Colonoscopy ya m'matumbo - zizindikiro, kukonzekera, khalidwe ndi njira zina

Colonoscopy ya m'matumbo ndi yotchuka kwambiri pakati pa akatswiri a zamatenda. Amagwiritsa ntchito njirayi pamene kuli kofunikira kudziwa bwino ndi kupereka mankhwala othandiza. Komabe, ziyenera kukonzedwa bwino, mwinamwake zotsatira sizidzakhala zolakwika.

Colonoscopy - kodi njirayi ndi yotani?

Imeneyi ndi njira yowonjezera. Amagwiritsidwa ntchito pozindikira kuti matendawa amatuluka m'mimba. Pa kafukufukuyu, chipangizo chapadera chimagwiritsidwa ntchito - colonoscope. Kunja kumafanana ndi kafukufuku wotalika. Chida ichi chiri ndi chojambula chowoneka ndi kamera yaing'ono ya kanema. Chida ichi chikuwonetsera chithunzi pazitsulo. Njira yokhayo ndi yosavuta, koma odwala akuyesera kupeza, colonoscopy - ndi chiyani. Chidwi chomwecho ndi choyenera, chifukwa aliyense ali ndi ufulu wodziwa zomwe zidzachitike ndi iye pa nthawiyi.

Colonoscopy ya matumbo imatsegula njira zotsatirazi kwa dokotala:

1. Pa kuyang'anitsitsa kwa maso adokotala amalingalira kuti pali kusintha kwa mazira ndi kutupa.
2. Panthawiyi, mukhoza kuchepetsa kukula kwa matumbo ndipo, ngati n'koyenera, yonjezerani dera linalake.
3. Kuyang'anitsitsa kumathandiza kumvetsetsa zovuta (kutsekemera, mitsempha, mitsempha yam'mimba, zilonda zam'mimba ndi zina zotero).
4. Potsatira ndondomekoyi, proctologist angatenge minofu ya kafukufuku wake.
5. Ngati kuwonedwa kowonetsa kumasonyeza kuti mkati mwake muli magazi, ndi colonoscopy ikhoza kuchotsedwa poyika malo okhudzidwawo kutentha.
6. Potsatira ndondomekoyi, mukhoza kutenga chithunzi cha chikhomo chamkati.
7. Colonoscopy ya m'matumbo ingaperekedwe ndi opaleshoni. Panthawiyi, chotupa chopezeka chikuchotsedwa.

Colonoscopy popanda anesthesia

Ngati ndondomekoyi imachitidwa popanda kupweteka kwa anesthesia, ikhoza kukhala yopweteka kwambiri. Chisokonezo choterechi nthawi zambiri chimaphatikizapo kutentha. Kupweteka kwambiri ndiko kwachidule: kumatha masekondi angapo. Zimapezeka pamene chida chikuyenda pamatumbo. Komabe, colonoscopy popanda anesthesia imasiyana ndi ululu wolekerera. M'matumbo mulibe mapeto a mitsempha, kotero zovuta zimakhala zolekerera. Kawirikawiri, kukula kwa ululu kumadalira chidziwitso cha zidziwitso ndi zina za thupi.

Colonoscopy pansi pa anesthesia

Kugwiritsidwa ntchito kungachitidwe pansi pa anesthesia. Njira zotsatirazi za anesthesia zilipo:

1. Colonoscopy mu maloto - panthawi ya opaleshoni, kugwiritsidwa ntchito kwachipatala kumagwiritsidwa ntchito (nthawi zambiri izi ndi mankhwala omwe ali ndi mphamvu zowonongeka). Wodwala wagona, choncho alibe zowawa.
2. Colonoscopy ya m'matumbo ndi anesthesia akumeneko - nsonga ya endoscope imakanizidwa ndi jekeseni wamagetsi . Zimakhala ndi zofewa zosavuta, zomwe zimapangitsa kuti zisamve bwino.
3. Colonoscopy, yomwe imagwiritsidwa ntchito pansi pa anesthesia - njirayi imapangidwira mu chipinda chogwiritsira ntchito. Panthaŵi imodzimodzimodzi ndi proctologist, katswiri wamagetsi amapezeka.

Colonoscopy pansi pa anesthesia kapena yopanda - zomwe ziri bwino?

Kawirikawiri odwala amakonda kusankha njirayo pogwiritsa ntchito mankhwala osokoneza bongo. Asanayambe kumupatsa dokotala mwatsatanetsatane akufotokozera zomwe colonoscopy mu loto - ubwino ndi zoipa za zomwe. Komabe, pali zifukwa zingapo zomwe njirayi iyenera kuchitidwa pansi pa anesthesia:

• kuchepa kwa magazi , chifukwa chake sichimveka bwino;
• kuchepa kwakukulu kulemera, kuphatikizapo kutopa mwamsanga ndi kuchepa kwa mphamvu;
• mpando wakuda ;
• kudzimbidwa kosatha;
• kukayezetsa odwala omwe ali ndi matenda oncology;
• gassing yowonjezereka;
• Kupenda ana mpaka zaka khumi ndi ziwiri.

