Ma ke kahua o ka ʻike ʻana i nā maʻi ʻōpū, ʻo ka endoscopy kekahi o nā mea hana koʻikoʻi loa. Hoʻokomo pū ia i ka gastroscopy, colonoscopy, enteroscopy, endoscopy ʻeha ʻole, a me nā mea ʻē aʻe.
Akā, he aha maoli kēia mau kaʻina hana? No wai lākou e kūpono ai? No wai ka mea e pale aku iā lākou? A he aha nā mea nui e noʻonoʻo ai i ka hoʻomākaukau ʻana a me nā mea e pono ai ma hope o ke kaʻina hana?
E nānā kākou i kēlā me kēia.
ʻO ka Gastroscope
ʻAe ʻo Gastroscopy i ka nānā pololei ʻana i ka mucosa o ka esophagus, ka ʻōpū, ka duodenal bulb, a me ka duodenum iho. Kōkua ia i ka ʻike ʻana i nā lesions, hoʻoholo i ko lākou ʻano, a loaʻa nā laʻana biopsy no ka hōʻoia histopathological. Hoʻohana pinepine ʻia ia e ʻike i ka mumū, nā ʻōpū, nā puʻupuʻu, nā polyps, nā diverticula, nā strictures, nā malformations, a i ʻole nā kino haole ma ke ala gastrointestinal kiʻekiʻe (GI).
Nā hōʻailona
1. Nā hōʻailona o ka ʻōpū o luna (e laʻa, ka ʻeha puʻuwai, ka dysphagia, ka ʻeha epigastric, ka luaʻi ʻana) me ka manaʻo ʻia he maʻi esophageal, gastric, a i ʻole duodenal e pono ai ka hōʻoia.
2. Ka loiloi ʻana a i ʻole ka mālama ʻana i nā kūlana GI kiʻekiʻe i ʻike ʻia, e like me nā ʻeha peptic, ke kanesa esophageal, a i ʻole ke kanesa ʻōpū.
3. Ke kahe koko ʻana o ke koko GI o ke kumu a i ʻole kahi i ʻike ʻole ʻia.
4. Nā ʻeha GI luna kānalua i ʻike ʻia e nā haʻawina kiʻi e pono ai ke ʻano.
5. Ke alo ʻana o nā kino haole o ka ʻōpū o luna.
6. Pono no ke komo ʻana o ka endoscopic, e like me ka ligation variceal a i ʻole sclerotherapy no nā varices esophageal, a i ʻole ka endoscopic submucosal dissection (ESD) no ka maʻi ʻōpū mua.
7. Moʻolelo ʻohana o ka maʻi ʻaʻai ʻōpū a i ʻole nā kumu pilikia kiʻekiʻe ʻē aʻe no ka maʻi ʻaʻai ʻōpū.
8. Ua hōʻoia ʻia ka maʻi H. pylori e koi ana i ka loiloi ʻana i nā loli mucosal gastric, a i ʻole ka moʻomeheu a me ka hoʻāʻo ʻana i ka maʻalahi o ka antibiotic e alakaʻi i ka mālama ʻana.
Nā mea e pale aku ai:
ʻAʻohe Loa: ʻO ka lawa ʻole o ka puʻuwai puʻuwai, ka haʻalulu a i ʻole ka maʻi koʻikoʻi, ka mea maʻi i kōkua ʻole, ka mumū koʻikoʻi a i ʻole ka perforation visceral ma ke ala e hoʻokomo ai.
Pili: Hana cardiopulmonary i hoʻopilikia ʻia, ʻano kahe koko me ka hemoglobin
Hoʻomākaukau Kaʻina Hana Ma mua：
1. Nā Mea Antiplatelet/Anticoagulant: Pono nā mea maʻi e lawe ana i ka aspirin lōʻihi, clopidogrel, warfarin, a i ʻole nā lāʻau like e kūkākūkā me kā lākou kauka i ka hoʻōki ʻana ma ka liʻiliʻi he hoʻokahi pule ma mua o ke kaʻina hana e hōʻemi i ka pilikia o ke kahe koko nui o ka GI.
