I-Bowel Prep: Okudingeka Ukwazi

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Kuyini Okuyilungisa Ubuthi?

Kuyini Okuyilungisa Ubuthi?

Ukulungiswa kwamathumba, okujwayele ukubizwa ngokuthi "i-pre-bowel prep", yinqubo yokukhipha yonke imfucumfucu emgqeni ukuze ibe nenqubo yezokwelapha noma yokuhlinza njenge-colonoscopy.

Kubalulekile ukuhlanza ikoloni yazo zonke izitoli, izinhlayiya zokudla kanye nanoma yini enye engase ibe khona ngezizathu eziningana. Uma uhlinzwa noma eduze nekoloni, ukubeka isitofu kuyingozi yokutheleleka futhi kungangena endleleni yezinqubo ezithile. Cabanga ukubeka ikhamera emgodini odakeni bese uzama ukuthatha isithombe. Ngeke ubone into. Kuyafana nalapho uzama ukubona ngaphakathi kwekoloni ngesikhathi se-colonoscopy - kuphela ikholoni ehlanzekile ingahlolwa ngempela ukuba khona kwama-polyps.

Uma kwenzeka i- colonoscopy , isitokisi ekolon ingavimbela udokotela ohlinzayo ukuthi angaboni izicubu ezihlolwe futhi kungenza kube nzima kakhulu ukwethula umthamo okhanyayo emgqeni nasekoloni. Ake ucabange umcengezi ozama ukuhlanza ipayipi elivaliwe endlini yakho bese uqhathanisa lokho kumbhobho ohlanzekile futhi ocacile, futhi uzoqonda ukuthi kungani udokotela wakho efuna ikholoni yakho ihlanzeke ngangokunokwenzeka.

I-colon egcwele ingenza kube nzima ukusebenza ngezicubu eziseduze, njengesibeletho. Cabanga ngekoloni njengebholoni ethatha igumbi esikhala esivamile. I-colon engenalutho, njengebholuni ehlanjululwe, ithatha indawo encane kakhulu futhi inika udokotela ohlinzayo indawo enkulu yokusebenza.

Kunezikhathi lapho isandulela sezinyosi senziwa kuphela ukuvimbela izinkinga ezingase zibe khona kusukela ekuhlinzekeni. Isibonelo, uma isilwane sakho singasetshenziswanga ngesikhathi sokuhlinzwa, ingozi yokutheleleka ingadlulela ngokuphawulekayo uma isilonda singenalutho.

Ukuze uthole ukuphepha kwakho, futhi ube nomphumela ongcono kakhulu kunqubo yakho, kubalulekile ukuthi ulandele imiyalelo yakho ye-prep ye-bowel.

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Indlela Yokwenza Ukulungiselela Kwamathumba

Indlela Yokwenza Amathumbu Ukulungiselela

Izinqubo ze-pre-prep ziyahlukahluka phakathi kodokotela naphakathi kwezinqubo. I-prep for the person who has a surgeon colon ingase ihluke kakhulu kumuntu onokolonoscopy.

Landela imiyalelo kadokotela wakho ngokucophelela, futhi uphambuke ohlangothini lokuqapha uma ungabaza. Umgomo wukuthi igciwane lakho lokugaya licacile kuzo zonke izidakamizwa, ukudla kanye nanoma yini enye engase ibe khona. Uma ungakwazi ukwenza lokhu, noma uma ungahambisani nemiyalo, inqubo yakho ingase ibambezeleke noma ikhanseliwe.

I-prep yakho yezinyosi ingaba nesinyathelo esisodwa noma eziningana, kuye ngokuthi izifiso zomdokotela wakho. Iziguli eziningi zidinga ukuphuza inani elikhulu lamanzi ahlanzekile afana ne-Go-Lytely, okuzokwenza ukuthi i-digestive tract ye-digestive iqhubekele futhi ibangele ukuhambisa isisu- okufana nokuhamba kwamathumbu. Ezinye iziguli zingase zibe nenani elikhulu lamaphilisi okufanele alithathe, kunokuba isisombululo. Ezinye iziguli zithembele ekuqedeni ukuqedela isilwane sangasese.

Ezimweni ezingavamile, amaphilisi, ama-fluid, ne- enemas azosetshenziselwa konke, kepha eyodwa noma ezimbili zazo zivamile. Udokotela wakho angase futhi anikeze imishanguzo yokulwa nesicanshu efana ne- Reglan , eyandisa futhi ijubane lapho u-prep wakho esebenza khona.

