Olee na-elele obere eriri afọ? nchoputa ụzọ. Na-akwadebe maka a colonoscopy

Mgbaze-amalite mmadụ onu oghere na-agwụ nke ikensi. Nke ahụ bụ, ọ na-aga ihe fọrọ nke nta site na ya dum. Ọ bụrụ na ị tụọ ogologo, ọ ga-abụ ihe karịrị 3 mita. Otu n'ime mmiri nke na digestive tract bụ obere eriri afọ. Na ya na e nwere ihe mgbaze na absorption nke nri. Mebiri nke obere eriri afọ na-eduga ná emeghasịkwa nke ọrụ ndị a. N'ihi ya, na-emepe emepe enteritis - a ọrịa na-egosipụta onwe ya ịgbanwe ọdịdị nke stool (afọ ọsịsa, afọ ntachi), na ihe mgbu na afo. Olee otú elele obere eriri afọ na ọnụnọ nke daa ọrịa? Diagnosis nke digestive tract ọrịa n'ụzọ dị iche iche. Otu n'ime ha - endoscopic, radiological na laabu ule.

Egosi maka nchoputa nke obere bowel

Na nke ọ bụla, ịlele obere eriri afọ? The ọmụmụ nke a gị rụrụ ọnụnọ nke ọrịa ihe mgbaàmà. Kacha nkịtị ọrịa nke obere eriri afọ bụ mkpali Filiks, benign na ịza aza etuto ahụ. E nwere ndị na-esonụ na-egosi maka nchoputa nke pathologies:

1. Nnukwu na-adịghị ala ala enteritis. Bụ ihe mgbu na ọrịa, nke a pụrụ mere site dị iche iche pathogens. Otu n'ime ha - E. coli, rotavirus na enteric, staphylococci, wdg ...
2. Crohn oria. Nke a daa ọrịa na-ezo aka kpọmkwem mkpali Filiks. Crohn ọrịa pụrụ imetụta akụkụ nile nke digestive tract. Ọtụtụ mgbe ebibi mgbanwe ime na ọ bụ na obere eriri afọ. Ọ na-kweere na ọrịa bụ ihe autoimmune usoro mmepe, nakwa dị ka ketara eketa.
3. Benign etuto ahụ nke obere eriri afọ. Ndị a gụnyere polyps, fibroma, lipoma, angioma, na na. D.
4. Cancer nke obere eriri afọ daa ọrịa. Zụlite si undifferentiated mkpụrụ ndụ. eriri cancer na-akpata bụ ọnụnọ nke ogologo-ẹdude ala ala mkpali Filiks, benign etuto ahụ, nsogbu iri na nrụgide.

Ihe mere maka nchoputa nke ndị dị otú mkpesa dị ka persistent mgbu ke afo (alọ region), anaemia, mkpọchị stool.

Olee na-elele obere eriri afọ: Ụzọ

Nyere na ọnọdụ nke obere eriri afọ, ọ ga-rụrụ ụka na ohere ọ na-esikarị ike. Ya mere, ala nke ngwa nwale a rụrụ n'ime 2 ụzọ. Mmalite (EGD) agụnye nnyocha ahụ site na onu oghere. N'ihi ya, i nwere ike ịhụ na mmalite nke obere eriri afọ. The abụọ usoro nke nchoputa - a colonoscopy. Na nke a, Onyonyo na-rụrụ site ewebata endoscope site ike. Site n'enyemaka nke a colonoscopy nwere ike inwale ọnọdụ nke distal obere eriri afọ.

Ke adianade endoscopic ụzọ, e nwere ndị ọzọ na-achọpụta ọrịa ụzọ. Olee na-elele obere eriri afọ enweghị colonoscopy na EGD? Igbunye na-esonụ ahu nke nnyocha ụzọ:

1. Physical nyochaa. Ọ bụ nzọụkwụ mbụ na Ịchọpụta Otú Nsogbu ọrịa nke obere eriri afọ. Site ahụ nnyocha na palpation nke echiche percussion afo.
2. Laboratory ọmụmụ. N'ihi analysis anyị nwere ike ịchọpụta ma è nwere ihe mgbu usoro, nakwa dị ka ọrịa kansa. The laabu achọpụta ọrịa ụzọ na-agụnye: KLA, ọmụmụ nke na nsị iteto Cytology.
3. Radiography nke afo na iche. Nke a na usoro na-enyere aka ịmata ọnụnọ nke mgbanwe ndị na-nsia mgbidi, ka onyinyo nke etuto ahụ.
4. Biopsy na histological nyochaa. Ọ rụrụ maka-enyo enyo oncologic usoro.

