Colonoscopy ndi mayeso omwe amagwiritsidwa ntchito kufufuza mkati mwa coloni (matumbo aakulu) . Chida chogwiritsiridwa ntchito pa izi chimatchedwa colonoscope , yomwe ili ndi phukusi lokhala ndi mapulogalamu, makamera aang'ono a TV, ndi kuwala kumapeto. Kupyolera mu makina opangidwa ndi fiber ndi makanema chipangizo cha chipangizo chamakono, colonoscope ikhoza kuyesa mkati mwa colon ndi kutumiza zithunzi za khoma la m'mimba kuwonetsera kanema.
Gastroenterologist (katswiri wa matenda opatsirana pogonana) kapena dokotala wochita opaleshoni nthawi zambiri amayesa.
Colonoscopy ingagwiritsidwe ntchito pofuna kupeza matenda opatsirana (kapena kuwalamulira iwo!), Komanso ndilo golide woyang'anira khansa yowunikira komanso kupewa. Zowonjezera mkati mwa coloni, zotchedwa polyps , ndizo zowopsa kwa khansa, koma zimatha kuchotsedwa pa colonoscopy. Zatha, anthu ambiri amadabwa ndi zosavuta kukhala ndi colonoscopy ndi kubwerera kuntchito kapena kusukulu tsiku lotsatira si nkhani.
N'chifukwa Chiyani Pali Colonoscopy?
Colonoscopy imathandiza kupeza khansa yamtundu , zilonda, kutupa, ndi mavuto ena mu colon. Kuwonetsa kansa ya coloni, colonoscopy imalimbikitsidwa zaka khumi ndi chimodzi mutatha zaka makumi asanu ndi awiri (50) kwa omwe ali pachiopsezo chodziwika.
Kuwonetsetsa kuyenera kuchitidwa ali wamng'ono kwambiri kwa anthu omwe ali ndi chiopsezo chachikulu cha khansa ya m'mimba chifukwa cha mbiri ya banja la khansa yamtundu, matenda opatsirana a m'magazi (IBD) , mbiri ya kukula kwa khansa kapena mapuloteni a adenomatous, komanso syndromes yachibadwa monga familial adenomatous polyposis (FAP).
Azimayi omwe ali ndi mbiri ya ovari, mapomberrial, kapena khansa ya m'mawere angafunike kutero kambirimbiri.
Colonoscopy ingathenso kudziwa kumene kumachokera magazi ochepa kapena kudziwa malo otupa mu colon. Chidindilo kumapeto kwa colonoscope chingagwiritsidwe ntchito kutenga kachilombo ka minofu m'koloni.
Ngati pulopenti ikupezeka, ikhoza kuchotsedwa pogwiritsira ntchito chipangizo chosungira chingwe pa colonoscope. Zonse ziwiri ndi ma polyps zidzatumizidwa ku labotale kuti apitirize kuyesedwa.
Anthu omwe ali ndi matenda a IBD (matenda a Crohn's and ulcerative colitis) angafune colonoscopy nthawi zonse, ngakhale mobwerezabwereza monga chaka chilichonse. Izi ndiyang'anirani kutupa ndikumvetsetsa zomwe matendawa akuchita pa colon.
Ndondomeko ya colonoscopy ikhoza kutenga maola awiri ndi theka ndipo nthawi zambiri imachitidwa kumalo osungirako zinthu zakale kapena kuchipatala ngati njira yothetsera matenda. Odwala amakhala ndi mankhwala omwe amaperekedwa kudzera mu IV, zomwe zimachepetsa kuvutika. Anthu ambiri samakumbukira mayeso chifukwa cha mankhwala omwe amagwiritsidwa ntchito. Dokotala yemwe amachita colonoscopy adzayang'ana koloni kwa:
- kondoni kapena kansa ya rectal
- magazi
- zilonda
- kukula kosadziwika ( polyps )
Mmene Mungakonzekerere Colonoscopy
Kuti dokotala ayang'ane khoma la m'mimba, khola liyenera kukhala lopanda kanthu . Dokotala wanu adzakupatsani malangizo enieni a momwe mungagwiritsire ntchito mankhwala odzola ndi mankhwala osakanizidwa musanayambe ndondomeko yoyeretsa matumbo. Madokotala angapereke njira zosiyanasiyana kwa odwala ena.
Mwachitsanzo, wodwala ali ndi matenda otsegula m'mimba sangadayesedwe ngati munthu yemwe ali ndi matumbo abwino.
Zingakhale zofunikanso kutsata chakudya chamadzimadzi kwa masiku amodzi kapena awiri musanayambe ndondomekoyi, ndipo mwamsanga pambuyo pausiku usiku usanayese. Mwa kutsatira malangizo a madotolo molondola, matumbo akulu adzakhala oyera komanso opanda tsankho, choncho matenda alionse angathe kuonekeratu mosavuta.
Odwala ena amafunikanso kusiya kumwa mankhwala ena tsiku limodzi kapena awiri asanayese. Dokotala akuchita colonoscopy amapereka malangizo, koma ndifunikanso kufunsa mafunso okhudza kumwa mapiritsi onse musanayese.
