Endoscopic ultrasound
ʻO Endoscopic ultrasound kahi ʻano hōʻike kiʻi. Hoʻohana ʻia ia e ʻike i nā lālā i loko a kokoke i ka digestive tract.
ʻO kahi ultrasound kahi ala e ʻike ai i loko o ke kino e hoʻohana ana i nā nalu kani pinepine. Hana kēia i ka ultrasound ultrasound me kahi paipu lahilahi a maʻalahi i kapa ʻia he endoscope.
- Hoʻoholo ʻia kēia paipu ma o ka waha a ma o ka pākeke a i loko o ka tract digestive.
- Hoʻouna ʻia nā nalu kani i ka wēlau o ka paipu a kūlia i nā ʻōpū o ke kino.
- Loaʻa i kahi kamepiula kēia mau nalu a hoʻohana iā lākou e hana i kiʻi o ka mea i loko.
- ʻAʻole hōʻike kēia hōʻike iā ʻoe i ka radiation radiation.
Inā makemake ʻia kahi laʻana a biopsy paha, hiki ke hele i kahi nila kui lahilahi ma o ka paipu e ʻohiʻohi ai i ka wai a i ʻole nā mea kiko. ʻAʻole ʻeha kēia.
Lawe ʻia ka hōʻike 30 a 90 mau minuke e hoʻopau. Hāʻawi pinepine ʻia ʻoe i ka lāʻau e kōkua i ka hoʻomaha.
E haʻi aku kāu mea mālama ola iā ʻoe i ka mea e hana ai. E haʻi ʻia ʻoe i ka manawa e hōʻoki ai i ka inu a me ka ʻai ʻana ma mua o ka hoʻāʻo.
E hāʻawi i kāu mea hāʻawi i ka papa inoa o nā lāʻau āpau āu e lawe ai (kuhikuhi a me ka over-the-counter), nā mea kanu, a me nā mea hoʻohui. E haʻi ʻia ʻoe ke hiki iā ʻoe ke lawe i kēia. Pono e kāpae i kekahi i hoʻokahi pule ma mua o ka hoʻāʻo. E noi i kāu mea nāna e hāʻawi i nā lāʻau e pono ai ʻoe e lawe i ke kakahiaka o ke kaha.
ʻOiai ʻaʻole hiki iā ʻoe ke hoʻokele a hoʻi i ka hana ma ka lā o kēia hoʻokolohua, pono ʻoe i kekahi e lawe iā ʻoe i ka home.
Ma mua o kēia hoʻāʻo e loaʻa iā ʻoe ka lāʻau i loko o ka IV e kōkua ai iā ʻoe e hoʻomaha (kahi mea hōʻoluʻolu). E hiamoe paha ʻoe a hoʻomanaʻo ʻole paha i ka hoʻāʻo. Manaʻo kekahi poʻe he ʻoluʻolu ʻole ka hoʻāʻo.
No ka hola mua ma hope o kēia hoʻāʻo, ʻike paha ʻoe i ka hiamoe a ʻaʻole hiki ke inu a hele wāwae paha. ʻEha paha kou ʻāʻī. Ua hoʻokomo ʻia paha ke ea a i ʻole ke kalapona kalapona i loko o kāu wahi digestive i ka wā o ka hoʻāʻo e hoʻoneʻe maʻalahi i ka paipu. E hōʻoluʻolu paha kēia iā ʻoe, akā e hala kēia manaʻo.
Ke ala ala ʻoe, hiki ke lawe ʻia i ka home. Hoʻomaha i kēlā lā. Loaʻa paha iā ʻoe nā wai a me nā meaʻai māmā.
Loaʻa paha iā ʻoe kēia hōʻike i:
- E ʻike i ke kumu o ka ʻeha o ka ʻōpū
- E ʻike i ke kumu o ka hoʻēmi kino
- ʻIke i nā maʻi o ka pancreas, ka lāʻau bile, a me ka gallbladder
- E alakaʻi i kahi biopsy o nā tumors, nā lymph node, a me nā mea ʻē aʻe
- E nānā i nā cyst, nā tumors, a me nā maʻi ʻaʻai
- E nānā i nā pōhaku i ke kahena o ka bile
Hiki i kēia hoʻāʻo ke hoʻokau i nā maʻi ʻaʻai o ka:
- ʻEsopago
- ʻŌpū
- ʻO Pancreas
- Rectum
E ʻike ʻia nā ʻokena he mea maʻamau.
Pili nā hopena i nā mea i loaʻa i ka wā o ka hoʻāʻo. Inā ʻaʻole maopopo iā ʻoe nā hopena, a i ʻole he nīnau a hopohopo paha, e kamaʻilio me kāu mea hāʻawi.
ʻO nā pōʻino no kēlā me kēia sedation:
- Nā hopena i ka lāʻau
- Pilikia i ka hanu ʻana
Komo nā pilikia mai kēia hoʻāʻo:
- Kahena
- He waimaka i ka uhi o ka digestive tract
- Maʻi kīnā
- ʻO Pancreatitis
- ʻŌnaehana Digestive
Gibson RN, Sutherland TR. ʻO ka ʻōnaehana biliary. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology: He puke aʻo ʻike kiʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 24.
Pūnaewele Institute of Diabetes a me Digestive a me nā maʻi maʻi puʻuwai. ʻO Endoscopy GI luna. www.niddk.nih.gov/health-information/diagnostic-tests/upper-gi-endoscopy. Hoʻohou i Iulai 2017. Loaʻa iā Nowemapa 9, 2020.
Pasricha PJ. Endoscopy Gastrointestinal. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 125.
ʻO Samarasena JB, Chang K, Topazian M. Endoscopic ultrasound a me ka ʻiʻini no ka nila maikaʻi no nā maʻi pancreatic a me biliary. I: Chandrasekhara V, Elmunzer BJ, Khashab MA, Muthusamy VR, eds. ʻO Endoscopy Gastrointestinal Clinical. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 51.