Enteroscopy

I-Enteroscopy yinkqubo esetyenziselwa ukuvavanya amathumbu amancinci (amancinci amancinci).

Umbhobho omncinci, oguqukayo (i-endoscope) ufakwa emlonyeni kunye nakwiphepha lesisu eliphezulu. Ngexesha le-enteroscopy eneebhaluni ezimbini, iibhaluni eziqhotyoshelwe kwi-endoscope zinokufakwa umoya ukuvumela ugqirha ukuba abone icandelo lamathumbu amancinci.

Kwi-colonoscopy, ityhubhu eguquguqukayo ifakwe nge-rectum yakho kunye nekholoni. Ityhubhu ihlala ifikelela esiphelweni sesisu esincinci (ileum). I-Capsule endoscopy yenziwe ngecapsule elahlayo oyiginyeyo.

Iisampulu zeethishu ezisuswe ngexesha le-enteroscopy zithunyelwa elebhu yoviwo. (Ii-Biopsies azinakuthathwa nge-capsule endoscopy.)

Musa ukuthatha iimveliso eziqukethe iasprini kwiveki e-1 ngaphambi kwenkqubo. Xelela umboneleli wakho wezempilo ukuba uthatha abacoci gazi abanjenge warfarin (Coumadin), clopidogrel (Plavix), okanye apixaban (Eliquis) kuba ezi zinokuphazamisa uvavanyo. SUKUYEKE ukuthatha naliphi na iyeza ngaphandle kokuba uxelelwe njalo ngumboneleli wakho.

Sukutya nakuphi na ukutya okuqinileyo okanye iimveliso zobisi emva kobusuku ngemini yenkqubo yakho. Unokuba nolwelo olucacileyo kude kube ziiyure ezi-4 ngaphambi koviwo lwakho.

Kufuneka usayine ifom yemvume.

Uya kunikwa amayeza okuthomalalisa kunye nokuthomalalisa le nkqubo kwaye awuyi kuziva ungonwabanga. Unokuba nokuqunjelwa okanye ukucofa xa uvuka. Oku kusuka emoyeni ofakwe kwisisu ukwandisa indawo ngexesha lenkqubo.

I-capsule endoscopy ibangela ukungathandeki.

Olu vavanyo luhlala lusenziwa ukunceda ukufumanisa isifo samathumbu amancinci. Inokwenziwa ukuba une:

• Iziphumo zeX-ray ezingaqhelekanga
• Amathumba emathunjini amancinci
• Urhudo olungachazwanga
• Ukuphuma kwegazi esiswini okungachazwanga

Kwiziphumo eziqhelekileyo zovavanyo, umboneleli akazukufumana mithombo yokopha kwisisu esincinci, kwaye akazukufumana na tumors okanye ezinye izicwili ezingaqhelekanga.

Iimpawu zinokubandakanya:

• Ukungaqhelekanga kwethishu efaka amathumbu amancinci (mucosa) okanye incinci, ingqikelelo efana nomnwe kumphezulu wamathumbu amancinci (villi)
• Ukwandiswa ngokungaqhelekanga kwemithambo yegazi (i-angioectasis) kulusu lwamathumbu
• Amaseli omzimba abizwa ngokuba yi-PAS-positive macrophage
• Iipolyps okanye umhlaza
• Imitha ye-enteritis
• Ukuvuvukala okanye ukwandisa i-lymph nodes okanye iinqanawa ze-lymphatic
• Izilonda

Utshintsho olufunyenwe kwi-enteroscopy lunokuba luphawu lokuphazamiseka kunye neemeko, kubandakanya:

• Amyloidosis
• Imvelaphi yeCeliac
• Isifo seCrohn
• I-Folate okanye i-vitamin B12
• IGiardiasis
• Isifo esisifo esosulelayo
• I-Lymphangiectasia
• KwiLymphoma
• I-angiectasia encinci yamathumbu
• Umhlaza wamathumbu amancinci
  
• I-tropical sprue
• Isifo semvubu

Iingxaki zinqabile kodwa zinokubandakanya:

• Ukopha kakhulu kwisiza se-biopsy
• Umngxunya emathunjini (emathunjini)
• Usulelo lwe-biopsy site ekhokelela kwi-bacteremia
• Ukugabha, kulandele ulangazelelo emiphungeni
• I-capsule endoscope inokubangela ukuvaleka emathunjini amxinwa ngeempawu zentlungu yesisu kunye nokudumba
  
  

Izinto ezithintela ukusetyenziswa kolu vavanyo zinokubandakanya:

• Umntu ongasebenziyo okanye odidekileyo
• Ukuphazamiseka kwegazi ekungafunyanwanga (coagulation)
• Ukusetyenziswa kweasprini okanye amanye amayeza athintela igazi ekunqandeni ngesiqhelo (ii-anticoagulants)

Umngcipheko omkhulu ukopha. Iimpawu zibandakanya:

• Intlungu zesisu
• Igazi kwizitulo
• Ukuphalaza igazi

Push enteroscopy; Enteroscopy kabini-ibhaluni; Capsule enteroscopy

• Amathumbu amancinci amathumbu
• I-Esophagogastroduodenoscopy (i-EGD)
• I-Capsule endoscopy

IBarth B, iTroendleendle Capsule endoscopy kunye ne-enteroscopy encinci yamathumbu. Ku: Wyllie R, Hyams JS, Kay M, ii-eds. Izifo zesisu esiswini kunye nezifo zesibindi. Umhla we-5. IPhiladelphia, PA: Elsevier; 2016: isahluko 63.

UMarcinkowski P, uFichera A.Ulawulo lwegazi elisezantsi lesisu. Ku: ICameron AM, uCameron JL, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2020: 341-347.

UVargo JJ. Ukulungiselela kunye neengxaki ze-GI endoscopy. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 41.

Waterman M, Zurad EG, Gralnek IM. I-capsule endoscopy yevidiyo. Ku: Fowler GC, ed. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahl. 93.