How kuongorora duku ura? kuongorora chirwere nzira. Kugadzirira Nokuda colonoscopy

Kugaya kunotanga nomumukanwa yevanhu mhango uye kumugumo mugaranhoko. Kureva, chobudira anenge nomuviri rose. Kana iwe kuyera kureba, zvichava anopfuura mamita 3. Mumwe zvinoumba ari zvomudumbu turakiti ndiye ura duku. Mariri pane kugaya uye Absorção de Água nezvinovaka muviri. Kutyora ura duku kunotungamirira nokuvhiringidzirwa mabasa aya. Somugumisiro, kukura enteritis - chirwere hworatidza pacharo achinje hunhu pachituru (manyoka, kupatira), uye kurwadziwa mudumbu. Sei kuongorora zviri ura diki pamberi zvokurwara? Chirwere Inosanganisa turakiti zvirwere zvakasiyana-siyana. Pakati pavo - endoscopic, radiological uye mumarabhoritari nemiedzo.

Zvairatidza kuti chirwere kuti bowel duku

Chero zvazvingava, tarisa duku ura? Kudzidza GI ichi kunze pamberi chirwere zviratidzo. Vakawanda zvirwere ura duku vari anogumbura urongwa, benign uye nyanyisa anomera. Pane zvinotevera zvairatidza kuti chirwere pamusoro pathologies:

1. Chenjera uye chisingaperi enteritis. Chiri chirwere anogumbura, izvo zvinogona kukonzerwa utachiona siyana. Pakati pavo - E. coli, rotavirus uye enteric, staphylococci, etc ...
2. chirwere Crohn vake. zvokurwara Izvi zvinoreva dzakananga anogumbura kwendangariro. chirwere Crohn kunogona kukanganisa zvikamu dzose zvomudumbu turakiti. Kakawanda kuchinja anoparadza kuitika zviri ura duku. Zvinofungidzirwa kuti chirwere ane autoimmune mashandiro okukura, uyewo nhaka.
3. Benign mapundu ose ura duku. Izvi zvinosanganisira polyps, fibroma, lipoma, angioma, uye zvichingodaro. D.
4. Kenza duku ura zvokurwara. Kudziridza kubva mumasero undifferentiated. colorectal kenza chinokonzera ndiko kuvapo refu-zviripo chisingaperi anogumbura urongwa, benign namamota, zvirwere zvokudya uye mupfungwa.

Chikonzero nechirwere kunyunyuta dzakadaro se anosimbirira kurwadziwa mudumbu (achiine rukuvhute nharaunda), kupererwa neropa, havachanyatsogoni chetsoka.

How kuongorora duku ura: Nzira

Akapiwa nzvimbo ura duku, zvinganzi nharo kuti kuwana kazhinji zvakaoma. Saka, mamiriro ari nhengo Kukoshesa rinoitwa muna 2 munzira. Origin (EGD) kunosanganisira rokuongorora muviri kuburikidza nomumukanwa mhango. Saka unogona kuona kutanga ura duku. nzira The chechipiri nechirwere - munhu colonoscopy. Muchiitiko chino, kuri rinoitwa nokusuma ari endoscope kubudikidza horo. Achibatsirwa imwe colonoscopy anogona kuyera ezvinhu distal ura diki.

Kuwedzera endoscopic nzira, pane dzimwe chirwere nzira. How kuongorora duku ura pasina colonoscopy uye EGD? Govera inotevera muviri kutsvakurudza nzira:

1. ongororo Physical. Ndiro danho rokutanga diagnosing zvirwere ura duku. By mumuviri kuongororwa uye palpation of zvakaburitswa percussion dumbu.
2. Laboratory zvidzidzo. Nemhaka kuongorora tinogona kuwana kana kuina kushoma, uyewo kenza. Murabhoritari chirwere nzira dzinosanganisira: KLA, kudzidza mutsvina yadzo vaname cytology.
3. Radiography pakati mudumbu pamwe kusiyana. Nzira iyi zvinobatsira kuziva pamberi kuchinja intestinal parusvingo, mumvuri anomera.
4. Biopsy uye histological kuzviongorora. It aitira vanofungidzirwa oncologic muitiro.

