1. No ke aha he mea pono e hana i ka gastroenteroscopy?
I ka loli ʻana o ke ola a me nā ʻano ʻai, ua loli pū ka nui o nā maʻi ʻōpū. Ke piʻi nei ka nui o nā maʻi ʻōpū, esophageal a me colorectal ma Kina i kēlā me kēia makahiki.
ʻO nā polyps Gastrointestinal, nā maʻi ʻōpū mua a me nā maʻi ʻōpū ʻaʻohe o lākou mau hōʻailona kikoʻī, a ʻo kekahi poʻe ʻaʻohe o lākou mau hōʻailona i ke kahua holomua. ʻO ka hapa nui o nā maʻi me nā puʻupuʻu ʻino gastrointestinal ua i ke kahua holomua i ka wā i ʻike ʻia ai, a ʻokoʻa loa ka wānana o nā puʻupuʻu mua a me ke kahua holomua.
ʻO Gastroenteroscopy ke kūlana gula no ka ʻike ʻana i nā maʻi gastrointestinal, ʻoiai nā puʻupuʻu mua. Eia naʻe, ma muli o ka nele o ka ʻike 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, ua nalowale ka poʻe he nui i ka manawa kūpono no ka ʻike mua ʻana a me ka mālama mua ʻana. No laila, pono ka nānā ʻana i ka endoscopy gastrointestinal "asymptomatic".
2. I ka manawa hea e pono ai ka gastroenteroscopy?
Manaʻo mākou i ka poʻe ma luna o 40 mau makahiki e hoʻopau mau i ka endoscopy gastrointestinal. I ka wā e hiki mai ana, hiki ke nānā hou ʻia ka endoscopy gastrointestinal i loko o 3-5 mau makahiki ma muli o nā hopena o ka hoʻokolokolo. No ka poʻe i loaʻa pinepine i nā ʻano hōʻailona gastrointestinal like ʻole, ua ʻōlelo ʻia e loaʻa kahi endoscopy gastrointestinal i kēlā me kēia manawa. Inā he moʻolelo ʻohana o ke kanesa ʻōpū a i ʻole ke kanesa ʻōpū, ua ʻōlelo ʻia e hoʻomaka i ka hahai ʻana o ka gastroenteroscopy ma mua a hiki i 30 mau makahiki.
3. No ke aha he 40 mau makahiki?
95% o nā maʻi ʻaʻai ʻōpū a me nā maʻi ʻaʻai colorectal e ulu mai nā polyp gastric a me nā polyp intestinal, a he 5-15 mau makahiki no nā polyp e ulu ai i ka maʻi ʻaʻai ʻōpū. A laila e nānā kākou i ka manawa huli i ka makahiki o ka hoʻomaka ʻana o nā puʻupuʻu malignant ma koʻu ʻāina:
Mai ka pakuhi hiki iā kākou ke ʻike he haʻahaʻa iki ka nui o nā puʻupuʻu ʻino ma ko kākou ʻāina i ka makahiki 0-34, piʻi nui mai ka makahiki 35 a 40, ʻo ia ka huli ʻana i ka makahiki 55, a hiki i ka piko a puni ka makahiki 80.
Wahi a ke kānāwai o ka ulu ʻana o ka maʻi, 55 mau makahiki - 15 mau makahiki (ka pōʻaiapuni ulu ʻana o ke kanesa colon) = 40 mau makahiki. I ka makahiki 40, ʻike wale ʻia nā polyps e ka hapa nui o nā hoʻokolohua, kahi i wehe ʻia a nānā pinepine ʻia a ʻaʻole e holomua i ke kanesa ʻōpū. No ka hoʻi ʻana i hope, ʻoiai inā lilo i kanesa, he mea hiki loa ke lilo i kanesa mua 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 i nā puʻupuʻu ʻōpū. Hiki i ka endoscopy gastrointestinal kūpono ke pale aku i ka maʻi ʻōpū a me ke kanesa ʻōpū.
