Hoʻopau
Anter
- No ke aha wau e pono ai i kahi endoscopy?
- Pehea wau e hoʻomākaukau ai no kahi endoscopy?
- He aha nā ʻano o ka endoscopy?
- He aha nā hana hou loa i ka ʻenehana endoscopy?
- Pahu endoscopy
- ʻO endoscopic retrograde cholangiopancreatography (ERCP)
- ʻO Chromoendoscopy
- Endoscopic ultrasound (EUS)
- ʻO ka endoscopic mucosal resection (EMR)
- ʻO ke kiʻi band band liʻiliʻi (NBI)
- He aha nā makaʻi o ka endoscopy?
- He aha ka hana ma hope o ka endoscopy?
He aha ka endoscopy?
ʻO kahi endoscopy kahi hana e hoʻohana ai kāu kauka i nā mea hana loea e nānā a hana ma nā mea o loko a me nā moku o kou kino. Hāʻawi ia i nā kaukipō e ʻike i nā pilikia i loko o kou kino me ka hana ʻole ʻana i nā ʻoki nui.
Hoʻokomo kahi kauka lapaʻau i kahi endoscope ma o kahi ʻoki liʻiliʻi a i ʻole kahi hāmama i ke kino e like me ka waha. ʻO kahi endoscope kahi paipu maʻalahi me kahi kāmela hoʻopili e hiki ai i kāu kauka ke ʻike. Hiki i kāu kauka ke hoʻohana i nā forceps a me nā ʻūmū ma ka endoscope e hana a hemo ai i nā meaola no ka biopsy.
No ke aha wau e pono ai i kahi endoscopy?
ʻAe ʻo Endoscopy i kāu kauka e nānā pono i kahi ʻōnaehana me ka ʻole o kahi incision nui. ʻO kahi pakuhi i loko o ka lumi hana e ʻike pono ai ke kauka i ka mea a ka endoscope i ʻike ai.
Hoʻohana pinepine ʻia ʻo Endoscopy i:
- kōkua i kāu kauka e hoʻoholo i ke kumu o nā ʻōuli maʻamau āu e loaʻa nei
- e hoʻoneʻe i kahi mea liʻiliʻi o nā kiko, a laila hiki ke hoʻouna ʻia i kahi lab no ka hoʻāʻo hou ʻana; kapa ʻia kēia he endoscopic biopsy
- kōkua i kāu kauka e ʻike i loko o ke kino i ka wā o ke kaʻina hana.
E kauoha paha kāu kauka i kahi endoscopy inā loaʻa iā ʻoe nā ʻōuli o kekahi o nā ʻano aʻe:
- nā maʻi ʻōpū (IBD), e like me ka ulcerative colitis (UC) a me ka maʻi o Crohn
- ulcer ʻōpū
- paʻa paʻa
- pancreatitis
- pōhaku ʻalā
- kahe hiki ʻole ke wehewehe ʻia i ke kahe digestive
- ʻōiwi
- nā maʻi maʻi
- blockage o ka esophagus
- maʻi reflux gastroesophageal (GERD)
- hernia hiatal
- hoʻokahe keu
- ke koko i kou mimi
- nā pilikia o ka digestive tract
E nānā hou kāu kauka i kāu mau hōʻailona, hana i kahi hoʻokolokolo kino, a kauoha paha i kekahi mau hoʻokolohua koko ma mua o ka endoscopy. E kōkua kēia mau hoʻokolohua i kāu kauka e loaʻa i ka ʻike ʻoi aku ka pololei o ke kumu o kāu mau ʻōuli. Hiki paha i kēia mau hoʻāʻo ke kōkua iā lākou e hoʻoholo inā hiki ke mālama ʻia nā pilikia me ka ʻole o ka endoscopy a i ʻole ke ʻoki ʻana.
Pehea wau e hoʻomākaukau ai no kahi endoscopy?
