Ukuqinisekisa Ukulungiswa Okufanelekile Ngaphambi Kokuqoqwa KwamaColonoscopy
Ukuhlanza yonke ikoloni ngaphambi kwe-colonoscopy, ukuthembeka ngokweqiniso, yini abanye abantu abagijima emagqumeni futhi bagweme ukuhlolwa okubalulekile kokuhlola. Nakuba akuyona into ejabulisayo, ukuqedela ukulungiselela amathumba akubuhlungu. Ufuna ukuqinisekisa ukuthi uhlala eduze nekhaya, noma kunjalo, njengoba uzosebenzisa indlu yangasese, izikhathi eziningi ngaphambi kokuba inqubo iqhubeke.
Kodwa wazi kanjani ukuthi isilondolozi sakho sezinyosi siphelile?
Izwi Lokuqapha Ngaphambi Kokuqala
Ngaphambi kokuba uqale isilwane sakho se-prep, qiniseka ukuthi ukhulume nodokotela wakho uma unenkinga yezinhliziyo, izinso noma isibindi. Ngezinye izimo, udokotela uzodinga ukushintsha uhlobo lwesilwane esilungele ukusetshenziswa ongasisebenzisa. Ezinye zokwelapha ziphephile kunezinye uma kuziwa ezimweni ezithile zezokwelapha. Kunezinketho eziningi, ngakho ungakhathazeki ukuthi ngeke ukwazi ukuhlolwa. Ukuqinisekisa ukuthi udokotela owenza ikholonoscopy yakho uyazi umlando wakho wezokwelapha kubalulekile kwezinye izizathu. Eminye imithi, efana ne-blood thinners noma ezinye izidakamizwa, ingandisa ingozi yezinkinga.
Isinyathelo sokuqala sibukeza imiyalo yakho
Ukulandela imiyalelo ye-prep dokotela yakho yombungu kubalulekile kakhulu . Nakuba kungase kubonakale sengathi inye noma izinyathelo eziningi zihluke kakhulu, njengokusebenzisa i-enema ngemva kokuhambisa izibilini zakho izikhathi eziningi, kunenjongo yonke inqubo.
Udokotela wakho udinga ukuthola zonke izitshalo ezihlanjululwe ngaphandle, okungenzeka kudinga ukunyakaza okungaphezu kwamabili noma amathathu. Kunesizathu sokuthi amabilini akho kufanele ahlanzeke kahle: Kwenzeke ukuthi udokotela wakho abone izicubu ezingavamile ezingase zifihlelwe yizinambuzane.
I-gastroenterologist ngayinye ilandela imihlahlandlela yokuhlanza esekelwe ebufakazini, noma kunjalo, udokotela ngamunye angahle alandele ukulungiswa okuncane ngokuhlukile.
Okuthi udokotela womngane wakho amtshele ukuba akwenzele isilwane sangasese singase sibe imiyalo efanayo oyitholayo, futhi lokhu kuvamile. Udokotela wakho uzocabangela impilo yakho, ukuthi yini ongayenza noma ongakwazi ukuyibekezelela, nokuthi yini esebenze kangcono esikhathini esidlule, ngaphambi kokukufundisa ukuthi ungagcwalisa kanjani ukulungiselela kwakho. Njengoba kuphawuliwe ekuqaleni, kunezinhlobo ezithile ze-preps ezingavunyelwe ngemibandela ethile yezokwelapha, futhi lokhu kungabangela ukungafani phakathi kwe-prep okuphakanyisiwe kuwe, futhi lokho kunconywa omunye.
Ukuqalisa
Iningi lamalungiselelo emathumba aqala ngesisombululo esiphuzo noma amaphilisi okufanele athathwe ngomlomo. Ungase uqale ukubona imiphumela ngokushesha imizuzu engu-30 kuya kwehora ngemuva kwegesi lakho lokuqala lesikhambi noma iphilisi yakho yokuqala. Ukunyakaza kwakho kokuqala kwamathumbu cishe kuyoba inhlanganisela yama-firm, semi-firm, noma ama-brown brown.
Qhubeka uphuza utshwala obuningi futhi uzigcine ukhululekile, ukhumbula engqondweni ukugwema iziphuzo zokuhweba ngombala obomvu noma obomvu njengoba amadayi angaphazamisa imiphumela yakho ye-colonoscopy. Ukubaluleka kokuhlala amanzi okwanele akukwazi ukusho okwanele, njengoba izenzakalo eziningi ezimbi ezihlobene ne-colonoscopy zihlobene nokuphelelwa amandla kwamanzi. Lokhu kuyiqiniso ikakhulukazi ngemikhiqizo ye-prep emathunjini equkethe i-sodium phosphate.