2. Hoʻokē ʻai: ʻAʻohe meaʻai a wai paha ma hope o ka hola 10:00 PM o ka pō ma mua o ka hoʻokolokolo ʻana.
3. Lāʻau Lapaʻau no ke koko kiʻekiʻe: I ke kakahiaka o ke kaʻina hana, e lawe i ka lāʻau lapaʻau no ke koko kiʻekiʻe me kahi wai liʻiliʻi e pale ai i nā pilikia e pili ana i ke koko kiʻekiʻe.
4. Lāʻau Lapaʻau no ka maʻi diabetes: E hōʻole i nā lāʻau hypoglycemic waha a i ʻole ka insulin i ke kakahiaka o ka hoʻokolokolo ʻana.
5. Puhipaka: Pono nā mea maʻi e hoʻōki i ka puhipaka ma ka liʻiliʻi hoʻokahi lā ma mua o ke kaʻina hana e hōʻemi i ka ʻū ʻana i ka wā o ka hoʻokolokolo ʻana. Hoʻemi pū ka hoʻōki ʻana i ka puhipaka i ka hoʻokuʻu ʻana o ka ʻakika gastric, e hoʻomaikaʻi ana i ka ʻike.
6. Nā Hoʻokolohua Keʻena Hoʻokolohua Ma mua o ke Kaʻina Hana: Pono ka helu koko piha, nā hoʻokolohua hana ate, ka ʻikepili coagulation, a me ka nānā ʻana i nā maʻi lele (e laʻa, hepatitis, HIV).
7. Ka Loiloi ʻana o ka Cardiopulmonary no nā Maʻi ʻElemakule: Pono paha ka X-ray o ka umauma, electrocardiogram (ECG), a me ka echocardiography e loiloi i ka hoʻomanawanui i ke kaʻina hana.
8. Hoʻokē ʻai ma hope o ke kaʻina hana: Ma muli o ke koena o ka anesthesia pharyngeal, mai ʻai a inu paha no 2 mau hola ma hope o ka hoʻokolokolo ʻana. Ma hope o 2 mau hola, e hoʻāʻo i kahi liʻiliʻi o ka wai. Inā ʻaʻohe pilikia i ka ale ʻana a i ʻole ke kuni ʻana, e neʻe mālie i nā meaʻai palupalu a mehana.
9. Ka Pale ʻAi: E hōʻalo i nā meaʻai hoʻonāukiuki no 1-2 mau lā ma hope o ke kaʻina hana.
10. I ka manawa hea e ʻimi ai i ke kōkua lapaʻau: E hōʻike koke i ka ʻeha nui o ka ʻōpū a i ʻole ka ʻōpala ʻeleʻele a ʻūlū i kahi mea mālama ola kino.
Nā Pōʻino a me nā Pilikia：ʻO nā pilikia e like me ke kahe koko, ka perforation, ka maʻi, ka arrhythmia, ka myocardial ischemia, ka ʻeha pharyngeal, a me ka temporomandibular joint dislocation he mea kakaikahi loa ia i ka wā o ka gastroscopy maʻamau a hiki ke hoʻēmi ʻia me ka hoʻomākaukau kūpono a me ke ʻano hana akahele.
Kolonoskopi
Hiki i ka Colonoscopy ke ʻike i ka rectal, sigmoid, descending, transverse, ascending, a me ka cecal mucosa, a me ka terminal ileum. Hoʻohana nui ʻia ia no ka ʻike ʻana i ka mumū o ka colon a me ka rectal, nā tumors benign a malignant, polyps, diverticula, a me nā maʻi ʻē aʻe.
Nā hōʻailona
1. Ke kahe koko ʻana o ke koko haʻahaʻa o ka ʻōpū i wehewehe ʻole ʻia, me ka hematochezia ākea a i ʻole ka hopena koko huna mau o ka fecal.
2. Nā hōʻailona GI haʻahaʻa (e laʻa, ʻeha o ka ʻōpū, ka maʻi paʻi, ka paʻa ʻana o ka ʻōpū, ka nui i ʻike ʻia, ka loli o nā ʻano hana ʻōpū) e hōʻike ana i ka maʻi colorectal.