Zowonjezera zomwe zimakhudza ngati anesthesia idzagwiritsidwa ntchito kapena ayi:

• zochitika za wotsiriza;
• kuleza mtima pambali;
• zamakono zamagwiritsidwe ntchito.

Zojambulajambula - zizindikiro

Njirayi imagwiritsidwa ntchito nthawi zambiri. Colonoscopy ya m'matumbo, kapena popanda manjenje, imachitika pazochitika izi:

• kupuma kwa pus kapena msuzi;
• kukhalapo kwa thupi lachilendo m'matumbo;
• ululu wokhumudwitsa m'mimba;
• hemoglobin yochepa, kuphatikizapo kuwonjezeka kwa kutentha kwa thupi;
• magazi m'mimba ;
• zovuta m'magazi (kutsegula m'mimba, kudzimbidwa).

Colonoscopy ya intestine yosatheka ikhozanso kuchitidwa. Kuchita izi kunkachitika ndi kukayikira matenda awa:

• Matenda a Crohn ;
• ulcerative colitis ;
• matenda opatsirana.

Komabe, pali zifukwa zingapo pamene colonoscopy siichita. Nazi zotsatira:

• umbilical kapena hernia inguinal;
• kutsika kwa magazi;
• peritonitis;
• mimba;
• mavuto omwe amagwirizanitsidwa ndi kutseka magazi;
• myocardial infarction;
• kuperewera kwa pulmonary;
• njira yotupa mu gawo lachimake;
• diverticulitis;
• khunyu;
• magazi aakulu m'mimba;
• zovuta kupweteka.

Colonoscopy ya m'matumbo - kukonzekera njirayi

Chotsatira chimadalira kulondola kwa ndondomekoyi. Kukonzekera kolonoscopy kumaimiridwa ndi ntchito zotsatirazi:

• zakudya;
• kuyeretsa matumbo .

Kudya Musanayambe Colonoscopy

Masiku ochepa musanayambe kutsogolo, muyenera kusinthana ndi chakudya chochepa. Ngati pali colonoscopy, mungadye chiyani:

• zitsamba zovuta;
• yogurt zachilengedwe popanda zowonjezera;
• nkhumba yochuluka;
• chophimba;
• chiti;
• osokoneza;
• broths;
• nkhaka;
• masamba;
• timadzi timadzi;
• tirigu okhala ndi fiber low;
• mkaka;
• kirimu wowawasa.

Kodi mungakonzekere bwanji colonoscopy: tsiku limodzi musanayambe ndondomeko yoyenera kupita ku "madzi". Zakudyazi ziyenera kukhala mbale:

• madzi;
• nkhuku msuzi;
• khofi kapena tiyi;
• amafotokoza juisi.

Ngati pali colonoscopy, kukonzekera kumaphatikizapo kukana chakudya, chomwe chimalimbikitsa kuphulika, kumveka komanso kumayambitsa kuyamwa. Izi ndizinthu zopangira chakudya:

• pasta;
• chakudya chamzitini;
• mtedza;
• mbewu;
• oatmeal;
• nyama yochuluka;
• nyemba;
• ndiwo zamasamba ndi zipatso;
• nthambi.

Kuyeretsa matumbo pamaso pa colonoscopy

Panthawiyi, wodwalayo akulamulidwa ndi mankhwala osokoneza bongo. Muyenera kuwatenga, kupereka molondola mlingo. Mankhwala oterewa nthawi zambiri amalembedwa:

1. Fortrans chisanafike colonoscopy - mankhwalawa amapezeka mu mawonekedwe a ufa. Anagulitsidwa m'matumba. Tengani ziyenera kukhazikitsidwa pa sachet imodzi ya makilogalamu 20 olemera. Nambala yofunikira ya matumba imathetsedwa mu malita atatu a madzi ozizira ozizira. Mankhwala othandizira mankhwalawa ayenera kutengedwa patsiku.
2. Lavakol - imapezeka ngati mtundu wa ufa. Zomwe zili mu sachet imodzi zimakhala zolemera makilogalamu 5. Phulusa liyenera kusungunuka mu 250 ml ya madzi. Muyenera kumwa zakumwa zam'madzi zonsezi mphindi 20.
3. Dufalac - 200 ml ya mankhwala osakanizidwa ndi 2 malita a madzi. Kumwa mankhwala ophera mankhwalawa ayenera kukhala maola angapo mutatha kudya.
4. Endofalk - imwani mankhwala nthawi yomweyo mutadya.
5. Flit Phospho-soda - 50ml yankho limatengedwa pa kapu ya madzi. Tengani mankhwala ophera mankhwalawa ayenera kukhala pambuyo pa kadzutsa ndi chakudya chamadzulo. Pakati pa tsiku ndikofunika kumwa madzi ambiri ndikudya msuzi.

