I-Barium enema

I-Barium enema iyi-x-ray ekhethekile yamathumbu amakhulu, efaka ikholoni kanye nengxenyeni.

Lokhu kuhlolwa kungenziwa ehhovisi likadokotela noma emnyangweni we-radiology esibhedlela. Kwenziwa ngemuva kokuthi ikholoni lakho lingenalutho ngokuphelele futhi lihlanzekile. Udokotela wakho uzokunikeza imiyalo yokuhlanza ikholoni yakho.

Ngesikhathi sokuhlolwa:

• Ulala ulele ngomhlane etafuleni le-x-ray. Kuthathwa i-x-ray.
• Wena-ke ulale ngohlangothi. Umhlinzeki wezempilo ufaka ngobumnene ithubhu eligcotshiswe kahle (i-enema tube) ku-rectum yakho. Ishubhu lixhunywe esikhwameni esigcina uketshezi oluqukethe i-barium sulfate. Lokhu kuyinto ehlukile egqamisa izindawo ezithile kukholoni, kwakha isithombe esicacile.
• I-barium igelezela kukholoni yakho. Ama-X-ray ayathathwa. Ibhaluni elincane ekugcineni kwepayipi le-enema lingafuthwa ukusiza ukugcina i-barium ngaphakathi kwekholoni yakho. Umhlinzeki uqaphe ukuhamba kwe-barium esikrinini se-x-ray.
• Kwesinye isikhathi umoya omncane uhanjiswa kukholoni ukuze uwukhulise. Lokhu kuvumela izithombe ezicace bha. Lokhu kuhlolwa kubizwa ngokuthi i-enema barium enemahlukile.
• Uyacelwa ukuthi ungene ezikhundleni ezahlukahlukene. Itafula lincanyathiselwe kancane ukuthola ukubukwa okuhlukile. Ngezikhathi ezithile lapho kuthathwa izithombe ze-x-ray, utshelwa ukuthi ubambe umoya futhi uthule imizuzwana embalwa ukuze izithombe zingabi mfushane.
• Ishubhu le-enema liyasuswa ngemuva kokuthi ama-x-ray ethathiwe.
• Unikezwa ke ingubo yokulala noma usizwe ukuya endlini encane, ukuze ukwazi ukukhipha amathumbu akho futhi ususe i-barium eningi ngangokunokwenzeka. Ngemuva kwalokho, kungathathwa ama-x-ray amaningi noma amabili.

Amathumbu akho adinga ukungabi nalutho ngokuphelele esivivinyweni. Uma kungenalutho, ukuhlolwa kungaphuthelwa inkinga emathunjini akho amakhulu.

Uzonikezwa imiyalo yokuhlanza amathumbu akho usebenzisa i-enema noma i-laxatives. Lokhu kubizwa nangokuthi ukulungiselela amathumbu. Landela imiyalo ngqo.

Izinsuku ezi-1 kuya kwezingu-3 ngaphambi kokuhlolwa, udinga ukuba ekudleni okucacile ketshezi. Izibonelo zoketshezi olucacile yilezi:

• Sula ikhofi noma itiye
• I-bouillon engenawo amafutha noma umhluzi
• IGelatin
• Iziphuzo zezemidlalo
• Iziphuzo zezithelo eziqondile
• Amanzi

Lapho i-barium ingena kukholoni yakho, ungazizwa sengathi udinga ukunyakaza kwamathumbu. Ungase futhi ube:

• Umuzwa wokugcwala
• Ukumenyezelwa okumaphakathi kuya kokuqinile
• Ukungakhululeki okuvamile

Ukuthatha isikhathi eside, ukuphefumula okujulile kungakusiza uphumule ngesikhathi senqubo.

Kujwayelekile ukuthi indle ibe mhlophe ezinsukwini ezimbalwa ngemuva kwalokhu kuhlolwa. Phuza uketshezi olungeziwe izinsuku ezimbili kuya kwezi-4. Buza udokotela wakho nge-laxative uma uhlakulela izitulo ezinzima.

I-Barium enema isetshenziselwa uku:

• Thola noma uhlole umdlavuza wekoloni
• Ukuhlonza noma ukuqapha i-ulcerative colitis noma isifo seCrohn
• Thola imbangela yegazi ezitokisini, isifo sohudo, noma indle enzima kakhulu (ukuqunjelwa)

Isivivinyo se-barium enema sisetshenziswa kaningi kakhulu kunangaphambilini. I-Colonoscopy yenziwa kaningi manje.

I-Barium kufanele igcwalise ikholoni ngokulinganayo, ikhombise ukuma okujwayelekile kwamathumbu nokuma futhi akukho ukuvinjelwa.

Imiphumela yokuhlolwa engajwayelekile ingaba wuphawu lokuthi:

• Ukuvaleka kwamathumbu amakhulu
• Ukuncipha kwekholoni ngaphezu kwe-rectum (isifo se-Hirschsprung ezinganeni)
• Isifo seCrohn noma i-ulcerative colitis
• Umdlavuza kukholoni noma engxenyeni
• Ukuslayida ingxenye eyodwa yamathumbu kwenye (intussusception)
• Ukukhula okuncane okuphuma ngaphandle kolayini wekoloni, okuthiwa ama-polyps
• Amasaka amancane, aqhakazile noma izikhwama zengaphakathi langaphakathi lamathumbu, okuthiwa i-diverticula
• I-loop esontekile yamathumbu (i-volvulus)

Kukhona ukutholakala kwemisebe ephansi. Ama-X-ray aqashwe ngeso lengqondo ukuze kusetshenziswe inani elincane kakhulu lemisebe. Abesifazane abakhulelwe nezingane bazwela kakhulu ezingozini ze-x-ray.

Ingozi engajwayelekile, kepha ebucayi imbobo eyenziwe kukholoni (i-perforated colon) lapho kufakwa i-enema tube.

Uchungechunge lwesisu olungaphansi; Uchungechunge lwe-Lower GI; Umdlavuza we-Colorectal - uchungechunge lwe-GI oluphansi; Umdlavuza we-Colorectal - i-barium enema; Isifo seCrohn - uchungechunge oluphansi lwe-GI; Isifo seCrohn - i-barium enema; Ukuvinjelwa kwamathumbu - uchungechunge lwe-GI oluphansi; Ukuvinjelwa kwamathumbu - i-barium enema

• I-Barium enema
• Umdlavuza wesibeletho - x-ray
• Umdlavuza we-Sigmoid colon - x-ray
• I-Barium enema

IBoland GWL. Ikholoni nesithasiselo. Ku: Boland GWL, ed. Ukufanekisa Kwamathumbu: Izidingo. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 5.

IChernecky CC, iBerger BJ. I-Barium enema. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelebhu kanye Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 183-185.

ILin JS, iPiper MA, iPerdue LA, et al. Ukuhlolisiswa umdlavuza obala kakhulu: umbiko wobufakazi obuyekeziwe kanye nokubuyekezwa okuhlelekile kwe-US Preventive Services Task Force. JAMA. 2016; 315 (23): 2576-2594. I-PMID: 27305422 www.ncbi.nlm.nih.gov/pubmed/27305422.

Taylor Taylor, Plumb A. Amathumbu amakhulu. Ku: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, ama-eds. I-Grainger & Allison's Diagnostic Radiology: Incwadi Yokufunda Ngezithombe. Umhlaka 6. IPhiladelphia, PA: Elsevier Churchill Livingstone; 2015: isahluko 29.