Izingozi Ze-Colonoscopy Zihlanganisa Ukuguqulwa Kwama-Perforation, Ukuhlambalaza, nokutheleleka
Ngokuvamile, i-colonoscopy iyilingo eliphephile kakhulu, futhi ukukhathazeka ngokucindezeleka akuvamile ukuthi kube yisizathu esizwakalayo sokubeka noma ukugwema ngokuphelele. Nokho, njenganoma iyiphi inqubo yokwelashwa, izinkinga kungenzeka (nakuba zingavamile). Izifundo zilinganisela ukuthi ingozi enkulu yezinkinga ze-colonoscopy ejwayelekile yinto ephansi kakhulu, cishe amaphesenti angu-0.35.
Phakathi ne-colonoscopies lapho i- polyp isuswe khona (i- polypectomy ), ingozi yezinkinga iboniswe ukuthi iphakeme, nakuba isencane kakhulu, ibe ngamaphesenti angu-2.3. Ngokuphambene nalokho, ingozi yokuphila komdlavuza wekoloni ingamaphesenti angama-6. Ukuyibeka ngendlela ecacile: ingozi enkulu yomuntu yokuthuthukisa umdlavuza wekoloni iphakeme kunokuba ube nokucindezeleka ngemuva kwe-colonoscopy.
Ezinye zezinkinga ezingase zenzeke ngesikhathi se-colonoscopy zihlanganisa i-perforation (umgodi emathunjini), ukuphuma kwegazi, i-postpolypectomy syndrome, ukusabela ekusebenziseni izinzwa, nokutheleleka.
Inhloso yalesi sihloko ukufundisa iziguli ngazo zonke izici ze-colonoscopy, efaka phakathi ingozi encane. Inani eliphansi lentengo kufanele liqiniseke, ikakhulukazi ngokubaluleka kwalesi sivivinyo sokuhlola kanye nokubaluleka kwayo ekutholeni nasekuvimbeleni umdlavuza wokubala. Uma kudingeka i-colonoscopy, izingozi ezingase zichazwe lapha akumele zivimbe, kodwa kunalokho kufanele zinike iziguli ukuzethemba ngokuphepha kwalenqubo.
Izinkinga zokulungiselela i-colonoscopy
Ngaphambi kwe-colonoscopy, kubalulekile ukuhlanza kahle imathumba ukuze udokotela enze ukuhlolwa angadlulisa izitsha ngokusebenzisa ikoloni futhi abuke kahle udonga lwamakholoni. Lokhu kusho ukususa ikholoni yesitokisi, futhi kwenziwa ngezindlela ezihlukahlukene ngosuku noma ezimbili ngaphambi kokuhlolwa.
Izinkinga ngesikhathi sokulungiselela i-colonoscopy azivamile, kodwa kungenzeka, ikakhulukazi ezigulini asebekhulile, noma kulabo abanenkinga yokuphefumula inhliziyo.
Ingozi ye-Perforation
I-perforation iyinyembezi noma umgodi emathunjini. Phakathi ne-colonoscopy, udokotela angasusa noma yikuphi amapolisi (okuvelele kwodonga lwamakoloni) atholakala. Ingozi ye-perforation iphansi kakhulu ngemuva kwe-colonoscopy okungekho ama-polyps asusiwe, futhi iphezulu kakhulu ngemva kwe-colonoscopy lapho i-polyp isuswa khona. I-perforation ingenzeka uma ithuluzi lifaka iphuzu elincane emdongeni wekoloni, noma uma umoya ungena emgqonyeni ngesikhathi sokuhlolwa kubangele ukugqama okukhulu.
I-perforation enkulu, ebonakalayo iyiphuthumayo futhi iphathwa ngokuhlinzwa ukuze ivale izinyembezi. Kwezinye izimo ezinyembezi ezincane ezitholakele ekuqaleni, ukuhlinzwa kungase kungadingeki, futhi ukuguqulwa kungaphathwa ngokuphumula komzimba, ama-antibiotic, nokubukela ngokucophelela.
