Iimpawu ezibalulekileyo zokulungiselela iColonoscopy yakho
Ukuba unayo i-colonoscopy ehleliweyo, iofisi yakho yoogqirha mhlawumbi ikuxelele amanyathelo okuthatha ukuba ulungele. Makhe sijonge indlela ongayilungisa ngayo, izizathu zokucwangcisa phambili, kwaye ubuyekeze oko kufuneka uwazi ngaphambi kokuba uvavanyo olu luleke.
Ubaluleka beColonoscopy yakho
Isinyathelo sokuqala nesona sibalulekileyo ekukulungiseni i-colonoscopy yakho kukuqonda ukuba kutheni lo vavanyo lwenziwa kunye nokubaluleka kwalo ngokumalunga neminye imilinganiselo yempilo ongayithatha.
Ukuqonda oko i-colonoscopy inokuyithintela-kwaye ucinge ukuba kwenzeka ntoni ukuba unokwaluqaqa olu vavanyo ngokupheleleyo-lunokuba luncedo xa unomuva ongenakukhutshwa okanye ungakhathazeki malunga novavanyo lwakho oluzayo.
Ukuhlolwa kweekolonoscopies yenye yezona zizathu ezibalulekileyo zokuba ukufa kwabomdlavuza kuyahla. Nangona kubekho ukuphikisana ngokubaluleka kwemimmogram ekuhlolweni komhlaza wesifuba kunye novavanyo lwe-PSA ekuhlolweni komdlavuza wesifo somhlaza, akukho nto ingqubanayo malunga ne-colonoscopies ekunciphiseni ukufa kwe-colon yomdlavuza. Ubungqina bokuba benza ulwahluko-ukuba banciphise umngcipheko wokuba umntu uya kufa ngumdlavuza wekolon-unamandla.
Kucingelwa ukuba ukuba wonke umntu ohlangabezana nemigaqo ye-colonoscopy yenze le nqubo, sinokunciphisa izinga lokufa kumdlavuza wekolon e-United States ngamaphesenti angama-60. Umdlavuza weColon okwangoku ngowesihlandlo sesithathu sesifo sokufa komhlaza kumadoda kunye nabasetyhini.
I-Colonoscopy kunye neColon Prevention Prevention - UkuQaphela kwangaphambili nokuKhusela
Omnye umehluko obaluleke kakhulu phakathi kokuhlola i-colonoscopies, kwaye, bathi, izilwanyana okanye iimvavanyo ze-PSA kukuba ii-colonoscopies zinokuthi zithintele umhlaza.
Njengemimmogram kunye ne-PSA, iikholoncopies zidlala indima ekufumaneni kwangaphambili . I-colonoscopy inokufumana i-cancer eyokuqala kwiindlela eziphathekayo zesifo, kwaye ngokwenza njalo, ukuphucula izinga lokuphila komdlavuza we-colon .
Nangona kunjalo iikhooloncopies zahluke ngendlela ebalulekileyo. Basenokusebenza nokukhusela ukuphuhliswa komhlaza kwindawo yokuqala. Ukuba ama- polyps , okanye ii-polyps ezingenakuqhaqha, ziyakususwa ngexesha le-colonoscopy. (Qaphela: akuzona zonke iipolisi ezikhokelela kumdlavuza wekolon.)
Ngoko i-colonoscopies idlala indima ephindwe kabini ekunciphiseni ukufa kwe-colon yomhlaza; banokukunceda ekutholeni kwangaphambili kodwa banokusebenza njengendlela yokukhusela okuphambili.
Xa Ufanele Unayo I-Colonoscopy (kwaye nini Ufuna Ngaphezulu?)
Ngoko ke inyathelo elibaluleke kakhulu kukuthatha isigqibo sokuba kufuneka ulandele izikhokelo kwaye ube ne-colonoscopy eyenziwa.
Kubalulekile ukuba uqaphele ukuba izikhokelo zokuhlola i-colon yomhlaza zenzelwe uluntu ngokusekelwe kumngcipheko ophakathi. Ukuba unomdla weentsapho zomdlavuza wekoloni okanye nayiphi enye ingozi yomdlavuza wekoloni , unokufuna ukuba ne-colonoscopy ekuncinci, okanye ukuba le mvavanyo iyenze kaninzi.
Kwakhona kubalulekile ukuba uqaphele ukuba iikholoncopies ze-colon cancer screening zenzelwe abantu abangenazo iimpawu; "azinqabile." Ukuba unayo nayiphi na impawu yomdlavuza wekolon , njengentlungu yesisu, igazi kwisigodlo sakho, okanye uvelise i- anemia engachazwanga , okanye ukulahleka kwegazi , ungafuna iimvavanyo ngaphezu kwe-colonoscopy.
