EGD kwambiri nkhani njira ya matenda a m'mimba

EGD kapena fibrogastroduodenoscopy - njira Kupenda malangizo a m'mimba ndi duodenum Imachitika mothandizidwa ndi kuwala chida gastroscope. Njira imeneyi ndi imodzi mwa chinsinsi ntchito oterewa chapamimba kudwala.

Zikuonetsa kuti EGD m'mimba:

- kufunika kuti sule matenda a matenda chachikulu chapamimba (gastritis, chironda chachikulu matenda, zotupa);

- adziwe kusintha khalidwe m'mimba chifukwa kusintha ziwalo moyandikana (intestine, kapamba, chiwindi ndi chikhodzodzo ndulu);

- chizindikiritso cha matupi yachilendo.

EGD m'mimba akusonyeza kuti dyspepsia chapamimba, makamaka ngati anaonekera odwala achikulire pa zaka 40, wamagazi kusanza, kutsekula m'mimba kwa nthawi yaitali, akusowa chitsulo magazi m'thupi.

Contraindications cha phunziroli:

- esophageal matenda (amamuyambitsa timabala ndi kuchepetsa wa chotupa diverticulitis) ndi ozungulira ziwalo (retrosternal khosi lotupa kung'ambika aneurysm, chidwi cha kupindika msana);

- woopsa mtima ndi m'mapapo mwanga insufficiency;

- dilated mitsempha ya kholingo.

Kukonzekera EGD m'mimba

Kuchita EGD m'mimba sikutanthauza maphunziro apadera. Anakonza kafukufuku gastroscopy ikuchitika m'mawa. Wodwala ayenera inu chopanda kanthu m'mimba gastroscopy kapena ayi maola kale kuposa anayi pambuyo ingestion, ndi amaganiziridwa pyloric stenosis - palibe kale kuposa maola asanu ndi atatu. Pambuyo pa phunziro X-ray ntchito endoscopy, barium angathe kuchitidwa osati kale kuposa tsiku lina. Emergency gastroscopy zolinga matenda ndi achire mu magazi chapamimba ikuchitika popanda kukonzekera kuyambirira wodwalayo nthawi iliyonse. Mu zina, EGD pogonekedwa ndi mankhwala. Izi ndi zofunikira makamaka phunziro la zikuonetsa mwadzidzidzi.

Pre-mtima anafotokoza kuti pa ndondomeko, kulankhula ndi kumeza malovu. theka la ola pamaso pa mayeso mtima subcutaneously jekeseni atropine sulphate. A maminiti pang'ono mayeso atengedwa kuchoka kupeza mano otere ndi pharyngeal mucosa kuthirira dikaina njira yothetsera mankhwala oletsa ululu pamalopo. Wodwala aikidwa pa chilengedwe tebulo ya opareshoni udindo kumanzere. thunthu ayenera anaweramuka, mapewawo, minofu ali omasuka. Mkamwa ndipo kamwa ndi anaikapo mu kafukufuku wosabala kutumikiridwa.

Kutalika kwa mphindi 10-15 gastroscopy. Phunzirolo lili mkati, wodwalayo kupweteka asaone. M'mimbamo za m'mimba pa phunzirolo anayambitsanso pang'ono mpweya chifukwa zimasonyeza m'makwinya a Kakhungu mucous. Izi zikhoza kugirigisha ka chidzalo mmimba. Pamaso pa zotupa pa gastroscopy biopsy anatengedwa Kupenda histological minofu ndi chotupa matenda khalidwe.

Pambuyo EGD wodwala samatha kudya, kumwa utsi nthawi 1-2.5 mpaka kuchira bwino za kumeza. Ngati pa kufufuza za anagwira biopsy - chakudya cha tsiku ntchito chilled yekha.

Pamaso EGD m'mimba ndi zofunika kuchita X-ray mosamala mtima kuti achotse contraindications: esophageal kuchepetsa, diverticulosis, varicose mitsempha.

phunziro ya khateyo mavuto:

- perforation wa kum'mero ndi m'mimba;

- magazi pambuyo biopsy ya;

- kuyan'anila za mtima ndi njira kupuma.

Upeleka gastroscopy malamulo onse, zizindikiro ndi contraindications ndi kukonzekera olondola a wodwalayo walola phunziroli ndi otetezeka kwathunthu ndi kuteteza chitukuko cha matendawo.