Colonoscopy

-Delile

• Ini ii-colonoscopy?
• Kungani kwenziwa i-colonoscopy?
• I-colonoscopy kufanele yenziwe kangaki?
• Ziyini izingozi ze-colonoscopy?
• Uyilungiselela kanjani i-colonoscopy?
• Imithi
• I-colonoscopy yenziwa kanjani?
• Kwenzekani ngemuva kwe-colonoscopy?
• Kufanele ulandele nini udokotela wakho?

Ini ii-colonoscopy?

Ngesikhathi se-colonoscopy, udokotela wakho uhlola ukungajwayelekile noma isifo emathunjini akho amakhulu, ikakhulukazi ikholoni. Bazosebenzisa i-colonoscope, ishubhu elincane, eliguquguqukayo elinokukhanya nekhamera okunamathiselwe.

Ikholoni isiza ukwakha ingxenye ephansi kakhulu yomgudu wamathumbu. Kudinga ukudla, kumunca izakhi zomzimba, futhi kulahle udoti.

Ikholoni linamathele endunu nge-rectum. Indunu ukuvuleka emzimbeni wakho lapho kuxoshwa khona indle.

Ngesikhathi se-colonoscopy, udokotela wakho angathatha namasampuli wezicubu ze-biopsy noma asuse izicubu ezingavamile ezifana nama-polyps.

Kungani kwenziwa i-colonoscopy?

I-colonoscopy ingenziwa njengokuhlolwa komdlavuza we-colorectal nezinye izinkinga. Ukuhlolwa kungasiza udokotela wakho:

• funa izimpawu zomdlavuza nezinye izinkinga
• hlola imbangela yezinguquko ezingachazeki kwimikhuba yamathumbu
• hlola izimpawu zobuhlungu besisu noma ukopha
• thola isizathu sokulahlekelwa kwesisindo esingaqondakali, ukuqunjelwa okungamahlalakhona, noma isifo sohudo

I-American College of Surgeons ilinganisela ukuthi amaphesenti angama-90 ama-polyps noma izicubu angatholakala ngokuhlolwa kwe-colonoscopy.

I-colonoscopy kufanele yenziwe kangaki?

I-American College of Physicians incoma i-colonoscopy kanye njalo eminyakeni eyishumi kubantu abahlangabezana nalezi zindlela ezilandelayo:

• baneminyaka engama-50 kuya kwengama-75 ubudala
• basengozini enkulu yomdlavuza obala ngokobulili
• ube nesikhathi sokuphila seminyaka okungenani eyi-10

IBritish Medicine Journal (BMJ) incoma ikholonoscopy yesikhathi esisodwa kubantu abahlangabezana nazo zonke lezi zinqubo:

• baneminyaka engama-50 kuya kwengu-79 ubudala
• basengozini enkulu yomdlavuza obala ngokobulili
• okungenani babe namaphesenti ama-3 amathuba okuba nomdlavuza wobala eminyakeni engu-15

Uma usengozini eyengeziwe yomdlavuza onobala, ungadinga izinqubo ezivamile. Ngokusho kwe-American Cancer Society (ACS), abantu abangadinga ukuhlolwa njalo njalo eminyakeni engu-1 kuya kwemi-5 bafaka:

• abantu abakhishwe ama-polyps ngesikhathi se-colonoscopy yangaphambilini
• abantu abanomlando wangaphambilini womdlavuza obala
• abantu abanomlando womndeni womdlavuza obomvu
• abantu abanezifo zamathumbu ezivuthayo (IBD)

Ziyini izingozi ze-colonoscopy?

Njengoba i-colonoscopy iyinqubo ejwayelekile, kunemiphumela embalwa ehlala njalo kulokhu kuhlolwa. Ezimweni eziningi kakhulu, izinzuzo zokuthola izinkinga nokuqala ukwelashwa zidlula kakhulu ubungozi bezinkinga ezivela kwi-colonoscopy.

Noma kunjalo, ezinye izinkinga ezingavamile zifaka:

• ukopha endaweni ye-biopsy uma kwenziwa i-biopsy
• ukusabela okungekuhle ekuthomalaliseni okusetshenziswayo
• ukudabuka odongeni olungunxande noma kukholoni

Inqubo ebizwa nge-virtual colonoscopy isebenzisa ama-CT scan noma ama-MRIs ukuthatha izithombe zekoloni yakho. Uma ukhetha esikhundleni salokho, ungagwema ezinye zezinkinga ezihambisana ne-colonoscopy yendabuko.

