Matenda Odzidzimutsa Sangathe Kufufuza Nthawi Zonse Nthawi Zonse
Nthaŵi zambiri, matenda a diverticular alibe zizindikiro. Pamene matenda a diverticular alibe zizindikiro, palibe chifukwa choyendera kapena kuchilandira. Komabe, zikhoza kuzindikiridwa monga zomwe madokotala anganene kuti ndi "mwangozi" pakupeza kolonoscopy yowonetsera.
Diverticula ndizofala kwambiri kwa anthu oposa zaka 40. Kuyambira ali ndi zaka 50, akulimbikitsidwa kuti anthu omwe ali pachiopsezo chachikulu chokhala ndi kansara yam'mimba ndi kachilomboka amakhala ndi kolonoscopy yoyesera .
Colonoscopy imeneyi yachitidwa pofuna kuyang'ana mapuloteni , omwe ali otsogolera ku khansa ya coloni. Ma polyps aliwonse omwe amapezeka pa colonoscopy amachotsedwa, zomwe zimawathandiza kuti asapitirire kukhala maselo a khansa.
Pakati pa colonoscopy yowunika, dokotala yemwe amaliza mayeseroyo adzakhalanso ndi zofuna zina zilizonse zomwe zingapezedwe mkati mwa colon. Nthawi zina, izi zikutanthawuza kupeza zinthu zosiyana siyana zomwe sizikuonetsa zizindikiro.
Ngati pali zizindikiro zomwe zikuganiziridwa kuti zimachokera ku diverticula zomwe zimatuluka ndipo zimayambitsa matenda otchedwa diverticulitis, mayesero amodzi kapena angapo angapangidwe kuti atsimikizire. Mayesero omwe angapangidwe kuti adziwe matenda osiyanasiyana ndi colonoscopy kapena mimba ya computed tomography (CT).
Colonoscopy
Colonoscopy ndi mayeso omwe amawoneka kuti ayang'ane mkati mwa matumbo akuluakulu. Ng'onoting'ono ndi pamene madzi akumwa ndipo zakudya zomwe sizinasweka kwathunthu zimapangidwanso.
Pambuyo popanga njira yopita kumapeto kwa koloni, sitima imasungidwa mu rectum, kumene imatha kudutsa mumtsinje wa anal ndi sphincter ngati gulu la mimba.
Kukonzekera Mayeso
Pa colonoscopy, colonoscope, yomwe ndi yaitali chubu yomwe ili ndi kuwala ndi kamera kumapeto, imayikidwa kudzera mu anus.
Pofuna kuthetsa mayeserowa, ndipo kukhala omasuka monga othekera kwa odwala, masitepe ena amatengedwa m'masiku oyambirira.
Ndikofunika kuti chidebecho chikhale choyera pachitetezo chilichonse kuti dokotala atheze mayeso akhoza kuyang'ana pakhoma la koloni. Izi zimatchedwa kukonzekera kolonoscopy , kapena prep, ndipo nthawi zambiri zimakhala zovuta kwambiri.
Dokotala yemwe amaliza colonoscopy amapereka ndondomeko yokonzekera malinga ndi zomwe amakonda pazochita zawo ndi kutenga zochitika zina zokhudza wodwala (monga matenda ena kapena zofuna zina).
Kukonzekera kumachitika mwa kugwiritsa ntchito mankhwala ofewetsa mphamvu omwe angaperekedwe mu mawonekedwe a madzi kapena mapiritsi, ndipo nthawizina kuphatikiza. Nthawi zina, enema ingagwiritsidwe ntchito. Kusala kudya musanathenso, choncho zakudya zamadzimadzi zimatchulidwa nthawi yamadzulo musanayambe kuyesedwa ndipo palibe chodya kapena kumwa pambuyo pausiku usiku usanayese.
Vuto la IV lidzayambidwa musanafike colonoscopy, kuti apereke madzi ndi mankhwala osokoneza bongo . Pambuyo pake, adokotala adzatsiriza mayesero. Pamene mayesero apitirira, zosokonezazo zidzaimitsidwa ndipo odwala adzauka ndi kuyang'anitsitsa kwa kanthawi kochepa.
