Oko kufuneka uyenze kwiintsuku ezikhokelela kwi-colonoscopy
Ukuze ube ne- colonoscopy ephumelelayo, umzimba, kwaye ikakhulukazi emathunjini amakhulu (i-colon), kufuneka ilungiswe kakuhle. I-colonoscopy prep yinxalenye ebalulekileyo yenkqubo edlalwa ekhaya, ilandela izikhokelo ezinikezwa yi-gastroenterologist. Ukulungiswa kudla ngokuba yinxalenye engabonakaliyo ye-colonoscopy kuba i-sedation yokukhanya okanye " ubuthongo bokulala " ngokuqhelekileyo isetyenziswa ngexesha le nkqubo ngokwayo ukukhusela nayiphi na into engeyiyo.
Uninzi lwabantu aluyi kukhunjulwa okwenzeka ngexesha lokuvavanya (oko kutheni kubalulekile ukuzisa umhlobo okanye ilungu lentsapho kunye nokuthetha nodokotela kwaye ukuqhuba ekhaya).
Yiyiphi iColonoscopy, kwaye Kutheni Yenziwa
I-colonoscopy yinkqubo ejonge ngaphakathi kwikholoni. Oku kwenziwa ngokufaka ityhubhu eguquguqukayo ngokukhanya ekugqibeleni kwi-anus. Ugqirha unako ukuhambisa ityhubhu nge-rectum ukuya phezulu kwikoloni ukuze ubone ngaphakathi kwaye ukhangele iipolps okanye ezinye izinto ezingaqhelekanga. Kunconywa ukuba wonke umntu oneminyaka engama-50 afumane i-colonoscopy yokuhlola ukujonga umhlaza omninzi. Abanye abantu bangadinga inkqubo ngaphambili, kuxhomekeke kwimingcipheko yomhlaza wekolon.
I-Colonoscopy Prep
Injongo ye- colonoscopy prep kukuphelisa yonke into yefecal (isitoli) ukusuka kwikoloni ukwenzela ukuba ugqirha owenza i-colonoscopy uya kuba nembono ocacileyo kwindonga yamathumbu. Kukho iindlela eziqhelekileyo zokwenza oku kwenziwa, kwaye oogqirha kunye nezigulane ziza kuba neendlela zabo ezizodwa ezibenza ngcono kubo.
Ezinye zeentlobo eziphambili zokulungiselela zi-Golytely (nazo zithengiswa phantsi kwegama elithi Colyte, okanye i-Nulytely), kunye neephilisi ze-phosphate ze-sodium (Osmo-Prep neVisicol).
Iingcebiso zeColonoscopy Prep
- Ukunciphisa nawuphi na umonakalo omdala, sebenzisa amanxeba omdaka omdala okanye uphefaza amanzi ukuze uhlambulule indawo yecala endaweni yephepha langasese.
- Gcina utywala obuninzi kwizandla ukusela. Amanzi ahlambalaza kwaye ahlale e-hydrated kubalulekile.
- Landela imiyalelo yegqirha. Awuyi kufuna ukwenza ukuphinda kwakhona ngenxa yokuba awuzange uyifumane okokuqala ngqa.
- Yilungiselele ukuchitha ixesha elininzi ngaphambi kokuba uvavanyo lwakho lwendlu yangasese. Nika incwadi.
- Shayela i-ofisi yegqirha ukuze uncede ukuba unenkathazo okanye ungaqondi imiyalelo yokulungiselela.
I-Polyethylene Glycol-Electrolyte (i-Golytely, i-Colyte, i-NuLytely, i-TriLyte)
Olu lungiselelo luya kufuna umyalelo odokotela. Iqukethe i-gallon jug enokuxuba i-powder ngaphakathi. Isigulane siya kugcwalisa i-jug ngamanzi uze udibanise kwifowder ukwenza isiselo. Imiyalelo ngokuqhelekileyo ukusela isilayidi enye ye-8 oz yomxube nganye imizuzu eyi-10 de iphela i-gallon igqityiwe okanye iphelile. Emva kweeglasi ezimbalwa zokuqala, ukuphuma kwamathumbu ( ngohlobo lwesifo sohudo ) kuya kuqala. Ngaphambi kokuba i-gallon igqityiwe, abantu abaninzi bafumana ukuba ukufuduka kwabo kubonakala kucace kwaye zonke izitoli zicocwa ngaphandle kwekholoni.
Ukuba ukupheliswa akuyi kucaca emva kokuba i-gallon igqityiwe, i- enema ingafuneka . Abanye abantu bafumana i-nasusea xa bephuza kakhulu amanzi, ngoko ugqirha unokumisela imishanguzo yokulwa nesicocisi xa kunokwenzeka. I-Golytely ngoku ifikelele kwiinambuzane ezininzi ukwenzela ukuba kube lula ngakumbi kwaye kulula ukuyiphuza.