I-colonoscopy-ene-prp eyanele-ilungile ekufumaneni izilonda zamakholoni. Sekunjalo i-colonoscopy ingaphuthelwa izilonda kwaye inganiki naluphi na ulwazi malunga nesisu sakho esiswini, isisu, i-pancreas, isibindi, okanye ezinye izitho esiswini sakho.
I-Colonoscopy Fact and Fiction
Ngoku sifike kwisinyathelo esinzima kakhulu-ukuhlela inkqubo. Ngelishwa, abantu abaninzi banamathela kule nyathelo. Thatha umzuzwana ukuba ufunde ngezinye zeengcali kunye neengxelo kunye neengcamango malunga neekolonoscopies ukuze ukwazi ukudlula ezinye zezi ntswelo.
Ukucwangcisa iColonsocopy yakho
Isinyathelo sesibini esibalulekileyo-emva kokuqonda ukuba kutheni unayo i-colonoscopy-kukucwangcisa ukuqeshwa.
Ukuba uzama ukufumanisa ukuba ulungele i-colonoscopy kwishedyuli yakho, ibinzana elithi "yenze nje" lifanelekileyo. Abantu abaninzi baphela phambili kwi-colonoscopy (kwaye ngamanye amaxesha bayazisola ngesigqibo) kuba bachitha ixesha elide bezama ukufumana ixesha elifanelekileyo lokwenza. Ukuba oku kuzwakala ngathi, yenza phambili kwaye uyiqulunqe, kwaye ukhathazeke malunga neenkcukacha kamva.
Ukuba, ngokuchaseneyo, ukuba uqinisekile ukuba ufuna ukuba ne-colonoscopy kungekudala kwaye akuyi kuba mngcipheko wokuyiyeka, kunokukunceda ukucwangcisa inkqubo ngexesha elifanelekileyo. Abantu abaninzi banqwenela ukucwangcisa uvavanyo lwabo ngoLwesihlanu, bazinike ngeveki ukuze baphinde bafumane xa kufuneka. Uninzi lwabantu luziva lukulungele ukubuyela emsebenzini ngosuku olulandelayo kwaye akukho miphumo emva kwayo, kodwa abanye abantu baneenguqu zentsholongwane ezidlulileyo iintsuku ezimbalwa. Ukuba ucwangcisa uvavanyo ngexesha elihle (kungekhona usuku ngaphambi kokuya eholide ukuya eparadesi) uya kuba nexhala lokuba inkolonoscopy yakho iya kuphazamisa ubomi bakho. Kwiindawo zethu ezixakekileyo, wonke amathuba okunciphisa uxinzelelo axabiseke!
Ukuqonda iingozi kunye neengxaki
Emva kokuba unikwe i-colonoscopy yakho ehleliweyo-kuba oku mhlawumbi isinyathelo esinzima-kuthathe ixesha lokufunda ngakumbi malunga nenkqubo kwaye ukhumbuze ngezibonelelo. Njengoko nayiphi na inqubo, kukho izinto ezinokuthi zenzeke ngezinye izihlandlo. Thatha ixesha lokuba uqonde ngokupheleleyo iingozi kunye neengxaki ezinokwenzeka ze-colonoscopy .
Kwiiveki phambi kweColonoscopy yakho
Ukuba uthatha nayiphina imishanguzo enokusigaqa igazi lakho, ugqirha wakho unokucela ukuba unqande oku phambi kwekholonoscopy yakho. Oku akunjalo ngaso sonke isikhathi (umzekelo, ukuba unesifo senhliziyo sakho isifo se-cardiologist sisenokufuna ukuba uthathe i-aspirin yakho.) Thetha ugqirha wakho uze ufumane oko kufuneka uyenze ngaphambi kwexesha. Amanye amayeza kufuneka anqunywe ixesha elide kwiiveki ezimbini ngaphambi kokuba wenze inkqubo yakho. Gcina ukhumbule ukuba oku kubandakanya ukulungiswa kwamanqaku angaphezulu kunye nokulungiselela izityalo. I-Aspirin kunye ne-non-steroidal anti-inflammatory medication efana ne-Advil (ibuprofen) inokwandisa ukuphuma kwegazi kwaye kufuneka igwenywe ngaphandle kokuba ugqirha wakho ekholelwa ukuba izibonelelo zala mayeza zigqithise naluphi na umngcipheko wegazi. Kukho amalungiselelo amaninzi emfuyo kunye nezongezelelo zokutya ezinokunyusa igazi.
