Ukuhlanza ikholoni, kungcono
Ukulungiselela i- colonoscopy kungaba yinto evelele kakhulu yalesi sivivinyo sokuhlola esiyigugu, kodwa kubaluleke kakhulu ukuze inqubo iphumelele. Ukulungiswa kwe-colonoscopy efanele kwenza ikholoni yakho ihlanzeke kahle, ivumela udokotela ukuba acabange ngeso lengqondo ukungena ngaphakathi. I-Leftover esitokisini noma amanzi omswakama angakwazi ukufaka i-polyp encane noma isigaba sezintambo ezingavamile ngaphakathi kwekoloni.
Ukuhlanza ikholoni yakho, kungcono udokotela wakho azokwazi ukubona.
Ukulungiselela i-Colonoscopy yakho
Ungase ukwesaba ukulungiswa kwe-colonoscopy ngoba kuzodingeka uchithe iningi laso ngaphakathi noma eduze nendawo yokugezela ephuma emathunjini akho. I-prep iqukethe ukuthatha i-laxatives kanye nezinto eziphoqa ukunyakaza kwamathumba (noma eziningi zazo).
Uma ungahambisani nemiyalo yokulungiselela, kunethuba lokuhlolwa kwakho kuzokhanselwa. Vumela udokotela wakho wazi ngokushesha uma ungeke ukwazi ukuqedela u-prep ukuze ukwazi ukugwema ukungabonisi amacala uma ikholonoscopy yakho ikhanseliwe, noma uma kwenzeka uzodinga enye. Kwezinye izimo, kukhona ngisho nethuba lokuthi isitoreji esisele singadideka ngezicubu ezingekho emzimbeni.
Njalo udokotela uhlela inguqulo ehlukile ye-prep colonoscopy, ezohluka ngokuvumelana nezintandokazi zakhe kanye nempilo yakho. Ezinye izikhathi zangaphambili zingase ziqale ngezinsuku zokudla ezinomsoco ngaphambi kokuhlolwa kwakho; abanye bangabandakanya ukusebenzisa i- enema ne-laxatives ekhaya ebusuku ebusuku.
Uma unemibuzo, ungalindi kuze kube ngomzuzu wokugcina-shayela ihhovisi ledokotela bese uthola ukucaciswa.
Izinketho Ezihlukahlukene Zokulungiselela
I-colonoscopy preps ingase ihlanganise amaphilisi, iziphuzo zokuphuza iziphuzo (izixazululo), ukuzisebenzisa ukusebenzisa ngokweqile, noma ukuhlanganiswa kwezintathu, kanye nokuguqulwa kokudla. Ama-laxatives omsindo afika ngendlela yepilisi noma i-liquid okuzoyiphuza futhi isetshenziswa ngokujwayelekile ngokudla okunomsoco okucacile.
Amanye amaphilisi namakhemikhali ajwayelekile ahlanganisa:
- Amathebulethi e-Dulcolax (bisacodyl)
- Amathebulethi aseMagnesium citrate noma isisombululo
- Amaphilisi e-Senakot (senna)
- Isixazululo se-GoLYTELY
- Isixazululo se-NuLYTELY
- Isixazululo se-TriLyte
- Isisombululo se-Glycolax
- Isixazululo se-CoLyte
- Isixazululo se-Miralax
- Isixazululo se-TriLyte
- I-Fleet Phospho Soda (i-sodium biphosphate ne-sodium phosphate) isisombululo noma amaphilisi
Ukulungiselela kanye neziqondiso
Lezi zixazululo zingase zifike ngamabhodlela ngamanye noma njengama-powders enza-it-yourself adinga ukuxutshwa. Kufanele uthole imiyalelo yokuthi ungayisebenzisa kanjani ikhambi kudokotela wakho. Uzodinga ukwazi kahle ukuthi uphuze kangakanani nokuthi ungayiphuza kaningi kangakanani. Izixazululo eziningi ezindala, njenge-PRELETELY prep, namanje zithembekile futhi zisetshenziswe kabanzi kodwa zidinga ukuphuza inani eliningi lamanzi (kuze kube ngamalitha amane). Izixazululo ezintsha zingadinga indlela encane yokuphuza, kodwa uzodinga ukuphuza amanzi amaningi ukuze uhlanza ikholoni ehlanzekile.
Isixazululo Ukudla
Ukunambitheka okubabayo nokusawoti kwesinye izixazululo kungavimbela ukulandelwa kwamathrekhi. Kodwa-ke, amafomula amaningi amasha angenawo ama-sulphate-free, okusho ukuthi awunayo i-aftertaste enosawoti. Uma ungeke ukwazi ukubekezelela isixazululo, akusikho amathuba amaningi ukuthi uzophuza wonke amalitha amane. Buza udokotela wakho mayelana nokukhethwa kokuxulela kwangaphambili, okungafaka phakathi i-cherry, i-lemon-lime, noma ngisho nokunambitheka kokunambitheka kwe-ananas.