Picosulfate sodium
Eli li-laxative equkethe i-picosulfate ye-sodium, i-magnesium oxide, kunye ne-acric acid e-anhydr. Iza kumpompo othabathelwe emanzini. I-picosulfate ye-sodium i-laxative ekhuselayo kunye ne-magnesium oxide kunye ne-acric acid e-anhydr idibanisa namanzi ukudala i-magnesium citrate, eyi-laxative ye-osmotic. Lo lungiso luvame ukunikezwa kwicandelo elingu-2: enye ngobusuku obuphambili kunye nomnye wokuvavanya kovavanyo. Kwamanye amaxesha amanani anganikwa kwangaphambili ukwenzela ukuba apheliswe yonke into kwaye apheliswe ngexesha lokushiya uvavanyo. I-powder kufuneka ixutywe ngamanzi phambi kokuba ixesha lokulisela kwaye kungekhona ngaphambili.
Isenzo se-laxative salolu hlobo luza kubangela amanzi amaninzi ukuba ashiye umzimba emathunjini ngoko kubalulekile ukuqhubeka usela amanzi aneleyo kunye nezinye izilwanyana ezicacileyo ukuzitshintsha.
I-phosphate ye sodium
Iipilisi ze-phosphate ze-sodium zichazwe ngugqirha ekwenza i-colonoscopy. Kukho iimpawu ezimbini ezihlukeneyo, kuxhomekeke kuyo ugqirha wakho obonelela ngayo - iVisicol, i-tablet-40 ye-tablet, kunye ne-Osmo-Prep, i-tablet ye-32.
Nge-Visicol, ama-7 amanani athatyathwa kwiimitha ezili-15: iipilisi ezi-3 zithathwa kuma-6, kwaye iipilisi ezi-2 zithathwa kwi-dose e-1 (iipilisi ezingama-20 ezipheleleyo). Ngentsasa elandelayo, iiyure ezi-3 ukuya kuma-5 ngaphambi kokuvavanywa, ukulinganisa okufanayo kuphindwaphindwa (iipilisi ezi-3 zeethamo ezi-6, kwaye iipilisi ezi-2 ze-dose e-1, kwiimitha ezili-15 eziphambili kwiipilisi ezingama-20).
I-prep iqala ukusebenza malunga neyure emva kokuba umthamo wokuqala weeibhilethi uthathwa. Ukutya okutywala ngokuqhelekileyo kubelwe ukuqala malunga neeyure eziyi-12 ngaphambi kokuba uqale irejimeni. Imiphumo emibi yimiba ibandakanya ukuqhaqha, ukucabisa, ukuhlanza kunye nesisu esiswini.
Kwi-Osmo-Prep (ifom entsha), iipilisi zithathwa ngokuhlwa kwangaphambili nangomso we-colonoscopy. Ngobusuku ngaphambi kovavanyo, iipilisi ezine zithathwa nge-ounces ezi-8 ze-liquid ecacileyo yonke imizuzu engama-15 ukuya kuma-5 amanani (iipilisi ezingama-20 ezipheleleyo). Ngomso olulandelayo, malunga nee-3 ukuya kwiiyure ezingama-5 ngaphambi kokuvavanywa, ezinye iipresiti ezi-3 zamathebhulethi ezi-4 zithathwa ngezikhathi ezili-15 (iipilisi ezili-12 ezipheleleyo).
ILizwi
Kukho iintlobo zamalungiselelo ezikhoyo kwaye ezininzi ziphuhliswa kuba ziqondwa ukuba kunzima kangakanani ukwenza le nxalenye ye-colonoscopy. Abanye oogqirha baya kuba nezinye iindlela zokulungiselela kwaye baya kunika imiyalelo malunga nendlela abaye bayilungisa ngayo iinkqubo zabo. Kwezinye iimeko, ukuba izigulane zineemeko ezithile ezithintela ukusetyenziswa kwelaxatives, kukho ezinye iindlela zokuzilungiselela. Kubantu abaye baqhwala emathunjini, i-prep epheleleyo ayinakufuneka, kwaye kukho enye inguqu eguqulelwe. Sebenza kunye nokunyanga ugqirha ukuze ukwazi ukuba yintoni enye indlela efanelekileyo eya kubakho ukucoca ikolon kwaye ilungele uvavanyo.
Imithombo:
I-UMHS yeNkqubo yezoNyango yezoNyango iMPU / MPC. "IColonoscopy." Inkqubo yeMpilo ye-UM. Juni 2007.
UJan Nissl, uRN, BS. "IColonoscopy" iCigna. Septemba 1, 2006.
Lester Stine, MD. "Ukulungiselela iColonoscopy." Iimithi ezintathu zeMiddlecopy Centre. 2004.
Salix Pharmaceuticals. "Ulwazi lweMveliso yeVisicol." Salix Pharmaceuticals 2004.
Salix Pharmaceuticals. "Ulwazi lweMveliso ye-OsmoPrep." I-Salix Pharmaceuticals 2006.