Iningi labantu liyavuma ukuthi i-prep for colonoscopy yimbi kakhulu kunokuhlolwa
I-colonoscopy iyilingo eliphumelelayo elisetshenziselwa ukuhlonza isifo sofuba esiswini (IBD) , isifo sofuba esiswini (IBS) , nezinye izinkinga zokugaya ukudla. I- gastroenterologist (isazi esifo sokugaya ukudla) noma udokotela ohlinzayo ozobala kufanele enze ukuhlolwa. Ithuluzi elide, eliguquguqukayo elinokukhanya nekhamera ekugcineni lifakwe ngaphakathi kwe-anus, futhi liqondiswa emathunjini amakhulu.
Imisindo ye-colonoscopy iyinselele kodwa kuyisivivinyo esivamile, esijwayelekile esingakwazi ukunikeza izinzuzo eziningi kangaka. Ukuhlolwa kwesifo somdlavuza ongenayo kungatholakali kuphela umdlavuza ekuseni, kodwa futhi kuphephe usongo lomdlavuza lapho ama-polyps esuswa ngesikhathi sokuhlolwa. Lokhu kuvivinywa kudinga usuku lokulungiselela futhi ngolunye usuku luzobuyela emuva, kodwa luzodinga ukuphindaphindiwe njalo njalo (njengokungathi ngonyaka ngonyaka we-IBD noma mhlawumbe u-5 noma u-10 wokuhlolwa komdlavuza we-colorectal).
Ukulungiselela i-Colonoscopy
Ezinsukwini ngaphambi kokuba abe ne-colonoscopy, isiguli kumele sihlanze ikoloni yabo yazo zonke izinto zokudoba. Odokotela bangase banikeze amasu ahlukene weziguli ezahlukene. Isibonelo, isiguli esinesifo sohudo esibi singase singadingi kangcono njengendoda enesilonda esinempilo. Umuntu oye wahlinzwa emathunjini futhi une-ostomy noma i-j-isikhwama angase abe ne-prep ehlukile kunomuntu ongakaze athole ukuhlinzwa.
Izindlela ezivamile zokulungisa ikoloni zihlanganisa ukuphuza isisombululo sokugqugquzela isilonda, ama- laxatives , kanye ne- enemas . Ngokulandela imiyalelo odokotela ngokunembile, intombazane enkulu izoba ihlanzekile futhi ingenayo imfucuza ngakho-ke noma yiziphi izinkinga ezingase zibonwe kalula futhi zihlolwe.
Phakathi neColonoscopy
Iziguli zivame ukuhlelwa nge-IV ngesikhathi senqubo.
Ukuzijabulisa kuyinto iphuzu elibalulekile lokuxoxa nodokotela ngaphambi kosuku lokuhlola ukuqonda ukuthi yimiphi imithi esetshenziswayo nokuthi yini ongayilindela. Udokotela angase futhi asebenzise i-car monitor, oksijeni, nezinye izinto zokuqapha ukuqinisekisa ukuphepha nokududuzeka kwesiguli ngesikhathi sokuhlolwa. Yonke inqubo yekolonoscopy ngokuvamile ithatha imizuzu engaba ngu-30. Udokotela angathatha ama- biopsies , isampula encane yezicubu ezothunyelwa kudokotela wezokwelapha ukuze avivinye ukuqinisekisa ukuthi kutholakala kahle.
Ngemuva kweColonoscopy
Ngemuva kwe-colonoscopy, iziguli zihlolwe isikhathi esithile sokuguqula i-sedation futhi uqinisekise ukuthi azikho izinkinga ezenzekile. Ngenxa yokuthi i-colonoscope ifaka umoya emgqonyeni, kuzoba nokunye okuqhamukayo okuyokhululeka ngegesi edlula. Iziguli kufanele zihlele ukuba othile azinikele ekhaya kusukela enkambisweni, njengoba ziyoba groggy ngempela. Lo muntu futhi angakhumbula noma yiziphi ezinye iziyalezo ezinikezwe abasebenzi bezokwelapha.
Ngesinye isikhathi emva kwenqubo, iziguli zizohlangana futhi nodokotela ukuze zixoxe nganoma yikuphi okutholayo. Imiphumela ye-biopsies izotholakala ngalesi sikhathi kanye nanoma yikuphi okunye ukukhubazeka okubonakala ngesikhathi sokuhlolwa.
Izinkinga ezingenzeka
Izinkinga ezivela ku-colonoscopy azivamile futhi akusona isizathu sokuhlehlisa noma ukugwema ukuhlolwa.
I-colonoscopy, yonke into, iphephile futhi iyadingeka ekuhloleni umdlavuza nokuqapha izifo. Iningi labantu lizokuthola ukuthi ukuxoshwa okuvela e-anesthesia kuphuma ngosuku lokuhlolwa nangosuku olulandelayo, isimiso esivamile singabuye saqala. Uma kukhona ubuhlungu obuningi, ukuphuma kwe-rectum, ukuhlanza noma ukuhlanza izinyathelo ezithile, xhumana nehhovisi lesidokotela ukuze unqume izinyathelo ezilandelayo. Uma izimpawu zibonakala ziyisimo esiphuthumayo sezokwelapha, funa ukwelashwa ngokushesha.
Izwi elivela
I-colonoscopy iyimvivinyo ebalulekile ngoba ayikwazi ukusiza kuphela ukuhlonza isifo noma isimo, ingasetshenziswa ngempela ukusiza ukuvimbela umdlavuza wekoloni.
Lapho ama-polyps esuswa ngesikhathi se-colonoscopy, lokhu kususa ithuba lokuthi lawo ma-polyps angaba nomdlavuza. Kubantu abane-IBD, i-colonoscopy ivame ukwenza ngonyaka noma ngezikhathi ezithile ukukala umsebenzi wesifo. Kunezinhlobonhlobo zamalungiselelo atholakalayo futhi wonke odokotela anezintandokazi zakhe. Iziguli ezinama-colonoscopies njalo zingaba nendlela ethile yokulungiselela okubenza kahle kubo. Noma yimuphi ushintsho noma umbuzo mayelana nokulungiselela kufanele kuxoxwe nodokotela.