Zvose izvi chirwere kurapa vari zvikuru kuziva diki bowel pathologies. Kazhinji vanofanira kumhanya vakawanda tsvakurudzo nzira.

How kuongorora duku ura, miedzo zvirwere

Mushure nekunhonga zvichemo pakuongorora murwere vakafunga diki bowel chirwere, murabhoritari kuongorora chirwere. Chekutanga ushandiswe yokudzidza mukuru uye nokukanganisika miedzo ropa. KLA anoratidza kuvapo kuzvimba pamuviri. Mukuwedzera, achibatsirwa kwayo unogona kuwana kubva hunhu nayo utachiona (utachiona kana mavhairasi). In nemuumbi kumhanyisa kuti erythrocyte sedimentation exchange anofanira vanofungidzirwa kenza. Zvikuru kuti chirwere imwe chitsiko yokuenzanisira - scatoscopy. Mariri vanowanikwa dzasara undigested zvokudya (tsandanyama fibers, faibha, mafuta acids).

Endoscopic kuzviongorora ura duku

How kutarisa ura duku kushandisa endoscopic nzira kuongorora? Nokuti chinangwa ichi, pane 2 chirwere dzokuvhiya. Chokutanga - ndiye EGD. With Ongororo iyi Rinotarisira kuona rokumusoro nemudumbu. Izvi zvinosanganisira yegurokuro, dumbu uye duodenum. Nokuda EGD inogona chirwere: duodenitis, duodenal urikanwi, chirwere Crohn vake. zvirwere zvose izvi kutanga kana kutanga kuzvimba ura duku. Uyezve, ichi endoscopic nzira kunobatsira kuziva benign uye nyanyisa pezvakaitwa mukati PCT.

Chirwere of ura duku kazhinji rinosanganisira colonoscopy. Kuongorora kwakadaro anogadzwa zvaipesana chetsoka, kurwadziwa mudumbu. Inogona kushandiswa kufungidzira mutete kwete chete, asiwo yakakura ura. Kunoitawo kuti kuongorora mamiriro masvingo uye muviri lumen. Nokuda colonoscopy dzakaonekwa anogumbura zvachinja ura, inoparadza urongwa, neoplasms. Uyezve, panguva imwe chete kudzidza ichi angabudisa muviri tishu biopsy.

Kugadzirira Nokuda colonoscopy nzira

Kugadzirira Nokuda colonoscopy kunokosha chaizvo. Kuti aite rimwe Qualitative kuongorora, ura zvinofanira kucheneswa kubva mutsvina yadzo zvachose. Visualization zvinogonawo kuputswa apo gasi kuunganidza ari lumen ari nhengo. Kugadzirira Nokuda colonoscopy kunosanganisira anotevera:

1. Kudhayeta kwemazuva 2-3 pamberi kuongorora. Ko kunze zvokudya zvinogadzirwa kuti dzinotungamirira vawedzere gasi kugadzirwa. Izvi zvinosanganisira mirivo (makabheji, beets), maapuro, chingwa chichena uye nezvimwe furawa zvigadzirwa, mukaka Porridge.
2. Muura Kuchenesa. Izvi zvinogona kuitwa tichibatsirwa mishonga. Drug nokuti bowel kuchenesa chinhu laxative "Fortrans". The mushonga inowanika upfu chimiro uye rakasanganiswa muna 3 litres mvura. The zvichiguma mhinduro zvinokosha kushandisa zuva pamberi kudzidza uye mangwanani (pamberi nzira).

Uyewo, kuchenesa ura, unogona kushandisa enemas. Zvisinei, mumwe kurapwa zvakakwana. Zvinokurudzirwa kuti kuchenesa enema 3-4 nguva.

