I-colonoscopy ivumela odokotela ukuthi babone ngaphakathi kwamathumbu akho amakhulu, okubandakanya u-rectum nekholoni. Le nqubo ifaka ukufaka i-colonoscope (ishubhu ende, ekhanyisiwe elinekhamera enamathiselwe) ku-rectum yakho bese kuthi kwikholoni yakho. Ikhamera ivumela odokotela ukuthi babuke lezo zingxenye ezibalulekile zohlelo lwakho lokugaya ukudla.
Ama-colonoscopies angasiza odokotela ukuthi babone izinkinga ezingaba khona, ezinjengezicubu ezicasulayo, izilonda, ama-polyps (ama-propancerous kanye nokukhula okungahlukanisi), noma umdlavuza emathunjini amakhulu. Kwesinye isikhathi inhloso yenqubo ukwelapha isimo. Isibonelo, odokotela bangenza ikolonicopy ukususa ama-polyps noma into ephuma kwikholoni.
Udokotela obhekene nohlelo lokugaya ukudla, olubizwa ngokuthi yi-gastroenterologist, imvamisa enza inqubo. Kodwa-ke, abanye ochwepheshe bezokwelapha nabo bangaqeqeshwa ukwenza ikholofonicopy.
Udokotela wakho angancoma i-colonoscopy ukusiza ukubona imbangela yezimpawu zamathumbu, ezinjengokuthi:
Ama-colonoscopies asetshenziswa futhi njengethuluzi lokuhlola lomdlavuza we-colorectal. Uma ungekho engcupheni enkulu yomdlavuza we-colorectal, udokotela wakho uzoncoma ukuthi uqale ukuba nama-colonoonoscopies eneminyaka engama-45 bese uphinda ukuhlolwa njalo eminyakeni eyi-10 ngemuva kwalokho uma imiphumela yakho ijwayelekile. Abantu abanezici zobungozi bomdlavuza wezemibalali kungenzeka badinge ukubhekisisa ebusuku abancane futhi kaningi. Uma umdala kuno-75, kufanele ukhulume nodokotela wakho ngezinzuzo nokutholwa komdlavuza wemibala.
IColonoscopies nayo isetshenziselwa ukubheka noma ukususa ama-polyps. Yize ama-polyps ayiqiniso, angaphenduka umdlavuza ngokuhamba kwesikhathi. Ama-Polyps angaphuthunyiswa nge-colonoscope ngesikhathi senqubo. Izinto zakwamanye amazwe zingasuswa ngesikhathi se-colonoscopy.
Ngabe kwenziwa kanjani ikolonoscopy?
Ama-colonoscopies ajwayele ukwenziwa esibhedlela noma esikhungweni se-Outpatient.
Ngaphambi kwenqubo yakho, uzothola okukodwa kokulandelayo:
Ukuqonda kwe-sedation lolu uhlobo oluvame kakhulu lwe-sedation olusetshenziselwa ama-colonoscopies. Kukubeka esimweni esinjenge-sleelike futhi kubizwa nangokuthi kwabizwa ngokuthi yi-Twilight Sedation.
Ukuhlanekezela okujulile Uma unokuhlehlisa okujulile, ngeke ube ungazi ukuthi kwenzekani ngesikhathi senqubo.
I-General Anesthesia enalolu hlobo lokudonswa kabusha, olusetshenziswa ngokuvamile, uzobe ungazi ngokuphelele.
Ukukhanya noma ukungahleli Abanye abantu bakhetha ukuba nenqubo enokukhanya okulula kakhulu noma akukho nhlobo.
Imithi eyethusayo imvamisa ijova ngokusobala. Imithi yobuhlungu kwesinye isikhathi ingahle ilawulwe.
Ngemuva kokudonswa kwe-sedation, udokotela wakho uzokufundisa ukuthi ulale ngasohlangothini lwakho ngamadolo akho esifubeni sakho. Lapho-ke udokotela wakho uzofaka i-colonoscope ku-rectum yakho.
I-colonoscope iqukethe ishubhu epompa umoya, isikhutha, noma amanzi kwikholoni yakho. Lokho kunwebisa le ndawo ukunikeza umbono ongcono.
Ikhamera encane yevidiyo ehlala esiqongweni se-colonoscope ithumela izithombe kumqaphi, ukuze udokotela wakho abone izindawo ezahlukahlukene ngaphakathi kwamathumbu akho amakhulu. Kwesinye isikhathi odokotela bazokwenza i-biopsy ngesikhathi se-colonoscopy. Ezibandakanya ukususa amasampula wezicubu ukuze ahlolwe kwilebhu. Ngaphezu kwalokho, bangathatha ama-polyps noma yikuphi okunye ukukhula okungajwayelekile abakutholayo.
Ungazilungiselela kanjani i-colonoscopy
Kunezinyathelo ezimbalwa ezibalulekile okufanele uzithathe lapho ulungiselela i-colonoscopy.
