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Letsatsi La Creation: 10 Phato 2021
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Case Study - Modified Barium Swallow Video - Michael Groher | MedBridge
Video: Case Study - Modified Barium Swallow Video - Michael Groher | MedBridge

Litaba

Metso ea barium ke eng?

Engole ea barium, eo hape e bitsoang esophagogram, ke teko ea litšoantšo e lekang mathata karolong ea hau e holimo ea GI. Karolo ea hau e kaholimo ea GI e kenyelletsa molomo oa hau, mokokotlo oa 'metso,' metso, mpa le karolo ea pele ea mala a hau a manyane. Teko e sebelisa mofuta o khethehileng oa x-ray e bitsoang fluoroscopy. Fluoroscopy e bonts'a litho tsa ka hare tse tsamaeang ka nako ea 'nete. Teko e boetse e kenyelletsa ho noa mokelikeli o latsoang chalky o nang le barium. Barium ke ntho e etsang hore likarolo tsa 'mele oa hau li hlahe ka ho hlaka ho x-ray.

Mabitso a mang: esophagogram, esophagram, li-GI tse kaholimo, thuto ea ho metsa

E sebelisetsoa eng?

Motsoako oa barium o sebelisetsoa ho thusa ho fumana maemo a amang 'metso,' metso, mpa le karolo ea pele ea mala a manyane. Tsena li kenyelletsa:

  • Liso
  • Hiatal hernia, boemo boo karolo ea mpa ea hau e kenang kahare ho eona. Diaphragm ke mosifa o lipakeng tsa mpa le sefuba.
  • GERD (lefu la reflux la gastroesophageal), boemo boo ho lona lintho tse ka mpeng li lutlang ka morao ho 'metso
  • Mathata a sebopeho sa pampiri ea GI, joalo ka li-polyps (kholo e sa tloaelehang) le diverticula (mekotla e leboteng la mala)
  • Lihlahala

Hobaneng ha ke hloka engole ea barium?

U kanna oa hloka teko ena haeba u na le matšoao a lefu le holimo la GI. Tsena li kenyelletsa:


  • Bothata ba ho kwenya
  • Bohloko ba mpeng
  • Ho hlatsa
  • Ho senya

Ho etsahalang nakong ea mokokotlo oa barium?

Hangata koenya ea barium e etsoa ke setsebi sa mahlaseli kapa setsebi sa mahlaseli. Setsebi sa mahlaseli ke ngaka e sebetsanang le liteko tsa ho nka litšoantšo ho fumana le ho phekola maloetse le likotsi.

Monyane oa barium hangata o kenyelletsa mehato e latelang:

  • U kanna ua hloka ho tlosa liaparo tsa hau. Haeba ho joalo, o tla fuoa seaparo sa sepetlele.
  • U tla fuoa thebe ea pele kapa aprone hore u e apare sebakeng sa hau sa pelvic. Sena se sireletsa sebaka seo mahlaseling a sa hlokahaleng.
  • U tla ema, u lule, kapa u robale tafoleng ea x-ray. U ka kopuoa ho fetola maemo nakong ea tlhahlobo.
  • O tla metsa seno se nang le barium. Seno se motenya ebile se chalky. Hangata e latsoeha ka chokolete kapa fragola ho etsa hore ho be bonolo ho e koenya.
  • Ha o ntse o koenya, radiologist e tla shebella litšoantšo tsa barium e theohelang molaleng oa hau ho karolo ea hau e holimo ea GI.
  • O ka kopuoa ho ts'oara moea ka linako tse ling.
  • Litšoantšo li tla rekotoa hore li tle li hlahlojoe hamorao.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Mohlomong u tla kopuoa ho itima lijo (u se ke ua ja kapa ua noa) kamora khitla bosiu bosiung ba pele ho tlhahlobo.


Na ho na le likotsi tsa tlhahlobo?

Ha ua lokela ho etsa tlhahlobo ena haeba u imme kapa u nahana hore u ka ima. Mahlaseli a kotsi a ka ba kotsi ho lesea le e-s'o hlahe.

Bakeng sa ba bang, ho na le kotsi e nyane ea ho etsa tlhahlobo ena. Tekanyo ea radiation e tlase haholo mme ha e nkoe e le kotsi ho batho ba bangata. Empa bua le mofani oa hau ka li-x-ray tsohle tseo u bileng le tsona nakong e fetileng. Likotsi tse bakoang ke ho pepeseha ha mahlaseli a kotsi li ka amahanngoa le palo ea liphekolo tsa x-ray tseo u bileng le tsona ha nako e ntse e feta.

Liphetho li bolelang?

Sephetho se tloaelehileng se bolela hore ha ho na boholo bo sa tloaelehang ka boholo, sebōpeho le motsamao bo fumanoeng 'metsong oa hao,' metso, mpeng kapa karolong ea pele ea mala a manyane.

Haeba liphetho tsa hau li ne li sa tloaeleha, ho ka bolela hore u na le e 'ngoe ea maemo a latelang:

  • Hernia ea hiatal
  • Liso
  • Lihlahala
  • Li-polyps
  • Diverticula, boemo boo mekotla e menyenyane e bopehang leboteng le ka hare la mala
  • Ho tiea ha 'metso, ho fokotsa' metso o ka etsang hore ho be thata ho o koenya

Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.


Na ho na le ho hong hape hoo ke hlokang ho ho tseba ka engole ea barium?

