Mavuto A Colonoscopy Aphatikizapo Perforation, Bleeding, ndi Infection
Zonsezi, colonoscopy ndi mayesero otetezeka kwambiri, ndipo nkhaŵa zokhudzana ndi zovuta sizikhala chifukwa chomveka chokanira kapena kupeŵa chimodzimodzi. Komabe, monga mwa njira iliyonse yachipatala, mavuto amatha (ngakhale amapezeka). Kafukufuku amalingalira kuti chiopsezo chachikulu cha zovuta za colonoscopy nthawi zonse ndizochepa, pafupifupi 0,35 peresenti.
Pakati pa colonoscopies pamene puloteni imachotsedwa ( polypectomy ), chiopsezo cha mavuto amasonyezedwa kukhala apamwamba, ngakhale kuti sichizolowezi, mpaka 2.3 peresenti. Mosiyana ndi zimenezi, nthawi yowopsa ya moyo wa khansa ya coloni ndi pafupifupi 6 peresenti. Kuwonekeratu kuti: chiopsezo chachikulu cha munthu chokhalira ndi khansa ya coloni ndi yayikulu kuposa kukhala ndi vuto pambuyo pa colonoscopy.
Zina mwa zovuta zomwe zingathe kuchitika pa colonoscopy zikuphatikizapo phokoso (utumbo m'matumbo), kutuluka kwa magazi, postpolypectomy syndrome, zomwe zimayambitsa kupweteka, ndi matenda.
Cholinga cha nkhaniyi ndi kuphunzitsa odwala pazochitika zonse za colonoscopy, zomwe zimaphatikizapo chiwopsezo chochepa. Kuchepa kwa chiopsezo kumafunika kulimbikitsanso makamaka makamaka kufunika kwa kuyesedwa koyezetsa magazi komanso kufunika kwake pakuzindikira ndi kupewa khansara yoyipa. Ngati colonoscopy ikufunika, zoopsa zomwe zanenedwa apa siziyenera kukhala zowononga, komabe ziyenera kupereka odwala kuti azikhala otsimikiza za chitetezo cha njirayi.
Kukonzekera kwa Colonoscopy Zovuta
Pamaso pa colonoscopy, nkofunika kuyeretsa matumbo moyenera kuti dokotala atenge mayesero akhoza kupititsa zipangizo kudzera mu khola ndi kuyang'ana khoma la koloni. Izi zikutanthauza kutaya chikhomo chachitetezo, ndipo chachitika m'njira zosiyanasiyana tsiku limodzi kapena awiri musanayese.
Zovuta nthawi yoyamba ya colonoscopy ndizosazolowereka, koma zimachitika, makamaka odwala okalamba, kapena omwe ali ndi mtima wakulephera.
Kuopsa kwa Perforation
Mphuno ndi misozi kapena dzenje m'matumbo. Pa colonoscopy, dokotala akhoza kuchotsa mapepala alionse omwe amapezeka pakhoma la colon. Kuopsa kwa perforation ndi kotsika kwambiri pambuyo pa colonoscopy imene palibe polyps anachotsedwa, ndipo ndi apamwamba kwambiri pambuyo pa colonoscopy pomwe pulosi imachotsedwa. Mphuno ikhoza kuchitika ngati chida chimapangika pang'onopang'ono mu khoma la koloni, kapena ngati mpweya umalowetsa mu colon pamene mukuyesedwa umayambitsa kusokonezeka kwambiri.
Chowoneka chachikulu, chowonekera ndi chodzidzimutsa ndipo amachiritsidwa kudzera opaleshoni kuti atseke. Nthaŵi zina ndi misonzi yaing'ono yomwe imapezeka mmawa, opaleshoni sangathe kutero, ndipo mankhwalawa amatha kupatsidwa mankhwala, mankhwala opha tizilombo, ndi kuyang'anitsitsa.
Ngozi Yopsereza
Kutaya magazi kumapezeka pafupifupi 1 peresenti imodzi yokha ya colonoscopy. Kutuluka kwa magazi kungaperekedwe panthawi ya mayesero, koma nthawi zambiri, kutuluka magazi kumachoka payekha. Pulopeni ikachotsedwa, pali 30 mpaka 50 peresenti mwakuya kuti magazi adzachitika kulikonse masiku awiri mpaka 7 kuchokera pa colonoscopy.
Magazi oterewa amatha kuchoka okha, koma angafunikire mankhwala ngati atakhala ovuta.
Postpolypectomy Syndrome
Uwu ndi matenda omwe amapezeka chifukwa cha kutentha kwa khoma la matumbo pamene kuchotsa mapulogalamu. Monga momwe amachitira ndi polypectomy, kulikonse kuyambira maola 12 mpaka masiku angapo pambuyo pake, wodwala amakhala ndi malungo, kupweteka kwa m'mimba, ndi selo loyera la magazi pambuyo pa colonoscopy. Kuopsa kwa postpolypectomy syndrome pambuyo pa colonoscopy pamene polypectomy yachitidwa ndi yotsika kwambiri. Kuchiza kungaphatikizepo mpumulo, madzi amadzimadzi, ndi maantibayotiki.
Zotsatirapo za Mankhwala Osakaniza Mankhwala
Mankhwala osokoneza bongo, omwe amatchedwa "twilight sleep," amaperekedwa pa colonoscopy kuti odwala akhale omasuka.
Pali zoopsa, monga vuto lopweteka kapena kupuma, nthawi iliyonse yomwe imaperekedwa kuti ichitike. Pa colonoscopy, pali chiopsezo chochepa cha kupuma kwakukulu kwa mankhwala. Zowopsa zina kuchokera kumalo osungirako mankhwala zimaphatikizapo zomwe zimachitika pa malo opangira jekeseni, kunyoza, kusanza, ndi kutsika kwa magazi.
Kuopsa kwa Matenda
Matenda pambuyo pa colonoscopy ndi osowa kwambiri. Matenda amatha kupatsirana pakati pa odwala ngati endoscope sichiyeretsedwe ndikuyendetsedwa bwino pakati pa mayesero. Komabe, chiopsezo cha ichi chikuchitika, komabe, ndi chochepa kwambiri.
Mawu Ochokera
Colonoscopy ndi njira yotetezeka. Njira yabwino yodziwira zomwe zili zoopsa ndi kukambirana ndi dokotala kuchita mayeso. Nthaŵi zambiri, makamaka pamene colonoscopy ikuchitidwa kuti ayang'anire khansa ya colon, zoopsa zimakhala zochepa kusiyana ndi chiopsezo cha khansa. Mavuto sali chifukwa chokhalira ndi colonoscopy. Odwala ali ndi ufulu wofunsa za ngozi za colonoscopy ndi kukonzekera: mayankho ayenera kukhala olimbikitsa.
Zotsatira:
Arora G, Mannalithara A, Singh G, Gerson LB, Triadafilopoulos G. "Kuopsya kwa chiwonongeko chochokera ku colonoscopy kwa anthu akuluakulu: kufufuza kwakukulu kwa anthu." Gastrointest Endosc Mar 2009.
NKHANI. "Zovuta za Colonoscopy." American Society for Masitolo Endoscopy 2006.
> Reumkens A, Rondagh EJ, Bakker CM, et al. Mavuto a Post-Colonoscopy: Kukonzekera Mwadongosolo, Maphunziro a Nthawi, ndi Meta-Kusanthula Zofufuza za Anthu. " Am J Gastroentero l. 2016 Jun 14.
Wayne JD. "Postpolypectomy electrocoagulation syndrome." Kuyambira pa 11 Jan 2013.