gikingira igifuniko gikingira: Koresha igifuniko cy'urutoki rwa kawusi yo kwa muganga kugirango ukore endoskopi yo mu rugo yakozwe imbere.Kata hafi ya bevel yumuzi wintoki ya gants muburyo bwimpanda.Kata umwobo muto ku rutoki, hanyuma unyure imbere yimbere yumubiri windorerwamo unyuze mu mwobo muto.Koresha impeta ntoya kugirango uyikosore 1.0cm uvuye kumpera yimbere ya gastroscope, uyisubize mumutwe wo hejuru wa gastroscope, hanyuma wohereze hamwe na gastroscope mumubiri wamahanga.Fata umubiri wamahanga hanyuma uyikure hamwe na gastroscope.Urwego rwo gukingira rusanzwe ruzagenda rugana mumubiri wamahanga kubera kurwanywa.Niba icyerekezo gisubijwe inyuma, kizazenguruka ibintu byamahanga kugirango birinde.
Igicapo 5: Amagufa akomeye y’amafi yakuweho endoskopique, hamwe na mucosal
4.6 Ibyuma byamahanga
Usibye imbaraga zisanzwe, ibyuma byamahanga byuma bishobora gukurwaho no guswera hamwe nimbaraga za magnetique zamahanga.Imibiri y’amahanga ifite ibyago byinshi cyangwa bigoye kuyikuramo irashobora kuvurwa endoskopique munsi ya X-ray fluoroscopi.Birasabwa gukoresha igitebo cyo gukuraho amabuye cyangwa igikapu cyo gukuramo amabuye.
Ibiceri bikunze kugaragara mu mibiri y’amahanga mu nzira igogora y’abana (Ishusho 6).Nubwo ibiceri byinshi muri esofagus bishobora gutambuka bisanzwe, birasabwa kuvura endoskopi ihitamo.Kuberako abana badakorana cyane, kuvanaho endoskopi kumubiri wamahanga mubana nibyiza gukorwa muri anesthesia rusange.Niba igiceri kigoye kugikuramo, kirashobora gusunikwa mu gifu hanyuma kigakurwa.Niba nta bimenyetso biri mu gifu, urashobora gutegereza ko bisohoka bisanzwe.Niba igiceri kimara ibyumweru birenga 3-4 kandi kitirukanwe, kigomba kuvurwa endoskopi.
Igicapo 6 Igiceri c'icuma
4.7 Ibintu byangirika byamahanga
Imibiri y’amahanga yangirika irashobora kwangiza byoroshye inzira yigifu cyangwa na nérosose.Ubuvuzi bwihutirwa bwa endoskopique burakenewe nyuma yo kwisuzumisha.Batteri ni umubiri w’amahanga wangirika kandi ukunze kugaragara ku bana bari munsi yimyaka 5 (Ishusho 7).Nyuma yo kwangiza esofagus, zirashobora gutera Esophageal stenosis.Endoscopi igomba gusubirwamo mugihe cyibyumweru bike.Niba hashyizweho gukomera, esofagus igomba kwagurwa vuba bishoboka.
Igicapo 7 Ikintu kinyamahanga muri bateri, umwambi utukura werekana aho ikintu cyamahanga kiri
4.8 Ikintu cya magneti
Iyo imibiri myinshi ya magnetique cyangwa imibiri yamahanga ya magnetique ifatanije nicyuma biboneka mugice cyo hejuru cya gastrointestinal, ibintu bikururana kandi bigahuza urukuta rwinzira yigifu, bishobora gutera byoroshye isekemike ya nérosose, kwibumbira kwa fistula, gutobora, kubuza, peritonite na izindi nkomere zikomeye zo mu gifu., bisaba kuvura endoskopi yihutirwa.Ikintu kimwe rukuruzi ya magnetique nayo igomba gukurwaho vuba bishoboka.Usibye imbaraga zisanzwe, imibiri ya magnetique yo mumahanga irashobora gukurwaho mugihe cyo guswera hamwe nimbaraga zumubiri zamahanga.
