I-colonoscopy yamathumbu - izinkomba, ukulungiselela, ukuziphatha nezinye izindlela

I-colonoscopy yamathumbu ithandwa kakhulu phakathi kwe-proctologists. Basebenzisa le nqubo uma kunesidingo sokuxilonga ngokunembile nokunquma ukwelashwa okuphumelelayo. Noma kunjalo, kufanele ilungiselelwe kahle, ngaphandle kwalokho imiphumela ngeke ibe yinto engalungile.

I-colonoscopy - iyini le nqubo?

Lena indlela yokuhlola eyinhloko. Isetshenziswe ekuhloleni i-pathologies ye-intestine eqondile neqondile. Phakathi nalolu cwaningo, idivayisi ekhethekile isetshenzisiwe - i-colonoscope. Ngaphandle kubonakala sengathi i-probe ende eguquguqukayo. Le nsimbi ine-eyepiece evelele kanye nekhamera encane yevidiyo. Le divayisi ibonisa isithombe esithombeni. Umshini ngokwawo ulula, kepha iziguli zizama ukuthola, i-colonoscopy - iyini. Intshisekelo enjalo ilungile, ngoba wonke umuntu unelungelo lokukwazi ukuthi kuzokwenzenjani phakathi nalokhu noma leyo nqubo.

I-colonoscopy yamathumbu ivula amathuba okulandelayo kadokotela:

1. Ekuhloleni okubukwayo udokotela ulinganisa isimo sezinguquko ezinamakhaza nezokuvuvukala.
2. Phakathi nenqubo, ungakwazi ukukala ububanzi bomathumbu futhi, uma kunesidingo, ukwandise indawo ethile.
3. Ukuhlola okubonakalayo kusiza ukuthola i-pathologies (ukuphahlazeka, izipho, ama-nodules we-hemorrhoidal, izilonda nokunye okunye).
4. Phakathi nenqubo, i-proctologist ingathatha izicubu zokuhlolwa kwakhe.
5. Uma ukuhlolwa okubukwayo kubonisa ukuthi kukhona ukuphuma ngaphakathi, nge-colonoscopy kungasuswa ngokuveza indawo ethintekile emazingeni aphezulu okushisa.
6. Phakathi nenqubo, ungathatha isifinyezo segobolondo langaphakathi.
7. I-colonoscopy yamathumbu ingahambisana nokusebenza. Phakathi nale nqubo, isisu esitholiwe susiwe.

I-colonoscopy ngaphandle kwe-anesthesia

Uma inqubo yenziwa ngaphandle kwe-anesthesia, ingaba buhlungu. Ukuzwa okunjalo okungajabulisi kuvame ukuhambisana nenzwa evuthayo. Ubuhlungu kakhulu buyimvelo yesikhashana: ihlala imizuzwana embalwa. Kuvela lapho ithuluzi lihamba emathunjini. Noma kunjalo, i-colonoscopy ngaphandle kwe-anesthesia ihlukile ebuhlungu obubekezelelekayo. Emathunjini akusikho ukuphela kwezinzwa, ngakho-ke ukuzwela kunzima kakhulu. Ngokuvamile, ubukhulu bezinhlungu buxhomeke emgqeni wobuningi nezinye izici zomzimba.

I-colonoscopy ngaphansi kwe-anesthesia

Ukukhwabanisa kungenziwa ngaphansi kwe-anesthesia. Izindlela ezilandelayo ze-anesthesia ziyatholakala:

1. I-colonoscopy ephusheni - ngesikhathi sokusebenza, i-anesthesia engasese isetshenziswa (ngokuvamile kaningi lokhu kuyisidakamizwa esinomthelela oqinile wokuguqula). Isiguli silele, ngakho akanakho ukuzwa okungathandeki.
2. I-colonoscopy yamathumbu nge-anesthesia yendawo - isipoti se-endoscope sigcoba ngejelisi le-anesthetic. Inomphumela wokushisa obulula, owenza ukuba kube nokuzwa okungathandeki.
3. I-colonoscopy, eyenziwa ngaphansi kwe-anesthesia jikelele - le nqubo yenziwa ekamelweni lokusebenza. Ngesikhathi esifanayo ne-proctologist, i-anesthesiologist ikhona.

