Njira Yogwiritsira Ntchito Pulogalamu ya Colonoscopy Imatha kuchepetsa mavuto
Kaŵirikaŵiri osati, anthu amadziwika kuti colonoscopy ngati mayesero osayenera omwe amayenera kulima monga chilango-makamaka prep. Pa nthawi yomweyi, anthu ambiri amaiwala kapena akunyalanyaza chenicheni chakuti ndi njira yowonongeka yomwe imafuna nthawi yowonongeka ndi kupulumuka, makamaka ngati ikuphatikizidwa kapena kuchotsa pulopeni.
Maganizo awa a nthawi yayitali ali pamtima wa chifukwa chomwe chimodzi mwa 125 colonoscopies chimakhala ndi vuto. Ngakhale kupeza zosayembekezereka kapena ngakhale zolakwika zachipatala zingakhale ndi gawo, kusagwirizana ndi ndondomeko za chithandizo cha mankhwala pambuyo pake / kapena kuchotsa zizindikiro monga "zochepa" zikhalebe zifukwa zazikulu polepheretsa chiopsezo. Pachifukwa ichi, ndikofunikira kwambiri kuti muyankhule zomwe mungachite mutatha colonoscopy.
Njira yowonongeka ndi khansa ndi yofunika kwambiri, ndipo yonse yowononga kansa, ndi imodzi yomwe imachepetsa chiopsezo chanu chofa ndi khansa yamtundu. Zowopsazi ndizofunikira, monga khansara ya colon ndiyo njira yachitatu yomwe imayambitsa kufa kwa khansa kwa amuna ndi akazi ku United States. Komabe, ngakhale kuyesa kuyesa, ndi njira yomwe iyenera kutsatiridwa ndi nthawi yopumula ndi kuyang'anitsitsa mosamala. Mu gulu lathu lofulumira, ambiri achikulire angagwiritse ntchito mphindi zochepa kuti adzichepetse, ndipo izi zikhoza kukhala mwayi wanu.
Tiyeni tiwone zofunikira za colonoscopy, ndiyeno kambiranani za momwe mungadzisamalire nokha (kapena wokondedwa) mutatha njirayi.
Kumvetsa Colonoscopy
Colonoscopy imaphatikizapo kulowetsedwa kwa chiwerengero chokhazikika kudzera mumtsinje wa anal mu rectum ndi colon. Colonoscope imapereka chithunzi cha maonekedwe a colon komanso kuchotserako kukula kulikonse kokayikira komwe kungasonyeze kuti akukula.
Colonoscopy imatengedwa kuti ndi golide woyendera bwino poyang'ana koloni, bwino kwambiri kusiyana ndi sigmoidoscopy yosinthika kapena enema ya barium . Ngakhale makina a computerized tomography (CT) akuwoneka ngati njira zowunikira kuti azindikire khansa yoopsa; iwo sali abwino kwambiri pakuwona zipsinjo zakuya kapena polyps.
Ngakhale kuti anthu ambiri omwe amatsatira njirayi adzasankha kukhala osakondweretsedwa, dokotala wodziwa bwino angathe kuchita chimodzi popanda kutentha ngati munthuyo angapewe zotsatira za anesthesia. (Pakali pano, peresenti imodzi yokha ya colonoscopies ikuchitidwa mosasunthika.)
Ku United States, ndibwino kuti anthu onse azaka 50 kapena kuposerapo alandire kolonoscopy zaka khumi ndi ziwiri kuti awonetse kansalu yoyipa. Mafupipafupi akhoza kuwonjezeka kwa anthu omwe ali pachiopsezo chachikulu kapena omwe aperekedwa kale kuti apeze khansa yamtunda.
Maola 24 Oyambirira Potsatira Ndondomeko
Katundu wa colonoscopic ukatha, ndibwino kuti mutengedwenso ndi mnzanu kapena wachibale wanu. Ngati mutatembenuzidwa kuti mupite ndondomeko (yomwe anthu ambiri ali), zimalimbikitsidwa kuti mukhale ndi munthu wina amene mumakhala nawo maola 24 oyambirira mutachoka kuchipatala kapena chipatala.
Ngati muli ndi nseru, dokotala wanu angapereke mankhwala kuti athetse zizindikiro.
Pa maola 24 oyambirira, muyenera kumatsatira malangizo awa:
- Pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina olimba mpaka tsiku limodzi mutatha njira yanu.
- Tengani mankhwala aliwonse opweteka kapena ochepetsako chopondereza monga momwe amalembera.
- Imwani zakumwa zambiri, kuphatikizapo mchenga wa prune umene ungawathandize kuchepetsa zitsulo.
- Pewani mowa kwa maola 24 oyambirira.
- Idyani zakudya zam'mwamba kapena zowonjezerapo, ngati mukufunikira.
- Pumula ndikupewa ntchito iliyonse yolemetsa kapena ntchito yovuta.
- Onetsetsani kuti muli ndi munthu wina. Ngati simunakwatirane, funsani mnzanu kapena wachibale ngati angakhale usiku.
