Pekitīlia unuhanga: tohu, te hātepe, e mahi

gastroenterologists Daily hamani iwi ki ngā raruraru rerekē. Ko te mahi matua o te tākuta - te tātaritanga tika, kia rite kore ki te ngaro wa, ka hoatu te manawanui he whai wāhi ki te ora. E mea pinepine rite whakaritea he ako tātaritanga te he unuhanga puku, no te mea ko reira te tātari tino pono hoki tukanga oncologic whakapae. Na he aha te mea he unuhanga me pehea ko tenei ako?

Unuhanga: He whakaahuatanga o te tikanga

ka haere mai te wā "unuhanga" ki rongoa i te reo Kariki. Kei te hanga e te reira i nga kupu e rua: ". te titiro" "te ora" me E hāngai ana te tikanga i runga i te meka e tango te manawanui he wahi iti o te kikokiko, me te āta tirotiro i tona hanganga pūtau i whārahinga tiketike. rerekē unuhanga rite ki te tukanga, me te tīpako o te rauemi i runga i te piha haapiiraa tika. I roto i ētahi wā, kia kia hiahiatia te rauemi mō te whakamātautau histological. tikanga o tēnei e ka waha i te ako o te hanganga kiko tauira tangohia. I roto i te tahi atu - no te tātari cytologic. Te tikanga o tēnei e ka waiho i te ako i te hanganga, whakaputa uri me te taea ki te tango i te tauira o ngā pūtau.

A, no te kōrero iwi e pā ana ki te piha haapiiraa tika o tukanga, i roto i te ngakau e toru ngā momo o te te whawhe:

1. unuhanga Puāwaitanga, e ko te ingoa tuarua - te rapu. kawea ana tēnei tukanga i roto i roto i te tīmatanga o te mate, ka kore e taea te kitea te wāhi o te puku noa whatu.
2. Open unuhanga, ka tangohia te rauemi mo te ako i roto i te pokanga. kia waiho te katoa neoplasm tetahi wahi o reira ranei tenei.
3. Unuhanga, e taea te kawea i roto i runga ki te rapunga o te pukupuku, ina e taea te tango i te tākuta te rauemi tika i te pukupuku i runga i te rohe o te kiko hauora. whakamana unuhanga te ki te endoscope, i raro i te mātakitaki o US, i raro i te mana X-ray tikanga stereotactic ranei.

gastrobiopsy puku

Ka taea te whakahaere te unuhanga o te puku ki te manawanui i te rota o amuamu. Ko te whāinga o te whawhe - te tiki i te kongakonga o te mucosa pekitīlia mō te tātari. Investigation o te tauira whiwhi ki te tika o neke atu i te 95%, te whakau i te huringa i roto i te kopa, me te ki te whakatau i te āhua mārere Koló ranei o te puku.

Ka taea te kawea te unuhanga o te mucosa pekitīlia i roto i te whakamahi i te uiuia ai, kahore mana ataata ranei whakamahi i te gastroscope. Ko te pūrere motuhake e taea ki te whakahaere i te tangohanga o te tauira e ngā tenei. ingoa atu matatini o tenei hātepe hauora - endoscopy, esophagogastroduodenoscopy arā.

Whakaahuatanga gastroscope

Gastroscope taea ki a koe te tiro i te taiepa o te pū kai, puku me te duodenum. Tenei taputapu hauora tātaritanga kua te ahua o te roa nui o ngongo ngāwari, e whare te puna marama, te pūnaha whatu me te taputapu tūturu ki te hopu nga wahi o papanga. Ka rite ki te whakamahi ai te taputapu kokopi hauora maripi, he koropiko, he pūrere solenoid retracting ranei. Ko te whakamahi o taua taputapu hanga reira taea ki te whiwhi i te tauira i te pae okana motuhake.

Kei te pai ake tonu Gastroscopy. riro te taputapu tika atu me te controllable. Ko te tikanga hou te ingoa motuhake - unuhanga endoscopic.

Tuhinga hoki te whakamahi o te unuhanga pekitīlia

kia kia whakaritea te unuhanga i roto i te wā e whai ake nei:

• rangahau tohua mo te rapunga o māuiuitanga mate pukupuku ranei tikanga precancerous;
• kia hiahiatia ai tātari mō te gastritis whakapeka ma'i ranei;
• ki te whakamārama i te tukanga, me te whakakore i te māharahara ulcerative o matepukupuku;
• i roto i te take o te kino o te mucosa pekitīlia ki te whakamārama i te whānuitanga o te okana resection;
• heheu unuhanga pekitīlia te aroaro ngaro o helicobacter ki tokopā ranei;
• he ako ki te aromatawai i te huru o te manawanui i muri i te pokanga radiation therapy ranei.