Colonoscopy - chofunika kutenga ndi chiyani?

Kupita ku njira, odwala ayenera kukhala ndi zinthu zofanana. Kukonzekera kolonoscopy ya matumbo kumapereka kuti chipatala chiyenera kutenga nanu zotsatirazi:

• pepala;
• chithunzi;
• zolemba zachipatala;
• masokosi;
• zopukutira zaukhondo;
• pepala lachimbudzi;
• chovala choyera.

Kodi mungakonzekere bwanji colonoscopy pansi pa anesthesia?

Kuti ndondomekoyi ikhale yopanda mavuto, nkofunika kutsatira ndondomeko ya dokotalayo. Ngati colonoscopy ndi sedation ikukonzekera, muyenera kukonzekera kukonza. Zikuphatikizapo zotsatirazi:

• Kupereka mayeso opezeka m'magazi ndi minofu;
• kudziwika kwa mankhwala omwe amachititsa kuti awonongeke ndi mankhwala ena;
• CT;
• Ultrasound.

Kodi colonoscopy ikuchitanji?

Ndondomekoyi ikuchitika mu ofesi yapadera. Pazochitika zake, pasakhale alendo m'chipindamo. Colonoscopy ya m'matumbo ikuchitidwa motere:

1. Wodwala amagona pabedi kumanzere kwake ndipo amawerama mpaka kumimba.
2. Amaikidwa pamasikini okosijeni (ngati vutoli likuchitika mwachidziwitso cha anesthesia).
3. Dokotala akuyembekezera kuti anesthesia azigwira ntchito. Kenaka kafukufuku amaikidwa m'matumbo.
4. Chipangizocho chimaponyedwa mkati pang'onopang'ono. Chithunzi chikuwonetsedwa pazitsulo. Ngati panthawiyi mukufunika kutenga zida zogwiritsa ntchito kafukufuku wake ndikuchita opaleshoni, panthawi imeneyi zonsezi zimachitika.

Ndondomekoyi imakhala yosachepera 30 minutes. Ngakhale kudziwa momwe angakonzekerere colonoscopy ndipo ngati kugwiritsidwa ntchito kungapangidwe ndi katswiri wodziwa bwino kwambiri, palibe amene angakhale ndi mavuto. Nthawi zambiri zotsatirazi zimapezeka:

1. Kuthamanga kwa m'mimba khoma - vutoli limapezeka m "modzi mwa milandu 100. Mavuto amakula pamene pali zilonda za mucosa. Zikakhala zovuta zotero, opaleshoni imachitidwa kuti kubwezeretsanso malo owonongeka.
2. Pali magazi - pakali pano, amafuna cauterization ya matumbo kapena jekeseni adrenaline.
3. Ngati panthawi yomwe mankhwalawa amatengedwa kapena mapuloteni amachotsedwa, zimakhala zomvetsa chisoni. Anesthetics idzakuthandizani kulimbana nawo.

Nchiyani chimayambitsa Colonoscopy ya m'matumbo?

Njirayi ndi yofunika kwambiri. Nazi zomwe colonoscopy ikuwonetsa:

• mkhalidwe wa matumbo;
• kukhalapo kwa mawonekedwe;
• kupezeka kwa zinthu zakunja;
• kuganizira za magazi.

Colonoscopy - njira zina

Ndondomeko iyi silingaganizidwe kukhala yofunikira. Ngati colonoscopy sichitha kuchitidwa, njira ina ikuyimira ndi njira zoterezi:

1. Rectoromanoscopy - ankagwiritsidwa ntchito kuti azindikire matenda opatsirana. Chidachi chimayikidwa ku masentimita 30.
2. MRI ya m'matumbo - njira imeneyi nthawi zina amatchedwa "pafupifupi colonoscopy". Phunziroli, ntchito yojambulira yapadera imagwiritsidwa ntchito. Chida ichi chimakulolani kuti mujambula zithunzi za m'mimba ndikuwonetsera chithunzi chomwe chimakhalapo pazithunzi.
3. Irrigoscopy - chojambulira chosiyana chimayikidwa mu thupi la wodwala, kenaka ndi kuyesedwa kwa X-ray. Chosavuta cha njirayi ndi chakuti sichikhoza kuzindikira chotupa pachiyambi chake.
4. Ultrasound intestine - kafukufukuyu amadziwika ndi kupezeka kwake, kupweteka ndi chitetezo. Komabe, njirayi si yophunzitsa kwambiri. Pambuyo pozindikira kuti matendawa amatha, kafukufuku wambiri amaperekedwa.
5. Kapulonoscopy yamtunduwu - panthawiyi, wodwalayo amawombera mapulopsule. Amadutsa m'kati mwake, amachotsa zonse mkati, kenako amachotsedwa kumaliseche. Njira imeneyi imalingaliridwa, koma njirayi ndi yokwera mtengo.