E hāʻawi aku kāu kauka iā ʻoe i nā ʻōkuhi piha i ka hoʻomākaukau. ʻO ka hapa nui o nā ʻano endoscopy koi iā ʻoe e haʻalele i ka ʻai ʻana i nā meaʻai paʻa a hiki i nā hola he 12 ma mua o ke kaʻina hana. ʻAe ʻia kekahi ʻano o nā wai aniani e like me ka wai a wai ʻole paha, a ʻelua mau hola paha ma mua o ke kaʻina hana. E wehewehe ana kāu kauka i kēia me ʻoe.
Hāʻawi paha kāu kauka iā ʻoe i nā laxatives a i ʻole enemas e hoʻohana i ka pō ma mua o ke kaʻina hana e hoʻomaʻemaʻe i kāu ʻōnaehana. He mea maʻamau kēia i nā kaʻina hana e pili ana i ka gastrointestinal (GI) tract a me ka anus.
Ma mua o ka endoscopy, e hana kāu kauka i kahi hoʻokolokolo kino a hele i kāu mōʻaukala holoʻokoʻa, e like me nā ʻoki ʻana ma mua.
E pono e haʻi aku i kāu kauka e pili ana i nā lāʻau āu e lawe nei, e like me nā lāʻau i kūʻai ʻia a me nā mea hoʻopihaʻai pono. E hoʻomaopopo pū i kāu kauka e pili ana i nā maʻi āpau e loaʻa iā ʻoe. Pono paha ʻoe e hōʻoki i ka lawe ʻana i kekahi mau lāʻau inā pili lākou i ke kahe ʻana, ʻo ka anticoagulant a i ʻole nā lāʻau antiplatelet.
Makemake paha ʻoe e hoʻolālā no kahi mea ʻē aʻe e hoʻokele iā ʻoe i ka home ma hope o ke kaʻina hana no ka mea ʻaʻole maikaʻi ʻoe mai ka anesthesia.
He aha nā ʻano o ka endoscopy?
Hāʻule nā endoscopies i nā waeʻano, ma muli o ka wahi o ke kino a lākou e ʻimi ai. Hoʻonohonoho ka American Cancer Society (ACS) i nā ʻano o nā endoscopies:
| ʻAno | Kahi i nānā ʻia | Kahi e hoʻokomo ʻia ai ka laulā | Nā kauka e hana maʻamau i ke ʻoki |
| ʻōkalakala | nā ami | ma o kahi incision liʻiliʻi kokoke i ka ami i nānā ʻia | kaukōloʻo orthopedic |
| bronchoscopy | māmā | i ka ihu a i ʻole ka waha | pulmonologist a i ʻole ke kauka lāʻau |
| kolonekia | kolonā | ma o ka anus | gastroenterologist a i ʻole proctologist |
| cystoscopy | ʻōpū | ma o ka urethra | urologist |
| komo komo | ʻōpū liʻiliʻi | ma o ka waha a anus paha | kanaka hulikoehana |
| hysteroscopy | loko o ka kōpū | ma o ka ʻōpū | gynecologists a i ʻole nā kauka gynecological |
| laparoscopy | ʻōpū a pelvic paha | ma o kahi incision liʻiliʻi ma kahi o kahi i nānā ʻia | nā ʻano ʻula like ʻole |
| laryngoscopy | larynx | ma o ka waha a i ʻole ka puka ihu | ʻololaryngologist, i ʻike ʻia he kauka, pepeiao, a me ka puʻu (ENT) |
| mediastinoscopy | mediastinum, kahi ma waena o nā ake māmā | ma o kahi incision ma luna o ka umauma | kaukipō lōkō |
| sigmoidoscopy | ʻo ke kaulike a me ka ʻaoʻao haʻahaʻa o ka ʻōpū nui, i ʻike ʻia ʻo ke kolamu sigmoid | i loko o ka anus | gastroenterologist a i ʻole proctologist |
| thoracoscopy, i ʻike ʻia ma ke ʻano he pleuroscopy | kahi ma waena o nā māmā a me ka paia o ka umauma | ma o kahiʻoki liʻiliʻi i ka umauma | pulmonologist a i ʻole ke kauka lāʻau |
| endoscopy gastrointestinal luna, i ʻike ʻia he esophagogastroduodenoscopy | esophagus a me ka naʻau o luna o ka ʻōpū | ma o ka waha | kanaka hulikoehana |
| ureteroscopy | ureter | ma o ka urethra | urologist |
He aha nā hana hou loa i ka ʻenehana endoscopy?