3. Nā ʻeha kānalua i ʻike ʻia e ka barium enema a i ʻole ke kiʻi ʻana e pono ai ke ʻano kikoʻī.
4. Ka ʻike ʻokoʻa o ka maʻi ʻōpū mumū (IBD), ka hoʻoholo ʻana i ka nui a me ke koʻikoʻi o ka maʻi, a me ka hahai ʻana ma hope o ka mālama ʻana.
5. Nānā mau ʻia ma hope o ka ʻōpū colorectal a i ʻole ka polypectomy.
Nā mea e pale aku ai:
Ma waho aʻe o nā mea i helu ʻia no ka gastroscopy, ʻo nā contraindications e pili ana i ka pale ʻana o ka ʻōpū, ka megacolon ʻawahia, a me ka allergy i nā ʻāpana o ka hopena hoʻomākaukau ʻōpū.
Hoʻomākaukau Kaʻina Hana Ma mua
Ua like ia me ka gastroscopy, akā aia nā ʻokoʻa penei:
1. Pono e lawe ʻia ka lāʻau lapaʻau koko kiʻekiʻe e like me ka mea maʻamau i ke kakahiaka o ke kaʻina hana.
2. Pono e kāpae ʻia ka lāʻau lapaʻau no ka maʻi diabetes i ke kakahiaka o ka hoʻokolokolo ʻana.
3. ʻAi haʻahaʻa-koe (e laʻa, congee, noodles, berena, egg custard) i ka lā ma mua e hoʻomaikaʻi ai i ka maʻemaʻe o ka ʻōpū.
4. ʻAʻohe meaʻai ma hope o ka ʻaina ahiahi ma mua (ʻae ʻia nā wai moakāka).
Hoʻomākaukau ʻōpū
1. He mea nui ka hoʻomākaukau kūpono ʻana o ka ʻōpū no ka wehe ʻana i nā ʻōpala a hiki ke ʻike maopopo ʻia ka mucosa colonic.
2. ʻO nā mea hoʻomaʻemaʻe maʻamau ma Kina e komo pū me nā electrolytes polyethylene glycol (PEG), 50% magnesium sulfate, a me ka mannitol.
3. Ma hope o ka lawe ʻana i ka lāʻau lapaʻau, pono e hele wāwae nā mea maʻi e hoʻoulu i ka peristalsis a hoʻolalelale i ka hoʻopau ʻana. ʻO ka hana ʻole ʻana pēlā e hoʻopilikia paha i ka maʻemaʻe o ka ʻōpū.
4. Inā loaʻa ka pehu nui a i ʻole ka ʻoluʻolu ʻole, e hoʻolohi a hoʻōki paha i ka hoʻonā no kekahi manawa, a laila e hoʻomau i ka wā e pau ai nā hōʻailona. ʻO ka ʻōpala moakaka a wai e hōʻike ana i ka hoʻomākaukau kūpono.
5. No nā poʻe maʻi me ka hoʻomaʻemaʻe ʻōpū kūpono ʻole, pono paha kahi enema hoʻomaʻemaʻe a i ʻole ka hoʻomākaukau hoʻomaikaʻi hou ʻia.
Mālama Ma hope o ke Kaʻina Hana：
1. He mea maʻamau ka ʻeha iki o ka ʻōpū a i ʻole ka pehu ʻana a pili ia i ka puka ʻana o ka ea i ka wā o ke kaʻina hana. ʻAʻohe pono e hopohopo.
2. Inā loaʻa ka ʻeha nui, ka pehu nui, a i ʻole ke kahe ʻana o ke koko i loko o ka rectum, e ʻimi koke i ke kōkua lapaʻau.
3. E hoʻomaka hou i ka ʻai ʻana a me ka inu ʻana ma hope o ka emi ʻana o nā hōʻailona. E hoʻomaka me nā meaʻai palupalu (e laʻa me ka congee, iʻa) a pale i nā meaʻai momona a ʻala paha.
