Hōʻike EGD (Esophagogastroduodenoscopy)

Anter

• No ke aha e hana ʻia ai kahi hōʻike EGD
• Ke hoʻomākaukau nei no ka hoʻāʻo EGD
• Ma hea a pehea e hāʻawi ʻia ai ka hōʻike EGD
• Nā pilikia a me nā pilikia o kahi hōʻike EGD
• Ka hoʻomaopopo ʻana i nā hopena
• He aha ka mea e manaʻo ai ma hope o ka hoʻāʻo

He aha ka hōʻike EGD?

Hana kāu kauka i kahi esophagogastroduodenoscopy (EGD) e nānā i ka uhi o kāu esophagus, ʻōpū, a me duodenum. ʻO ka esophagus ka puʻupuʻu muscular e hoʻopili i kou puʻu i kou ʻōpū a me ka duodenum, ʻo ia ka ʻaoʻao kiʻekiʻe o kou ʻōpū liʻiliʻi.

ʻO kahi endoscope kahi kiʻi liʻiliʻi ma kahi pahu. ʻO kahi hōʻike EGD e pili ana i ka hele ʻana i kahi endoscope i lalo i kou puʻu a ma ka lōʻihi o kou esophagus.

No ke aha e hana ʻia ai kahi hōʻike EGD

E ʻōlelo paha kāu kauka i kahi hōʻike EGD inā loaʻa iā ʻoe kekahi mau ʻōuli, e like me:

• ʻeha, ʻehaʻeha mau
• luaʻi koko
• noho humuhumu ʻeleʻele a i ʻole lōʻihi
• regurgitating ʻai
• ʻeha ma kou ʻōpū luna
• anemia wehewehe ʻole ʻia
• nausea hoʻomau a i ʻole ka luaʻi
• lilo kaumaha maopopo ʻole
• kahi manaʻo o ka piha ma hope o ka ʻai ʻana ma mua o ka maʻamau
• kahi manaʻo e waiho ʻia ka meaʻai ma hope o kou umauma
• ʻeha a paʻakikī paha i ka ale ʻana

E hoʻohana paha kāu kauka i kēia hoʻokolohua e kōkua ai e ʻike pehea ka maikaʻi o ka mālama ʻana a i ʻole ke alualu ʻana i nā pilikia inā loaʻa iā ʻoe:

• Maʻi ʻo Crohn
• ulcer peptic
• cirrhosis
• pehu nā veins i loko o kāu esophagus o lalo

Ke hoʻomākaukau nei no ka hoʻāʻo EGD

E aʻo aku kāu kauka iā ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau e like me aspirin (Bufferin) a me nā mea ʻokiʻoki koko ʻē aʻe no kekahi mau lā ma mua o ka hoʻāʻo ʻana o ka EGD

ʻAʻole hiki iā ʻoe ke ʻai i kekahi mea no 6 a 12 mau hola ma mua o ka hoʻāʻo. E noi ʻia ka poʻe e komo ana i nā niho ʻole e wehe iā lākou no ka hoʻāʻo. E like me nā hoʻokolohua olakino āpau, e noi ʻia ʻoe e kau inoa i kahi palapala ʻae a hoʻomaopopo ma mua o ka hana ʻana i ke kaʻina hana.

Ma hea a pehea e hāʻawi ʻia ai ka hōʻike EGD

Ma mua o ka lawelawe ʻana i kahi EGD, e hāʻawi paha kāu kauka iā ʻoe i ka mea hoʻohiamoe a me ka painkiller. Pale kēia iā ʻoe mai ka ʻeha ʻana. ʻO ka maʻamau, ʻaʻole hoʻomanaʻo ka poʻe i ka hoʻāʻo.

E kāpīpī paha kāu kauka i kahi anesthetic kūloko i loko o kou waha e hoʻōki iā ʻoe mai ka ʻūlū ʻana a i ʻole ke kuʻe ʻana ke hoʻokomo ʻia ka endoscope. Pono ʻoe e komo i kahi kiaʻi waha e pale ai i ka hōʻino ʻana o kou niho a i ʻole ke kāmera.

Hoʻokomo ke kauka i kahi nila kiki (IV) i loko o kou lima i hāʻawi lākou iā ʻoe i nā lāʻau i loko o ka hōʻoia. E noi ʻia ʻoe e moe ma kou ʻaoʻao hema i ke kaʻina hana.

Ke pau ka hopena o nā sedatives, hoʻokomo ʻia ka endoscope i loko o kāu esophagus a hele i lalo i kou ʻōpū a me ka ʻaoʻao luna o kou ʻōpū liʻiliʻi. Hoʻoholo ʻia ka ea ma loko o ka endoscope i hiki i kāu kauka ke ʻike maopopo i ka uhi o kāu esophagus.

I ka wā o ka hoʻokolokolo ʻana, lawe paha ke kauka i nā laʻana kiko liʻiliʻi e hoʻohana ana i ka endoscope. Hiki ke nānā ʻia kēia mau laʻana me kahi microscope e ʻike ai i nā mea ʻē aʻe i loko o kāu mau hunaola. Kapa ʻia kēia hana he biopsy.