Noma kunjalo, iza nobubi bayo. Isibonelo, ingahle ingatholi ama-polyps amancane kakhulu. Njengobuchwepheshe obusha, futhi mancane amathuba okuthi imbozwe umshuwalense wezempilo.

Uyilungiselela kanjani i-colonoscopy?

Udokotela wakho uzokunika imiyalo yokulungiselela amathumbu (i-prep bow). Kufanele ube nokudla okusobala okucacile amahora angama-24 kuya kwangu-72 ngaphambi kwenqubo yakho.

Ukudla okujwayelekile kwamathumbu kuhlanganisa:

• umhluzi noma i-bouillon
• i-gelatin
• ikhofi noma itiye
• ijusi elingenawo uginindela
• iziphuzo zezemidlalo, njengeGatorade

Qiniseka ukuthi ungaphuzi noma yikuphi uketshezi oluqukethe udayi obomvu noma onsomi ngoba angakhipha umbala wekoloni lakho.

Imithi

Tshela udokotela wakho nganoma imiphi imishanguzo oyiphuzayo, kufaka phakathi izidakamizwa ezithengiswa ekhawunteni noma izengezo. Uma zingathinta i-colonoscopy yakho, udokotela wakho angakutshela ukuthi uyeke ukuzithatha. Lokhu kungafaka:

• abahlinza igazi
• amavithamini aqukethe i-iron
• imithi ethile yesifo sikashukela

Udokotela wakho angakunika i-laxative ukuthatha ubusuku ngaphambi kokuqokwa kwakho. Cishe bazokweluleka ukuthi usebenzise i-enema ukukhipha ikholoni lakho ngosuku lwenqubo.

Ungahle ufune ukuhlela ukugibela ekhaya ngemuva kokuqokwa kwakho. Isidambisi ozonikezwa ngenqubo sikwenza kungaphephi ukuthi uzishayele.

I-colonoscopy yenziwa kanjani?

Ngaphambi nje kwe-colonoscopy yakho, uzoshintsha ugqoke isibhedlela. Iningi labantu lithola umuthi othomalalisayo nobuhlungu ngentambo efakwa emithanjeni.

Ngesikhathi senqubo, uzolala ngohlangothi lwakho etafuleni lokuhlola elinamaphedi. Udokotela wakho angakubeka ngamadolo eduze kwesifuba sakho ukuze uthole i-angle engcono kukholoni yakho.

Ngenkathi usohlangothini lwakho futhi uhlezi, udokotela wakho uzoqondisa i-colonoscope kancane futhi ngobumnene kwi-anus yakho nge-rectum nakwikholoni. Ikhamera ekugcineni kwe-colonoscope idlulisa izithombe kumqapha udokotela wakho azokubuka.

Lapho i-colonoscope isimile, udokotela wakho uzofaka ikholoni yakho esebenzisa isikhutha. Lokhu kubanikeza umbono ongcono.

Udokotela wakho angasusa ama-polyps noma isampula yezicubu ze-biopsy phakathi nale nqubo. Uzophaphama phakathi ne-colonoscopy yakho, ngakho-ke udokotela wakho uzokwazi ukukutshela okwenzekayo.

Yonke inqubo ithatha imizuzu eyi-15 kuya ehoreni.

Kwenzekani ngemuva kwe-colonoscopy?

Ngemuva kokuthi inqubo yenziwe, uzolinda isikhathi esingangehora ukuvumela ukuthambisa kuphele. Uzokwaziswa ukuthi ungashayeli amahora angama-24 alandelayo, kuze kube yilapho imiphumela yawo ephelele ibuna.

Uma udokotela wakho esusa izicubu noma i-polyp ngesikhathi se-biopsy, bazoyithumela elabhorethri ukuze ihlolwe. Udokotela wakho uzokutshela imiphumela uma isilungile, okujwayele ukwenziwa ezinsukwini ezimbalwa.

Kufanele ulandele nini udokotela wakho?

Kungenzeka ube negesi nokuqhuma kusuka kugesi udokotela wakho akubeke kukholoni yakho. Nikeza lesi sikhathi ukuphuma ohlelweni lwakho. Uma iqhubeka izinsuku ngemuva kwalokho, kungasho ukuthi kunenkinga futhi kufanele uxhumane nodokotela wakho.

Futhi, igazi elincane esitokisini sakho ngemuva kwenqubo kuyinto ejwayelekile. Kodwa-ke, shayela udokotela wakho uma:

• qhubeka nokudlulisa igazi noma amahlule egazi
• ukuzwa ubuhlungu besisu
• unemfiva engaphezu kuka-100 ° F (37.8 ° C)