{"id":2838,"date":"2021-09-12T14:45:02","date_gmt":"2021-09-12T14:45:02","guid":{"rendered":"https:\/\/www.q-bital.com\/?p=2838"},"modified":"2021-09-12T14:45:02","modified_gmt":"2021-09-12T14:45:02","slug":"endoscopy-demand-is-up-and-not-just-for-detecting-cancer","status":"publish","type":"post","link":"https:\/\/www.q-bital.com\/hu_hu\/endoscopy-demand-is-up-and-not-just-for-detecting-cancer\/","title":{"rendered":"Az endoszk\u00f3pos vizsg\u00e1latok ir\u00e1nti ig\u00e9ny n\u0151 \u2013 \u00e9s nem csak a r\u00e1k kimutat\u00e1s\u00e1ra"},"content":{"rendered":"

A gasztroszk\u00f3pia p\u00e9ld\u00e1ul az \u201earany standard\u201d a c\u00f6li\u00e1kia diagnosztiz\u00e1l\u00e1s\u00e1ban, amely vil\u00e1gszerte egyre gyakoribb \u00e1llapot. B\u00e1r a t\u00fcnetek kev\u00e9sb\u00e9 aggaszt\u00f3ak, mint a felt\u00e9telezett r\u00e1kos megbeteged\u00e9sek, az orvosi diagn\u00f3zis tov\u00e1bbra is fontos, \u00e9s a betegeknek minden eddigin\u00e9l tov\u00e1bb kell v\u00e1rniuk.\n\n Egyre gyakoribb \u00e1llapot\n<\/strong>\nA c\u00f6li\u00e1kia olyan \u00e1llapot, amelyben az ember immunrendszere abnorm\u00e1lisan reag\u00e1l a glut\u00e9nre, a b\u00faz\u00e1ban \u00e9s m\u00e1s gabon\u00e1kban tal\u00e1lhat\u00f3 feh\u00e9rj\u00e9re, \u00e9s k\u00e1ros\u00edtja a v\u00e9konybelet. Ha az \u00e1llapotot nem diagnosztiz\u00e1lj\u00e1k vagy nem kezelik megfelel\u0151en, ez s\u00falyos eg\u00e9szs\u00e9g\u00fcgyi k\u00f6vetkezm\u00e9nyekkel j\u00e1rhat.<\/p>\n

Becsl\u00e9sek szerint a c\u00f6li\u00e1kia \u00e1tlagosan kb\n\n 100 emberb\u0151l 1\n<\/a>\nvil\u00e1gszerte, b\u00e1r az ar\u00e1nyok orsz\u00e1gonk\u00e9nt elt\u00e9r\u0151ek. A legt\u00f6bb betegnek azonban nincs orvosi diagn\u00f3zisa \u2013 a c\u00f6li\u00e1ki\u00e1ban \u00e9l\u0151k 80%-j\u00e9r\u0151l azt gondolj\u00e1k, hogy nem diagnosztiz\u00e1lj\u00e1k.<\/p>\n

A c\u00f6li\u00e1kia vizsg\u00e1lati technol\u00f3gi\u00e1j\u00e1ban az elm\u00falt \u00e9vtizedben v\u00e9gzett fejleszt\u00e9sek felt\u00e1rt\u00e1k, hogy a c\u00f6li\u00e1kia sokkal elterjedtebb, mint azt kor\u00e1bban gondolt\u00e1k. Eredetileg \u00fagy gondolt\u00e1k, hogy els\u0151sorban a feh\u00e9r kauk\u00e1zusi popul\u00e1ci\u00f3t \u00e9rinti, a kutat\u00e1sok kimutatt\u00e1k, hogy az \u00e1llapot vil\u00e1gszerte jelen van, \u00e9s\n\n legmagasabb prevalenci\u00e1ja\n<\/a>\nA c\u00f6li\u00e1ki\u00e1t a vil\u00e1gon b\u00e1rhol tal\u00e1lt\u00e1k \u00c9szak-Afrik\u00e1ban.<\/p>\n

