Kutsekemera, Kutsekemera, Kutenga, ndi Zowonjezera
Mwinamwake mwamvapo kuti colonoscopies yayikulu ili kuteteza khansa ya coloni . American Cancer Society imalimbikitsa kuti kuyambira ali ndi zaka 50, amuna ndi akazi onse omwe ali ndi chiopsezo cha khansa ya coloni ayenera kupeza colonoscopy zaka khumi (kapena chimodzi mwa njira zotsatirazi zaka zisanu zilizonse: CT colonography, sigmoidoscopy, kapena varium yosiyana enema).
Mutha kudziŵa kuti colonoscopy ndi yotani. Pali mavuto angapo, ndipo anthu ena ali pachiopsezo chachikulu kuposa ena, koma uthenga wabwino ndi wakuti onse ndi osowa. Phunzirani zambiri za ngozi ndi momwe mungazichepetsere.
Ngozi za Colonoscopy
Zoopsa za colonoscopy zimaphatikizapo kutaya magazi, matumbo a m'mimba (kupopera m'matumbo), matenda, kusokonezeka kwa matendawa, ndi matenda opatsirana. Komabe, mavutowa sachitika kawirikawiri ndipo amalephera kukhala ndi colonoscopies omwe samaphatikizapo kuchotsa mapulogalamu. Mavuto ndi awa:
- Kuthamanga
- Kusuta
- Postpolypectomy syndrome
- Kutenga
- Zochita za anesthesia (kawirikawiri matenda a mtima ndi kupuma)
- Colonoscopy prep mavuto
- Zotsatira zabodza zabodza
- Zovuta kwambiri zosavuta (monga kupweteka kwa mpeni, diverticulitis , ndi kupasuka kwa mpweya)
- Imfa
Momwe Zimakhala Zovuta Kawirikawiri
Ngakhale kuti zizindikiro zochepa monga kubvunda zimakhala zachilendo, ndi anthu oposa 1.6 peresenti yokha omwe amakhala ndi vuto la colonoscopy lomwe limakhala lokwanira kuti apite kuchipatala chofulumira kapena kuchipatala.
Kumbukirani kuti izi zimaphatikizapo onse omwe achotsedwapo ndi omwe sali, omwe ali ndi matenda omwe amafunikira colonoscopy, ndi omwe ali okalamba kapena odwala. Pafupifupi 85 peresenti ya mavuto ali okhudzana ndi kuchotsa mapulogalamu.
Yang'anani mwatsatanetsatane vuto lililonse.
Kulimbitsa Thupi: Kuthamanga ndikumodzi komwe kumawopa kwambiri pa colonoscopy. Izi zikhoza kuchitika pamene colonoscope imatha kupyola m'matumbo ndi mkati mwazitsulo chifukwa cha njira zamagetsi, chifukwa cha barotrauma, kapena pochotsa puloteni. Mavutowa amasiyana ndi oposa 0.01 peresenti mwa iwo omwe ali ndi kolonoscopy yoyerekeza okha kwa 0.3 peresenti kwa iwo omwe amachotsedwa pulogalamu, ndipo ali ndi chiopsezo chachikulu cha 0.05 peresenti.
Kudumpha: Kutuluka kwazing'ono ndi kwa nthawi yayitali kumakhala kofala pambuyo pa colonoscopy. Komabe, chiopsezo chachikulu chokha magazi, ndi 2.6 mwa 1,000 kwa omwe ali ndi colonoscopy okha, mpaka 9,8 mwa 1,000 omwe amachotsedwa. Mavutowa ndi aakulu kwambiri kwa omwe ali ndi ma polyps ochuluka, omwe ali ndi vuto loperekera mafupa, ndi omwe akutsatira magazi a Coumadin ( warfarin ).
Postpolypectomy syndrome: Postpolypectomy syndrome ndi kuvulaza kwa chifuwa chomwe chimagwirizana ndi cautery chomwe chimagwiritsidwa ntchito pulogalamu yamatope. Amatchedwanso matenda a postpolypectomy electrocoagulation. Chiwerengerochi chimakhala chachitatu kuchokera 100,000 kupita ku 1,000 (0.003 peresenti mpaka 0.1 peresenti.) Zizindikiro, zomwe zimayambira masiku asanu ndi atatu mutatha, zimaphatikizapo kupweteka, malungo, ndi kuchuluka kwa maselo oyera a magazi .
