Hoʻokuʻu EGD
ʻO ka Esophagogastroduodenoscopy (EGD) kahi hoʻāʻo e nānā i ka lining o ka esophagus, ʻōpū, a me ka ʻāpana mua o ka ʻōpū liʻiliʻi.
Hana ʻia ʻo EGD me kahi endoscope. ʻO kēia kahi paipu maʻalahi me kahi kāmela i ka hopena.
Ma ke kaʻina hana:
- Loaʻa iā ʻoe ka lāʻau i loko o ke aa (IV).
- Hoʻokomo ʻia ka laulā ma o ka esophagus (paipu meaʻai) i ka ʻōpū a me ka ʻāpana mua o ka ʻōpū liʻiliʻi (duodenum). Hoʻokomo ʻia ka ea ma loko o ka endoscope i mea e maʻalahi ai ka ʻike ʻana a ke kauka.
- Inā pono, lawe ʻia nā biopsies ma o ka endoscope. ʻO Biopsies kahi laʻana kikoʻī e nānā ʻia ma lalo o ka microscope.
Ua hala ka hōʻoia ma kahi o 5 a 20 mau minuke.
Lawe ʻia ʻoe i kahi e ola ai ma hope pono o ka hoʻāʻo. Ala paha ʻoe a hoʻomanaʻo ʻole pehea ʻoe i hele ai i laila.
E nānā ke kahu i kou kaomi koko a me ka lāʻau. Lawe ʻia kāu IV.
E hele mai kāu kauka e kamaʻilio me ʻoe a wehewehe i nā hopena o ka hoʻāʻo.
- E noi e kākau i kēia ʻike, no ka mea ʻaʻole ʻoe e hoʻomanaʻo i ka mea i haʻi ʻia mai iā ʻoe ma hope.
- ʻO nā hopena hope loa no nā biopsiesʻaʻaʻa i hana ʻia e lawe a i 1 i 3 mau pule.
Hiki i nā lāʻau i hāʻawi ʻia iā ʻoe ke hoʻololi i ke ala āu e noʻonoʻo ai a paʻakikī e hoʻomanaʻo no ke koena o ka lā.
ʻO ka hopena, ʻo ia AOLE palekana iā ʻoe e hoʻokele kaʻa a e ʻike i kou ala ponoʻi i ka home.
ʻAʻole ʻoe e ʻae ʻia e haʻalele hoʻokahi. Pono ʻoe e noi i kahi hoa a ʻohana paha e lawe iā ʻoe i kou home.
E noi ʻia ʻoe e kali no 30 mau minuke a ʻoi paha ma mua o ka inu ʻana. E hoʻāʻo mua i nā wahi wai liʻiliʻi. Ke hiki iā ʻoe ke hana maʻalahi i kēia, hiki iā ʻoe ke hoʻomaka me ka liʻiliʻi o nā meaʻai paʻa.
ʻIke paha ʻoe i kahi momona o ka ea mai ka ea i loko o kou ʻōpū, a ʻānai a i ʻole kahe pinepine i ke kinoea i ka lā.
Inā ʻeha kou ʻāʻī, gargle me ka wai mehana, me ka wai paʻakai.
Mai hoʻolālā e hoʻi i ka hana no ke koena o ka lā. ʻAʻole palekana ka hoʻokele a lawelawe ʻana i nā pono hana a me nā lakohana.
Pono ʻoe e hōʻalo i ka hana ʻana i nā hana koʻikoʻi a i ʻole nā hoʻoholo kū kānāwai i ke koena o ka lā, ʻoiai inā ʻoe e manaʻoʻiʻo ua maopopo kāu noʻonoʻo.
E nānā pono i ka pūnaewele kahi i hāʻawi ʻia ai nā wai IV a me nā lāʻau. E nānā no ka ʻulaʻula a me ka pehu paha. Hiki iā ʻoe ke kau i kahi kapa holoi mahana ma luna o ka wahi.
E noi i kāu kauka i nā lāʻau a i ʻole nā mea lahilahi o ke koko āu e hoʻomaka ai e lawe hou a i ka wā hea e lawe ai.
Inā ua hemo ʻia kahi polyp, e noi paha kāu mea mālama ola iā ʻoe e hōʻalo i ka hāpai ʻana a me nā hana ʻē aʻe a hiki i ka 1 pule.
Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:
- ʻEleʻele, noho aliʻi
- ʻO ke kokoʻulaʻula i kāu pahu
- ʻO ka luaʻi e kū ʻole a luaʻi paha i ke koko
- ʻO kaʻeha nui a ʻūlū paha i kou ʻōpū
- ʻEha ʻeha
- ʻO ke koko i loko o kāu pahu noho no ka ʻoi aku ma mua o 2 mau ʻōpū
- ʻO Chills a i ʻole ke kuni ma luna o 101 ° F (38.3 ° C)
- ʻAʻohe neʻe o ka ʻōpū ma mua o 2 mau lā
ʻO Esophagogastroduodenoscopy - hoʻokuʻu; Endoscopy luna - hoʻokuʻu; Gastroscopy - hoʻokuʻu
- ʻO Esophagogastroduodenoscopy (EGD)
ʻO El-Omar E, McLean MH. Gastroenterology. I: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Nā Kumuhana a Davidson a me ka hana o ka lāʻau. 23rd Ed. Piladelapia, PA: Elsevier; 2018: chap 21.
Koch MA, Zurad EG. ʻO Esophagogastroduodenoscopy. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 91.
- Nā maʻi Digestive
- Hoʻopau
- Nā maʻi Esophagus
- Nā maʻi kīnā liʻiliʻi liʻiliʻi
- Nā maʻi ʻōpū