I-colonoscopy ivumela odokotela ukuthi babone ngaphakathi kwamathumbu akho amakhulu, okuhlanganisa i-rectum yakho nekholoni.Le nqubo ihilela ukufaka ikholonoscope (ishubhu elide, elikhanyayo elinekhamera enamathiselwe) ku-rectum yakho bese kuba sekholoni yakho.Ikhamera ivumela odokotela ukuthi babuke lezo zingxenye ezibalulekile zesistimu yakho yokugaya.
I-Colonoscopies ingasiza odokotela babone izinkinga ezingase zibe khona, njengezicubu ezicasukile, izilonda, ama-polyps (amagciwane angaphambi komdlavuza noma angenamdlavuza), noma umdlavuza emathunjini amakhulu.Kwesinye isikhathi inhloso yenqubo iwukwelapha isimo.Isibonelo, odokotela bangenza i-colonoscopy ukuze basuse ama-polyps noma into ekholoni.
Udokotela onguchwepheshe ohlelweni lokugaya ukudla, obizwa ngokuthi i-gastroenterologist, ngokuvamile owenza inqubo.Kodwa-ke, abanye ochwepheshe bezokwelapha bangaqeqeshelwa ukwenza i-colonoscopy.
Udokotela wakho angancoma i-colonoscopy ukusiza ukukhomba imbangela yezimpawu zamathumbu, njenge:
I-Colonoscopies nayo isetshenziswa njengethuluzi lokuhlola umdlavuza we-colorectal.Uma ungekho engcupheni enkulu yokuba nomdlavuza we-colorectal, udokotela wakho uzoncoma ukuthi uqale ukwenza ama- colonoscopies lapho usuneminyaka engu-45 futhi uphinde uhlole njalo eminyakeni eyi-10 ngemva kwalokho uma imiphumela yakho ijwayelekile.Abantu abasengozini yomdlavuza we-colorectal bangadinga ukuthi bahlolwe besebancane futhi kaningi.Uma uneminyaka engaphezu kuka-75, kufanele ukhulume nodokotela wakho mayelana nobuhle nobubi bokuhlolelwa umdlavuza we-colorectal.
Ama-Colonoscopies nawo asetshenziselwa ukubheka noma ukususa ama-polyps.Nakuba ama-polyps enempilo, angaphenduka abe umdlavuza ngokuhamba kwesikhathi.Ama-polyps angakhishwa nge- colonoscope ngesikhathi senqubo.Izinto zangaphandle zingasuswa ngesikhathi se-colonoscopy futhi.
I-Colonoscopy Yenziwa Kanjani?
I-Colonoscopies imvamisa yenziwa esibhedlela noma esikhungweni seziguli ezingalaliswanga.
Ngaphambi kwenqubo yakho, uzothola okukodwa kokulandelayo:
I-Conscious Sedation Lolu uhlobo oluvame kakhulu lokulalisa olusetshenziswa kuma-colonoscopy.Ikubeka esimweni sokulala futhi ibizwa nangokuthi i-twilight sedation.
I-Deep Sedation Uma une-sedation ejulile, ngeke ukwazi ukuthi kwenzekani phakathi nenqubo.
I-Anesthesia Ejwayelekile Ngalolu hlobo lwe-sedation, olusetshenziswa ngokungajwayelekile, uzobe uqulekile ngokuphelele.
I-Light or No Sedation Abanye abantu bancamela ukwenza le nqubo ngokudambisa okulula kakhulu noma bangayitholi nhlobo.
Imithi yokudambisa ivamise ukujovwa ngomjovo.Imithi yobuhlungu ingase inikezwe ngezinye izikhathi.
Ngemuva kokuthi i-sedation ilawulwa, udokotela wakho uzokuyala ukuthi ulale ngohlangothi lwakho ngamadolo akho ebheke esifubeni sakho.Khona-ke udokotela wakho uzofaka ikholonoscope ku-rectum yakho.
I-colonoscopy iqukethe ishubhu elimpompa umoya, i-carbon dioxide, noma amanzi kukholoni yakho.Lokho kwandisa indawo ukuze kunikeze umbono ongcono.
Ikhamera yevidiyo encane ehlezi esihlokweni sekholonoscope ithumela izithombe kumonitha, ukuze udokotela wakho akwazi ukubona izindawo ezihlukahlukene ngaphakathi kwamathumbu akho amakhulu.Ngezinye izikhathi odokotela bazokwenza i-biopsy ngesikhathi se-colonoscopy.Lokho kuhlanganisa ukukhipha amasampula ezicubu ukuze ahlolwe elebhu.Ukwengeza, bangase bakhiphe ama-polyps nanoma yiziphi ezinye izimila ezingavamile abazitholayo.
Ungayilungiselela kanjani i-Colonoscopy
Kunezinyathelo ezimbalwa ezibalulekile okufanele uzithathe lapho ulungiselela i-colonoscopy.