4. He aha ka mea ʻoi aku ka maikaʻi no ka gastroenteroscopy maʻamau a ʻeha ʻole? Pehea e pili ana i ka nānā makaʻu?
Inā ʻaʻole ʻoe e hoʻomanawanui a ʻaʻole hiki ke lanakila ma luna o kou makaʻu noʻonoʻo a makaʻu ʻoe i ka endoscopy, a laila koho i ka ʻeha ʻole; inā ʻaʻohe ou pilikia e like me ia, hiki iā ʻoe ke koho i ka maʻamau.
ʻO ka endoscopy gastrointestinal maʻamau e hoʻoulu ai i kekahi ʻoluʻolu ʻole: ka nausea, ka ʻeha o ka ʻōpū, ka pehu ʻana, ka luaʻi ʻana, ka mae ʻana o nā lālā, a pēlā aku. Eia nō naʻe, ma lalo o nā kūlana maʻamau, inā ʻaʻole lākou hopohopo nui a hana pū me ke kauka, hiki i ka hapa nui o ka poʻe ke ʻae iā ia. Hiki iā ʻoe ke loiloi iā ʻoe iho. No ka poʻe e hana pū maikaʻi ana, hiki i ka endoscopy gastrointestinal maʻamau ke hoʻokō i nā hopena hoʻokolokolo kūpono a maikaʻi hoʻi; akā naʻe, inā alakaʻi ka haunaele nui i ka hana like ʻole, hiki ke hoʻopilikia ʻia nā hopena hoʻokolokolo i kekahi ʻano.
ʻO ka gastroenteroscopy ʻeha ʻole: Inā makaʻu maoli ʻoe, hiki iā ʻoe ke koho i kahi endoscopy gastrointestinal ʻeha ʻole. ʻOiaʻiʻo, ʻo ke kumu, 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, ʻo ka palekana ka mea mua! ʻOi aku ka mālie a me ka kikoʻī o ka endoscopy gastrointestinal ʻeha ʻole, a e hoʻemi nui ʻia ka paʻakikī o ke kaʻina hana a ke kauka.
5. He aha nā pōmaikaʻi a me nā pōʻino o ka endoscopy gastrointestinal ʻeha ʻole?
Nā Pōmaikaʻi:
1. ʻAʻohe ʻoluʻolu iki: ke hiamoe nei ʻoe i ke kaʻina hana holoʻokoʻa, me ka ʻike ʻole i kekahi mea, he moeʻuhane ʻono wale nō.
2. Ka emi ʻana o ka pōʻino: no ka mea, ʻaʻole ʻoe e manaʻo i ka luaʻi a i ʻole ka ʻoluʻolu ʻole, ʻoi aku ka liʻiliʻi o ka manawa e pōʻino ai i hana ʻia e ke aniani.
3. E nānā pono: Ke hiamoe nei ʻoe, ʻaʻole e hopohopo hou ke kauka e pili ana i kou ʻeha a e nānā pono iā ʻoe me ka mālie a me ke akahele.
4. E hōʻemi i ka pilikia: no ka mea, ʻo ka gastroscopy maʻamau e hoʻonāukiuki, e piʻi koke ke koko, a me ka puʻuwai, akā ʻaʻohe ʻeha ʻaʻohe pono e hopohopo hou e pili ana i kēia pilikia.
Nā hemahema:
1. Pilikia iki: hoʻohālikelike ʻia me ka endoscopy gastrointestinal maʻamau, aia kekahi mau koi hoʻomākaukau kūikawā hou aʻe: ka hoʻokolokolo electrocardiogram, pono kahi nila inikini i loko ma mua o ka hoʻokolokolo ʻana, pono e hele pū me nā lālā o ka ʻohana, a ʻaʻole hiki iā ʻoe ke kalaiwa i loko o 1 lā ma hope o ka hoʻokolokolo ʻana, a pēlā aku.
