Kwayar cuta

Enteroscopy hanya ce da ake amfani da ita don bincika ƙananan hanji (ƙaramar hanji).

An saka bakin ciki, bututu mai sassauci (endoscope) ta bakin da kuma cikin babin hanjin ciki na sama. Yayin shigar da iska mai ruwa biyu, ana iya kumbura balloons da ke haɗe da endoscope don bawa likita damar duba ɓangaren ƙaramar hanji.

A cikin colonoscopy, an saka bututu mai sassauci ta cikin dubura da hanjin ciki. Tubearfin bututun na iya kaiwa zuwa ƙarshen ƙarshen ƙananan hanji (ileum). Anyi amfani da kwalliyar kwalliya tare da abin zubar da ruwa wanda zaka hadiye.

Ana aika samfurin nama da aka cire yayin enteroscopy zuwa lab don bincike. (Ba za a iya ɗaukar ƙwayoyin cuta ba tare da ƙarancin maganin ƙwaƙwalwa.)

Kar a dauki samfura dauke da asfirin tsawon mako 1 kafin aikin. Faɗa wa mai kula da lafiyar ku idan kuna shan abubuwan kashe jini kamar warfarin (Coumadin), clopidogrel (Plavix), ko apixaban (Eliquis) saboda waɗannan na iya tsoma baki cikin gwajin. KADA KA daina shan kowane magani sai dai in mai ba da sabis ya gaya maka.

Kada ku ci kowane abinci mai ƙarfi ko kayan madara bayan tsakar dare ranar aikinku. Kuna iya samun ruwa mai tsabta har zuwa awanni 4 kafin gwajin ku.

Dole ne ku sanya hannu a takardar izini.

Za a ba ku magani mai kwantar da hankali da kwantar da hankali don aikin kuma ba za ku ji wata damuwa ba. Wataƙila kuna samun kumburin ciki ko naƙura idan kun farka. Wannan daga iska ne wanda ake turawa zuwa cikin ciki don faɗaɗa yankin yayin aikin.

Osarshen maganin ƙwaƙwalwa ba ya haifar da damuwa.

Ana yin wannan gwajin don taimakawa wajen gano cututtukan ƙananan hanji. Yana iya yi idan kana da:

• Sakamakon x-ray mara kyau
• Tumurai a cikin ƙananan hanji
• Cutar gudawa da ba a bayyana ba
• Zubar da ciki wanda ba a bayyana ba

A sakamakon gwaji na yau da kullun, mai bayarwa ba zai sami tushen jini a cikin karamar hanji ba, kuma ba zai sami ciwace-ciwacen ƙwayoyi ko wasu ƙwayoyin cuta ba.

Alamomin na iya haɗawa da:

• Abubuwa masu rikitarwa na nama da ke rufe karamar hanji (mucosa) ko kankanin, tsinkaye kamar yatsu a saman karamar hanji (villi)
• Tsawancin jini mara kyau na al'ada (angioectasis) a cikin rufin hanji
• Kwayoyin rigakafi da ake kira PAS-tabbatacce macrophages
• Polyps ko ciwon daji
• Radiation enteritis
• Lymph node ko kumbura kumbura ko tasoshin lymphatic
• Ulcers

Canje-canjen da aka samu akan enteroscopy na iya zama alamun cuta da yanayi, gami da:

• Amyloidosis
• Celiac sprue
• Crohn cuta
• Folate ko rashi bitamin B12
• Giardiasis
• Ciwon gastroenteritis
• Kwayar cutar Lymphangiectasia
• Lymphoma
• Ieananan hanji na angiectasia
• Cancerananan ciwon hanji
  
• Tropical sprue
• Ciwon mara

Matsalolin suna da wuya amma suna iya haɗawa da:

• Zub da jini mai yawa daga wurin nazarin halittu
• Rami a cikin hanji
• Kamuwa da cutar biopsy site wanda ke haifar da cutar kwayar cuta
• Amai, sannan buri zuwa huhu
• Endoscope na kwantena na iya haifar da toshewa a cikin hanji mai ƙuntatacce tare da alamun ciwo na ciki da kumburin ciki
  
  

Abubuwan da suka hana amfani da wannan gwajin na iya haɗawa da:

• Rashin haɗin kai ko rikitaccen mutum
• Rashin jinin daskararren jini (coagulation) cuta
• Amfani da asfirin ko wasu magunguna wadanda suke hana jini yin daskarewa a kullum (kwayoyin hana daukar ciki)

Babban haɗarin shine zubar jini. Alamomin sun hada da:

• Ciwon ciki
• Jini a cikin kujerun
• Jinin amai

Tura enteroscopy; Cikakken rubutun-balan-balan; Erowaƙwalwar kwalliya

• Psyananan biopsy na hanji
• Hanyoyin kwayar halitta (EGD)
• Osaramin maganin ƙwaƙwalwa

Barth B, Troendle D. Tsarin kwalliya da ƙananan hanji enteroscopy. A cikin: Wyllie R, Hyams JS, Kay M, eds. Ciwon ciki na yara da cutar Hanta. 5th ed. Philadelphia, PA: Elsevier; 2016: babi na 63.

Marcinkowski P, Fichera A. Gudanar da ƙarancin jini na ciki. A cikin: Cameron AM, Cameron JL, eds. Far Mashi na Yanzu. 13th ed. Philadelphia, PA: Elsevier; 2020: 341-347.

Vargo JJ. Shiri da rikitarwa na GI endoscopy. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 41.

Waterman M, Zurad EG, Gralnek IM. Karshen hoton bidiyo. A cikin: Fowler GC, ed. Hanyoyin Pfenninger da Fowler don Kulawa da Firamare. 4th ed. Philadelphia, PA: Elsevier; 2020: babi na 93.