Urashaka kumenya ibijyanye no gutegura amara y'iminsi ibiri kugira ngo woze amara yawe?

Ese ufite ikizamini cya `(Colonoscopy)` kiri hafi gutangwa? Noneho ugomba kuba warumvise ibijyanye no gutegura amara mbere yabyo. Nubwo ibi bishobora gusa nkaho ari ikibazo, ni ngombwa ko ikizamini cya `(Colonoscopy)` gikorwa neza. Uyu munsi, turaganira kuri ubu buryo bwo gutegura amara bw'iminsi ibiri, cyane cyane uburyo bwo kubikora ukoresheje ibinini bya `( Magnesium Citrate )`, ibinini bya `(Dulcolax)` na `(Golytely)`.

Kuki uku gusukura amara ari ingenzi cyane kuri ``(Colonoscopy)''?

Mu magambo make, amara yawe agomba kuba yuzuye kandi asukuye iyo ukorewe isuzuma rya colonoscopy. Tekereza muganga wawe atwaye imodoka ku manywa y'ihangu. Ariko niba amara yawe yuzuye umwanda, ni nko gutwara imodoka mu mvura nyinshi cyangwa mu gihu. Ntushobora kubona ikintu neza.

Igikomeye cyane ni uko ari bwo gusa umura uhanaguwe neza ari bwo muganga ashobora kubona neza n'impinduka ntoya ziri mu mara, nko kumera guto (polyps), cyangwa gutangira kwa kanseri.

Niyo mpamvu ari ngombwa cyane gukurikiza amabwiriza ya muganga wawe w’indwara z’igifu neza. Bitabaye ibyo, ushobora gusubika isuzuma rya colonoscopy cyangwa ukongera kubikora nyuma. Iyo bibaye, birakugora.

Witegura ute iyi gahunda yo kwitegura amara y'iminsi ibiri?

Hari utuntu duto duto tugomba gukorwa muri ibi mu minsi mike. Reka turebe ibyo ari byo.

Ibintu ugomba gufata nibura iminsi itanu (5) mbere y'uko ``(Colonoscopy)`` yawe:

Ushobora kugura iyi miti muri farumasi. Ntukeneye urupapuro rwa muganga kugira ngo uyibone. Ariko, imiti nka '(Golytely)' isaba urupapuro rwa muganga, bityo uyitegure mbere y'igihe.

• Icupa rya 296 ml (ounce 10 y'amazi) ry'amazi ya `Magnesium Citrate`. (Iyi ni amazi afasha kugabanya impatwe)
• Agapaki k'ibinini bine (4) bya Dulcolax. Buri kinini kigomba kuba kirimo miligarama 5 (5mg) za Bisacodyl. Icy'ingenzi: Fata ubwoko bw'umuti woroshya imyanda, ntabwo ari ubwoko bw'umuti woroshya imyanda .
• Byongeye kandi, ugomba no gufata umuti `(Golytely/Nulytely®/Trilyte®/Colyte®)` wanditswe na muganga wawe mbere y'igihe.

Wibuke gukurikiza aya mabwiriza neza. Icyo gihe ni bwo uzabasha gukora isuzuma ry’imitsi yo mu nda neza kandi ntuzongera kubikora ukundi.

Ingingo nke z'ingenzi cyane:

• Amara yawe agomba kuba arimo ubusa bwose kugira ngo umuganga ashobore kubona neza imbere.
• Kurikiza amabwiriza atangwa na muganga wawe w’indwara z’igifu nkuko byanditswe.
• Ntukarye ibiryo bikomeye umunsi umwe mbere y'uko ufata colonoscopy. Ni ibinyobwa bisukuye gusa. Tuzabiganiraho cyane.

Ese ukeneye umuntu wo kuza kugufasha ku munsi wo gukorerwa isuzuma ry’uturemangingo tw’imbere mu mubiri (colonoscopy)?

Yego, ibi ni itegeko. Iyo wiyandikishije kugira ngo umenye uko uhagaze, ugomba kuba ufite umuntu mukuru ubishinzwe. Uwo muntu agomba kugumana nawe kugeza igihe uzaba wavuye mu bitaro. Ntuzemererwa kujya mu rugo wenyine. Wibuke ko ushobora kumva umerewe nabi cyangwa usinziriye nyuma yo gupimwa. Ntabwo ari byiza kujya mu rugo wenyine muri icyo gihe.

Niba udafite umuntu wo kugutwara mu rugo, ikizamini cyawe kizasubikwa. Nturemerewe gutwara imodoka iyo ari yo yose, nk'igare, imodoka, cyangwa scooter, cyangwa ngo usige ikigo cyonyine uwo munsi. Rero ni ngombwa cyane gutegura ibi mbere y'igihe.

