Iingozi zeColonoscopy ziquka ukuPhuthuka, ukuSawula, kunye noGawulayo
Ngokubanzi, i-colonoscopy ngumvavanyo okhuselekileyo, kwaye ukuxhalabisa malunga neengxaki aziqhelekanga isizathu esivakalayo sokumisa okanye ukuphepha konke. Nangona kunjalo, njengoko kukho nayiphi na inkqubo yonyango, iingxaki zinokwenzeka (nangona zinqabile). Izifundo ziqikelela ukuba umngcipheko jikelele weengxaki ze-colonoscopy eziqhelekileyo ziphantsi kakhulu, malunga nama-0.35 ekhulwini.
Ngethuba le-colonoscopies apho i- polypectomy isuswe khona (i- polypectomy ), umngcipheko weengxaki ziye zaboniswa ukuba ziphezulu, nangona kunjalo zingavamile, zifikelela kuma-2.3 ekhulwini. Ngokwahlukileyo, umngcipheko wobomi wokuhlakulela umdlavuza wekoloni ngowama-6 ekhulwini. Ukuyibeka ngokucacileyo: umngcipheko omyinge womntu wokwakha umdlavuza wekolon uphezulu kunokuba ube neengxaki emva kwe-colonoscopy.
Ezinye zeengxaki ezinokuthi zenzeke ngexesha le-colonoscopy ziquka ukugqithwa (umgodi emathunjini), ukuphuma kwegazi, i-postpolypectomy syndrome, ukuphendulela kwi-anesthetic, kunye nosulelo.
Injongo yale nqaku kukufundisa izigulane malunga nazo zonke iinkalo ze-colonoscopy, ezibandakanya ubuninzi beengozi. Inani elincinci lomngcipheko kufuneka liqiniseke, ngokukodwa ngokubaluleka kwalolu vavanyo lokuhlola nokubaluleka kwalo ekufumaneni nasekukhuseleni umdlavuza omnyama. Ukuba i-colonoscopy iyadingeka, ubunobungozi obuchazwe apha akufanelekanga, ubuncinci, bube ngumqobo, kodwa kufuneka banike izigulane zithembele malunga nokukhuseleko kwenkqubo.
Ukulungelelaniswa kwamaColonoscopy
Ngaphambi kokuba i-colonoscopy, kubalulekile ukuhlambulula intlungu ngokufanelekileyo ukwenzela ukuba ugqirha owenza uvavanyo angadlulisa izixhobo ngokusebenzisa ikholoni aze akhangele kakuhle eludongeni lwekoloni. Oku kuthetha ukukhupha i-colon yesitulo, kwaye yenziwe ngeendlela ezahlukeneyo ngosuku okanye ezimbini phambi kovavanyo.
Iingxaki ngexesha lokulungiselela i-colonoscopy aziqhelekanga, kodwa zinokuthi zenzeke, ingakumbi kwizigulane ezisebekhulile, okanye kulabo abane-heart failure congestive.
Umngcipheko wokuPhelelwa
I-perforation iyisiqholo okanye umgodi emathunjini. Ngethuba le-colonoscopy, ugqirha unokususa nayiphi na iipolisi (ezingaphandle kwindonga yamakoloni) ezifunyenweyo. Umngcipheko wokugqithisa uphantsi kakhulu emva kwe-colonoscopy ekungekho iipolisi ezisuswe, kwaye iphezulu nje emva kwe-colonoscopy apho i-polyp isuswa khona. I-perforation iyakwenzeka ukuba isixhobo siphume umgca obuncinci eludongeni lwekolon, okanye ukuba umoya ungeniswe kwikolon ngexesha lokuvavanya kubangele ukuhamba.
Impembelelo enkulu, ebonakalayo yimeko engxamisekileyo kwaye iphathwe ngophengululo ukuvala ukulila. Kwezinye iimeko kunye neenyembezi ezincinci ezitholakale kusenokwenzeka, utyando lungafanelekanga, kwaye ukugqithwa kungaphathwa ngokuphumla kwesibilini, i-antibiotics kunye nokujonga ngokucophelela.