I-colonoscopy ngaphansi kwe-anesthesia noma ngaphandle-okungcono?

Ngokuvamile iziguli zikhetha ukukhetha inqubo ngokusebenzisa i-anesthetic. Ngaphambi kokuba athole udokotela ngokuningiliziwe uchaza ukuthi i-colonoscopy ephusheni - izinzuzo nezindleko zalokho. Kodwa-ke, kunamacala ambalwa lapho inqubo kufanele iyenze ngaphansi kwe-anesthesia jikelele:

• i-anemia , imbangela yayo engacacile;
• ukwehla okubukhali kwesisindo, kuhambisana nokukhathala okusheshayo nokunciphisa amandla;
• isihlalo esimnyama ;
• ukuqunjelwa okungapheli;
• ukuhlolwa kweziguli ezixilongwa nge-oncology;
• i-gassing ethuthukisiwe;
• Ukuhlolwa kwezingane kuze kube yiminyaka eyishumi nambili ubudala.

Ezinye izici ezithinta ukuthi i-anesthesia izosetshenziswa yini noma cha:

• isipiliyoni se-endoscopist;
• isisindo sokubekezela kwesiguli;
• ubuchwepheshe bemishini esetshenzisiwe.

I-colonoscopy - izinkomba

Inqubo ivame ukusetshenziswa. I-colonoscopy yamathumbu, noma ngaphandle kwe-anesthesia, yenziwa ezimweni ezinjalo:

• ukuphela kwe-pus noma i-mucus;
• ukuba khona komzimba wangaphandle emathunjini;
• ubuhlungu obucasulayo esiswini;
• i-hemoglobin ephansi, ehambisana nokwanda kokushisa komzimba;
• ukuphuma kwamathumbu emathunjini ;
• ukuphazamiseka ohlelweni lokugaya (isifo sohudo, ukuqothulwa).

I-colonoscopy ye-intestine engenakwenzeka nayo ingenziwa. Kule nqubo kusetshenziselwa ukusola ngezifo ezilandelayo:

• Isifo sikaCrohn ;
• i-ulcerative colitis ;
• izifo ezingokwemvelo.

Noma kunjalo, kunezimo eziningi lapho ikholonoscopy ingenziwanga. Nazi ukulinganiselwa:

• i-herbia noma i-hernia inguinal;
• Umfutho wegazi ophansi kakhulu;
• i-peritonitis;
• ukukhulelwa;
• izinkinga ezihambisana nokuvalwa kwegazi;
• i-infarction ye-myocardial;
• ukungakwazi ukusebenza kwamaphalenda;
• izinqubo zokuvuvukala esigabeni esiphakeme;
• i-diverticulitis;
• isithuthwane;
• ukuphuma kwegazi emathunjini;
• i-colitis eyinkimbinkimbi.

I-colonoscopy yamathumbu - ukulungiselela inqubo

Umphumela uncike ekuqineni kwenqubo. Ukulungiselela ikolonoscopy imelwe imisebenzi elandelayo:

• ukudla;
• ukuhlanza amathumbu .

Kudla Ngaphambi Kokugqotshwa

Ezinsukwini ezimbalwa ngaphambi kwenqubo ezayo, udinga ukushintshela ekudleni kokudla. Uma kukhona i-colonoscopy, yini ongayidla:

• izinyosi ezinzima;
• yogurt yemvelo ngaphandle kwezithasiselo;
• ingulube eqinile;
• i-veal;
• i-turkey;
• abaqaphi;
• izinwele;
• ukhukhamba;
• amafutha yemifino;
• amaji yemvelo;
• okusanhlamvu okuqukethwe okuphansi kwe-fiber;
• ubisi;
• ukhilimu omuncu.

