I-enema yeBarium

I-enema ye-Barium yi-x-ray ekhethekileyo yamathumbu amakhulu, equka ikholoni kunye ne-rectum.

Olu vavanyo lunokwenziwa kwi-ofisi kagqirha okanye kwisebe le-radiology yesibhedlele. Yenziwe emva kokuba ikholoni yakho ingenanto kwaye icocekile. Ugqirha wakho uya kukunika imiyalelo yokucoca ikholoni yakho.

Ngexesha lovavanyo:

• Ulele ulele ngomqolo etafileni ye-x-ray. Kuthathwa iX-ray.
• Wena ke lala ngecala. Umboneleli wezempilo ufaka ngobunono ityhubhu ethanjiswe kakuhle (ityhubhu ye-enema) kwi-rectum yakho. Umbhobho uqhagamshelwe kwingxowa ephethe ulwelo oluqukethe i-barium sulfate. Esi sisixhobo sokuthelekisa esigqamisa iindawo ezithile kwikholoni, senza umfanekiso ocacileyo.
• I-barium iya kungena kwikholoni yakho. X-reyi zithathwa. Ibhaluni encinci kwincam ye-enema tube inokuthi inyuswe ukuze incede ukugcina i-barium ngaphakathi kwikholoni yakho. Umboneleli ujonga ukuhamba kwe-barium kwiscreen se-x-ray.
• Ngamanye amaxesha inani elincinci lomoya linikezelwa kwikholoni ukuyandisa. Oku kuvumela imifanekiso ecacileyo. Olu vavanyo lubizwa ngokuba yi-enema ye-barium enema.
• Uyacelwa ukuba uye kwiindawo ezahlukeneyo. Itafile incanyathiselwe kancinci ukufumana iimbono ezahlukeneyo. Ngamaxesha athile xa kuthathwa imifanekiso ye-x-ray, uxelelwa ukuba ubambe umphefumlo kwaye uthi cwaka imizuzwana embalwa ukuze imifanekiso ingabinangqondo.
• Umbhobho we-enema uyasuswa emva kokuba ii-x-reyi zithathiwe.
• Unikwa isitya sokulala okanye uncediswe kwindlu yangasese, ukuze ukwazi ukukhupha amathumbu akho kwaye ususe i-barium kangangoko. Emva koko, i-1 okanye 2 ngaphezulu ii-x-ray zinokuthathwa.

Izibilini zakho kufuneka zingabinanto ngokupheleleyo kwiimviwo. Ukuba azinanto, uvavanyo lusenokuphoswa yingxaki kumathumbu akho amakhulu.

Uya kunikwa imiyalelo yokucoca amathumbu akho usebenzisa i-enema okanye i-laxatives. Oku kukwabizwa ngokuba kukulungiselela amathumbu. Landela imiyalelo ngokuchanekileyo.

Kwiintsuku ezi-1 ukuya kwezi-3 phambi kovavanyo, kufuneka ube kukutya okungamanzi okucacileyo. Imizekelo yolwelo olucacileyo yile:

• Sula ikofu okanye iti
• I-bouillon engenamafutha okanye umhluzi
• IGelatin
• Iziphuzo zemidlalo
• Iijusi zeziqhamo ezixineneyo
• Amanzi

Xa i-barium ingena kwikholoni yakho, unokuziva ngathi kufuneka ube nokuhamba kwamathumbu. Unako kwakhona:

• Imvakalelo yokugcwala
• Ukumodareyitha ngokuphakathi ukuya kubunzima
• Ukuphazamiseka ngokubanzi

Ukuthatha ixesha elide, ukuphefumla okunzulu kunokukunceda uphumle ngexesha lenkqubo.

Kuqhelekile ukuba ilindle libe mhlophe kwiintsuku ezimbalwa emva kolu vavanyo. Sela iziselo ezingaphezulu iintsuku ezi-2 ukuya kwezi-4. Buza ugqirha wakho malunga ne-laxative ukuba uhlakulela izitulo ezinzima.

