ʻO Smear o ka duodenal wai aspirate

ʻO ka hamo o ka duodenal fluid aspirate kahi hōʻike o ka wai mai ka duodenum e nānā i nā hōʻailona o kahi maʻi (e like me giardia a i ʻole strongyloides). Kākaʻikahi wale nō, hana ʻia kēia hoʻokolohua i kahi keiki hānau hou e nānā ai no ka biliary atresia.

Lawe ʻia kahi laʻana i ke kaʻina hana i kapa ʻia he esophagogastroduodenoscopy (EGD).

Mai ʻai a inu i kekahi mea no 12 mau hola ma mua o ka hoʻāʻo.

Manaʻo paha ʻoe e pono ʻoe e gag i ka hala ʻana o ka paipu, akā ʻaʻole ʻeha ke kaʻina hana. Hiki iā ʻoe ke kiʻi i nā lāʻau e hōʻoluʻolu ai me ka ʻeha o ka ʻeha. Inā loaʻa iā ʻoe ka anesthesia, ʻaʻole hiki iā ʻoe ke kalaiwa no ke koena o ka lā.

Hana ʻia ka hoʻāʻo e nānā no ka maʻi o ka ʻōpū liʻiliʻi. Eia naʻe, ʻaʻole pono pinepine ia. I ka hapanui o nā hihia, hana ʻia kēia hōʻike ke hiki ʻole ke hana i kahi hōʻailona me nā hoʻokolohua ʻē aʻe.

ʻAʻole pono nā mea ola maʻi i ka duodenum. Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hōʻike paha nā hopena i ke kū ʻana o giardia protozoa, ka strongyloides parasite ʻōpū, a i ʻole kekahi meaola maʻi ʻē aʻe.

ʻO nā pilikia o kēia hoʻāʻo e:

• Kahena
• Perforation o (ke kuʻi ʻana i kahi puka i) ka gastrointestinal tract e ka pae
• Maʻi kīnā

ʻAʻole hiki i kekahi poʻe ke loaʻa i kēia hoʻokolohua ma muli o nā ʻano olakino ʻē aʻe.

ʻO nā hoʻokolohua ʻē aʻe i hoʻowahāwahā ʻole hiki ke ʻike pinepine i ke kumu o ka maʻi.

ʻO Duodenal i makemake ʻia e hoʻoheheʻe i ka wai

• Pāheʻe ʻia ʻo Duodenum

ʻO Babady E, Pritt BS. Parasitology. I: Rifai N, ed. ʻO Tietz Textbook of Clinical Chemistry a me nā Molecular Diagnostics. ʻElua huaʻōlelo St Louis, MO: Elsevier; 2018: chap 78.

Dent AE, Kazura JW. IkaikaʻO Strongyloides stercoralis). I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 321.

ʻO DJ Diemert. Nā maʻi Nematode. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 335.

ʻO Fritsche TR, Pritt BS. Lapaʻau parasitology. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. Piladelapia, PA: Elsevier; 2017: chap 63.

Siddiqi HA, Salwen MJ, Shaikh MF, Bowne WB. ʻO ka ʻike Laboratory o gastrointestinal a me nā maʻi pancreatic. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. Piladelapia, PA: Elsevier; 2017: chap 22.