Ungase uqaphele ezinye ezingakhululekile, kodwa hhayi ezibuhlungu, imiphumela emibi ye-prep yemathumba. Ukwehlula isisu negesi kuvamile futhi kuyinto ejwayelekile ejwayelekile yokucindezela amabilini akho ahlanzekile. Ukucindezela okufudumele nokuncane kokuzivocavoca-njengokuhambahamba endlini-kungasiza ekunciphiseni ezinye izinkinga.
Ukufinyelela i-Finish Line
Uma ukunyakaza kwakho kwezinyosi kuqukethe uketshezi olubomvu kuphela usondela emgqeni wokugcina. Umbala wezitokisi zakho kufanele uthuthuke eketsheni olumnyama, futhi ekugcineni, kube uketshezi oluphuzi oluphuzi. Uma kukhona i-cloudiness esitokisini sakho samanzi, isilwane sakho se-prep asiqedi.
Uma uthola ukuthi izihlalo zakho ziye zacaca, zimanzi, futhi ziphuzi ngaphambi kokuqedela konke okuphambili kwakho, kubalulekile ukuqedela u-prep. Ngezinye izikhathi, isitoreji esiphezulu kukholoni yakho akukafanele ixoshwe, futhi ukuqedela zonke izinyathelo ze-prep yakho ikunikeza ithuba elihle lokuthola isilwane esicacile se-colonoscopy yakho (futhi akudingeki uphinde uphinde ubhale).
Kungani Imibuzo Yokulungiselela?
Ngokusho kwe-American Journal of Gastroenterology, amaphesenti angaba ngu- 25 amakolonoscopies akhanselwa ngenxa yesandulela samathumba ompofu. Ukunquma ukukhansela inqubo yakho akuyona isinqumo esenziwe kalula, ikakhulukazi njengoba kungenzeka ukuthi uhlezi futhi udokotela usuvele waqala inqubo ngaphambi kokuba akwazi ukubona ukuthi ikholoni ihlanzekile ngokwanele ukuqhubeka. Uma ungaqedanga u-prep wakho noma ukunyakaza kwakho kwamathumbu akunciphisi ukususa uketshezi, xhumana nodokotela wakho ukuze angakusiza ukuthi uphinde uhlele kabusha inqubo yakho.
Ngezansi Ekuqapheleni Uma I-Bowel Your Prep Iseqedile
Ayikho ngempela indlela yokukwazi ngokuqinisekile ukuthi isilwane sakho se-prep siphelile ngaphambi kokuba ne-colonoscopy. Eqinisweni, akuyona into engavamile ukuba abantu babe nesandulela esingaphelele okudingekile ukuhlela kabusha ukuhlolwa (nokuphindaphinda u-prep!), Noma ukwenza ukuhlolwa kodwa mhlawumbe ngemiphumela engaphelele. Lokhu kwenzeka kaningi, kodwa-ke, lapho abantu beqa omunye wezinyathelo ze-prep ngoba bakholelwa ukuthi sekufeziwe, noma ngoba bacabanga ukuthi zonke izinyathelo ziyadingeka. Indlela engcono kakhulu yokuqinisekisa ukuthi isilwane sakho se-prep siphelile ngokuqinisekisa ukuthi wenza isinyathelo ngasinye se-prep njengoba kunconywa.
> Imithombo
> I-American Society Ye-Endoscopy Yamathumbu. Ukuqonda Ukulungiselela Amathumba. https://www.asge.org/home/for-patients/patient-information/understanding-bowel-preparation
> Johnson, D., Barkun, A., Cohen, L. et al. Ukwenza ngcono ukulingana kwe-Bowel Cleansing for Colonoscopy: Izincomo Ezivela ku-US Multi-Society Task Force ku-Colorectal Cancer. I-American Journal ye-Gastroenterology . 2014. 147 (4): 903-924.
> Rutherford, C., no-A. Calderwood. Ukubuyekeza ku-Bowel Ukulungiselela i-Colonsocopy. Izinketho zamanje zokwelashwa ku-Gastroenterology . 2018 Feb 5. (Epub ngaphambi kokuphrinta).