Kāpena endoscopy
ʻO Endoscopy kahi ala o ka nānā ʻana i loko o ke kino. Hana pinepine ʻia ʻo Endoscopy me kahi ʻōmole i hoʻokomo ʻia i loko o ke kino e hiki i ke kauka ke hoʻohana e nānā i loko.
ʻO kahi ala ʻē aʻe e nānā ai i loko e waiho i kahi kāmela i kahi capsule (capsule endoscopy). Hoʻokomo ʻia kēia capsule i hoʻokahi a i ʻole ʻelua mau kāmela liʻiliʻi, ipukukui, uila, a me kahi lēkio uila.
ʻO ia e pili ana i ka nui o ka lāʻau huaola nui. Pau ke kanaka i ka capsule, a paʻi ke kiʻi i nā kiʻi ma ke ala o ka digestive (gastrointestinal).
- Hoʻouna ka mea leka uila i nā kiʻi i kahi mea hoʻopaʻa leo a ke kanaka e kau ai ma ko lākou pūhaka a i ʻole ka poʻohiwi.
- Hoʻoiho kekahi ʻenehana i nā kiʻi mai ka mea hoʻopaʻa leo i kahi kamepiula, a nānā ke kauka iā lākou.
- Puka mai ka pahu paʻi kiʻi me kahi ʻōpū a hāwele pono ʻia i ka lua.
Hiki ke hoʻomaka i kēia hōʻoia ma ke keʻena o ke kauka.
- ʻO ka capsule ka nui o ka paukū huaola nui, ma kahi ʻīniha (2.5 kenimika) ka lōʻihi a ʻoi aku ka liʻiliʻi ma mua o ½ iniha (1.3 kenimika) ka laulā. Hoʻohana wale ʻia kēlā me kēia capsule.
- E noi paha ka mea mālama ola iā ʻoe e moe i lalo a noho paha i ka wā e ale ana i ka capsule. E loaʻa kahi paheʻe i ka endoscope Capsule, no laila ʻoi aku ka maʻalahi o ka ale ʻana.
ʻAʻole ʻai ʻia a ʻole omomo ʻia ka capsule. Hele ia ma o ka ʻōnaehana digestive ma hope o ke ala like e hele ai ka meaʻai. Haʻalele ia i ke kino i kahi ʻōpū a hiki ke hoʻoheheʻe ʻia i lalo i ka lua me ka hōʻeha ʻole i ka paipu.
E kau ʻia ka mea hoʻopaʻa leo ma kou pūhaka a i ʻole ka poʻohiwi. I kekahi manawa hiki ke kau ʻia i kekahi mau pā antenna ma kou kino. I ka wā o ka hoʻāʻo, e ʻālohilohi ke kukui liʻiliʻi ma ka mea hoʻopaʻa leo. Inā kū ke kani, e kelepona i kāu mea hāʻawi.
Aia paha ka capsule i kou kino no kekahi mau hola a i kekahi mau lā. ʻOkoʻa ka poʻe āpau.
- ʻO ka hapa nui o ka manawa, haʻalele ka capsule i ke kino ma loko o 24 mau hola. Holo i ka capsule i lalo o ka lua.
- Inā ʻaʻole ʻoe ʻike i ka capsule i loko o ka lua i loko o ʻelua mau pule o ka moni ʻana iā ia, e haʻi i kāu mea hāʻawi. Pono ʻoe i kahi x-ray e ʻike ai inā mau ka capsule i kou kino.
E hāhai i nā ʻōlelo aʻoaʻo a kāu mea hāʻawi. Inā ʻaʻole ʻoe e mālama pono i nā ʻōkuhi, pono paha e hana i ka hōʻoia ma kahi lā ʻokoʻa.
E noi paha kāu mea lawelawe iā ʻoe e:
- E lawe i ka lāʻau e hoʻomaʻemaʻe i kou ʻōpū ma mua o kēia hōʻike
- E loaʻa nā wai māmā wale nō no 24 mau hola ma mua o kēia hōʻike
- ʻAʻohe mea e ʻai a inu ai, me ka wai, ma kahi o 12 mau hola ma mua o kou ale ʻana i ka capsule
Mai puhipaka no 24 mau hola ma mua o kēia hōʻike.
E ʻōlelo pono i kāu kauka:
- E pili ana i nā lāʻau a me nā lāʻau āpau āu e lawe ai, e like me ka lāʻau i kuhikuhi ʻia, ka lāʻau over-the-counter (OTC), nā wikamina, nā minelala, nā mea hoʻohui, a me nā mea kanu. E noi ʻia paha ʻoe ʻaʻole e lawe i kekahi lāʻau i kēia wā hoʻāʻo, no ka mea hiki iā lākou ke keʻakeʻa i ke kāmela.
- Inā maʻi ʻoe i kekahi lāʻau.
