I-colonoscopy iyilingo elisetshenziselwa ukuhlola ngaphakathi kwekoloni (amathumbu amakhulu) . Ithuluzi elisetshenziselwa lokhu libizwa ngokuthi i- colonoscope , okuyi- tubility flexible nama-lens, ikhamera encane ye-TV, nokukhanya ekugcineni. Ngokusebenzisa ubuchwepheshe be-fiber-optic kanye ne-computer computer chip, ikolonoscope ingakwazi ukuskena ngaphakathi kwekoloni iphinde ithumele izithombe zodonga lwamathumbu kumbukiso wevidiyo.
I- gastroenterologist (isazi esifo sokugaya ukudla) noma udokotela ohlinzayo odokotela ngokuvamile uqhuba uhlolo.
I-colonoscopy ingasetshenziselwa ukuxilonga izifo zokugaya (noma zibalawule ngaphandle!), Kanti futhi iyinqubo yegolide yokuhlolwa komdlavuza wekoloni nokuvikela. Ukukhula ngaphakathi ngaphakathi kwekoloni, okuthiwa i- polyps , yiyona eyandulela umdlavuza, kodwa ingasuswa ngesikhathi se-colonoscopy. Ngemuva kwalokho, iningi labantu liyamangala ukuthi kulula kanjani ukuba ne-colonoscopy nokuthi ukubuyela emsebenzini noma esikoleni ngosuku olulandelayo akuyona inkinga.
Kungani I-Colonoscopy?
I-colonoscopy iyasiza ekutholeni umdlavuza wekoloni , izilonda, ukuvuvukala, nezinye izinkinga ekoloni. Ukuze kuhlolwe umdlavuza wekoloni, ikholonoscopy inconywa yonke iminyaka engu-10 emva kweminyaka engama-50 kulabo abasengozini evamile.
Ukuhlolwa kufanele kwenziwe ngesikhathi esincane kubantu abanengozi enkulu yomdlavuza wekoloni ngenxa yomlando womndeni womdlavuza wekolon, isifo sofuba esiswini (IBD) , umlando wokukhula komdlavuza noma ama-polyps adenomatous, kanye nama-syndromes ezinzalo ezifana ne-familial adenomatous polyposis (FAP).
Abesifazane abanomlando we-ovarian, i-endometrial, noma umdlavuza webele kungenzeka badinga amakolonoscopies amaningi.
I-colonoscopy nayo ingabona umthombo wokuphuma kwamagciwane noma ukukhomba izindawo zokuvuvukala ekoloni. Okunamathiselwe ekugcineni kwe-colonoscope kungasetshenziselwa ukuthatha i- biopsy yezicubu ekoloni.
Uma i-polyp itholakele, ingasuswa isetshenziswa ngokunamathiselwe kwe-wire loop ku-colonoscope. Zombili izinhlobo ze-biopsies nama-polyps zizothunyelwa ebhokisithri ukuze zihlolwe ngokuqhubekayo.
Abantu abane-IBD (isifo sikaCrohn nesifo sokulonda i-ulcerative colitis) bangadinga i-colonoscopy njalo, ngisho njalo njalo njalo ngonyaka. Lokhu ukugcina iso kunoma yisiphi ukuvuvukala futhi uqonde ukuthi yini isifo esiba nayo ekoloni.
Inqubo ye-colonoscopy ingathatha amahora angamahora nesigamu futhi ivame ukuqhutshwa esikhungweni se-endoscopy noma esibhedlela njengendlela yokuphulukisa iziguli. Iziguli zihlala zihlezi ngemithi ehlinzekwa nge-IV, okunciphisa ukuphuza. Iningi labantu alikhumbuli ukuhlolwa ngenxa yemithi " yokulala ubusuku " esetshenziswayo. Udokotela okwenza i-colonoscopy uzohlola ikholoni ye:
- ikolon noma umdlavuza wama-rectal
- ukuphuma
- izilonda
- ukukhula okungavamile ( ama-polyps )
Indlela Yokulungiselela I-Colonoscopy
Ukuze udokotela abheke kahle udonga lwamathumbu, amakholomu kumele abe ne- stool engenalutho . Udokotela wakho uzokunikeza imiyalelo ecacile yokuthi ungasebenzisa kanjani laxatives kanye ne- enemas ngaphambi kwenqubo yokuhlanza isilwane. Odokotela bangase banikeze amasu ahlukene weziguli ezithile.
Isibonelo, isiguli esinesifo sohudo esibi singase singadingi kangcono njengendoda enesilonda esinempilo.
Kungase kudingeke futhi ukuba ulandele ukudla okunomsoco izinsuku ezilodwa noma ezimbili ngaphambi kwenqubo, futhi ngokushesha ngemva kwamabili ebusuku ngaphambi kokuhlolwa. Ngokulandela imiyalelo kadokotela ngendlela efanele, intombazane enkulu iyoba ihlanzekile futhi ingenasici, ngakho-ke noma yikuphi ukugula kungabonwa kalula futhi kutholakale.
Ezinye iziguli zingase futhi ziyeke ukuphuza imithi ethile usuku noma ezimbili ngaphambi kokuhlolwa. Udokotela okwenza ikholonoscopy uzohlinzeka ngeziyalezo, kodwa kubalulekile ukubuza imibuzo ngokuthatha noma yiziphi amaphilisi ngaphambi kokuhlolwa.
