Capsule endoscopy ndizvo chaizvo zvinonzwika se-piritsi (capsule) ine kamera. Pashure pepiritsi inomedzwa pahofisi yechiremba, zvinotora mapikicha sezvazvinenge zvichifamba nepakati duku . Varwere vanopfeka bhanhire rinogamuchira kutapurirwa kubva pamapiritsi uye inonyora zvifananidzo. Zuva rakatevera, murwere anogona kudzorera bhanhire kunechiremba wavo, uyo anobva atora mifananidzo.
Mifananidzo yakatorwa nemapiritsi inogona kupa chiremba pfungwa yakanaka kwazvo pamusoro pezvipi zvehutumbu hudiki huri kuratidza chero chirwere chetachiona. Izvi zvinogona kubatsira mukucherechedza kufambira mberi kwechirwere, uyewo pakugadzirira chirongwa chekurapa. Zvimwe zvezvipingamupinyi ndezvokuti kamera inogona kupinda mumatumbo kana kuti inogona kunge yakanyanya kuoma kumedza.
Ndiani Akasarudza?
Capsule endoscopy inogamuchirwa kuti ishandiswe kuvanhu vane Crohn's disease mudiki. Inogona kushandiswa muvana nevakuru. Capsule endoscopy inogona kushandiswa iri yoga, kana mushure mokunge mumwe muedzo, wakadai seposcopi yapamusoro.
Mune zvimwe zviitiko zvechirwere cheCrohn, kuputika kunowanikwa mudumbu duku chete-mudumbu guru haritauri zviratidzo zvezvirwere. Kune ava varwere, capsule endoscopy inogona kushandiswa kuongorora chirwere chavo cha Crohn.
Ndiani Haasi Mutevedzeri?
Kune vamwe vanhu, mapiritsi haazove sarudzo yakanakisisa yekuona mukati memukomana muduku.
Iyo capsule ine ikamera yakanyanya kuduku, asi kune inenge 2% mukana wekuti inogona kuchengetwa mudiki duku (kuti mapiritsi awane "kunyanya"). Kuva nechirwere chemukati, chigadziriswa, kana fistula chinogona kubvisa kapule kudarika nzira yose kuburikidza nehutachiwana .
Kana iyo capsule ichichengeterwa, kurapa kunogona kudiwa kuitira kuti ibviswe kana kuti kuitora.
Mamwe mamiriro ezvinhu anodzivisa kushandiswa kwe capsule endoscopy ari kumedza kushungurudzika nemamiriro ezvinhu emwoyo zvinoda kushandiswa kwepemaker.
Ngozi
Mune vamwe vanhu, iyo capsule inogona kunge isingakwanisi kupfuura nenzira yose kuburikidza nemukati muduku. Iyo capsule ine mukanana kadiki weku "kunyanya" kana pane kuvhara kana chikamu chiduku mumuduku muduku. Kana iyo capsule isingapfuuri, murwere anozofanira kuongororwa zvikuru. Mune zvimwe zviitiko, kutarisira zvinodhaka zvinogona kubatsira kuzarura nzvimbo yakachengetwa kunogona kubatsira capsule kuti ienderere kuburikidza nemukumbo.
Panewo pangozi duku yekutsvaga (choking on) piritsi paunenge uchiedza kuidzikisa. Vamwe vanhu vakataura vachikurumidza kushungurudzwa kweganda mushure mekumedza capsule.
Zvishandiso
Chirwere cheCrohn chinogona kukanganisa chero chikamu chechikamu chekudya, kubva mumuromo kusvika kune anus. Kukwanisa kufungidzira zvikamu zvose zvegadziriro yezvokudya zvinotyisa. Kune miedzo yakawanda yekufungidzira iyo inogona kutarisa zvikamu zvakasiyana zvegomba rekudya: chikamu chepamusoro chinogona kupa mukana wekuvhara , dumbu, uye nepamusoro mamukaka kaduku; imwe colonoscopy inogona kubatsira chiremba kuti aone rectum uye mumatumbo makuru .
Pane, zvisinei, chikamu chechidiki chiduku chisingagoni kuwanikwa pamwe nechokumusoro-endoscopy kana colonoscopy. Capsule endoscopy inogona kubvumira chiremba kuti aone chero kuputika, kubuda ropa, kana humwe uchapupu hweCrohn's disease basa munzvimbo iyoyo.
Pane Ikugadzirira Nekaputile Endoscopy?
Hongu, kuitira kuti uwane capsule endoscopy, bhodzi duku inofanira kunge yakatarwa kare. Iko kunofanirwa, zvisinei, kwakarurama zvakananga uye kazhinji hakudi kuti mishonga kana inemas. Kutanga, kutanga panenge masikati masikati zuva rokutanga kumedza capsule, kudya kwakachena kunofanira kuteverwa. Varwere vanofanira kubva vatsanya usiku huno vasati vafanirwa kuvhara capsule, kazhinji inotanga pakati peusiku.
Kazhinji, kudya kwemazuva ose kunogona kutanga zvakare kwemaawa mana mushure mekumedza piritsi pahofisi yechiremba. Aya ndiwo mazano chete, zvisinei, uye chiremba anopa chiyero achapa mirairo yakajeka pamusoro pekugadzirira.
Mune zvimwe zviitiko, piritsi "test" inogona kupiwa isati yasvika iyo piritsi yemapiritsi inoshandiswa. Iyo piritsi yekuedza, inonzi patency capsule, ichapedza zvachose muhutachi uye yakakura zvakafanana sepiritsi chaiye. Kupa piritsi yekuedza zvachose pakunzwisisa kwekugadza chiremba, uye kunogona kupiwa kana pane mukana wekuti piritsi yekamera inogona kubatirirwa mumukati muduku. Kana patency capsule ichipfuura nepamuviri pasina chiitiko, inogona kuratidza kuti chaiyo piritsi yemapiritsi ichapfuura zvakare.
Zvinotora Nguva Yakadii Kupfuura?
Muedzo wapera maawa masere mushure mokumedza capsule. Kune vanhu vazhinji, mapiritsi anopfurikidza nekufamba kwechirwere pakati pemaawa makumi maviri nemaviri nemaawa makumi manomwe nemaviri kana apera.
Sources:
Given Imaging Ltd. "PillCam SB yeCrohn's Disease." 2016. PillcamCrohns.com.
Albert JG. "Kufungidzira Kuduku Kwemakumbo Mukugadzirisa Zvirwere zveCrohn Zvirwere." Gastroenterol Res Pract . 2012; 2012: 502198.