4. He mea kākaʻikahi nā pilikia a me nā pilikia (perforation, bleeding, infection, arrhythmia, myocardial ischemia, electrolyte disturbances) a hiki ke hoʻēmi ʻia me ka hoʻomākaukau kūpono a me ke ʻano hana.
ʻO ka Ultrasound Endoscopic (EUS) - Ultrasound + Endoscopy
Hoʻohui ʻo EUS i ka endoscopy me ka ultrasound alapine kiʻekiʻe. Hoʻokomo ʻia kahi probe ultrasound liʻiliʻi ma ka piko o ka endoscope a i ʻole e hoʻokomo ʻia ma ke kahawai hana, e ʻae ana i ka nānā kikoʻī ʻana i nā papa paia o ka ʻōpū a me nā ʻano pili e like me ke akepaʻa, nā ʻauwai bile, a me ka pancreas.
ʻOiai ʻo ka gastroscopy maʻamau a me ka colonoscopy he mea maikaʻi loa no ka loiloi ʻana i ka ʻili mucosal, ʻaʻole hiki iā lākou ke loiloi i nā lesions submucosal a i ʻole nā hale extraluminal. Hoʻopiha ʻo EUS i kēia hakahaka.
Nā hōʻailona
1. E hoʻoholo i ke kumu a me ke ʻano o nā puʻupuʻu submucosal.
2. E loiloi i ka hohonu o ke komo ʻana o nā puʻupuʻu GI a ʻike i ka metastasis o ka lymph node.
3. E loiloi i ka hiki ke hana hou ʻia.
4. E ʻike i nā ʻeha maikaʻi a me nā ʻeha ʻino o ka gallbladder a me ka duct bile maʻamau waena a i ʻole distal.
5. E loiloi i nā ʻeha pancreatic.
6. E hoʻokaʻawale i nā ʻōpū ampullary.
7. E noʻonoʻo i nā ʻeha mediastinal.
8. E loiloi i nā varices esophageal a me ka pane ʻana i ka sclerotherapy.
Nā mea e pale aku ai:
1. Ka mea maʻi i kōkua ʻole
2. Manaʻo ʻia ka perforation GI
3. ʻO ka diverticulitis koʻikoʻi
4.Fulminant colitis
5. Ka hana ʻino nui o ka puʻuwai
ʻEndoscopy ʻeha ʻole (Sedated Gastroscope/Colonoscopy) - ʻOluʻolu loa
I ka endoscopy ʻeha ʻole, ua kau ʻia ka mea maʻi, ua kau ʻia kahi waha, a ua hāʻawi ʻia ka oxygen. Hoʻokomo kahi anesthesiologist i aʻo kūikawā ʻia i kahi sedative hana pōkole (e laʻa, propofol) ma ke kino, e hoʻoulu ai i ka hiamoe i loko o 30 kekona. Hana ʻia ke kaʻina hana, a hoʻopau ʻia ka sedation ma hope o ka haʻalele ʻana. Ala koke ka mea maʻi.
Nā Hōʻailona a me ka Hoʻomākaukau ʻana：
Ua like ia me nā ʻano hana like ʻole e like me ka gastroscopy a me ka colonoscopy.
Nā mea e pale aku ai:
1. Maʻi hanu koʻikoʻi: Maʻi hanu koʻikoʻi, pneumonia, COPD koʻikoʻi, hoʻonui ʻia o ka hānō koʻikoʻi, obstructive sleep apnea (OSA) me ka hypoxemia kumu.
2. Nā pilikia ea anatomical: ʻO ka wehe ʻana o ka waha i kaupalena ʻia, ka neʻe ʻana o ka ʻāʻī a i ʻole ka ʻāwae i kaupalena ʻia, a i ʻole ka maʻa pōkole o ke kino momona e hoʻopilikia paha i ka paʻa ʻana o ke ea.
3. Kūlana maikaʻi ʻole: Ka hāʻule ʻana o ka puʻuwai, ka myocardial infarction, ka hahau ʻana, ka coma, ka hāʻule ʻana o ke akepaʻa a i ʻole nā puʻupaʻa, ka anemia koʻikoʻi, ka myasthenia gravis, a i ʻole nā maʻi ʻelemakule nāwaliwali.
