ʻO ka moʻomeheu Esophageal

Anter

• He aha ka moʻomeheu esophageal?
• He aha ke kumu o ka moʻomeheu esophageal?
• Pehea e loaʻa ai nā moʻomeheu esophageal?
• He aha nā pilikia e pili ana i ka moʻomeheu esophageal a me ke kaʻina hana biopsy?
• He aha kaʻu e manaʻo ai ma hope o ke kaʻina hana?
• Āhea wau e ʻike ai i kaʻu kauka?
• He aha e hana ai ke loaʻa iaʻu nā hopena?

He aha ka moʻomeheu esophageal?

ʻO kahi moʻomeheu esophageal kahi hoʻokolohua hoʻokolohua e nānā i nā laʻa kiko mai ka esophagus no nā hōʻailona o ka maʻi a i ʻole ke kanesa. ʻO kou esophagus ka puʻupuʻu lōʻihi ma waena o kou puʻu a me kou ʻōpū. Hāʻawi ia i ka meaʻai, nā wai, a me ka saliva mai kou waha a i kāu ʻōnaehana digestive.

No kahi moʻomeheu esophageal, loaʻa kaʻiʻo mai ka esophagus ma o kahi hana i kapa ʻia ʻo esophagogastroduodenoscopy. Hoʻomaopopo pinepine ʻia kēia ma ke ʻano he EGD a i ʻole endoscopy luna.

Hiki paha i kāu kauka ke kauoha i kēia hoʻokolohua inā manaʻo lākou he maʻi kou i kāu esophagus a i ʻole inā ʻaʻole ʻoe e pane i ka lāʻau no ka pilikia esophageal.

Hana pinepine ʻia nā endoscopies ma kahi kumu o waho e hoʻohana ana i kahi lāʻau hoʻoluʻolu. I ka wā o ke kaʻina hana, hoʻokomo kāu kauka i kahi mea kani i kapa ʻia he endoscope i loko o kou ʻāʻī a iho i kāu esophagus e kiʻi i nā mea kiko kiko.

Hiki i ka hapa nui o ka poʻe ke hoʻi i ka home i loko o kekahi mau hola o ka hoʻāʻo a hōʻike iki a ʻaʻole hoʻi i ka ʻeha a me ka hōʻoluʻolu ʻole.

Hoʻouna ʻia nā laʻana kikoʻī i kahi lab no ke kālailai ʻana, a e kāhea aku kāu kauka iā ʻoe me nā hopena i loko o kekahi mau lā.

He aha ke kumu o ka moʻomeheu esophageal?

E kuhi paha kāu kauka i kahi moʻomeheu esophageal inā manaʻo lākou he maʻi paha kāu o ka esophagus a i ʻole he maʻi ʻaʻa e kū nei ʻaʻole e pane ana i ka lapaʻau e like me ka mea e pono ai.

I kekahi mau hihia, lawe ka kauka i kahi biopsy i kāu EGD. Nānā kahi biopsy no ka ulu ʻana o ka cell maʻamau, e like me ka maʻi ʻaʻai. Hiki ke lawe ʻia nā kele no ka biopsy me ka hoʻohana ʻana i ke kaʻina hana like me kāu moʻomeheu ʻāʻī.

Hoʻouna ʻia nā laʻana i kahi lab a waiho ʻia i loko o kahi pā moʻomeheu no kekahi mau lā e ʻike inā ulu kekahi mau koʻohune, fungi, a i ʻole nā ​​virus. Ināʻaʻohe mea e ulu i loko o ka pā lumi lumi, manaʻo ʻia ʻoe he hopena maʻamau.

Inā loaʻa nā hōʻike o ka maʻi, pono paha i kāu kauka e kauoha i nā hoʻokolohua hou aku e kōkua iā lākou e hoʻoholo i ke kumu a me kahi hoʻolālā mālama.

Inā lawe pū ʻia kahi biopsy, e hoʻopaʻa kahi pathologist i nā hunaola a i ʻole nāʻaʻaʻa ma lalo o kahi microscope e hoʻoholo inā he maʻi ʻaʻai a i ʻole precancerous lākou. ʻO nā pūnaewele precancerous nā hunaola i hiki ke hoʻomohala i ka maʻi ʻaʻai. ʻO kahi biopsy ke ala hoʻokahi e ʻike pololei ai i ka maʻi ʻaʻai.

Pehea e loaʻa ai nā moʻomeheu esophageal?

No ka loaʻa ʻana o kahi laʻana o kāu kiko, hana kāu kauka i kahi EGD. No kēia hoʻāʻo, hoʻokomo ʻia i kahi kāmele liʻiliʻi, a i ʻole endoscope maʻalahi, i kou puʻu. Hoʻolālā ka pahu paʻi kiʻi i nā kiʻi ma luna o kahi paku i ka lumi hana, e ʻae ai i kāu kauka e ʻike pono i kāu esophagus.

ʻAʻole koi kēia hōʻike i ka hoʻomākaukau nui ma kāu ʻaoʻao. Pono paha ʻoe e hōʻoki i ka lawe ʻana i nā mea lahilahi o ke koko, NSAID, a i ʻole nā ​​lāʻau ʻē aʻe e hoʻopili i ke kāpili ʻana o ke koko no kekahi mau lā ma mua o ka hoʻāʻo ʻana.

