Ukunakekelwa Kwe-Colonoscopy Yokuthunyelwa Kwendlela Yokuthutha Kunganciphisa Izinkinga
Ngokuvamile kunalokho, abantu bazobe babonisa i- colonoscopy njengesivivinyo esingathandeki okumelwe bajule cishe njengesigwebo-ikakhulukazi isandulela. Ngesikhathi esifanayo, abantu abaningi bazokhohlwa noma bayishaya indiva iqiniso lokuthi kuyinkambiso evumayo efuna isikhathi sokulinda nokubuyiselwa, ikakhulukazi uma kuhilela i- biopsy noma ukususwa kwe-polyp.
Lezi zengqondo zesikhathi eside zisenhliziyweni yokuthi kungani kuzo zonke izinkulungwane ezingu-125 ze-colonoscopies ziphumela enkingeni. Ngenkathi izibalo ezingalindelekile noma ngisho nephutha lezokwelapha lingase lidlale ingxenye, ukwehluleka ukunamathela ezincomo zokuthunyelwa kokwelapha kanye / noma ukuxosha izimpawu ngokuthi "ezincane" zihlala izici ezibalulekile ekukhuliseni ingozi. Ngenxa yalesi sizathu, kubaluleke kakhulu ukukhuluma ngalokho okufanele ukwenze ngemuva kwe-colonoscopy.
I-colonoscopy kuyindlela ebalulekile, futhi yonke imithi yokuhlolwa komdlavuza, iyona eyenza ngokucacile ingozi yokufa ngomdlavuza wekoloni. Lokhu kubungozi kubalulekile, njengoba umdlavuza wekoloni yimbangela yesithathu eholela ekufeni okuhlobene nomdlavuza kokubili amadoda nabesifazane e-United States. Nokho, yize kungukuhlolwa kokuhlola, kuyinkqubo okufanele ilandelwe yisikhathi sokuphumula nokuqapha ngokucophelela. Emphakathini wethu ophuthumayo, iningi labantu abadala lingasebenzisa izikhathi ezimbalwa ukuzitholela, futhi lokhu kungase kube nje ithuba lakho.
Ake sibukeze izinto eziyisisekelo ze-colonoscopy, bese ukhuluma ngokuthi ungayinakekela kanjani kangcono (noma othandekayo) ngemuva kokuba inqubo igcwaliswe.
Ukuqonda i-Colonoscopy
I-colonoscopy ihlanganisa ukufakwa kwesimo esivumelana nezimo ngomsele wamanzi ngaphakathi kwe-rectum ne-colon. I- colonoscope ivumela ukuboniswa kwesakhiwo sekhaloni kanye nokususwa kwanoma yikuphi ukukhula okusolisayo okungase kusiphakamise ukuhlaselwa okulimazayo.
I-colonoscopy ibhekwa njengethuluzi elivamile legolide lokubuka i-colon, lihle kakhulu kune- sigmoidoscopy noma i- barium enema . Nakuba ukuhlolwa kwe- tomography (CT) yekhompuyutha kuvela njengezindlela eziphumelelayo zokuthola umdlavuza we-colorectal; akuzona kahle ekutholeni izilonda zamapulangwe noma ama-polyps.
Ngenkathi abantu abaningi abahamba ngenqubo bayokhetha ukuba babe nama-anesthetized, umtholampilo onolwazi angenza omunye ngaphandle kokuduka uma umuntu engathanda ukugwema imiphumela elandelayo ye-anesthesia. (Okwamanje, amaphesenti owodwa kuphela e-colonoscopies akwenziwa ngaphandle kokudalwa.)
E-United States, Kunconywa ukuthi bonke abantu abaneminyaka engama-50 noma ngaphezulu bathola i-colonoscopy minyaka yonke eyi-10 ukuze bahlolwe umdlavuza wokubala. Ukuvama kungakhuphuka kubantu abasengozini enkulu noma labo abaye baphathwa ngaphambilini ngenxa yomdlavuza wekoloni.
Amahora angu-24 okuqala ngokulandela iNqubo
Uma inqubo yekolonoscopic isiphelile, kunconywa ukuba uhanjiswe ekhaya ngumngane noma ilungu lomndeni. Uma uhlehliselwe inqubo (okuyiyona iningi labantu), kunconywa ukuthi unomuntu onakho amahora angu-24 okuqala ngemuva kokushiya umtholampilo we-endoscopy noma esibhedlela.
Uma unesiyaluyalu, udokotela wakho angase anikeze imithi yokusiza ukwehlisa izimpawu.
Phakathi namahora angu-24 okuqala, kufanele uhambisane nemikhombandlela elandelayo:
- Yeka ukushayela noma ukusebenzisa imishini esindayo kuze kube yilapho usuku olulandelayo ngemuva kwenqubo yakho.
- Thatha noma yimiphi imithi yezihlungu noma izithambile zokunciphisa njengoba kunqunywe.
- Phuza okuningi koketshezi, kuhlanganise ne-prune juice engasiza ukuthobisa izihlalo.
- Gwema utshwala ngamahora angu-24 okuqala.
- Yidla ukudla okuphezulu-fiber noma usebenzise i-fiber ngaphezu kwe-counter-counter, uma kudingeka.
- Ukuphumula futhi ugweme noma yikuphi ukuphakamisa okunzima noma umsebenzi okhuni.
