Kodi mwakonzekera mayeso apadera azachipatala, monga colonoscopy? Ngati ndi choncho, dokotala wanu mwina anakuuzani kuti mukonzekere matumbo musanayesedwe. Chifukwa chake mwina mukudabwa momwe mungagwiritsire ntchito mankhwala omwe aperekedwa. Musadandaule, tisunga izi mosavuta.
Kodi chida ichi cha mankhwala ndi chiyani? Chimagwira ntchito bwanji kwenikweni?
Mwachidule, uwu ndi mankhwala apadera omwe amagwiritsidwa ntchito kutulutsa ndi kuyeretsa matumbo anu onse. Pakafukufuku wachipatala, makamaka colonoscopy, komwe kamera imagwiritsidwa ntchito pofufuza matumbo, mkati mwa matumbo muyenera kuwoneka bwino. Umu ndi momwe mankhwalawa amagwiritsidwira ntchito. Awa ndi a gulu la mankhwala otseketsa ( mankhwala otseketsa ).
Bokosi la mankhwala ili nthawi zambiri limakhala ndi zinthu zitatu zazikulu:
- Polyethylene Glycol: Izi zimagwira ntchito pokoka madzi m'matumbo, zomwe zimapangitsa kuti ndowe ikhale yofewa komanso yosavuta kudutsa.
- Bisacodyl: Imabwera ngati mapiritsi. Imalimbitsa minofu m'matumbo ndikufulumizitsa kutuluka kwa ndowe.
- Ma Electrolyte: Izi ndizofunikira kwambiri. Mukapitiriza kudya, ma electrolyte m'thupi lanu amatha kuchepa, zomwe zimapangitsa kuti thupi lisamathe madzi m'thupi. Popeza mankhwalawa ali ndi ma electrolyte, ndi othandiza kwambiri pakusunga bwino ma electrolyte m'thupi.
Zinthu zoti muuze dokotala wanu musanagwiritse ntchito mankhwalawa
Musanamwe mankhwalawa, ndikofunikira kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwatchula izi makamaka:
- Ngati muli ndi matenda osatha a m'mimba, matumbo, kapena pakhosi.
- Ngati muli ndi vuto lililonse la impso .
- Ngati muli ndi vuto monga kuvutika m'mimba, kudzimbidwa, kapena kutsekeka kwa matumbo .
- Ngati munakhalapo ndi vuto la ziwengo ndi chilichonse mwa zosakaniza zomwe zili mu mankhwalawa (polyethylene glycol, bisacodyl), mankhwala ena, chakudya, kapena utoto.
- Ngati muli ndi pakati, kapena mukuyembekezera mwana .
- Ngati ndinu mayi woyamwitsa .
Kupereka chidziwitsochi kwa dokotala wanu kudzamuthandiza kusankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi, komanso kudzamuthandiza kukupatsani upangiri wofunikira wa momwe mungagwiritsire ntchito mosamala.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Iyi ndi gawo lofunika kwambiri. Ndikofunikira kwambiri kutsatira malangizo a dokotala molondola . Izi ndi njira zoyenera kutsatira.
1. Zakudya zapadera: Mudzauzidwa kuti mutsatire zakudya zapadera tsiku limodzi kapena awiri musanayesedwe. Mungauzidwe kuti mumamwe zakumwa zokha kapena kupewa zakudya zina. Tsatirani malangizo awa mosamala.
2. Kumwa piritsi: Mezani piritsi la Bisacodyl mu kabati yonse ya mankhwala ndi kapu ya madzi monga momwe dokotala wanu wanenera. Musamatafune, kuphwanya, kapena kuswa piritsi ili.
3. Konzani madzi: Sakanizani paketi ya ufa m'bokosi ndi kuchuluka kwa madzi komwe kwatchulidwa ndipo sakanizani bwino. Musawonjezere china chilichonse (monga shuga, zotsekemera). Ngati mukufuna kuti kukoma kukhale bwino, mutha kuyika madzi okonzedwa mufiriji ndikusiya kuti azizire pang'ono musanamwe.
4. Imwani madzi: Yambani kumwa madzi okonzedwa awa pang'onopang'ono kuyambira nthawi yomwe dokotala wanu wakuuzani. Nthawi zambiri, mudzauzidwa kuti mumwe nthawi ndi nthawi, monga galasi ola lililonse.
5. Zoyenera kuyembekezera: Muyenera kupita kuchimbudzi koyamba pasanathe ola limodzi kapena maola angapo mutamwa mapiritsi. Mukayamba kumwa madziwo, mudzayamba kuchita matumbo pafupipafupi komanso odzaza ndi madzi. Izi ndi zomwe zimayembekezeredwa. Umu ndi momwe matumbo amayeretsedwera. Choncho musadandaule nazo.
Nanga bwanji ngati mwangozi ndamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo. Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zina zofunika kusamala nazo mukamamwa mankhwalawa
- Mankhwala ena: Musamwe mankhwala ena aliwonse pakamwa kwa ola limodzi musanayambe kumwa mapiritsi oyeretsera m'mimba. Lankhulani ndi dokotala wanu za nthawi yomwe muyenera kumwa mankhwala anu a kuthamanga kwa magazi ndi matenda a shuga, ndipo funsani upangiri pasadakhale.
