Endoskopi de Bilinmesi Gerekenler

Endoskopi

Kendine ait özel bir ışık kaynağı bulunan, ucundaki kamera aracılığı ile görüntü almayı sağlayan, bükülebilen tüp şeklindeki bir aletle sindirim sisteminin organlarının incelenmesi işlemine endoskopi denmektedir. Bu alete ise endoskop adı verilmektedir.

Endoskopi Nasıl Yapılır?

İşleme başlamadan önce bulantıyı önlemek için ağzınıza spray şeklinde lokal anestezik bir madde sıkılır. Fazla stresi olan hastalara ise damar yoluyla sakinleştirici uygulanması gerekebilir. Doktor, 1-2 dakika sonra endoskopu boğazınızdan aşağı doğru ilerleterek yutak borusu (özefagus), mide ve duodenumda (on iki parmak barsağı) her hangi bir enfeksiyon (gastrit), ülser veya anormal gelişim olup olmadığını videoendoskopla inceler ve gerekirse doku örnekleri alarak tetkike gönderir yada polip gibi bazı anormal gelişimler varsa çıkartabilir. Gastroskopi ile üst sindirim sistemi kanamaları durdurulabilir, yutulmuş olan yabancı cisimler (toplu iğne, para vs) çıkartılabilir. İnceleme işlemi bittikten sonra doktor endoskopu geri çekerek çıkartır.

Endoskopi Yapılması Gereken Durumlar

Sindirim sistemi ile ilgili bir rahatsızlığı olan ya da acil bir müdahale gerektiren durumlarla karşılaşan her yaştaki bireylere yapılabilmektedir.

  • Yutma ve çiğneme ile ilgili problemleriniz,
  • Devam eden mide ekşime ve yanmaları,
  • Uykuda gelen öksürük, horlama nöbetleri ve ses kısıklıkları,
  • Yemeklerden sonra veya aç karnına mide sancılarınız ve ağrılarınız
  • Karın ağrısı,
  • Üst Sindirim sisteminden kanamalar,
  • Kusmalar,
  • Yanlışlıkla yabancı cisim yutulması,
  • Barsak düzeninizde değişiklikler,
  • Tuvalette dışkılıma ile kanamalar,
  • Daha önce tanı konmuş bir sindirim sistemi hastalığının kontrollerine gereksinim,
  • Barsak tembellikleri, kabızlık ya da uzun süredir düzelmeyen ishaller,
  • Çekilmiş olan mide ve barsak filmlerinde anormal bulgular varsa;
  • Endoskopi gerekmektedir.

Endoskopi Uygulandıktan Sonra

İşlemden sonra belli bir süre (1/2 saat kadar) gözleme alınmanız gerekebilir. Eğer işlem sırasında damar yoluyla sakinleştirici enjeksiyonu uygulandıysa 2-4 saat süreyle yenilmez, içilmez, ayrıca bu süre içinde araba kullanmamalısınız, yani yanınızda sizi eve bırakacak birisi olmalıdır. İşlemden sonra boğazda hafif bir yanma olabilir.
Ayrıca, doktorunuza daha sonra neler yapmanız gerektiğini sormalısınız.

Endoskopiden Sonra Şu Durumlarda Acilen Doktoru Arayınız;

Gittikçe kötüleşen ağrınız varsa.
Bulantı ve kusmalarınız devam ederse.
Ateşiniz çıkarsa.

Endoskopi Yapılmaması Gerekenler;

  • Sürekli kan sulandırıcı ilaç kullananlar,
  • Herhangi bir müdahale edilmesi durumunda sakınca yaratacak hastalığı olanlar,
  • Çok yaşlı ve düşkünleşmiş durumda olup endoskopi yapılması sakıncalı olan hastalar,
  • Sindirim sistemi organlarından birindeki herhangi bir hastalık nedeni ile ameliyat olan ve bu ameliyatı sonrasında endoskopi yapılması sakıncalı olan hastalar,

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