Uma ngokuvamile uthatha imithi ekuseni, ungawafaki ngaphandle kokubonisana nodokotela wakho kuqala. Ungacelwa ukuthi weqe imithi yakho ngosuku, noma ukuwathatha ngemuva kokuba inqubo yakho iqedile.

Ungabuye unikezwe imiyalo ekhethekile uma uthatha igazi elincane, ngoba lokhu kungandisa ukwelapha ngesikhathi sokuhlinzwa nezinye izinqubo. Uma uthatha i-blood thinner qiniseka ukuthi uvumele umhlinzeki oyala ukuthi ukulungiselela isilondazi wazi.

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Ngaphambi Nesikhatsi Sokulungiselela Amathumbu

Ongakufanele Uyenze Ngaphambi Kokuthi Nesikhathi Phakathi Nesilwane Sokulungiselela

Unganikezwa imiyalelo eningiliziwe yesandulela sakho sezinyosi ngaphambi kwenqubo yakho. Lokhu kuhlanganisa isikhathi lapho kufanele uyeke ukudla, futhi uma kufanele uqale isilondolozi sakho sezinyosi.

Melana nesilingo sokuba nesidlo esinzima njengesidlo sakho sokugcina. Abantu abaningi badla isidlo esikhulu sokugcina njengokungathi abasoze babe nethuba lokudla futhi. Khumbula, ngokuyisisekelo uzohlanza indlela odla ngayo yonke into oyidlile ezinsukwini ezimbalwa zokugcina, ngakho-ke ukwengeza ukudla okuningi ngokushesha ngaphambi kokuba isilwane sakho sihlanzeke sizothatha isikhathi eside.

Ungadli ukudla okuqinile. Udokotela wakho angakuvumela ukuba ube neziphuzo ezicacile ngesikhathi sakho sezinyosi zangaphambili nangemva kwalokho, kepha lokho kuhlanganisa kuphela ukudla okumanzi futhi kucaciswe ekamelweni lokushisa. Ungase ungabi neJello noma ezinye ukudla okuthambile ngaphandle kokuthi uqondiswe ngqo ngudokotela wakho.

Ungamiseli isidumbu sakho ngaphambi kokumtshela udokotela wakho. I-prep imathumba engaphelele noma enganele, ngokuvamile ebangelwa ukungalandeli imiyalelo ngokucophelela, ingakhuphula ubude benqubo yakho. Udokotela wakho uzokwazi uma ungagcwalisi isilondolozi sakho samathumbu, kungakhathaliseki ukuthi ubatshela noma cha, ngoba bazokwazi ukubona isitoreji esisekholoni yakho.

Kwezinye izimo, uma uhluleka ukuqedela isilwane sakho se-prep kahle futhi inqubo yakho ikhanseliwe, ungase ube nesibopho sezindleko.

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Amacebo Awusizo Namathiphu Okulungiswa Kwamathumba