Liphetho tsa hau li kanna tsa bontša matšoao a mofets'e oa 'metso. Haeba mofani oa hau a nahana hore o kanna oa ba le mofuta ona oa mofets'e, a ka etsa ts'ebetso e bitsoang esophagoscopy. Nakong ea 'metso, ho tšeloa tube e tšesaane e tenyetsehang ka molomo kapa ka nkong ebe e theohela ka mpeng. Phala e na le kh'amera ea video hore mofani oa eona a khone ho bona sebaka. Phala e kanna ea ba le sesebelisoa se kopantsoeng se ka sebelisoang ho tlosa mehlala ea lisele bakeng sa tlhahlobo (biopsy).

Litšupiso

  1. ACR: Koleji ea Amerika ea Radiology [Marang-rang]. Reston (VA): Koleji ea Amerika ea Radiology; Radiologist ke eng ?; [e qotsitsoeng ka 2020 la 26 Motšeanong]; [hoo e ka bang li-skrini tse 4].E fumaneha ho tsoa ho: https://www.acr.org/Practice-Management-Quality-Informatics/Practice-Toolkit/Patient-Resources/About-Radiology
  2. Kankere.Net [Inthanete]. Alexandria (VA): Mokhatlo oa Amerika oa Clinical Oncology; 2005-2020. Kankere ea Esophageal: Ho lemoha; 2019 Oct [e qotsitsoeng ka 2020 Jun 26]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.cancer.net/cancer-types/esophageal-cancer/diagnosis
  3. Hinkle J, Cheever K. Brunner & Suddarth's Handbook ea Liteko tsa Laboraro le Tlhatlhobo. 2nd Ed, mosa. Philadelphia: Wolters Kluwer Bophelo, Lippincott Williams & Wilkins; c2014. Metso ea Barium; leq. EA-79-TL
  4. Johns Hopkins Medicine [Inthanete]. Baltimore: Univesithi ea Johns Hopkins; c2020. Bophelo bo botle: Barium Swallow; [e qotsitsoeng ka 2020 la 26 Motšeanong]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/barium-swallow
  5. RadiologyInfo.org [Inthanete]. Mokhatlo oa Radiological oa Amerika Leboea, Inc .; c2020. Kankere ea Esophageal; [e qotsitsoeng ka 2020 la 26 Motšeanong]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.radiologyinfo.org/en/info.cfm?pg=esophageal-cancer
  6. RadiologyInfo.org [Inthanete]. Mokhatlo oa Radiological oa Amerika Leboea, Inc .; c2020. X-ray (Radiography) - Tsela e ka Holimo ea GI; [e qotsitsoeng ka 2020 la 26 Motšeanong]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.radiologyinfo.org/en/info.cfm?pg=uppergi
  7. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Gainesville (FL): Univesithi ea Florida Health; c2020. Lefu la reflux la gastroesophageal: Kakaretso; [e ntlafalitsoeng 2020 Jun 26; e qotsitsoeng ka 2020 Jun 26]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ufhealth.org/gastroesophageal-reflux-disease
  8. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Gainesville (FL): Univesithi ea Florida Health; c2020. Hiatal hernia: Kakaretso; [e ntlafalitsoeng 2020 Jun 26; e qotsitsoeng ka 2020 Jun 26]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ufhealth.org/hiatal-hernia
  9. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Gainesville (FL): Univesithi ea Florida Health; c2020. GI e kaholimo le letoto le lenyenyane la mala: Kakaretso; [e ntlafalitsoeng 2020 Jun 26; e qotsitsoeng ka 2020 Jun 26]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ufhealth.org/upper-gi-and-small-bowel-series
  10. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2020. Health Encyclopedia: Barium Swallow; [e qotsitsoeng ka 2020 la 26 Motšeanong]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=P07688
  11. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Ho Metsa Thuto: Kamoo e Ikutloang Kateng; [e ntlafalitsoeng 2019 Dec 9; e qotsitsoeng ka 2020 Jun 26]; [li-skrini tse ka bang 6]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/swallowing-study/abr2463.html#abr2468
  12. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Ho Metsa Thuto: Kamoo E Etsoang Kateng; [e ntlafalitsoeng 2019 Dec 9; e qotsitsoeng ka 2020 Jun 26]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/swallowing-study/abr2463.html#abr2467
  13. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Ho Metsa Thuto: Liphetho; [e ntlafalitsoeng 2019 Dec 9; e qotsitsoeng ka 2020 Jun 26]; [li-skrini tse ka bang 8]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/swallowing-study/abr2463.html#abr2470
  14. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Ho Metsa Thuto: Likotsi; [e ntlafalitsoeng 2019 Dec 9; e qotsitsoeng ka 2020 Jun 26]; [tse ka bang li-skrini tse 7]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/swallowing-study/abr2463.html#abr2469
  15. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Ho Metsa Thuto: Kakaretso ea Teko; [e ntlafalitsoeng 2019 Dec 9; e qotsitsoeng ka 2020 Jun 26]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/swallowing-study/abr2463.html#abr2464
  16. Bophelo bo botle haholo [Inthanete]. New York: Hoo e ka bang, Inc .; c2020. Barium Swallow le Bowel e Nyane Latela; [e ntlafalitsoeng ka 2020 Mar 11; e qotsitsoeng ka 2020 Jun 26]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.verywellhealth.com/barium-x-rays-1742250

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.

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