Hiki i nā mālama i kekahi manawa ke hana i ka wā o ka EGD, e like me ka hoʻonui ʻana i nā wahi āpau āpau o kāu esophagus.

ʻO ka hōʻoia piha ma waena o 5 a 20 mau minuke.

Nā pilikia a me nā pilikia o kahi hōʻike EGD

Ma ka laulaha, he kaʻina palekana kahi EGD. Aia kahi makaʻu liʻiliʻi loa e hoʻokumu ka endoscope i kahi puka liʻiliʻi i kāu esophagus, ʻōpū, a me kou ʻōpū liʻiliʻi. Inā hoʻokō ʻia kahi biopsy, aia kekahi mea liʻiliʻi o ka hoʻolōʻihi ʻia ʻana o ke kahe ʻana mai ka pūnaewele mai kahi i lawe ʻia ai ke kino.

Loaʻa paha i kekahi poʻe i ka hopena i nā sedative a me nā painkiller i hoʻohana ʻia ma loko o ke kaʻina hana. Hiki i kēia ke hoʻopili:

• paʻakikī ka hanu ʻana a i ʻole hiki ʻole ke hanu
• haʻahaʻa haʻahaʻa haʻahaʻa
• ʻūlū puʻuwai
• sweating nui loa
• he spasm o ka larynx

Eia nō naʻe, emi ma lalo o hoʻokahi o kēlā me kēia 1,000 poʻe e ʻike i kēia mau pilikia.

Ka hoʻomaopopo ʻana i nā hopena

Nā hopena maʻamau ke ʻano o ka laulā o ka pale o loko o kāu esophagus a hōʻike ʻole i nā hōʻailona o kēia mau mea:

• pehu
• ulu ana
• ulcer
• kahe ana ke koko

Hiki i nā mea ma hope ke kumu i nā hopena EGD ʻole:

• ʻO ka hopena o ka maʻi Celiac ka hopena o ka hōʻino ʻana i kāu pale o kou ʻōpū a pale iā ia mai ke komo ʻana i nā mea momona.
• ʻO nā apo Esophageal kahi ulu ulu ʻole o nā mea i kū i kahi e komo ai kāu esophagus i kou ʻōpū.
• ʻO nā varises Esophageal ka pehu o nā veins i loko o ka pale o kāu esophagus.
• ʻO kahi hernia hiatal kahi maʻi e hoʻonāukiuki i kahi ʻāpana o kou ʻōpū ma o ka hāmama ʻana i kāu diaphragm.
• ʻO ka esophagitis, ka gastritis, a me ka duodenitis nā kūlana hoʻonāukiuki o ka uhi ʻana o kou esophagus, ʻōpū, a me nā ʻōpū liʻiliʻi o luna.
• ʻO ka maʻi reflux Gastroesophageal (GERD) kahi maʻi e hoʻoheheʻe ai ka wai a meaʻai paha mai kou ʻōpū i kāu esophagus.
• ʻO ka maʻi Mallory-Weiss kahi waimaka i ka pale o kāu esophagus.
• Hiki i nā ulcer i loko o kou ʻōpū a i ʻole kou ʻōpū liʻiliʻi.

He aha ka mea e manaʻo ai ma hope o ka hoʻāʻo

E nānā kahi kahu iā ʻoe ma kahi o hoʻokahi hola ma hope o ka hoʻāʻo e hōʻoia i ka pau ʻana o ka anesthetic a hiki iā ʻoe ke ale wale me ka ʻole o ka pilikia a me ka hōʻoluʻolu ʻole.

Paha paha ʻoe i ka momona. Hiki paha iā ʻoe ke hoʻokali iki a i ʻole ka ʻāʻī ʻeha. He maʻamau kēia mau hopena a pono e hele holoʻokoʻa i loko o 24 mau hola. E kali a ʻai a inu paha a hiki i kou manawa e ale me ka ʻoluʻolu. Ke hoʻomaka nei ʻoe e ʻai, e hoʻomaka me kahi meaʻai māmā.

Pono ʻoe e ʻimi koke i ka lāʻau inā:

• ʻoi aku ka maikaʻi o kāu mau ʻōuli ma mua o ka hōʻike
• pilikia ʻoe i ka ale ʻana
• luʻuluʻu a maʻule paha ʻoe
• ke luaʻi nei ʻoe
• he ʻehaʻeha kou i kou ʻōpū
• he koko kou i loko o kāu ʻaʻa
• ʻaʻole hiki iā ʻoe ke ʻai a inu paha
• ke emi nei ʻoe i ka mimiki ma mua o ka maʻamau a ʻaʻole paha

E hele pū kāu kauka i nā hopena o ka hōʻike me ʻoe. E kauoha paha lākou i nā hoʻokolohua hou aʻe ma mua o ka hāʻawi ʻana iā ʻoe i kahi hōʻailona a i ʻole e hana i kahi hoʻolālā mālama.