Inkqubo yeCost-Procedure I-Colonoscopy Care Inokunciphisa iingxaki
Ngokuphindaphindiweyo, abantu baya kubonisa i- colonoscopy njengolu vavanyo olungathandekiyo ukuba kufuneka balime ngokukhawuleza njengesijeziso-ingakumbi i-prep. Ngelo xesha, abantu abaninzi baya kukulibala okanye bawutyeshele ngokupheleleyo ukuba yinkqubo engummangaliso efuna ixesha lokulinda nokubuyiselwa, ingakumbi xa kubandakanywa i- biopsy okanye ukususwa kwe-polyp.
Ezi zimo zengqondo ezide zisekho ntliziyo yoko kutheni enye kwii-colonoscopies ezingama-125 iziphumo zengxaki. Nangona iziphumo ezingalindelekanga okanye nangona mpazamo yezokwelapha inokudlala indima, ukungaphumeleli ukuthobela iingcebiso zonyango kunye / okanye ukugxotha impawu "njengento encinci" zihlala zizinto ezibalulekileyo ekuphakameni umngcipheko. Ngenxa yoko, kubaluleke kakhulu ukuthetha malunga nento oyenzayo emva kwe-colonoscopy.
I-colonoscopy yinkqubo ebalulekileyo, kunye nayo yonke imvavanyo yokuhlola umhlaza, yinto ecacileyo ekunciphiseni umngcipheko wokufa ngumdlavuza wekoloni. Olu mngcipheko luphawulekayo, njengoko umdlavuza wekoloni yimbangela yesithathu yokubangela ukufa kwabantu abachaphazeleka ngumhlaza kumadoda nabasetyhini e-United States. Nangona kunjalo, nangona kuhlolwa kovavanyo, yinkqubo emele ilandelwe yithuba lokuphumla kunye nokuqwalasela ngokucophelela. Kwilizwe lethu elikhawulezayo, abaninzi abantu bangasebenzisa ixesha elifutshane ukuzithobela, kwaye oku kungaba yithuba lakho.
Makhe sihlolisise iisiseko ze-colonoscopy, uze uthethe ngendlela onokuzikhathalela ngayo (okanye othandekayo) emva kokuba inkqubo iphelile.
Ukuqonda iColonoscopy
I-colonoscopy ibandakanya ukungeniswa kwendawo eguquguqukayo kwi-canal yangaphambili kwi-rectum kunye ne-colon. I- colonoscope ivumela ukubonakaliswa kwesakhiwo sekolon kunye nokususwa kwayo nayiphi na ukukhula okukrokrelayo okungaphakamisa ukuphulwa kwesifo.
I-Colonoscopy ithathwa njengethuluzi eliqhelekileyo legolide lokujonga i-colon, ibhetele ngakumbi kune- sigmoidoscopy okanye i- enema ye-barium . Ngoxa iinkqubo ze-computer ze-tomography (CT) zivela njengendlela efanelekileyo yokufumanisa umdlavuza wombala; azinakulungele ukufumana izilonda eziplani okanye iipolisi.
Ngelixa abaninzi abantu abaya kuqhuba inkqubo baya kukhetha ukuba babe ne-anesthetized, i-kliniki enekhono inokuyenza enye ngaphandle kokudityaniswa ukuba umntu angathanda ukuphepha imiphumo emva kwe-anesthesia. (Okwangoku, ipesenti enye kuphela yeekolonoscopy zenziwa ngaphandle kokudalwa.)
E-United States, kucetyiswa ukuba bonke abantu abaneminyaka engama-50 ubudala okanye ngaphezulu bafumana i-colonoscopy yonke iminyaka eyi-10 ukukhangela umhlaza wokulala. Ubume bunokwenyuka kubantu abasengozini enkulu okanye abo baphethwe ngaphambili ngenxa yomhlaza wekoloni.
Iiyure ezingama-24 zokuqala ngokulandela iNkqubo
Emva kokuba inkqubo yekolonoscopic igqityiwe, kucetyiswa ukuba uhanjiswe ekhaya ngumhlobo okanye ilungu lentsapho. Ukuba unyukiselwe kwinkqubo (apho abantu abaninzi banakho), kunconywa ukuba unomntu onokuqala kwiiyure ezingama-24 emva kokuba ushiye ikliniki yokuphela kwe-endoscopy okanye esibhedlele.
Ukuba unesiqhwala, ugqirha wakho unokumisela amayeza ukuba ancede ekunciphiseni iimpawu.
Ngexesha lokuqala iiyure ezingama-24, kufuneka uhambelane nezi zikhokelo zilandelayo:
- Yeka ukuqhuba okanye ukuqhuba umatshini ogqithisayo kude kube ngumhla emva kwenkqubo yakho.
- Thatha nayiphina imithi yeentlungu okanye i-stool softeners njengoko kumiselweyo.
- Phuza ezininzi zotywala, kuquka i-juice ye-prune enokukunceda ukunciphisa izitulo.
- Gwema utywala kwiiyure ezingama-24 zokuqala.
- Yidla ukutya okuphezulu-fiber okanye usebenzise i-fiber-counter-counter-counter counter, xa kufuneka.
- Phumla kwaye ugweme nayiphina imithwalo enzima okanye umsebenzi okhuni.