Chirwere chekenza pathologies of ura duku

How kuongorora duku ura kuti kenza, uyewo kusiyanisa benign mapundu nekenza? Vanofungidzirwa neoplasm kungava zvichemo murwere uye migumisiro pamusoro chirwere nzira. Zvisinei, kuongororwa zvakarurama vachava zvinogoneka chete pashure kuitisa chinokosha kuongorora. Izvi zvinosanganisira biopsy kuongorora pamusoro cytology uye histology. Zvibereko fenzi mashoko ongororo zvinogoneka pachishandiswa endoscopic chirwere nzira - EGD (pamwe duodenal mapundu) kana colonoscopy. Cytological ongororo kunoita kuti vaongorore mamiriro masero anoumba bundu. The mwero Kusiyanisa kuti bundu rinenge yakatangwa histological kuzviongorora.

Sezvo vanofungidzirwa nekenza ura duku?

Oncological pezvakaitwa ari ura duku havasi vanoonekwa kwakapararira kenza pathologies. Saka, nguva rokuongorora zvirwere izvi dzimwe nguva zvakaoma. Chete kana zvimwe zviratidzo uye zvinogona vanofungidzirwa nekenza ura duku pashure dzakatevedzana zveBhaibheri. The maitiro zviratidzo zvinosanganisira: kurwadziwa achiine rukuvhute mhete, mesogaster. Uyezve, pangava Kuchinja chimiro uye kwemashoko chetsoka, uye kupatira. Zvishoma kacho, varwere kunetseka svoto uye kurutsa (kana bundu iri mupasi mune proximal chikamu ura). Kazhinji, kenza hwapedyo pamusoro pakanyorwa urikanwi duodenal, polyposis, Crohn chirwere.

How kuongorora duku bowel kuti vanofungidzirwa mota? Chokutanga murwere anofanira kuedzwa ropa uye mutsvina yadzo. "Zvemashiripiti ropa" dzinogona kuonekwa mune faeces. Nyaya iyi kazhinji zvinoratidza oncologic kwacho nhete kana guru ura. Kana ropa riri kuona mu pachituru rinoitwa colonoscopy pamwe biopsy tishu.

Mune zvimwe zvipatara, unogona kutarisa diki ura?

Apo Ndinogona kumisa ura diki pamberi zvokurwara? Chirwere zvirwere zviri nemudumbu rinoitwa mune zvinenge zvose muzvipatara. Zvakawanda zvokutsvakurudza rinoitwa pamusoro outpatient hwaro. Nepo murwere ari muchipatara zvokuongorora zviduku bowel zvirwere kunze muchipatara. Ita colonoscopy chero mukiriniki, ine yakakodzera zvokushandisa endoscopy.

Kuongorora zvokunyama ura duku

Nokuti nechirwere kubudikidza mumuviri nzira zvinosanganisira murwere kuongorora uye kuongorora. Kana abdominal palpation anogona kuona kuchinja zvakadai kuwedzera kana kudzikira peristalsis pane imwe nzvimbo, kuzvimba, yokururamisa pamusoro Anterior abdominal rusvingo. zviratidzo zvose izvi zvinoratidza atadze kushanda zvakanaka pamusoro ura duku. Zvisinei, hazvibviri kuisa kuongororwa zvakarurama pasina kwomurabhoritari uye richishanda zvidzidzo.

Radiological chirwere zvirwere zviri ura duku

Maekisirei pamusoro ura duku iri kazhinji kuitwa pamwe musiyano. Nokuti ichi chinangwa kuturika kuti barium. Pre zvinofanira kucheneswa muura (uye colonoscopy). Apedza zvokuongorora mufananidzo murwere vanofanira kunwa musiyano mumiririri. It echitema kuti ura, nokudaro nani Visualization. Next, iwe uchiri zvinoverengeka maekisirei. Nokudzidza ichi vanogona kuona kuchinja contours ari intestinal rusvingo (Crohn nechirwere), kuvapo namamota pamuviri lumen, maronda kuremara.