Jelenleg t\u00f6bb embert diagnosztiz\u00e1lnak, mint 10 \u00e9vvel ezel\u0151tt. Egy friss\n\n glob\u00e1lis tanulm\u00e1ny\n<\/a>\nAzt tal\u00e1lta, hogy a c\u00f6li\u00e1kia \u00faj diagn\u00f3zisa \u00e9vente t\u00f6bb mint 7,51 TP3T-n\u00f6veked\u00e9st mutatott, \u00e9s azt tal\u00e1lta, hogy a n\u00f6vekv\u0151 el\u0151fordul\u00e1si mint\u00e1zat az id\u0151 m\u00fal\u00e1s\u00e1val k\u00f6vetkezetes volt a f\u00f6ldrajzi elhelyezked\u00e9s, a nem \u00e9s az \u00e9letkor szerint, b\u00e1r a n\u00f6veked\u00e9s valamivel magasabb volt a n\u0151k \u00e9s a gyermekek k\u00f6r\u00e9ben.<\/p>\n

B\u00e1r az elm\u00falt \u00e9vekben diagnosztiz\u00e1ltak sz\u00e1m\u00e1nak n\u00f6veked\u00e9se r\u00e9szben az \u00e1llapottal kapcsolatos tudatoss\u00e1g n\u00f6veked\u00e9s\u00e9nek \u00e9s a vizsg\u00e1latokhoz val\u00f3 jobb hozz\u00e1f\u00e9r\u00e9snek tudhat\u00f3 be, a c\u00f6li\u00e1kia el\u0151fordul\u00e1s\u00e1nak glob\u00e1lis n\u00f6veked\u00e9se sz\u00e9les k\u00f6rben elismert. Ez hozz\u00e1j\u00e1rul az eg\u00e9szs\u00e9g\u00fcgyi rendszerek n\u00f6vekv\u0151 terh\u00e9hez, bele\u00e9rtve az endoszk\u00f3pia ir\u00e1nti nagyobb ig\u00e9nyt.\n\n Diagn\u00f3zis gasztroszk\u00f3pi\u00e1val\n<\/strong>\nAz egyik ok, ami\u00e9rt a betegs\u00e9gben szenved\u0151k k\u00f6z\u00fcl csak 20%-n\u00e9l diagnosztiz\u00e1lnak orvosilag, az az, hogy a c\u00f6li\u00e1ki\u00e1s betegek 50%-j\u00e1n\u00e1l t\u00fcnetmentesnek gondolj\u00e1k. Az \u00e1llapotot nem vizsg\u00e1lj\u00e1k rutinszer\u0171en; csak a t\u00fcnetek bejelent\u00e9se \u00e9s kivizsg\u00e1l\u00e1sa eset\u00e9n veszik fel. \u00c9s m\u00e9g ebben az esetben is t\u00f6bb \u00e9vig tarthat a diagn\u00f3zis, mivel a t\u00fcnetek nagyon sokf\u00e9l\u00e9k.<\/p>\n

A betegs\u00e9gben szenved\u0151 betegek 99%-j\u00e1nak van genetikai hajlama, de a lakoss\u00e1g fele is hordozhatja a g\u00e9neket, \u00edgy ez \u00f6nmag\u00e1ban nem jelzi a c\u00f6li\u00e1ki\u00e1t. A genot\u00edpus vizsg\u00e1lat azonban felhaszn\u00e1lhat\u00f3 a c\u00f6li\u00e1kia kiz\u00e1r\u00e1s\u00e1ra, ha a diagn\u00f3zis k\u00e9ts\u00e9ges.<\/p>\n

A c\u00f6li\u00e1kia elleni immunv\u00e1lasz m\u00e9rhet\u0151 antitesteket termel. De b\u00e1r az antitest-teszt nagy \u00e9rz\u00e9kenys\u00e9ggel \u00e9s specifit\u00e1ssal rendelkezik, \u00e1lnegat\u00edv \u00e9s hamis pozit\u00edv tesztek fordulnak el\u0151\n\n k\u00f6r\u00fclbel\u00fcl 5% teszt\n<\/a>\n. Ez\u00e9rt a v\u00e9gleges diagn\u00f3zis fel\u00e1ll\u00edt\u00e1s\u00e1nak egyetlen m\u00f3dja a gasztroszk\u00f3pia \u00e9s a nyomb\u00e9lbiopszia, amely sor\u00e1n megvizsg\u00e1lj\u00e1k a v\u00e9konyb\u00e9l ny\u00e1lkah\u00e1rty\u00e1j\u00e1nak esetleges k\u00e1rosod\u00e1s\u00e1t.<\/p>\n

