Okudingeka ukwenze ezinsukwini eziholela ekolonoscopy
Ukuze ube ne- colonoscopy ephumelelayo, umzimba, ikakhulukazi emathunjini amakhulu (i-colon), kufanele ilungiselelwe kahle. I-colonoscopy prep yingxenye ebalulekile yenqubo evame ukwenza ekhaya, ngokulandela izinkomba ezinikezwa i-gastroenterologist. Ukulungiswa kuvame ukuyingxenye engakhululekile kakhulu ye-colonoscopy ngoba ukudalwa okukhanya noma " ukulala kwelanga " ngokuvamile kuvame ukusetshenziswa ngesikhathi senqubo ngokwayo ukuvimbela noma yikuphi ukungakhululeki.
Iningi labantu ngeke likhumbule ukuthi kwenzekani phakathi nokuhlolwa kwangempela (yingakho kubalulekile ukuletha umngane noma ilungu lomndeni ndawonye ukukhuluma nodokotela nokushayela ekhaya).
Yeka ukuthi i-Colonoscopy iyini, nokuthi kungani eyenziwe
I-colonoscopy yinkqubo ebuka ngaphakathi kwekoloni. Lokhu kwenziwa ngokufaka ithubhu eguquguqukayo ngokukhanya ekugcineni kube yi-anus. Udokotela angakwazi ukuhambisa ithubhu ngokusebenzisa i-rectum kuze kufike ekolon ukuze angene ngaphakathi futhi afune izintambo noma ezinye izinto ezingavamile. Kunconywa ukuthi wonke umuntu oneminyaka engama-50 athole ikholonoscopy yokuhlola ukuhlola umdlavuza obala. Abanye abantu bangase badinge inqubo ngaphambili, kuye ngokuthi izimo ezingozini zomdlavuza wekoloni.
I-Colonoscopy Prep
Umgomo we- colonoscopy prep ukuqeda yonke into engama- fecal (esitokisini) kusuka kolononi ukuze udokotela owenza i-colonoscopy abe nombono ocacile odongeni lwamathumbu. Kunezindlela eziningi ezijwayelekile zokwenza lokhu kwenziwe, kanti odokotela neziguli ezithile bazoba nezindlela zabo eziyingqayizivele ezisebenzela kangcono.
Ezinye zezinhlobo eziyinhloko zokulungiselela ziyi-Golytely (futhi ithengiswa ngaphansi kwegama elithi Colyte, noma i-Nulytely), namaphilisi e-sodium phosphate (i-Osmo-Prep ne-Visicol).
I-Colonoscopy Iziphakamiso Zokulungiselela
- Ukuze unciphise noma yikuphi ukungahambi kahle komuntu, sebenzisa abantu abadala abadala abagcoba amanzi noma abafiphala ngamanzi ukuze bahlanze indawo ye-rectal esikhundleni sephepha langasese.
- Gcina uketshezi oluningi olucacile esandleni sokuphuza. Amanzi atholakalayo futhi ahlale ene-hydrated kubalulekile.
- Landela imiyalelo kadokotela. Ngeke uthande ukwenza ukuphinda njalo ngoba awutholanga kahle okokuqala.
- Yilungele ukusebenzisa isikhathi esiningi ngaphambi kokuhlolwa kwakho endlini yangasese. Letha incwadi.
- Shayela ihhovisi likadokotela usizo ukuze unenkinga noma ungaqondi imiyalo yokulungiselela.
I-Polyethylene Glycol-Electrolyte (i-Golytely, i-Colyte, i-NuLytely, i-TriLyte)
Lokhu kulungiswa kuzodinga isiguli kusuka kudokotela. Iqukethe i-jug gallon ne-powder mix ngaphakathi. Isiguli sizogcwalisa i-jug ngamanzi bese uxuba ku-powder ukwenza isiphuzo. Iziyalezo ngokuvamile ziphuza ingilazi eyodwa ye-8 oz ingxube yonke imizuzu engu-10 kuze kube yilapho yonke i-gallon isiphelile noma iqedwa. Ngemuva kwezingilazi ezimbalwa zokuqala, ukuphuma kwamathumbu ( ngesifo sohudo ) kuzoqala. Ngaphambi kokuba i-gallon isiphelile, abantu abaningi bathola ukuthi ukuphuma kwabo kucacile futhi zonke izitshalo zihlanzwa ngaphandle kwekoloni.
Uma ukuqedwa kungacacisi ngemuva kokuba i-gallon isiphelile, i- enema ingadingeka. Abanye abantu bahlangabezana nesisindo sokuphuza amanzi uma bephuza amanzi amaningi, ngakho-ke udokotela angase anikeze imithi yokulwa nesicanshu uma kwenzeka. I-Golytely manje ifika ngama-flavour amaningi ukuze kube lula futhi kulula ukuphuza.
