Izinyathelo Ezibalulekile Ekulungiseleleni I-Colonoscopy Yakho
Uma une-colonoscopy ehleliwe, kungenzeka ukuthi i-ofisi yakho odokotela ikutshele izinyathelo zokuthatha ukuze uzilungiselele. Ake sibuke ukuthi ungalungisa kangcono, izizathu zokuhlela kusengaphambili, futhi ubuyekeze ukuthi yini okufanele uyenze ngaphambi kokuba ube nokuhlolwa okubalulekile.
Ukubaluleka Kwama Colonoscopy Yakho
Isinyathelo sokuqala nesibaluleke kakhulu ekulungiseleleni ikholonoscopy yakho ukuqonda ukuthi kungani lokhu kuhlolwa kwenziwa kanye nokubaluleka kwalo okuhlobene nezinye izinyathelo zempilo zokuvimbela ongayithatha.
Ukuqonda ukuthi i-colonoscopy ingabavimbela kanjani-futhi ucabange ukuthi kwenzekani uma uqaqa lo mvivinyo ngokuphelele-kungasiza uma uzizwa ungathinteki noma ungakhululekile ngokuhlolwa kwakho okuzayo.
Ukuhlolwa kwe-colonoscopies kungenye yezizathu ezibalulekile ukuthi ukufa kwabantu abanomdlavuza kunciphisa. Ngenkathi kube khona ukuphikisana ngokubaluleka kwamammograms ekuhlolweni komdlavuza wesifuba kanye nokuhlolwa kwe-PSA ekuhlolweni komdlavuza wesifo sofuba, kukhona ukungqubuzana okuncane ngokuzuzisa amakholonikopi ekunciphiseni ukufa komdlavuza wekoloni. Ubufakazi bokuthi benza umehluko-ukuthi banciphise ingozi yokuthi umuntu uzofa ngomdlavuza wekoloni-kunamandla.
Kucatshangwa ukuthi uma wonke umuntu ohlangabezana nemigomo ye-colonoscopy wayenze le nqubo, singanciphisa izinga lokufa kusuka kumdlavuza wekoloni e-United States ngamaphesenti angu-60. Umdlavuza weColon okwamanje kuyimbangela ehamba phambili yesifo sokuhlobene nomdlavuza kula madoda nabesifazane.
I-Colonoscopy kanye neColon Prevention Prevention - Ukutholwa Kokuqala Nokuvimbela
Omunye umehluko obaluleke kakhulu phakathi kokuhlola i-colonoscopies, futhi, uthi, ukuhlolwa kwamammograms noma i-PSA ukuhlolwa ukuthi amakholonikopi angase avimbele ngempela umdlavuza.
Njengama-mammograms nokuhlolwa kwe-PSA, i-colonoscopies idlala indima ekutholeni kuqala . I-colonoscopy ingathola amagciwane emdlalweni wezinyathelo zokuqala zokwelashwa, futhi ngokwenza kanjalo, ukwandisa izinga lokusinda komdlavuza we-colon .
Kodwa ama-colonoscopies ahlukile ngendlela ebalulekile. Bangase futhi basebenze ukuvimbela ukuthuthukiswa komdlavuza kuqala. Uma i- polyps eqondile , noma ama-polyps angase abe yinqaba , atholakala ngesikhathi se-colonoscopy. (Qaphela: akuwona wonke ama-polyps aholela kumdlavuza wekoloni.)
Ngakho ama-colonoscopies adlala indima kabili ekunciphiseni ukufa kwabantu bekolononi; bangasiza ekutholeni kokuqala kodwa bangasebenza futhi njengendlela yokuvimbela okuyisisekelo.
Kufanele Ube Nini I-Colonoscopy (futhi Uma Udinga Kakhulu?)
Ngakho-ke isinyathelo esibaluleke kunazo zonke ukunquma ukuthi kufanele ulandele imihlahlandlela futhi ube ne-colonoscopy eyenziwe.
Kubalulekile ukuqaphela ukuthi imihlahlandlela yokuhlolwa komdlavuza wekoloni yenzelwe umphakathi ngokusekelwe engozini ejwayelekile. Uma unomlando womndeni womdlavuza wekoloni noma yiziphi ezinye izinto ezibeka ingozi yomdlavuza wekoloni , kungase kudingeke ube ne-colonoscopy ngesikhathi esincane, noma ube nalezi zivivinyo zenziwa kaningi.