Imiyalelo kufanele ilandelwe ngokucophelela ngoba uma ukulungiselela kungenziwa kahle i-colonoscopy ingase ingagcwaliswa futhi kuzodingeka ihlelwe kabusha. Iziguli zitholwa ngesikhathi senqubo, ngakho-ke omunye umuntu kufanele athole imiyalelo yokukhishwa bese ehambisa ekhaya.
Kwenzekani Phakathi Ne-Colonoscopy?
Iziguli zicelwa ukuba zisuse zonke izingubo (amasokisi noma ibrabhu ingavunyelwa ezimweni ezithile) futhi ugqoke egqoke esibhedlela. Umhlinzeki wezempilo uzothatha izinga lokushisa komzimba, ukucindezelwa kwegazi, kanye nesilinganiso sokuphefumula (inombolo yokuphefumula ngomzuzu) ukufunda. I-Electrocardiograph (EKG) yokuqopha ama-patches angabekwa esifubeni sokuqapha inhliziyo, futhi i-oximeter ye-pulse (idivaysi ekala oksijini egazini) ingafakwa emunwe.
Iziguli zicelwa ukuba zilale ngakwesobunxele babo etafuleni lokuhlola. Imithi izonikezwa nge-IV ukukhawulela noma yikuphi ukunganaki okuhlangenwe nakho ngesikhathi senqubo. Khona-ke, udokotela uzofaka ikholonoscope eguquguqukayo engxenyeni yokuqala ukuhlola. Ukuze uthole umbono ocacile, umoya othile ungase uphonywe ngekolonoscope ukuvula i-intestinal passage. I-biopsies ingathathwa ngaphakathi kwekoloni ngalesi sikhathi.
Ngemuva kokuhlolwa, i-IV sedation ishintshwe futhi iziguli zichitha isikhathi ekamelweni lokutakula. Ngenxa yokuthi i-colonoscope ifaka umoya ngaphakathi kolononi, kuyoba khona ukuqhuma okuzokhululeka ngegesi elidlula phansi. Ezimweni eziningi, ukudla okuthile (njengabaqaphi) kanye nejusi kunikelwa iziguli ngenkathi bevuka futhi bekulungele ukuya ekhaya.
Izinhlekelele zeColonoscopy
Izingozi ngesikhathi se-colonoscopy ziphansi kakhulu. Kukhona ingozi ukuthi isilwane singathola ukuhlushwa phakathi nale nqubo, kodwa akuvamile. Ngenkathi abantu abaningi becaphuna izingozi njengesizathu sokushiya i-colonoscopy, empeleni izingozi ziphansi kangangokuthi akuzona isizathu esivumelekile sokudlula ukuhlolwa komdlavuza we-colon noma ikolonoscopy ehlobene ne-IBD ejwayelekile.
Ukulandelela Ngemva Kolonoscopy
Iziguli ngokuvamile zizwa zilele ngemva kokuba inqubo isiphelile, ngakho-ke umngane noma ilungu lomndeni kuzodinga ukushayela ekhaya. Lo muntu angasiza futhi ukukhumbula noma yiziphi iziyalezo ezinikezwe udokotela emva kokuhlolwa. Ukudla okuvamile kungabuyekezwa ngokushesha ngemva kokuhlolwa. Ukulandelana nodokotela kumele kuhlelwe izinsuku ezimbalwa emva kwe-colonoscopy ukuze noma yikuphi imiphumela noma ukutholakala kwe-biops kungaxoxwa.
Nini Ukubiza Udokotela Emva Kolonoscopy
Shayela udokotela wakho ngokushesha uma uthola:
- ukuphuma kwegazi
- ukuphelelwa amandla
- isiyezi
- ukuphelelwa umoya
- izinhliziyo ezinjengezinhliziyo
Hlola nodokotela wakho uma uhlangabezana nalokhu:
- isiyaluyalu
- ukuhlanza
- ama-cramps
- ubuhlungu besisu
- umkhuhlane
- izikhukhula
- ikhanda elibi kakhulu
- imisipha yama-muscle
Izwi elivela
Kuyiqiniso ukuthi ukuba ne-colonoscopy akuyona into umuntu angayicabangela "kumnandi." Nokho, kungukuthi, ukuhlolwa kokuhlola okuwusizo okuphawulekayo. Ngaphandle kwalesi sivivinyo esingahlola umdlavuza kanye nokususa ama-polyps, abantu abaningi bangakha umdlavuza wekoloni. Ngaphezu kwalokho, abantu abanezinye izifo zokugaya kungenzeka bangalokothi bathole ukuxilongwa okunembile noma ukwelashwa okuphumelelayo. I-colonoscopy impela ukuhlolwa okufanele ukwenze uma kunconywa. Iningi labantu liyamangala ukuthi lilula kanjani, futhi uma lisetshenziselwa ukuhlolwa komdlavuza wekolon, kungase kungadingeki ukuthi iphindwe iminyaka emihlanu noma eyishumi.
> Imithombo:
> I-AGA Care Care. Ukuhlolwa kweCrorectal Cancer Ukuhlolwa Nokuqapha Ukuqaphela Ngaphambi Kokuqala. I-American Gastroenterological Association. 13 Feb 2008.
> Izikhungo Zokulawulwa Kwezifo Nokuvimbela. Izivivinyo zeCrorectal Cancer Save Life. Izimpawu ze-Vital. 2013.
> I-Cleveland Clinic Information Centre. Inqubo yeColonoscopy. Umtholampilo waseCleveland. 2013.
> Mahnke D. Colonoscopy. Isikhungo sezempilo sase-NYU. 2013.
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. I-Colonoscopy. I-National Digestive Diseases Information Clearinghouse. Nov 2014.