EGD ukwuu kenkowa usoro nke nchoputa nke afo

EGD ma ọ bụ fibrogastroduodenoscopy - usoro instrumental nyochaa afo na duodenum, duziri na-enyemaka nke ihe ngwa anya ngwá gastroscope. Usoro a bụ otu n'ime ndị isi na-eji ịchọpụta gastric daa ọrịa.

Egosi maka EGD afo:

- mkpa nụchaa nchoputa nke isi gastric ọrịa na (mgbu, peptic ọnyá afọ ọrịa, etuto ahụ);

- ịchọpụta na agwa mgbanwe ke afo ruru ka mgbanwe n'akụkụ akụkụ (eriri afọ, pancreas, imeju na-na-elu ilu eriri afo);

- njirimara nke mba ozu.

EGD afo gosiri maka gastric dyspepsia, karịsịa ma ọ bụrụ na ọ pụtara na ọrịa agadi karịrị afọ 40, ọbara vomiting, ruo ogologo oge afọ ọsịsa, ígwè erughi anaemia.

Contraindications nke ọmụmụ:

- esophageal ọrịa (n'ichihịa na ibelata nke akpụ, diverticulitis) na gburugburu akụkụ (retrosternal goiter aortic aneurysm, ịrịba curvature nke ọkpụkpụ azụ);

- siri ike gbasara obi na akpa ume insufficiency;

- dilated veins nke na nkọlọ.

Na-akwadebe maka EGD afo

Kụziere EGD afo adịghị achọ ọzụzụ pụrụ iche. Zubere research gastroscopy rụrụ nke ụtụtụ. The ndidi ga-abịa na ihe efu afo gastroscopy ma ọ bụghị tupu awa anọ mgbe ingestion, na-enyo enyo na pyloric stenosis - dịghị tupu awa asatọ. Mgbe X-ray ọmụmụ iji endoscopy, barium nwere ike rụrụ bụghị tupu otu ụbọchị. Emergency gastroscopy maka achọpụta ọrịa na ọgwụgwọ nzube gastric ọbara ọgbụgba a rụrụ na-enweghị mbido nkwadebe nke onye ọrịa n'oge ọ bụla. Mgbe ụfọdụ, a EGD n'okpuru ná Nkụnwụ. Nke a na-chọrọ bụ n'ihi na a na-amụ na mberede na-egosi.

Nga ndidi kọwara na n'oge usoro, na-ekwu na ilo asu. Ọkara otu awa tupu ule ndidi subcutaneously agbara atropine sulfate. A nkeji ole na ole tupu ule ẹka eze na pharyngeal mucosa mmiri dee dikaina ngwọta maka obodo Nkụnwụ. Ndidi na-etinye on a eluigwe na ala na-arụ ọrụ table ka a na ọnọdụ na n'aka ekpe. Ogwe ga-ịgbatị, n'ubu azụ, uru ahụ bụ ala. Na ọnụ na ekwuchite ịtinye n'ime a akpali mmasị nyocha ndinọ.

Na oge nke 10-15 nkeji gastroscopy. N'oge ọmụmụ, onye ọrịa ihe mgbu na-adịghị. Uji eze nke afo n'oge ọmụmụ ewebata a obere ego nke ikuku maka mkpughe nke folds nke mucous akpụkpọ ahụ. Nke a nwere ike ime ka a obere ụjọ nke na njuputa ke afo. Na ọnụnọ nke etuto ahụ n'oge gastroscopy biopsy weere histological nnyocha nke anụ ahụ na akpụ na-achọpụta ọrịa agwa.

Mgbe EGD ndidi ike iri ihe, ịṅụ ma ọ bụ anwụrụ ọkụ n'oge 1-2.5 awa ruo mgbe zuru mgbake nke-elo ihe. Ọ bụrụ na n'oge nchoputa rụrụ a biopsy - nri nke ụbọchị a na-eji naanị chilled.

Tupu EGD afo dị mkpa iji na-eduzi X-ray nyochaa onye ọrịa ewepu contraindications: esophageal ibelata, diverticulosis, varicose veins.

The ọmụmụ nwere ike ịzụlite nsogbu:

- perforation nke na nkọlọ na afo;

- agba ọbara mgbe biopsy;

- imebi nke obi na akụkụ okuku ume na usoro.

Arụ a gastroscopy na niile iwu, na-egosi na contraindications na ezi nkwadebe nke ọrịa na-enye ohere a na-amụ bụ kpamkpam mma na iji gbochie mmepe nke nsogbu.