Mngcipheko wokuhlamba
Ukuhlamba kwenzeka ngo-1 kwiyonke i-colonoscopy inkqubo. Ukuphuma kwamanzi kungaphathwa ngexesha lovavanyo, kodwa kwiimeko ezininzi, ukuphuma kwamanzi kuya kuhamba. Xa i-polyp isuswa, kukho i-30 ukuya kuma-50 ekhulwini ithuba lokuba igazi liya kwenzeka naphantsi kweentsuku ezi-2 ukuya kwezi-7 emva kwe-colonoscopy.
Olu hlobo lokuphaphaza lungaphinde luhambe, kodwa luya kufuna unyango xa luba lukhulu.
Postpolypectomy Syndrome
Esi sisifo esenza ngenxa yokutshiswa kwindonga yesilonda ngexesha lokususwa kwe-polyp. Njengendlela yokusabela kwi-polypectomy, naphi na kwiiyure eziyi-12 ukuya kwiintsuku ezimbalwa emva koko, isigulane senza umkhuhlane, intlungu yesisu, kunye ne- white white cell count count after colonoscopy. Umngcipheko we-postpolypectomy syndrome emva kwe-colonoscopy ngexesha i-polypectomy eyenziwe yinto ephantsi kakhulu. Unyango lunokubandakanya ukuphumla, i-intravenous fluids kunye neyeza-antibiotics.
Iimiphumo ezivela kwiiAnesthetic Medication
Amachiza e-Sedation, ahlala athi "ukulala kwelanga," anikezwa ngexesha le-colonoscopy ukwenzela ukuba izigulane zikhulule ngakumbi.
Kukho iingozi, ezinjengeempembelelo ezithintekayo okanye iingxaki zokuphefumula, naziphi na izilwanyana zinikezelwa kwinkqubo. Ngethuba le-colonoscopy, kukho umngcipheko omncinci wempembelelo enzulu kwimithi. Ezinye izingozi ezisuka kwiidalatives ziquka ukuphendula kwisayithi yokujova, isisongela, ukuhlanza nokuxinzelelo lwegazi.
Umngcipheko weNtsholongwane
Usulelo emva kokuba i-colonoscopy inqabile kakhulu. Usulelo luyakwazi ukudluliselwa phakathi kwezigulane ukuba i-endoscope ayihlambulukanga kwaye inanyanzeliswe kakuhle phakathi kweemvavanyo. Umngcipheko wokwenzeka oku, nangona kunjalo, uphantsi kakhulu.
ILizwi
I-colonoscopy yinkqubo ekhuselekileyo. Indlela engcono yokufumana ukuba ingozi yintoni ukuxoxa ngayo nodokotela owenza uvavanyo. Kwiimeko ezininzi, ngokukodwa xa i-colonoscopy eyenziwa ukukhangela umdlavuza wekolon, ingozi iyaphantsi komngcipheko wokuba nomhlaza. Iingozi asiyiyo isizathu sokuphepha ukuba ne-colonoscopy. Izigulane zinelungelo lokubuza malunga neengozi ze-colonoscopy kunye nokulungiswa: iimpendulo kufuneka ziqiniseke.
Imithombo:
Arora G, Mannalithara A, Singh G, Gerson LB, Triadafilopoulos G. "Ingozi yokuguqulwa kwi-colonoscopy kubantu abadala: isifundo esiphezulu sabantu ." I- Gastrointest Endosc Mar 2009.
ESEBENZINI. "Iingxaki zeColonoscopy." Umbutho waseMerika wezoNgcwaba ze-Endoscopy 2006.
> IiReumkens A, uRondagh EJ, iBakker CM, et al. Iingxaki zePost-Colonoscopy: UkuHlola okuSingqinisisiweyo, imiSebenzi yexesha, kunye ne-Meta-Analysis of Studies Based Based Studies. " U-J Gastroentero l. 2016 Juni 14.
Wayne JD. I-Postpolypectomy electrocoagulation syndrome.