Kubalulekile ukuqaphela ukuthi ama-colonoscopies ekuhloleni komdlavuza wekoloni aklanyelwe abantu abangenayo izimpawu; ngubani "ongenakuqhathaniswa." Uma unayo izimpawu zomdlavuza wekoloni , njengokuhlungu kwesisu, igazi esitokisini sakho, noma uthuthukise ukulahleka kwegazi okungavumelani , noma ukulahlekelwa kwesisindo esingenhloso , ungadinga ukuhlolwa ngaphezu kwe-colonoscopy.
I-colonoscopy-ene-prp eyanele-inhle kakhulu ekutholeni izilonda zamakholoni. Noma kunjalo i-colonoscopy ingahle ilahlekelwe izilonda futhi inganiki ulwazi ngalomathumbu wakho omncane, isisu, ama-pancreas, isibindi, noma ezinye izitho esiswini sakho.
I-Colonoscopy Fact and Fiction
Manje sesifinyelela esiteji esinzima kakhulu-ukuhlela inqubo. Ngeshwa, abantu abaningi banamathele kulesi sinyathelo. Thatha isikhashana ufunde ngezinye zezinganekwane namaqiniso kanye nezinganekwane eziphathelene ne-colonoscopies ukuze ukwazi ukudlula ezinye zalezi zimo.
Ukuhlela Colonsocopy Yakho
Isinyathelo sesibili esibaluleke kakhulu-emva kokuqonda ukuthi kungani une-colonoscopy-ukuhlela ukuqashwa.
Uma uzama ukubona ukuthi kufanele uhambisane nobunidiyopi esimisweni sakho, inkulumo ethi "yenza nje" ifanelekile. Abantu abaningi baqeda ukukhuluma nge-colonoscopy (futhi ngezinye izikhathi bazisola ngesinqumo) ngoba bachitha isikhathi esiningi bezama ukuthola isikhathi esifanele sokwenza. Uma lokhu kuzwakala sengathi wena, qhubeka nje futhi uhlele, futhi ukhathazeke ngemininingwane kamuva.
Uma, ngokuphambene, uma uqiniseka ukuthi ufuna ukuba ne-colonoscopy maduzane futhi ngeke uzibeke engozini ukuyibeka eceleni, kungasiza ukuhlela inqubo ngesikhathi esifanele. Abantu abaningi bathanda ukuhlela ukuhlolwa kwabo ngoLwesihlanu, bazinikele ngempelasonto ukuze bavuselele uma kudingeka. Abantu abaningi bazizwa belungele ukubuyela emsebenzini ngosuku olulandelayo futhi abanakho imiphumela, kodwa abanye abantu banezinguquko zesibindi ezihlala ezinsukwini ezimbalwa. Uma uhlela ukuhlolwa ngesikhathi esifanele (hhayi usuku ngaphambi kokuya eholidini kuya epharadesi) uzobe ukhathazekile kakhulu ukuthi ikholonoscopy yakho izophazamisa impilo yakho. Emphakathini wethu omatasa, wonke amathuba okunciphisa ukucindezeleka akufanele!
Ukuqonda Izingozi Nezinkinga
Uma une-colonoscopy yakho ehleliwe-ngoba lokhu mhlawumbe isinyathelo esinzima kakhulu-thatha isikhathi sokufunda kabanzi mayelana nenqubo futhi uzikhumbuze izinzuzo. Njenganoma iyiphi inqubo, kunezinto ezingase zihambe ngezinye izikhathi. Thatha isikhathi sokuqonda ngokuphelele izingozi kanye nezinkinga ezikhona ze-colonoscopy .
Emasontweni Ngaphambi Kokuqoqwa Kwakho Colonoscopy
Uma uthatha noma imuphi imithi enganciphisa igazi lakho, udokotela wakho angakucela ukuba unqabe lokhu ngaphambi kwe-colonoscopy yakho. Lokhu akusiyo njalo indaba (isibonelo, uma unesifo senhliziyo isifo sakho se-cardiologist singasifuna ukuthi uthathe i-aspirin yakho.) Khuluma nodokotela wakho futhi uthole ukuthi yini okufanele uyenze ngaphambi kwesikhathi. Eminye imithi kudingeka ihoxelwe isikhathi eside nje kuphela amasonto amabili ngaphambi kwenqubo yakho. Khumbula ukuthi lokhu kufaka phakathi koku-counter kanye nokulungiswa kwamakhemikhali. I-aspirin ne-non-steroidal anti-inflammatory medication ezifana ne-Advil (ibuprofen) ingakhuphula ukuphuma futhi kufanele igwenywe ngaphandle kokuthi udokotela wakho akholelwa ukuthi izinzuzo zala mithi zidlula noma iyiphi ingozi yokuphuma. Kukhona amalungiselelo amaningi emifino kanye nezithako zokudla okungase kwandise ukuphuma kwegazi.