Heoi, ahakoa te tōtika tiketike o tenei tikanga o te tātaritanga kore e taea te tono ki te tūroro katoa.

contraindications

I roto i te tātaritanga o tetahi mate me kite te tākuta ki reira e ki, kihai i aha ki te manawanui, me te kore e maka atu tona ora i mōrearea. I runga i tenei parau tumu, i roto i te whakarite o tetahi tikanga e ki pūkete contraindications taea katoa. I roto i te take o te unuhanga o te kopu ko:

• he āhua o te ru;
• mate ngakau me te pūnaha Cardiovascular;
• mumura ranei ētahi atu tukanga pathological i roto i te pharynx, paeoro me te Airways;
• diathesis (puka hemorrhagic);
• mate hopuhopu i roto i te wā whakapeka;
• whāiti o te pū kai;
• te aroaro o te taiepa pūwatawata puku;
• matū tahu puku;
• abnormalities hinengaro
• tauhohenga pāwera ki anesthetics (lidocaine, me ētahi atu).

Haunga te contraindication kitea, me tango te tākuta ki te pūkete te faaineineraa hinengaro o te manawanui mo te tukanga. Ki te kahore he he wehi korerotia, ka ko reira pai kore ki te kawe i te ako.

Nahea ia faaineine no te te unuhanga

Ki te tautapa koe he unuhanga puku, kia te manawanui me tuku atu ki te hōhipera. Tū whakahaere ngā tukanga i roto i taea, engari e kore e tika tūroro, mai i roto i te take o pōauautanga āwhina te manawanui ka kia uaua ake.

I mua me kia te whawhe o te tokotoko hauora e reira he kahore contraindications. I muri i taua, whakaritea te manawanui ko te X-ray o te puku.

hiahiatia te manawanui he nohopuku, tino i kai, me te inu hoki 12-15 haora i mua ki te tukanga. whakamana unuhanga pekitīlia te anake i runga i te puku kau mai pokanoa papatipu kai te mahi i te tirohanga ā-o te pekitīlia pūpū mucous me te purua kia rongo ai ka whakahaere gastroscope ngongo. kia kia tino e i te ra i mua i te tukanga, e kore e whakaaetia tūroro ki ara taitai koutou niho, me te whakamahi i ngaungau nohopuku.

Ko te tikanga o te tikanga

Ko te kupu, whakaritea te manawanui ko te unuhanga o te puku. Kia pehea te Ko te tukanga? Ki te patopato i te manawanui kei a kore e taea te marino ia, kua whakaekea e ia te pere o te whakarokiroki. kia takoto i te tangata i runga i tou taha maui, ka whakatika ki runga. Ko te tākuta kakau te kōhao-waha, me te pū kai runga rongoā, me te tīmata ki te tomo i te endoscope. I roto i te pokapū hauora hou i roto i te unuhanga kopu kawea i roto i te whakamahi i ngā taputapu matatau hauora, i te tikanga e he kikokore te handset, me te kāmera, me te pūrere mo te tango i te rahi tauira iti. Ingestion o tenei taputapu o ngā kore e meinga hūhi. Ko te mahi o te tukanga i te mātanga mātakitaki i te aroturuki.

Deciphering unuhanga pekitīlia

Tei Wetemunahia ana i runga i nga hua i te taiwhanga e whakahaere te tātari rite sēniti rangahau whakamahi tikanga rerekē o te whiwhi mōhiohio. Rā o te taenga o te whakautu - i nga ra e toru.

Kei te herenga wehea hua katoa ki te maha ngā rōpū:

1. tātari oti. e kore he nui ki te whakaputa i ngā hua pono te nui o rauemi, me faahiti koe te tukanga.
2. tātari Pūnoa. E kore te mea te rauemi he Pākatokato, e kore e whakapumautia te tātaritanga.
3. hua pai. Kei te whakapumautia te aroaro o puku, tona huru - pai. toutou E hiahiatia ana te aroturuki me te tātari i muri i te tetahi wa.
4. hua mārere. Kei Neoplasm o ngā pūtau mate pukupuku, tautuhia e tona rahi, whakaritea localization parakore tohu.

kia Kei Wetemunahia ana ngā mōhiohio e pā ana ki te āhua o te mate, whakaahua i te āhua o ngā pūtau me te kopa o te tinana ki te whakatū i ngā āhuatanga villous crypts epithelial me te hohonu.

tukanga wāhi

I teie mahana, te manawanui e te tika ki te whiriwhiri. Ka taea e ia te tiki ake i te pokapū hauora, homai ia mōrahi te whakawhirinaki. Noho o Russia, hei tauira, ka taea e tahuri ki te kainga hauora hou "SM-hauora." Ko te reira i te whatunga nui o pokapū hauora, tae atu 12 pūtahi maha-faatitiaifaroraa mō ngā tamariki me ngā pakeke.

A, no te whakapā atu koe e te iwi pokapū hauora kia fakapapau'i o tohu o ona kaimahi, i roto i te tua, he take nui i roto i te whakatau, ko te wātea o te taputapu hou hauora. taea ki te makona nga kiritaki tino ohie pokapū Medical "CM-hauora" ko. Tahuri ki te gastroenterologist, e taea e koe mohio e ka kawea te unuhanga puku i te taha o ngā kaimahi tohu te whakamahi i te whanaketanga hou i roto i te mara o te endoscopy.