Ikhuseleke kangakanani iColonoscopy?

Umxholo

• Umngcipheko weColonoscopy
• Amathumbu abilayo
• Ukopha
• Isifo se-post-polypectomy electrocoagulation syndrome
• Impendulo engalunganga kwi-anesthetic
• Usulelo
• Umngcipheko weColonoscopy kubantu abadala
• Iingxaki emva kwekolonoscopy
• Nini ukubiza ugqirha
• Ezinye iindlela zekolonoscopy yesiko
• Yise kude

Ushwankathelo

Umngcipheko ophakathi wobomi bokufumana umhlaza ongathandabuzekiyo umalunga ne-1 kumadoda angama-22 kunye no-1 kwabasetyhini abangama-24. I-Colorectal cancer ziyingxaki yesibini ekhokelela ekubhubheni komhlaza e-United States. Uninzi lwaba bantu baswelekileyo lunokuthintelwa ngokufumana kwangoko, ukuhlolwa rhoqo.

I-colonoscopy luvavanyo lokuhlola olusetyenziselwa ukukhangela nokukhusela umhlaza wekolon kunye nowomhlaza. Iicolonoscopies zizixhobo ezinokunceda ekuchongeni unobangela weemeko zesisu, ezinje: urhudo olunganyangekiyo okanye ukuqhina kunye nokuphuma ngokuthe ngqo okanye esiswini.

Kuyacetyiswa ukuba abantu abanomngcipheko womhlaza abaqala ukufumana olu vavanyo beneminyaka engama-45 okanye engama-50, kwaye qho emva kweminyaka elishumi emva kweminyaka engama-75.

Imbali yakho yosapho kunye nohlanga lunokuchaphazela umngcipheko wakho wokufumana umhlaza wekolon okanye umhlaza. Iimeko ezithile zinokunyusa umngcipheko, njenge:

• Imbali yeepolyps kwikholoni
• Isifo sikaCrohn
• isifo sokudumba
• ukudumba okwenziwa sisilonda sikabhobhosi

Thetha ugqirha malunga nemingcipheko ethile ngelixa ugqiba ukuba kwaye kufuneka kaninzi kangakanani ukuba ube nekholonoscopy.

Akukho nto ebomini ngaphandle kwenqanaba lomngcipheko, kubandakanya le nkqubo. Nangona kunjalo, ii-colonoscopies zenziwa yonke imihla kwaye zithathwa njengezikhuselekileyo. Ngelixa iingxaki ezinzulu kunye nokufa kusenokwenzeka ngenxa ye-colonoscopy, amathuba akho okufumana ikholon okanye umhlaza omnyama angaphezulu kwala mathuba.

Ngaphandle kwento osenokuba uyivile, ukulungiselela kunye nokuba nekholonoscopy akukho buhlungu ngakumbi. Ugqirha wakho uya kukunika imiyalelo ethile malunga nendlela yokulungiselela uvavanyo.

Kuya kufuneka unciphise ukutya kwakho ngosuku olungaphambili kwaye uphephe ukutya okunzima okanye okunamandla. Emini, uya kuyeka ukutya ukutya okuqinileyo kwaye utshintshele kukutya okungamanzi. Ukuzila ukutya nokusela isisu kuya kulandela ngokuhlwa ngaphambi kovavanyo.

Ukulungiselela amathumbu kubalulekile. Isetyenziselwa ukuqinisekisa ukuba ikholoni yakho ayinakho kwaphela inkunkuma, inika ugqirha wakho umbono ocacileyo ngexesha lekolonoscopy.

Iicolonoscopies zenziwa nokuba kungaphantsi kokuhlwa okanye nge-anesthesia ngokubanzi. Njengalo naluphi na utyando, iimpawu zakho ezibalulekileyo ziya kujongwa kulo lonke. Ugqirha uya kufaka ityhubhu ecekeceke eguqukayo kunye nekhamera yevidiyo kwincam yayo kwi-rectum yakho.

Ukuba kukho nakuphi na ukungaqheleki okanye iipolyps ezinokubonakala ngexesha lovavanyo, ugqirha wakho uya kuzisusa. Unokuba nazo iisampulu zamathambo zisuswe kwaye zithunyelwe kwi-biopsy.