I-enema ye-Barium isetyenziselwa:

• Khangela okanye isikrini somhlaza wekolon
• Ukuchonga okanye ukubeka esweni ulcerative colitis okanye isifo seCrohn
• Ukuchonga unobangela wegazi kwilindle, urhudo, okanye ilindle elinzima kakhulu (ukuqhina)

Uvavanyo lwe-barium enema lusetyenziswa kancinci kunakwangaphambili. IColonoscopy yenziwa ngoku ngoku.

I-Barium kufuneka igcwalise ikholoni ngokulinganayo, ibonakalise imeko eqhelekileyo yamathumbu kunye nokuma kwaye akukho zibhloka.

Iziphumo zovavanyo ezingaqhelekanga zingangumqondiso woku:

• Ukuvaleka kwamathumbu amakhulu
• Ukunciphisa ikholoni ngaphezu kwe-rectum (isifo se-Hirschsprung kwiintsana)
• Isifo seCrohn okanye isifo sezilonda
• Umhlaza kwikholoni okanye kwi-rectum
• Ukutyibilika kwenxalenye enye yamathumbu kwenye (intussusception)
• Ukukhula okuncinci okuphuma ngaphandle kwimbombo yekolon, ebizwa ngokuba ziipolyps
• Incinci, iingxowa ezikhukhulayo okanye iipokotshi zangaphakathi zangaphakathi zesisu, ezibizwa ngokuba yi-diverticula
• Umtya ojijekileyo wamathumbu (volvulus)

Kukho ukubonakaliswa kwemitha ephantsi. I-X-ray ibekwe esweni ukuze kusetyenziswe elona xabiso lincinci lemitha. Abafazi abakhulelweyo kunye nabantwana banomdla ngakumbi kwiingozi ze-x-ray.

Umngcipheko onqabileyo, kodwa onobuzaza ngumngxuma owenziwe kwikholoni (ikholoni enesingci) xa kufakwa ityhubhu ye-enema.

Uthotho lwangaphantsi lwesisu; Uthotho lweGI esezantsi; Umhlaza ongalunganga-uthotho lwe-GI esezantsi; Umhlaza womzimba - i-enema ye-barium; Isifo seCrohn-uthotho lwe-GI esezantsi; Isifo seCrohn - i-barium enema; Ukucinywa kwamathumbu emathunjini-uthotho lwe-GI esezantsi; Ukucinywa kwamathumbu emathunjini - i-barium enema

• I-enema yeBarium
• Umhlaza obonakalayo-i-x-ray
• Umhlaza weSigmoid colon - x-ray
• I-enema yeBarium

IBoland GWL. Colon kunye nesihlomelo. Ku: Boland GWL, ed. UkuCingelwa kwesisu: Izinto ezifunwayo. Ngomhla we-4. IPhiladelphia, PA: Elsevier Saunders; I-2014: isahluko 5.

IChernecky CC, iBerger BJ. I-enema yeBarium. Ku: IChernecky CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. ISt Louis, MO: Elsevier Saunders; Ngo-2013: 183-185.

ILin JS, iPiper MA, iPerueu LA, et al. Ukuvavanywa komhlaza obonakalayo: ingxelo ehlaziyiweyo yobungqina kunye nokuphononongwa ngokuchanekileyo kwe-US Preventive Services Task Force. JAMA. Ngo-2016; 315 (23): 2576-2594. IINKCUKACHA: 27305422 www.ncbi.nlm.nih.gov/pubmed/27305422.

I-Taylor SA, i-Plumb A. Amathumbu amakhulu. Ku: UAdam A, uDixon AK, uGillard JH, uSchaefer-Prokop CM, ii-eds. I-Grainger kunye ne-Allison's Diagnostic Radiology: Incwadi ebhaliweyo yoNyango lwezoNyango. Umhla wesi-6. IPhiladelphia, PA: Elsevier Churchill Livingstone; 2015: isahluko 29.