Kwiintsuku Zingaphambi Kwakho Colonoscopy
Ugqirha wakho uya kuncoma ukutya okuthile ngaphambi kokuba wenze inkqubo yakho. Oku kungayenza iintsuku eziliqela ngaphambi kwexesha. Qinisekisa ukuba ulandele ezi ngcebiso ngokukhawuleza, uthethe ugqirha ukuba uya kuba nobunzima, umzekelo, ukuba unesifo sikashukela.
IColonoscopy "Prep" - Ukucoca iColon yakho
Ooogqirha bakho baya kuthumela ulwazi olubhaliweyo oluchaza ukulungiswa kwe-colonoscopy ngokubanzi. Kubalulekile ukufunda le nkcazelo ngokucokisekileyo, njengoko uphando lusitsho ukuba abantu abaninzi abayilungiswanga kakuhle. Ukuze ukwazi ukubonela ngokwaneleyo ikholoni yakho ngokubanzi, zonke izitoli kufuneka zipheliswe.
I-colonoscopy prep idla ngokwenziwa ngokuhlanganisana:
- Izigulane - Izibhengezo zisebenza ngokukhuthaza ukufuduka kwebilini. Izinketho ezininzi zikhoyo , ezifana nesisombululo sokuhamba, isisombululo se-TriLyte, kunye nezinye ezininzi. Ukhetho phakathi kwezi zonyango luyahluka phakathi kwamagqirha ahlukeneyo kwaye kukho iingenelo kunye nokuphazamiseka ngamnye. Kwabo asebekhulile okanye banezinye iimeko zonyango, bacinga ukuba ukulungiselela i-ethylene glycol inokukhuseleka. Ngokwahlukileyo, izisombululo ze-sodium i-phosphate kufuneka zikhutshwe kubantu asebekhulile okanye abantu abaneemeko ezibalulekileyo zonyango, ngenxa yemiphumo yezicombululo ezintso.
- I-Enemas - I-enema ibandakanya ukusungulwa kwe-liquid ngokusebenzisa i-anus yakho kunye nomathumbu wakho omkhulu. Umbane ugcinwa kancinci uze udlule. I-Enemas inokusebenza kakhulu ekunciphiseni umlinganiselo wefecal kwikholoni. Imiphumo emihle eyenzekayo ye-enemas ibandakanya hyponatremia (izinga eliphantsi le-sodium egazini) nezinye izinto eziphazamisayo.
- Ukuzila ukudla (ukungadli) - Kwakhona, qi ni sekise ukulandela oogqirha bakho iingcebiso malunga nokutya ngaphambi kokuba wenze inkqubo yakho.
- Unyango oluthuthukileyo - Uncedo olunokuthi lunokucetyiswa ukuba luncitshiswe ukungonakali kokukhutshwa kwamathumba. Ezi zibandakanya i-Reglan ukunciphisa isicupunu kunye nokuguquka, kunye ne-Mylicon okanye i-Mylanta (ukunciphisa igesi ukwenzela ukuba izinto zihamba ngokukhululekile kwiibilini zakho.)
Oogqirha abenza iikholonikopi ezahlukeneyo malunga nekolon "prep" bacebisa, kodwa injongo inye. Ikholoni yakho idinga ukucocwa ngokwaneleyo ukuze ibone nayiphi na indawo engabangela ingxaki kwikamva lakho. Ekubeni i-colonoscopies ichanekile ngakumbi kunye ne-prep efanelekileyo, kwaye abantu bahlala becinga ukuba i-prep iyona nto eyona nto ibaluleke kakhulu kwi-colonoscopy, ihlawulela ukuqinisekisa ukuba u-prep wakho unelungelo lokuqala. Kude kaninzi le nkqubo ifuna ukuhlaziywa emva kokucwangcisa okungcono, ukubeka uxhalaba lokuhlela nokulungiselela okwesibini.
Njengomnye umbonisi, funda malunga noko ungayenza ngexesha lakho le-colonoscopy prep .
Ubusuku Ngaphambi Kwakho Colonoscopy
Uninzi lwexesha uya kucelwa ukuba ubaleke ukutya okanye uphuze emva kobusuku bobusuku kwenkqubo yakho. Ukuba uthatha nawaphi na amayeza, qiniseka ukuthetha nodokotela wakho. Ngokuqhelekileyo, abantu baxelelwa ukuba bathathe amayeza abo rhoqo phambi koo busuku nangomhla wenkqubo nge-sips encinci yamanzi.