2. He mea pilikia iki ia: ma hope o nā mea a pau, he anesthesia laulā ia, ʻoi aku ka nui o ka pilikia ma mua o ka maʻamau. Hiki iā ʻoe ke ʻike i ka hāʻule ʻana o ke koko, ka paʻakikī o ka hanu ʻana, ka hanu ʻana i ka ulia pōpilikia, a pēlā aku;
3.Pīhoihoi ma hope o ka hana ʻana: ʻoiai ʻaʻole ʻoe e manaʻo iki i kekahi mea i ka wā e hana ana, e manaʻo ʻoe i ka pīhoihoi ma hope o ka hana ʻana, e like me ka ʻona, akā ʻoiaʻiʻo ʻaʻole ia e lōʻihi;
4. He pipiʻi iki: i hoʻohālikelike ʻia me ka endoscopy gastrointestinal maʻamau, ʻoi aku ke kiʻekiʻe o ke kumukūʻai o ka ʻeha ʻole.
5. ʻAʻole hiki i nā kānaka a pau ke hana: pono ka loiloi anesthesia i ka hoʻokolokolo ʻeha ʻole. ʻAʻole hiki i kekahi poʻe ke hana i ka hoʻokolokolo ʻeha ʻole, e like me ka poʻe me ka mōʻaukala o nā maʻi allergies i ka anesthesia a me nā lāʻau hoʻomaha, ka poʻe me ka bronchitis me ka phlegm nui, ka poʻe me ka nui o nā koena i loko o ka ʻōpū, a me ka poʻe me ka ʻeha nui. Pono ka poʻe me ka snoring a me ka sleep apnea, a me ka poʻe momona e makaʻala, ka poʻe me nā maʻi puʻuwai a me nā māmā i hiki ʻole ke ʻae i ka anesthesia, nā maʻi me ka glaucoma, prostatic hyperplasia a me ka mōʻaukala o ka paʻa ʻana o ka urinary, nā wahine hāpai a me nā wahine hānai e makaʻala.
6. E hoʻolilo anei ka anesthesia no ka endoscopy gastrointestinal ʻeha ʻole i ka poʻe i mea lapuwale, nalowale ka hoʻomanaʻo, e hoʻopilikia i ka IQ?
ʻAʻohe pono e hopohopo iki! ʻO ka anesthetic intravenous i hoʻohana ʻia i ka endoscopy gastrointestinal ʻeha ʻole he propofol, kahi wai keʻokeʻo waiū a nā kauka i kapa ai he "waiū hauʻoli". Hoʻopau koke ia a e palaho loa ʻia a hoʻopau ʻia i loko o kekahi mau hola me ka ʻole o ka hōʻiliʻili ʻana. . Hoʻoholo ʻia ka nui i hoʻohana ʻia e ka anesthesiologist ma muli o ke kaumaha o ka mea maʻi, ke olakino 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 nā hopena. E manaʻo kahi poʻe liʻiliʻi e like me ka ʻona, akā he kakaikahi ka poʻe e ala koke. E nalo koke ana ia.
No laila, inā e mālama ʻia e nā kauka ʻoihana ma nā ʻoihana lapaʻau maʻamau, ʻaʻohe pono e hopohopo nui.
5. Aia kekahi mau pilikia me ka anesthesia?
Ua wehewehe ʻia ke kūlana kikoʻī ma luna, akā ʻaʻole hiki ke hōʻoia ʻia he 100% ʻaʻohe pilikia ke hana ʻana i kahi hana lapaʻau, akā ma ka liʻiliʻi he 99.99% hiki ke hoʻokō pono ʻia.
6. Hiki i nā māka puʻupuʻu, ke kaha kiʻi koko, a me nā hoʻokolohua koko huna fecal ke pani i ka endoscopy gastrointestinal?
ʻAʻole hiki! Ma keʻano laulā, e paipai ka nānā ʻana i ka ʻōpū i kahi hoʻāʻo koko huna fecal, ʻehā mau hoʻāʻo hana gastric, nā māka tumor, a pēlā aku. Loaʻa iā lākou kā lākou hoʻohana ponoʻī:
7. Hoʻāʻo koko huna ʻia o ka fecal: ʻo ke kumu nui ka nānā ʻana i ke kahe koko huna i loko o ke ala ʻōpū. ʻO nā puʻupuʻu mua, ʻoiai nā microcarcinomas, ʻaʻole e kahe ke koko i ka wā mua. Ke hoʻomau nei ke koko huna ʻia o ka fecal a pono e nānā nui ʻia.
