Loopogram

I-Loopogram yinkqubo yokuxilonga yokuxilonga esetyenziselwa ukuvavanya i-intestinal tract, igxininise ngokukodwa kumathumbu amancinci kunye nemisebenzi yawo. Le nkqubo iluncedo kakhulu ekuxilongeni iimeko ezichaphazela amathumbu, ezifana nezithintelo zamathumbu, isifo sikaCrohn, kunye namathumba. Ngokusebenzisa i-agent echaseneyo ukugqamisa amathumbu kwimifanekiso ye-X-ray, i-loopogram inikezela ngokubonakalayo okucacileyo kwenkqubo yokugaya, inceda oogqirha ukuba bachonge izakhiwo ezingaqhelekanga okanye imisebenzi.

Yintoni iLoopogram?

I-Loopogram yinkqubo esekelwe kwi-X-ray ebandakanya ukusetyenziswa kwendlela ekhethekileyo yokuchasana, ngokuqhelekileyo i-barium sulfate, ukwenza imifanekiso ecacileyo yamathumbu amancinci kunye nezinye iindawo zesisu sesisu (GI). Yindlela yomfanekiso we-fluoroscopic, apho imifanekiso ye-X-reyi yexesha langempela ithathwa njengoko izinto ezichaseneyo zihamba kwinkqubo yokugaya. Oku kuvumela oogqirha ukuba bahlole ukumila kwamathumbu, ubungakanani, kunye nokusebenza, kwaye babone nakuphi na ukungaqhelekanga okanye imiqobo enokuthi ibangele iimpawu.

I-loopogram idla ngokuba yinxalenye yeqela elibanzi lovavanyo lomfanekiso owaziwa ngokuba yi-enterography, esetyenziselwa ukujonga amathumbu amancinci, inxalenye yamathumbu ngamanye amaxesha kunokuba nzima ukuyivavanya ngeendlela eziqhelekileyo zokujonga njenge-X-reyi yendabuko.

Isebenza njani iLoopgram?

I-Loopogram ibandakanya ukuqaliswa kwezinto ezichaseneyo (ngokuqhelekileyo i-barium sulfate) kwinkqubo yesisu. Izinto ezichaseneyo ngokuqhelekileyo zilawulwa ngecatheter efakwe emathunjini, okanye ngokunqabileyo, ngenkqubo ye-endoscopic. Nje ukuba umehluko ophakathi usendaweni, umfanekiso weX-ray okanye i-fluoroscopy isetyenziselwa ukuthatha imifanekiso yexesha langempela njengoko izinto ezichaseneyo zigcwalisa iilophu zamathumbu. Oku kunceda ukugqamisa nakuphi na ukungaqhelekanga okunje ngokuvaleka, i-diverticula, okanye utshintsho oluvuthayo.

Ngethuba lenkqubo, ukungafani kwe-barium sulfate kuthatha i-X-rays ngokungafaniyo kunezicubu ezijikelezayo, okwenza amathumbu abonakale kwifilimu ye-X-ray okanye esweni. Umahluko uvumela umbono ocacileyo wamathumbu amancinci kwaye unceda ukuchonga izitenxo okanye izifo ezichaphazela isisu.

Iintlobo zeeLopograms

• ILopogram eqhelekileyo: Oku kubandakanya ukuqaliswa kwe-barium sulfate ngomlomo okanye nge-tube ebekwe kwindlela yokugaya ukugqamisa amathumbu amancinci kunye nezinye iinxalenye zenkqubo yesisu.
• I-CT Enterography: Ifom ye-imaging engaphezulu kakhulu edibanisa i-computed tomography (CT) i-scans kunye ne-agent echaseneyo, inika umfanekiso ocacileyo we-3D wamathumbu. Oku kudla ngokusetyenziselwa ukuvavanya iimeko ezinzima ngakumbi.
• I-Magnetic Resonance Enterography (MRE): Enye indlela esebenzisa i-MRI ukwenza imifanekiso yamathumbu, ekhethwa ngokuqhelekileyo kwizigulane ezingakwaziyo ukunyamezela i-radiation okanye abaneemeko ezingapheliyo ezifuna ukuphindaphinda imifanekiso.