Ezinsukwini Ngaphambi Kwakho Colonoscopy Yakho
Udokotela wakho angase ancoma ukudla okuthile ngaphambi kwenqubo yakho. Lokhu kungase kuqale izinsuku eziningana kusengaphambili. Qiniseka ukuthi ulandela lezi zincomo eduze, futhi ukhulume nodokotela wakho uma uzoba nobunzima, isibonelo, uma unesifo sikashukela.
I-Colonoscopy "Prep" - Ukuhlanza i-Colon yakho
Ihhovisi lakho odokotela cishe lizokuthumela ulwazi olulotshiwe oluchaza ukulungiswa kwe-colonoscopy ngokujula. Kubalulekile ukufunda lolu lwazi ngokugcwele, njengoba ucwaningo lusitshela ukuthi abantu abaningi abalungiswa kahle. Ukuze ukwazi ukubona ngeso lengqondo ikholoni yakho yonke yayo, zonke izitoli kufanele ziqedwe.
I-prep colonoscopy ivame ukwenza ngokuhlanganisa:
- Amaphutha - Ama-Purgatives asebenza ngokugqugquzela ukukhishwa kwesiguli. Izinketho eziningana zitholakalayo , njengesixazululo se-ITLY, Isixazululo se-TriLyte, nokunye okuningi. Ukuzikhethela phakathi kwalezi zindlela eziningi zokwelapha kuyahlukahluka phakathi kodokotela abahlukene futhi kunezinzuzo nezinkinga kumuntu ngamunye. Kulabo asebekhulile noma banezinye izimo zezokwelapha, kucatshangwa ukuthi amalungiselelo e-ethylene glycol angase abe ephephile kakhulu. Ngokuphambene nalokho, izixazululo ze-sodium phosphate kufanele zigwenywe kubantu asebekhulile noma abantu abanezimo ezibalulekile zezokwelashwa, ngenxa yemiphumela yalezi zixazululo ezinso.
- I-Enemas - I-enema ihilela ukwethulwa ketshezi ngokusebenzisa i-anus yakho nasemathunjini akho amakhulu. Leli ketshezi ligcinwe okwesikhashana bese lidlula. I-Enemas ingaba nempumelelo kakhulu ekunciphiseni inani lezinyosi emgqonyeni. Imiphumela emibi engase ibe khona ye-enemas ifaka i-hyponatremia (izinga eliphansi le-sodium egazini) nezinye iziphazamiso ze-electrolyte.
- Ukuzila ukudla (hhayi ukudla) - Futhi, qiniseka ukulandela odokotela izincomo ngokudla ngaphambi kwenqubo yakho.
- Izinduduzo zenduduzo - Imithi ingase isetshenziswe okunciphisa ukungahambi kahle kokuphuma kwamathumbu. Lokhu kungabandakanya i-Reglan ukunciphisa izinhlanzi kanye nokukhwabanisa, ne-Mylicon noma i-Mylanta (ukunciphisa igesi ukuze izinto zigeleke kahle kakhulu emathunjini akho.)
Odokotela abenza amakolonoscopies ahluke ngokuphathelene ne-colon "prep" ayincoma, kodwa umgomo ufana. Ikholoni yakho idinga ukuhlanzwa ngokwanele ukuze ubone noma yiziphi izindawo ezingabangela inkinga esikhathini esizayo. Njengoba i-colonoscopies inembile kakhulu ne-prep kahle, futhi abantu bavame ukufakazela ukuthi i-prep yiyona engxenyeni eyimbi kunazo zonke ze-colonoscopy, ikhokhela ukuqinisekisa ukuthi u-prep wakho uwanele okokuqala. Ngokuvamile lezi zinqubo zidinga ukuhlelwa kabusha ngemuva kokulungiswa okungcono, ukubeka ukukhathazeka kokuhlela nokulungiselela okwesibili.
Njengezinye iziphakamiso, funda ngalokho okungafanele ukwenze ngesikhathi sakho se-colonoscopy prep .
Ubusuku Ngaphambi Kwakho Colonoscopy Yakho
Esikhathini esiningi uzocelwa ukuba ubale ukudla noma uphuze emva kwamabili emini yenkambiso yakho. Uma uthatha noma yimiphi imithi, qiniseka ukuthi ukhuluma nodokotela wakho. Ngokuvamile, abantu bayatshelwa ukuba bathathe imithi yabo ejwayelekile ngobusuku obusuku nangosuku lwenqubo nge-sips encane yamanzi.