8. Hoʻāʻo hana ʻōpū: ʻo ke kumu nui ka nānā ʻana i ka gastrin a me ka pepsinogen e hoʻoholo ai inā he maʻamau ka hoʻokuʻu ʻana. ʻO ia wale nō ke nānā ʻana inā he kiʻekiʻe ka pilikia o ka poʻe i ka maʻi ʻōpū. Inā loaʻa nā ʻano ʻē, pono e hana koke ʻia ka nānā ʻana o ka gastroscopy.
Nā māka puʻupuʻu: Hiki ke ʻōlelo ʻia he waiwai kūikawā kona, akā ʻaʻole pono e hoʻohana ʻia ʻo ia wale nō ke kuhikuhi no ka nānā ʻana i nā puʻupuʻu. No ka mea, hiki i kekahi mumū ke hoʻonui i nā māka puʻupuʻu, a he maʻamau nō kekahi mau puʻupuʻu a hiki i ko lākou wā ma waena a me nā pae hope. No laila, ʻaʻole pono ʻoe e makaʻu inā kiʻekiʻe lākou, ʻaʻole hiki iā ʻoe ke hoʻowahāwahā iā lākou inā he maʻamau lākou.
9. Hiki i ka capsule endoscopy, ka barium meal, ka hoʻāʻo hanu, a me ka CT ke pani i ka gastrointestinal endoscopy?
He mea hiki ʻole! Hiki i ka hoʻāʻo hanu ke ʻike wale i ke alo o ka maʻi Helicobacter pylori, akā ʻaʻole hiki ke nānā i ke kūlana o ka mucosa ʻōpū; hiki i ka ʻai barium ke ʻike wale i ke "aka" a i ʻole ka outline o ke ala gastrointestinal, a ua kaupalena ʻia kona waiwai diagnostic.
Hiki ke hoʻohana ʻia ka capsule endoscopy ma ke ʻano he ala no ka nānā mua ʻana. Eia nō naʻe, ma muli o kona hiki ʻole ke huki, holoi, ʻike, a mālama, ʻoiai inā ʻike ʻia kahi ʻeha, pono mau ka endoscopy maʻamau no ke kaʻina hana lua, kahi mea pipiʻi ke kūʻai.
Loaʻa i ka hoʻokolokolo CT kekahi waiwai diagnostic no nā ʻōpū gastrointestinal holomua, akā he haʻahaʻa kona ʻike no ke kanesa mua, nā ʻeha precancerous, a me nā maʻi benign maʻamau o ka ʻōpū gastrointestinal.
I kahi huaʻōlelo, inā makemake ʻoe e ʻike i ka maʻi ʻaʻai gastrointestinal mua, ʻaʻohe mea e pani ʻia ai ka endoscopy gastrointestinal.
10. Hiki ke hana pū ʻia ka endoscopy gastrointestinal ʻeha ʻole?
ʻAe, pono e hoʻomaopopo ʻia ma mua o ka hoʻokolokolo ʻana, e ʻoluʻolu e hoʻomaopopo mua i ke kauka a hoʻopau i ka hoʻokolokolo electrocardiogram no ka loiloi anesthesia. I ka manawa like, pono e hele pū kekahi lālā o ka ʻohana 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 gastrointestinal ʻeha ʻole, hoʻokahi wale nō ke kumukūʻai o ka loaʻa ʻana o ka anesthesia, no laila emi ke kumukūʻai.
11. He puʻuwai ʻino koʻu. Hiki iaʻu ke hana i ka gastroenteroscopy?
Aia kēia i ke kūlana. ʻAʻole ʻōlelo ʻia ka Endoscopy i nā hihia aʻe:
1. Nā maʻi cardiopulmonary koʻikoʻi, e like me nā arrhythmias koʻikoʻi, ka wā hana infarction myocardial, ka hāʻule ʻana o ka puʻuwai koʻikoʻi a me ka hānō, nā poʻe me ka hāʻule ʻana o ka hanu ʻaʻole hiki ke moe i lalo, hiki ʻole ke ʻae i ka endoscopy.