4. Ka pilikia nui o ka hanu ʻana: Ke ālai ʻana o ka esophagus, ka cardia, ka pyloric, a i ʻole ka ʻōpū, ka luaʻi ʻana, a i ʻole ka hematemesis ikaika. E noʻonoʻo i ka decompression gastric (nasogastric tube) ma mua o ka hoʻomaha ʻana.
5. Nā maʻi ʻaleka lāʻau he nui - predisposition allergic.
Ka hāpai ʻana.
Nā Manaʻo Ma mua a ma hope o ke Kaʻina Hana no ka Endoscopy ʻeha ʻole
1. Hōʻalo i ka puhipaka i ka lā ma mua e hōʻemi i ka ʻū ʻana i ka wā o ke kaʻina hana.
2. E hele pū me ʻoe kekahi lālā makua o ka ʻohana a i ʻole kekahi hoaaloha. E wehe i nā niho kuʻi ma mua o ke kaʻina hana.
3. ʻAʻohe meaʻai ma hope o ka ʻaina ahiahi i ka pō ma mua. ʻAʻohe wai moakaka i ke kakahiaka o ke kaʻina hana.
4. E hoʻomaopopo i kāu kauka i ka mōʻaukala olakino i hala a me nā maʻi ʻaleka lāʻau.
5. Pono kahi hoa e noho me ʻoe no 3 mau hola ma hope o ke kaʻina hana.
6. E hōʻalo i nā meaʻai ʻala a me ka waiʻona no 8 mau hola ma hope o ke kaʻina hana.
7. Mai hoʻokele, hoʻohana i nā mīkini, a hana paha ma nā wahi kiʻekiʻe no 8 mau hola ma hope o ke kaʻina hana.
8. Inā ua hana ʻia kahi hana endoscopic, e hahai i ka nānā ʻana o ka haukapila a i ʻole nā kuhikuhi a ke kauka.
ʻOluʻolu (Transnasal / Ultrathin) Gastroscopy - Hana ʻia ʻOiai e noho ana a kamaʻilio ana
ʻO ka gastroscopy ʻoluʻolu, i ʻike ʻia hoʻi he transnasal a i ʻole ultrathin gastroscopy, hiki ke hoʻoulu i ka huhū pharyngeal liʻiliʻi a aneane ʻaʻohe ʻeha. Hoʻohana ka gastroscopy maʻamau i kahi ala waha me ke anawaena o ka scope ma kahi o 10 mm, e hoʻoulu pinepine ana i ka gagging nui a me ka nausea.
Hoʻohana ka gastroscopy Transnasal i kahi ʻōpeʻapeʻa lahilahi me ke anawaena o 5.9 mm wale nō. He ʻoluʻolu ke kaʻina hana, e hāʻawi ana i ke kauka i ka manawa kūpono no ka hoʻokolokolo kikoʻī a me ka hoʻomaikaʻi ʻana i ka hopena diagnostic.
Nā Pōmaikaʻi o ka Ultrathin Gastroscopy：
1. Lahilahi: ʻIke maʻamau: 10 mm. Lahilahi loa o ka ihu transnasal: 5.9 mm wale nō.
2. ʻOi aku ka ʻoluʻolu ʻole, emi nā pilikia, emi nā pilikia: He mea maikaʻi loa ia no nā keiki, nā maʻi koʻikoʻi, nā poʻe ʻelemakule, nā nāwaliwali, a me nā mea maʻi me ka hana cardiopulmonary i hoʻopilikia ʻia.
3. Nā ala hoʻokomo he nui: Hiki ke hoʻokomo ʻia ma o ka ihu a i ʻole ka waha me ka ʻole o ka lawelawe kūikawā.
4. Hiki i ka mea maʻi ke kamaʻilio i ka wā o ke kaʻina hana: Hoʻemi i ka hopohopo a ʻae i kahi ʻike hoʻokolokolo hoʻomaha a ʻoluʻolu hoʻi.