E noi aku kāu kauka iā ʻoe e hoʻokē ʻai no 6 a 12 mau hola ma mua o kāu manawa hoʻāʻo i hoʻonohonoho ʻia. ʻO ka EGD he hana maʻamau i waho, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home ma hope o ka.

I ka hapanui o nā hihia, e hoʻokomo ʻia kahi laina intravenous (IV) i loko o kahi aa i kou lima. E hoʻopili ʻia kahi mea hoʻohiamoe a me kahi painkiller ma o ka IV. Hiki paha i kahi mea mālama ola ke pīpī i kahi anesthetic kūloko i loko o kou waha a me kou puʻu e hoʻopau i ka wahi a pale iā ʻoe mai ke kau ʻana i ke kaʻina hana.

E hoʻokomo ʻia kahi kiaʻi waha e pale i kou mau niho a me ka endoscope. Inā komo ʻoe i nā niho niho, pono ʻoe e wehe iā lākou ma mua.

E moe ʻoe ma kou ʻaoʻao hema, a na kāu kauka e hoʻokomo i ka endoscope ma o kou waha a ihu paha, ma lalo o kou ʻāʻī, a i loko o kou esophagus. Hoʻokomo ʻia kekahi ea e maʻalahi ai ka ʻike ʻana a ke kauka.

E nānā pono kāu kauka i kou esophagus a nānā paha i kou ʻōpū a me luna duodenum, ʻo ia ka ʻāpana mua o ka ʻōpū liʻiliʻi. ʻIke ʻia kēia mau mea āpau a me ke kala maʻamau.

Inā hiki ke ʻike ʻia ke kahe ʻana o ke kahe, ulcer, mumū, a i ʻole nā ​​ulu ʻana, e lawe kāu kauka i nā biopsies o kēlā mau wahi. I kekahi mau hihia, e hoʻāʻo kāu kauka e kāpae i nā kinona kānalua me ka endoscope i ke kaʻina hana.

ʻO ke kaʻina hana maʻamau ma kahi o 5 a 20 mau minuke.

He aha nā pilikia e pili ana i ka moʻomeheu esophageal a me ke kaʻina hana biopsy?

Aia kahi manawa kūpono o kahi perforation a i ʻole ke kahe ʻana i ka wā o kēia hoʻokolohua. E like me nā kaʻina olakino, loaʻa paha iā ʻoe kahi hopena i nā lāʻau. Hiki i kēia ke hopena:

• paʻakikī i ka hanu ʻana
• sweating nui loa
• spasms o ka larynx
• haʻahaʻa haʻahaʻa haʻahaʻa
• ʻūlū puʻuwai

E kamaʻilio me kāu kauka inā hopohopo ʻoe e pili ana i ka hopena o ka sedatives iā ʻoe.

He aha kaʻu e manaʻo ai ma hope o ke kaʻina hana?

Ma hope o ke kaʻina hana, pono ʻoe e noho kaʻawale i nā meaʻai a me nā mea inu a hiki i ka hoʻi ʻana o kāu gag reflex. ʻAʻole paha ʻoe e ʻeha a ʻaʻohe ou hoʻomanaʻo i ka hana. Hiki iā ʻoe ke hoʻi i ka home i ka lā like.

E ʻeha iki paha kou ʻāʻī no kekahi mau lā. Hoʻomaopopo paha ʻoe i kahi ʻōpū liʻiliʻi a i ʻole ke ʻano o ke kinoea. ʻO kēia no ka mea ua hoʻokomo ʻia ka ea i ke kaʻina hana. Eia nō naʻe, ʻike ka hapa nui o ka poʻe i ka ʻeha a me ka hōʻeha ʻole ma hope o ka endoscopy.

Āhea wau e ʻike ai i kaʻu kauka?

Pono ʻoe e launa koke i kāu kauka inā hoʻomohala ʻoe i kekahi o kēia mau mea ma hope o ka hoʻāʻo.

• noho noho ʻeleʻele a koko paha
• luaʻi koko
• paʻakikī i ka ale ʻana
• fiva
• ʻeha

He mau hōʻailona paha kēia o ka maʻi a me ke kahe ʻana o loko.

He aha e hana ai ke loaʻa iaʻu nā hopena?

Inā wehe kāu kauka i kahi kikoʻī kānalua a i ʻole nā ​​pūnaewele precancerous i kāu kaʻina hana, noi paha lākou iā ʻoe e hoʻonohonoho i kahi endoscopy ukali. Mālama kēia i ka lawe ʻia ʻana o nā hunaola āpau a ʻaʻole ʻoe e pono i kahi lapaʻau hou aʻe.

Pono kāu kauka e kāhea iā ʻoe e kūkākūkā i kāu mau hopena i kekahi mau lā. Inā wehe ʻia kahi maʻi, pono paha ʻoe i nā hoʻokolohua hou aʻe a i ʻole kauka paha kau kauka i nā lāʻau e mālama ai i kou ʻano.

Inā loaʻa iā ʻoe kahi biopsy a ʻike ʻia nā hunaola maʻi ʻaʻai, e hoʻāʻo kāu kauka e ʻike i ke ʻano kikoʻī o ke kanesa, nā kumu, a me nā kumu ʻē aʻe. E kōkua kēia ʻike i kāu koho ʻana i kāu koho.