E like me ka nui o nā ʻenehana, holomua mau ka endoscopy. Hoʻohana nā hanauna hou o endoscope i ke kiʻikuhi wehewehe kiʻekiʻe e hana i nā kiʻi i nā kikoʻī hiki ʻole. Hoʻohui pū ʻia nā ʻenehana hou i ka endoscopy me nā ʻenehana kiʻi a i ʻole nā kaʻina hana.
Eia kekahi mau laʻana o nā ʻenehana endoscopy hou loa.
Pahu endoscopy
ʻO ke kaʻina hana kipi i ʻike ʻia ma ke ʻano he endoscopy capsule e hoʻohana ʻia inā ʻaʻole paʻa nā hōʻike ʻē aʻe. I ka hopena o ka capsule endoscopy, moni ʻoe i kahi pila liʻiliʻi me kahi pahu liʻiliʻi ma loko. Hele ka capsule ma loko o kāu wahi digestive, me ka loaʻa ʻole o ka ʻoluʻolu ʻole iā ʻoe, a hana i mau kiʻi o nā ʻōpū i kona neʻe ʻana i loko.
ʻO endoscopic retrograde cholangiopancreatography (ERCP)
Hoʻohui ʻo ERCP i nā kukuna X me ka endoscopy GI luna e ʻike a mālama paha i nā pilikia me nā aʻa a me nā pancreatic.
ʻO Chromoendoscopy
ʻO Chromoendoscopy kahi ʻano hana e hoʻohana ai i kahi stain kūikawā a i ʻole kala ma ka uhi o ka ʻōpū i ka manawa o kahi kaʻina hana endoscopy. Kōkua ke kala i ke kauka e ʻike pono inā loaʻa kekahi mea ʻē aʻe i ka uhi ʻōpū.
Endoscopic ultrasound (EUS)
Hoʻohana ʻo EUS i kahi ultrasound me ka endoscopy. ʻAe kēia i nā kauka e ʻike i nā lālā a me nā hanana ʻē aʻe i ʻike pinepine ʻole ʻia i ka manawa o ka endoscopy maʻamau. Hiki ke hoʻokomo ʻia i kahi nila kuʻikuʻi i loko o ka ʻokō a i ʻole ke kūkulu ʻana e kiʻi i kekahi kiko no ka nānā ʻana ma lalo o kahi microscope. Kapa ʻia kēia kaʻina hana he ʻiʻina no ka nila.
ʻO ka endoscopic mucosal resection (EMR)
ʻO EMR kahi hana i hoʻohana ʻia e kōkua i nā kauka e kāpae i nā aʻa maʻi maʻi i loko o ka maʻi digestive. I EMR, hoʻokuʻu ʻia kahi nila kuʻi ma ka endoscope e hoʻopili i kahi wai ma lalo o ka mea kino ʻole. Kōkua kēia i ka hoʻokaʻawale ʻana i ke kino maʻi maʻi maʻi mai nā papa ʻē aʻe i hiki ke hemo maʻalahi.
ʻO ke kiʻi band band liʻiliʻi (NBI)
Hoʻohana ʻo NBI i kahi kānana kūikawā e kōkua e hana i ka ʻokoʻa hou aʻe ma waena o nā moku a me ka mucosa. ʻO ka mucosa ka pale o loko o ka digestive tract.
He aha nā makaʻi o ka endoscopy?