Sizotheka kuyendetsa galimoto chifukwa cha zosokoneza, motero mnzanu kapena wachibale ayenera kuyendetsa galimoto kwawo. Pambuyo popumula ndikukhala mophweka tsiku lonse, anthu ambiri amatha kubwerera kumisonkhano yawo tsiku lotsatira.
Kupeza Zotsatira
Kwa odwala ena, kusankhidwa kokambirana ndi dokotala kapena katswiri wina wa zamankhwala kukamba za zotsatira za mayesero kungafunike. Nthawi zina, mapuloteni akhoza kuchotsedwa kapena biopsies angatengedwe pa colonoscopy.
Padzakhala mayesero omwe amapezeka pamatendawa ndipo dokotala adzalandira zotsatira zake. Ngati zina zowoneka, zidzakambidwanso, komanso ngati zakhudza zakudya kapena moyo.
Matumbo a CT Scan
Matenda osokoneza bongo angapezekenso kudzera mu njira ya CT . Chiyesochi ndi mtundu wa x-ray womwe uli wapadera kuti uone ziwalo ndi ziwalo mkati mwa mimba. Mayesowa angagwiritsidwe ntchito kuti adziwe matenda osiyanasiyana, makamaka ngati pakalipano matenda amatha (monga kupweteka kapena kutuluka magazi) ndipo colonoscopy sizingatheke.
A CT scan ndi yesero yopanda phokoso. Zotsatira zake ndi fano lamagetsi limene lingathe kuwonedwa mosavuta ndi kutengedwera. Kukonzekera kokha ndiko kusala kwa maola angapo isanafike yeseso.
Zimene muyenera kuyembekezera
Mudzafunsidwa kuchotsa zodzikongoletsera zitsulo kapena zitsulo zina monga magalasi. Makina a CT ndi aakulu, ndi tebulo yomwe imalowa mu makina. Mudzagona patebulo ndipo pamene mayesero ayamba, tebulo lidzasunthira mu makina mpaka mutakhala bwino. Makinawa amagwiritsa ntchito x-ray kuti atenge zithunzi. Wopanga opaleshoni adzapereka malangizo aliwonse chifukwa ndi kofunika kuti akhale chete ndikugwira mpweya pazinthu zina. Mayesowa amatenga pafupifupi 30 minutes, malingana ndi zithunzi zambiri zomwe zimafunikira.
Kusiyanitsa dye kumagwiritsidwa ntchito kotero kuti ziwalo zina za thupi ziwonetsere bwino pa mafano otsiriza. Kwa chithunzi cha koloni dye adzapatsidwa zonse monga zakumwa, komanso pa IV. Chakumwa chidzaperekedwa musanayambe kuyesedwa.
Kupeza Zotsatira
Pambuyo pa kanthini ka CT, njira iliyonse yotsatila idzayendetsedwe payekha malinga ndi zotsatira za mayeso ndi thanzi la wodwalayo. Nthawi zina, mayeserowa akuchitidwa osati kokha kuti athe kugonana, koma kuti aone ngati pali zinthu zina zomwe zingayambitse zizindikiro. Pamene diverticulitis ikupezeka, ndondomeko ya chithandizo idzafunika nthawi yomweyo chifukwa cha chikhalidwe chachikulu cha chikhalidwe ichi. Ngati pali mitundu yosiyanasiyana yomwe imapezeka mu colon koma ikusowa chizindikiro, pangakhale zosowa zosintha zakudya ndi moyo.
> Zotsatira:
> Society of America ya Colon ndi Rectal Surgeons. "Matenda Osadziwika." FASCRS.com 2018.
> Harvard Men's Health Watch. "Zozizwitsa matenda a colon." Harvard Health Publishing. Dec 5, 2015.
> Tursi A, Papa A, Danese S. "Mfundo yowonongeka: mankhwala ndi matenda a diverticulosis ndi matenda osiyanasiyana a colon.