Inkcubeko yoqhekeko

Umxholo

• Yintoni inkcubeko yokuqhawuka ngomqala?
• Yintoni injongo yenkcubeko yokuvuthwa kwemiqala?
• Zifunyanwa njani iinkcubeko zokuxhamla umqala?
• Yeyiphi imingcipheko edibene nenkcubeko yokuqaqamba kwamalungu kunye nenkqubo ye-biopsy?
• Ndinokulindela ntoni emva kwenkqubo?
• Ndifanele ndimbone nini ugqirha wam?
• Kuza kwenzeka ntoni xa ndifumana iziphumo?

Yintoni inkcubeko yokuqhawuka ngomqala?

Inkcubeko yokujonga umqala kuvavanyo lwaselebhu olujonga iisampulu zethishu esophagus kwiimpawu zosulelo okanye umhlaza. I-esophagus yakho yityhubhu ende phakathi komqala wakho nesisu. Ihambisa ukutya, ulwelo, kunye namathe ukusuka emlonyeni wakho ukuya kwinkqubo yokugaya ukutya.

Ngenkcubeko yokuxinwa, izicubu ezivela kwi-esophagus zifumaneka kwinkqubo ebizwa ngokuba yi-esophagogastroduodenoscopy. Oku kubizwa ngokuba yi-EGD okanye i-endoscopy ephezulu.

Ugqirha wakho unokuyalela olu vavanyo ukuba ukrokrela ukuba unentsholongwane kwi-esophagus yakho okanye ukuba awuphenduli unyango kunyango lwe-esophageal.

Ii-Endoscopies zihlala zenziwa ngaphandle kokunyanga ngaphandle kokuthomalalisa. Ngexesha lenkqubo, ugqirha ufaka isixhobo esibizwa ngokuba yi-endoscope emqaleni wakho kwaye wehle umqala wakho ukuze ufumane iisampulu zethishu.

Uninzi lwabantu luyakwazi ukubuyela emakhaya ngaphakathi kweeyure ezimbalwa zovavanyo kwaye banike ingxelo encinci okanye akukho zintlungu okanye ukungonwabi.

Iisampulu zethishu zithunyelwa kwilebhu yohlalutyo, kwaye ugqirha wakho uya kukubiza ngeziphumo kwiintsuku nje ezimbalwa.

Yintoni injongo yenkcubeko yokuvuthwa kwemiqala?

Ugqirha wakho unokucebisa inkcubeko yokuqunjelwa ukuba acinge ukuba unokuba nosulelo kwi-esophagus okanye ukuba unentsholongwane esele ingaphenduli kunyango njengoko kufanelekile.

Ngamanye amaxesha, ugqirha wakho uthatha i-biopsy ngexesha le-EGD yakho. Uvavanyo lwe-biopsy lokukhula okungaqhelekanga kweseli, njengomhlaza. Izicubu ze-biopsy zinokuthathwa kusetyenziswa inkqubo efanayo nenkcubeko yomqala wakho.

Iisampulu zithunyelwa kwilebhu kwaye zibekwe kwisitya senkcubeko kwiintsuku ezimbalwa ukubona ukuba zikhona na iintsholongwane, ifungi, okanye intsholongwane. Ukuba akukho nto ikhulayo kwisitya selabhoratri, uthathwa njengesiphumo esiqhelekileyo.

Ukuba kukho ubungqina bosulelo, ugqirha wakho unokufuna uku-odola uvavanyo olongezelelweyo ukubanceda baqonde unobangela kunye nesicwangciso sonyango.

Ukuba kuthathwe i-biopsy, ugqirha wezifo uya kufunda iiseli okanye izicwili phantsi kwemicroscope ukumisela ukuba ngaba banomhlaza okanye banomdla. Iiseli ezinomdla kwangaphambili ziiseli ezinokuthi zikhule zibe ngumhlaza. I-biopsy kuphela kwendlela yokuchonga umhlaza ngokuchanekileyo.

Zifunyanwa njani iinkcubeko zokuxhamla umqala?

Ukufumana isampulu yethishu yakho, ugqirha wakho wenza i-EGD. Kolu vavanyo, ikhamera encinci, okanye i-endoscope eguqukayo, ifakwa ezantsi emqaleni. Iiprojekthi zekhamera imifanekiso kwiscreen kwigumbi lokusebenza, ivumela ugqirha wakho ukuba abenombono ocacileyo we-esophagus yakho.

Olu vavanyo alufuni malungiselelo amaninzi kwicala lakho. Kuya kufuneka uyeke ukuthatha naliphi na igazi elincinci, ii-NSAID, okanye amanye amayeza achaphazela ukujiya kwegazi kangangeentsuku ezininzi ngaphambi kokuba kwenziwe uvavanyo.