2. Nā maʻi me ka manaʻo haʻalulu a me nā hōʻailona ola paʻa ʻole.
3. Nā kānaka me ka maʻi noʻonoʻo a i ʻole ke kīnā noʻonoʻo koʻikoʻi i hiki ʻole ke hana pū me ka endoscopy (gastroscopy ʻeha ʻole inā pono).
4. Maʻi ʻāʻī koʻikoʻi a koʻikoʻi, kahi hiki ʻole ke hoʻokomo ʻia ka endoscope.
5. Nā maʻi me ka mumū ʻino o ka esophagus a me ka ʻōpū.
6. Nā maʻi me ka aneurysm aortic thoracoabdominal maopopo a me ka hahau (me ke kahe koko a me ka infarction koʻikoʻi).
7. Ke kāpili ʻana o ke koko maʻamau ʻole.
12. He aha ka biopsy? E hōʻino anei ia i ka ʻōpū?
ʻO ka biopsy ka mea e hoʻohana ainā forceps biopsye wehe i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ke ala gastrointestinal a hoʻouna iā ia i ka pathology e hoʻoholo ai i ke ʻano o nā ʻeha gastric.
I ka wā o ke kaʻina hana biopsy, ʻaʻole manaʻo ka hapa nui o ka poʻe i kekahi mea. I kekahi manawa, manaʻo lākou e like me ka ʻūlū ʻia ʻana o ko lākou ʻōpū, akā ʻaneʻane ʻaʻohe ʻeha. ʻO ka nui o ka ʻiʻo biopsy he like ia me ka hua laiki a he liʻiliʻi wale nō ka hōʻino ʻana i ka mucosa gastric. Eia kekahi, ma hope o ka lawe ʻana i ka ʻiʻo, e hoʻōki ke kauka i ke kahe ʻana o ke koko ma lalo o kahi gastroscopy. Inā ʻoe e hahai i nā ʻōlelo a ke kauka ma hope o ka hoʻokolokolo ʻana, he haʻahaʻa loa ka hiki ke kahe hou aku ke koko.
13. Ke hōʻike nei anei ka pono no ka biopsy i ka maʻi kanesa?
ʻAʻole maoli! ʻO ka lawe ʻana i kahi biopsy ʻaʻole ia he manaʻo he koʻikoʻi kou maʻi, akā, lawe ke kauka i kekahi o nā ʻiʻo lesion no ka nānā ʻana i ka pathology i ka wā o ka gastroenteroscopy. No ka laʻana: hoʻohana ʻia nā polyps, nā erosions, nā ulcers, nā bulges, nā nodules, a me ka atrophic gastritis e hoʻoholo ai i ke ʻano, ka 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 lesions i manaʻo ʻia he cancerous. No laila, ʻo ka biopsy wale nō ke kōkua i ka ʻike ʻana i ka gastroenteroscopy, ʻaʻole nā lesions āpau i lawe ʻia mai ka biopsy he mau lesion malignant. Mai hopohopo nui a kali wale me ke ahonui no nā hopena pathology.
Ua ʻike mākou he nui ka poʻe e kūʻē i ka endoscopy gastrointestinal ma muli o ka manaʻo kūlohelohe, akā ke manaʻolana nei au e 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 e loea ana i nā mea hoʻopau endoscopic, e like me nā forceps biopsy, hemoclip, ʻūpā polyp, nila sclerotherapy, ʻaukā pīpī, nā palaki cytology,uea alakaʻi, hīnaʻi kiʻi pōhaku, catheter hoʻokahe wai biliary ihua pēlā aku i hoʻohana nui ʻia maEMR, ESD,ERCPUa hōʻoia ʻia kā mākou huahana e CE, a ua hōʻoia ʻia kā mākou mau mea kanu e ISO. Ua hoʻokuʻu ʻia aku kā mākou waiwai i ʻEulopa, ʻAmelika ʻĀkau, Hikina Waena a me kekahi ʻāpana o ʻAsia, a ua loaʻa nui ka ʻike a me ka hoʻomaikaʻi ʻia e ka mea kūʻai aku!
Ka manawa hoʻouna: ʻApelila-02-2024