Endoscopy

Zoo Siab

• Vim li cas kuv thiaj li xav tau qhov endoscopy?
• Kuv yuav npaj rau qhov endoscopy li cas?
• Dab tsi yog hom mob endoscopy?
• Cov tswv yim tshiab hauv kev siv tshuab thev naus laus zis zoo li cas?
• Tshuaj ntsiav endoscopy
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Chromoendoscopy
• Endoscopic ultrasound (EUS)
• Endoscopic mucosal resection (EMR)
• Nqaim qhab nia (NBI)
• Cov phom sij ntawm qhov endoscopy yog dab tsi?
• Yuav muaj dab tsi tshwm sim tom qab qhov endoscopy?

Ib qhov endoscopy yog dab tsi?

Qhov endoscopy yog ib txoj kev uas koj tus kws kho mob siv cov twj tshwj xeeb los saib thiab ua haujlwm ntawm cov khoom nruab nrog sab hauv thiab cov hlab hauv koj lub cev. Nws ua rau cov kws phais pom qhov teeb meem hauv koj lub cev yam tsis ua kev phais loj.

Tus kws phais mob tso lub qhov endoscope los ntawm kev txiav me me lossis qhib hauv lub cev xws li lub qhov ncauj. Qhov endoscope yog lub raj siv tau yooj yim nrog lub koob yees duab txuas uas tso cai rau koj tus kws kho mob kom pom. Koj tus kws kho mob tuaj yeem siv forceps thiab txiab ntawm lub ntsej muag tsom los ua haujlwm lossis tshem tawm cov ntaub so ntswg rau kev siv tshuab.

Vim li cas kuv thiaj li xav tau qhov endoscopy?

Endoscopy tso cai rau koj tus kws kho mob kuaj xyuas ib qho khoom hauv nruab nrog yam uas tsis tas ua kev phais loj. Ib qho screen hauv chav ua haujlwm cia tus kws kho mob pom raws nraim li qhov pom ntawm lub ntsej muag kom pom tseeb.

Endoscopy yog siv rau:

• pab koj tus kws kho mob txiav txim qhov ua rau muaj tej yam txawv txav uas koj muaj
• tshem tawm cov qauv me me ntawm cov ntaub so ntswg, uas tuaj yeem raug xa mus rau ib qhov chaw kuaj ntshav kuaj ntxiv; qhov no hu ua kev kuaj kab mob endoscopic
• pab koj tus kws kho mob pom sab hauv lub cev thaum phais mob, xws li kho pob txha caj pas, lossis tshem pob zeb lossis qog

Koj tus kws kho mob yuav hais kom endoscopy yog hais tias koj muaj cov tsos mob ntawm ib qho ntawm cov mob no:

• cov mob rau sab hauv plab hnyuv (IBD), xws li mob ncauj plab (UC) thiab Crohn's kab mob
• mob rwj
• cem quav ntev
• pancreatitis
• lub qog
• piav tsis tau los ntshav hauv txoj hnyuv plab
• hlav hlav
• kis tau tus mob
• txhaws ntawm txoj hlab pas
• gastroesophageal reflux disease (GERD)
• hiatal hernia
• ntshav txawv txav ntawm chaw mos
• ntshav hauv koj cov zis
• lwm cov teeb meem plab zom mov

Koj tus kws kho mob yuav tshuaj xyuas koj cov tsos mob, ua kev soj ntsuam lub cev, thiab tej zaum yuav xaj qee qhov kev kuaj ntshav ua ntej ntawm kev xyaws pob qij txha. Cov kev kuaj no yuav pab koj tus kws kho mob kom nkag siab zoo ntxiv hais txog qhov ua rau koj cov tsos mob tshwm sim. Cov kev sim no kuj tseem tuaj yeem pab lawv txiav txim siab tias cov teeb meem tuaj yeem kho tau yam tsis muaj kev mob siab los yog phais.

Kuv yuav npaj rau qhov endoscopy li cas?

Koj tus kws kho mob yuav muab cov lus qhia ua tiav rau kev yuav npaj li cas. Feem ntau ntawm cov qaij endoscopy xav kom koj tsum tsum tsis txhob noj cov zaub mov tawv ntev txog 12 teev ua ntej ntawm txoj kev. Qee hom dej ntshiab, xws li dej lossis kua txiv, tso cai tau ntev txog ob teev ua ntej kev ua. Koj tus kws kho mob yuav qhia qhov tseeb nrog koj.

