Chimene muyenera kuchita m'masiku omwe amatsogolera ku colonoscopy
Kuti mukhale ndi colonoscopy yabwino, thupi, makamaka matumbo aakulu (colon), ayenera kukonzedwa bwino. Colonoscopy prep ndi mbali yofunikira ya ndondomeko yomwe imachitika kunyumba, kutsatira malangizo operekedwa ndi gastroenterologist. Kukonzekera kawirikawiri ndi gawo losasangalatsa kwambiri la colonoscopy chifukwa kuwala kowoneka kapena " kugona tulo " kumagwiritsidwa ntchito panthawi yokhayokha kuti zisawonongeke.
Anthu ambiri sangakumbukire zomwe zinachitika panthawi yoyesedwa (ndichifukwa chake nkofunika kubweretsa bwenzi kapena achibale kuti alankhule ndi dokotala ndikuyendetsa kunyumba).
Kodi Colonoscopy Ndi Chiyani, Ndichifukwa Chiyani Idachitidwa
Colonoscopy ndi ndondomeko yomwe imayang'ana mkati mwa colon. Izi zimachitika mwa kuika chubu chosinthasintha ndi kuwala kumapeto kwa anus. Dokotala akhoza kusuntha chubu kupyola mu mphukira ndikulowa mkati kuti ayang'ane mkati ndi kuyang'ana polyps kapena zina zolakwika. Ndikoyenera kuti aliyense wopitirira zaka makumi asanu ndi awiri apange kolonoscopy yowunikira kuti afufuze khansa yapadera. Anthu ena amafunikira njirayi poyamba, malingana ndi zoopsa za khansa ya colon.
Kukonzekera kwa Colonoscopy
Cholinga cha pre-colonoscopy prep ndichotseketsa nkhani zonse zamphongo (chophimba) kuchokera kumtunda kuti dokotala yemwe akuchita colonoscopy akhale ndi malingaliro omveka a khoma la m'mimba. Pali njira zingapo zomwe zingatheke kuti izi zitheke, ndipo madokotala ena ndi odwala adzakhala ndi njira zawo zosiyana zomwe zimawathandiza kwambiri.
Mitundu yambiri yokonzekera ndi Golytely (yogulitsidwa pansi pa mayina Colyte, kapena Nulytely), ndi mapiritsi a sodium phosphate (Osmo-Prep ndi Visicol).
Colonoscopy Prep Nsonga
- Kuti muchepetse vuto lililonse lakale, mugwiritseni ntchito popopera madzi akuda kapena kutsanulira madzi kuti muyeretsenso malo ovomerezeka m'malo mwa pepala lakumbudzi.
- Onetsetsani zakumwa zochuluka kwambiri kuti muzimwa. Madzi amayamba kutopetsa komanso kukhala ndi hydrated.
- Tsatirani malangizo a dokotala. Simungakonde kuti muyambe kukonzekera chifukwa simunayambe nthawi yoyamba.
- Khalani okonzekera kuti muwononge nthawi zambiri musanayambe kuyesa kuchimbudzi. Bweretsani bukhu.
- Aitaneni ofesi ya dokotala kuti akuthandizeni ngati muli ndi vuto kapena simukumvetsa malangizo a prep.
Polyethylene Glycol-Electrolyte (Golytely, Colyte, NuLytely, TriLyte)
Kukonzekera kumeneku kudzafuna mankhwala kuchokera kwa dokotala. Zimapangidwa ndi ndulu ya galoni ndi kusakaniza mkati. Wodwala adzadzaza jug ndi madzi ndi kusakaniza mu ufa kuti apange zakumwa. Malangizowa amamwa mowa umodzi wokwana 8 oz wa chisanganizo maminiti khumi mpaka mpweya wonse utatha kapena kuthetsa. Pambuyo pa magalasi ochepa oyamba, kutuluka m'mimba ( ngati kutsegula m'mimba ) kudzayamba. Ng'ombe isanayambe, anthu ambiri amapeza kuti kuchoka kwawo kumakhala kosavuta ndipo zonsezi zimatsukidwa kunja.
Ngati kuchotsa sikumveka bwino pakatha ndondomekoyi, enema ikhoza kufunika. Anthu ena amakumana ndi nseru pamene amamwa mowa kwambiri, choncho dokotala angapereke mankhwala oletsa kusokoneza bongo ngati akufunikira. Golytely tsopano imabwera m'njira zambiri kuti ikhale yosangalatsa komanso yosavuta kumwa.
