ʻaoʻao_banner

13 mau nīnau āu e makemake ai e ʻike e pili ana i ka gastroenteroscopy.

1. No ke aha e pono ai ke hana gastroenteroscopy?

Ke hoʻololi nei ka wikiwiki o ke ola a me ka ʻai ʻana, ua loli pū ka ulu ʻana o nā maʻi gastrointestinal.Ke piʻi nei ka nui o nā maʻi maʻi ʻōpū, esophageal a me ka colorectal ma Kina i kēlā me kēia makahiki.

asd (1)

ʻO nā polyps gastrointestinal, nā maʻi maʻi ʻōpū mua a me nā maʻi maʻi ʻōpū ʻaʻohe hōʻailona kikoʻī, a ʻaʻohe hōʻailona o kekahi i ka pae holomua.ʻO ka hapa nui o nā poʻe maʻi me nā maʻi maʻi maʻi maʻi maʻi i loko o ka pae holomua ke ʻike ʻia, a ʻokoʻa loa ka wānana o nā maʻi maʻi mua a me nā pae kiʻekiʻe.

ʻO Gastroenteroscopy ke kūlana gula no ka ʻike ʻana i nā maʻi ʻōpū, ʻoi aku ka nui o nā maʻi maʻi mua.Eia nō naʻe, ma muli o ka maopopo ʻole o ka poʻe i ka endoscopy gastrointestinal, a i ʻole ka hoʻolohe ʻana i nā lono, ʻaʻole lākou makemake a makaʻu paha e hana i ka endoscopy gastrointestinal.ʻO ka hopena, nui ka poʻe i nalowale i ka manawa no ka ʻike mua ʻana a me ka mālama mua ʻana.No laila, pono ka "asymptomatic" gastrointestinal endoscopy inspection.

2. I ka manawa hea e pono ai ka gastroenteroscopy?

Manaʻo mākou e hoʻopau mau ka heluna kanaka ma luna o nā makahiki he 40 i ka endoscopy gastrointestinal.I ka wā e hiki mai ana, hiki ke nānā ʻia ka endoscopy gastrointestinal i loko o 3-5 mau makahiki ma muli o nā hopena hoʻokolokolo.No ka poʻe i loaʻa maʻamau i nā hōʻailona ʻokoʻa o ka ʻōpū, ʻōlelo ʻia e loaʻa i kahi endoscopy gastrointestinal i kēlā me kēia manawa.Inā loaʻa kahi moʻolelo ʻohana o ka maʻi maʻi ʻōpū a i ʻole ka maʻi maʻi ʻōpū, ʻōlelo ʻia e hoʻomaka i ka gastroenteroscopy follow-up ma mua a hiki i 30 mau makahiki.

3. No ke aha he 40 makahiki?

ʻO 95% o nā maʻi maʻi maʻi ʻōpū a me nā maʻi maʻi colorectal e ulu aʻe mai nā polyps ʻōpū a me nā polyps ʻōpū, a he 5-15 mau makahiki e ulu ai nā polyps i ka maʻi maʻi ʻōpū.A laila, e nānā kākou i ka huli ʻana i ka makahiki o ka hoʻomaka ʻana o nā maʻi ʻino ma koʻu ʻāina:

asd (2)

Mai ka pakuhi hiki iā mākou ke ʻike he haʻahaʻa loa ka nui o nā maʻi maʻi maʻi ma ko mākou ʻāina i ka makahiki 0-34, piʻi nui mai nā makahiki 35 a hiki i 40, ʻo ia ka huli ʻana i ka makahiki 55, a hiki i kahi kiʻekiʻe. ma kahi o 80 makahiki.

asd (3)

Wahi a ke kānāwai o ka hoʻomohala ʻana i ka maʻi, 55 mau makahiki - 15 mau makahiki (ka holo ʻana o ka maʻi ʻaʻai koko) = 40 mau makahiki.I ka makahiki 40, ʻike wale ka hapa nui o nā hoʻokolohua i nā polyps, kahi i wehe ʻia a nānā mau ʻia a ʻaʻole e holomua i ka maʻi maʻi ʻōpū.No ka hoʻi ʻana i hope, ʻoiai inā lilo ia i ka maʻi kanesa, he maʻi maʻi maʻi mua loa ia a hiki ke ho'ōla piha ʻia ma lalo o ka colonoscopy.