• Uma usekudla okuphansi-sodium, noma kufanele ugweme i-sodium, qiniseka ukukhuluma ngalokhu kudokotela wakho. Ezinye izixazululo ze-prep bowel ziqukethe amanani amaningi kasawoti.
• Uma unesifo sikashukela, qiniseka ukuthi udokotela wakho uyazi lokhu. Ukuhamba isikhathi eside ngaphandle kokudla kungabangela izinkinga, ngakho-ke qiniseka ukuthi ube necebo endaweni yeshukela ephansi yegazi. Uma udla ngokucacile uketshezi oluthile ungase ufune ukuba ne-fluid nama-calories atholakalayo, njenge-Sprite, uma ngabe izinga lakho leshukela legazi liphansi kakhulu.
• Ngisho noma ungase uphuze umthamo omkhulu wesikhuhlane se-prep, usadinga ukungena kumanzi njengoba kujwayelekile. Amanzi afanelekile, kodwa iziphuzo ezicacile (okungcono hhayi carbonated) ziyamukeleka. Uma uqala ukuzizwa unesihloko esiphezulu noma udizizi, ungase uphelelwe amandla. Engeza amanzi ekudleni kwakho oketshezi ngokushesha.
• Gwema ukudla okuphakeme kakhulu kanye nezinsiza ze-fibre ezinsukwini ngaphambi kwenqubo yakho. Ummbila namantongomane yizibonelo zokudla okuphezulu, okuvame ukubonakala kungashintshi uma kukhishwa emzimbeni. Ukudla okusele okuphansi kunenzuzo ngosuku noma ezimbili ngaphambi kokuhlanza umzimba.
• Gcina isisombululo sakho se-prep sezinyosi ebanda, uma kungenzeka; lokhu kunganciphisa ukuthi uyayinambitha kangakanani. Ungase ufune ukuwaphuza ngokusebenzisa utshani.
• Ungase uhlangabezane nokuphuthuma, futhi udinga ukungena endlini yokugezela ngokushesha. Uma ungakwazi ukuhamba masinyane noma udinga usizo ukuze ungene endlini yokudlela, hlela ukuhlala eduze nendawo yokugezela. Uma uthatha isinqumo sokulala ngesikhathi sokubeletha, qaphela ukuthi ungaba nobunzima ukuvuka nokuthuthela endlini yokugezela masinyane ukuze ugweme izingozi.
• Cabanga ukuthenga iphepha eliphansi kakhulu (eliphansi kakhulu) elisekhaya langasese le-prep. Uzoya endlini yokugezela kaningi, futhi ukukhathazeka kungathuthuka uma usebenzisa iphepha elinonya.
• Cabanga ukuthenga ama-wet wips ukuze isilwane sakho se-prep sisebenzise esikhundleni sephepha langasese. Bakha amahle futhi bangavimbela ukucasuka uma ukusula njalo kuyadingeka.
• Thola ukhululekile futhi ugqoke izingubo ezingasuswa kalula, njengezintambo ze-pajama noma i-nightgown. Uzochitha isikhathi esiningi uye endlini yokugezela, futhi ungase ufike endaweni lapho uhlala khona endlini yangasese esikhundleni sokuvuka uphinde uhambe njalo ngemizuzu embalwa.
• Cabanga ukusebenzisa i-barrier ointment, njengalezo ezisetshenziselwa ukukhwabanisa kwe-diaper, endaweni yangaphambili ngaphambi kokuqala ukulungiselela futhi uphinde usebenzise njengoba kudingeka. Lokhu kuzovikela izicubu ezintekentekile kule ndawo ngokucasuka uma uqala ukunyakaza okuningi kwamathumbu esikhathini esifushane.
• Gqoka ngokufudumele. Uzochitha isikhathi esiningi endlini yokugezela esihlalweni sendawo yangasese ebandayo, esingaphansi kabi. Yenza okusemandleni akho ukuqinisekisa ukuthi awubanda kanye nakho konke okunye okuqhubekayo. Abanye abantu bazibopha ngengubo.
• Uma unikezwa isisombululo okufanele uphuze, cabanga ukuthi uyayinambitha ukuze wenze kube lula kakhulu. I-Crystal Light ne-Kool Aid yizinqumo ezivamile. Ungase ungafuni ukusebenzisa into oyithandayo njalo, njengokuncintisana kwakho okwenziwe yi-lemonade, ngoba kungenzeka ukuthi awusayikukhangisa ngemuva kokugaya isilwane.
• Uma uzizwa unesihloko esiphambanweni phakathi nesilwane sakho se-prep, unciphisa ukudla kwakho kwesisombululo se-prep. Futhi, zama ukucindezela / ukubamba phansi kancane, njengoba lokhu kungabangela umuzwa wokuziphatha okulula. Ukwandisa amanzi akho ekudleni uma ngabe umuzwa ubangelwa ukuphelelwa amandla kwamanzi.
• Kungenzeka ukuthi inqubo ye-prep yezinyosi isuse ezinye zezitshalo ezijwayelekile zamathumbu akho. Lokhu kungenza kube nzima ukugaya ukudla, noma nje wenze uhlelo lwakho luzwe "luvaliwe" ezinsukwini ezilandela inqubo yakho. Ukwengeza i-yogurt ngamasiko asebenzayo ekudleni kwakho ngokushesha nje lapho ukudla okunothile kuvunyelwe kungasiza ngalolu daba.
• Uma ulandele imiyalo futhi uqedile ukulungiselela kwakho kodwa isixazululo siphume kakhulu noma usenayo isiteji siphume, shayela ihhovisi lomhlinzeki ukuze uthole imfundo eqhubekayo. Isixazululo esibhakabhaka sibonisa ukuthi le prep ayizange iphumelele ngokuphelele futhi ungadinga isisombululo esengeziwe noma imithi.

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Izinhlekelele Zokuzilungiselela Nezimpembezo Zemizila

Izingozi ze-Bowel Prep

Ngokuvamile, isilwane sangasese siphephile kakhulu, futhi iziguli eziningi azikho izinkinga zezokwelapha zangempela nenqubo. Nokho, iningi lamathumba okugaya izibeletho zenza kahle kakhulu ngenkathi kusetshenziselwa ukugeza ngokuphindaphindiwe izikhathi eziningi ngehora ngesikhathi sokuqala.

