Iphephe Kangakanani iColonoscopy?

-Delile

• Izingozi zeColonoscopy
• Amathumbu abolile
• Ukopha
• I-Post-polypectomy electrocoagulation syndrome
• Ukusabela okungafani nokubulala izinzwa
• Ukutheleleka
• Izingozi zeColonoscopy kubantu abadala asebekhulile
• Izinkinga ngemuva kwe-colonoscopy
• Ungabiza nini udokotela
• Ezinye izindlela zekolonoscopy yendabuko
• Ukudla okudlela endlini

Ukubuka konke

Ingozi yesikhathi sokuphila yokuthola umdlavuza obala cishe i-1 kwabesilisa abangama-22 no-1 kwabesifazane abangama-24. Imidlavuza e-Colorectal iyimbangela yesibili ehamba phambili yokufa komdlavuza e-United States. Okuningi kwalokhu kufa kungavinjelwa ngokuthola kusenesikhathi, ukuhlolwa okujwayelekile.

I-colonoscopy ukuhlolwa kokuhlola okusetshenziselwa ukuthola nokuvimbela umdlavuza we-colon kanye namabala. AmaColonoscopy nawo angamathuluzi angasiza ekunqumeni imbangela yezimo zesisu, njenge: isifo sohudo esingapheli noma ukuqunjelwa kanye nokopha okune-rectal noma kwesisu.

Kunconywa ukuthi abantu abanobungozi bomdlavuza ojwayelekile baqale ukuthola lokhu kuhlolwa beneminyaka engama-45 noma engama-50, futhi njalo eminyakeni eyishumi emva kwalokho, abaneminyaka engama-75.

Umlando womndeni wakho kanye nohlanga kungathinta ingozi yakho yokuthola umdlavuza wekoloni noma obala. Izimo ezithile zingakhuphula ubungozi bakho, njenge:

• umlando wama-polyps kukholoni
• Isifo sikaCrohn
• ukuvuvukala kwamathumbu
• ukulunywa yizilonda emathunjini

Khuluma nodokotela ngezici zakho zobungozi ngenkathi unquma ukuthi kufanele ube ne-colonoscopy nini futhi kangaki.

Akukho lutho empilweni olungenabo ubungozi obuthile, kufaka phakathi le nqubo. Kodwa-ke, ama-colonoscopy enziwa nsuku zonke futhi abhekwa njengaphephile. Ngenkathi izinkinga ezinkulu ngisho nokufa kungenzeka ngenxa ye-colonoscopy, amathuba akho okuthola umdlavuza we-colon noma we-colorectal adlula kakhulu lawa mathuba.

Ngaphandle kwalokho okungenzeka ukuthi uzwile, ukulungiselela nokuba ne-colonoscopy akubanga buhlungu kakhulu. Udokotela wakho uzokunikeza imiyalo ethile yokuthi ungakulungela kanjani ukuhlolwa.

Kuzodingeka ubeke umkhawulo ekudleni kwakho kwangaphambi kosuku futhi uvikele ukudla okunzima noma okunamandla. Emini, uzoyeka ukudla ukudla okuqinile bese ushintshela ekudleni oketshezi. Ukuzila ukudla nokuphuza isilungiselelo samathumbu kuzolandela kusihlwa ngaphambi kokuhlolwa.

Ukulungiselela amathumbu kubalulekile. Isetshenziselwa ukuqinisekisa ukuthi ikholoni yakho ayinayo imfucuza ngokuphelele, inikeze udokotela wakho umbono ocacile ngesikhathi se-colonoscopy.

AmaColonoscopies enziwa ngaphansi kokushona kwelanga noma i-anesthesia ejwayelekile. Njenganoma yikuphi ukuhlinzwa, izimpawu zakho ezibalulekile zizobhekwa kulo lonke. Udokotela uzofaka ishubhu elincane eliguquguqukayo elinekhamera yevidiyo engxenyeni yalo ku-rectum yakho.

Uma kukhona okungajwayelekile noma ama-polyps angaphambi kwesikhathi abonakala ngesikhathi sokuhlolwa, udokotela wakho kungenzeka ukuthi akususe. Ungase futhi ususwe amasampula wezicubu futhi uthunyelwe ku-biopsy.

