I-Colonoscopy yamathumbu ithandwa kakhulu phakathi kwee-proctologists. Basebenzisa le nkqubo xa kuyimfuneko ukuxilonga ngokuchanekileyo nokunika unyango olufanelekileyo. Nangona kunjalo, kufuneka ilungiswe kakuhle, ngaphandle koko iziphumo aziyi kuchaneka.
I-Colonoscopy - yintoni le nkqubo?
Le yindlela yokwenza uphando. Kusetyenziswa ekuhloleni i-pathologies ye-intestine enobunzima. Ngethuba lophando, isixhobo esikhethekileyo sisetyenzisiweyo - i-colonoscope. Ngaphandle lifana neprojelo ende eguquguqukayo. Esi sixhobo sinombonakalo obalaseleyo kunye nekhamera encinane yekhamera. Le fowuni ibonisa umfanekiso kwi-esweni. Inkqubo ngokwayo ilula, kodwa izigulisa zizama ukufumana, i-colonoscopy - yintoni na. Inzala enjalo ichanekile, kuba wonke umntu unelungelo lokukwazi oko kuya kwenziwa kunye naye kule nkqubo okanye le nkqubo.
I-colonoscopy yamathumbu ivula amathuba alandelayo ugqirha:
- Ekuhloleni okubonakalayo ugqirha ugqiba iimeko zokuguqulwa kwamanzi kunye nokuvutha.
- Ngexesha le nkqubo, unokulinganisa ububanzi bomathumbu kwaye, ukuba kuyimfuneko, wandise indawo ethile.
- Ukuhlola okubonakalayo kunceda ukufumanisa i-pathologies (ukusila, i-neoplasms, i-nodom e-hemorrhoidal, izilonda kunye nokunye).
- Ngethuba le nkqubo, i-proctologist ingathatha izicubu ze-hertological examination.
- Ukuba ukuhlolwa okubonakalayo kubonisa ukuba kuphuma igazi ngaphakathi, kunye ne-colonoscopy ingasuswa ngokutyhila indawo echaphazelekayo kwiqondo eliphezulu.
- Ngethuba le nkqubo, ungathatha isicatshulwa segobolondo langaphakathi.
- I-colonoscopy yamathumbu ingahamba kunye nokusebenza. Ngethuba le nkqubo, i-tumor ifunyenwe isuswe.
IColonoscopy ngaphandle kwe-anesthesia
Ukuba inkqubo iya kwenziwa ngaphandle kwe-anesthesia, inokuba yintlungu. Ukuvakalelwa okunjalo okuqhelekileyo kudla ngokuhambisana nokutshisa. Intlungu leyo yendalo yesikhashana: iphela imizuzwana embalwa. Ivela xa isixhobo sishukumisela emathunjini. Nangona kunjalo, i-colonoscopy ngaphandle kwe-anesthesia ihluke intlungu. Kwimathumbu akukho ziphelo zesibindi, ngoko ke iimvakalelo ziyazinyamezela. Ngokubanzi, ubukhulu bentlungu buxhomekeke kumyinge wobuzwe kunye nezinye iimpawu zomzimba.
I-colonoscopy phantsi kwe-anesthesia
Ukunyanzelisa kungenziwa phantsi kwe-anesthesia. Ezi ndlela ezilandelayo ze-anesthesia ziyafumaneka:
- I-colonoscopy ephupheni - ngexesha lokusebenza, i-anesthesia engasetyenziswayo (isoloko isisiqhamo esinamandla okwehlisa umzimba). Isigulane silele, ngoko akanako ukuvakalelwa.
- I-colonoscopy yamathumbu kunye ne-anesthesia yendawo-isipoti se-endoscope igcobile nge-gel ye-anesthetic. Inemiphumo ephosakeleyo epholileyo, ephazamisa ukuvakalelwa okungathandekiyo.
- I-Colonoscopy, eyenziwa phantsi kwe-anesthesia jikelele- le nkqubo yenziwa kwigumbi lokusebenza. Ngxeshanye kunye ne-proctologist, i-anesthesiologist ikhona.
I-colonoscopy phantsi kwe-anesthesia okanye ngaphandle-into engcono?
Ngokuqhelekileyo izigulane zikhetha ukukhetha inkqubo usebenzisa i-anesthetic. Ngaphambi kokuba aqhube ugqirha ngokucacileyo uchaza ukuba i-colonoscopy ephupheni - inzuzo kunye neengxaki zento. Nangona kunjalo, kukho inani lamatyala apho inkqubo ngokuqinisekileyo kufuneka yenziwe phantsi kwe-anesthesia jikelele:
- i-anemia , isizathu esingacacileyo;
- ukunciphisa ubukhulu obunzima, kunye nokukhathala okukhawulezayo kunye nokunciphisa amandla;
- sihlalo omnyama ;
- ukuqhenyiswa okungapheliyo;
- Uviwo lwezigulane ezixilongwa nge-oncology;
- ukuphuculwa kwamanzi;
- Uviwo lwabantwana ukuya kwiminyaka elishumi elinesibini ubudala.