Kutheni iLoopgram yenziwe?

I-Loopogram yenziwa ngokuqhelekileyo xa umboneleli wezempilo ekrokrela imiba enxulumene namathumbu amancinci okanye umgudu wokugaya ongenakuvavanywa ngokupheleleyo ngeendlela eziqhelekileyo zokucinga. Isetyenziswa rhoqo uku:

• Ukuxilonga ukuvaleka kwamathumbu: IiLoopograms ziluncedo ekuboneni izithintelo okanye ukucutha emathunjini amancinci. Oku kunokubangelwa kukuncamathela, amathumba, isifo samathumbu esivuthayo (IBD), okanye isifo sikaCrohn. Ngokusebenzisa umahluko, ukuvaleka okanye ukucutha kunokubonwa ngokucacileyo.
• Phanda iintlungu zesisu: Ukuba isigulane sifumana intlungu yesisu esingachazwanga, i-loopogram ingasetyenziselwa ukunceda ukuchonga unobangela. Nokuba kungenxa yeemeko zesisu ezifana ne-IBD, usulelo, okanye i-diverticulitis, i-loopogram inokubonelela ngolwazi olubalulekileyo.
• Vavanya isifo sikaCrohn: Kwizigulane ezinembali ye-Crohn's disease, i-loopogram isoloko isetyenziselwa ukujonga ukuqhubeka kwesifo. Inceda ukufumanisa iindawo zokuqina, ukudumba, okanye iingxaki ezinokuthi zingabonakali ngezinye iindlela zokucinga.
• Khangela amathumba okanye ukukhula: I-loopogram inokuchonga ukukhula okungaqhelekanga okanye ubunzima ngaphakathi kwamathumbu amancinci, njenge-benign polyps, umhlaza, okanye i-fibrosis. Inceda ukugqiba ubungakanani babo, indawo, kunye nokuba babangela nayiphi na imiqobo okanye ezinye iimpawu.
• Vavanya ukuhamba kwamathumbu: Ngamanye amaxesha, i-loopogram isetyenziselwa ukuvavanya ukuhamba kwamathumbu (i-motility), ngakumbi kwiimeko ze-gastroparesis okanye ezinye iingxaki ze-motility, ngokujonga indlela izinto ezichasayo ezihamba ngayo kwinkqubo.
• Isikhokelo soTyando okanye iBiopsy: Kwezinye iimeko, i-loopogram ingasetyenziswa phambi kotyando okanye i-biopsy ukwenza imephu yamathumbu kwaye ichaze eyona ndawo ixhalabisayo. Inceda oogqirha botyando okanye i-gastroenterologists bacwangcise eyona ndlela ilungileyo yokwenza.

Uyilungiselela njani iLoopogram

Ukulungiselela i-loopogram kulula kodwa kufuna amanyathelo ambalwa abalulekileyo ukuqinisekisa ezona ziphumo zibalaseleyo:

• Ukuzila ukudla: Ngokuqhelekileyo, izigulane zicelwa ukuba zizila ukudla kwiiyure ze-6†"iiyure ze-8 ngaphambi kwenkqubo yokuqinisekisa ukuba i-bowel ayinalutho kwaye incede izinto ezichaseneyo zihambe ngokulula ngamathumbu. Ukuzila ukutya kwakhona kuthintela ukutya ekuphazamiseni umfanekiso.
• Ukuphepha Amayeza athile: Ukuba uthatha amayeza, ngakumbi amayeza anciphisa igazi okanye lawo anezigulo ezingapheliyo ezifana nesifo seswekile, xoxa ngawo nogqirha wakho. Kusenokufuneka uhlengahlengise idosi okanye uyeke okwethutyana amayeza athile phambi kovavanyo.
• Hydration: Sela ulwelo oluninzi olucacileyo phambi kovavanyo ukuze uqinisekise ukuba indlela yokuchasana inokufunxwa ngokufanelekileyo kwaye uhambe kakuhle kwisixokelelwano sakho sesisu. Ukuphepha iziselo zobisi, ezinamafutha, okanye ezinecaffeine ngokufuthi kuyacetyiswa.
• Ukuxoxa ngayo nayiphi na i-allergies: Ukuba awuhambisani nawo nawaphi na amayeza okanye izinto ezichaseneyo, xelela umboneleli wakho wezempilo kwangaphambili. Oku kubaluleke ngakumbi ukuba unembali yokusabela kuchaso olusekwe kwi-iodine esetyenziswa kwizifundo zokucinga.
• Ukwazisa iGcisa malunga nokuKhulelwa: Abasetyhini abakhulelweyo kufuneka baxelele umboneleli wezempilo malunga nemeko yabo, njengoko utshiso lwemitha olubandakanyekayo kwi-loopogram inokuchaphazela usana olungekazalwa. Iindlela ezizezinye zokucinga, ezifana ne-MRI okanye i-ultrasound, zinokuqwalaselwa endaweni yoko.

Ukutolika Iziphumo zeLopogram

Nje ukuba i-loopogram yenziwe, ugqirha wakho uya kuhlalutya imifanekiso ukuchonga nayiphi na imiba kwindlela yakho yokugaya. Iziphumo eziqhelekileyo ezinokuchongwa ngolu vavanyo ziquka:

• Iziphumo eziqhelekileyo zeLopogram: I-loopogram eqhelekileyo ibonisa amathumbu amancinci aphilileyo ngaphandle kokuvaleka, ukucutha, ukudumba, okanye ukukhula okungaqhelekanga. Izinto ezichaseneyo ziya kuhamba ngendlela yokugaya njengoko kulindelekile, kwaye akukho ziphethini ezingaqhelekanga okanye izitenxo ziya kubonwa.
• Iziphumo ezingaqhelekanga zeLopogram: Ukuba kufunyenwe izinto ezingaqhelekanga, umboneleli wakho wezempilo uya kukhangela iimpawu ezifana nezi:
  • Imiqobo: Ibangelwa ziimeko ezifana nokuncamathelisa, umhlaza, okanye isifo sokukrala kwamathumbu.
  • Ukuvuvukala: Kwiimeko ezifana nesifo sikaCrohn's okanye isifo sokuqaqamba kwesilonda esiswini.
  • Amathumba okanye Ukukhula: Ukuchonga ukukhula okunobungozi okanye okubi okunokubangela ukuphazamiseka okanye ukopha.
  • I-Diverticula: Izingxobo ezincinci ezinokuthi zenze emathunjini kwaye zivuthe okanye zisuleleke (diverticulitis).
  • Amacandelo: Ukucutheka kwamathumbu ngenxa yokukrala okanye ukudumba okungapheliyo.