Picosulfate ya sodium
Awa ndi mankhwala ofewa mankhwala ofewetsa ululu omwe ali ndi sodium picosulfate, magnesium oxide, ndi anhydrous citric asidi. Iyo imabwera mu ufa womwe umatengedwera mumadzi. Picosulfate ya sodium ndi mankhwala othandizira kwambiri komanso a magnesium oxide ndi anhydric citric acid kuphatikizapo madzi kuti apange magnesium citrate, yomwe ndi mankhwala osokoneza bongo. Kukonzekera kumeneku kumaperekedwa mzidutswa ziwiri: wina usiku watha ndipo tsiku lina m'mawa. Nthawi zina mlingo ungaperekedwe kale kuti ukhale nawo nthawi zonse ndikupita kukayezetsa. Phulusa liyenera kusakanizidwa ndi madzi nthawi isanakwane kuti imwe.
Kuchiza mankhwalawa kumayambitsa madzi ochulukirapo kuchoka mu thupi kudzera m'matumbo kotero ndikofunika kuti mupitirize kumwa madzi okwanira ndi zina zamadzimadzi kuti muzisinthe.
Sodium phosphate
Mapiritsi a phosphate a sodium alamulidwa ndi dokotala kupanga colonoscopy. Pali mitundu iwiri yosiyana, malinga ndi momwe dokotala wanu akulembera - Visicol, piritsi 40, ndi Osmo-Prep, piritsi ya 32.
Ndi ma visicol, ma dozi 7 amatengedwa mu mphindi khumi ndi zisanu: mapiritsi atatu amatengedwa kuti apite ma 6, ndipo mapiritsi awiri amatengedwa pa mlingo umodzi (mapiritsi 20 okwana). Mmawa wotsatira, maola 3 mpaka 5 musanayese mayesero, mlingo womwewo umabwerezedwa (mapiritsi 3 pa mlingo 6, ndiyeno mapiritsi awiri a mlingo umodzi, mu mphindi khumi ndi zisanu ndi makumi asanu ndi limodzi pa mapiritsi 20).
Choyambirira chimayamba kugwira ntchito pafupi ola limodzi potsatira mlingo woyamba wa mapiritsi. Chakudya chamadzimadzi chimayikidwa kuyambira kuyambira maola 12 musanayambe regimen. Zotsatira zoyipa zimaphatikizapo kuphulika, kunyoza, kusanza, ndi kupweteka m'mimba.
Mu Osmo-Prep (mawonekedwe atsopano), mapiritsi amatengedwa madzulo madzulo ndi m'mawa a colonoscopy. Madzulo madzulo asanayese, mapiritsi 4 amatengedwa ndi ma ouniti 8 a madzi omveka mphindi khumi ndi zisanu ndi zisanu (15 piritsi). Mmawa wotsatira, pafupi maola atatu kapena asanu musanayese mayesero, 3 ma tebulo 4 amaperekedwa pa mphindi 15 (mapiritsi 12 okwana).
Mawu Ochokera
Pali mitundu yambiri yokonzekera yomwe ikupezeka ndipo zambiri zikupangidwa chifukwa zimamveka kuti n'zovuta kuchita gawo ili la colonoscopy. Madokotala ena adzakhala ndi njira zina zokonzekera ndipo amapereka malangizo a momwe adayendetsera bwino njira zawo. Nthawi zina, ngati odwala ali ndi zifukwa zomwe zimaletsa kugwiritsa ntchito mankhwala osokoneza bongo, pali njira zina zomwe mungakonzekere. Kwa anthu omwe achita opaleshoni m'matumbo, kukonzekera kwathunthu sikutheka, ndipo pakhoza kukhala kusintha kosinthika kupezeka. Gwiritsani ntchito dokotala wolemba kuti mudziwe njira yabwino kwambiri yomwe ingakhalire kuti muyeretsenso coloni ndikukonzekera kuyesedwa.
Zotsatira:
A UMHS Medical Procedures Unit MPU / MPC ogwira ntchito. "Colonoscopy." UM Health System. June 2007.
Jan Nissl, RN, BS. "Conoscopy" Cigna. September 1, 2006.
Lester Stine, MD. "Kukonzekera Colonoscopy." Mitsinje itatu yotchedwa Endoscopy Center. 2004.
Salix Mankhwala. "Visicol Product Information." Salix Pharmaceuticals 2004.
Salix Mankhwala. "OsmoPrep Product Information." Salix Pharmaceuticals 2006.