Ugomba kwitonda ku biyobyabwenge ufata.

Ku bw'umutekano wawe, imiti imwe n'imwe ishobora gukenera guhagarikwa cyangwa guhindurwa ingano yayo iminsi mike mbere yo gupimwa. Ni ngombwa kubiganiraho na muganga wawe kugira ngo akugire inama.

Ibigabanya amaraso :

Niba ufata ubwoko bw'umuti, menya neza ko wagiye kwa muganga wawe nibura ibyumweru bibiri (2) mbere y'ikizamini kugira ngo muganire kuri uyu muti. Ibi biterwa nuko kuva amaraso mu gihe cyo gupimwa bishobora kugorana kubigenzura.

Ingero zimwe na zimwe:

• `Clopidogrel (Plavix®)`
• `Warfarin (Coumadin®)`
• "Ticlopidine hydrochloride (Ticlid®)"
• `Anagrelide (Agrylin®)`
• `Rivaroxaban (Xarelto®)`
• `Dabigatran (Pradaxa®)`
• `Apixaban (Eliquis®)`
• `Prasugrel (Effient®)`

Imiti ya insuline na diyabete:

Vugana na muganga wagundikiye uyu muti kandi ubone inama z'uburyo wahindura ingano y'uyu muti mu minsi ibanziriza isuzuma ryawe rya colonoscopy.

• Niba ari umunsi wo gupimwa, ntugafate ibinini bya diyabete nyuma ya saa sita z'ijoro ryabanjirije iryo.
• Niba ufata insuline (urugero: insuline ikora igihe kirekire nka insuline glargine injection (Lantus®), insuline lispro (Humalog®), insuline isophane (HumulinN®, NovolinN®, ReliOn®), cyangwa insuline 70/30), ugomba gufata kimwe cya kabiri (1/2) cy'umuti usanzwe umunsi umwe mbere y'ikizamini. Nanone, gisha inama muganga wawe kuri ibi.

Umuti wo kugabanya ibiro:

Ugomba kugabanya ibiro.Niba ufata imiti, bishobora kuba ngombwa guhindura ingano cyangwa kuyihagarika iminsi mike (wenda icyumweru) mbere yo gupimwa. Baza muganga wagundikiye umuti kuri ibi.

Hari ubwoko bumwe bw'imiti ishobora gukenera guhagarikwa burimo:

• `Canagliflozin (Invokana®)`
• Dapagliflozin (Farxiga®, Forxiga®)`
• `Dulaglutide (Trulicity®)`
• `Empagliflozin (Jardiance®)`
• `Ertugliflozin (Steglatro®)`
• `` Exenatide (Byetta®, Bydureon®) ''
• "Liraglutide (Victoza®, Saxenda®)"
• `Lixisenatide (Adylyxin®)`
• Semaglutide (Ozempic®, Wegovy®, Rybelsus®)`
• `Tirzepatide (Mounjaro®, Zepbound®)`

Ibinini by'icyuma:

Niba ufata ibinini bya fer, hagarika kubifata icyumweru kimwe (1) mbere y'uko ufata colonoscopy. Ibinini bya fer bishobora gutera umwanda w'umukara kandi bishobora kwirundanya mu mara yawe, bikabangamira isuzuma.

Ubundi bwoko bw'ibitanda:

Ushobora gufata imiti nka aspirine, antibiyotike, cyangwa diuretics hamwe n'amazi make ku munsi wo kwipimisha. Ariko, niba utazi neza imiti ushobora gukomeza gufata n'iyo ugomba guhagarika, banza ubaze muganga wawe.

Ku bijyanye no kurya no kunywa iminsi itatu (3) mbere ya `(Colonoscopy)`

Ugomba kureka kurya ibiryo birimo fibre nyinshi iminsi itatu mbere yo gupimwa. Ibi bishobora kuguma mu mara bikabangamira ikizamini.

• Popcorn
• Ibishyimbo
• Ibinyampeke (urugero: flax, sunflower, quinoa)
• Umugati w'ingano nyinshi
• Imbuto
• Salade/imboga
• Imbuto nshya n'izumye zifite igishishwa cy'uruhu

Umunsi umwe (1) mbere ya `(Colonoscopy)`

Uyu ni umunsi ugomba kwitonda gato. Guhera umunsi ubanziriza isuzuma rya colonoscopy, ugomba kunywa gusa ibinyobwa bisukuye. Ntukarye ibiryo bikomeye.

Ushobora kunywa ibinyobwa bisukuye kugeza amasaha atatu (3) mbere yo gupima colonoscopy.

Ibinyobwa bisobanutse neza ni iki?