Koj tus kws kho mob yuav muab tshuaj noj rau koj cov tshuaj tso quav lossis tshuaj tso zis yav hmo ntuj ua ntej kev kuaj mob tshem koj cov ntshav. Qhov no tshwm sim hauv cov txheej txheem uas cuam tshuam rau txoj hnyuv plab (GI) thiab lub qhov quav.

Ua ntej kev phais mob siab, koj tus kws kho mob yuav kuaj xyuas lub cev thiab hla koj li keeb kwm kev kho mob, suav nrog kev phais ua ntej.

Nco ntsoov qhia koj tus kws kho mob txog cov tshuaj uas koj siv, nrog rau cov tshuaj yuav tom khw thiab cov khoom noj zoo. Thiab qhia koj tus kws kho mob txog kev tsis haum tshuaj uas koj muaj. Koj yuav tau tsum tsis noj qee yam tshuaj yog tias lawv yuav cuam tshuam nrog los ntshav, tshwj xeeb yog anticoagulant lossis tshuaj antiplatelet.

Koj tuaj yeem xav npaj rau lwm tus neeg ntiab koj tawm mus tsev tom qab kev ua haujlwm vim tias koj yuav tsis xis nyob los ntawm kev ua kom loog.

Dab tsi yog hom mob endoscopy?

Endoscopies poob rau hauv pawg, raws li thaj tsam ntawm lub cev uas lawv tshawb xyuas. Cov American Cancer Society (ACS) teev cov kev cuam tshuam ntawm cov duab qog nqaij hauv qab no:

Cov tswv yim tshiab hauv kev siv tshuab thev naus laus zis zoo li cas?

Zoo li feem ntau thev naus laus zis, endoscopy yog tas li nce qib. Cov tiam neeg laus tshiab ntawm endoscopes siv high-txhais cov duab los ua cov duab hauv kev nthuav dav tsis txaus ntseeg. Lub tswv yim tshiab kuj ua kom muaj qhov endoscopy nrog thev naus laus zis hauv duab lossis txheej txheem phais.

Nov yog qee qhov piv txwv ntawm cov thev naus laus zis kawg thev naus laus zis.

Tshuaj ntsiav endoscopy

Tus txheej txheem tawm tsam paub tias yog tshuaj ntsiav endoscopy tuaj yeem siv thaum lwm qhov kev ntsuas tsis muaj tseeb. Thaum lub sij hawm tshuaj ntsiav qhov ntev, koj nqos tshuaj ntsiav me me nrog lub koob yees duab me me sab hauv. Cov tshuaj ntsiav hla nrog koj cov hnyuv, tsis muaj qhov tsis zoo rau koj, thiab tsim ntau txhiab tus duab ntawm cov hnyuv thaum nws txav mus los.

Endoscopic retrograde cholangiopancreatography (ERCP)

ERCP ua ke nrog xoo hluav taws xob nrog GI endoscopy kom paub los yog kho teeb meem nrog lub bile thiab pancreatic ducts.

Chromoendoscopy

Chromoendoscopy yog ib qho txheej txheem uas siv cov xim xeb tshwj xeeb lossis zas xim rau sab hauv txoj hnyuv hauv cov txheej txheem endoscopy. Zas zas yuav pab tus kws kho mob kom pom tseeb yog tias muaj qhov txawv txav ntawm lub plab hnyuv tev.

Endoscopic ultrasound (EUS)

EUS siv qhov ntsuas ultrasound hauv kev sib txuas nrog txoj kev siv qog nqaij. Qhov no tso cai rau cov kws kho mob kom pom cov plab hnyuv siab raum thiab lwm cov kev teeb tsa uas tsis pom tshwm sim thaum lub sij hawm endoscopy. Ib rab koob nyias tuaj yeem tom qab ntawd tso rau hauv cov khoom lossis cov qauv tsim los khaws qee cov ntaub so ntswg rau kev saib hauv qab lub tshuab tsom. Cov txheej txheem no yog hu ua zoo rab koob.

Endoscopic mucosal resection (EMR)

EMR yog txheej txheem los siv los pab cov kws kho mob tshem tawm cov qog nqaij hlav hauv lub plab zom mov. Hauv EMR, ib rab koob tau dhau los ntawm qhov endoscope mus txhaj cov kua hauv qab ntawm cov nqaij mos. Qhov no pab cais cov qog nqaij hlav tawm ntawm lwm cov khaubncaws sab nraud povtseg kom nws thiaj li txav tau yooj yim dua.