Khuluma nodokotela wakho ngemithi nezinkinga zezempilo
Udokotela wakho uzodinga ukwazi nganoma yiziphi izimo zezempilo onazo nayo yonke imishanguzo oyithathayo. Ungadinga ukumisa okwesikhashana ukusebenzisa ama-meds athile noma uguqule imithamo yakho isikhathi esithile ngaphambi kwenqubo yakho. Kubaluleke kakhulu ukuvumela umhlinzeki wakho azi uma uthatha:
Ncamashi ngegazi
Umuthi wokudambisa izinhlungu
Izidakamizwa ezilwa nokuvuvukala, njenge-Iburrofen (Advil, Motrin) noma i-Naproxen (Aleve)
Imithi yama-arthritis
Imithi yesifo sikashukela
Izithasiselo zensimbi noma amavithamini aqukethe insimbi
Landela uhlelo lwakho lwe-Bowel Prep
Amathumbu akho azodinga ukuqedwa kwesitulo, ngakho-ke odokotela bangabona ngokucacile ngaphakathi kwikholoni yakho. Udokotela wakho uzokunikeza imiyalo ethile yokuthi ungalungiselela kanjani amathumbu akho ngaphambi kwenqubo yakho.
Kuzofanele ulandele ukudla okukhethekile. Lokho kuvame ukufaka phakathi kokudla uketshezi olucacile lwezinsuku ezi-1 kuye kwezingu-3 ngaphambi kwekoloni lakho le-colonoscopy. Kufanele ugweme ukuphuza noma ukudla noma yini ebomvu noma onsomi ngombala, ngoba kungahle kube yiphutha ngegazi ngesikhathi senqubo. Isikhathi esiningi, ungaba noketshezi olucacile olulandelayo:
Nisela
Itiye
I-fat-free bouillon noma umhluzi
Iziphuzo zezemidlalo ezicacile noma ezilula ngombala
I-gelatin ecacile noma ekhanyayo ngombala
I-Apple noma ijusi lamagilebhisi amhlophe
Udokotela wakho angakufundisa ukuthi ungadli noma uphuze lutho ngemuva kwamabili ngobusuku ngaphambi kwe-colonoscopy yakho.
Ngokwengeziwe, udokotela wakho uzoncoma i-laxative, evame ukuza ngefomu loketshezi. Ungadinga ukuphuza inani elikhulu lesisombululo se-liquid (imvamisa i-gallon) ngaphezulu kwesikhathi esithile. Iningi labantu lizodingeka ukuthi liphuze i-liquid yabo i-laxative ebusuku ngaphambi nangekusasa lenqubo yabo. I-laxative izobangela uhudo, ngakho-ke kuzodingeka uhlale useduze nasendlini yokugezela. Ngenkathi ukuphuza ikhambi kungaba okungathandeki, kubalulekile ukuthi uqede ngokuphelele nokuthi uphuza noma yiluphi uketshezi olwengeziwe udokotela wakho atusa nge-prep yakho. Vumela udokotela wakho azi ukuthi awukwazi ukuphuza lonke inani.
Udokotela wakho angancoma nokuthi usebenzise i-enema ngaphambi kokuba ikholoni lakho le-colonoscopy liqhubekise futhi ikholomu yakho ye-stool.
Kwesinye isikhathi uhudo lwamanzi lungadala ukucasuka kwesikhumba eduze kwe-anus. Ungasiza ukudambisa ukungakhululeki ngo:
Ukusebenzisa amafutha, njenge-desitin noma i-vaseline, esikhunjeni esizungeze i-anus
Ukugcina indawo ihlanzekile ngokusebenzisa ama-wipes athambekele emzimbeni esikhundleni sephepha lasendlini ngemuva kokunyakaza kwamathumbu
Ngihleli ekugezeni kwamanzi afudumele imizuzu eyi-10 kuye kwayi-15 ngemuva kokunyakaza kwamathumbu
Kubalulekile ukulandela imiyalo kadokotela wakho ngokucophelela. Uma kukhona isihlalo kwikholoni yakho engavumeli umbono ocacile, kungadingeka ukuthi uphinde i-colonoscopy.
Hlela izinto zokuhamba
Uzodinga ukwenza amalungiselelo wokuthi ungafika kanjani ekhaya ngemuva kwenqubo yakho. Ngeke ukwazi ukushayela ngokwakho, ngakho-ke ungahle ufune ukubuza isihlobo noma umngani ukusiza.
Yiziphi izingozi ze-colonoscopy?
Kunobungozi obuncane bokuthi ikolonooscope ingabhoboza ikholoni yakho ngesikhathi senqubo. Noma kungavamile, ungadinga ukuhlinzwa ukuze kulungiswe ikholoni yakho uma kwenzeka.
Yize kungajwayelekile, ikholofonicopy ayinakuphumela ekufeni.
Yini ongayilindela ngesikhathi se-colonoscopy
I-colonoscopy imvamisa ithatha imizuzu eyi-15 kuye kwengama-30 ukusuka ekuqaleni kuze kube sekupheleni.