Iinkalo ezongezelelweyo ezichaphazela ukuba i-aneshesia iya kusetyenziswa okanye cha:
- amava endoscopist;
- umgca wesondlo;
- ukusetyenziswa kwezixhobo ezisetyenziswayo namhlanje.
Iikholoncopy - izibonakaliso
Inkqubo isetyenziswa rhoqo. I-colonoscopy yamathumbu, kunye okanye ngaphandle kwe-anesthesia, iyenziwa kwimeko:
- ukugqithiswa kwe-pus okanye i-mucus;
- ubukho bomzimba wamanye amazwe emathunjini;
- intlungu ebuhlungu esiswini;
- i-hemoglobin ephantsi, ehamba kunye nokwanda kweqondo lokushisa komzimba;
- ukuphuma kwamathumbu emathunjini ;
- iziphazamiso kwinkqubo yokutya (isifo sohudo, ukuqhawulwa).
I-colonoscopy yamathumbu angapheliyo nayo ingenziwa. Kule nkqubo yenzeke ngokusola kwezi zifo zilandelayo:
- Sesifo sikaCrohn ;
- isilitis ;
- izifo eziphilayo.
Nangona kunjalo, kukho iimeko ezininzi apho i-colonoscopy engenziwanga. Nazi iziphene:
- i-hernia okanye inguinal hernia;
- uxinzelelo lwegazi oluphantsi kakhulu;
- peritonitis;
- khulelwa;
- iingxaki ezinxulumene ne-clotting yegazi;
- i-myocardial infarction;
- ukungasebenzi;
- iinkqubo ezivuthayo kwisigaba esichukumisayo;
- i-diverticulitis;
- ukuhluthwa;
- ukuphuma kwamanzi emathunjini;
- bunzima be-colitis.
I-colonoscopy yamathumbu - ukulungiselela inkqubo
Isiphumo sixhomekeke ekuchanekeni kwenkqubo. Ukulungiselela i-colonoscopy imelwe yimisebenzi elandelayo:
- ukutya;
- ukuhlambuluka kwamathumbu .
Ukutya phambi kweColonoscopy
Kwiintsuku ezimbalwa ngaphambi kwenkqubo ezayo, kufuneka uguqule ekudleni kokutya. Xa kukho ikholonoscopy, ungayidla ntoni:
- ieshizi ezinzima;
- yogurt yemvelo ngaphandle kwezibonelelo;
- ikhumba ingulube;
- i-veal;
- turkey;
- abaculi;
- iibhonti;
- ukhukhamba;
- iifuno zemifuno;
- ijusi zendalo;
- izityalo ezinomxholo we-fiber ophantsi;
- ubisi;
- ukhilimu omuncu.
Indlela yokulungiselela i-colonoscopy: ngelinye ilanga ngaphambi kokuba inkqubo ihambe "kwindawo yokutya". Ekudleni kufuneka kube izitya ezifana nalezi:
- amanzi;
- umhluzi wenkukhu;
- ikhofi okanye itiye;
- cacisa i ijusi.
Xa kukho i-colonoscopy, ukulungiselela kubandakanya ukulahlwa kokutya, okukhuthaza ukubethelwa, ukukhupha nokukhupha. Le yimiveliso yokutya:
- ipasta;
- ukutya okusemgangathweni;
- amantonga;
- imbewu;
- oatmeal;
- inyama enamafutha;
- imbotyi;
- imifuno eluhlaza kunye neziqhamo;
- bran.
Ukucocwa kwamathumbu ngaphambi kokuba i-colonoscopy
Kule nqanaba, isigulane sichazwe ngamathambo. Kufuneka uwathathe, unike ngokuchanekileyo umlinganiselo. Laxatives ezinjalo zihlala zichazwe:
- I-Fortrans ngaphambi kokuba i-colonoscopy - isicatshulwa siyatholakala kwifom yefowder. Kuthengiswa kwiingxowa. Thatha ku funeka kusekelwe kwisakethi enye kwi-20 kg yesisindo. Inombolo efunekayo yengxowa iyachithwa kwi-3 litres zamanzi okusela okubandayo. I-laxative umthamo kufuneka ithathe isabelo semini.
- I-Lavakol - ifumaneka ngefowder. Okubhalwe kwipakethi enye kubalwa kwi-5 kg yesisindo. I powder kufuneka ichithwe ngo-250 ml wamanzi. Ufanele uphuze le laxative yonke imizuzu engama-20.
- I-Dufalac - i-200 ml yeziyobisi ihlanjululwe ngamalitha ama-2 amanzi. Ukusela isilaphu esinjalo kufuneka kube emva kweeyure ezimbalwa emva kokutya.
- Endofalk - thatha amayeza ngokukhawuleza emva kokutya.
- Ukwahlula i-Phospho-soda - isisombululo se-50 ml sithathwa kwendebe yamanzi. Thatha i-laxative kufuneka ibe emva kokutya kwasekuseni nokuhlwa. Ngexesha elithile kwimihla kubalulekile ukusela amanzi amaninzi nokutya isobho.
I-Colonoscopy - yintoni ongayithatha nawe?
