Isivivinyo sokucabangela sisetshenziselwa ukubona ngeso lengqondo ukuhamba komzimba
A defecography kuyinto test lapho uchungechunge oluqhubekayo lwe-X-rays kuthathwa ngesikhathi sokunyakaza kwamathumba ukukhomba noma yiziphi izinkinga ezakhiwe noma ezisebenzayo ku-anus, rectum noma phansi kwe-pelvic.
Ukuze uthole ukumelela okucacile kokunyakaza kwamathumba, ukunamathiswa kwe-barium okunamandla kuzofakwa efundeni lomuntu noma owesifazane onesidingo esifana nesibhamu se-caulking. I-barium iqinisekisa ukuhluka okuphezulu emifanekisweni ye-X njengoba i-paste ixoshwa kancane kancane emathunjini.
I-Defecography nayo ingenziwa ngokusebenzisa umshini wokugubha umonakalo we- resonance (MRI) esikhundleni se-X-ray ukugwema imisebe. Uma inqubo ihilela ukusetshenziswa kwevidiyo yangempela ye-X-ray, ngokuvamile ibizwa ngokuthi yi-cinéefecography.
Izinkomba zokusetshenziswa
Nakuba ukuhlukumezeka kwemvelo kungatholakali eminyakeni yamuva ngenxa yokuqeqeshwa okungenele kule mbono, linikeza odokotela ukuhlolwa okunamandla kwezinkinga ezihlukahlukene ezithinta i-anus ne-rectum.
Phakathi kwazo:
- Ubuhlungu obukhulu
- Ukuqotshwa okungapheliyo
- Ukungahambi kahle kwe-Fecal (ukungakwazi ukulawula ukunyakaza kwamathumbu)
- Ukususwa okungaqediwe (ukungakwazi ukukhipha amathambo ngokuphelele)
- I-prolapse ejwayelekile (lapho i-rectum ihamba khona ngaphandle kwe-anus)
- I-Cystocele (ukugcoba kwesinye isisu esiswini)
- Faka i-Enterocele (i-bulging ye-amathumba amancane kuya kwesiswini kanye ne-rectum)
- I-Rectocele (i-bulging kodonga lomugqa wesibindi ngaphakathi kwesiswini)
- I-Dyssynergic defecation (lapho izinzwa ezithile nemisipha yomgogodla wehluleka ukusebenza ngesikhathi sokunyakaza kwesisu)
Okufanele Ukulindele
Ngokungafani ne- colonoscopy , kungase kungadingeki ukuba ulungiselele ukulungiswa okuphelele. Ezinye izikhungo zingase zikucele ukuthi usebenzise i-enema ngaphambi kokuqokwa kwakho. Khona-ke uzodinga ukugwema ukudla okungenani amahora amabili ngaphambi kokuhlolwa.
Ukwenza inqubo, ukunamathiswa kwe-barium kuzongeniswa kancane kancane emgqeni kuze kuphele.
Ukuwugcwalisa ukuze ukwazi ukuvuselela amandla kuvuselela izinzwa ukuze zingenalutho emathunjini njengoba kwenza ngaphansi kwezimo ezijwayelekile.
Khona-ke uzocelwa ukuba uhlale endlini yangasese ekhethekile ukuze ususwe ngokunamathisela. Uzofundiswa ukucindezela nokucindezela njengoba uxosha unamathisela ngokuphelele noma ngangokunokwenzeka, Njengoba lokhu kwenzeka, noma uchungechunge lwe-X noma i-X ray yevidiyo kuzothathwa.
Inqubo ithatha amaminithi angaba ngu-15 kuya kwangu-30 ngokuphelele. Nakuba ukuhlolwa kungase kubonakale kungenangqondo futhi kungakhululekile, ngokuvamile akubangeli ubuhlungu.
Kwezinye izimo, udokotela angase acele ukuthi uphuze isisombululo se-barium ngehora ngaphambi kokuhlolwa ukuze izithombe zomathumbu wakho omncane nazo zithathwe. Kulaba besifazane, inani elincane le-batium unamahlombe lingase lisetshenziswe kulesiswini ukuze uthole isithombe esingcono sendawo phakathi kwodonga lwangasese kanye ne-rectum.
Izwi elivela
Inani lokuhlolwa kwe-defecographic ngokuyinhloko lilinganiselwe ubuchwepheshe kanye nesipiliyoni sabasebenzi be-radiological. Kuze kube sekugcineni, kubalulekile ukuthi inqubo iqondiswe futhi imiphumela ihumushe ngumchwepheshe ohlangenwe nakho kobuciko bokuzibulala.
Imithombo:
> Kim, A. "Indlela Yokuchaza Ukuhlolwa Kwemisebenzi Noma Ye-Motility - Ukuchaza." J Neurogastroenterol Motility. 2011; 17: 416-20. I-DOI: 10.5056 / jnm.2011.17.4.416.
> Olson, C. "Ukuvivinya Ukuhlolwa Kwe-Fecal Incontinence." Ukwelashwa Okuvamile Kwamtholampilo. 2014; 27: 85-90. I-DOI: 10.1055 / s-0034-1383901.