Loaʻa ka hopena haʻahaʻa o Endoscopy i ke kahe a me ka maʻi ma mua o ka ʻoki ākea. Eia nō naʻe, ʻo ka endoscopy kahi hana olakino, no laila hiki ke loaʻa i kekahi kahe o ke kahe ʻana i ka maʻi, ka maʻi, a me nā mea pilikia ʻē aʻe e like me:
- ʻeha ka umauma
- poino i kāu mau lālā, e like me ka perforation hiki
- fiva
- ʻeha mau i ka wahi o ka endoscopy
- ʻulaʻula a me ka pehu ʻana ma ka pūnaewele incision
Pili nā pilikia no kēlā me kēia ʻano i ka wahi o ke kaʻina hana a me kou ʻano ponoʻī.
ʻO kahi laʻana, nā noho polū ʻeleʻele, ka luaʻi, a me ka paʻakikī ke ale ʻana ma hope o ke kolonekia hiki ke hōʻike he hewa kekahi. Hāpai kahi hysteroscopy i kahi wahi liʻiliʻi o ka uterine perforation, uterine Blood, a i ʻole trauma trauma. Inā loaʻa iā ʻoe kahi endoscopy capsule, aia kahi liʻiliʻi liʻiliʻi e hiki ai i ka capsule ke paʻa i kahi ma ka digestive tract. ʻOi aku ka kiʻekiʻe o ka makaʻikaʻi no ka poʻe me ke ʻano e hōʻemi i ka digestive tract, e like me ka tumo. Pono e hemo i ka capsule.
E noi i kāu kauka e pili ana i nā ʻōuli e nānā no ka ukali ʻana i kāu endoscopy.
He aha ka hana ma hope o ka endoscopy?
ʻO ka hapa nui o nā endoscopies nā ʻōnaehana outpatient. ʻO kēia ka hiki iā ʻoe ke hoʻi i ka hale i ka lā like.
E pani ana kāu kauka i nā ʻoki incision me nā humuhumu a hoʻopaʻa pono iā lākou ma hope koke o ke kaʻina hana. E hāʻawi aku kāu kauka iā ʻoe i nā ʻōkuhi pehea e mālama ai i kēia ʻeha iā ʻoe iho.
Ma hope, pono paha ʻoe e kali no hoʻokahi a ʻelua mau hola i ka haukapila no ka pau ʻana o nā hopena o ka sedation. E hoʻokele kahi hoaaloha a ʻohana paha iā ʻoe i kou home. Ke noho nei ʻoe i ka home, pono ʻoe e hoʻolālā e hoʻolilo i ke koena o ka lā e hoʻomaha ai.
Hiki i kekahi o nā kaʻina hana ke waiho i kahi hōʻoluʻolu iki iā ʻoe. Pono paha ia i kahi manawa e noʻonoʻo pono e hele e pili ana i kāu ʻoihana o kēlā me kēia lā. ʻO kahi laʻana, ma hope o ka endoscopy GI kiʻekiʻe, loaʻa paha ʻoe i ka ʻāʻī ʻeha a pono e ʻai i nā meaʻai palupalu no kekahi mau lā ʻelua. Loaʻa paha iā ʻoe ke koko i loko o kou mimi ma hope o kahi cystoscopy e nānā ai i kāu ʻōpū. E hala kēia i loko o 24 mau hola, akā pono ʻoe e launa me kāu kauka inā hoʻomau ia.
Inā kānalua kāu kauka i kahi ulu maʻi ʻaʻai, e hana lākou i kahi biopsy i kāu endoscopy. E hala ana kekahi mau hopena i kekahi mau lā. E kūkākūkā kāu kauka i nā hopena me ʻoe ma hope o ka hoʻihoʻi ʻana iā lākou mai ke keʻena hoʻokolohua.
Ka’ĀpaʻI Hales
He aha ke ʻano o ka loaʻa ʻana o kahi cervix aloha a pehea e mālama ʻia ai?