Nā hōʻailona a me nā contraindications:
Ua like nā hōʻailona me ka gastroscopy maʻamau. He kūpono loa ia no nā poʻe maʻi me ka hoʻomanawanui haʻahaʻa i ka ʻeha.
Nā Contraindications: Stenosis ihu, deviation septal ihu koʻikoʻi, rhinitis koʻikoʻi. ʻOiai he mea pono no kekahi mau hana (e laʻa, ke kau ʻana o ka stent, ka hoʻokomo ʻana i ka paipu hānai jejunal), ʻaʻole kūpono ia no ka polypectomy a i ʻole hemostasis.
ʻO ka Gastroscopy / Colonoscopy Hoʻākāka Kiʻekiʻe (Precision) - He Mea Hana Mana no ka ʻIke ʻana i ke Kanesa GI Mua
He manaʻo hou ka endoscopy pololei e hoʻomaikaʻi i ka helu ʻike ʻana i ka maʻi ʻōpū mua. Hōʻike ia i kahi holomua nui i ka ʻike mua ʻana, ka loiloi ʻana i nā lesion, a me ke alakaʻi lapaʻau.
I ka hana maoli, hoʻohui ia i ka endoscopy kukui keʻokeʻo wehewehe kiʻekiʻe me ka chromoendoscopy, ka hoʻonui uila, a me ka biopsy i hoʻolālā ʻia e hōʻemi i nā lesion i hala.
Ke ʻike ʻia kahi lepa kānalua a i ʻole ke pili ka mea maʻi i kahi hui kiʻekiʻe no ka maʻi ʻōpū a i ʻole ka esophageal, pono e hana ʻia ka endoscopy kikoʻī.
Nā ʻokoʻa koʻikoʻi mai ka Endoscopy Maʻamau
Nā koi o nā limahana: Pono e hana ʻia e kahi endoscopist me ke aʻo kūikawā i ka ʻike mua ʻana i ke kanesa a me ka ʻike nui. Hana ʻia kahi ʻimi "kāpeti" pono o ka esophageal, gastric, a me ka duodenal mucosa. Nānā hou ʻia nā wahi kānalua me ka chromoendoscopy, hoʻonui, a me ka biopsy pololei e ʻike i nā ʻano microvascular a me microsurface.
Nā koi lako: Pono ka endoscope i ka hiki ke hoʻonui kiʻekiʻe a me ka chromoendoscopy uila e hoʻoikaika i ka ʻike mua ʻana i ka maʻi ʻaʻai. Ke loaʻa kahi ʻeha kānalua, hoʻohana ʻia ka pena kemika a i ʻole ka uila a me ka hoʻonui ʻana e wehewehe i ka wahi, ka nui, a me ke ʻano, me nā palapala kikoʻī a me ka hoʻopaʻa kiʻi.
Pono paha ʻo EUS no ka loiloi hou aku.
ʻEnteroscopy (Endoscopy ʻōpū liʻiliʻi)