Uya Kufuna Umqhubi kunye no "Babysitter"
I-anesthesia esetyenziswa rhoqo kwi-colonoscopy ibhekiselwa kunonophelo lokunyamekela i-anesthesia, i-sedation, okanye " ukulala kwelanga ." Unokulala ngokusebenzisa inkqubo okanye unokuvuka kodwa ungakhathazeki malunga noko kwenzekayo. Ekubeni i-anesthesia ingakwazi ukuhlala kwisistim sakho ixesha elithile, kuya kufuneka ukuba ube nomqhubi ukuba akuyise ekhaya. Ukuba uhlala wodwa, kuya kufuneka ukuba uceba umntu ukuba ahlale nawe iiyure ezingama-24 emva kwenkqubo.
Inkqubo yeColonoscopy
Thatha amaxesha ambalwa ngaphambi kwexesha ufunde malunga nento eyenzeka ngexesha le-colonoscopy .
Emva kweColonoscopy yakho
Njengoko kuphawuliwe ngasentla, emva kwekholonoscopy yakho uza kufuna umntu ukuba akuqhube ekhaya aze ahlale nawe iiyure eziyi-24. Uninzi ngokuphindaphindiweyo ungabuyela ekudleni ukutya okuqhelekileyo. Ngenxa yempembelelo ye-anesthesia, amaninzi amanqaku ancoma ukuba baphephe ukusela utywala ngeeyure ezingama-24 zokuqala. Ukuba ungenayo i-polyp ukususwa, unakho ukuqhuba imisebenzi eqhelekileyo ngelo xesha.
Ukuba unesipolisi isuswe, ugqirha wakho uya kuncoma ukuba ukhawuleze imisebenzi yakho ngeveki ezayo. Ngeli xesha ufanele uphephe ukuzivocavoca, ukuphakamisa izinto ezinzima kunye nokuhamba.
Iingxaki aziqhelekanga, kodwa kufuneka ugqirha ugqirha wakho ukuba uhlakulele umkhuhlane, ulungelelanise ukuqhaqha kwesisu esiswini kunye nentlungu (mhlawumbi ukuphazamiseka kunye nokuqhaqhaqhaqhelo kuyinto evamile), okanye ukuba unayo igazi (ngaphezulu kweetapuni enye.)
Ngaphantsi kwindlela yokulungiselela iColonoscopy yakho
Ukuba ulungiselele i-colonoscopy yakho, kufuneka uvuyiswe. Ukuthatha ixesha lokwenza le nkqubo ngenye yeendlela ezilula (ngokuhambelana nezifundo ezinzulu) ukunciphisa umngcipheko wokufa ngumhlaza. Ekubeni umdlavuza wekolon udla ixesha elikhokelayo (lithatha ukusuka kutshintsho olungaqhelekanga ukuya kwii-polyps ezinqabileyo kunye nomhlaza) ngenye yezinto ezinomdlavuza ezincinci ezinokubanjwa kwangaphambili okanye ukuthintela ngokupheleleyo nangona inkqubo yokuhlola.
Oko kwathiwa, i-colonoscopies ayikho inkohliso ngokupheleleyo. Ukuba unayo okanye uqhubeka unayo nayiphi na impawu yomhlaza wekolon, qiniseka ukuba uthetha ugqirha wakho nokuba unayo "i-colonoscopy" eqhelekileyo. Iimpawu zindlela umzimba wethu usitshela ngayo ukuba into ephosakeleyo. Buza imibuzo uze ufumane impendulo.
Ukulungiswa kwe-colonoscopy yakho inokubonakala ngathi intlungu, kodwa sifunda ngakumbi nangakumbi ukuba ukuphazamiseka kwenkqubo kulungele ukungahambi kakuhle kwexesha elide kunye nenkqubo ngokukhawuleza. Thatha isikhashana ukujonga phezu kwezi ngcebiso kunye neendlela zokulungiselela ukulungiswa kwamakholoniko kulabo baye belapho.
Imithombo:
Ho, S., Hovesepians, R., no S. Gupta. Ukulungelelaniswa kweBlue Cleaning for Colonoscopy kwiMguli ekhulile. Iziyobisi kunye nokuguga . 2017. 34 (3): 163-172.
Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Iinqununu zeHarrison zeMithi yoPhakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
Kurlander, J., Sondhi, A., Walijee, A., Menees, S., Connell, C., Schoenfeld, P., noS S. Saini. I-Efficacious Ingenelelo loLuntu lweMpilo yokuPhucula ukuThuthukiswa kweBilung Preparation for Colonoscopy? Uhlolo lokuHlola. PLoS One . 2016. 11 (10): e0164442.
Liu, Z., Zhang, M., Li, Y., Li, L., kunye noY. Li. Imfundo ephuculweyo yokulungiselela izilwanyana phambi kweColonoscopy: Ukuhlolwa kobuGcisa boMbuso. I-Journal of Digestive Diseases . 2017 Jan 9. (Epub ngaphambi kokuprinta).