All ndị a na-achọpụta ọrịa usoro ndị dị oké mkpa iji chọpụta obere bowel pathologies. Mkpa mgbe na-agba ọsọ multiple research ụzọ.

Olee na-elele obere eriri afọ: ule ọrịa

Mgbe obon mkpesa na nnyocha nke onye ọrịa na-enyo enyo na obere bowel ọrịa, a laabu nchoputa. Mbụ niile kenyere ọmụmụ n'ozuzu na Biochemical ọbara ule. KLA ekpughe ọnụnọ nke mbufụt ke idem. Ke adianade do, na-enyemaka nke na ọ na ị nwere ike chọpụta ọdịdị nke nje (bacteria ma ọ bụ nje). Na Omume osooso nke erythrocyte sedimentation ọnụego ga-enyo enyo na cancer. Nke dị oké mkpa maka nchoputa nke a stool sample - scatoscopy. Na ya na-hụrụ na foduru nke undigested nri (muscle emep uta eri, eriri, ọdụdụ asịd).

Endoscopic nnyocha nke obere eriri afọ

Olee na-elele obere eriri afọ iji endoscopic ụzọ nke nchoputa? N'ihi nke a, e nwere 2 achọpụta ọrịa usoro. First - ọ bụ EGD. Na nke a nnyocha e mere na ejisie iji anya nke uche elu eriri afọ tract. A na-agụnye na nkọlọ, afo na duodenum. N'ihi na EGD nwere ike chọpụtara: duodenitis, duodenal ọnyá afọ, Crohn oria. All ndị a ọrịa ịzụlite mgbe mbụ mbufụt nke obere eriri afọ. Ke adianade do, nke a endoscopic usoro na-enyere aka mata benign nakwa ajọ usoro n'ime PCT.

Diagnosis nke obere eriri afọ na-agụnyekarị a colonoscopy. Nnyocha dị otú ahụ na-họpụtara mebiri nke stool, ihe mgbu na afo. Ọ nwere ike na-eji na-anya nke uche bụghị naanị mkpa, ma na- na nnukwu mgbiri afọ. Ọ-enye gị ohere na-amata na ọnọdụ nke mgbidi na aru lumen. N'ihi colonoscopy ahụrụ mkpali mgbanwe na eriri afọ, na-ebibi Filiks, neoplasms. Ke adianade do, n'out oge na ọmụmụ a nwere ike na-emepụta n'ahụ anụ ahụ biopsy.

Na-akwadebe maka a colonoscopy usoro

Na-akwadebe maka a colonoscopy dị ezigbo mkpa. Iji mepụta a qualitative nnyocha e mere, mgbiri afọ a ga-kpamkpam kpochara nke na nsị. Anya nwekwara ike-agbaji mgbe gas ìgwè ke lumen nke ngwa. Na-akwadebe maka a colonoscopy agụnye ndị na-esonụ:

1. Ghara ibu ibu maka 2-3 ụbọchị tupu nnyocha. Ga-ekwe n'aka nri ngwaahịa na-eduga ụba gas mmepụta. Ndị a gụnyere ụfọdụ akwụkwọ nri (kabeeji, beets), apụl, na-acha ọcha achịcha na ndị ọzọ ntụ ọka ngwaahịa, mmiri ara ehi porridge.
2. Colon ọcha. Nke a nwere ike mere na-enyemaka nke ọgwụ. Drug maka bowel ọcha bụ a laxative "Fortrans". The ọgwụ dị na ntụ ntụ ụdị na na-diluted na 3 lita mmiri. Ihe ngwọta bụ mkpa na-eji ụbọchị tupu ọmụmụ ihe na-ututu (tupu usoro).

Ọzọkwa, ọcha eriri afọ ya, i nwere ike iji enemas. Otú ọ dị, otu omume bụ ezuru. Ọ na-atụ aro na-eme ka a ọcha enema 3-4 ugboro.