Ugqirha wakho uyakukucela ukuba ukhawuleze iiyure eziyi-6 ukuya kwezi-12 ngaphambi kwexesha lakho lokuvavanya. I-EGD ngokubanzi yinkqubo yezigulana ezingalaliswayo, oko kuthetha ukuba ungagoduka uyilandele kwangoko.

Kwiimeko ezininzi, umgca we-intravenous (IV) uya kufakwa kumthambo engalweni yakho. I-sedative kunye ne-painkiller iya kutofwa nge-IV. Umboneleli wezempilo unokuphalaza i-anesthetic yendawo emlonyeni wakho nasemqaleni ukuze unqabise indawo kwaye kukuthintela ukuba ungagxili ngexesha lenkqubo.

Kuya kufakwa umgcini-mlomo ukukhusela amazinyo akho kunye ne-endoscope. Ukuba unxiba amazinyo emboleko, kuya kufuneka uwasuse kwangaphambili.

Uya kulala ngecala lakho lasekhohlo, kwaye ugqirha wakho uya kufaka i-endoscope ngomlomo okanye ngempumlo, ezantsi komqala wakho, nakwi-esophagus yakho. Eminye imimoya iya kufakwa ukwenza ukuba kube lula kugqirha ukuba ayibone.

Ugqirha wakho uya kujonga ngokungaboniyo isisu sakho kwaye unokuvavanya isisu sakho kunye ne-duodenum ephezulu, eyinxalenye yokuqala yamathumbu amancinci. Zonke ezi zinto kufuneka zibonakale zigudile kwaye zinombala oqhelekileyo.

Ukuba kukho ukopha okubonakalayo, izilonda, ukudumba, okanye ukukhula, ugqirha wakho uya kuthatha ii-biopsies zezo ndawo. Ngamanye amaxesha, ugqirha wakho uya kuzama ukususa naziphi na izicubu ezikrokrelayo kunye ne-endoscope ngexesha lenkqubo.

Inkqubo ngokubanzi ihlala malunga nemizuzu emi-5 ukuya kwengama-20.

Yeyiphi imingcipheko edibene nenkcubeko yokuqaqamba kwamalungu kunye nenkqubo ye-biopsy?

Kukho ithuba elincinci lokuqhekeka okanye ukopha ngexesha lovavanyo. Njengayo nayiphi na inkqubo yonyango, unokuba nayo impendulo kumayeza. Oku kunokubangela:

• ubunzima bokuphefumla
• ukubila okugqithisileyo
• spasms kwingqula
• uxinzelelo lwegazi oluphantsi
• ukubetha kwentliziyo kancinci

Thetha nogqirha wakho ukuba unenkxalabo malunga nokuba iindlela zokudambisa zinokukuchaphazela njani.

Ndinokulindela ntoni emva kwenkqubo?

Ukulandela inkqubo, kuyakufuneka uhlale kude nokutya kunye neziselo kude kubuye i-gag reflex yakho. Ngokuqinisekileyo awuyi kuva zintlungu kwaye awuyi kuba nenkumbulo yokusebenza. Uyakwazi ukubuyela ekhaya kwangolo suku.

Umqala wakho ungaziva buhlungu kangangeentsuku ezimbalwa. Unokuziva uziva ubhityile nje kancinci okanye uvakalelo lwegesi. Kungenxa yokuba kufakwe umoya ngexesha lenkqubo. Nangona kunjalo, uninzi lwabantu luziva lincinci okanye akukho ntlungu okanye ukungonwabi emva kwe-endoscopy.

Ndifanele ndimbone nini ugqirha wam?

Kuya kufuneka unxibelelane nogqirha wakho ngokukhawuleza ukuba uphuhlisa oku kulandelayo emva kovavanyo:

• isitulo esimnyama okanye esinegazi
• ukugabha okunegazi
• ubunzima ekuginyeni
• ifiva
• intlungu

Oku kunokuba ziimpawu zosulelo kunye nokopha ngaphakathi.

Kuza kwenzeka ntoni xa ndifumana iziphumo?

Ukuba ugqirha wakho ususe naziphi na izicubu okanye iiseli ezixakekileyo ngexesha lenkqubo yakho, banokukucela ukuba ucwangcise i-endoscopy yokulandela. Oku kuqinisekisa ukuba zonke iiseli zazisuswa kwaye awudingi naluphi na unyango olongezelelweyo.

Ugqirha wakho kufuneka akubize ukuba uxoxe ngeziphumo zakho kwiintsuku ezimbalwa. Ukuba usulelo lwatyhilwa, unokufuna iimvavanyo ezongezelelweyo okanye ugqirha unokukuyalela amayeza ukunyanga imeko yakho.

Ukuba une-biopsy kunye neeseli ezinomhlaza zafunyanwa, ugqirha wakho uya kuzama ukufumanisa uhlobo oluthile lomhlaza, imvelaphi yalo kunye nezinye izinto. Olu lwazi luya kunceda ukumisela ukhetho lwakho lonyango.