Uvavanyo lwe-EGD (Esophagogastroduodenoscopy)

Umxholo

• Kutheni uvavanyo lwe-EGD lwenziwa
• Ukulungiselela uvavanyo lwe-EGD
• Uvavanyo lwe-EGD lwenziwa phi kwaye lwenziwa njani
• Umngcipheko kunye neengxaki zovavanyo lwe-EGD
• Ukuqonda iziphumo
• Yintoni onokuyilindela emva kovavanyo

Yintoni uvavanyo lwe-EGD?

Ugqirha wakho wenza i-esophagogastroduodenoscopy (i-EGD) yokuvavanya ulungelelwaniso lwe-esophagus, isisu kunye ne-duodenum. I-esophagus yityhubhu yemisipha edibanisa umqala wakho nesisu sakho kunye ne-duodenum, eyinxalenye ephezulu yamathumbu akho amancinci.

I-endoscope yikhamera encinci kwityhubhu. Uvavanyo lwe-EGD lubandakanya ukugqithisa i-endoscope ezantsi komqala wakho kunye nobude besisu sakho.

Kutheni uvavanyo lwe-EGD lwenziwa

Ugqirha wakho unokucebisa uvavanyo lwe-EGD ukuba uneempawu ezithile, kubandakanya:

• kakhulu, isisu esingapheliyo
• ukugabha igazi
• ezimnyama okanye ezilindileyo
• ukutya okuvuselelayo
• iintlungu esiswini sakho esingasentla
• i-anemia engachazwanga
• isicaphucaphu esiqhubekayo okanye ukugabha
• ukwehla kobunzima obungachazwanga
• imvakalelo yokugcwala emva kokutya kancinci kunesiqhelo
• uvakalelo lokuba ukutya kufakwe emva kwethambo lakho lesifuba
• intlungu okanye ubunzima bokuginya

Ugqirha wakho unokusebenzisa olu vavanyo ukunceda ukubona ukuba unyango luhamba kakuhle kangakanani okanye ukulandela iingxaki ukuba unayo:

• Isifo sikaCrohn
• izilonda Peptic
• ukuqina kwesibindi
• Imithambo edumbileyo kwindawo yakho esezantsi

Ukulungiselela uvavanyo lwe-EGD

Ugqirha wakho uya kukucebisa ukuba uyeke ukuthatha amayeza afana ne-aspirin (iBufferin) kunye nezinye iiarhente zokucoca igazi kangangeentsuku ezininzi phambi kovavanyo lwe-EGD.

Awuyi kukwazi ukutya nantoni na iiyure ezingama-6 ukuya kwezi-12 ngaphambi kovavanyo. Abantu abanxibe amazinyo emboleko baya kucelwa ukuba babasuse xa bevavanywa. Njengalo lonke uvavanyo lwezonyango, uyakucelwa ukuba utyikitye ifomu yemvume ngaphambi kokuba wenze inkqubo.

Uvavanyo lwe-EGD lwenziwa phi kwaye lwenziwa njani

Ngaphambi kokuba ulawule i-EGD, ugqirha wakho uya kukunika i-sedative kunye ne-painkiller. Oku kuthintela ekubeni uve naziphi na iintlungu. Ngokwesiqhelo, abantu abalukhumbuli novavanyo.

Ugqirha wakho unokuphalaza i-anesthetic yendawo emlonyeni wakho ukuyeka ukugcoba okanye ukukhwehlela njengoko i-endoscope ifakwe. Kuya kufuneka unxibe isikhuseli somlomo ukunqanda ukonakala kwamazinyo akho okanye ikhamera.

Ugqirha emva koko ufaka inaliti efakwa ngaphakathi (IV) engalweni ukuze bakunike amayeza kuvavanyo. Uya kucelwa ukuba ulale kwicala lasekhohlo ngexesha lenkqubo.

Nje ukuba iidrinks zisebenze, i-endoscope ifakwa kwindawo yakho kwaye idluliselwe kwisisu sakho nakwinxalenye ephezulu yamathumbu akho amancinci. Umoya ugqityiwe nge-endoscope ukuze ugqirha wakho abone ngokucacileyo umgca we-esophagus yakho.

Ngexesha loviwo, ugqirha unokuthatha iisampulu ezincinci zeethishu esebenzisa i-endoscope. Ezi sampuli kamva ziya kuvavanywa ngemicroscope ukufumanisa nayiphi na into engaqhelekanga kwiiseli zakho. Le nkqubo ibizwa ngokuba yi-biopsy.