\u00e1bra - A c\u00f6li\u00e1kia diagn\u00f3zisa\n\"\"\n\n Forr\u00e1s:\n<\/em>\n\n \n C\u00f6li\u00e1kia vizsg\u00e1lata\n <\/em>\n<\/a>\nA t\u00f6rt\u00e9nelem sor\u00e1n sok coeliakiagyan\u00fas beteget soha nem utaltak be, vagy nem diagnosztiz\u00e1ltak orvosilag, hanem azt tan\u00e1csolt\u00e1k nekik, hogy ehelyett glut\u00e9nmentes \u00e9trendet alkalmazzanak, hogy megn\u00e9zz\u00e9k, javulnak-e a t\u00fcnetek. B\u00e1r ez m\u00e9g ma is \u00edgy van, egyre t\u00f6bb beteg jut el a gasztroszk\u00f3pia \u00fatj\u00e1n v\u00e9gleges diagn\u00f3zishoz.\n\n Az orvosi diagn\u00f3zis fontos\n<\/strong>\nA betegs\u00e9g t\u00fcnetei f\u0151k\u00e9nt gyomor-b\u00e9lrendszeri jelleg\u0171ek, p\u00e9ld\u00e1ul h\u00e1nyinger, hasi f\u00e1jdalom \u00e9s sz\u00e1jfek\u00e9ly, de el\u0151fordulhat fogy\u00e1s, f\u00e1radts\u00e1g, k\u00f3ros m\u00e1jfunkci\u00f3s tesztek, valamint vitamin- \u00e9s \u00e1sv\u00e1nyianyag-hi\u00e1ny is.<\/p>\n

A kezeletlen c\u00f6li\u00e1kia hossz\u00fa t\u00e1v\u00fa k\u00f6vetkezm\u00e9nyei k\u00f6z\u00e9 tartozik az \u00e1ltal\u00e1nos rossz eg\u00e9szs\u00e9gi \u00e1llapot, a sziszt\u00e9m\u00e1s gyullad\u00e1s, a rossz t\u00e1pl\u00e1lkoz\u00e1s vagy a t\u00e1panyagok felsz\u00edv\u00f3d\u00e1si zavara, \u00e9s \u00f6sszef\u00fcgg\u00e9sbe hozt\u00e1k a korai csontritkul\u00e1ssal, a medd\u0151s\u00e9ggel, a vet\u00e9l\u00e9sekkel, a depresszi\u00f3val \u00e9s a fogzom\u00e1nc hib\u00e1kkal. Az id\u0151ben t\u00f6rt\u00e9n\u0151 diagn\u00f3zis \u00e9s az eg\u00e9sz \u00e9leten \u00e1t tart\u00f3, szigor\u00fa glut\u00e9nmentes di\u00e9ta megel\u0151zheti vagy visszaford\u00edthatja sz\u00e1mos kapcsol\u00f3d\u00f3 eg\u00e9szs\u00e9g\u00fcgyi \u00e1llapotot.<\/p>\n