Mu magambo make, iyo uyisutse mu kirahure ukabona aho iherereye, iba ari amazi asobanutse neza.

Ingero:

• Amazi
• Icyayi kidasembuye (kidafite amata)
• Ikawa idafite isukari (idafite amata)
• Isupu nziza (idafite ibice by'imboga cyangwa ibice by'inyama)
• Umutobe w'imbuto (nta bice by'imbuto, urugero: umutobe w'amapera, umutobe w'imizabibu - nta ibara ryijimye)
• Jelly (idafite ibara ryijimye - nta mutuku, nta muhengeri)
• Ibinyobwa bya siporo bifite ibara ryoroheje cyangwa soda nka Sprite, 7Up

Ibintu utagomba gutinya:

• Amata n'ibikomoka ku mata
• Imitobe y'imbuto yijimye (urugero: umutobe w'inyanya, umutobe w'icunga ufite uduce duto)
• Inzoga

Ni gute wakora imyitozo ngororamubiri y'iminsi ibiri?

Iki ni cyo gice cy'ingenzi cyane. Mbere yo gukora amazi yo gusukura amara, soma witonze amabwiriza yose kandi usobanukirwe neza.

Iminsi ibiri (2) mbere ya `(Colonoscopy)`:

• 13h00 kugeza 17h00: Nywa ikirahure cy'amazi meza (nk'amagaloni 25) buri saha.
• 5:30 PM: Nywa icupa ryose rya Magnesium Citrate (ounces 10).
• Kuva saa kumi n'ebyiri z'umugoroba kugeza saa cyenda z'ijoro: Ongera unywe ikirahure cy'amazi meza buri saha.
• 9:30 PM: Fata ibinini bine (4) bya Bisacodyl (Dulcolax) icyarimwe n'amazi.

Iyo ukoze ibi bintu, uzakenera kujya mu bwiherero kenshi. Ibi ni ibisanzwe, bityo ntugahangayike. Ni byiza kuguma ahantu hari ubwiherero hafi.

Umunsi umwe (1) mbere ya `(Colonoscopy)`:

• Ushobora kurya indyo yuzuye amazi kugeza saa kumi n'ebyiri z'umugoroba umunsi wose. Ntukarye ibiryo bikomeye.
• Ku gicamunsi, tegura uruvange rwawe rw'amazi rwa `(Golytely/Nulytely/Trilyte Colyte)` hanyuma urubike muri firigo. Niba rurimo agapaki k'uburyohe, ushobora kongeramo. Ariko ntushyiremo urubura, isukari, cyangwa ibindi birungo.
• Ugomba kunywa iki kinyobwa mu bice bibiri.
• Saa kumi n'ebyiri z'umugoroba: Tangira kunywa garama 8 (ikirahure kinini) cy'amazi yateguwe buri minota 15. Komeza kunywa kugeza urangije kunywa kimwe cya kabiri (1/2) cy'amazi yose.
• Amasaha atandatu (6) mbere yo gupimwa: Nywa igice gisigaye (1/2) cy'amazi nk'uko byari bimeze mbere, ikirahuri cya ounces 8 buri minota 15.
• Komeza kunywa ibinyobwa bisukuye kugeza amasaha atatu (3) mbere y'uko ufata colonoscopy. Nyuma y'ibyo, ntukanywe ikintu icyo ari cyo cyose.

Ukora iki mu bihe bidasanzwe?

Hari abantu bashobora kuba bafite ikibazo cyo kuva amaraso mu nda buhoro buhoro. Aba bantu bashobora gukenera inama zitandukanye. Niba ufite iyi ndwara, vugana na muganga wawe maze ubone inama zikubereye.

Bite se niba ufite impatwe?

Ushobora kandi gufata umuti wo koroshya ububabare iminsi mike mbere yo kwisukura. Ibi bizagufasha kugabanya impatwe yawe mbere yo kwisukura. Baza muganga wawe ibi kandi.

Bite se niba imyitozo yo kwitegura amara mbere itagenze neza?

Menya neza ko wagiye kwa muganga wawe. Ushobora gukenera inama z'inyongera cyangwa ubundi buryo bwo gutegura.

Bite ho niba hari indwara zimwe na zimwe zitera gutinda gusohora amara?

Indwara zimwe na zimwe (urugero: indwara ya Parkinson, Multiple Sclerosis (MS)) cyangwa imiti imwe n'imwe (urugero: Ibiyobyabwenge, Gabapentin, imiti igabanya ubukana bw'ibinure) bishobora gutinza amara kuva mu gifu. Niba ukoresha intebe y'abamugaye, ibi bishobora no kugira ingaruka ku mikorere y'amara yawe. Bwira muganga wawe uko umeze n'imiti iyo ari yo yose ufata. Ushobora gukenera igihe cy'inyongera cyo kuva mu mara yawe no kongeramo indi miti.

