Hoʻokena

ʻO Enteroscopy kahi hana e nānā ai i ka ʻōpū liʻiliʻi (ʻōpū liʻiliʻi).

Hoʻokomo ʻia kahi ʻōmole lahilahi a maʻalahi (endoscope) ma o ka waha a i loko o ka tract gastrointestinal tract. I loko o ka enteroscopy pālua-pālua, hiki ke hoʻoulu ʻia nā pāluna i hoʻopili ʻia i ka endoscope e hiki ai i ke kauka ke nānā i kahi ʻāpana o ka ʻōpū liʻiliʻi.

I loko o kahi kolonekia, ua hoʻokomo ʻia kahi paipu maʻalahi ma o kāu kiko. Hiki pinepine ka paipu i ka hopena o ka ʻōpū liʻiliʻi (ileum). Hana ʻia ka endoscopy capsule me kahi capsule disposable āu e ale ai.

Hoʻouna ʻia nā laikini kele i loko o ka enteroscopy i ka hale hana no ka hoʻokolokolo ʻana. (ʻAʻole hiki ke lawe ʻia nā biopsies me kahi endoscopy capsule.)

Mai lawe i nā huahana i loaʻa ka aspirin no 1 pule ma mua o ke kaʻina hana. E haʻi i kāu mea mālama ola inā lawe ʻoe i nā mea lahilahi e like me warfarin (Coumadin), clopidogrel (Plavix), a i ʻole apixaban (Eliquis) no ka mea ke hoʻopilikia paha kēia i ka hoʻāʻo. Mai hōʻoki i ka lawe ʻana i nā lāʻau āpau ke ʻole i haʻi ʻia e kāu mea hāʻawi.

Mai ʻai i nā meaʻai paʻa a i ʻole nā ​​huahana waiū ma hope o ke aumoe i ka lā o kāu kaʻina hana. Loaʻa paha iā ʻoe nā wai a maopopo a hiki i nā hola 4 ma mua o kāu hoʻokolohua.

Pono ʻoe e kau inoa i kahi palapala ʻae.

E hāʻawi ʻia ʻoe i ka lāʻau hōʻoluʻolu a me ka sedating no ke kaʻina hana a ʻaʻole ʻoe e ʻike i kahi pilikia. Loaʻa paha iā ʻoe kahi bloating a cramping paha ke ala ʻoe. ʻO kēia mai ka lewa e hoʻopili ʻia i loko o ka ʻōpū e hoʻonui i ka wahi i ke kaʻina hana.

ʻAʻohe hopena o kahi endoscopy capsule.

Hana pinepine ʻia kēia hōʻike e kōkua i ke kuhi ʻana i nā maʻi o nā ʻōpū liʻiliʻi. Hana ʻia inā loaʻa iā ʻoe:

• Nā hopena x-ray maʻamau
• Nā tumors i loko o nā ʻōpū liʻiliʻi
• Palehua wehewehe ʻole ʻia
• Kahe koko gastrointestinal i wehewehe ʻole ʻia

I kahi hopena hoʻokolohua maʻamau, ʻaʻole e ʻike ka mea hāʻawi i nā kahe o ke kahe i loko o ka ʻōpū liʻiliʻi, a ʻaʻole e loaʻa i kekahi mau tumors a i ʻole nā ​​mea maʻi ʻē aʻe.

Pākuʻi ʻia paha nā ʻōuli:

• ʻO nā mea kūpono ʻole o ke kiko e uhi ana i ka ʻōpū liʻiliʻi (mucosa) a i ʻole nā ​​mea liʻiliʻi, manamana e like me ka manamana ma luna o ka ʻōpū liʻiliʻi (villi)
• Ka hoʻolōʻihi ʻia ʻana o nā kīʻaha koko (angioectasis) i ka uhi ʻōpū
• Kāhea ʻia nā pūnaewele hoʻopulapula PAS macrophages PAS-positive
• Polyps a i ʻole ka maʻi ʻaʻai
• Enteritis kukuna
• Pehu a hoʻonui paha i nā lymph node a i ʻole nā ​​kīʻaha lymphatic
• Ulcer

ʻO nā loli i loaʻa ma ka enteroscopy he hōʻailona paha ia o nā maʻi a me nā kūlana, e like me:

• ʻO Amyloidosis
• Celiac sprue
• Maʻi Crohn
• ʻO ka hemahema Folate a i ʻole ka wikamina B12
• ʻO Giardiasis
• Gastroenteritis maʻi maʻi
• ʻO Lymphangiectasia
• Lymphoma
• Angiectasia ʻōpū liʻiliʻi
• Maʻi ʻaʻai liʻiliʻi liʻiliʻi
  
• Tropical sprue
• Maʻi Whipple

Kūleʻa ka paʻakikī akā hiki ke hoʻopili ʻia:

• Ke kahe nui ʻana mai ka pūnaewele biopsy
• Hole i ka ʻōpū (bowel perforation)
• ʻO ka maʻi o ka pūnaewele biopsy e alakaʻi i ka bacteremia
• ʻO ka luaʻi, ukali ʻia e ka ʻiʻini i loko o nā ake māmā
• Hiki i ka endoscope capsule ke kumu i ka poloka i loko o ka ʻōpū liʻiliʻi me nā ʻōuli o ka ʻeha o ka ʻōpū a me ka momona
  
  

ʻO nā kumu i pāpā ʻole i ka hoʻohana ʻana o kēia hōʻike e hoʻopili pū paha:

• Kanaka launa ʻole a huikau paha
• Nā maʻi maʻi kōkoʻi ʻole (coagulation) i hana ʻole ʻia
• Hoʻohana o ka aspirin a i ʻole nā ​​lāʻau ʻē aʻe e pale ai i ke koko mai ka hoʻopili ʻana maʻamau (anticoagulants)

ʻO ka makaʻu nui ke kahe ʻana i ke kahe. Aia nā hōʻailona me:

• Abdominal eha
• Koko i nā noho
• Koko luaʻi

Pahu enteroscopy; Enteroscopy pālua-pālua; Kāpena enteroscopy

• Biopsy ʻōpū liʻiliʻi
• ʻO Esophagogastroduodenoscopy (EGD)
• Kāpena endoscopy

ʻO Barth B, Troendle D. Capsule endoscopy a me ka liʻiliʻi liʻiliʻi enteroscopy. I: Wyllie R, Hyams JS, Kay M, hua pā. Pediatric Gastrointestinal a me ka maʻi maʻi. 5th lā. Piladelapia, PA: Elsevier; 2016: chap 63.

Marcinkowski P, Fichera A. Ka mālama ʻana i ke kahe o ka gastrointestinal. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 341-347.

ʻO Vargo JJ. Hoʻomākaukau a me nā pilikia o ka GI endoscopy. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 41.

ʻO Waterman M, Zurad EG, Gralnek IM. Endoscopy capsule wikiō. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 93.