Kodi dokotala wanu walamula kuti muyezedwe colonoscopy? Ndiye kuti mwina munauzidwapo za kukonzekera matumbo musanachite opaleshoniyi. Anthu ambiri amaona kuti izi n’zoopsa, zosasangalatsa, komanso zosasangalatsa. Koma kuchita bwino ndikofunikira kuti mayeso anu apambane. Pokhapokha ngati matumbo anu ali oyera bwino, dokotalayo adzatha kuona zonse bwino ndikukuuzani ngati pali vuto. Choncho tiyeni tikambirane momwe tingagonjetsere mantha anu ndikuchita bwino.
Kodi kukonzekera kwa Colonoscopy n'chiyani kwenikweni?
Mwachidule, kukonzekera colonoscopy ndi njira yochotseratu ndowe m'matumbo mwanu ndikutsuka ndowe zanu zonse. Taganizirani momwe zimakhalira zovuta kupeza ndowe yaying'ono pansi m'chipinda chodetsedwa. Mofananamo, ngati pali ndowe m'matumbo, dokotala sangaone bwino.
Ngakhale zinthu zazing'ono kwambiri monga kukula kwa maselo a khansa (Polyps) zitha kuphonya. "Polyps" zazing'ono izi zimatha kusanduka khansa ya m'matumbo pakapita nthawi. Chifukwa chake, ndikofunikira kuti makoma amkati mwa m'matumbo akhale oyera kwambiri, monga kujambula chithunzi chowoneka bwino ndi kamera. Ichi ndichifukwa chake timachita njira yotsukira m'matumbo iyi, kapena "Bowel Prep".
Kodi mu Bowel Prep Kit iyi muli chiyani?
Uwu ndi mankhwala oletsa ululu omwe nthawi zambiri mumalandira ngati madzi kapena mapiritsi. Muyenera kumwa usiku usanayesedwe. Muyenera kupita kuchimbudzi pafupipafupi mukatha kumwa. Pali mitundu ingapo ya mankhwalawa. Dokotala wanu adzakulemberani mankhwala omwe ndi abwino kwa inu.
Makiti a mankhwala awa ali ndi magawo awiri akuluakulu:
- Mankhwala oletsa ululu a Osmotic: Izi ndi zinthu zazikulu zomwe zimapangitsa kuti munthu apite kuchimbudzi. Izi ndi mankhwala omwe matumbo athu sangamwe. Chifukwa chake, matumbo amakoka madzi kuchokera m'thupi kupita okha. Madzi owonjezerawa amapangitsa ndowe kukhala zamadzimadzi kwambiri, zomwe zimawonjezera kuchuluka kwa matumbo. Izi zimapangitsa minofu ya m'matumbo kukhala yolimba, ndikukankhira chilichonse mkati mwachangu. Timachitcha ``(Peristalsis)```.
- Ma Electrolyte: Tangoganizirani zomwe zimachitika madzi ambiri akatuluka mwadzidzidzi m'thupi. Kusowa madzi m'thupi kungachitike. Komanso, pamodzi ndi madziwo, mchere wambiri wofunikira (monga sodium ndi potaziyamu) umatayika. Ngati mcherewu, kapena ma electrolyte, atha, zingayambitse mavuto aakulu azaumoyo. Pofuna kupewa izi, mankhwala oyeretsera m'mimba awa awonjezera ma electrolyte ofunikira.
Kodi mitundu ikuluikulu ya mankhwala oyeretsera m'mimba ndi iti?
Pali mitundu iwiri ikuluikulu ya mankhwala. Tiyeni tiyang'ane padera.
1. Mankhwala opangidwa ndi polima (Mafomula a PEG)
Izi ndi mitundu yomwe madokotala nthawi zambiri amalangiza. Chosakaniza chachikulu ndi polyethylene glycol 3350 , kapena mwachidule (PEG). Ichi ndi molekyulu yayikulu yomwe matumbo athu satenga. Izi nthawi zambiri zimakhala ngati ufa. Muyenera kuisungunula m'madzi ambiri (mwina malita 4) ndikumwa.
