Enteroscopy

Enteroscopy bụ usoro eji enyocha eriri afọ (obere eriri afọ).

A na-etinye eriri dị warara, na-agbanwe agbanwe (endoscope) site n'ọnụ ya banye na akụkụ eriri afọ nke afọ. N'oge enteroscopy nwere okpukpu abụọ, enwere ike ịba ụba balloons na endoscope ka dọkịta wee lelee otu akụkụ eriri afọ.

Na colonoscopy, etinyere eriri na-agbanwe agbanwe site na eriri afọ gị na eriri afọ. Ọkpụkpụ ahụ na-abanyekarị na njedebe nke eriri afọ (ileum). A na-eme capsule endoscopy na capsule nwere ike ịmịnye gị.

A na-ezigara ihe atụ anụ ahụ wepụrụ n'oge enteroscopy na laabu maka nyocha. (Enweghị ike iji biopsies were endoscopy capsule.)

Ejila ngwaahịa nwere ọgwụ aspirin maka izu 1 tupu usoro ahụ. Gwa onye na-ahụ maka ahụike gị ma ọ bụrụ na ị na-ewere ndị na-eme ka ọbara dị ka warfarin (Coumadin), clopidogrel (Plavix), ma ọ bụ apixaban (Eliquis) n'ihi na ndị a nwere ike igbochi ule ahụ. Akwụsịla ị takingụ ọgwụ ọ bụla belụsọ na ndị na-eweta ọrụ gwara gị mee nke a.

Erila nri ọ bụla siri ike ma ọ bụ mmiri ara ehi na etiti abalị ụbọchị ọrụ gị. May nwere ike ịnwe mmiri dị ọcha ruo elekere 4 tupu ule gị.

Ga-abịanye aka na akwụkwọ ikike.

A ga-enye gị ọgwụ na-eme ka ahụ dị jụụ ma mee ka ị ghara ịda mbà. Nwere ike ịnwe ume ma ọ bụ mgbochi mgbe ị na-eteta. Nke a sitere na ikuku na-abanye n'ime afọ iji gbasaa mpaghara ahụ n'oge usoro ahụ.

Endoscopy a capsule anaghị eweta mgbakasị ahụ.

A na-eme ule a iji nyere aka chọpụta ọrịa nke eriri afọ. Enwere ike ịme ya ma ọ bụrụ na inwere:

• Nsonaazụ x-adịghị mma
• Tumo na obere eriri afọ
• Afọ ọsịsa akọwaghị
• Achọpụtaghị ọbara ọgbụgba nke eriri afọ

Na nsonaazụ ule nkịtị, onye na-eweta ahụ agaghị ahụ isi mmalite ọbara ọgbụgba na obere eriri afọ, ọ gaghị ahụ etuto ọ bụla ma ọ bụ anụ ahụ ọzọ na-adịghị mma.

Ihe ịrịba ama nwere ike ịgụnye:

• Ọdịiche dị iche iche nke anụ ahụ na-ekpuchi eriri afọ (mucosa) ma ọ bụ obere, mkpịsị aka-dị ka projections nke obere eriri afọ (villi)
• Ọdịiche dị ogologo nke arịa ọbara (angioectasis) na eriri afọ
• Mkpụrụ ndụ ndị a na-akpọ PAS-macrophages dị mma
• Polyps ma ọ bụ cancer
• Radieshon enteritis
• Ọrịa lymph ndị na-aza aza ma ọ bụ na-ebuwanye ibu
• Ọnya

Mgbanwe ndị a hụrụ na enteroscopy nwere ike ịbụ ihe ịrịba ama nke nsogbu na ọnọdụ, gụnyere:

• Amyloidosis
• Celiac gbara
• Ọrịa Crohn
• Folate ma ọ bụ vitamin B12 erughi
• Giardiasis
• Ọrịa gastroenteritis
• Ọkpụkpụ Lymphangiectasia
• Lymphoma
• Obere eriri afọ angiectasia
• Obere eriri afọ
  
• Ogba Ogba
• Ọrịa na-egbu egbu

Nsogbu dị obere ma ha nwere ike ịgụnye:

• Oké ọbara ọgbụgba site na saịtị biopsy
• Oghere ke eriri afọ (bowel perforation)
• Ofufe Ọrịa nke biopsy saịtị na-eduga na bakteria
• Akpịrị na-eso ya, agụụ na-esochi akpa ume
• Endoscope nke capsule nwere ike ime ka mgbochi na eriri afọ dị warara na ihe mgbaàmà nke mgbu abdominal na bloating
  
  

Ihe ndị gbochiri iji ule a nwere ike ịgụnye:

• Onye na-akwadoghị ma ọ bụ onye nwere mgbagwoju anya
• Ọrịa na-egbochi ọbara (coagulation)
• Iji ọgwụ aspirin ma ọ bụ ọgwụ ndị ọzọ na-egbochi ọbara ịkpụkọ nke ọma (anticoagulants)

Ihe kachasị dị ize ndụ bụ ọbara ọgbụgba. Ihe ịrịba ama gụnyere:

• Ime mgbu
• Ọbara na stool
• Ọkpọ ọbara

Push enteroscopy; Ugboro abụọ-balloon enteroscopy; Capsule enteroscopy

• Obere eriri afọ biopsy
• Esophagogastroduodenoscopy (EGD)
• Ọgwụgwụ Capsule

Barth B, Troendle D. Capsule endoscopy na obere eriri afọ enteroscopy. Na: Wyllie R, Hyams JS, Kay M, ụmụ nwoke. Ọrịa Pmụaka Ọrịa na Ọrịa Imeju. Nke 5. Philadelphia, PA: Elsevier; 2016: isi 63.

Marcinkowski P, Fichera A. Nchịkwa nke ọbara ọgbụgba eriri afọ. Na: Cameron AM, Cameron JL, eds. Usoro ọgwụgwọ nke oge a. Nke 13. Philadelphia, PA: Elsevier; 2020: 341-347.

Onyinye Ikechukwu Nkwadebe maka na nsogbu nke GI endoscopy. Na: Feldman M, Friedman LS, Brandt LJ, eds. Ọrịa Cancer Sleisenger na Ọrịa Cancer nke Fordtran. Nke iri. Philadelphia, PA: Elsevier Saunders; 2016: isi 41.

Onye mmiri M, Zurad EG, Gralnek IM. Vidio endoscopy nke capsule. Na: Fowler GC, ed. Usoro Pfenninger na Fowler maka Nlekọta Isi. Agba nke anọ. Philadelphia, PA: Elsevier; 2020: isi nke 93.