Uyodinga Umshayeli Nokuthi "Umntwana"
I-anesthesia ngokuvamile esetshenziselwa i-colonoscopy ibizwa ngokuthi i-anesthesia yokunakekela, i-sedation, noma i-" twilight sleep ". Ungalala ngokusebenzisa inqubo noma ungase uphapheme kodwa ungakhathazeki ngalokho okwenzekayo. Njengoba i-anesthesia ingahlala ohlelweni lwakho isikhathi esithile, kuzodingeka ube nomshayeli ukukuyisa ekhaya. Uma uhlala wedwa, kuzodingeka futhi uhlele umuntu ukuthi ahlale nawe amahora angu-24 ngemuva kwenqubo.
Inqubo yeColonoscopy
Thatha izikhathi ezimbalwa kusengaphambili ukuze ufunde ngalokho okwenzeka ngesikhathi senqubo yekolonoscopy .
Ngemuva kweColonoscopy yakho
Njengoba kuphawuliwe ngenhla, ngemuva kwe-colonoscopy yakho uzodinga ukuthi othile akushayele ekhaya futhi ahlale nawe amahora angu-24. Ngokuvamile ungabuyela ekudleni okuvamile. Ngenxa yomphumela we-anesthesia, odokotela abaningi batusa ukugwema ukuphuza utshwala emahoreni angu-24 okuqala. Uma ungenayo ukususwa kwe-polyp, ungavame ukwenza imisebenzi evamile ngaleso sikhathi.
Uma ngabe ususwe i-polyp, udokotela wakho uzotusa ukuthi ukhawule imisebenzi yakho ngaphezulu kwesonto elilandelayo. Ngalesi sikhathi kufanele ugweme ukuzivocavoca okunzima, uphakamise izinto ezinzima, futhi uhambe.
Izinkinga zivamile, kodwa kufanele ubize udokotela wakho uma uhlakulela umkhuhlane, ulinganisela ekuvimbeleni kwesisu esiswini kanye nobuhlungu (ukungazizwa kahle nokuvinjelwa kuyinto evamile), noma uma uzwa ukuphuma (isipuni esingaphezu kweyodwa.)
Ngezansi Ekulungiseleleni I-Colonoscopy Yakho
Uma uhlele i-colonoscopy yakho, kufanele uhalalisele. Ukuthatha isikhathi sokwenza le nqubo ingenye yezindlela ezilula (ngokusho kwezifundo eziqinile) ukunciphisa ingozi yokufa ngumdlavuza. Njengoba umdlavuza wekolon ngokuvamile unesikhathi sokuhola (ukhula kusuka ekushintsheni okungavamile kuya kwi-polyps eqondile bese umdlavuza) ingenye yezinhlobo ezimbalwa zegciwane ezingabanjwa kusenesikhathi noma zivinjelwe ngokuphelele nakuba inqubo yokuhlola.
Lokho kusho ukuthi i-colonoscopies ayikho isiwula ngokuphelele. Uma unayo noma uqhubeka unezibonakaliso zomdlavuza we-colon, qiniseka ukuthi ukhuluma nodokotela wakho noma ngabe une "colonoscopy" evamile. Izimpawu yindlela umzimba wethu ositshela ngayo ukuthi kukhona okungalungile. Buza imibuzo uze uthole impendulo.
Ukulungiswa kwe-colonoscopy yakho kungase kubonakale sengathi ubuhlungu, kodwa sifunda kabanzi nokuthi ukuphazamiseka kwenqubo kuwufanelekile ukungahambi kahle kwesikhashana kanye nenqubo ngokuhamba kwesikhathi. Thatha isikhashana ukubuka ngalezi zeluleko kanye namasu okulungiselela ukulungiswa kwalabo abaye bahlala khona.
Imithombo:
Ho, S., abaHoveepians, R., noS S. Gupta. I-Bowel ephelele yokuhlanza i-Colonoscopy ku-Patient esebekhulile. Izidakamizwa nokuguga . 2017. 34 (3): 163-172.
Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
UKurlander, J., Sondhi, A., Walijee, A., Menees, S., Connell, C., Schoenfeld, P., noS S. Saini. Indlela Ephumelele Ngayo Imfundo Yokubhekana Neziguli Ekulungiseni Ukulungiselela Amathumba Ukulungiselela I-Colonoscopy? Ukubuyekeza Okuhlelekile. PLoS One . 2016. 11 (10): e0164442.
Liu, Z., Zhang, M., Li, Y., Li, L., noY. Li. Imfundo Ethuthukisiwe Yokulungiselela Amathumbu Ngaphambi Kokuqoqwa KwamaColonoscopy: Ukubukezwa Kwe-State-of-the-Art. I-Journal of Digestive Diseases . 2017 Jan 9. (Epub ngaphambi kokuphrinta).