Mayina ena omwe ali pamsika:
- GoLYTELY
- CoLyte
- NuLYTELY
- TriLyte
- MiraLAX
- Mosalekeza
- GaviLyte
- Kukonzekera kwa Movi
| Zabwino | Zoyipa |
|---|---|
| Izi zimathandiza kwambiri poyeretsa matumbo. | Anthu ena amavutika kumwa madzi ambiri , monga malita 4. |
| Sichimayambitsa kuwonongeka kapena kusasangalala kulikonse m'makoma amkati mwa matumbo, zomwe zimapangitsa kuti chikhale chofewa kwa anthu omwe ali ndi matenda otupa m'matumbo (monga IBS). | Kukoma kwa mankhwala kungakhale kovuta kwa anthu ena kumeza. |
| Ndi yotetezeka kwambiri kwa anthu omwe ali ndi matenda a impso, chiwindi, kapena mtima, zomwe zikutanthauza kuti ali pachiwopsezo chachikulu cha kusowa madzi m'thupi komanso kusakwanira kwa mchere m'thupi. | Anthu ena sangamalize kumwa mowa wonse. Ngati izi zitachitika, mayesowo angafunike kuimitsidwa chifukwa m'mimba simudzakhala ndi madzi okwanira. |
Nkhani yabwino! Pali njira zatsopano zokuthandizani kupewa zovuta izi. Mankhwala ena amabwera ndi kukoma. Muthanso kuwonjezera ufa wokometsera womwe mungasankhe (wosafiira). Palinso mitundu yomwe imafuna madzi ochepa ndipo imaphatikizidwa ndi mankhwala ena otseketsa, monga MoviPrep, Halflytely.
2. Mafomula Ochokera ku Saline (NaP)
Izi makamaka zili ndi sodium phosphate (NaP) ndi mchere wina monga potaziyamu ndi magnesium. Ubwino waukulu wa izi ndikuti simuyenera kumwa zambiri chifukwa ndi zamadzimadzi, komanso zimapezeka mu mawonekedwe a mapiritsi . Koma izi sizoyenera aliyense.
Mayina ena omwe ali pamsika:
- Clenpiq
- Suprep
- Prepopik
- Visicol
- OsmoPrep
- SUTAB
| Zabwino | Zoyipa ndi Zoopsa |
|---|---|
| Ndi yabwino kwambiri kwa anthu omwe sakonda kumwa zakumwa zambiri. Anthu ena amakonda izi chifukwa zimatha kumwedwa ngati mapiritsi. | Mchere uwu ukhoza kuyambitsa kusasangalala m'mimba mwa anthu omwe ali ndi matenda otupa m'mimba. |
| Ngati malangizo atsatiridwa bwino, amagwira ntchito mofanana ndi ma PEG. | Pali chiopsezo chachikulu chokhudza kusinthasintha kwa mchere ndi madzi m'thupi. Michere ina ingachuluke m'thupi. |
Ndani ali pachiwopsezo cha mitundu iyi ya NaP?
Ngati muli ndi vuto lililonse kapena zinthu zomwe zili m'gulu lino, dokotala wanu angakulangizeni kuti mugwiritse ntchito PEG.
| Mikhalidwe ndi zinthu zoopsa zomwe mitundu ya NaP siilimbikitsidwa | |
|---|---|
| Matenda a impso `(Kulephera kwa impso)` | Matenda a chiwindi `(Kulephera kwa chiwindi)` |
| Kulephera kwa mtima / Myocardial infarction | Kusakhazikika kwa kugunda kwa mtima `(Arrhythmia)` |
| Matenda otupa m'matumbo | Mankhwala ena a kuthamanga kwa magazi (ACEIs ndi ARBs) |
| Matenda a shuga | Kukhala ndi zaka zoposa 65 |
| Kugwiritsa ntchito mankhwala ochepetsa ululu a NSAID (monga Aspirin, Ibuprofen) nthawi zonse | Kugwiritsa ntchito mankhwala ochepetsa mphamvu ya okodzetsa |
Kodi ndingasankhe bwanji kukonzekera bwino komwe kumandiyenera?
Izi zimadalira kwambiri thanzi lanu. Anthu ena angachite izi mosavuta. Ena angakhale ndi nkhawa yokhudza kumwa mankhwalawo, zotsatira zake, kapena ngati angayambitse mavuto chifukwa cha matenda ena omwe ali nawo. Dokotala wanu adzaganizira zonsezi ndikusankha mankhwala oyenera komanso otetezeka kwambiri kwa inu.
Chofunika kwambiri: Uzani dokotala wanu za matenda onse omwe muli nawo komanso mankhwala aliwonse omwe mumamwa (ngakhale mavitamini) osabisa chilichonse. Mwanjira imeneyi, iye angakupatseni njira yabwino kwambiri.
Mungakhale ndi mafunso ena angapo.
Kodi ndiyenera kuyamba kukonzekera maola angati ndisanachite colonoscopy?
Muyenera kuyamba kukonzekera izi masiku angapo pasadakhale. Izi zikutanthauza kulamulira zakudya zanu. Nthawi zambiri mudzapemphedwa kudya zakudya zopanda ulusi wambiri kwa masiku awiri kapena atatu musanayambe. Pa tsiku lomaliza, mudzaloledwa kudya zakudya zamadzimadzi zokha. Nthawi yoyambira kumwa mankhwala idzafotokozedwa momveka bwino m'malangizo omwe mudzapatsidwe. Nthawi zambiri amayamba madzulo kapena usiku mayeso asanachitike.