Isipiliyoni sakho ngesikhathi senqubo sizoncika ohlotsheni olutholwayo olitholayo.
Uma ukhetha ukuba nokuqonda kwe-sedation, ungahle wazi kahle ukuthi kwenzekani eduze kwakho, kepha kungenzeka ukuthi usakwazi ukukhuluma futhi ukwazi ukuxhumana. Kodwa-ke, abanye abantu abanokuqonda kwe-sedation balala ngesikhathi senqubo. Ngenkathi i-colonoscopy icatshangelwa ngokuvamile ingenabuhlungu, ungazizwa uyinqaba noma isifiso sokuba nenhlangano yamathumbu lapho ikolooscope ishukunyiswa noma ikhwehlela kwikholoni lakho.
Uma unokudanga okujulile, uzobe ungazi inqubo futhi akufanele uzwe lutho. Iningi labantu livele likuchaze njengesimo sokulala. Bavuka futhi imvamisa abayikhumbuli inqubo.
Ama-colonoscopies angenama-sedation-free nawo angukukhethwa, yize angajwayelekile e-United States kunakwamanye amazwe, futhi ithuba lokuthi iziguli ezinciphile kungenzeka zingakwazi ukubekezelela konke ukunyakaza kwekhamera. Abanye abantu abane-colonoscopy ngaphandle kokubika kabi okuncane noma akukho ukungaphatheki kahle ngesikhathi senqubo. Khuluma nodokotela wakho uma unesifiso sokufunda kabanzi ngezinzuzo nokubi kokwemukelwa kabusha ngaphambi kwe-colonoscopy.
Yiziphi izinkinga nemiphumela emibi ye-colonoscopy?
Izinkinga ezivela ku-colonoscopy akuvamile. Ucwaningo luphakamisa ukuthi izinkinga ezingaba ngu-4 kuya kwezingu-8 zenzeka kuzo zonke izinqubo zokuhlola eziyi-10 000 ezenziwayo.
Ukuphuma kokopha nokuvunwa kwekoloni kuyizinkinga ezivame kakhulu. Eminye imiphumela emibi ingafaka izinhlungu, ukutheleleka, noma ukusabela ku-anesthesia.
Kufanele ufune ukunakekelwa ngokokwelashwa khona lapho uhlangabezana nezimpawu ezilandelayo ngemuva kwe-colonoscopy:
Imfiva
Ukunyakaza kwamathumbu angenagazi okungahambi
Ukopha unxande okungayeki
Ubuhlungu obukhulu besisu
Isiyezi
Ubuthaka
Abantu asebekhulile nalabo abanezingqinamba zempilo ezingaphansi kwengozi banobungozi obukhulu bokuthuthukisa izinkinga ezivela ku-colonoscopy.
Ukunakekela ngemuva kwe-colonoscopy
Ngemuva kokuthi inqubo yakho isiphelile, uzohlala egumbini lokutakula cishe amahora angu-1 kuye kwangu-2, noma kuze kube yilapho ukuncipha kwakho kuphele ngokuphelele.
Udokotela wakho angaxoxa ngokutholakele kwenqubo yakho nawe. Uma kwenziwa ama-biopsies, amasampula wezicubu azothunyelwa elebhu, ukuze udokotela ohluzekile azihlaziye. Le miphumela ingathatha izinsuku ezimbalwa (noma ngaphezulu) ukubuyela emuva.
Lapho sekuyisikhathi sokuhamba, ilungu lomndeni noma umngani kufanele akulungele ekhaya.
Ungahle uqaphele ezinye zezimpawu ngemuva kwe-colonoscopy yakho, kufaka phakathi:
Ukucindezela okuthambile
Isicanucanu
Ukuqhakaza
Ukucabala
Ukopha kokopha kokopha kosuku noma ezimbili (uma ama-polyps asuswa)
Lezi zinkinga zijwayelekile futhi zivame ukuhamba kungakapheli amahora noma izinsuku ezimbalwa.
Ungahle ungabi nokunyakaza kwamathumbu ezinsukwini ezimbalwa ngemuva kwenqubo yakho. Lokho kungenxa yokuthi ikholoni lakho alinalutho.
Kufanele ugweme ukushayela, ukuphuza utshwala, kanye nemishini yokusebenza amahora angama-24 ngemuva kwenqubo yakho. Iningi lodokotela lincoma ukuthi ulinde kuze kube usuku olulandelayo ukuze uqale kabusha imisebenzi ejwayelekile. Umhlinzeki wakho uzokutshela lapho kuphephile ukuqala ukuphuza ubumbano lwegazi noma eminye imishanguzo.
Ngaphandle kokuthi udokotela wakho ekufundisa ngenye indlela, kufanele ukwazi ukubuyela ngokushesha ekudleni kwakho okujwayelekile. Ungatshelwa ukuthi uphuze uketshezi oluningi ukuze uhlale u-hydrate.