I-picosulfate ye-sodium
Lokhu kuyi-laxative equkethe i-picosulfate ye-sodium, i-magnesium oxide, ne-anhydrous citric acid. Iza ku powder esithathwe exutshwe emanzini. I-picosulfate ye-sodium iyi-laxative etolésium oxide enamandla futhi i-citric acid enama-anhydre ihlanganisa namanzi ukwenza i-magnesium citrate, e-laxative ye-osmotic. Lokhu kulungiswa kuvame ukunikezwa ezinxenyeni ezimbili: eyodwa ngobusuku obuphambili nenye kokuhlolwa kokusa. Kwezinye izimo amanani angase anikezwe ekuqaleni ukuze aphelele futhi aqede ngesikhathi sokuhamba ukuze avivinye. I-powder kufanele ixutshwe ngamanzi ngaphambi kokuba isikhathi sokuphuza hhayi ngaphambili.
Isenzo se-laxative salesi sandulela sizobangela amanzi amaningi ukuba ashiye umzimba emathunjini ngakho-ke kubalulekile ukuqhubeka uphuza amanzi anele kanye nezinye iziphuzo ezicacile ukuze uzibuyisele.
I-phosphate ye-sodium
Amaphilisi e-sodium phosphate anqunywe udokotela okwenza i-colonoscopy. Kunezinhlobo ezimbili ezihlukene, kuye ngokuthi udokotela wakho ubekaphi - i-Visicol, umthamo we-tablet-40, no-Osmo-Prep, uhlobo lwethebhulethi engu-32.
Nge-Visicol, amanani angu-7 athathwa ngezikhathi eziyi-15: amaphilisi amathathu athathwe ama-6 amanani, bese kuthi amaphilisi amabili athathwa ngomthamo owodwa (amaphilisi angu-20 ephelele). Ngakusasa ekuseni, amahora amathathu kuya ku-5 ngaphambi kokuhlolwa, isilinganiso esifanayo siphindaphindwa (amathebulethi amathathu ama-6 amanani, bese kuthi amaphilisi amabili we-dose elilodwa, emaminithini angu-15 ngezikhathi zamaphilisi angu-20).
I-prep iqala ukusebenza ngehora ngemva kokuthatha isamba sokuqala samathebulethi. Ukudla okunomsoco ngokuvamile kuvunyelwe ekuqaleni kwamahora angu-12 ngaphambi kokuqala uhlelo. Imiphumela emibi engase ibe yilezi zibandakanya ukuvimbela, ukuhlukumeza, ukuhlanza, nobuhlungu besisu.
E-Osmo-Prep (ifomu elisha), amaphilisi athathwa kusihlwa ngaphambili nangomuso we-colonoscopy. Kusihlwa ngaphambi kokuhlolwa, amaphilisi amane athathwa ngama-ounces ayisishiyagalolunye wamanzi ahlanzekile njalo ngemizuzu engu-15 ukulinganisa inani lalingu-5 (amaphilisi angu-20 ephelele). Ngakusasa ekuseni, amahora angaba ngu-3 kuya ku-5 ngaphambi kokuhlolwa, amanye ama-3 amanani amaphilisi amane athathwe ngezikhathi eziyi-15 (amaphilisi angu-12 ephelele).
Izwi elivela
Kunezinhlobonhlobo zamalungiselelo ezitholakalayo futhi eziningi ziyathuthukiswa ngoba kuqondakala ukuthi kunzima kanjani ukwenza le ngxenye ye-colonoscopy. Abanye odokotela bayoba nezinye izindlela zokulungiselela futhi bazonikeza imiyalelo yokuthi baye bahlela kanjani izinqubo zabo. Kwezinye izimo, uma iziguli zinezimo ezithile ezivimbela ukusetshenziswa kwezixube, kunezinye izindlela zokuzilungiselela. Kubantu abaye bahlinzwa emathunjini, ukulungiselela okuphelele kungase kungadingeki, futhi kungase kube khona inguqulo eguquliwe etholakalayo. Sebenzisana nodokotela ocacisa ukuze uthole ukuthi iyiphi indlela engcono kakhulu ezoba khona ukuze uhlanze ikoloni futhi ulungele ukuhlolwa.
Imithombo:
Abasebenzi be-UMHS Medical Procedures Unit MPU / MPC. "I-Colonoscopy." Uhlelo lwezempilo lwe-UM. Juni 2007.
UJan Nissl, uRN, BS. "I-Colonoscopy" i-Cigna. Ngo-September 1, 2006.
Lester Stine, MD. "Ukulungiselela i-Colonoscopy." Isikhungo se-Endoscopy e-Three Rivers. 2004.
Salix Pharmaceuticals. "Ulwazi lomkhiqizo we-Visicol." Salix Pharmaceuticals 2004.
Salix Pharmaceuticals. "Ulwazi lomkhiqizo we-OsmoPrep." I-Salix Pharmaceuticals 2006.