Diagnosis nke cancer pathologies nke obere eriri afọ

Olee na-elele obere eriri afọ maka cancer, nakwa dị ka ịmata benign etuto ahụ si cancer? Chere neoplasm nwere ike mkpesa nke onye ọrịa ahụ na-arụpụta nke n'elu-achọpụta ọrịa ụzọ. Otú ọ dị, ezi ihe nchoputa ga-ekwe omume nanị mgbe na-eduzi pụrụ iche nyocha. Ndị a gụnyere biopsy analysis na Cytology na histology. Mepụtara ngere ihe n'ihi na analysis bụ kwe omume site endoscopic achọpụta ọrịa ụzọ - EGD (na duodenal etuto ahụ) ma ọ bụ a colonoscopy. Cytological analysis na-enye ohere inwale ala nke mkpụrụ ndụ na-eme ihe ngwọta. Ogo iche nke akpụ anụ ahụ guzosie ike site histological nyochaa.

Dị ka enyo enyo cancer nke obere eriri afọ?

Oncological Filiks ke obere eriri afọ na-adịghị na-ewere zuru ebe nile cancer pathologies. Ya mere, oge nchọpụta ọrịa ndị a bụ mgbe ụfọdụ siri ike. Naanị mgbe ụfọdụ mgbaàmà nwere ike-enyo enyo na cancer nke obere eriri afọ mgbe a na usoro nke ọmụmụ. The e ji mara ihe ịrịba ama na-agụnye: mgbu alọ mgbanaka, mesogaster. Ke adianade do, e nwere ike ịbụ mgbanwe ke udi na-anọgidesi nke stool, na afọ ntachi. Obere ọtụtụ, ndị ọrịa na nchegbu banyere ọgbụgbọ na vomiting (ma ọ bụrụ na ngwọta na-metụtara nanị akụkụ ụfọdụ na proximal akụkụ nke eriri afọ). N'ọnọdụ ka ukwuu, na cancer amalite na ndabere nke duodenal ọnyá afọ, polyposis, Crohn oria.

Olee na-elele obere bowel maka enyo enyo akpụ? Mbụ niile a ndidi kwesịrị ka a na-anwale ọbara na na nsị. "Anwansi ọbara" nwere ike achọpụtara na faeces. Nke a na atụmatụ na-egosi oncologic usoro na a mkpa ma ọ bụ nnukwu eriri afọ. Ọ bụrụ na ọbara na-ahụrụ na stool a rụrụ colonoscopy na biopsy anụ ahụ.

N'ụlọ ọgwụ ụfọdụ, ị nwere ike ịlele obere eriri afọ?

Olee ebe m pụrụ ịlele obere eriri afọ na ọnụnọ nke daa ọrịa? Diagnosis nke ọrịa na nke eriri afọ tract na-rụrụ ke fọrọ nke nta niile n'ụlọ ọgwụ. Ọtụtụ nke nnyocha a rụrụ na ihe outpatient ndabere. Mgbe onye ọrịa bụ na ndị ụlọ ọgwụ nchoputa nke obere bowel ọrịa rụrụ na a ọgwụ. Mee a colonoscopy mgbe ọ bụla ụlọ ọgwụ, nke nwere adabara ngwá maka endoscopy.

Physical nnyocha nke obere eriri afọ

Maka nchoputa site anụ ahụ ụzọ na-agụnye inwe ndidi nnyocha e mere na nnyocha. Mgbe abdominal palpation nwere ike ịchọpụta mgbanwe ndị dị otú ahụ dị ka na-amụba ma ọ bụ iwetulata peristalsis na ụfọdụ site, ozizi, retraction nke ihu abdominal mgbidi. All ndị a ihe ịrịba ama na-egosi malfunction nke obere eriri afọ. Otú ọ dị, ọ gaghị ekwe omume na-etinye ezi nchoputa enweghị laabu na instrumental ọmụmụ.

Radiological nchoputa nke ọrịa na nke obere eriri afọ

X-ụzarị nke obere eriri afọ a na-rụrụ na iche. N'ihi nke a nkwusioru nke barium. Nga ga-kpochara eriri afọ (na colonoscopy). Mgbe n'ịrụ surveillance image ọrịa ga na-aṅụ a iche n'ụlọnga. Ọ Stains eriri afọ, si otú rụọ anya. Ọzọ, ị ka na-a ọnụ ọgụgụ nke X-ụzarị. Site na nke a na-amụ pụrụ ịchọpụta mgbanwe contours nke nsia mgbidi (Crohn ọrịa), ọnụnọ nke etuto ahụ na ahụ lumen, ọnyá ntụpọ.