I-Opaque enema: yintoni, yenzelwe ntoni kwaye yenziwa njani
Umxholo
I-Opaque enema luvavanyo lokuqonda isifo olusebenzisa ii-X-ray kunye nokungafaniyo, zihlala zi-barium sulphate, ukufunda ukumila kunye nokusebenza kwamathumbu amakhulu nathe tye kwaye, ke, ukufumanisa iingxaki ezinokubakho zamathumbu, ezinje nge-diverticulitis okanye iipolyps, umzekelo.
Uvavanyo lwe-opaque enema lunokwenziwa kubantu abadala nasebantwaneni kwaye lunokwahlulwa lube yi-enema elula yokukhanya, xa usebenzisa umahluko omnye kuphela, kunye ne-enema enophahla enokuthelekiswa okuphindiweyo, xa kusetyenziswa uhlobo olunye lokwahluka.
Ukwenza uvavanyo, kubalulekile ukuba umntu alandele iingcebiso zikagqirha, ezinje ngokuzila ukutya nokucoca amathumbu ukuze ithumbu libonwe ngokuchanekileyo.
Yenzelwe ntoni
Uvavanyo lwe-opaque enema lubonakalisiwe ukuphanda utshintsho olunokwenzeka emathunjini, ke isifo se-gastroenterologist sinokucebisa ngokusebenza kwayo xa kukho urhano lwe-colitis, umhlaza wamathumbu, amathumba emathunjini, i-diverticulitis kukudumba kwemiphetho yamathumbu Iindonga, luphawulwa ngamathumbu agqwethiweyo, okanye ubukho beepolyps zamathumbu.
Kubantwana, izikhombisi zovavanyo lwe-enema enamehlo kunokuba kukuqunjelwa okungapheliyo, isifo sorhudo esinganyangekiyo, izitulo ezinegazi okanye iintlungu ezingapheliyo esiswini, kunye nokuboniswa njengendlela yovavanyo lwabantwana abaya kungeniswa kwi-rectal biopsy ngenxa yokusola. I-Hirschsprung's syndrome, ekwabizwa ngokuba yi-megacolon yokuzalwa, apho kukho ukungabikho kwemicu yentsimbi emathunjini, kuthintela ukudlula ilindle. Funda ngakumbi malunga ne-megacolon yokuzalwa.
Ukulungiselela uvavanyo lwe-opaque enema
Ukwenza uvavanyo lwe-enema engabonakaliyo, kubalulekile ukuba umntu alandele izikhokelo ezivela kugqirha, ezinje:
- Ukuzila ukutya malunga neeyure ezisi-8 ukuya kwezi-10 phambi koviwo;
- Musa ukutshaya okanye ukuhlafuna itshungama ngelixa uzila ukutya;
- Thatha i-laxative ngohlobo lwepilisi okanye i-suppository kusuku olungaphambi kokucoca amathumbu akho;
- Yitya ukutya okungamanzi kusuku olungaphambi koviwo, njengoko kuyalelwe ngugqirha.
Ezi zilumkiso zibalulekile kuba amathumbu kufuneka acoceke ngokupheleleyo, ngaphandle kwentsalela okanye ilindle, ukuze ukwazi ukubona utshintsho.
Ukulungiselela i-enema opaque ebantwaneni abangaphezulu kweminyaka emi-2 ubudala kubandakanya ukubonelela ngamanzi amaninzi emini kunye nokunika ubisi lwe-magnesium emva kwesidlo sangokuhlwa kusuku olungaphambi kovavanyo. Ukuba uviwo beluceliwe ngenxa yokuqhinwa okungapheliyo okanye i-megacolon, ukulungiswa akuyomfuneko.
Luqhutywa njani uviwo
Uvavanyo lwe-enema ye-opaque luhlala malunga nemizuzu engama-40 kwaye lwenziwa ngaphandle kwe-anesthesia, enokwenza ukuba umntu azive iintlungu kunye nokuphazamiseka ngexesha loviwo. Ke ngoko, abanye oogqirha bakhetha ukucela ikholonoscopy kuba ikwasebenza ukuvavanya amathumbu amakhulu, ukuba ikhuselekile kwaye ikhululeke ngakumbi kwisigulana.
Uvavanyo lwe-enema ye-opaque lwenziwa ngokwala manyathelo alandelayo:
- Ukwenza i-X-ray elula yesisu ukukhangela ukuba amathumbu acocwe ngokufanelekileyo;
- Umntu ubekwe elele kwicala lasekhohlo, umzimba ujonge phambili kunye nomlenze wasekunene phambi komlenze wasekhohlo;
- Ukuqaliswa kweprojekhthi yokwahlula kunye nokuthelekisa, eyi-barium sulfate;
- Umntu ubekwa endaweni kwakhona ukuze umahluko usasazeke;
- Ukususwa kokungafani okwahlukileyo kunye nenaliti yomoya;
- Ukususwa kweprobe;
- Ukwenza ii-x-reyi ezininzi ukuvavanya amathumbu.
Ngexesha loviwo, umntu unokuziva enomdla wokuphuma, ngakumbi emva kwenaliti yomoya kwaye, emva kovavanyo, unokufumana ukudumba kunye nentlungu esiswini kunye nomnqweno ongxamisekileyo wokufuduka. Kuqhelekile ukuba umntu aqhinwe iintsuku ezimbalwa kwaye ilindle limhlophe okanye lingwevu ngenxa yomahluko, ke ngoko kubaluleke kakhulu ukunyusa ukusetyenziswa kokutya okutyebileyo kwifayibha, njengokutya okuziinkozo kunye neziqhamo ezingafakwanga, kunye sela iilitha ezi-2 zamanzi ngosuku.
Kwimeko yabantwana, oku kunokwenzeka, ke kubalulekile ukuba abazali banike umntwana amanzi amaninzi emva koviwo.