I-10 yemibuzo ebuzwa rhoqo malunga neeLopograms

• Yintoni iloopogram? I-loopogram luvavanyo lwe-diagnostic imaging esebenzisa i-X-reyi kunye ne-media media ukuze uhlolisise amathumbu amancinci kunye nezinye iindawo zendlela yokugaya. Inceda ukubona iimeko ezinje ngokuvaleka, ukudumba, okanye amathumba.
• Kutheni kufuneka loopogram? I-loopogram isetyenziselwa ukuxilonga imiba yenkqubo yokugaya ukutya efana nokuvalwa kwamathumbu, isifo sikaCrohn, isifo sokukrala kwamathumbu, kunye nokuchonga nakuphi na ukukhula okungaqhelekanga okanye ukudumba.
• Ngaba i-loopogram ibuhlungu? Inkqubo ngokwayo ayinabuhlungu, kodwa izigulane zinokufumana ukungahambi kakuhle kwi-catheter efakwe okanye i-cramping encinci njengoko izinto ezichaseneyo zigcwalisa amathumbu. Ezi mvakalelo zezokwexeshana kwaye zihlala zisonjululwa ngokukhawuleza.
• Ndiyilungiselela njani iloopogram? Lungiselela i-loopogram ngokuzila ukutya kwiiyure ezingama-6-8 ngaphambi kwenkqubo, ukuphepha amayeza athile, kunye nokuqinisekisa ukuhanjiswa kwamanzi. Qinisekisa ukuba uxelele ugqirha wakho ukuba unayo nayiphi na i-allergies okanye ukhulelwe.
• Ingaba inkqubo ithatha ixesha elingakanani? I-loopogram idla ngokuthatha imizuzu engama-30 ukuya kuma-60 ukuyigqiba. Ixesha elongezelelweyo linokufuneka ukulungiselela okanye ukubeka iliso emva kwenkqubo.
• Ngaba kukho nayiphi na imingcipheko nge-loopogram? Ngelixa ii-loopograms zikhuselekile ngokubanzi, kukho umngcipheko omncinci wosulelo, ukuvezwa ngemitha, okanye ukuchasana nezinto ezichaseneyo. Xoxa ngazo naziphi na izinto ezikuxhalabisayo nomboneleli wakho wezempilo kwangaphambili.
• Zeziphi iimeko ezinokuxilonga i-loopogram? I-loopogram inokufumanisa iimeko ezifana nezithintelo zamathumbu, isifo sikaCrohn, amathumba, i-diverticulitis, i-strictures, kunye nokudumba emathunjini amancinci.
• Ingaba iloopogram ingawubona umhlaza? Ewe, i-loopogram inokuchonga ukukhula okungaqhelekanga okanye amathumba emathunjini amancinci, kubandakanya iimpawu zomhlaza. Ukuba kukrokrelwa umhlaza, uvavanyo olongezelelweyo olufana ne-biopsy okanye i-CT scan lunokuba yimfuneko.
• Kwenzeka ntoni emva kweloopogram? Emva kwe-loopogram, unokucelwa ukuba usele ulwelo ukunceda ukukhupha izinto ezichaseneyo kwinkqubo yakho. Uninzi lwezigulana zinokuphinda ziqalise imisebenzi yesiqhelo kwangoko, nangona ukungakhululeki okuncinci kunokuthi kwenzeke.
• Ziya kutolikwa njani iziphumo zeloopogram yam? Umboneleli wakho wezempilo uya kuphonononga imifanekiso ukuze abone nakuphi na ukungaqhelekanga, njengokuvaleka, ukudumba, okanye amathumba. Emva koko baya kuxoxa ngeziphumo kunye nawe kwaye bacebise naluphi na unyango oluyimfuneko okanye iimvavanyo ezilandelayo.

isiphelo

I-loopogram sisixhobo esixabisekileyo sokuxilonga sokuvavanya impilo yamathumbu amancinci kunye nokufumanisa uluhlu lweemeko zesisu. Ngokubonelela ngemifanekiso ecacileyo yendlela yokugaya ukutya, le nkqubo yokucinga inceda ukuchonga imiba enjengokuthintelwa, ukuvuvukala, amathumba, kunye nezinye izinto ezingaqhelekanga ezinokuchaphazela amathumbu. Nokuba isetyenziselwa ukuxilonga isifo sikaCrohn, izithintelo zamathumbu, okanye ukubeka iliso ukuqhubela phambili kweemeko ezikhoyo zokwetyisa, iloopogram idlala indima ebalulekileyo kuxilongo olusebenzayo kunye nokucwangciswa konyango.

Ngokulungiswa okufanelekileyo kunye nokuqonda inkqubo, izigulane zinokusondela kwi-loopogram ngokuzithemba. Ukuba ucwangciselwe olu vavanyo okanye uphonononga iindlela zokuxilonga kwiinkxalabo zokwetyisa, esi sikhokelo kufuneka sisebenze njengesixhobo esiluncedo sokujonga inkqubo. Ngalo lonke ixesha ulandela iingcebiso zomboneleli wakho wezempilo ukuze uqinisekise ezona ziphumo zibalaseleyo kunye neziphumo ezichanekileyo kwi-loopogram yakho.