ʻO ia ke kumu i koi ʻia ai mākou e makaʻala i ka nānā mua ʻana o nā ʻōpū ʻōpū.Hiki i ka endoscopy o ka ʻōpū i ka manawa kūpono ke pale i ka maʻi maʻi ʻōpū a me ka maʻi maʻi ʻōpū.

4. He aha ka maikaʻi no ka gastroenteroscopy maʻamau a me ka ʻeha ʻole?Pehea e pili ana i ka nānā makaʻu?

Inā loaʻa iā ʻoe ke ahonui maikaʻi ʻole a ʻaʻole hiki ke lanakila i kou makaʻu noʻonoʻo a makaʻu i ka endoscopy, a laila koho i ka ʻeha ʻole;inā ʻaʻohe āu pilikia, hiki iā ʻoe ke koho maʻamau.

ʻO ka endoscopy gastrointestinal maʻamau ka mea e hōʻeha ai: nausea, ʻeha ʻōpū, bloating, luaʻi, numbness o nā lālā, a me nā mea ʻē aʻe.Hiki iā ʻoe ke loiloi iā ʻoe iho.No ka poʻe i hui maikaʻi, hiki i ka endoscopy gastrointestinal maʻamau ke loaʻa i nā hopena hoʻokolokolo kūpono a maikaʻi;akā naʻe, inā ʻoi aku ka nui o ka haʻalulu e alakaʻi i ka launa pū ʻana, hiki ke hoʻopili ʻia nā hopena hoʻokolokolo i kekahi ʻano.

ʻO ka gastroenteroscopy ʻeha ʻole: Inā makaʻu maoli ʻoe, hiki iā ʻoe ke koho i kahi endoscopy ʻōpū ʻeha ʻole.ʻOiaʻiʻo, ʻo ka manaʻo he pono e loiloi ʻia e ke kauka a hoʻokō i nā kūlana no ka anesthesia.ʻAʻole kūpono nā kānaka a pau no ka anesthesia.Inā ʻaʻole, a laila hiki iā mākou ke hoʻomanawanui a hana i nā mea maʻamau.Ma hope o nā mea a pau, hele mua ka palekana!E ʻoi aku ka ʻoluʻolu a me ka kikoʻī o ka endoscopy o ka ʻōpū ʻeha ʻole, a e hoʻemi nui ʻia ka paʻakikī o ka hana a ke kauka.

5. He aha nā pōmaikaʻi a me nā pōʻino o ka endoscopy gastrointestinal painless?

Pono:

1. ʻAʻohe pilikia: ke hiamoe nei ʻoe i ke kaʻina holoʻokoʻa, ʻaʻole ʻike i kekahi mea, he moeʻuhane ʻoluʻolu wale nō.

2.Less pōʻino: no ka mea, ʻaʻole ʻoe e manaʻo nauseated a ʻoluʻolu ʻole paha, ʻoi aku ka liʻiliʻi o ka pōʻino i hana ʻia e ke aniani.

3. E nānā pono: Ke hiamoe ʻoe, ʻaʻole e hopohopo hou ke kauka i kou pilikia a nānā pono iā ʻoe me ka mālie a me ke akahele.

4. E ho'ēmi i ka pilikia: no ka mea, e hoʻonui koke ka gastroscopy maʻamau, ke koko, a me ka puʻuwai puʻuwai, akā ʻaʻole pono e hopohopo hou i kēia pilikia.

Pōkole:

1. He pilikia pilikia: ke hoʻohālikelike ʻia me ka endoscopy gastrointestinal maʻamau, aia kekahi mau koi hoʻomākaukau kūikawā ʻē aʻe: ka nānā ʻana i ka electrocardiogram, koi ʻia kahi nila i noho ʻia ma mua o ka hoʻokolokolo, pono e hele pū ʻia nā ʻohana, a ʻaʻole hiki iā ʻoe ke hoʻokele i loko o 1 lā ma hope o ka hoʻokolokolo, etc. .

