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:

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.