I-colonoscopy ivumela oogqirha ukuba babone ngaphakathi kwamathumbu akho amakhulu, abandakanya i-rectum kunye nekholoni.Le nkqubo ibandakanya ukufaka ikholonoscope (ityhubhu ende ekhanyisiweyo enekhamera encanyathiselwe) kwi-rectum yakho emva koko kwikholoni yakho.Ikhamera ivumela oogqirha ukuba bajonge ezo ndawo zibalulekileyo zenkqubo yakho yokugaya.
Ii<em>colonoscopies zinokunceda oogqirha babone iingxaki ezinokubakho, ezinjengokucaphuka kwezicubu, izilonda, i<em>polyps ( precancerous and noncancerous growths ) okanye umhlaza emathunjini amakhulu.Ngamanye amaxesha injongo yenkqubo kukunyanga imeko.Ngokomzekelo, oogqirha banokwenza i-colonoscopy ukususa i-polyps okanye into esuka kwikholoni.
Ugqirha ojongene nenkqubo yokwetyisa, ebizwa ngokuba yi-gastroenterologist, udla ngokwenza inkqubo.Nangona kunjalo, ezinye iingcali zonyango zinokuqeqeshelwa ukwenza i-colonoscopy.
Ugqirha wakho unokuncoma i-colonoscopy ukunceda ukuchonga imbangela yeempawu zamathumbu, njengale:
Ii-colonoscopies zikwasetyenziswa njengesixhobo sokuhlola umhlaza webala.Ukuba akukho semngciphekweni omkhulu womhlaza we-colorectal, ugqirha wakho uya kucebisa ukuba uqale ukwenza iikholonoscopies kwiminyaka engama-45 kwaye uphinde uvavanye rhoqo emva kweminyaka eli-10 emva koko ukuba iziphumo zakho ziqhelekile.Abantu abanomngcipheko womhlaza we-colorectal banokufuna ukuba bahlolwe besebancinci kwaye rhoqo.Ukuba ungaphezulu kwama-75 eminyaka ubudala, kufuneka uthethe nogqirha wakho malunga nezinto eziluncedo kunye neengozi zokuvavanyelwa umhlaza wesisu.
Iicolonoscopies zikwasetyenziselwa ukujonga okanye ukususa iipolyps.Nangona iipolyps zilungile, zinokujika zibe ngumhlaza ekuhambeni kwexesha.Iipolyps zinokukhutshwa nge- colonoscope ngexesha lenkqubo.Izinto zangaphandle zinokususwa ngexesha le-colonoscopy.
Yenziwa njani iColonoscopy?
I-Colonoscopies idla ngokuqhutyelwa esibhedlele okanye kwiziko labangaphandle.
Ngaphambi kwenkqubo yakho, uya kufumana enye yezi zilandelayo:
Ukuthomalalisa ngokuqonda Olu lolona hlobo luxhaphakileyo lokuthomalalisa olusetyenziswa kwiikholonoscopies.Ikubeka kwimeko yobuthongo kwaye ikwabizwa ngokuba yi-twilight sedation.
I-Deep Sedation Ukuba une-sedation enzulu, awuyi kukwazi okwenzekayo ngexesha lenkqubo.
I-Anesthesia Jikelele Ngolu hlobo lwe-sedation, olusetyenziswa ngokungaqhelekanga, uya kuba ungekho ngokupheleleyo.
UkuKhanya okanye Akukho Ukuthomalalisa Abanye abantu bakhetha ukwenza inkqubo ngokuthomalalisa okulula kakhulu okanye kungabikho kwaphela.
Amayeza okuthomalalisa atofwa ngemithambo.Amayeza eentlungu ngamanye amaxesha angasetyenziswa.
Emva kokuba i-sedation ilawulwa, ugqirha wakho uya kukuyalela ukuba ulale ngecala lakho ngamadolo akho esifubeni sakho.Emva koko ugqirha wakho uya kufaka ikholonoscope kwi-rectum yakho.
I-colonoscope iqulethe ityhubhu empompa umoya, i-carbon dioxide, okanye amanzi kwikholoni yakho.Oko kwandisa indawo ukunika umbono ongcono.
Ikhamera yevidiyo encinci ehleli kwincam yekholonoscope ithumela imifanekiso kwimonitha, ukuze ugqirha wakho akwazi ukubona iindawo ezahlukeneyo ngaphakathi kwamathumbu akho amakhulu.Ngamanye amaxesha oogqirha baya kwenza i-biopsy ngexesha le-colonoscopy.Oko kubandakanya ukususa iisampulu zethishu ukuvavanya elebhu.Ukongezelela, banokukhupha iipolyps okanye nakuphi na ukukhula okungaqhelekanga abakufumanayo.
Uyilungiselela njani iColonoscopy
Kukho amanyathelo abalulekileyo ekufuneka uwathathe xa ulungiselela i-colonoscopy.