Izingozi zeColonoscopy

Ngokusho kwe-American Society for Gastrointestinal Endoscopy, izinkinga ezinkulu zenzeka cishe kumaphesenti angama-2.8 wezinqubo eziyinkulungwane lapho kwenziwa kubantu abanobungozi obuphakathi.

Uma udokotela esusa i-polyp ngesikhathi sokuhlolwa, amathuba akho ezinkinga angakhuphuka kancane. Yize kuyivelakancane kakhulu, kubikwa ukufa kulandela ama-colonoscopy, ikakhulukazi kubantu ababenamathumbu emathunjini avela ngesikhathi sokuhlolwa.

Ukukhetha isikhungo sokugula lapho unenqubo kungathinta ubungozi bakho. Ucwaningo olulodwa lubonise umehluko ophawulekayo ezinkingeni, kanye nekhwalithi yokunakekelwa, phakathi kwezikhungo.

Izingozi ezihambisana ne-colonoscopy zifaka:

Amathumbu abolile

Ukulimala kwamathumbu yizinyembezi ezincane odongeni lwe-rectum noma kukholoni. Zingenziwa ngengozi ngesikhathi senqubo ngensimbi. La ma-punctures mancane amathuba okuthi kwenzeke uma kususwa i-polyp.

Amapayipi avame ukwelashwa ngokulinda okulindile, ukuphumula kombhede, kanye nemithi elwa namagciwane. Izinyembezi ezinkulu yizimo eziphuthumayo zezokwelapha ezidinga ukulungiswa kokuhlinzwa.

Ukopha

Uma kuthathwa isampula lezicubu noma i-polyp isusiwe, ungabona ukopha okuthile engxenyeni yakho yegazi noma egazini esitulweni sakho ngosuku noma ezimbili ngemuva kokuhlolwa. Lokhu akuyona into okufanele ukhathazeke ngayo. Kodwa-ke, uma ukuphuma kwegazi kwakho kusinda, noma kungapheli, yazisa udokotela wakho.

I-Post-polypectomy electrocoagulation syndrome

Le nkinga engavamile kakhulu ingadala ubuhlungu obukhulu besisu, ukushaya kwenhliziyo okusheshayo, nomkhuhlane ngemuva kwe-colonoscopy. Kubangelwa ukulimala odongeni lwamathumbu okuholela ekushiseni. Lokhu kuyaqabukela kudinga ukulungiswa kokuhlinzwa, futhi imvamisa kungaphathwa ngokuphumula kombhede nemithi.

Ukusabela okungafani nokubulala izinzwa

Zonke izinqubo zokuhlinza zinengozi ethile yokusabela okungalungile ku-anesthesia. Lokhu kufaka phakathi ukusabela okweqile kanye nokucindezeleka kokuphefumula.

Ukutheleleka

Ukutheleleka kwamagciwane, njengo-E. Coli noKlebsiella, kwaziwa ukuthi kwenzeka ngemuva kwe-colonoscopy. Lokhu kungenzeka kakhulu ukuthi kwenzeke ezikhungweni zezokwelapha ezinezinyathelo ezinganele zokulawula ukutheleleka ezibekiwe.

Izingozi zeColonoscopy kubantu abadala asebekhulile

Ngoba umdlavuza wekoloni ukhula kancane, ama-colonoscopy awahlali anconyelwa abantu abanobungozi obumaphakathi noma asebekhulile kuneminyaka engama-75, inqobo nje uma bebevivinywe okungenani kanye eminyakeni eyishumi edlule. Abantu abadala asebekhulile banamathuba amaningi kuneziguli ezincane ukuhlangabezana nezinkinga noma ukufa ngemuva kwale nqubo.

Ukulungiswa kwamathumbu okusetshenzisiwe kwesinye isikhathi kungabakhathaza abantu abadala ngoba kungaholela ekuphelelweni amanzi emzimbeni noma ukungalingani kwe-electrolyte.

Abantu abanokukhubazeka kwe-ventricular yangakwesobunxele noma ukwehluleka kwenhliziyo okunamandla bangasabela kabi ekulungiseni izixazululo eziqukethe i-polyethylene glycol. Lokhu kungakhuphula umthamo wamanzi we-intravascular obangela izinkinga ezifana ne-edema.

