EGD haholo rutang mokhoa oa phumano ea mala

EGD kapa fibrogastroduodenoscopy - mokhoa oa ho hlahloba ka liletsa tsa ka mpa le duodenum, a khanna ka thuso ea e Optical seletsa gastroscope. mokhoa ona ke o mong oa senotlolo sebediswa ho fumana gastric malwetse.

Ho bonahala ho EGD mpeng:

- ho hlokahala hore a hloekise ba fumanoe mafu a mathomo gastric (gastritis, peptic seso lefu, lihlahala);

- qeto ea hore na liphetoho tlhaku le ka mpeng le ka lebaka la ho liphetoho ka makala haufi (intestine, manyeme, sebete le senya nyooko);

- boitsebiso ba 'mele e' ngoe.

EGD mala e bontšoa ho dyspepsia gastric, haholo-holo haeba ho hlaha ka bakuli ba hōlileng ba fetang lilemo tse 40, mali ho hlatsa, letshollo ka nako e telele, khaello tšepe khaello ea mali.

Contraindications ea thuto:

- esophageal lefu (scarring le narrowing tsa hlahala, diverticulitis) le pota-potileng makala (retrosternal goiter aortic aneurysm, bohlokoa kotlobane la mokokotlo);

- matla cardiac le methapo insufficiency;

- dilated methapong ya metso ea.

Lokisetsa bakeng sa EGD mala

Ho khanna EGD mala ha a hloke ho fana ka koetliso e khethehileng. Rerile ho etsa lipatlisiso gastroscopy etsoa hoseng. Mokuli o lokela ho tla ka letho mala gastroscopy kapa ha lihora tse pele ho moo ho feta a mane ka mor'a a e-ja, 'me ka belaela pyloric stenosis - ha ho pele ho moo ho feta lihora tse robeli. Ka mor'a thuto ea X-ray sebelisa endoscopy, barium ka ho phethahatsoa ha pejana ho letsatsi le le leng. Emergency gastroscopy merero tekotshupo le phekola ka mali gastric e etsoa ntle ho lokisetsa pele sa mokuli ka nako efe kapa efe. Maemong a mang, e EGD tlas'a thethebatso. Sena se hlokahala haholo-holo bakeng sa ho ithuta ka matšoao a tšohanyetso.

Pele ho ba le mamello o ile a hlalosa hore nakong ea ho buuoa hoo ho, bua le koenya mathe. ka hora halofo pele teko mamello subcutaneously tshelwa atropine sulfate. A metsotso e seng mekae pele teko e nkiloeng ho tsoa meno a maiketsetso le pharyngeal mucosa nosetsa dikaina tharollo bakeng sa thethebatso moo. Mamello e beha ka ho ba bokahohleng tafole bueloang ho boemong bo ka lehlakoreng le letšehali. kutu lokela ho otlolloa, mahetleng morao, mesifa ke phutholohile. Ka molomo oa ka le 'muelli e kenngoa ka e fatang nyopa tsamaisoa.

The nako ya metsotso 10-15 gastroscopy. Nakong ea thuto, ho ba le mamello ha bohloko ha a ikutloe. The cavity ea mala nakong ea thuto go gorosa e nyenyane ea moea bakeng sa ho senoleha ha lemenong la lera mucous. Sena se ka etsa hore boikutlo nyenyane ea botlalo ka mpeng. Ka ho ba teng ha lihlahala nakong gastroscopy biopsy nkoa tlhlahlobo histological ya dinama tse nyenyane tse le hlahala tekotshupo botho ba hae.

Ka mor'a hore EGD mamello ke ke je, u noe kapa mosi lihoreng 1-2.5 fihlela hlaphoheloa feletseng tsa metsa. Haeba nakong lipatlisiso atlehe biopsy - lijo ea letsatsi e sebediswa chilled feela.

Pele EGD mala ke ho hlokahala hore ho tsamaisa X-ray hlahloba mokuli ho qhelela ka thōko contraindications: esophageal narrowing, diverticulosis, varicose methapong.

ho ithuta ho ka ntshetsa pele mathata:

- perforation ya metso 'me mpeng;

- tsoa mali ka mor'a biopsy ea;

- ditlolo tsa pelo le tsamaiso ea ho hema.

Ho phetha e gastroscopy le melao yohle, ho bonahala le ho contraindications le ho lokisetsa e nepahetseng ea mamello dumella ho ithuta ena ke sireletsehileng ka ho feletseng le ho thibela ntshetsopele la mathata.