- Inā i loaʻa iā ʻoe nā ālai o ka ʻōpū.
- E pili ana i nā kūlana olakino, e like me nā pilikia e ale ana a i ʻole ka puʻuwai a i ʻole nā maʻi lolo.
- Inā loaʻa iā ʻoe kahi pacemaker, defibrillator, a i ʻole me nā meakanu i hoʻokomo ʻia.
- Inā ua loaʻa ʻoe i kahi ʻōpū o kou ʻōpū a i ʻole nā pilikia i kou ʻōpū.
I ka lā o ka hoʻokolohua, e hele i ke keʻena o ka mea hoʻolako e ʻaʻahu ana i nā kapa komo lole ʻelua ʻāpana.
ʻOiai ʻo ka capsule i loko o kou kino ʻaʻohe ou MRI.
E haʻi ʻia iā ʻoe ka mea e kali ai ma mua o ka hoʻomaka ʻana o ka hoʻāʻo. Manaʻo ka hapa nui o ka poʻe i kēia hoʻāʻo ʻoluʻolu.
ʻOiai ʻo ka capsule i loko o kou kino hiki iā ʻoe ke hana i nā hana maʻamau, akā ʻaʻole ka hāpai hāpai kaumaha a i ʻole ka hoʻoikaika ikaika. Inā ʻoe e hoʻolālā e hana i ka lā o ka hoʻokolohua, e haʻi i kāu mea lawelawe i kāu hana ma ka hana.
E haʻi aku kāu mea hāʻawi iā ʻoe ke hiki ke ʻai a inu hou.
ʻO Capsule endoscopy kahi ala e ʻike ai ke kauka i loko o kāu ʻōnaehana digestive.
Nui nā pilikia hiki iā ia ke nānā, me:
- Kahena
- Ulcer
- Polyps
- Nā Tumors a i ʻole ka maʻi ʻaʻai
- Maʻi maʻi ʻōpū
- Maʻi Crohn
- Maʻi Celiac
Lawe ka pahu paʻi kiʻi i nā kiʻi paʻi kala o kāu kāwili digestive i kēia wā hoʻāʻo. Hoʻoiho ʻia kēia mau kiʻi i kahi kamepiula a hoʻolilo ka polokalamu iā lākou i wikiō. Nānā kāu mea hāʻawi i ka wikiō e nānā i nā pilikia. E hala paha i hoʻokahi pule no ʻoe e aʻo ai i nā hopena. Inā ʻaʻole loaʻa nā pilikia, maʻamau kāu mau hopena.
E haʻi aku kāu mea hāʻawi iā lākou inā loaʻa iā lākou kahi pilikia me kāu digestive tract, he aha ke ʻano, a pehea e hiki ai ke mālama ʻia.
Aia kekahi mau pilikia e hiki ke hana me ka endoscopy capsule. Kāhea koke i kāu mea hāʻawi inā, ma hope o ka ale ʻana i ka capsule, ʻo ʻoe:
- Loaʻa ke kuni
- Loaʻa ka pilikia i ka ale ʻana
- Kiola i luna
- Loaʻa i ka ʻeha o ka umauma, cramping, a i ʻole ʻeha o ka ʻōpū
Inā ālai a hāiki paha kou ʻōpū, hiki i ka capsule ke paʻa. Inā kū kēia, pono paha ʻoe i kahi ʻoki e wehe i ka capsule, ʻoiai he kakaikahi kēia.
Inā loaʻa iā ʻoe he MRI a i ʻole hele i kahi kokoke i kahi māla magnetika ikaika (e like me kahi lekiō ham) hiki iā ʻoe ke hōʻino nui i ka digestive tract a me ka ʻōpū.
Kāpena enteroscopy; Endoscopy capsule uea ʻole; Endoscopy capsule wikiō (VCE); ʻO ka endoscopy capsule bowel liʻiliʻi (SBCE)
- Kāpena endoscopy
Enns RA, Hookey L, Armstrong D, et al. Nā kulekele hana lapaʻau no ka hoʻohana ʻana o endoscopy capsule wikiō. Gastroenterology. 2017; 152 (3): 497-514. PMID: 28063287 www.ncbi.nlm.nih.gov/pubmed/28063287.
Huang CS, Wolfe MM. Nā kaʻina hana endoscopic a me nā kiʻi. I: Benjamin IJ, Griggs RC, Wing EJ, Fitz JG, eds. ʻO Andreoli lāua ʻo Carpenter's Cecil Essentials of Medicine. 9th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 34.
Huprich JE, Alexander JA, Mullan BP, Stanson AW. Hemorrhage Gastrointestinal. I: Gore RM, Levine MS, hoʻoponopono. Puke puke o Gastrointestinal Radiology. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 125.
ʻO Savides TJ, Jensen DM. Kahe ʻana o ka gastrointestinal. 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 20.