Nā hōʻailona
1. Ka maʻi palahēhē i wehewehe ʻole ʻia, ʻeha ʻōpū, anemia, puʻu ʻōpū, nausea, a i ʻole ka luaʻi ʻana.
2. Ke kahe koko ʻana o ka GI i wehewehe ʻole ʻia a i ʻole ka anemia nele i ka hao.
3. Nā ʻeha ʻōpū liʻiliʻi kānalua ma ke aʻo ʻana o ka barium a i ʻole nā kiʻi ʻē aʻe i hiki ʻole ke wehewehe ʻia.
4. Ka hahai ʻana i nā maʻi ʻōpū liʻiliʻi i ʻike ʻia (e like me IBD, polyposis, maʻi puʻupuʻu ʻōpū).
5. Mōʻaukala ʻohana o ka GI polyposis e pono ai ka hoʻokolokolo ʻana o ka ʻōpū liʻiliʻi.
6. Nā maʻi ʻē aʻe o ke kino a i ʻole nā loaʻa lapaʻau e pono ai ka loiloi ʻana o ka ʻōpū liʻiliʻi.
ʻO ka Enteroscopy Balona Pālua (DBE)
Nā hōʻole:
1. Kiʻekiʻe ka pilikia o ke kahe ʻana o ke koko a i ʻole ka perforation (e laʻa, GI perforation, enteritis koʻikoʻi)
2. Ke ālai ʻana o ka ʻōpū (kāpae i ka hoʻomākaukau waha a me ka hoʻokolokolo ʻana)
3. Maʻi koʻikoʻi o ka puʻuwai, ka puʻupaʻa, a i ʻole ka ate; ke koko kiʻekiʻe i kāohi ʻole ʻia; maʻi noʻonoʻo
4. Nā contraindications ʻē aʻe i ka endoscopy luna
Hoʻomaopopo: Ma muli o ka paʻakikī loea a me ka pilikia kiʻekiʻe aʻe, hoʻohana nui ʻia ka capsule endoscopy no ka loiloi ʻana i ka ʻōpū liʻiliʻi.
ʻO ka Endoscopy Capsule - Maikaʻi loa no ka nānā ʻana i ke kanesa ʻōpū a me nā maʻi ʻōpū liʻiliʻi
ʻO ka capsule endoscopy e pili ana i ka ale ʻana i kahi capsule hoʻolei ʻia, nui e like me ka pila me kahi kāmela a me ke kumu kukui. I kona hele ʻana ma ke ala GI ma o ka peristalsis, hopu ia i nā kiʻi i hoʻouna ʻia i kahi mea hoʻopaʻa leo i ʻaʻahu ʻia e ka mea maʻi. (ʻO ka capsule endoscopy i hoʻomalu ʻia e ka magnetic, i loaʻa ma Kina, e ʻae i ka mana mamao o ka neʻe ʻana o ka capsule i loko o ka ʻōpū.)
Nā hōʻailona
1. Ke kahe koko ʻana o ka GI i wehewehe ʻole ʻia
2. ʻAneemia nele hao i wehewehe ʻole ʻia
3. Manaʻo ʻia he puʻupuʻu ʻōpū liʻiliʻi
4. Manaʻo ʻia a i ʻole refractory malabsorption syndrome
5. ʻIke ʻia ka ʻeha mucosal ʻōpū liʻiliʻi i hoʻokomo ʻia e NSAID
6. Manaʻo ʻia he maʻi ʻōpū liʻiliʻi
7. Ke nānā ʻana a me ke alakaʻi ʻana i ka mālama ʻana i ka maʻi o Crohn
8. Nānā ʻana i nā syndromes polyposis ʻōpū liʻiliʻi
Nā mea e pale aku ai:
ʻAʻohe: ʻAʻohe hiki ke ʻoki kino a hōʻole paha e hana i ke ʻoki kino ʻōpū (inā pono ke kiʻi ʻia ʻana o ke ʻoki kino no ka paʻa ʻana o ka capsule).
ʻOhana:
1. ʻIke ʻia a kānalua ʻia paha ka pale ʻana o ka GI, ka stricture, a i ʻole ka fistula
2.Pacemaker puʻuwai i hoʻokomo ʻia a i ʻole kekahi mea uila ʻē aʻe
3. Ka maʻi ale ʻana
4. Hāpai
Hoʻomākaukau Kaʻina Hana Ma mua：
1. Hoʻokē ʻai: ʻAʻohe meaʻai no 10-12 mau hola ma mua o ka lawe ʻana i ka capsule.
2. Hoʻomākaukau ʻōpū: E like me ka colonoscopy, i hana ʻia i ke ahiahi ma mua e hoʻomaikaʻi i ka maikaʻi o ke kiʻi.
3.Simethicone (koho): Hiki ke lawe ʻia 30 mau minuke ma mua o ke kaʻina hana e hōʻemi i nā pehu.
4. Ma hope o ka ʻai ʻana: ʻAe ʻia nā wai maopopo ma hope o 2 mau hola; ʻai māmā ma hope o 4 mau hola. Hoʻopau ʻia ke aʻo ʻana ke pau ka pila capsule a i ʻole ke komo ka capsule i loko o ka colon ma ʻō aku o ka valve ileocecal.