Ukuya kwiinkqubo, izigulane kufuneka zibe nezinto eziqhelekileyo zezinto. Ukulungiselela i-colonoscopy yamathumbu kubonelela ukuba isibhedlele kufuneka sithathe nawe oku kulandelayo:
- iphepha;
- iifologi;
- maxwebhu ogqirha;
- iisokisi;
- iifinki zangasese;
- iphepha la ngasese;
- ingubo elula.
Indlela yokulungiselela i-colonoscopy phantsi kwe-anesthesia?
Ukuze inkqubo iphume ngaphandle kweengxaki, kubalulekile ukuba silandele ngokungqongqo iziphakamiso zegqirha. Ukuba i-colonoscopy ne sedation i cwangciswe, kufuneka ulungiselele ngokufanelekileyo ukuphathwa. Iquka oku kulandelayo:
- ukuhanjiswa kwegazi kunye neemvavanyo zomchamo;
- ukufumanisa ukuphendulwa komzimba kwi- anesthesia kunye neminye imichiza esetyenziswayo;
- CT;
- Ultrasound.
I-colonoscopy yenziwe njani?
Inqubo yenziwa kwiofisi ekhethekileyo. Ngethuba lokuziphatha, akufanele kubekho mntu angazihambi kwigumbi. I-colonoscopy yamathumbu yenziwa ngale ndlela:
- Isigulane silele embhedeni ngakwesobunxele sakhe kwaye sicinezela ngamadolo kwisisu sakhe.
- Ufakwa kwi-mask ye-oxygen (kwimeko apho inkqubo yenziwa phantsi kwe-anesthesia jikelele).
- Ugqirha ulinda i-anesthesia ukuze isebenze. Emva koko iprobethi ifakwe kwisitumbu.
- I sixhobo sinyanzeliswa kwaye sinyanzeliswe ngaphakathi. Umfanekiso uboniswa kwisobe. Ukuba ngexesha lenkqubo kufuneka uthabathe amathishu kwi-hertological examination kwaye wenze inkqubo yokucoca, ngeli nqanaba zonke ezi zinto zenziwa.
Inkqubo ayihlali ngaphezu kwemizuzu engama-30. Nangona ukwazi indlela yokulungiselela i-colonoscopy kwaye ukuba ukuphathwa kakubi kuya kwenziwa ngutitshala oqeqeshe kakhulu, akukho mntu ukhuselekile kwiingxaki. Ngokuqhelekileyo loo miphumo yecala iyaqwalaselwa:
- Ukugqithiswa kwodonga lwamathumbu - isicalulo senziwa kuphela kwiimeko ezili-1 ze-100. Amathuba akhula xa kukho izilonda kwi-mucosa. Xa kwenzeka loo ngxaki, kwenziwa umsebenzi wokubuyisela iindawo eziwonakalisiweyo.
- Kuphuma igazi - kule ngxaki, kufuna i-cauterization yamathumbu okanye injected adrenaline.
- Ukuba ngethuba leenkqubo zithathwa okanye iipolps zisuswe, kunokwenzeka ukuba zenzeke iintlungu. I-Anesthetics iza kunceda ukujamelana nabo.
Yintoni eyenza iColonoscopy yamathumbu?
Le nkqubo inemfuneko kakhulu. Nantsi i-colonoscopy ibonisa:
- imeko yamathumbu;
- phambi kobunjwa;
- ubukho bezinto zangaphandle;
- kugxininiso lokuphuma kwamanzi.
Iikholoncopy - ezinye iindlela
Le nkqubo ayinakuqwalaselwa njengento ebalulekileyo. Ukuba i-colonoscopy ayinakwenziwa, enye indlela imelwe ngolu hlobo lweendlela:
- I-Rectoromanoscopy - isetyenziselwa ukuxilonga i-rectal pathology. Isixhobo sifakwe kwisincinci se-30 cm.
- I-MRI yamathumbu - le ndlela ngezinye ibizwa ngokuba yi "colonoscopy". Ngethuba lokufunda, i-scanner ekhethekileyo isetyenziswa. Esi sixhobo sikuvumela ukuba uthathe imifanekiso yesigxina esiswini kwaye ubonise umfanekiso owenziwe kathathu kwiskrini yamehlo.
- I-Irrigoscopy - umlinganiselo wokuphambana ujojowe emzimbeni wesigulane, ulandelwe uvavanyo lwe-X-ray. Ukungahambi kweli ndlela kukuba awukwazi ukufumana isisu kwindawo yokuqala.
- I-ultrasound yamathumbu - olu phando luyabonakala ngokufumaneka kwalo, ukungazinzi kunye nokukhuseleko. Nangona kunjalo, le ndlela ayilwazi kakhulu. Emva kokufunyaniswa kweengxaki zentsholongwane, uphando oluthe gqolo lwenziwa.
- I-Capsular colonoscopy - ngeli xesha, isigulane sitshisa i-endocapsule. Iyadlula kuyo yonke indlela yokugaya, isusa yonke into ngaphakathi, ize isuswe kumagqabi. Le ndlela ithathwa njengolwazi, kodwa inkqubo ibiza.