Ngati mutenga aspirin tsiku ndi tsiku kuti muthane ndi vuto la mtima, simukuyenera kusiya.
Aspirin ya m'munsi imatetezedwa ngati colonoscopy.
Nthawi yoitanira Dokotala Wanu
Zovuta sizodziwika, koma zikhoza kuchitika. Aitaneni dokotala kapena chipatala ngati muli ndi zizindikiro zotsatirazi mu maola 24 oyambirira potsatira njira yanu:
- Muli ndi chimfine kapena malungo.
- Mukumva kutuluka magazi pang'ono kuposa supuni.
- Mumamva kutupa pamalo pomwe malo osungiramo machira anayikidwa.
- Mukumva kupweteka kwambiri m'mimba kapena kupweteka (kupweteka kapena kuphulika kumatha kuyembekezera).
- Inu mukusanza.
- Mukukumana ndi zisokonezo za mtima ( arrhythmia ).
- Ngati simungamve bwino chifukwa chilichonse. Dalirani chidziwitso chanu, ndipo ngati mukumva kuti chinachake chikhoza kukhala cholakwika, musazengereze kuyitanira.
Pambuyo pa maola 24 oyambirira
Ngati mapepala atachotsedwa pa colonoscopy, mumayenera kusintha ntchito zanu kwa masiku asanu ndi awiri otsatira. Izi zimaphatikizapo kuthamanga, osati kukweza chilichonse pa mapaundi asanu, kupeŵa kuyenda kosafunikira, ndi kuimitsa magazi omwe mumakhala nawo (koma poyamba, izi ziyenera kukambidwa ndi dokotala yemwe wakhala akugwiritsa ntchito magaziwa, nthawi zina pogwiritsa ntchito izi colonoscopy ikuposa chiopsezo chosawagwiritsa ntchito). Mwachidule, samalani ndi kuchitira thupi lanu gingerly.
Ngati mutakumana ndi zizindikiro zotsatirazi mu sabata yoyamba, pitani kuchipatala mwamsanga kapena kupita ku chipinda chanu chapafupi chapafupi:
- Simungathe kukhala ndi kayendedwe ka thupi kapena kukodza.
- Mwadzidzidzi mukuvutika kupuma.
- Zithunzi zanu ndi zakuda kapena zamagazi.
- Matanzi anu ali ndi magazi kapena bile mkati mwake.
- Mimba yanu imakhala yachifundo komanso yovuta.
- Zizindikiro zirizonse zomwe mukuchita zikuipiraipira.
Mawu Ochokera Kudzisamalira Nokha Patatha Colonoscopy Yanu
Ku United States, ndi kuzungulira dziko lapansi, timakonda kuona nthawi ngati ndalama, ndipo timadzikanikiza kumapeto. Sikuti ife basi, monga olemba ntchito amawayamikira antchito omwe amachita zimenezo. Koma mutenge nthawi kuti muchiritse-ngakhale ngati colonoscopy yanu ndiyeso yowunika kuyesera-ndi yofunikira.
Kupeza nthawi yokonzekera, kukonzekera, ndi kupitiliza ndi colonoscopy kungakuwone ngati chokhumudwitsa. Komabe, kuchokera ku mayesero onse owonetsetsa khansa omwe alipo, izi ndizo zomwe zingathe kusintha kusiyana ndi thanzi lanu ndi moyo wanu. Colonoscopies ndizosiyana ndi mayesero oyeza kansa m'thupi kuti athe kukhala oyenerera pozindikira ndi kupewa. Angatenge khansara m'magulu akale kwambiri ochiritsidwa, musanakhale ndi zizindikiro. Koma iwonso akhoza kukhala chinsinsi choletsa khansara ngati mapuloteni amapezeka ndi kuchotsedwa asanakhale ndi khansa.
Podziwa kufunikira kwa mayesowa, muli ndi ngongole kuti mukhale ndi zovuta masiku angapo. Anthu ambiri amachititsa kuti mayeserowa ayambe kutsogolo ndipo amatha kutenga masiku ambiri (opaleshoni, chemotherapy, ndi zina zambiri) ngati apulumuka. Choncho pezani nokha. Idyani bwino. Gonani bwino. Ndipo dikirani mpaka mutamverera kukonzekera kuti mukumane ndi dziko lapansi musanatuluke. Ndiwe woyenera!
> Zotsatira:
> Grossberg, L., Vodonos, A., Papmichael, K. et al. Zotsatila za Ntchito Zogwira Ntchito Zowonongeka Kwapafupi. Matenda a m'mimba Endoscopy . 2018. 87 (2): 517-525.e6.
> Ranasinghe, I., Parzynski, C., Searfoss. R. et al. Kusiyanasiyana kwa Colonoscopy Njira Zina Zofunikirako: Kukonzekera Kowopsa kwa Post-Colonoscopy-Mtengo Wowonongeka wa Maulendo a Chipatala Osakonzedweratu. Gastroenterology. January 2016; 150 (1): 103-113