Thetha noGqirha wakho malunga namayeza kunye nemiba yezempilo
Ugqirha wakho kuya kufuneka azi malunga nazo naziphi na iimeko zempilo onazo kunye nawo onke amayeza owathathayo.Kusenokufuneka ukuba uyeke okwethutyana ukusebenzisa amayeza athile okanye uhlengahlengise iidosi zakho kangangexesha elithile phambi kwenkqubo yakho.Kubaluleke kakhulu ukwazisa umboneleli wakho ukuba uthatha:
Izinto zokuthambisa igazi
I-Aspirin
Iziyobisi ezichasene nokudumba, njenge-ibuprofen (Advil, Motrin) okanye naproxen (Aleve)
Amayeza e-arthritis
Amayeza eswekile
Izongezo ze-iron okanye iivithamini ezine-iron
Landela isicwangciso sakho sokuLungisa izibilini
Izibilini zakho ziya kufuneka zikhutshwe kwisitulo, ukuze oogqirha babone ngokucacileyo ngaphakathi kwikholoni yakho.Ugqirha wakho uya kukunika imiyalelo ethile malunga nendlela yokulungisa isisu sakho ngaphambi kwenkqubo yakho.
Kuya kufuneka ulandele ukutya okukhethekileyo.Oko kudla ngokubandakanya ukusebenzisa kuphela ulwelo olucacileyo kangangeentsuku ezi-1 ukuya kwezi-3 phambi kokuba ikholonoscopy yakho.Ufanele ukuphephe ukusela okanye ukutya nantoni na ebomvu okanye emfusa ngombala, njengoko kunokwenziwa ngempazamo negazi ebudeni bokwenza inkqubo.Amaxesha amaninzi, unokuba nolulwelo lucacileyo lulandelayo:
Amanzi
Iti
I-bouillon engenamafutha okanye umhluzi
Iziselo zezemidlalo ezicacileyo okanye ezikhanyayo ngombala
I-Gelatin ecacileyo okanye ekhanyayo ngombala
Iapile okanye ijusi yomdiliya emhlophe
Ugqirha wakho unokuyalela ukuba ungatyi okanye ungaseli nantoni na emva kobusuku bobusuku obungaphambi kwekholonioscopy yakho.
Ukongezelela, ugqirha wakho uya kuncoma i-laxative, edla ngokuza kwifomu yolwelo.Kusenokufuneka usele isixa esikhulu sesisombululo solwelo (ngokuqhelekileyo igaloni) ngexesha elithile.Uninzi lwabantu luya kufunwa ukuba lusele i-laxative yabo yolwelo ngobusuku bangaphambi nangentsasa yenkqubo yabo.I-laxative iya kubangela urhudo, ngoko kuya kufuneka uhlale kufutshane negumbi lokuhlambela.Ngelixa ukusela isisombululo kunokuba mnandi, kubalulekile ukuba usigqibe ngokupheleleyo kwaye usele naluphi na ulwelo olongezelelweyo olucetyiswa ngugqirha wakho kwi-prep yakho.Yazisa ugqirha wakho ukuba awukwazi ukusela yonke imali.
Ugqirha wakho unokuncoma ukuba usebenzise i-enema ngaphambi kokuba i-colonoscopy yakho ikhuphe ngakumbi ikholoni yakho yesitulo.
Ngamanye amaxesha urhudo olunamanzi lunokubangela ukucaphuka kwesikhumba malunga ne-anus.Unokunceda ukunciphisa ukungonwabi ngoku:
Ukufaka i-ointment, efana neDesitin okanye iVaseline, eluswini olujikeleze i-anus
Ukugcina indawo icocekile ngokusebenzisa izinto zosula ezilahlwayo endaweni yephepha lendlu yangasese emva kokuphuma kwamathumbu
Ukuhlala kwibhafu yamanzi afudumeleyo kwi-10 ukuya kwi-15 imizuzu emva kokuhamba kwamathumbu
Kubalulekile ukulandela imiyalelo kagqirha wakho ngononophelo.Ukuba kukho isitulo kwikholoni yakho esingavumeli umbono ocacileyo, unokufuna ukuphinda i-colonoscopy.
Isicwangciso sezoThutho
Kuya kufuneka wenze amalungiselelo okuba ufike njani ekhaya emva kwenkqubo yakho.Awuyi kukwazi ukuziqhubela, ngoko usenokufuna ukucela isalamane okanye umhlobo ukuba akuncede.
Ziziphi iingozi zeColonoscopy?
Kukho umngcipheko omncinci wokuba ikholonoscope inokugqobhoza ikholoni yakho ngexesha lenkqubo.Nangona kunqabile, unokufuna utyando ukulungisa ikholoni yakho ukuba iyenzeka.
Nangona kungavamile, i-colonoscopy ayinakwenzeka ukuba ibangele ukufa.
Yintoni ongayilindela ngexesha leColonoscopy
I-colonoscopy idla ngokuthatha malunga nemizuzu eli-15 ukuya kwengama-30 ukusuka ekuqaleni ukuya ekupheleni.
Amava akho ngexesha lenkqubo aya kuxhomekeka kuhlobo lwe-sedation oyifumanayo.