Nā pilikia a me nā palena:
1. Paʻa ʻana o ke capsule: Ua wehewehe ʻia ʻo ia ka paʻa ʻana i loko o ke ala GI no >2 mau pule. Pono ke kiʻi ʻoki kino a i ʻole ke kōkua ʻana o ka enteroscopic balloon.
2. He mea kākaʻikahi ka hanu ʻana i loko o ke ala ea akā hiki nō.
3. Palena: ʻAʻole hiki i ka capsule endoscopy ke kiʻi i nā hāpana ʻiʻo, e kaupalena ana i kona hiki ke ʻike pono i kekahi mau ʻeha.
Ma hope o kēlā me kēia kaʻina hana endoscopy holomua, he kuleana koʻikoʻi ko nā mea pono hilinaʻi akā i hoʻopoina pinepine ʻia. Mai ka hemostasis a i ka polypectomy a me ka laʻana ʻiʻo, pili pololei ka maikaʻi o nā mea hoʻopau i nā hopena lapaʻau a me ka pono o ke kahe hana.
Ma ZRHmed, ke nānā nei mākou i nā mea e hele ana ma o ka laulā:
Nā ʻūpā hemostatic no ka kaohi pololei ʻana i ke kahe koko
Nā ʻūpā polypectomy (anu a wela) no ka wehe ʻana i ka polyp
Nā nila Sclerotherapy no ka hāpai ʻana i ka submucosal
Nā pulumu hoʻomaʻemaʻe a me nā mea pono endoscopic ʻē aʻe
Me ka palapala hōʻoia MDR CE a me ka ulu ʻana o ke alo honua, kākoʻo mākou i nā ʻāpana endoscopy a me nā mea hoʻolaha me nā huahana i hoʻolālā ʻia no ka palekana, ka hilinaʻi, a me ka maʻalahi o ka hoʻohana.
No ka mea, ʻaʻole pono i kahi kaʻina hana maikaʻi wale nō kahi laulā nui - akā, nā mea pono maikaʻi hoʻi.
Hopena
ʻO ka endoscopy Gastrointestinal ke kūlana gula no ka ʻike ʻana i nā maʻi GI. ʻAʻohe ʻenehana holomua a mea hana paha e hiki ke pani iā ia.
Mai alakaʻi hewa ʻia e nā ʻōlelo e like me "hoʻokahi kulu koko no ka ʻike ʻana i ke kanesa ʻōpū." Inā loaʻa iā ʻoe nā hōʻailona GI, he mea nui ka hoʻokolokolo endoscopic kūpono.
Inā pono ʻoe i kahi endoscopy, ʻo wai ke ʻano kūpono, a pehea e hoʻomākaukau ai e hoʻoholo ʻia e kahi loea ma muli o kou kūlana pilikino. ʻO ka hoʻomākaukau kūpono e hōʻoiaʻiʻo i ka palekana o ka mea maʻi a me ka maikaʻi o ka hoʻokolokolo ʻana.
Ke makemake nei iā ʻoe i ke olakino gastrointestinal no ka wā lōʻihi.
E pili ana iā ZRHmed
He mea hana Kina ʻo ZRHmed no nā mea pono endoscopic, meNā Forceps Biopsy, Nā ʻūpā hemostatic, Nā Pahele Polypectomy, Nā nila Sclerotherapy, Catheter pīpī, Nā Palaki Cytology, ʻUea alakaʻi,Hīnaʻi Hoʻihoʻi Pōhaku, Cathete Hoʻokahe Wai ʻAi ʻAi Ihua pēlā aku. Ua hōʻoia ʻia kā mākou huahana koʻikoʻi e MDR CE a hoʻohana ʻia e nā mea hoʻolaha a me nā mea lawelawe mālama ola ma ka honua holoʻokoʻa.
ʻAʻole mākou e hana i nā endoscopes. Hana mākou i nā mea hana e hana ai iā lākou.
Ka manawa hoʻouna: ʻApelila-28-2026