4.9 Imibiri yamahanga munda
Benshi muribo ni amatara, insinga zicyuma, imisumari, nibindi byamizwe nkana nabafungwa.Imibiri myinshi yamahanga ni ndende kandi nini, biragoye kunyura mumutima, kandi irashobora gukuramo byoroshye ururenda.Birasabwa gukoresha agakingirizo kahujwe nimbaraga z-amenyo kugirango bakureho imibiri yamahanga mugupima endoskopi.Ubwa mbere, shyiramo imbeba-amenyo mumbere yimbere ya endoskopi unyuze mu mwobo wa endoskopi.Koresha imbeba-iryinyo kugirango uhambire impeta ya reberi hepfo y agakingirizo.Noneho, subiza imbaraga zimbeba-menyo yerekeza kumwobo wa biopsy kugirango uburebure bw agakingirizo bugaragare hanze yumwobo wa biopsy.Mugabanye cyane bishoboka bitagize ingaruka kumurima wo kureba, hanyuma ubishyire mu cyuho cya gastric hamwe na endoscope.Nyuma yo kuvumbura umubiri wamahanga, shyira umubiri wamahanga muma gakingirizo.Niba bigoye kuyikuramo, shyira agakingirizo mu cyuho cya gastrica, hanyuma ukoreshe imbaraga z'imbeba-amenyo kugirango uhambire umubiri w’amahanga hanyuma ushyiremo. Imbere y'agakingirizo, koresha ibyuma byerekana amenyo kugira ngo ufate agakingirizo hanyuma ukuremo hamwe na indorerwamo.
4.10 Amabuye yo munda
Gastroliths igabanijwemo gastrolith yimboga, gastrolith yinyamaswa, gastrolith iterwa nibiyobyabwenge na gastrolith ivanze.Gastrolith yibimera nibisanzwe, ahanini biterwa no kurya ibinyomoro byinshi, amahwa, amatariki yimbeho, pasha, seleri, kelp, na cocout ku gifu cyuzuye.Biterwa nibindi nibindi gastroliths yibimera nka perimmons, hawthorn, na jujubes birimo aside tannic, pectine, na sakumi.Hakozwe na acide gastricike, hakorwa poroteyine ya tannic acide yamazi adashobora gushonga, ihuza pectine, gum, fibre yibihingwa, ibishishwa, hamwe na core.Amabuye yo mu gifu.
Amabuye ya Gastricike akoresha ingufu za rukanike kurukuta rwigifu kandi agatera kwiyongera kwa aside gastricike, ishobora gutera byoroshye isuri yo mu gifu isuri, ibisebe ndetse no gutobora.Amabuye mato mato, yoroshye arashobora gushonga hamwe na sodium bicarbonate nindi miti hanyuma akemererwa gusohoka muburyo busanzwe.
Ku barwayi bananiwe kwivuza, kuvanaho amabuye ya endoskopi ni byo byambere (Ishusho 8).Ku mabuye ya gastrica bigoye kuyakuramo munsi ya endoskopi bitewe nubunini bwayo, imbaraga zumubiri zamahanga, imitego, ibiseke byo gukuraho amabuye, nibindi birashobora gukoreshwa kumenagura amabuye hanyuma ukayakuraho;kubafite imiterere ikomeye idashobora guhonyorwa, gukata endoskopi yo gutema amabuye birashobora gutekerezwa, Laser lithotripsy cyangwa kuvura lithotripsy yumuriro mwinshi, mugihe ibuye rya gastrici ritageze kuri 2cm nyuma yo kumeneka, koresha imbaraga zinzara eshatu cyangwa imbaraga zumubiri zamahanga. kuyikuraho bishoboka.Hagomba kwitonderwa kugirango wirinde amabuye arenze 2cm gusohoka mumyanya y'amara binyuze mu gifu kandi bigatera inzitizi zo munda.