Umngcipheko weColonoscopy

Ngokwe-American Society for Gastrointestinal Endoscopy, iingxaki ezinzima zenzeka malunga neepesenti ezingama-2.8 kuzo zonke iinkqubo ezili-1 000 xa zisenziwa kubantu abasemngciphekweni ophakathi.

Ukuba ugqirha ususa i-polyp ngexesha lovavanyo, amathuba akho eengxaki anokunyuka kancinci. Ngelixa kunqabile kakhulu, kusweleka iingxelo kulandela ii-colonoscopy, ikakhulu kubantu ababenamathumbu emathumbu ngexesha lovavanyo.

Ukukhetha indawo yokunyanga ngaphandle apho unenkqubo khona kunokuchaphazela umngcipheko wakho. Olunye uphononongo lubonise umahluko ophawulweyo kubunzima, kunye nomgangatho wokhathalelo, phakathi kwamancedo.

Iingozi ezinxulumene necolonoscopy zibandakanya:

Amathumbu abilayo

Ukuqaqanjelwa ngamathumbu ngamathumbu ziinyembezi ezincinci kudonga lwe-rectum okanye ikholoni. Zingenziwa ngengozi ngexesha lenkqubo ngesixhobo. Ezi punctures kunokwenzeka kancinci ukuba zenzeke ukuba ipolyp isuswe.

Ukunyanzelwa kuhlala kunyangwa ngokulinda ngokubukela, ukuphumla ebhedini kunye nezibulala ntsholongwane. Iinyembezi ezinkulu ziimeko zongxamiseko zonyango ezifuna ukulungiswa kotyando.

Ukopha

Ukuba isampuli yethishu ithathiwe okanye isuswe i-polyp, ungabona ukuphuma kwegazi kwi-rectum okanye kwigazi lakho kwisithuba sosuku okanye ezimbini emva kovavanyo. Ngokuqhelekileyo akukho nto inokukhathazeka ngayo. Nangona kunjalo, ukuba ukuphuma kwegazi kunzima, okanye akuyeki, yazisa ugqirha wakho.

Isifo se-post-polypectomy electrocoagulation syndrome

Obu bunzima bunqabileyo bunokubangela iintlungu zesisu esibuhlungu, ukubetha kwentliziyo okukhawulezayo, kunye nomkhuhlane emva kwekolonoscopy. Kubangelwa kukwenzakala eludongeni lwamathumbu okukhokelela kukutsha. Oku kunqabile kufuna ukulungiswa kotyando, kwaye kuhlala kunyangwa ngokuphumla ebhedini kunye namayeza.

Impendulo engalunganga kwi-anesthetic

Zonke iinkqubo zotyando zithwala umngcipheko weempendulo ezingalunganga kwi-anesthesia. Oku kubandakanya ukusabela okungafunekiyo komzimba kunye noxinzelelo lokuphefumla.

Usulelo

Usulelo lwebacteria, olunjengoE. Coli kunye noKlebsiella, luye lwaziwa ukuba lwenzeka emva kwekolonoscopy. Oku kunokwenzeka kakhulu ukuba kwenzeke kumaziko onyango angenandlela yolawulo losulelo ebekiweyo.

Umngcipheko weColonoscopy kubantu abadala

Ngenxa yokuba umhlaza wekolon ukhula kancinci, ii-colonoscopies azisoloko zicetyiswa kubantu abasemngciphekweni ophakathi okanye abadala kunama-75, ukuba babenovavanyo ubuncinci kube kanye kule minyaka ilishumi idlulileyo. Abantu abadala abadala kunokwenzeka ngakumbi kunezigulana ezincinci ukuba bafumane ubunzima okanye ukusweleka emva kwale nkqubo.

Amathumbu okulungiselela asetyenzisiweyo ngamanye amaxesha anokukhathaza abantu abadala kuba oko kungakhokelela ekuphelelweni ngumzimba okanye ukungalingani kwe-electrolyte.

Abantu abanesifo sokungasebenzi kakuhle kwentliziyo eshiyekileyo okanye ukungaphumeleli kwentliziyo abanokuthi basabele gwenxa kwizisombululo zokuqala eziqukethe i-polyethylene glycol. Oku kunokunyusa umthamo wamanzi we-intravascular obangela iingxaki ezinje nge-edema.