- Qinisekisa ukuba unomntu onalo. Ukuba ungatshatanga, cela umhlobo okanye ilungu lentsapho ukuba bahlale ubusuku.
Ukuba uthatha i-aspirin yemihla ngemihla ukukhusela iingxaki zentliziyo, akudingeki ume.
I-aspirin ye-dose esezantsi ibonwa njengekhuselekile emva kwe-colonoscopy.
Nini ukubiza uDokotela wakho
Iingxaki aziqhelekanga, kodwa ziyakwenzeka. Shayela ugqirha okanye ikliniki ukuba unayo nayiphi na impawu ezilandelayo kwiiyure ezingama-24 zokuqala emva kwenkqubo yakho:
- Unobumba okanye umkhuhlane.
- Ufumana ukuphuma kwegciwane ngaphezu kwepunipoon.
- Uziva ukuvuvukala kwisayithi apho inaliti ye-IV ifakiwe.
- Ufumana ubuhlungu obukhulu besisu okanye ukubetha (ubuhlungu obukhulu okanye ukubhula kungalindeleka).
- Uyahlanza.
- Ujongene neentliziyo ezingenanto (i- arrhythmia ).
- Ukuba awuyi kuvakalelwa ngokufanelekileyo nasiphi na isizathu. Thembela intuition yakho, kwaye ukuba unomuvo wokuthi into ephosakeleyo, unganqikazi ukubiza.
Emva kweeyure ezingama-24 zokuqala
Ukuba ama-polyps asuswe ngexesha lakho le-colonoscopy, kuya kufuneka ukuba utshintshe imisebenzi yakho kwiintsuku ezisixhenxe ezizayo. Oku kuquka ukungaqhubeki, kungekhona ukuphakamisa nantoni na ngaphezu kwamakhilogremu amahlanu, ukuphepha ukuhamba okungadingekile, nokuyeka nayiphi na igazi elincinci elingaba thabatha (kodwa okokuqala, oku kufuneka kuxoxwe kunye nodokotela oye wachaza abagcini begazi, njengamanye amaxesha basebenzisa le i-colonoscopy iphakamisa umngcipheko wokungawasebenzisi). Ngamafutshane, qaphela kwaye uphathe umzimba wakho ngokuncinci.
Ukuba ufumana esinye sezibonakaliso ezilandelayo ngeveki yokuqala, biza ugqirha wakho ngokukhawuleza okanye uye kwindlu egxininisayo yokufutshane:
- Awunakukwazi ukunyakaza okanye ukuzula.
- Ngokukhawuleza unenkathazo yokuphefumla.
- Izihlalo zakho zimnyama okanye zigazi.
- Uhlanza lwakho lunalo igazi okanye libi kulo.
- Isisu sakho sithenda kwaye sinzima.
- Naliphi na iimpawu onayo zihamba phambili.
ILizwi Elivela Ekunyamekeleni Emva Kwakho Colonoscopy
EUnited States, nakwihlabathi lonke, sivame ukubona ixesha njengemali, kwaye sizitshintshele ekupheleni. Akunjalo kuthi nje, kubaqeshi baxabisa abasebenzi abenza njalo. Kodwa uthathe ixesha lokuphilisa-nangona i-colonoscopy yakho imvavanyo nje yokuhlola-iyimfuneko.
Ukuthatha ixesha lokucwangcisa, ukwenza i-prep for, kunye nokuhamba kunye ne-colonoscopy yakho ibonakala ngathi yinkathazo. Nangona kunjalo, kuzo zonke iimvavanyo zokuhlola izifo zomhlaza, le yinto enokuthi yenze umehluko kwimpilo yakho kunye nokuphila. Ii-colonoscopies zihlukile kwiimvavanyo zokuhlola i-cancer ukuba ziyakwazi ukuphumelela kokubanjwa kokuqala nokukhusela. Baya kuthatha umhlaza kwinqanaba eliphambili kunyango, ngaphambi kokuba ube neempawu. Kodwa nabo banokubaluleka kokuthintela umdlavuza ukuba i-polyp precancerous ifunyenwe kwaye isuswe ngaphambi kokuba ibe nomhlaza.
Ukwazi ukubaluleka kwesi sivivinyo, unetyala kuwe ukuba uthathe lula kwiintsuku ezimbalwa. Abantu abaninzi baxhomekeke kulolu vavanyo kwaye bagqiba ukuthabatha iintsuku ezininzi (ukuhlinzwa, i-chemotherapy, kunye nokunye) ukuba basinda. Yenza njalo. Yidla kakuhle. Lala kamnandi. Futhi ulinde uze uzive ulungele ukujongana nehlabathi kwakhona ngaphambi kokuphuma. Ufanelekile!
> Imithombo:
> Grossberg, L., Vodonos, A., Papmichael, K. et al. I-Predictors ye-Post-Colonoscopy yoNcedo oluSebenzayo lweSebe. Endoscopy yesisu . 2018. 87 (2): 517-525.e6.
> Ranasinghe, I., Parzynski, C., Searfoss. R. et al. Ukungafani kwiColonoscopy Quality Phakathi kwezixhobo: Ukuphuhliswa koMngcipheko we-Post-Colonoscopy-Imilinganiselo emiselweyo yeeNtengiso zeZibhedlele ezingabonwayo. Gastroenterology. Ja nuwari 2016; 150 (1): 103-113