Indlela yokulungiselela i-colonoscopy: ngelinye ilanga ngaphambi kokuba inqubo kufanele ihambe "ekudleni" kokudla. Ekudleni kufanele kube izitsha ezinjalo:

• amanzi;
• umhluzi wenkukhu;
• ikhofi noma itiye;
• kwacaca ama-juice.

Uma kukhona i-colonoscopy, ukulungiselela kuhlanganisa ukulahlwa kokudla, okugqugquzela ukubhubhisa, ukuguqulwa kwamatshe kanye nokubangela ukuvuthwa. Lezi yimikhiqizo yokudla:

• i-pasta;
• ukudla okusemathinini;
• amantongomane;
• imbewu;
• i-oatmeal;
• inyama enamafutha;
• ubhontshisi;
• imifino eluhlaza nezithelo;
• bran.

Ukuhlanzwa kwamathumbu ngaphambi kwe-colonoscopy

Kulesi sigaba, isiguli siyisimiso esinqunyiwe. Udinga ukuthatha, unike ngokunembile isilinganiso. Lexatives ezinjalo zivame ukushiwo:

1. Ama-Fortrans ngaphambi kwe-colonoscopy - isidakamizwa sitholakala kwifomu le-powder. Kuthengiswe kuzikhwama. Thatha kufanele isekelwe esitokisini esisodwa se-20 kg isisindo. Inombolo edingekayo yezikhwama iphelelwa ngamalitha amathathu amanzi okuphuza. I-flux laxative kufanele ithathwe ingxenye ngosuku.
2. I-Lavakol - iyatholakala ngendlela ye-powder. Okuqukethwe kwe-sachet eyodwa kubalwa ngo-5 kg ​​wesisindo. I-powder kufanele ichitheke ngo-250 ml wamanzi. Kufanele uphuze le laxative njalo ngemizuzu engu-20.
3. I-Dufalac - i-200 ml yezidakamizwa ihlanjululwe ngamalitha amabili amanzi. Ukuphuza i-laxative enjalo kufanele kube amahora ambalwa emva kokudla.
4. Endofalk - thatha imithi masinyane emva kokudla.
5. Ukuhlukanisa i-Phospho-soda - isisombululo sama-50 ml sithathwe ekomelweni lamanzi. Thatha i-laxative kufanele ibe emva kokudla kwasekuseni nasekudleni. Esikhathini esingaphakathi nosuku kubalulekile ukuphuza amanzi amaningi bese udla isobho.

I-Colonoscopy - yini okufanele uyithathe nawe?

Ukuya enkambisweni, iziguli zidinga ukubeka izinto ezijwayelekile. Ukulungiselela i-colonoscopy yamathumbu kubonisa ukuthi isibhedlela kufanele sithathe nawe okulandelayo:

• ishidi;
• ama-slippers;
• imibhalo yezokwelapha;
• amasokisi;
• ama-napkins ahlanzekile;
• iphepha lezindlu zangasese;
• ingubo elula.

Indlela yokulungiselela ikolonoscopy ngaphansi kwe-anesthesia?

Ukuze inqubo idlule ngaphandle kwezinkinga, kubalulekile ukulandela izincomo zesidakamizwa. Uma i-colonoscopy ne-sedation ihlelwe, udinga ukulungiselela kahle ukuphathwa kabi. Ihlanganisa izenzo ezilandelayo:

• ukulethwa kwezivivinyo ezivamile zegazi kanye nomchamo;
• ukutholakala kwesenzo esilungele ukwelashwa kwe- anesthesia kanye neminye imithi esetshenzisiwe;
• I-CT;
• I-Ultrasound.

I-colonoscopy yenziwe kanjani?