Kutenga: Tizilombo toyambitsa matenda (mabakiteriya m'magazi) amapezeka mpaka 25 peresenti ya anthu, koma izi sizimayambitsa mavuto. Anthu omwe ali ndi ziphuphu za mtima (mwachitsanzo, chifukwa cha kung'ung'udza kwa mtima) ayenera kutenga maantibayotiki asanatuluke. Kuopsa kwa matenda akuluakulu monga peritonitis (matenda m'mimba m'mimba) ndi osowa.
Zochita za Anesthesia: Zomwe zimaperekedwa chifukwa cha colonoscopies, zomwe nthawi zina zimatchedwa " twilight sleep ," zimakhala zotetezeka kufupi ndi anesthesia, koma zingayambitse mavuto ena. Zowopsa kwambiri ndi matenda a mtima ndipo zimaphatikizapo hypoxia (kusowa mpweya m'magazi), chikoka cha chibayo, ndi mtima wamagetsi. Mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo amatha kuchitika. Chiwopsezo chachikulu cha matenda a mtima ndi pafupifupi asanu ndi anayi mwa anthu 1,000.
Mavuto a Colonoscopy Prep: Ngakhale kuti colonoscopy prep ndi yosasangalatsa, anthu ambiri amalekerera bwino. Mavuto angapezeke kwa omwe ali ndi matenda monga matenda a mtima ndi matenda a impso.
Zolakwa Zonyenga: Choipa chimapezeka pamene matenda alipo koma kuyezetsa magazi sikuthetsa. Ngati khansara ya polyp kapena colon inalipo, koma siinapezedwe pa colonoscopy, izi zikanakhala zolakwika. Ndalama zabodza zimasiyanasiyana kwambiri, malingana ndi zomwe adokotala akuchita ndikugwiritsa ntchito njira yolankhulira. Chiwopsezo chachikulu cha zotsatira zabodza (pamene munthu akukula khansa ya coloni ngakhale kuti kafukufuku wa khansa yowononga kansa zaka zitatu zapitazi) ndi pakati pa 3.5 peresenti ndi 7 peresenti.
Zowonjezereka Zambiri: Pali mavuto ambiri omwe sakhala nawo kawirikawiri omwe atchulidwa pambuyo pa colonoscopy. Zina mwa izi zimaphatikizapo kuphulika kwa nthata ndi diverticulitis. Kuphulika kwa gasi, komwe kungabwere chifukwa cha kuphatikiza kwa hydrogen ndi methane kuphatikizapo mpweya ndi electrocautery, ndizochitika zosayembekezeka kwambiri.
Imfa: Ngozi ya imfa yomwe imakhudzana ndi colonoscopy ndi yochepa kwambiri, imayerekezera pakati pa .007 ndi00 peresenti. Kafukufuku mu 2010 anapeza kuti anthu opitirira 371,000 omwe ali ndi colonoscopy, anali ndi imfa 128 pa chifukwa chirichonse. Poganizira kuti colonoscopies nthawi zambiri amachitira anthu okalamba komanso omwe ali ndi matenda ena, chiwerengerochi n'chochepa kwambiri.
Chomwe Chikuwonjezeketsa Chiopsezo Chanu cha Mavuto
Ziwerengero zimapereka lingaliro la chiwopsezo chachikulu cha mavuto, koma chiopsezo cha munthu payekha chingasinthe malinga ndi zinthu zambiri. Zina mwazinthu zomwe zimabweretsa mavuto anu ndizo:
- Kuchotsa mapulogalamu: Pamene mapuloteni amapezeka ndi kuchotsedwa panthawi ya colonoscopy, pali chiopsezo chochulukirapo poyerekeza ndi magazi, poyerekeza ndi pamene colonoscopy ikuchitidwa yokha ndipo palibe mapepala omwe amapezeka.
- Ukalamba
- Zochitika zina zamankhwala: "Mavuto a Comorbid" monga matenda a mtima amachititsa kuti pakhale mavuto.
- Kugwiritsidwa ntchito kwa ochepa magazi: Kupatula aspirin , yomwe imapangitsa kuti magazi asawonongeke, koma amachepetsa chiopsezo cha zovuta za mtima.
Lembani Zoopsa za Colonoscopy
Choyambirira cha colonoscopy prep chingathandize kutsimikiza kuti dokotala ali ndi chiwonetsero choyera pamene akuyenda kupyolera mu colon. Njira zina zochepetsera chiopsezo chotere ndizo:
- Sankhani doc yoyenera: Sankhani dokotala wodziwika kuti gastroenterologist kuti achite, kusiyana ndi dokotala wanu wa banja.
