IColonoscopy: yintoni, kufuneka ilungiselelwe njani kwaye yenzelwe ntoni
Umxholo
I-Colonoscopy luvavanyo oluvavanya isifo se-mucosa yamathumbu amakhulu, ngakumbi ibonakalisiwe ekuchongeni ubukho be-polyps, umhlaza wamathumbu okanye ezinye iintlobo zotshintsho emathunjini, njenge-colitis, imithambo ye-varicose okanye isifo se-diverticular.
Olu vavanyo lunokuboniswa xa umntu eneempawu ezinokuthi zicebise utshintsho lwamathumbu, njengokuphuma kwegazi okanye isifo sohudo esiqhubekayo, umzekelo, kodwa kuyimfuneko rhoqo ekuhlolweni komhlaza wekolon kubantu abangaphezu kwama-50, okanye ngaphambili, ukuba kukho ukwanda umngcipheko wokuphuhlisa esi sifo. Jonga iimpawu zomhlaza wamathumbu kwaye ukhathazeke nini.
Ukwenza i-colonoscopy, kufuneka kwenziwe amalungiselelo akhethekileyo kunye nohlengahlengiso ekudleni nasekusebenziseni laxatives, ukuze amathumbu acoceke kwaye utshintsho lubonwe. Ngokubanzi, uvavanyo alubangeli zintlungu njengoko lwenziwa phantsi kokuthanjiswa, nangona kunjalo, abanye abantu banokufumana ukungonwabi, ukudumba okanye uxinzelelo esiswini ngexesha lenkqubo.
Yenzelwe ntoni
Ezinye zeempawu eziphambili ze-colonoscopy zibandakanya:
- Khangela iipolyps, ezinamathumba amancinci, okanye imiqondiso ephakamisa umhlaza wekolon;
- Ukuchonga izizathu zokopha esitulweni;
- Vavanya ukurhuda okungapheliyo okanye olunye utshintsho kwimikhwa yamathumbu kwimvelaphi engaziwayo;
- Ukuchonga izifo zekolon ezinje nge-diverticulosis, isifo sephepha emathunjini, isifo sokukrala kwezilonda okanye isifo sikaCrohn, umzekelo;
- Phanda izizathu zokungabikho kwegazi kwimvelaphi engaziwayo;
- Yenza uvavanyo oluneenkcukacha ngakumbi xa utshintsho lufunyenwe kolunye uvavanyo, njengokuvavanywa kwegazi lobugqi okanye imifanekiso ethandabuzekayo kwi-enema ye-opaque, umzekelo. Jonga ukuba loluphi olunye uvavanyo olubonisiweyo ukufumana umhlaza wamathumbu.
Ngexesha lokuvavanywa kwekolonoscopy, kunokwenzeka ukuba wenze iinkqubo ezinje ngokuqokelela i-biopsy okanye nokususa iipolyps. Ukongeza, uvavanyo lunokuboniswa njengendlela yonyango, kuba ikwavumela ukucocwa kwemithambo yegazi enokuthi yophe okanye nokudodobala kwe-intestinal volvulus. Jonga ukuba yintoni i-volvo yamathumbu kunye nendlela yokuphatha le ngxaki inobungozi.
Ukulungiselela i-colonoscopy
Ukuze ugqirha akwazi ukwenza i-colonoscopy kwaye abone utshintsho, kufuneka ukuba ikholoni icoceke ngokupheleleyo, oko kukuthi, ngaphandle kwentsalela okanye ukutya kwaye, ukulungiselela oku, kufuneka kwenziwe uviwo olukhethekileyo loviwo, eboniswe ngugqirha okanye iklinikhi eya kwenza uvavanyo.
Ngokufanelekileyo, amalungiselelo aqaliswa ubuncinci kwiintsuku ezi-2 ngaphambi koviwo, xa isigulana sinokuqalisa ukutya okucolekileyo ngokulula, ngokusekwe kwisonka, irayisi kunye ne-pasta emhlophe, ulwelo, iijusi ngaphandle kwempuphu yeziqhamo, inyama, intlanzi kunye namaqanda aphekiweyo, kunye neyogathi ngaphandle kweziqhamo okanye iziqwenga, ukunqanda ubisi, iziqhamo, amandongomane, imifuno, imifuno kunye neenkozo.
Kwiiyure ezingama-24 phambi koviwo, kuboniswa ukutya okungamanzi, ukuze kungabikho zintsalela ziveliswayo emathunjini amakhulu. Kukwacetyiswa ukuba kusetyenziswe i-laxatives, kuselwe isisombululo esisekwe kwi-Mannitol, uhlobo lweswekile olunceda ekucoceni amathumbu, okanye nasekuhlambeni amathumbu, okwenziwa ngokwesikhokelo sikagqirha. Funda ngakumbi malunga nokutya kunye nendlela yokulungiselela ikholonoscopy.
Ukongeza, amanye amayeza asetyenzisiweyo anokufuna ukupheliswa ngaphambi kovavanyo, njenge-ASA, anticoagulants, metformin okanye i-insulin, umzekelo, ngokwesindululo sikagqirha. Kuyimfuneko ukuba uhambe noviwo, kuba isidanga sinokwenza umntu ozele, kwaye ukuqhuba okanye ukusebenza emva koviwo akukhuthazwa.
I-colonoscopy yenziwa njani
IColonoscopy yenziwa ngokungeniswa kwetyhubhu ebhityileyo nge-anus, ihlala iphantsi kokuthomalalisa isigulana. Le ityhubhu inekhamera eqhotyoshelwe kuyo ukuvumela ukubonwa kwe-mucosa yamathumbu, kwaye ngexesha loviwo amanani amancinci omoya afakwa emathunjini ukuphucula ukubonwa.
Ngokwesiqhelo, isigulana silele ngecala kwaye, ngelixa ugqirha efaka ityhubhu yomatshini we-colonoscopy kwi-anus, unokuziva enyuka koxinzelelo esiswini.
IColonoscopy ihlala ihlala phakathi kwemizuzu engama-20 ukuya kwengama-60 kwaye, emva kovavanyo, isiguli kufuneka siphinde sibuye malunga neeyure ezi-2 ngaphambi kokuba sibuyele ekhaya.
Yintoni i-Virtual Colonoscopy
I-colonoscopy eyiyo isebenzisa ikhompyuter yecomputer ukufumana imifanekiso yamathumbu, ngaphandle kwesidingo sekholonoscope enekhamera yokuthwebula imifanekiso. Ngethuba loviwo, ityhubhu ifakwe kwi-anus efaka umoya emathunjini, ukuququzelela ukuqwalaselwa kwezinto zangaphakathi kunye neenguqu ezinokwenzeka.
I-colonoscopy ebonakalayo inezithintelo ezithile, ezinje ngobunzima ekuchongeni iipolyps ezincinci kunye nokungakwazi ukwenza i-biopsy, yiyo loo nto ingeyiyo indawo ethembekileyo yekolonoscopy eqhelekileyo. Funda ngakumbi ngale nkqubo kwi: Virtual colonoscopy.