Iziphuzo zokupheka eziqukethe i-sodium phosphate nazo zingadala izinkinga zezinso kwabanye abantu asebekhulile.

Kubalulekile ukuthi abantu asebekhulile bayiqonde ngokuphelele imiyalo yabo yokulungiselela i-colonoscopy futhi bazimisele ukuphuza inani eligcwele loketshezi lokulungiselela oludingekayo. Ukungenzi njalo kungaholela emazingeni aphansi okuqedwa ngesikhathi sokuhlolwa.

Ngokuya ngezimo zezempilo eziyisisekelo kanye nomlando wezempilo kubantu abadala asebekhulile, kungaba khona nengozi eyengeziwe yemicimbi ehlobene nenhliziyo noma amaphaphu emasontweni alandela i-colonoscopy.

Izinkinga ngemuva kwe-colonoscopy

Cishe uzobe ukhathele ngemuva kwenqubo. Njengoba kusetshenziswa i-anesthesia, kungadingeka ukuthi omunye umuntu akuthathe akuse ekhaya. Kubalulekile ukuthi ubuke ukuthi yini oyidlayo ngemuva kwenqubo ukuze ungacasuli ikholoni yakho futhi uvikele ukoma.

Izinkinga ze-Postprocedure zingafaka:

• ukuzwa uvimbekile noma u-gassy uma umoya ungeniswa kukholoni yakho ngesikhathi senqubo futhi uqala ukushiya isistimu yakho
• inani elincane legazi elivela engxenyeni yakho noma ekuhambeni kwakho kokuqala kwamathumbu
• ukukhukhumala okwesikhashana noma ubuhlungu besisu
• isicanucanu ngenxa ye-anesthesia
• ukucasuka okuvela emalungeni noma inqubo

Ungabiza nini udokotela

Noma isiphi isibonakaliso esidala ukukhathazeka yisizathu esihle sokubiza udokotela.

Lokhu kufaka phakathi:

• ubuhlungu obukhulu noma besikhathi eside besisu
• imfiva
• Ukugodola
• ukopha kakhulu noma isikhathi eside
• ukushaya kwenhliziyo okusheshayo

Ezinye izindlela zekolonoscopy yendabuko

I-Colonoscopy ibhekwa njengezinga legolide lokuhlolwa kokuhlolwa komdlavuza we-colon kanye nama-rectal. Kodwa-ke, kunezinye izinhlobo zokuhlolwa ezingakulungela wena. Lezi zivivinyo ngokuvamile zidinga i-colonoscopy njengokulandelela uma kutholakala okungajwayelekile. Kubandakanya:

• Ukuhlolwa kwe-Fecal immunochemical. Lokhu kuhlolwa kwasekhaya kuhlola igazi esitokisini futhi kufanele kuthathwe minyaka yonke.
• Ukuhlolwa kwegazi lomlingo we-Fecal. Lokhu kuhlolwa kunezela ingxenye yokuhlolwa kwegazi esivivinyweni se-fecal immunochemical futhi futhi kufanele iphindwe njalo ngonyaka.
• Isihlalo se-DNA. Lokhu kuhlolwa kwasekhaya kuhlaziya isitokisi segazi ne-DNA engahlotshaniswa nomdlavuza wekoloni.
• I-enema ye-barium ehluke kabili. Le X-ray esehhovisi nayo idinga ukwenziwa ngaphambi kokuhlanzwa kwamathumbu. Kungasebenza ekuboneni ama-polyps amakhulu kepha kungenzeka kungatholi amancane.
• I-CT colonography. Lokhu kuhlolwa kwasehhovisi kuphinde kusebenzise i-prep yokuhlanza amathumbu kepha akudingi i-anesthesia.

Ukudla okudlela endlini

Ama-Colonoscopies angamathuluzi wokuhlola aphumelela kakhulu asetshenziselwa ukuthola umdlavuza we-colon, umdlavuza we-rectal, nezinye izimo. Baphephe kakhulu, kepha hhayi ngokuphelele ngaphandle kwengozi.

Abantu abadala asebekhulile bangase babe nezinga eliphakeme lobungozi ezinhlotsheni ezithile zezinkinga. Khuluma nodokotela ukuze unqume ukuthi kufanele yini ube ne-colonoscopy.