Iziphuzo zokupheka ezinesodium phosphate zinokubangela iingxaki zezintso kubantu abadala.

Kubalulekile ukuba abantu abadala baqonde ngokupheleleyo imiyalelo ye-colonoscopy prep kwaye bazimisele ukusela isixa esipheleleyo se-prep fluid efunekayo. Ukungenzi njalo kunokubangela ukuhla kokugqitywa ngexesha lokuvavanya.

Ngokusekwe kwiimeko ezisisiseko sempilo kunye nembali yezempilo kubantu abadala, kunokubakho umngcipheko owonyukayo weziganeko ezinxulumene nentliziyo- okanye imiphunga kwiiveki ezilandela ikholonoscopy.

Iingxaki emva kwekolonoscopy

Uya kudinwa emva kwenkqubo. Kuba i-anesthesia isetyenziswa, unokucelwa ukuba omnye umntu akugoduse. Kubalulekile ukubukela into oyityayo emva kwenkqubo ukuze ungacaphukisi ikholoni yakho kwaye uphephe ukomisa.

Iingxaki zenkqubo zasemva kwexesha zinokubandakanya:

• ukuziva udumbile okanye ugcwala ukuba umoya ungeniswa kwikholoni yakho ngexesha lenkqubo kwaye iqala ukushiya inkqubo yakho
• Inani elincinci legazi elivela kwi-rectum yakho okanye ekuhambeni kwakho kokuqala
• ukubamba ukukhanya okwethutyana okanye iintlungu zesisu
• isicaphucaphu ngenxa anesthesia
• ukucaphukisa okwenziwe ngamathumbu okanye inkqubo

Nini ukubiza ugqirha

Naluphina uphawu olubangela inkxalabo sisizathu esihle sokubiza ugqirha.

Oku kubandakanya:

• iintlungu ezinzima okanye ezinde zesisu
• ifiva
• Ukugodola
• ukopha kakhulu okanye ixesha elide
• ukukhawuleza kwentliziyo

Ezinye iindlela zekolonoscopy yesiko

I-Colonoscopy ithathwa njengomgangatho wegolide wovavanyo lokuvavanywa kweekolon kunye nomhlaza womqala. Nangona kunjalo, zikhona ezinye iintlobo zovavanyo ezinokuthi zikulungele. Ezi mvavanyo zihlala zifuna i-colonoscopy njengokulandela ukuba ukungaqheleki kufunyenwe. Ziquka:

• Uvavanyo lwe-Fecal immunochemical. Olu vavanyo lwasekhaya lujonga igazi esitulweni kwaye kufuneka luthathwe rhoqo ngonyaka.
• Uvavanyo lwegazi lokungcola kwegazi. Olu vavanyo longeza icandelo lovavanyo lwegazi kuvavanyo lwe-fecal immunochemical kwaye kufuneka luphindwe rhoqo ngonyaka.
• Ilindle DNA. Olu vavanyo lwasekhaya luhlalutya isitulo segazi kunye ne-DNA enokuthi inxulunyaniswe nomhlaza wekolon.
• Umahluko phakathi kwe-enema ye-barium. Le-X-ray ese-ofisini ikwafuna kwangaphambili ukucocwa kwamathumbu. Inokusebenza ngokufanelekileyo ekuchongeni iipolyps ezinkulu kodwa inokungaziboni ezincinci.
• I-CT yobugcisa. Olu vavanyo luse-ofisini lukwasebenzisa ulungiso lokucocwa kwamathumbu kodwa alufuni anesthesia.

Yise kude

IiColonoscopies zizixhobo ezisebenza kakuhle zokuvavanya umhlaza wekolon, umhlaza we-rectal kunye nezinye iimeko. Bakhuselekile kakhulu, kodwa hayi ngokupheleleyo ngaphandle komngcipheko.

Abantu abadala banokufumana amanqanaba aphezulu omngcipheko kwiintlobo ezithile zeengxaki. Thetha nogqirha ukufumanisa ukuba kuya kufuneka ube nekholonoscopy.