Malangizo ayenela kutsatiridwa mosamala chifukwa ngati chonchi sichichitidwa molondola kuti colonoscopy isakwaniritsidwe ndiye kuti iyenera kuyambiranso. Odwala amadzitsidwa panthawiyi, kotero wina ayenera kupeza malangizo okhudzidwa ndi kuyendetsa kunyumba.
Kodi Chimachitika Pakati pa Colonoscopy?
Odwala akufunsidwa kuchotsa zovala zonse (masokosi kapena brasi akhoza kuloledwa nthawi zina) ndi kuvala mu chovala chachipatala. Wopereka chithandizo chamankhwala adzatenga kutentha kwa thupi, kuthamanga kwa magazi, ndi kupuma kwa magazi (chiwerengero cha kupuma kwa mphindi) kuwerenga. Ma electrocardiograph (EKG) amajambulira zizindikiro pamutu kuti ayang'ane kupweteka kwa mtima, ndipo pulogalamu ya oximeter (chipangizo chimene chimayesa mpweya mu magazi) chikhoza kuikidwa pa chala.
Odwala amafunsidwa kuti azigona kumanzere kwawo pa tebulo la zofufuzira. Mankhwala aperekedwa kudzera mwa IV kuti athetse vuto lililonse lomwe limakhalapo panthawiyi. Kenaka, dokotala adzaika colonoscope yokhazikika kuti ayambe kuyesedwa. Kuti muwone bwino, mpweya wina ukhozanso kuponyedwa kudzera mu colonoscope kuti mutsegule matumbo. Zinyama zingatengedwe kuchokera mkati mwa coloni panthawi ino.
Pambuyo pa yeseso, IV sedation imasinthidwa ndipo odwala amathera nthawi yopuma. Chifukwa colonoscope imatulutsira mpweya mumtunda, padzakhala kupuma komwe kudzatulukitsidwa ndi kutaya mpweya pansi. Nthaŵi zambiri, zakudya (monga opanga mankhwala) ndi madzi zimaperekedwa kwa odwala pamene akuwuka ndi kukonzekera kupita kwawo.
Ngozi za Colonoscopy
Zoopsa pa colonoscopy ndizochepa kwambiri. Pali chiopsezo kuti matumbo amatha kulandira panthawiyi, koma si zachilendo. Ngakhale anthu ambiri amatchula zoopsa monga chifukwa chosiya colonoscopy, zoona zowopsa ndizochepa kwambiri moti sizolondola chifukwa chodula kansalu ya khansa kapena colonoscopy yokhudzana ndi IBD.
Kutsata Patatha Colonoscopy
Odwala amavutika kugona atatha, kotero bwenzi kapena wachibale ayenera kuyendetsa galimoto kwawo. Munthuyu angathandizenso kukumbukira malangizo aliwonse omwe adokotala amamupatsa pambuyo pa kuyesedwa. Zakudya zowonongeka zingayambirenso mwamsanga pambuyo pa mayesero. Kuwongolera ndi dokotala kuyenera kukonzedwa masiku angapo pambuyo pa colonoscopy kuti zotsatira zilizonse kapena zokhudzana ndi zotsatira zitha kukambidwa.
Nthawi Yowitanira Dokotala Pambuyo pa Colonoscopy
Itanani dokotala mwamsanga mukakumana:
- magazi
- kufooka
- chizungulire
- kupuma pang'ono
- zovuta za mtima
Afunseni dokotala ngati mukupeza:
- kunyoza
- kusanza
- zoponda
- ululu wamimba
- malungo
- zovuta
- mutu waukulu
- minofu aches
Mawu Ochokera
N'zoona kuti kukhala ndi colonoscopy si zomwe aliyense angaganize kuti "zosangalatsa." Ndiyi, komabe, yesero lothandizira kwambiri. Popanda mayesowa omwe angathe kusindikiza khansa komanso kuchotsa polyps, anthu ambiri angayambe khansa yamtundu. Kuonjezera apo, anthu omwe ali ndi matenda ena opweteka sangathe kupeza chithandizo cholondola kapena chithandizo choyenera. Colonoscopy ndithudi ndi mayesero oyenera kuchita ngati akulimbikitsidwa. Anthu ambiri amadabwa kuti ndi zophweka motani, ndipo akagwiritsidwa ntchito popenda khansa, sangathe kubwerezedwa kwa zaka zisanu kapena khumi.
> Zotsatira:
> AGA Kusamalira Odwala. Kuyeza Khansa Yoyang'anitsitsa ndi Kuyang'anitsitsa Poyang'anitsitsa Kwambiri. American Gastroenterological Association. 13 Feb 2008.
> Zolinga za Kuletsa Matenda ndi Kupewa Matenda. Mayeso Otsatira Kansalu Okhazikika Pulumutsani Moyo. Zizindikiro Zofunika. 2013.
> Cleveland Clinic Information Center. Ndondomeko ya Colonoscopy. Kampani ya Cleveland. 2013.
> Mahnke D. Colonoscopy. NYU Health Center. 2013.
> Chitukuko cha National Diabetes ndi Matenda a Kumimba ndi Impso. Colonoscopy. Zokonza Zowonongeka Zokhudza National Digestive Information. Nov 2014.