- Onetsetsani: Onetsetsani kuti mukutsatira ndondomeko yoyenera panthawi yanu yoyambirira ya colonoscopy.
- Funsani kusungirako zosamalitsa: Onetsetsani kuti munthu wodziŵa bwino matenda a antiesthesiologist adzakhalapo panthawiyi ngati mutakhala ndi vuto lopweteka.
- Khalani osasamala za malo: Sankhani kachipatala kapena chipatala chomwe chimapanga kuchuluka kwa njirazi. Kafukufuku amasonyeza kuti malo omwe amapanga colonoscopies ambiri amakhala ndi chiwerengero chochepetsera chiwerengero kusiyana ndi omwe amachititsa njira zochepa.
- Chitani njirayi kapena pafupi ndi chipatala: Ngati matumbo amatha kutuluka, mukufuna kuikonza mwamsanga.
- Funsani za kuthamanga kwa m'mimba: Funsani dokotala ngati akukonzekera kugwiritsa ntchito mphamvu ya m'mimba pa colonoscopy. Kafukufuku wofalitsidwa mu Gastroenterology Nursing anapeza kuti ngozi za colonoscopy, nthawi, ndi zovuta zimatha kuchepetsedwa ngati dokotala akugwiritsa ntchito njira zina zapakhosi pakamwa.
Chifukwa Chakuwonetsetsa Khansa ya Coloni Kupulumutsa Moyo
Pambuyo poona zovuta zowonjezereka za colonoscopy, ndikofunikira kutsimikizira kuti colonoscopy ikhoza kusunga miyoyo. Ngakhale pakhala pali mkangano wokhudzana ndi mphamvu ya khansa ya m'mawere ndi kansa ya prostate , kuyang'anitsitsa khansa yamtunduwu kumapangitsa kusiyana ndipo kumayambitsa kuchepa kwa imfa ya khansa ya colon. Komabe, khansa ya colon imakhalabe yotsatira yachitatu ya imfa yokhudzana ndi khansa mwa amuna.
Kuyezetsa khansa ya Colon ndiyodabwitsa kwambiri kuti ingagwiritsidwe ntchito potsata ndi kuyang'ana msanga. Pamene mapuloteni amapezeka ndi kuchotsedwa pang'onopang'ono, colonoscopy ikhoza kugwira ntchito yoteteza. Pamene khansa yoyambirira imapezeka, colonoscopy ikhoza kukhala njira yowunikira msanga.
Kulimbana ndi Ngozi ndi Mapindu
Kodi muyenera kupeza colonoscopy ? Yankho la anthu ambiri ndilo inde chifukwa zomwe zingapindulitse zimaposa ngozi. Colonoscopies ndi imodzi mwa zipangizo zopindulitsa kwambiri zomwe zilipo popewera khansa. Komabe, lankhulani ndi dokotala wanu za zinthu zomwe zingakupangitse kuti mukhale ndi chiopsezo ngati mutakhala ndi chiopsezo chochulukirapo kusiyana ndi munthu wamba.
> Zotsatira:
> Society of American for Masitepe Endoscopy. Zovuta za Colonoscopy. 2011. http://www.asge.org/assets/0/71542/71544/56321364-c4d8-4742-8158-55b6bef2a568.pdf
> Ranasinghe, I., Przynski, C., Searfoss, R., et al. Kusiyanasiyana kwa Colonoscopy Njira Zina Zofunikirako: Kukonzekera Kowopsa kwa Post-Colonoscopy-Mtengo Wowonongeka wa Maulendo a Chipatala Osakonzedweratu. Gastroenterology . 2016. 150 (1): 103-113.
> Reumkens, A., Rondagh, E., Bakker, C., Winkens, B., Masclee, A., ndi S. Sanduleanu. Mavuto a Post-Colonoscopy: Kukonzekera Mwadongosolo, Mmene Zimakhalira Nthawi, ndi Meta-Kusanthula Zofufuza za Anthu. American Journal of Gastroenterology . 2016. 111 (8): 1092-101.
> Stock, C., Ihle, P., Sieg, A., Schubert, I., Hoffmeister, M., ndi H. Brenner. Zochitika Zoipa Zikusowa Kachilombo M'masiku 30 Pambuyo Pambuyo Kuwona Zochitika Zachilendo ndi Kutsekedwa Kwambiri Makolonoscopies. Matenda a m'mimba Endoscopy . 2013. 77 (3): 419-29.