Khuluma Nodokotela Wakho Ngemithi Nezindaba Zezempilo
Udokotela wakho uzodinga ukwazi nganoma yiziphi izimo zempilo onazo nayo yonke imithi oyiphuzayo.Kungase kudingeke ukuthi uyeke okwesikhashana ukusebenzisa imithi ethile noma ulungise imithamo yakho isikhathi esithile ngaphambi kwenqubo yakho.Kubaluleke kakhulu ukwazisa umhlinzeki wakho uma uthatha:
Izinqamuli zegazi
I-Aspirin
Izidakamizwa ezingezona ukuvuvukala, njenge-ibuprofen (Advil, Motrin) noma i-naproxen (Aleve)
Imithi ye-arthritis
Imithi yesifo sikashukela
Izithako ze-ayoni noma amavithamini aqukethe i-iron
Landela Uhlelo Lwakho Lokulungiselela Amathumbu
Amathumbu akho kuzodingeka akhishwe indle, ukuze odokotela bakwazi ukubona kahle ngaphakathi kwekholoni yakho.Udokotela wakho uzokunikeza imiyalelo eqondile yokuthi ungawalungisa kanjani amathumbu akho ngaphambi kwenqubo yakho.
Kuzodingeka ulandele ukudla okukhethekile.Lokho ngokuvamile kuhlanganisa ukudla uketshezi olucacile kuphela usuku olu-1 kuya kwezingu-3 ngaphambi kwe-colonoscopy yakho.Kufanele ugweme ukuphuza noma ukudla noma yini ebomvu noma onsomi ngombala, njengoba kungase kwenziwe iphutha negazi phakathi nenqubo.Isikhathi esiningi, ungaba nalezi ziphuzo ezicacile ezilandelayo:
Amanzi
Itiye
I-bouillon engenamafutha noma umhluzi
Iziphuzo zezemidlalo ezicacile noma ezikhanyayo ngombala
I-Gelatin ecacile noma ekhanyayo ngombala
I-apula noma ijusi yamagilebhisi amhlophe
Udokotela wakho angakuyala ukuthi ungadli noma uphuze noma yini phakathi kwamabili ngobusuku bangaphambi kwe-colonoscopy yakho.
Ukwengeza, udokotela wakho uzoncoma i-laxative, evame ukuza ngendlela ewuketshezi.Ungase udinge ukuphuza isamba esikhulu sekhambi eliwuketshezi (imvamisa engamagalani) esikhathini esithile esinqunyiwe.Abantu abaningi kuzodingeka baphuze i-laxative yabo ewuketshezi ngobusuku bangaphambi nasekuseni benqubo yabo.I-laxative ingase ibangele isifo sohudo, ngakho-ke uzodinga ukuhlala eduze nendlu yokugezela.Nakuba ukuphuza ikhambi kungase kungathandeki, kubalulekile ukuthi ukuqede ngokuphelele futhi uphuze noma iziphi iziphuzo ezengeziwe ezituswa udokotela wakho ukuze uzilungiselele.Yazisa udokotela wakho uma ungakwazi ukuphuza lonke inani.
Udokotela wakho angase futhi atuse ukuthi usebenzise i-enema ngaphambi kwe-colonoscopy yakho ukuze uqhubeke nokukhipha ikholoni yakho yesitulo.
Kwesinye isikhathi uhudo olunamanzi lungabangela ukucasuka kwesikhumba eduze kwe-anus.Ungasiza ekudambiseni ukungakhululeki ngoku:
Ukugcoba i-oint, njenge-Desitin noma i-Vaseline, esikhumbeni esiseduze ne-anus
Ukugcina indawo ihlanzekile ngokusebenzisa izinto zokusula ezimanzi ezilahlwayo esikhundleni sephepha lasendlini yangasese ngemva kokukhipha amathumbu
Ukuhlala ebhavini lamanzi afudumele imizuzu eyi-10 kuya kweyi-15 ngemuva kokuphuma kwamathumbu
Kubalulekile ukulandela imiyalelo kadokotela wakho ngokucophelela.Uma kunesitulo ekoloni lakho esingakuvumeli ukubuka okucacile, ungase udinge ukuphinda i-colonoscopy.
Hlela Ezokuthutha
Uzodinga ukwenza amalungiselelo okuthi uzofika kanjani ekhaya ngemva kwenqubo yakho.Ngeke ukwazi ukuzishayela wena, ngakho-ke ungase ufune ukucela isihlobo noma umngane ukuba akusize.
Yiziphi Izingozi Ze-Colonoscopy?
Kunobungozi obuncane bokuthi ikholonoscope ingabhoboza ikholoni yakho phakathi nenqubo.Nakuba kungavamile, ungase udinge ukuhlinzwa ukuze ulungise ikholoni yakho uma kwenzeka.
Nakuba kungavamile, i-colonoscopy ingase ibangele ukufa.
Okufanele Ukulindele Ngesikhathi Se-Colonoscopy
I-colonoscopy ivamise ukuthatha imizuzu eyi-15 ukuya kwengama-30 ukusuka ekuqaleni kuye ekupheleni.