Kodi pamatenga nthawi yayitali bwanji kuti mimba iyambe kuyenda mutamwa mankhwalawa?
Zimadalira mtundu wa mankhwala omwe mumamwa. PEG imatha kuyamba kugwira ntchito mkati mwa ola limodzi kapena atatu. NaP imatha kutenga maola atatu kapena asanu ndi limodzi. Ngati muli ndi kudzimbidwa kwambiri, zingatenge nthawi yayitali. Ngati simukutuluka m'mimba ngakhale mutamwa mankhwalawo kwa nthawi yayitali, lankhulani ndi dokotala wanu.
Kodi ndiyenera kukhala m'bafa usiku wonse chifukwa cha izi?
Mwina ayi. Ngati muyamba kumwa mankhwala pa nthawi yake, anthu ambiri amatha kumaliza ulendowu wopita kuchimbudzi asanagone. Nthawi zina mankhwalawo amatha kugawidwa m'magulu awiri. Kenako mumatenga umodzi usiku ndi wina m'mawa wa mayeso. Mulimonsemo, mudzapeza zonse zomwe mukufuna kuti mugone.
Kodi mumatani ngati mukuyenerabe kupita kuchimbudzi panthawi yoyezetsa?
Ngati ndowe yanu ili yoyera ngati madzi (ngakhale kuti ikhoza kukhala yachikasu, koma ikuwoneka ngati madzi, ndipo palibe dothi), zikutanthauza kuti kukonzekera kwanu kwayenda bwino ndipo matumbo anu ndi oyera. Si nkhani yaikulu ngati muyenera kupita kuchimbudzi pang'ono pang'ono. Ngati mwayamba kukonzekera kwanu pa nthawi yake, mudzakhala mutasiya kupita kuchimbudzi mukafika kuchipatala. Ngati mukuda nkhawa ndi ngozi, mutha kugwiritsa ntchito chinthu chonga thewera la munthu wamkulu kuti akupatseni mtendere wamumtima.
Pa nthawiyi, imbani dokotala.
Pazochitika zotsatirazi, dziwitsani dokotala wanu kapena chipatala mwamsanga.
| Mwayi | Kufotokozera |
|---|---|
| Ngati mwaphonya malangizo | Ngati mwaiwala kusiya kudya panthawi yomwe mwakonza, kapena ngati mwachedwa kuyamba kumwa mankhwalawo. |
| Ngati mankhwalawo sakugwira ntchito | Ngati matumbo anu sanayambe kutuluka ngakhale mutatenga mankhwala kwa maola ambiri. |
| Ngati pali vuto lalikulu | Ngati muli ndi ululu waukulu m'mimba, kusanza kosalekeza, kapena simungathe kuchepetsa madzi m'thupi. |
| Ngati simungathe kumaliza mankhwala | Ngati mukumva kuti simungathe kumwa mankhwala onse chifukwa cha kusanza, nseru, kapena zifukwa zina. |
| Matenda adzidzidzi | Kuti mudziwe ngati mayeso ayenera kuchedwetsedwa ngati mutadwala matenda monga malungo kapena chimfine masiku angapo mayeso asanachitike. |
Mukudziwa kale kufunika kochita colonoscopy. Ndikofunikanso kutsatira malangizo a njira yoyeretsera matumbo iyi musanachite izi. Ngati simutero, simudzapindula mokwanira ndi mayeso anu. Mungafunike kuchitanso izi mobwerezabwereza. Chifukwa chake, ngakhale kuti ndi zovuta pang'ono, ndikofunikira kwambiri kuchita bwino.
Uthenga Wopita Nawo Kunyumba
- Kuti colonoscopy ipambane, kukonzekera bwino matumbo ndikofunikira.
- Uzani dokotala wanu za matenda anu onse ndi mankhwala omwe mumamwa kuti athe kusankha zida zokonzekera bwino kwambiri.
- Werengani malangizo a dokotala mosamala ndikuwatsatira bwino. Chitani chilichonse molondola, kuyambira pakuwongolera zakudya zanu mpaka nthawi yomwa mankhwala anu.
- Ngati mukukumana ndi mavuto aliwonse kapena kusasangalala kwambiri panthawi yokonzekera, musaope kulankhula ndi dokotala wanu.
- Kusasangalala kumeneku ndi kwa kanthawi kochepa. Koma mayesowa angakupulumutseni moyo. Chifukwa chake, ndikofunikira kwambiri kumaliza njira izi molondola.
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