ʻO GI luna a me nā pūʻali ʻōpū liʻiliʻi

ʻO kahi GI kiʻekiʻe a me nā ʻōpū liʻiliʻi kahi hoʻonohonoho o nā x-ray i lawe ʻia e nānā i ka esophagus, ʻōpū, a me ka ʻōpū liʻiliʻi.

ʻO ka Bema enema kahi hōʻike pili e nānā i ka ʻōpū nui.

Hana ʻia kahi GI kiʻekiʻe a me nā ʻōpū liʻiliʻi i loko o kahi keʻena mālama olakino a i ʻole kahi radiology haukapila.

Loaʻa paha iā ʻoe kahi injection o ka lāʻau e lohi i ka neʻe ʻana o nā mākala i loko o ka ʻōpū liʻiliʻi. ʻOi aku ka maʻalahi o kēia e ʻike i nā kūkulu o kāu mau meaola ma nā kukuna x.

Ma mua o ka lawe ʻia ʻana o nā kukuna x, pono ʻoe e inu i 16 a 20 mau auneke (480 a 600 mau mililiter) o kahi wai inu like me ka waiū. Aia i loko o ka mea inu kahi mea i kapa ʻia ʻo barium, e hōʻike maikaʻi ʻia ma nā x-ray.

ʻO kahi ʻano x-ray i kapa ʻia ʻo fluoroscopy e nānā pehea e neʻe ai ka barium ma o kou esophagus, ʻōpū, a me kou ʻōpū liʻiliʻi. Lawe ʻia nā kiʻi ʻoiai ʻoe e noho a kū ana i nā kūlana ʻokoʻa.

Lawe pinepine ka hōʻoia ma kahi o 3 mau hola akā hiki ke lōʻihi iā 6 mau hola e hoʻopau ai.

Hiki i kahi moʻo GI ke hoʻopili i kēia hoʻāʻo a i ʻole ka barium enema.

Hiki paha iā ʻoe ke hoʻololi i kāu papaʻai no 2 a 3 mau lā ma mua o ka hoʻāʻo. I ka hapanui o nā hihia, ʻaʻole hiki iā ʻoe ke ʻai no kahi manawa ma mua o ka hoʻāʻo.

E nīnau pono i kāu mea mālama ola inā pono ʻoe e loli pehea ʻoe e lawe ai i kekahi o kāu lāʻau. Hiki pinepine iā ʻoe ke hoʻomau i ka lawe ʻana i nā lāʻau i lawe ʻia e ka waha. Mai hana i nā loli i kāu mau lāʻau me ke kamaʻilio mua ʻole ʻana i kāu mea hāʻawi.

E noi ʻia ʻoe e hemo i nā mea hoʻonaninani a pau ma kou ʻāʻī, umauma, a i ʻole ʻōpū ma mua o ka hoʻāʻo.

Hiki i ka x-ray ke kumu o ka momona o ka momona akā ʻaʻole hōʻoluʻolu i ka hapa nui o ka manawa. ʻIke ka chalky i ka barium milkshake i kou inu ʻana.

Hana ʻia kēia hoʻāʻo e nānā i kahi pilikia i ke ʻano a i ʻole ka hana o kāu esophagus, ʻōpū, a i ʻole kou ʻōpū liʻiliʻi.

Hōʻike kahi hopena maʻamau i ka esophagus, ʻōpū, a me ka ʻōpū liʻiliʻi maʻamau i ka nui, ke ʻano, a me ka neʻe.

Hiki ke loli ke ʻano o nā pae maʻamau ma muli o ka lab e hōʻike ana. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hōʻike nā hopena maʻamau i ka esophagus i nā pilikia aʻe:

• Achalasia
• ʻO Diverticula
• Maʻi ʻaʻai Esophageal
• Hoʻopiʻi ʻo Esophageal (paʻa) - ʻano maikaʻi
• Hānnia hernia
• Ulcer

Nā hualoaʻa kūpono ʻole i ka ʻōpū e hōʻike i nā pilikia aʻe:

• Maʻi ʻaʻai Gastric
• Gastric ulcer - maikaʻi
• Gastritis
• Polyps (kahi tumo i maʻamau ʻole noncancerous a ulu ma ka membrane mucus)
• Pyloric stenosis (hoʻoliʻiliʻi)

Nā hualoaʻa kūpono ʻole i loko o ka ʻōpū liʻiliʻi e hōʻike i nā pilikia aʻe:

• Malabsorption maʻi maʻi
• ʻO ka pehu ʻana a me ka huhū (mumū) o nā ʻōpū liʻiliʻi
• Nā Tumors
• Ulcer

E hana ʻia paha ka hōʻike no nā ʻano aʻe:

• ʻO pancreas Annular
• Ulia Duodenal
• ʻO ka maʻi reflux Gastroesophageal
• ʻO Gastroparesis
• Kaohi kūpona
• Pākuʻi esophageal malalo
• ʻO ka pseudo-āpana ʻōiwi mua a idiopathic paha

Hōʻike ʻia ʻoe i kahi pae haʻahaʻa o ka radiation i kēia manawa o kēia hoʻokolohua, kahi e hāpai nei i kahi makaʻu liʻiliʻi loa no ka maʻi ʻaʻai. Nānā ʻia a hoʻoponopono ʻia nā kukuna X e hāʻawi i ka palena iki o ka hōʻike radiation e pono ai e hana i ke kiʻi. Manaʻo ka hapanui o ka poʻe loea he haʻahaʻa ka pilikia inā hoʻohālikelike ʻia me nā keu pono.

ʻAʻole pono nā wahine hāpai i kēia hōʻike ma ka hapanui o nā hihia. ʻOi aku ka maʻalahi o nā keiki i nā makaʻu no nā kukuna x.

Hoʻokumu paha ka Barium i ka paʻa paʻa. E kamaʻilio i kāu mea hāʻawi inā ʻaʻole i hala ka barium i kāu ʻōnaehana e 2 a 3 mau lā ma hope o ka hōʻike.

Pono e hana i ka pūʻulu GI kiʻekiʻe ma hope o nā kaʻina hana x-ray ʻē aʻe. ʻO kēia no ka barium e waiho ana i loko o ke kino e pale paha i nā kikoʻī i nā hoʻokolohua kiʻi ʻē aʻe.

Moʻo GI; E hoʻopau ʻo Barium i ka hihi; Papa moʻo GI luna

• Hoʻokomo ʻia ʻo Barium
• Ka maʻi ʻaʻai ʻōpū, x-ray
• Ulcer ʻōpū, x-ray
• Volvulus - x-ray
• ʻŌpū liʻiliʻi

ʻO Caroline DF, Dass C, Agosto O. ʻO ka ʻōpū. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology: He puke aʻo ʻike kiʻi. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Churchill Livingstone; 2015: chap 27.

ʻO Kim DH, ʻo Pickhardt PJ. Nā ʻōnaehana kiʻi diagnostic i gastroenterology. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 133.