2. He pilikia iki: ma hope o nā mea a pau, he anesthesia maʻamau, ʻoi aku ka nui o ka pilikia ma mua o ka maʻamau.Hiki iā ʻoe ke ʻike i ka hāʻule ʻana o ke koko, pilikia ka hanu ʻana, inhalation ulia pōpilikia, etc.;

3. ʻO ka noʻonoʻo ma hope o ka hana ʻana: ʻoiai ʻaʻole ʻoe e manaʻo i kekahi mea i ka wā e hana ai, e ʻeha ʻoe ma hope o ka hana ʻana, e like me ka ʻona ʻana, akā ʻoiaʻiʻo ʻaʻole e lōʻihi;

4. He kumu kūʻai iki: ke hoʻohālikelike ʻia me ka endoscopy gastrointestinal maʻamau, ʻoi aku ka kiʻekiʻe o ke kumukūʻai o ka ʻeha.

5. ʻAʻole hiki i nā mea a pau ke hana: ʻo ka hoʻokolokolo ʻole e pono ai ka loiloi anesthesia.ʻAʻole hiki i kekahi poʻe ke hoʻopaʻa i ka hoʻokolokolo ʻole ʻole, e like me ka poʻe me ka moʻolelo o ka allergies i ka anesthesia a me nā lāʻau lapaʻau sedative, ka poʻe me ka bronchitis me ka nui o ka phlegm, ka poʻe me ka nui o nā koena i loko o ka ʻōpū, a me ka poʻe me ka poʻe me ka snoring a me ka apnea hiamoe, e like me pono e makaʻala ka poʻe me ka maʻi puʻuwai a me ka māmā ʻaʻole hiki ke ʻae i ka anesthesia, nā mea maʻi me ka glaucoma, prostatic hyperplasia a me ka mōʻaukala o ka mālama ʻana i ka mimi, nā wahine hāpai a me ka lactating.

6. E lilo anei ka anesthesia no ka endoscopy gastrointestinal painless i ka poʻe naʻaupō, nalowale ka hoʻomanaʻo, pili i ka IQ?

ʻAʻohe pono e hopohopo!ʻO ka anesthetic intravenous i hoʻohana ʻia i ka endoscopy gastrointestinal painless he propofol, he wai keʻokeʻo waiu i kapa ʻia e nā kauka "waiu hauʻoli".Hoʻopili koke ia a hoʻopau loa ʻia a hoʻoheheʻe ʻia i loko o kekahi mau hola me ka ʻole o ka hōʻiliʻili ʻana..Hoʻoholo ʻia ke ʻano i hoʻohana ʻia e ka anesthesiologist e pili ana i ke kaumaha o ka mea maʻi, hoʻoikaika kino a me nā mea ʻē aʻe.ʻO ke kumu, e ala koke ka mea maʻi ma kahi o 10 mau minuke me ka ʻole o ka hopena.Manaʻo ka poʻe liʻiliʻi me he mea lā ua ʻona lākou, akā he kakaikahi wale nō ka poʻe e ala ala.E nalowale koke ana.

No laila, ʻoiai e lawelawe ʻia ana e nā kauka ʻoihana i nā keʻena olakino maʻamau, ʻaʻohe pono e hopohopo nui.

5. Aia kekahi pilikia me ka anesthesia?

Ua wehewehe ʻia ke kūlana kikoʻī ma luna, akā ʻaʻole hiki ke hōʻoiaʻiʻo ʻia kahi hana lapaʻau ʻo 100% ʻaʻohe pilikia, akā ma kahi o 99.99% hiki ke hana maikaʻi ʻia.

6. Hiki i nā hōʻailona ʻōpū, ke kiʻi ʻana i ke koko, a me nā hoʻāʻo koko fecal occult ke hoʻololi i ka endoscopy gastrointestinal?

ʻAʻole hiki!ʻO ka maʻamau, ʻo ka nānā ʻana o ka ʻōpū e ʻōlelo i kahi hoʻāʻo koko fecal occult, ʻehā hoʻāʻo ʻana i ka hana o ka ʻōpū, nā hōʻailona tumo, a me nā mea ʻē aʻe.

7. Fecal occult blood test: ʻo ke kumu nui e nānā i ke koko huna i loko o ka ʻōpū ʻōpū.ʻAʻole koko ka maʻi koko mua, ʻoi aku ka microcarcinomas i ka wā mua.Ke hoʻomau nei ke koko occult fecal i ka maikaʻi a pono e nānā nui.

