EGD zvikuru zvakwo nzira nechirwere mudumbu

EGD kana fibrogastroduodenoscopy - nzira paku kuongorora mudumbu uye duodenum, zvinoitiswa tichibatsirwa ane Manyiminya chiridzwa gastroscope. Nzira iyi ndiyo imwe kiyi inoshandiswa rokuongorora gastric zvokurwara.

Zvairatidza kuti EGD dumbu:

- kudikanwa kunatsiridza nechirwere chinonyanya gastric zvirwere (gastritis, peptic urikanwi chirwere, anomera);

- kuziva hunhu kuchinja mudumbu nokuda kuchinja pedyo nhengo (ura, rwatata, chiropa uye nenduru dundira);

- kuziva miviri yokumwe.

EGD dumbu zvinoratidzwa nekuda gastric dyspepsia, kunyanya kana akaonekwa varwere vakwegura kwemakore 40, ropa kurutsa, kwenguva refu manyoka, simbi kushaikwa kupererwa neropa.

Contraindications kudzidza:

- esophageal chirwere (scarring uye aienda pamusoro bundu, diverticulitis) uye dzakapoteredza nhengo (retrosternal goiter kutsemuka aneurysm, zvinokosha curvature pamusoro muzongoza);

- zvakakomba cardiac uye pulmonary insufficiency;

- dilated mutsinga of yegurokuro.

Kugadzirira EGD dumbu

Kuita EGD dumbu hakurevi dzidzo chaiyo. Vakaronga tsvakurudzo gastroscopy kuitwa mangwanani. Murwere anofanira kuuya usina chawadya gastroscopy kana kwete maawa vamba pane mana pashure ingestion, uye pamwe vakafungira pyloric stenosis - hapana yapfuura pane maawa masere. Mushure muchidzidza X-ray kushandisa endoscopy, barium anogona kuitwa asina kwokutanga pane zuva rimwe. Emergency gastroscopy nokuti chirwere uye dzokurapwa zvinangwa mu gastric ropa rinoitwa pasina rokutanga kugadzirira murwere chero nguva. Mune zvimwe zviitiko, rimwe EGD pasi yokutindivadza. Izvi zvaida anonyanya kuti kudzidza pamusoro zvashata zvairatidza.

Pre-Murwere akatsanangura kuti panguva nzira, kutaura uye kumedza mate. Hafu yeawa pamberi bvunzo murwere subcutaneously jekiseni atropine sulfate. A maminitsi mashoma asati bvunzo iri abviswe dentures uye pharyngeal mucosa diridza dikaina mhinduro vemo yokutindivadza. Patient anoiswa pamusoro uchishandisa tafura yezvisikwa chinzvimbo kurutivi rworuboshwe. Hunde inofanira anombotwasanudza, mapendekete shure, tsandanyama vakasununguka. Mumuromo uye mutauri akaiswa mugomba chena vachiongorora raitongwa.

Ya 10-15 maminitsi gastroscopy. Munguva yokudzidza, murwere hapana marwadzo haafungi. The mhango mudumbu pataidzidza rinounza shoma mhepo nokuda Kuzarurwa Nhindi mucous membrane. Izvi zvingakonzera chiduku manzwiro pakuzara mudumbu. In pamberi namamota panguva gastroscopy biopsy kutora histological kuongororwa kuti zvinyama uye bundu chirwere hunhu.

Mushure EGD murwere asingagoni kudya, kunwa kana utsi mumaawa 1-2.5 kusvikira zvizere kuzoita kumedza. Kana munguva kuferefeta vakatakura akabudisa biopsy - zvokudya zuva rinoshandiswa chete two chilled.

EGD dumbu pamberi zvakakodzera kuita X-ray pakuongorora murwere kuti asava contraindications: esophageal aienda, diverticulosis, varicose mutsinga.

Kudzidza kunogona kuva nemamwe matambudziko:

- perforation of yegurokuro uye dumbu;

- ropa mushure biopsy;

- kutyorwa mwoyo uye kufema hurongwa.

Akatakura panze gastroscopy vose mitemo, zviratidzo uye contraindications uye yakarurama kugadzirira murwere achibvumira kudzidza iri njodzi zvachose uye kudzivirira kukura yematambudziko.