Unyango ngamanye amaxesha lunokwenziwa ngexesha le-EGD, njengokukhulisa nayiphi na indawo emxinwa ngokungaqhelekanga yomqala wakho.

Uvavanyo olupheleleyo luhlala phakathi kwemizuzu emi-5 ukuya kwengama-20.

Umngcipheko kunye neengxaki zovavanyo lwe-EGD

Ngokubanzi, i-EGD yinkqubo ekhuselekileyo. Kukho umngcipheko omncinci kakhulu wokuba i-endoscope iya kubangela umngxunya omncinci kwisisu sakho, isisu, okanye amathumbu amancinci. Ukuba kwenziwa i-biopsy, kukho umngcipheko omncinci wokopha ixesha elide kwindawo apho izicwili zithathwe khona.

Abanye abantu banokuphendula kwizidambisi kunye neepilisi zentlungu ezisetyenziswe kuyo yonke inkqubo. Oku kunokubandakanya:

• ubunzima bokuphefumla okanye ukungakwazi ukuphefumla
• uxinzelelo lwegazi oluphantsi
• ukubetha kwentliziyo kancinci
• ukubila okugqithisileyo
• spasm yomqala

Nangona kunjalo, ngaphantsi komntu omnye kubantu abayi-1 000 bafumana ezi ngxaki.

Ukuqonda iziphumo

Iziphumo eziqhelekileyo zithetha ukuba ulwelo olupheleleyo lwangaphakathi lwe-esophagus yakho luthambile kwaye alubonisi zimpawu zilandelayo:

• ukudumba
• ukukhula
• izilonda
• ukopha

Oku kulandelayo kunokubangela iziphumo ze-EGD engaqhelekanga:

• Isifo seCeliac siphumela kumonakalo kumathumbu akho emathumbu kwaye sithintele ekufunxeni izondlo.
• Amakhonkco e-esophageal kukukhula okungaqhelekanga kwezihlunu ezenzeka apho isopha sakho sijoyina isisu sakho.
• Ii-varopha ze-Esophageal yimithambo edumbileyo ngaphakathi komda we-esophagus yakho.
• I-hernia yokuzalwa kukuphazamiseka okubangela ukuba inxenye yesisu sakho sikhuphe ngokuvula kwidayaphragm yakho.
• I-Esophagitis, i-gastritis, kunye ne-duodenitis ziimeko zokuvuvukala kwimbambo yesisu sakho, isisu, kunye namathumbu amancinci aphezulu, ngokwahlukeneyo.
• Isifo se-reflux sesifo se-Gastroesophageal (GERD) sisifo esibangela ukuba ulwelo okanye ukutya okuvela esiswini sakho kubuyele kwisophagus sakho.
• Isifo seMallory-Weiss sisifo esikrazukileyo kwisingxobo somqala wakho.
• Izilonda zinokubakho esiswini sakho okanye emathunjini amancinci.

Yintoni onokuyilindela emva kovavanyo

Umongikazi uya kukujonga malunga neyure elandela uvavanyo ukuze aqiniseke ukuba i-anesthetic iphelile kwaye uyakwazi ukugwinya ngaphandle kobunzima okanye ukungahambi kakuhle.

Unokuziva ukhululekile. Unokuba ne-cramping encinci okanye umqala obuhlungu. Iziphumo ebezingalindelekanga ziqhelekile kwaye kufuneka zihambe kwaphela ngaphakathi kweeyure ezingama-24. Linda ukutya okanye ukusela de ube uginye kamnandi. Nje ukuba uqale ukutya, qala ngokutya okulula.

Kuya kufuneka ufune unyango kwangoko ukuba:

• iimpawu zakho zibi kakhulu kunaphambi kovavanyo
• unengxaki yokuginya
• Uziva unesiyezi okanye ufe isiqaqa
• uyagabha
• Uqaqanjelwa sisisu
• unegazi kwisitulo sakho
• awukwazi kutya okanye usele
• uchama ngaphantsi kunesiqhelo okanye hayi tu

Ugqirha wakho uya kuhamba nawe kwiziphumo zovavanyo. Banoku-odola uvavanyo ngakumbi ngaphambi kokuba bakunike isifo okanye benze isicwangciso sonyango.