A betegs\u00e9g ok\u00e1nak megsz\u00fcntet\u00e9s\u00e9vel a v\u00e9konyb\u00e9l ny\u00e1lkah\u00e1rty\u00e1ja meggy\u00f3gyul, \u00e9s a t\u00fcnetek megsz\u0171nnek, b\u00e1r visszaes\u00e9s k\u00f6vetkezik be, ha a glut\u00e9nt \u00fajra beiktatj\u00e1k az \u00e9trendbe. Azonban a szigor\u00fa, \u00e9lethosszig tart\u00f3 glut\u00e9nmentes di\u00e9ta megkezd\u00e9se a c\u00f6li\u00e1kia biztos diagn\u00f3zisa n\u00e9lk\u00fcl saj\u00e1t k\u00f6vetkezm\u00e9nyekkel j\u00e1rhat, \u00e9s mivel a v\u00e9rvizsg\u00e1latok magas \u00e1lpozit\u00edv ar\u00e1nyt mutatnak, egyre ink\u00e1bb a biopszia.\n\n minden beteg sz\u00e1m\u00e1ra aj\u00e1nlott\n<\/a>\na diagn\u00f3zis meger\u0151s\u00edt\u00e9s\u00e9re.\n\n Az endoszk\u00f3pi\u00e1s ig\u00e9ny egy\u00e9b forr\u00e1sai\n<\/strong>\nNem csak a c\u00f6li\u00e1kia egyre gyakoribb. B\u00e1r a gastrooesophagealis reflux betegs\u00e9g \u00e1ltal\u00e1ban nem vesz\u00e9lyes \u00e1llapot, m\u00e9gis\n\n el\u0151fordul\u00e1sa n\u00f6vekszik\n<\/a>\nmivel a n\u00e9pess\u00e9g \u00f6regszik \u00e9s az elh\u00edz\u00e1s szintje n\u00f6vekszik, \u00e9s gasztroszk\u00f3pi\u00e1t is v\u00e9gezhetnek a s\u00falyosabb \u00e1llapot kiz\u00e1r\u00e1s\u00e1ra.<\/p>\n

A Helicobacter (pylori), amely f\u00e1jdalmat \u00e9s gyomorfek\u00e9lyt okozhat, \u00e9s n\u00f6velheti a gyomorr\u00e1k kialakul\u00e1s\u00e1nak kock\u00e1zat\u00e1t, szint\u00e9n kimutathat\u00f3\n\n gasztroszk\u00f3p\n<\/a>\n. B\u00e1r a gyomorr\u00e1k \u00e9s a nyel\u0151cs\u0151r\u00e1k ritk\u00e1bbak, a t\u00fcnetekkel k\u00fczd\u0151knek gasztroszk\u00f3pi\u00e1ra lehet sz\u00fcks\u00e9g\u00fck, hogy kiz\u00e1rj\u00e1k \u0151ket.<\/p>\n

Hasonl\u00f3 m\u00f3don a Barrett-oesophagus okozta elv\u00e1ltoz\u00e1sok, egy olyan \u00e1llapot, amikor a nyel\u0151cs\u0151 als\u00f3 r\u00e9sz\u00e9nek ny\u00e1lkah\u00e1rty\u00e1ja megv\u00e1ltozik, \u00e9s a gasztroszk\u00f3pia sor\u00e1n m\u00e1jbetegs\u00e9g jelei is l\u00e1that\u00f3k. A fek\u00e9lyes vastagb\u00e9lgyullad\u00e1s \u00e9s a Crohn-betegs\u00e9g n\u00e9h\u00e1ny olyan \u00e1llapot, amely kolonoszk\u00f3pi\u00e1val kimutathat\u00f3.<\/p>\n

A b\u00e9lr\u00e1k korai felismer\u00e9se, megel\u0151z\u00e9se \u00e9s kezel\u00e9se a kolonoszk\u00f3pia elv\u00e9gz\u00e9s\u00e9nek egyik f\u0151 oka, \u00e9s egyre gyakoribb a korai t\u00fcnetek sz\u0171r\u00e9se.\n\n Az endoszk\u00f3pos vizsg\u00e1latok ir\u00e1nti ig\u00e9ny n\u0151\n<\/strong>\nAz elv\u00e9gzett endoszk\u00f3pi\u00e1k sz\u00e1ma \u00e9vr\u0151l \u00e9vre folyamatosan n\u00f6vekszik. Hivatalos adatok innen\n\n Ausztr\u00e1l Eg\u00e9szs\u00e9g\u00fcgyi \u00e9s J\u00f3l\u00e9ti Int\u00e9zet\n<\/a>\nazt mutatja, hogy csak 2016\/17 \u00e9s 2018\/19 k\u00f6z\u00f6tt az endoszk\u00f3pos elj\u00e1r\u00e1sok sz\u00e1ma 12%-vel n\u0151tt, m\u00edg a\n\n NHS Anglia\n<\/a>\nA diagnosztikai v\u00e1rakoz\u00e1si id\u0151kr\u0151l \u00e9s aktivit\u00e1sr\u00f3l azt mutatja, hogy Angli\u00e1ban az elv\u00e9gzett endoszk\u00f3pi\u00e1k sz\u00e1ma 47%-vel n\u0151tt az elm\u00falt 10 \u00e9vben. \u00c9s \u00fagy t\u0171nik, hogy a kereslet m\u00e9g gyorsabban n\u00f6vekszik.<\/p>\n