- Qinisekisa ukuthi unomunye nawe. Uma ungashadile, cela umngane noma ilunga lomndeni uma behlala ubusuku.
Uma uthatha i-aspirin yansuku zonke ukuvimbela izinkinga zenhliziyo, akudingeki ume.
I-aspirin ye-dose engezansi ibhekwa njengephephile ngemuva kwe-colonoscopy.
Nini Ukubiza Udokotela Wakho
Izinkinga azivamile, kodwa kungenzeka. Shayela udokotela wakho noma umtholampilo uma ubona noma yiziphi izimpawu ezilandelayo emahoreni angu-24 okulandela inqubo yakho:
- Unezikhukhula noma umkhuhlane.
- Uthola ukuphuma kwe-rectal okungaphezu kwepuni.
- Uzwa ukuvuvukala esakhiweni lapho inaliti ye-IV efakwe khona.
- Uzwa ubuhlungu obukhulu besisu noma ukubhula (ubuhlungu obukhulu noma ukubhula kungalindelwa).
- Uyahlanza.
- Uhlangabezana nezinhliziyo ezingavamile ( arrhythmia ).
- Uma nje ungazizwa ulungile nganoma yisiphi isizathu. Thembela intuition yakho, futhi uma uzizwa ukuthi kukhona okungalungile, unganqikazi ukushaya.
Ngemuva kwamahora angu-24 okuqala
Uma ama-polyps asusiwe ngesikhathi se-colonoscopy yakho, kuzodingeka ukuthi ushintshe imisebenzi yakho ngezinsuku eziyisikhombisa ezilandelayo. Lokhu kuhlanganisa ukungasebenzi, hhayi ukuphakamisa noma ngaphezulu kwamakhilogremu amahlanu, ukugwema ukuhamba okungadingekile, nokuvimbela noma yikuphi igazi elincane ongase uthathe (kodwa okokuqala, lokhu kufanele kukhulunywe nodokotela obelokhu ebeka igazi labadlali, njengoba ngezinye izikhathi besebenzisa lezi i-colonoscopy iphakamisa ingozi yokungayisebenzisi). Ngamafuphi, qaphela futhi uphathe umzimba wakho gingerly.
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo phakathi nesonto lokuqala, shayela udokotela wakho ngokushesha noma uye ekamelweni eliphuthumayo eliseduze nawe:
- Awunakukwazi ukunyakaza noma ukuguqula.
- Ngokushesha unenkinga yokuphefumula.
- Izitokisi zakho zimnyama noma zigazini.
- Ukuhlanza kwakho kunegazi noma ubuningi kulo.
- Isisu sakho siba ngethenda futhi kunzima.
- Noma yiziphi izimpawu onayo zihamba kakhulu.
Izwi Kusukela Ekuzinakekeleni Ngemuva Kwakho Colonoscopy Yakho
E-United States, nasemhlabeni jikelele, sivame ukubona isikhathi njengemali, futhi sizenzele emaphethelweni. Akusibo nje thina, njengoba abaqashi bazisa abasebenzi abenza kanjalo. Kodwa uthathe isikhathi sokuphulukisa- ngisho noma ikholonoscopy yakho nje isenzo sokuhlolwa kokujwayelekile-kuyadingeka.
Ukuthatha isikhathi sokuhlela, yenza u-prep for, futhi uhambisane ne-colonoscopy yakho ingabonakala iyinkinga. Noma kunjalo, kuzo zonke izivivinyo zokuhlola umdlavuza ezitholakalayo, yilokho okungenzeka ukuthi wenze umehluko empilweni yakho nasendleleni yakho yokuphila. Ama-colonoscopies ahlukile phakathi kokuhlolwa komdlavuza wokuhlola ukuthi angasebenza ngempumelelo kokubili nokuvinjelwa kokuqala. Bangase bathathe umdlavuza ezinkathini zokuqala ezitholakalayo kakhulu, ngaphambi kokuba ube nezimpawu. Kodwa zingase zibe yisihluthulelo sokuvimbela umdlavuza uma i-polyp eqondile itholakele futhi isusiwe ngaphambi kokuba ibe nomdlavuza.
Ukwazi ukubaluleka kwalesi sivivinyo, kufanele uzibonele ukuthi ululale izinsuku ezimbalwa. Abantu abaningi baqaphele lesi sivivinyo futhi baqeda ukuthatha izinsuku eziningi kakhulu (ukuhlinzwa, amakhemikhali, nokuningi) uma bephila. Ngakho phuma ngokwakho. Yidla kahle. Bhala kahle. Futhi ulinde uze uzizwe ulungele ukubhekana nezwe futhi ngaphambi kokuphuma. Uyakufanele!
> Imithombo:
> Grossberg, L., Vodonos, A., Papmichael, K. et al. Ababikezeli bokusetshenziswa koMnyango wokuPhepha okuPhezulu we-Post-Colonoscopy. I-Endoscopy yamathumbu . 2018. 87 (2): 517-525.e6.
> Ranasinghe, I., Parzynski, C., Searfoss. R. et al. Ukwahlukahluka kobuciko beColonoscopy Phakathi kweziNsiza: Ukuthuthukiswa koHlelo lwe-Post-Colonoscopy-Isilinganiso Esihambelanayo Sokuvakashela Izibhedlela ezingakahlelwe. I-Gastroenterology. NgoJanuwari 2016; 150 (1): 103-113