Ingozi yokukhipha
Ukukhipha isisu kubonakala ku-1 kuzo zonke izinqubo ze-colonoscopy eziyinkulungwane. Ukuphuma kwegazi kungaphathwa ngesikhathi sokuhlolwa, kodwa ezimweni eziningi, ukuphuma kwamanzi kuyodlula ngokwakho. Uma i-polyp isuswa, kunamaphesenti angama-30 kuya ku-50 amathuba ukuthi ukuphuma kwegazi kuzokwenzeka kuphi ezinsukwini ezingu-2 kuya kwezingu-7 ngemuva kwe-colonoscopy.
Lolu hlobo lokugaya lungase luhambe luwodwa, kodwa lungadinga ukwelashwa uma luba lukhuni.
I-Postpolypectomy Syndrome
Lesi yisifo esenzeka ngenxa yokushisa emdongeni wamathumbu ngenkathi kususwa i-polyp. Njengendlela yokusabela ku-polypectomy, noma yikuphi ukusuka emahoreni angu-12 kuya ezinsukwini ezimbalwa kamuva, isiguli siqala umkhuhlane, ubuhlungu besisu, nesibalo esiphezulu se- white cell emva kwe-colonoscopy. Ingozi ye-postpolypectomy syndrome emva kwe-colonoscopy lapho i-polypectomy yenziwa khona iphansi kakhulu. Ukwelashwa kungase kuhlanganise ukuphumula, uketshezi olunamanzi, kanye nama-antibiotic.
Imiphumela Evela Emithonjeni Yokudambisa
Imithi yokwehla, ngokuvamile ebizwa ngokuthi "ukulala ebusuku," inikezwa ngesikhathi se-colonoscopy ukuze wenze iziguli zikhululeke kakhulu.
Kukhona izingozi, njenge-reaction ofergic noma izinkinga zokuphefumula, noma yikuphi isikhathi sokudalwa kwemvelo kunikezwa ngenqubo. Phakathi ne-colonoscopy, kunengozi encane kakhulu yomphumela wokuphefumula ojulile wemithi. Ezinye izingozi ezivela emilenzeni zibandakanya ukusabela endaweni yokujova, isicanucanu, ukuhlanza, nomfutho wegazi ophansi.
Ingozi Yokutheleleka
Ukwelashwa ngemuva kwe-colonoscopy akuvamile kakhulu. Ukutheleleka kungadluliselwa phakathi kweziguli uma i-endoscope ingahlanjululwanga futhi inzalo phakathi kokuhlolwa. Ingozi yalokhu kwenzeka, noma kunjalo, iphansi kakhulu.
Izwi elivela
I-colonoscopy iyinkqubo ephephile. Indlela engcono kakhulu yokuthola ukuthi yiziphi izingozi ukuxoxa ngazo nodokotela owenza ukuhlolwa. Ezimweni eziningi, ikakhulukazi uma ikolonoscopy yenziwa ukuze ihlolwe umdlavuza wekoloni, izingozi ziphansi kunengozi yokuthola umdlavuza. Izingozi ngokuvamile akuzona isizathu sokugwema ukuba ne-colonoscopy. Iziguli zinelungelo lokubuza mayelana nezingozi ze-colonoscopy nokulungiselela: izimpendulo kufanele ziqiniseke.
Imithombo:
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ASGE. "Izinkinga zeColonoscopy." I-American Society ye-Endoscopy yezinsikazi zika-2006.
> Reumkens A, Rondagh EJ, Bakker CM, et al. Izinkinga ze-Post-Colonoscopy: Ukubuyekezwa Okuhlelekile, Izindlela Zesikhathi, Nokuhlaziywa Kwezinguquko Ezivela Emakhaya. " Am J Gastroentero l. 2016 Jun 14.
Wayne JD. "I-Postpolypectomy electrocoagulation syndrome." Kuze kube ngu-11 Jan 2013.