8.Gastric hana ho'āʻo: ke kumu nui e nānā i ka gastrin a me ka pepsinogen e hoʻoholo inā he mea maʻamau ka huna.ʻO ia wale nō ka nānā ʻana inā pilikia nui nā kānaka i ka maʻi maʻi ʻōpū.Inā ʻike ʻia nā mea ʻino, pono e hana koke ʻia ka loiloi gastroscopy.

Hōʻailona Tumor: Hiki ke ʻōlelo ʻia he waiwai kona, akā ʻaʻole pono e hoʻohana ʻia ma ke ʻano he kuhikuhi wale no ka nānā ʻana i nā ʻōpū.No ka mea, hiki i kekahi mumū ke piʻi aʻe nā hōʻailona tumo, a maʻa mau kekahi mau maʻi koko a hiki i ka waena a me ka hope.No laila, ʻaʻole pono ʻoe e makaʻu inā kiʻekiʻe lākou, ʻaʻole hiki iā ʻoe ke haʻalele iā lākou inā maʻamau.

9. Hiki i ka capsule endoscopy, ka ai barium, ka ho'āʻo hanu, a me ka CT ke hoʻololi i ka endoscopy gastrointestinal?

He mea hiki ole!Hiki i ka ho'āʻo hanu ke ʻike i ka loaʻa ʻana o ka maʻi Helicobacter pylori, akā ʻaʻole hiki ke nānā i ke ʻano o ka mucosa ʻōpū;hiki i ka pāʻina barium ke ʻike wale i ka "aka" a i ʻole outline o ka ʻōpū o ka ʻōpū, a ua kaupalena ʻia kona waiwai diagnostic.

Hiki ke hoʻohana ʻia ka capsule endoscopy ma ke ʻano o ka nānā mua ʻana.Eia nō naʻe, ma muli o kona hiki ʻole ke huki, holoi, ʻike, a mālama, ʻoiai inā ʻike ʻia kahi lesion, pono mau ka endoscopy maʻamau no ke kaʻina hana lua, ʻoi aku ka pipiʻi o ke kālā.

Loaʻa i ka hōʻike CT kekahi waiwai diagnostic no nā maʻi ʻōpū o ka ʻōpū holomua, akā ʻaʻole maikaʻi kona naʻau no ka maʻi maʻi maʻi mua, nā maʻi precancerous, a me nā maʻi maʻamau o ka ʻōpū ʻōpū.

I kahi huaʻōlelo, inā makemake ʻoe e ʻike i ka maʻi maʻi maʻi mua, ʻaʻole hiki ke hoʻololi ʻia ka endoscopy gastrointestinal.

10. Hiki ke hana pū ʻia ka endoscopy gastrointestinal ʻole?

ʻAe, pono e hoʻomaopopo ʻia ma mua o ka hoʻokolokolo ʻana, e ʻoluʻolu e hoʻomaopopo i ke kauka me ka wikiwiki a hoʻopau i ka hoʻokolokolo electrocardiogram no ka loiloi anesthesia.I ka manawa like, pono kekahi lālā o ka ʻohana e hele pū me ʻoe.Inā hana ʻia kahi gastroscopy ma lalo o ka anesthesia a laila hana ʻia kahi colonoscopy, a inā hana pū ʻia me kahi endoscopy ʻōpū ʻeha ʻole, ʻo ke kumu kūʻai wale nō ke loaʻa i ka maʻi maʻi i hoʻokahi manawa, no laila ʻoi aku ka liʻiliʻi.

11. He naau ino ko'u.Hiki iaʻu ke hana i ka gastroenteroscopy?

Pili kēia i ke kūlana.ʻAʻole ʻōlelo ʻia ka Endoscopy i nā hihia penei:

1. ʻO nā maʻi cardiopulmonary koʻikoʻi, e like me ka arrhythmias koʻikoʻi, ka wā hana o ka myocardial infarction, ka puʻuwai koʻikoʻi a me ka hānō, nā poʻe me ka hanu hanu hiki ʻole ke moe i lalo, hiki ʻole ke ʻae i ka endoscopy.

2. ʻO nā poʻe maʻi me nā hōʻailona koʻikoʻi i manaʻo ʻia he haʻalulu a paʻa ʻole.