Bite se niba bikugora kunywa ibinyobwa byinshi?

Tangira gusukura igifu cyawe amasaha abiri cyangwa atatu mbere y'igihe. Muri ubwo buryo, uzagira umwanya uhagije wo kunywa ingano yose.

Bite se niba ntashobora kurangiza imyitozo ngororamubiri?

Niba udashobora kunywa amazi yose yo gusukura amara, birashoboka ko ugomba gusubika colonoscopy yawe. Ikizamini ntacyo kizagufasha niba amara yawe adasukuye neza.

Ese wabazwe indwara ya bariatric?

Kubagwa igifu bigira ingaruka ku gifu no ku mara mato. Ntabwo bihindura uburebure bw'amara yawe. Ariko ushobora kunywa amazi buhoro buhoro, kenshi. Ugomba gukora kimwe no gusukura amara yose, bifata igihe kirekire.

Ese uri umuntu uri kuri dialyse kubera indwara y'impyiko?

Mbere yo guteganya igihe cyo gukora isuzuma ry’indwara z’imitsi, ugomba kujya kwa muganga w’indwara z’imitsi kugira ngo akugire inama zihariye. Ubusanzwe, abarwayi ba dialyse bafata umuti wa Golytely wo koza amara hanyuma bagakorerwa isuzuma umunsi umwe na dialyse yabo (colonoscopy mu gitondo na dialyse nimugoroba).

Reka turebe neza icyo "Amazi asobanutse" bivuze.

Ibi biroroshye cyane. Iyo ushobora gusuka amazi mu kirahure ukabona, bifatwa nk' "amazi asobanutse neza." Urugero, amazi, isupu isobanutse neza, jeli y'amabara yoroheje (atari umutuku cyangwa umuhengeri), icyayi kitari icy'amata, na kawa. Amata, umutobe w'imbuto wijimye, na alcool ntabwo biri muri iki cyiciro.

Ikindi cyibutso ku bijyanye no gutaha mu rugo

Twavuze ko ugomba kuba uri kumwe n'umuntu mukuru igihe wiyandikisha kugira ngo umenye neza indwara ya colonoscopy. Uwo muntu agomba kugumana nawe kugeza igihe ikizamini kirangiye kandi ukajyanwa mu rugo. Ushobora gufata Uber®, Lyft®, tagisi, cyangwa bisi gusa iyo umuntu mukuru uguherekeje nawe ari kumwe nawe mu modoka.

Ntukagire n'ubwo wavuga uti "Nzaryama hano akanya gato hanyuma ngende njyenyine." Ibyo ntibishoboka. Ugomba kuba ufite umuntu mukuru ubishinzwe igihe winjira, uzaba ariho mu gihe cy'ikizamini, kandi akagutwara mu rugo. Ntushobora gutwara imodoka iyo ari yo yose kugeza umunsi urangiye. Ibi ni ukugira ngo ubone umutekano.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, rero ukurikije ibyo twaganiriyeho, ndizera ko ufite igitekerezo cyiza ku bijyanye no gutegura amara mu minsi ibiri. Ntugahangayike, nukurikiza aya mabwiriza witonze, byose bizagenda neza.

• Kurikiza amabwiriza ya muganga neza: Iki nicyo kintu cy'ingenzi kurusha ibindi. Iyo utakaje n'akantu gato, ikizamini gishobora guhagarara.
• Witondere ibyo urya n'ibyo unywa: Cyane cyane mu minsi ibanziriza ikizamini n'umunsi ubanziriza uwo, kurikiza amabwiriza neza. Bikore mu gihe bakubwira kunywa "ibinyobwa bisukuye" gusa.
• Baza muganga wawe ku miti: Menyesha muganga wawe imiti yose ufata kandi ukore impinduka zose zikenewe.
• Uzazane n'umuntu: Ntukibagirwe kuzana umuntu ufite inshingano zo kugutwara mu rugo ku munsi w'ikizamini.
• Baza ibibazo: Niba ufite ikibazo cyangwa ntacyo usobanukiwe kuri iyi "Prep in the Ala" cyangwa "Colonoscopy", ntutinye kubaza muganga wawe cyangwa umuforomo wawe.

Nubwo iyi myiteguro isa nkaho igoye gato, birakwiye kuyitegura neza kuko iki ni ikizamini cy'ingenzi cyane ku buzima bwawe. Amahirwe masa kuri wewe!

Gutegura Colonoscopy , gutegura amara, magnesium citrate, dulcolax, golightly, gusukura amara, uturemangingo tw'igogora