Okuhlangenwe nakho kwakho phakathi nenqubo kuzoncika ohlotsheni lwe-sedation olutholayo.
Uma ukhetha ukuba ne-sedation eyaziwayo, ungase ungazi kahle ukuthi kwenzekani eduze kwakho, kodwa ungase ukwazi ukukhuluma nokuxhumana.Kodwa-ke, abanye abantu abane-sedation eyaziwayo balala ngesikhathi senqubo.Nakuba i-colonoscopy ngokuvamile ibhekwa njengengenabuhlungu, ungase uzizwe ucindezelekile kancane noma isifiso sokunyakaza kwamathumbu lapho i-colonoscopy ihamba noma umoya uphonswa kukholoni yakho.
Uma une-sedation ejulile, ngeke ukwazi inqubo futhi akufanele uzwe lutho nhlobo.Abantu abaningi bavele bakuchaze njengendawo yokulala.Bayavuka futhi ngokuvamile abakhumbuli inqubo.
Amakholonoscopi angenayo i-sedation nawo ayinketho, nakuba engavamile e-United States kunakwamanye amazwe, futhi kunethuba lokuthi iziguli ezingalalisiwe zingase zingakwazi ukubekezelela konke ukunyakaza okudingeka kwenziwe yikhamera ukuze uthole isithombe esiphelele sekholoni.Abanye abantu abane-colonoscopy ngaphandle kwe-sedation babika ukungakhululeki okuncane noma akukho nhlobo phakathi nenqubo.Khuluma nodokotela wakho uma unesithakazelo ekufundeni okwengeziwe mayelana nezinzuzo nezingozi zokungatholi i-sedation ngaphambi kwe-colonoscopy.
Yiziphi Izinkinga kanye Nemiphumela Emibi Ye-Colonoscopy?
Izinkinga ezivela ku-colonoscopy azivamile.Ucwaningo luphakamisa ukuthi cishe 4 kuya ku-8 izinkinga ezinkulu ezenzeka kuzo zonke izinqubo zokuhlola eziyi-10,000 ezenziwa.
Ukopha nokubhoboza ikholoni yizinkinga ezivame kakhulu.Eminye imiphumela emibi ingase ihlanganise ubuhlungu, ukutheleleka, noma ukusabela ku-anesthesia.
Kufanele ufune usizo lwezokwelapha ngokushesha uma uthola izimpawu ezilandelayo ngemuva kwe-colonoscopy:
Imfiva
Ukugeleza kwamathumbu anegazi okungasuki
Ukopha komgudu okungayeki
Ubuhlungu obukhulu besisu
Isiyezi
Ubuthakathaka
Abantu asebekhulile kanye nalabo abanezinkinga zempilo eziyisisekelo basengozini enkulu yokuba nezinkinga ezivela ku-colonoscopy.
Ukunakekelwa Ngemuva kweColonoscopy
Ngemuva kokuthi inqubo yakho isiphelile, uzohlala egumbini lokutakula cishe amahora angu-1 kuya kwangu-2, noma kuze kube yilapho isithombo sakho sesiphelile ngokuphelele.
Udokotela wakho angase axoxe nawe ngokutholwe yinqubo yakho.Uma kwenziwa ama-biopsies, amasampula ezicubu azothunyelwa elebhu, ukuze udokotela wezifo akwazi ukuwahlaziya.Le miphumela ingathatha izinsuku ezimbalwa (noma ngaphezulu) ukubuya.
Uma sekuyisikhathi sokuhamba, ilungu lomndeni noma umngane kufanele akushayele akuyise ekhaya.
Ungabona ezinye izimpawu ngemuva kwe-colonoscopy yakho, kufaka phakathi:
I-cramping encane
Isicanucanu
Ukuqunjelwa
Ukuqunjelwa
Ukopha okuncane komchamo usuku noma ezimbili (uma ama-polyps esusiwe)
Lezi zinkinga zivamile futhi ngokuvamile ziyahamba phakathi namahora noma izinsuku ezimbalwa.
Ungase ungaphumi amathumbu izinsuku ezimbalwa ngemva kwenqubo yakho.Lokho kungenxa yokuthi ikholoni yakho ayinalutho.
Kufanele ugweme ukushayela, ukuphuza utshwala, nokusebenzisa imishini amahora angama-24 ngemuva kwenqubo yakho.Odokotela abaningi batusa ukuthi ulinde kuze kube usuku olulandelayo ukuze uqale kabusha imisebenzi evamile.Umhlinzeki wakho uzokutshela uma kuphephile ukuthi uphinde uqale ukuphuza okokwehlisa igazi noma eminye imithi.
Ngaphandle uma udokotela wakho ekuyala ngenye indlela, kufanele ukwazi ukubuyela ngokushesha ekudleni kwakho okuvamile.Ungase utshelwe ukuthi uphuze uketshezi oluningi ukuze uhlale unamanzi.