3. ʻO nā kānaka me ka maʻi noʻonoʻo a i ʻole ke kino kīnā koʻikoʻi ʻaʻole hiki ke hui pū me ka endoscopy (ka gastroscopy me ka ʻeha ʻole inā pono).

4. ʻO ka maʻi ʻeha a me ka maʻi ʻeha, kahi hiki ʻole ke hoʻokomo i ka endoscope.

5. ʻO nā poʻe maʻi me ka ʻeha corrosive acute o ka esophagus a me ka ʻōpū.

6. ʻO nā poʻe maʻi me ka aneurysm aortic thoracoabdominal a me ka hahau (me ke koko a me ka infarction acute).

7. ʻAʻole ke koko coagulation.

12. He aha ka biopsy?E poino anei ka opu?

Hoʻohana ʻia ka biopsybiopsy forcepse wehe i kahi ʻāpana liʻiliʻi mai ka ʻōpū o ka ʻōpū a hoʻouna iā ia i ka pathology e hoʻoholo ai i ke ʻano o nā maʻi ʻōpū.

I ka wā o ka biopsy, ʻaʻohe manaʻo o ka hapa nui o nā kānaka.I kekahi manawa, manaʻo lākou e ʻoki ʻia ana ko lākou ʻōpū, akā ʻaneʻane ʻaʻohe ʻeha.ʻO ka ʻiʻo biopsy wale nō ka nui o kahi hua laiki a liʻiliʻi loa ka pōʻino i ka mucosa ʻōpū.Eia kekahi, ma hope o ka lawe ʻana i ka ʻiʻo, e hoʻopau ke kauka i ke koko ma lalo o kahi gastroscopy.ʻOiai ʻoe e hahai i nā ʻōlelo a ke kauka ma hope o ka hoʻokolokolo ʻana, haʻahaʻa loa ka nui o ke kahe koko.

13. He ma'i 'a'ai anei ka pono no ka biopsy?

ʻaʻole naʻe!ʻO ka lawe ʻana i kahi biopsy ʻaʻole ia he ʻano koʻikoʻi kou maʻi, akā lawe ke kauka i kekahi o nā ʻiʻo lesion no ka nānā ʻana i ka pathological i ka wā gastroenteroscopy.No ka laʻana: polyps, erosions, ulcers, bulges, nodules, and atrophic gastritis e hoʻohana ʻia e hoʻoholo i ke ʻano, hohonu, a me ka laulā o ka maʻi e alakaʻi i ka mālama ʻana a me ka loiloi.ʻOiaʻiʻo, lawe pū nā kauka i nā biopsies no nā maʻi i manaʻo ʻia he maʻi kanesa.No laila, ʻo ka biopsy wale nō ke kōkua i ka maʻi gastroenteroscopy, ʻaʻole nā ​​​​ʻeha a pau i lawe ʻia mai ka biopsy he mau maʻi ʻino.Mai hopohopo nui a kali wale me ka hoʻomanawanui no nā hopena pathology.

Ua ʻike mākou he nui ke kūʻē ʻana o ka poʻe i ka endoscopy gastrointestinal e pili ana i ka instinct, akā manaʻo nui wau hiki iā ʻoe ke hoʻolohe i ka endoscopy gastrointestinal.Ke manaʻoʻiʻo nei au ma hope o ka heluhelu ʻana i kēia Q&A, e loaʻa iā ʻoe kahi ʻike maopopo.

ʻO mākou, ʻo Jiangxi Zhuoruihua Medical Instrument Co., Ltd., he mea hana ma Kina i mea kūikawā i nā mea hoʻohana endoscopic, e like me biopsy forceps, hemoclip, pahele polyp, nila sclerotherapy, pāpaʻi pāpaʻi, cytology brushes,uea alakaʻi, hīnaʻi kiʻi pōhaku, ihu biliary drain catheteretc. i hoohana nui ia maEMR, ESD,ERCP.ʻO kā mākou huahana i hōʻoia ʻia ʻo CE, a ua hōʻoia ʻia kā mākou mea kanu.Ua lawe ʻia kā mākou waiwai i ʻEulopa, ʻAmelika ʻAmelika, Middle East a me kahi hapa o Asia, a loaʻa nui i ka mea kūʻai aku o ka ʻike a me ka hoʻomaikaʻi!


Ka manawa kau: Apr-02-2024