Inqubo yenziwa ehhovisi elikhethekile. Ngesikhathi sokuziphatha kwayo, akufanele kube khona abantu abangaziwa endlini. I-colonoscopy yamathumbu yenziwa kanje:

1. Isiguli sigqoke embhedeni ngakwesobunxele sakhe futhi sigxila emadolweni esiswini sakhe.
2. Ufakwa emasikini oksijini (uma kwenzeka lapho inqubo isenziwa ngaphansi kwe-anesthesia jikelele).
3. Udokotela ulindela ukuhlinzekwa kwe-anesthesia ukusebenza. Khona-ke iphrobhethi ifakwa emathunjini.
4. Idivaysi ithuthukiswa kancane kancane futhi ngenene. Isithombe siboniswa kumqapha. Uma phakathi nenqubo udinga ukuthatha izicubu ukuze uhlolisise i-histological futhi wenze inqubo yokuhlinzwa, ngalesi sigaba zonke lezi zinqubo zenziwa.

Inqubo ingapheli imizuzu engaphezu kwengu-30. Ngisho nokukwazi ukulungiselela ikolonoscopy futhi uma ukuxhaphazwa kuzokwenziwa ngumphathi oqeqeshiwe kakhulu, akekho olwa nezifo. Ngokuvamile imiphumela emibi kakhulu ibonakala:

1. I-perforation yodonga lwamathumbu - ukuhlukumeza kwenzeka kuphela kumacala angu-1 kwangu-100. Amathuba akhula uma kukhona izilonda emcimbini. Uma kwenzeka izinkinga ezinjalo, kwenziwa umsebenzi wokubuyisela izindawo ezilimaziwe.
2. Kuphuma igazi - kulokhu, kudinga i-cauterization yamathumbu noma i-adrenaline egayelwe.
3. Uma ngesikhatsi inqubo ithathwa izicubu noma ama-polyps asusiwe, izinzwa ezibuhlungu zingenzeka. I-anesthetics izosiza ukubhekana nabo.

Yini eyenza i-Colonoscopy yamathumbu?

Le nqubo idinga kakhulu. Nakhu okushiwo i-colonoscopy:

• isimo samathumbu;
• ukutholakala kobunjwa;
• ukutholakala kwezinto zangaphandle;
• ukugxila kokuphuma kwegazi.

I-Colonoscopy - izindlela ezihlukile

Le nqubo ayikwazi ukubhekwa njengento ebalulekile. Uma i-colonoscopy ingenakwenziwa, enye indlela imelwe yizo zindlela zokucwaninga:

1. I-Rectoromanoscopy - esetshenziselwa ukuxilonga i-rectal pathology. Ithuluzi lifakwe kufinyelela ku-30 ​​cm.
2. I-MRI yamathumbu - le ndlela ngezinye izikhathi ibizwa ngokuthi "ikolonoscopy ebonakalayo". Phakathi nesifundo, isithwebuli esikhethekile sisetshenziswa. Leli thuluzi likuvumela ukuthi uthathe izithombe zesigxobo esiswini bese ubonisa isithombe esilandelayo esilandelayo esikrinini sokuqapha.
3. I-Irrigoscopy - isisindo sokuphambene sijova emzimbeni wesiguli, kulandelwa ukuhlolwa kwe-X-ray. Ukungahambi kwalendlela yukuthi akukwazi ukubona isifo esibucayi ekuqaleni kwesigaba.
4. I-Ultrasound yamathumbu - lolu cwaningo luhlukaniswa nokutholakala kwalo, ubuhlungu nokuphepha. Noma kunjalo, le ndlela ayiyona imininingwane kakhulu. Ngemuva kokutholakala kokubunjwa kwe-pathological, ucwaningo oluningi luvame ukunikezwa.
5. I-colonoscopy ye-Capsular - ngesikhathi senqubo, isiguli sigwema i-endocapsule. Idlula yonke indlela yokugaya inyama, isusa konke ngaphakathi, bese isuswa emthonjeni. Le ndlela ibhekwa njengokufundisa, kepha inqubo iyabiza.