Uma iziphuzo zakho zokunambitheka zisalokhu zicasuliwe, cela udokotela wakho uma ungangezela isiphuzo sokuphuza ukuhweba ngokuphuza, njenge-Crystal Light noma i-Gatorade, ukuze unciphise ukunambitheka.
I-Enemas
Ngezinye izikhathi i- Enemas iyalwe ukuba iqedele ukulungiselela ukuhlanzwa kwe-colon, kodwa ingahlanza kuphela isigaba esincane ekupheleni koloni. Udokotela wakho angalawula amanzi empompo noma i-enema ye-Fleet ubusuku ngaphambi noma ekuseni kolonoscopy yakho. Kuzodingeka uhlale eduze nendawo yokugezela ngemuva kokusebenzisa i-enema ngoba ngokuvamile isebenza ngokushesha kakhulu (kungakapheli imizuzu engu-10 noma ngaphansi).
Ukulungiselela Ukudla
Ezinye ze-preps ze-colonoscopy zingafaka inguquko yokudla kwezinsuku ezilodwa kuya kwezine ngaphambi kwenqubo.
Lokhu kudla kuzoba noketshezi olucacile kuphela-uma ungayibona, ungadla noma uphuze. Ezinye izintandokazi ekudleni okucacile okukhipha uketshezi zihlanganisa inyama yenkomo noma inkukhu, i-sodas ecacile, amagilebhisi amhlophe noma ama-apula, kanye ne-gelatin. Gwema i-gelatin ebomvu nephuzi noma iziphuzo zezemidlalo, njengoba zingakwazi ukufaka ikholoni. Ngaphandle kokuba udokotela wakho akutshele ngenye indlela, ungaqhubeka uphuza itiye noma ikhofi, kodwa ubambe ukhilimu noma ubisi. Uma ulambile ekudleni kwakho okucacile, cabanga ukuphuza ingilazi yamanzi amade yonke "ukudla".
Ngaphambi kwalokho, noma esikhundleni sakho, ukudla okunomsoco okucacile ungase ubekwe ekudleni okuphansi okusele. Lokhu kudla kuqukethe ukuguqulwa kwesidlo, izobho, noma imigoqo, okungukuthi amaprotheni nama-khalori ane-fiber encane kakhulu (okusele). Akufanele udle noma yiliphi izithelo, imifino noma okusanhlamvu ekudleni okusele okuphansi.
Izinduduzo
I-prep colonoscopy inokunye okuphathelene nokukhishwa: imiphumela emibi yokukhipha ngokushesha ikholoni. Izinto ezisetshenziselwa ukuhlanza amathambo akho zingase zenze imiphumela emibi engafanele, njengegesi eliqhumayo nesicashu. Udokotela wakho angase anikeze imithi yokusiza ngalezi zimpawu, kuhlanganise:
- I-Reglan (metoclopramide): Isiza ukuhambisa izinto zangaphambi kwesisu ngokushesha, okungasiza ekunciphiseni isicashu kanye nokuphuza.
- I-Mylicon, i-Gas-X, i-Mylanta (i-simethicone): Isiza ukuphuza igesi ukuze idluliswe kahle kakhulu.
Thatha esinye isinyathelo esisebenzayo sokuthutha induduzo futhi utshale kwezinye zephepha zangasese zekhwalithi ngaphambi kokuzilungiselela kwakho. Izimpahla ezingabizi kakhulu zivame ukwedlula futhi zinganciphisa isikhumba ezungeze i-anus yakho ngemva kokuhamba ngezinyawo eziningi endlini yangasese. Xoxa nodokotela wakho uma unesifo sezinyosi futhi ulungiselele ngokufanele ngamabhati okugeza, ama-soaks, nama-creams njengoba eqondisiwe.
Okunye Okungenzeka Kungenzeka Okuthintekayo Kwama Side Side
Ezinye imiphumela emibi, nakuba engavamile, ingafaka ukushintsha kwe-fluid kanye ne-electrolyte. Umzimba wakho usebenza njalo ukugcina ukulinganisela phakathi kwamanzi aphuma emangqamuzaneni akho kanye namanzi aphuma emzimbeni wakho nge-electrolyte, njenge-sodium noma i-potassium. Uma ulahlekelwa ngamanzi amaningi ngesikhathi esisodwa (cabanga njalo, izitshalo zamanzi) wakho omswakama kanye nama-electrolyte angaphumelela futhi akhombise izimpawu ezingakhululekile, njengenhloko. Ukungahambi kahle kwesisu nokuhlanza nakho kuvamile kodwa kungenzeka. Uma ukunganaki noma izimpawu kukugcina ekuqedeni i-prep colonoscopy, shayela udokotela wakho. Angase abe neziphakamiso ezithile zokusiza ukwandisa izinga lakho lokududuza.
> Imithombo:
> I-American Cancer Society. Ukuhlolwa kweCrorectal Cancer Screening. Kubuyekezwe u-Agasti 22, 2017.
> I-Harvard Health Publishing. Ukulungiselela i-Colonoscopy. I-Harvard Medical School. Kubuyekezwe ngomhla ka-18 Agasti, 2017.