A Covid-19 hat\u00e1sa jelent\u0151s volt azokban az orsz\u00e1gokban, ahol hossz\u00fa id\u0151n \u00e1t kellett t\u00f6rl\u00e9sekkel szembes\u00fclni\u00fck. Angli\u00e1ban az endoszk\u00f3pos aktivit\u00e1s t\u00f6bb mint 80%-vel cs\u00f6kkent a Covid-19 kezdeti hull\u00e1m\u00e1nak korai szakasz\u00e1ban, \u00e9s annak ellen\u00e9re, hogy a szint az\u00f3ta valamelyest javult, orsz\u00e1gosan m\u00e9g mindig t\u00f6bb mint 40%-val t\u00f6bben v\u00e1rnak endoszk\u00f3pi\u00e1ra, mint a j\u00e1rv\u00e1ny el\u0151tt.<\/p>\n

Ausztr\u00e1li\u00e1ban, amelyet kev\u00e9sb\u00e9 \u00e9rintett a kezdeti j\u00e1rv\u00e1ny, a sz\u0171r\u0151 kolonoszk\u00f3pi\u00e1t nagyr\u00e9szt folytatt\u00e1k a nemzeti b\u00e9lr\u00e1ksz\u0171r\u00e9si program r\u00e9szek\u00e9nt. De m\u00e9g \u00edgy is jelent\u0151s cs\u00f6kken\u00e9s k\u00f6vetkezett be az endoszk\u00f3pos aktivit\u00e1sban ott is. A\n\n \u00faj tanulm\u00e1ny\n<\/a>\nfelt\u00e1rta, hogy a Covid-19 alatt 66%-vel kevesebb elj\u00e1r\u00e1st hajtottak v\u00e9gre, a kolonoszk\u00f3pi\u00e1t a Covid el\u0151tti szint 46%-j\u00e1ra, a gasztroszk\u00f3pi\u00e1t pedig 25%-ra cs\u00f6kkentett\u00e9k.<\/p>\n

B\u00e1r a r\u00e1kkal kapcsolatos tal\u00e1lkoz\u00f3k a vil\u00e1gj\u00e1rv\u00e1ny alatt is folytat\u00f3dtak, \u00e9s sok \u00e1llam elkezdte felz\u00e1rk\u00f3zni a lemarad\u00e1shoz, tov\u00e1bbra is k\u00e9rd\u00e9sek mer\u00fclnek fel az endoszk\u00f3pos szolg\u00e1ltat\u00e1sokra gyakorolt val\u00f3di hat\u00e1sr\u00f3l. Fel kell m\u00e9rni a gyomor-b\u00e9lrendszeri t\u00fcnetekkel kapcsolatos alapell\u00e1t\u00e1si l\u00e1togat\u00e1sok sz\u00e1m\u00e1t, de az elm\u00falt \u00e9vben cs\u00f6kkent, k\u00fcl\u00f6n\u00f6sen a kev\u00e9sb\u00e9 s\u00falyos betegs\u00e9gek eset\u00e9ben, \u00e9s ez val\u00f3sz\u00edn\u0171leg a jelenleg j\u00f3l l\u00e1that\u00f3n\u00e1l jelent\u0151sebb lemarad\u00e1st takar.\n\n Hossz\u00fa t\u00e1von jelent\u0151s kapacit\u00e1sra van sz\u00fcks\u00e9g\n<\/strong>\nA Covid-19-b\u0151l val\u00f3 fel\u00e9p\u00fcl\u00e9sen t\u00falmen\u0151en a coeliakia \u00e9s m\u00e1s kev\u00e9sb\u00e9 s\u00falyos \u00e1llapotok miatt gyakoribb gasztroenterol\u00f3gusokhoz val\u00f3 beutal\u00e1sok tov\u00e1bbi terhei, amelyeket a v\u00e9rvizsg\u00e1latok javul\u00e1sa, a nagyobb tudatoss\u00e1g \u00e9s az ezen \u00e1llapotok fokozott sz\u0171r\u00e9se okoz, a fenti diagnosztikai endoszk\u00f3pos elj\u00e1r\u00e1sok folytat\u00e1s\u00e1t jelenti. egy minim\u00e1lis k\u00fcsz\u00f6b kritikus lehet annak megakad\u00e1lyoz\u00e1sa \u00e9rdek\u00e9ben, hogy a v\u00e1r\u00f3list\u00e1k a k\u00f6zelj\u00f6v\u0151ben az elfogadhat\u00f3 szint f\u00f6l\u00e9 emelkedjenek.<\/p>\n