Ukuba ukhetha ukuba ube ne-sedation conscious, unokuba ungayazi into eyenzekayo ngeenxa zonke kuwe, kodwa unokukwazi ukuthetha kunye nokunxibelelana.Nangona kunjalo, abanye abantu abane-sedation eyaziwayo balala ngexesha lenkqubo.Ngelixa i-colonoscopy ngokuqhelekileyo ithathwa njengengenabuhlungu, unokuziva ucinezelekile okanye unqwenela ukuba nentshukumo yamathumbu xa i-colonoscopy ihamba okanye umoya uphonswa kwikholoni yakho.
Ukuba une-sedation enzulu, awuyi kuyazi inkqubo kwaye akufanele uzive nantoni na.Uninzi lwabantu luyichaza nje njengemeko yokulala.Bavuka kwaye ngokuqhelekileyo abayikhumbuli inkqubo.
Iikholonoscopi ezingenazo i-sedation-free colonoscopies nazo ziyindlela yokukhetha, nangona zixhaphake kakhulu e-United States kunakwamanye amazwe, kwaye kukho ithuba lokuba izigulana ezingagxothwanga zingakwazi ukunyamezela zonke iintshukumo ekufuneka ikhamera izenze ukuze ufumane umfanekiso opheleleyo wekholoni.Abanye abantu abane-colonoscopy ngaphandle kwe-sedation babika kancinane okanye akukho nto ibuhlungu ngexesha lenkqubo.Thetha nogqirha wakho ukuba unomdla wokufunda ngakumbi malunga neenzuzo kunye neengxaki zokungafumani i-sedation phambi kwe-colonoscopy.
Ziziphi iingxaki kunye neziphumo ebezingalindelekanga zeColonoscopy?
Iingxaki ezivela kwi-colonoscopy aziqhelekanga.Uphando lucebisa ukuba kuphela malunga ne-4 ukuya kwi-8 yeengxaki ezinzulu ezenzekayo kuzo zonke iinkqubo zokuhlola ze-10,000 ezenziweyo.
Ukopha kunye nokuhlatywa kwekholoni zezona ngxaki zixhaphakileyo.Ezinye iziphumo ezichaphazelekayo zingabandakanya intlungu, ukusuleleka, okanye ukusabela kwi-anesthesia.
Kufuneka ufune unyango ngoko nangoko ukuba ufumana ezi mpawu zilandelayo emva kwekholonioscopy:
Ifiva
Iintshukumo zamathumbu anegazi ezingahambi
Ukopha kwi-rectal okungayekiyo
Iintlungu ezibuhlungu zesisu
Isiyezi
Ubuthathaka
Abantu abadala kunye nabo banemiba yezempilo ephantsi banomngcipheko ophezulu wokuphuhlisa iingxaki ezivela kwi-colonoscopy.
Ukhathalelo Emva kweColonoscopy
Emva kokuba inkqubo yakho iphelile, uya kuhlala kwigumbi lokubuyisela malunga neyure enye ukuya kwezi-2, okanye de i-sedation yakho iphele ngokupheleleyo.
Ugqirha wakho unokuxoxa nawe ngeziphumo zenkqubo yakho.Ukuba i-biopsies yenziwe, iisampulu zethishu ziya kuthunyelwa kwilebhu, ukuze ugqirha wezifo azihlalutye.Ezi ziphumo zinokuthatha iintsuku ezimbalwa (okanye ngaphezulu) ukubuya.
Xa ilixesha lokuhamba, ilungu losapho okanye umhlobo kufuneka akuqhube akugoduse.
Unokuqaphela ezinye iimpawu emva kwe-colonoscopy yakho, kuquka:
I-cramping encinci
Isicaphucaphu
Ukuqunjelwa
Ukuqunjelwa
Ukopha kancinci kwi-rectal usuku okanye ezimbini (ukuba iipolyps zisusiwe)
Le miba iqhelekile kwaye ihlala ihamba phakathi kweeyure okanye iintsuku ezimbalwa.
Usenokungabi nentshukumo yamathumbu kwiintsuku ezimbalwa emva kwenkqubo yakho.Kungenxa yokuba ikholoni yakho ayinanto.
Kuya kufuneka ukuphephe ukuqhuba, ukusela utywala, kunye nokusebenza koomatshini iiyure ezingama-24 emva kwenkqubo yakho.Oogqirha abaninzi bacebisa ukuba ulinde kude kube yimini elandelayo ukuze uqalise imisebenzi eqhelekileyo.Umboneleli wakho uya kukuxelela xa kukhuselekile ukuba uqale ukuthatha amayeza anciphisa igazi okanye amanye amayeza kwakhona.
Ngaphandle kokuba ugqirha wakho ekuyalela ngenye indlela, kufuneka ukwazi ukubuyela ngokukhawuleza ekudleni kwakho okuqhelekileyo.Usenokuxelelwa ukuba usele ulwelo oluninzi ukuze uhlale u-hydrated.