- Mkaka ndi Mankhwala Oletsa Asidi: Pewani zakudya za mkaka monga mkaka, yogati, ndi mkaka wopanda mafuta ola limodzi musanayambe kumwa bisacodyl komanso ola limodzi mutatha kumwa. Komanso, pewani mankhwala oletsa asidi omwe amagwiritsidwa ntchito pochiza gastritis. Izi zitha kuwononga chophimba choteteza cha piritsi ndikuwonjezera kupweteka m'mimba.
- Kutupa: Mungamve kutupa pang'ono mukamwa madziwo. Ngati mukumva kusasangalala kumeneku, siyani kumwa madziwo kwakanthawi. Kapena, chepetsani kuchuluka kwa madzi omwe mumamwa nthawi imodzi ndikumwa kwa nthawi yayitali.
- Kupuma ufa: Mukawonjezera ufa wa mankhwala m'madzi, musapume fumbi la ufawo. Izi zingayambitse ziwengo monga kuvutika kupuma kapena kuyetsemula.
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
Monga mankhwala ena onse, pali mwayi woti pakhale zotsatirapo zina, zomwe zambiri sizili zoopsa.
| Mtundu wa zotsatira zoyipa | Zizindikiro |
|---|---|
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala wanu kapena ETU nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosakhazikika, chizungulire, kupweteka pachifuwa. |
| Zotsatira pa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi. |
| Kugwidwa ndi khunyu | Kukomoka mwadzidzidzi. |
| Kupweteka kwambiri m'mimba | Kupweteka kwadzidzidzi kapena kwakukulu m'mimba, magazi m'chimbudzi, malungo, nseru. |
| Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala (koma uzani dokotala ngati zikupitirira) | |
| Kutupa ndi nseru | Izi zitha kuchitika mukangoyamba kumwa mankhwalawo. |
| Kupweteka m'mimba | Kumva pang'ono ngati pali chotupa m'mimba. |
| Kutupa kwa m'mimba | Kutupa kapena kupweteka m'matumbo chifukwa cha kuyenda m'mimba pafupipafupi. |
Uthenga Wopita Nawo Kunyumba
- Bokosi la mankhwala limeneli limagwiritsidwa ntchito kuyeretsa matumbo onse musanapite kukayezetsa kuchipatala.
- Tsatirani malangizo a dokotala wanu okhudza zakudya ndi mankhwala molondola.
- Ndi zachilendo kutsegula m'mimba pafupipafupi mukatha kumwa mankhwala. Musadandaule nazo.
- Mukamamwa mapiritsi a bisacodyl, pewani kumwa mankhwala oletsa asidi ndi mkaka kwa ola limodzi musanayambe kumwa komanso mutamwa.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi zizindikiro zazikulu monga kupweteka m'mimba, zizindikiro za ziwengo, kupweteka pachifuwa, kapena khunyu.
- Ngati muli ndi mafunso kapena nkhawa, musazengereze kufunsa dokotala wanu.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Polyethylene Glycol; Electrolytes; Bisacodyl (PEG Prep Kit / HalfLytely) ndi mankhwala ofewetsa thukuta omwe amatengedwa musanayese mayeso ati?
Iyi ndi njira yokonzekera matumbo! Izi zimagwiritsidwa ntchito ndi madokotala tsiku limodzi asanayambe colonoscopy, komwe amaika kamera m'matumbo a wodwalayo kuti achotse ndowe zonse ndi zinyalala kuchokera m'matumbo a wodwalayo mpaka zitayera ngati madzi a pampopi. M'matumbo ayenera kukhala oyera 100% kuti kamera iwaone bwino.
💬 Kodi ndingachotse bwanji zinyalala zonse m'matumbo mwanga nditamwa mankhwalawa (PEG + Bisacodyl)?
Phukusili lili ndi mankhwala awiri odabwitsa (omwe amatengedwa mbali zonse ziwiri)! Choyamba, mukatenga mapiritsi awiri a 'Bisacodyl', amagwira ntchito ngati chotsitsimula, zomwe zimapangitsa kuti matumbo azisuntha/kusuntha mwachangu. Kenako, mukasungunula 'PEG powder + salt mix' mu malita awiri a madzi ndikumwa, ndowe zonse m'matumbo zimatsukidwa ngati mtsinje (Osmotic Lavage) ndi malita awiri a madziwo! (Chifukwa chakuti lili ndi mchere/electrolytes, sodium/potassium sizilowa m'thupi).
💬 Kodi ndi mavuto/zoopsa ziti zomwe zingachitike chifukwa chomwa madzi oyeretsera m'mimba awa (Prep Kit)?
Zoona zake n'zakuti, kumwa malita awiri a madzi amchere komanso okhuthala awa (ndi mimba yonse) ndi 'chosasangalatsa kwambiri' kwa odwala ambiri! Zotsatira zake, nseru/kusanza kwambiri, kudzimbidwa/kupweteka m'mimba n'kosapeweka. Choopsa china ndichakuti izi zimayambitsa kudzimbidwa kwambiri, ndipo ngati simumwa madzi ena/zakumwa, mutha kutaya madzi m'thupi/kulephera kwa impso komanso kulephera kwa impso!
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