I-EGD-esophagogastroduodenoscopy

I-Esophagogastroduodenoscopy (i-EGD) luvavanyo lokuvavanya ulungelelwaniso lwe-esophagus, isisu, kunye nenxalenye yokuqala yamathumbu amancinci (i-duodenum).

I-EGD yenziwa esibhedlele okanye kwiziko lonyango. Inkqubo isebenzisa i-endoscope. Le yityhubhu eguqukayo enesibane kunye nekhamera ekugqibeleni.

Inkqubo yenziwa ngolu hlobo lulandelayo:

• Ngexesha lenkqubo, ukuphefumla kwakho, ukubetha kwentliziyo, uxinzelelo lwegazi kunye nenqanaba leoksijini kuyakhangelwa. Iingcingo ziqhotyoshelwe kwiindawo ezithile zomzimba wakho nasemva koomatshini abajonga le miqondiso ibalulekileyo.
• Ufumana amayeza emthanjeni ukuze akuncede uphumle. Akufanele uve ntlungu kwaye ungakhumbuli inkqubo.
• I-anesthetic yendawo inokufafazwa emlonyeni wakho ukukhusela ekukhohliseni okanye ekugxibeni xa kufakwa umda.
• Isikhuseli somlomo sisetyenziselwa ukukhusela amazinyo kunye nobubanzi. Amazinyo okufakelwa kufuneka asuswe ngaphambi kokuba kuqale inkqubo.
• Wena ke lala ngecala lasekhohlo.
• Ubungakanani bufakwa nge-esophagus (ipayipi yokutya) kwisisu kunye ne-duodenum. I-duodenum yinxalenye yokuqala yamathumbu amancinci.
• Umoya ubekwa kwisikali ukwenza ukuba kube lula kugqirha ukuba abone.
• Umbane we-esophagus, isisu, kunye ne-duodenum ephezulu iyavavanywa. Ii-Biopsies zinokuthathwa kubungakanani. Ii-Biopsies ziisampulu zeethishu ezijongwa phantsi kwemicroscope.
• Unyango olwahlukeneyo lunokwenziwa, njengokulula okanye ukwandisa indawo encinci yommandla.

Emva kokuba uvavanyo lugqityiwe, awuyi kuba nakho ukutya kunye nolwelo kude kubuye i-gag reflex yakho (ke awukrwitshi).

Uvavanyo luhlala malunga nemizuzu emi-5 ukuya kwengama-20.

Landela nayiphi na imiyalelo oyinikiweyo yokufumana kwakhona ekhaya.

Awuyi kukwazi ukutya nantoni na iiyure eziyi-6 ukuya kwezi-12 ngaphambi kovavanyo. Landela imiyalelo malunga nokumisa i-aspirin kunye namanye amayeza okusika igazi ngaphambi kovavanyo.

Isitshizi se-anesthetic senza kubenzima ukuginya. Oku kuyaphela kungekudala emva kwenkqubo. Ubungakanani bunokukwenza ube gag.

Unokuziva irhasi kunye nokuhamba kwenqanaba esiswini sakho. Awuyi kuba nakho ukuziva i-biopsy. Ngenxa yokuthanjiswa, unokuziva ungonwabanga kwaye ungenayo inkumbulo yovavanyo.

Unokuziva udumbile emoyeni obekwe emzimbeni wakho. Le mvakalelo iyaphela kungekudala.

I-EGD inokwenziwa ukuba uneempawu ezintsha, ezingenakucaciswa, okanye ezingaphenduliyo kunyango, ezinje:

• Izitulo ezimnyama okanye ezilindileyo okanye ukugabha igazi
• Ukubuyisa ukutya kwakhona (ukuphinda kwenziwe kwakhona)
• Ukuziva ugcwele msinyane kunesiqhelo okanye emva kokutya kancinci kunesiqhelo
• Ukuziva ngathi ukutya kunamathele ngasemva kwethambo lesifuba
• Isitshisa
• Inani eliphantsi legazi (i-anemia) elingenakuchazwa
• Intlungu okanye ukungaphatheki kakuhle kwisisu esingasentla
• Ukuginya iingxaki okanye iintlungu ngokuginya
• Ukwehla kobunzima obungenakuchazwa
• Isihlunu okanye ukugabha okungapheliyo

Ugqirha wakho unokuyalela olu vavanyo ukuba:

• Unesifo sokuqina kwesibindi, ukukhangela imithambo edumbileyo (ebizwa ngokuba zii-varices) kwiindonga zenxalenye esezantsi yomqala, enokuqala ukopha.
• Ngaba unesifo seCrohn
• Ufuna ukulandelelwa okungakumbi okanye unyango kwimeko efunyanisiweyo

Uvavanyo lungasetyenziselwa ukuthatha isiqwenga seethambo kwi-biopsy.

I-esophagus, isisu, kunye ne-duodenum kufuneka igudile kwaye ibe nombala oqhelekileyo. Akufanele kubekho ukuphuma kwegazi, ukukhula, izilonda, okanye ukuvuvukala.

I-EGD engaqhelekanga inokuba sisiphumo se:

• Isifo seCeliac (ukonakala kumngxunya wamathumbu amancinci ukusuka kwimpendulo yokutya i-gluten)
• Ii-varopha ze-Esophageal (imithambo edumbileyo kwimbombo yesopha ebangelwa sisibindi sokuqina kwesibindi)
• I-Esophagitis (umgca we-esophagus uyavutha okanye uvuvuka)
• I-Gastritis (ulusu lwesisu kunye ne-duodenum iyavutha okanye idumbe)
• Isifo se-reflux sesifo se-Gastroesophageal (imeko apho ukutya okanye ulwelo oluvela esiswini luvuza ngasemva kwi-esophagus)
• I-hiatal hernia (imeko apho inxenye yesisu inamathela esifubeni ngokuvula kwi-diaphragm)
• Isifo seMallory-Weiss (zinyembezi kwi-esophagus)
• Ukunciphisa i-esophagus, efana nesimo esibizwa ngokuba yi-esophageal ring
• Izibilini okanye umhlaza kwisisu, isisu, okanye i-duodenum (inxalenye yokuqala yamathumbu amancinci)
• Izilonda, isisu (isisu) okanye i-duodenal (amathumbu amancinci)

Kukho ithuba elincinci lomngxunya (ukugqobhoza) esiswini, i-duodenum, okanye i-esophagus ukusuka kwisikali esihamba kwezi ndawo. Kukho umngcipheko omncinci wokopha kwindawo ye-biopsy.

Unokuba nokuphendula kunyango olusetyenzisiweyo ngexesha lenkqubo, enokubangela:

• I-apnea (ayiphefumli)
• Ubunzima bokuphefumla (uxinzelelo lokuphefumla)
• Ukubila okugqithisileyo
• Uxinzelelo lwegazi oluphantsi (hypotension)
• Intliziyo encinci (bradycardia)
• Spasm yomqala (laryngospasm)

I-Esophagogastroduodenoscopy; I-endoscopy ephezulu; Gastroscopy

• I-reflux ye-Gastroesophageal-ukukhutshwa

• I-endoscopy yesisu
• I-Esophagogastroduodenoscopy (i-EGD)

I-Koch MA, iZurad EG. I-Esophagogastroduodenoscopy. Ku: Fowler GC, ed. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahl. 91.

UVargo JJ. Ukulungiselela kunye neengxaki ze-GI endoscopy. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 41.