Nqaim qhab nia (NBI)

NBI siv lub tshuab lim dej tshwj xeeb los pab tsim kev sib txawv ntau dua ntawm cov nkoj thiab cov leeg. Cov mucosa yog lub hauv ob sab phlu ntawm txoj hnyuv zom zaub mov.

Cov phom sij ntawm qhov endoscopy yog dab tsi?

Endoscopy muaj qhov pheej hmoo qis los ntshav thiab mob ntau dua li qhib kev phais. Tseem, kev endoscopy yog ib txoj kev kho mob, yog li nws muaj qee qhov kev pheej hmoo los ntshav, kis kab mob, thiab lwm yam mob uas tsis tshua pom muaj xws li:

• mob hauv siab
• kev puas tsuaj rau koj cov plab hnyuv siab raum, suav nrog kev tuaj yeem tsim txom
• ua npaws
• mob siab rau hauv thaj tsam ntawm qhov endoscopy
• liab thiab o ntawm thaj chaw phais ntawd

Cov kev pheej hmoo rau txhua hom nyob ntawm qhov chaw nyob ntawm tus txheej txheem thiab koj tus mob.

Piv txwv li, cov quav xim tawv dub, ntuav, thiab noj nyuaj tom qab xoos hnyuv tsom tuaj yeem qhia tau tias muaj qee yam ua tsis raug. Txoj kev phais mob ua mob me yuav ua rau muaj kev pheej hmoo ntawm txoj hlab ntaws, uterine los ntshav, lossis mob ncauj tsev menyuam. Yog tias koj muaj qhov tshuaj ntsiav endoscopy, muaj qhov pheej hmoo me me uas qhov tshuaj ntsiav tuaj yeem daig nyob rau ntawm qhov chaw zom zaub mov. Txoj kev phom sij muaj ntau dua rau cov neeg uas muaj mob uas ua rau txoj hnyuv nqaim, zoo li lub qog. Qhov luaj li cas tom qab ntawd yuav tsum tau raug phais.

Nug koj cov kws kho mob txog cov tsos mob txhawm rau saib kom paub kev ua raws koj txoj kev mob endoscopy.

Yuav muaj dab tsi tshwm sim tom qab qhov endoscopy?

Feem ntau cov kev endoscopies yog cov txheej txheem sab nrauv. Qhov no txhais tau tias koj tuaj yeem mus tsev nyob tib hnub.

Koj tus kws kho mob yuav kaw qhov nqaij ntuag nrog hlua khi thiab muab cov ntaub qhwv tom qab ntawd sai. Koj tus kws kho mob yuav muab lus qhia rau koj tias yuav tu qhov mob no li cas ntawm koj tus kheej.

Tom qab ntawd, koj yuav tau tos ntev txog 1 rau ob teev nyob rau hauv tsev kho mob txog kev cuam tshuam ntawm kev ua kom loog ploj mus. Ib tug phooj ywg lossis ib tus neeg hauv tsev neeg yuav tsav koj lub tsev. Thaum koj nyob hauv tsev, koj yuav tsum npaj siv sijhawm tas hnub so.

Qee cov txheej txheem yuav ua rau koj tsis xis nyob me ntsis. Tej zaum nws yuav xav tau qee lub sijhawm los xav zoo kom mus ncig ntawm koj txoj haujlwm txhua hnub. Piv txwv li, tom qab qhov GI endoscopy siab dua, koj yuav mob caj pas thiab yuav tsum tau noj zaub mov muag li ob peb hnub. Tej zaum koj yuav muaj ntshav hauv koj cov zis tom qab cystoscopy los kuaj xyuas koj lub zais zis. Qhov no yuav hla dhau 24 teev, tab sis koj yuav tsum hu rau koj tus kws kho mob yog tias nws mob tsawv.

Yog tias koj tus kws kho mob xav tias muaj mob qog noj qab nyob zoo, lawv yuav kuaj ib qho nqaij mus kuaj thaum kuaj cov pob qij txha. Cov txiaj ntsig yuav siv ob peb hnub. Koj tus kws kho mob yuav sab laj txog qhov tshwm sim nrog koj tom qab lawv rov qab los ntawm kev kuaj.