Ehhez tov\u00e1bbi kapacit\u00e1sra lesz sz\u00fcks\u00e9g. Ez t\u00f6rt\u00e9nhet nagyobb diagnosztikai k\u00f6zpontok vagy szuperk\u00f6zpontok form\u00e1j\u00e1ban, amelyek t\u00f6bb ember sz\u00e1m\u00e1ra jelenthetnek nagyobb k\u00fcl\u00f6nbs\u00e9get, vagy lokaliz\u00e1ltabb szolg\u00e1ltat\u00e1sk\u00e9nt, az egyes orsz\u00e1gok ig\u00e9nyeit\u0151l f\u00fcgg\u0151en. Az azonban vil\u00e1gos, hogy ennek az infrastrukt\u00far\u00e1nak a ki\u00e9p\u00edt\u00e9s\u00e9hez jelent\u0151s beruh\u00e1z\u00e1sra \u00e9s id\u0151re van sz\u00fcks\u00e9g. De a most s\u00fcrg\u0151sen sz\u00fcks\u00e9ges extra kapacit\u00e1s mellett milyen egy\u00e9b lehet\u0151s\u00e9gek vannak?<\/p>\n

A kapacit\u00e1s nagyon r\u00f6vid id\u0151n bel\u00fcli jelent\u0151s n\u00f6vel\u00e9s\u00e9nek egyik m\u00f3dja egy mobil vagy modul\u00e1ris \u00fczembe helyez\u00e9se\n\n endoszk\u00f3pos csomag\n<\/a>\n. Egy ilyen l\u00e9tes\u00edtm\u00e9ny heteken bel\u00fcl \u00fczembe helyezhet\u0151, \u00e9s be\u00e9p\u00edtett fert\u0151tlen\u00edt\u0151 berendez\u00e9ssel is felszerelhet\u0151, hogy el\u0151seg\u00edtse a tev\u00e9kenys\u00e9g felfel\u00e9 \u00edvel\u00e9s\u00e9t.<\/p>","protected":false},"excerpt":{"rendered":"

Az endoszk\u00f3pia gyakran t\u00e1rsul a r\u00e1k diagnosztiz\u00e1l\u00e1s\u00e1hoz, de k\u00fcl\u00f6nb\u00f6z\u0151 t\u00edpus\u00fa endoszk\u00f3pia seg\u00edts\u00e9g\u00e9vel m\u00e1s \u00e1llapotokat is diagnosztiz\u00e1lnak \u2013 \u00e9s ezek k\u00f6z\u00fcl a betegs\u00e9gek k\u00f6z\u00fcl sokat egyre nagyobb m\u00e9rt\u00e9kben \u00e9szlelnek.<\/p>","protected":false},"author":1,"featured_media":1301,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,123],"tags":[134,130],"class_list":["post-2838","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-procedures","tag-endoscope-decontamination","tag-endoscopy-suite"],"acf":[],"yoast_head":"\nEndoscopy demand is up - and not just for detecting cancer - Q-bital Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Endoscopy demand is up and not just for detecting cancer, other conditions are also diagnosed using different types of endoscopy\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.q-bital.com\/hu_hu\/endoscopy-demand-is-up-and-not-just-for-detecting-cancer\/\" \/>\n<meta property=\"og:locale\" content=\"hu_HU\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Endoscopy demand is up - 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