Igicapo 8 Amabuye mu gifu
4.11 Umufuka wibiyobyabwenge
Kumeneka kw'isakoshi yibiyobyabwenge bizatera ibyago byica kandi ni ukurwanya kuvura endoskopi.Abarwayi badashoboye gusohoka bisanzwe cyangwa bakekwaho kuba baravunitse umufuka wibiyobyabwenge bagomba kubagwa byimazeyo.
III.Ingorane no kuvura
Ingorane z'umubiri w'amahanga zifitanye isano na kamere, imiterere, igihe cyo gutura n'urwego rwa muganga.Ingorane nyamukuru zirimo gukomeretsa kw'imitsi ya Esophageal, kuva amaraso, no kwandura.
Niba umubiri wamahanga ari muto kandi ntagishobora kwangirika kwimitsi iyo ikuwe hanze, ibitaro ntibisabwa nyuma yo kubagwa, kandi indyo yoroshye irashobora gukurikizwa nyuma yo kwiyiriza amasaha 6.Ku barwayi bafite imvune zo mu nda, glutamine granules, aluminium fosifate gel hamwe nibindi bintu birinda mucosal birashobora guhabwa imiti yibimenyetso.Nibiba ngombwa, kwiyiriza ubusa hamwe nimirire ya peripheri birashobora gutangwa.
Ku barwayi bafite imitsi igaragara no kuva amaraso, kuvura birashobora gukorwa muburyo butaziguye bwa endoskopique, nko gutera umuti ukonje wa saline norepinephrine, cyangwa clips ya titanium ya endoscopique kugirango ufunge igikomere.
Ku barwayi bafite CT mbere yo gutangira kwerekana ko umubiri w’amahanga winjiye mu rukuta rwa esofage nyuma yo gukuraho endoskopi, niba umubiri wamahanga ugumye mugihe kitarenze amasaha 24 na CT ugasanga nta musemburo uri hanze yumubiri wa esophageal, kuvura endoskopique birashobora gukorwa muburyo butaziguye.Nyuma yuko umubiri w’amahanga umaze gukurwa muri endoscope, clip ya titanium ikoreshwa mugukata urukuta rwimbere rwa esofagus ahantu hacuramye, rushobora guhagarika kuva amaraso no gufunga urukuta rwimbere rwa esofagusi icyarimwe.Umuyoboro wa gastrica hamwe nigituba cyo kugaburira jjunal gishyirwa muburyo butaziguye bwa endoscope, umurwayi akaba arwariye mubitaro kugirango akomeze kuvurwa.Umuti urimo kuvura ibimenyetso nko kwiyiriza ubusa, gastrointestinal decompression, antibiotique nimirire.Muri icyo gihe, ibimenyetso byingenzi nkubushyuhe bwumubiri bigomba gukurikiranirwa hafi, kandi kuba haribibazo byingutu nka emphysema yo mu ijosi cyangwa emphysema mediastinal bigomba kugaragara kumunsi wa gatatu nyuma yo kubagwa.Amazi ya iyode angiography yerekana ko nta kumeneka, kurya no kunywa birashobora kwemerwa.
Niba umubiri w’amahanga wagumishijwe mu gihe kirenze amasaha 24, niba ibimenyetso byanduye nka feri, ubukonje, hamwe n’ubwiyongere bukabije bw’amaraso yera, iyo CT yerekana ko habaye ibibyimba bidasanzwe muri esofagusi, cyangwa niba hari ibibazo bikomeye byabayeho , abarwayi bagomba kwimurirwa kubagwa kugirango bavurwe mugihe gikwiye.
IV.Kwirinda
.Kubwibyo, gutabara endoskopi byihutirwa birakenewe cyane.
. hanze.Nibyiza gushaka inama zinyuranye no kwitegura kubagwa.
.
Iwacugufata imbaragaikoreshwa ifatanije na endoskopi yoroshye, yinjira mu cyuho cy'umubiri w'umuntu nk'inzira z'ubuhumekero, esofagusi, igifu, amara n'ibindi binyuze mu muyoboro wa endoscope, gufata ingirangingo, amabuye n'ibibazo by'amahanga ndetse no gukuramo stent.
Igihe cyo kohereza: Mutarama-26-2024