Iziguli eziningi zithi isandulela sezinyosi sibi nakakhulu kunenqubo yangempela eyenziwe, njengoba ulele noma uhlezi ukuba u-colonoscopy noma ukuhlinzwa.

Imiphumela Ejwayelekile Yomzimba Wezinkwa Zokuzilungiselela

(Mhlawumbe ube khona kuze kube yingxenye yazo zonke iziguli ezenza isilwane sangasese)

• Ukugubha
• I-nausea
• Ukuzwa Ukugcwele
• Ukungena kwe-Fecal
• Izinguquko ku-Taste
• Ukuvota
• Ukuphunga
• Isifo sohudo (umphumela olindeleke we-prep bowel)

Imiphumela emibi ye-Bowel Prep

• Seizure
• Ukuphelelwa umoya
• Ubunzima bokubukeka
• Ubuhlungu besifuba
• Izinhliziyo Zenhliziyo
• Isisindo sobuthakathaka
• Ukwehluleka Kwangempela Kweqhwaba (Ukuhluleka Kwezinso)

Noma iyiphi yalezi zimpawu / izimpawu kufanele zibikwe kudokotela wakho ngokushesha.

Ukudambiswa Kwemvelo Ngesikhathi Sokulungiselela Amathumbu

Ukwehla kwamanzi emzimbeni kuvamile lapho wenza isilwane sangasese uma ungathathi amanzi okwanele ngesikhathi senqubo. Ngenkathi ungase udingeke uphuze ama-ounces ayisishiyagalombili esisombululo se-prep emathunjini njalo ngemizuzu eyishumi, uma ungangeni emanzini ngaphezu kwesixazululo, ungase uphelelwe amanzi.

Indlela engcono kakhulu yokuqapha isimo sakho se-hydration ukubuka umbala womchamo wakho. Umchamo omnyama ubonisa isidingo soketshezi oluthe xaxa kanti umchamo ocacile futhi ongenakubala ungabonakali kahle. Uma umchamo wakho ubumnyama phakathi nenqubo yokulungiselela, engeza izibuko ezimbalwa zamanzi ngaphambi kokuba uphuze ukuphuza isisombululo sokulungiselela.

Ukwengeza amanzi ku-prep yakho ngeke nje kuthuthukise i-hydration yakho, kodwa kuzokusiza ukuvimbela noma yikuphi ukulimala ezinso zakho ngesikhathi senqubo. Nakuba le nkinga ingavamile, ngaso sonke isikhathi kungcono ukuvimbela umonakalo kunokuba uyiphathe.

Izimpawu zokuphelelwa amandla kwamanzi zihlanganisa:

• Isizungu
• Ukunciphisa I-Urination
• Izinwele
• Izimpande zesisu
• I-Rapid Heart Beat

Amazwi ambalwa avela

I-prep bowel ayiyona imnandi kakhulu, kodwa yenziwa ngesizathu esihle: ukuthuthukisa umphumela wenqubo yakho. Kungase kube isilingo sokuyikhohlisa, noma ukungaqedi inqubo, kepha uma ukhetha ukwenza lokho u-1) ukunciphisa ngokuphawulekayo ukuphepha kwakho ngesikhathi sokuhlinzwa noma 2) ukunciphisa ukusebenza kwe-colonoscopy yakho - eyenziwe ukuvimbela noma ukuxilonga umdlavuza. Ngakho-ke njengoba kunzima kangakanani, yenza ukulungiselela kwakho kwekoloni ngokusemandleni akho, futhi ugcwalise njengoba kuqondiswe. Ungayeka uma isiphuzo siqala ukuphuma sibheke njengathi singena - singabi nhlobo - futhi ukulungiswa kwakho kwekhaloni kuqedile ngokomthetho.

_Imithombo:

_{Ukulungiswa kwamathumba ekhaya: Ukutadisha okubonakalayo kwemiphumela emibi kubantu asebekhulile. Heymann, Chopra, Nunn, Coulter, Westaby no Murray-Lyon. I-British Medical Journal. http://www.bmj.com/content/313/7059/727.full}

_{I-GI Yokudla Okubalulekile Okuthintekayo Kubangelwa Ukuhluleka Kwama-Renal. Smiley Thakur.}

_{Umhlahlandlela Wokusebenzisa Imithi HalfLytely and Bisacodyl Tablet Bowel Prep Kit. Ukuphathwa Kwezokudla Nezidakamizwa. http://www.fda.gov/downloads/Drugs/DrugSafety/UCM220644.pdf}