Ungawuhlanza kanjani kahle umathumbu ngaphambi kokuhlolwa kwe-colonoscopy? (Ukulungiselela Umathumbu)

Ingabe uzokwenziwa i-colonoscopy maduze nje? Khona-ke cishe uyazi ukuthi kubaluleke kangakanani ukuhlanza amathumbu akho kusengaphambili. Uma ungawahlanzi kahle amathumbu akho, yonke inqubo ingahamba kabi. Ngakho-ke namuhla, ake sixoxe ngendlela yokwenza lokhu kulungiswa kwamathumbu, ukuthi imiphi imithi esetshenziselwa lokhu, nokuthi yini okudingeka uyiqaphele.

Ziyini lezi Golytely kanye Nulytely?

Kalula nje, `(Golytely)`, `(Nulytely)`, `(Trilyte)` kanye `(Colyte)` ngamagama ezinhlobo eziningana zemithi esetshenziselwa ukuhlanza amathumbu akho amakhulu, okungukuthi, ikholoni yakho, ngaphambi kokuhlolwa `(Colonoscopy)`. Le mithi iqukethe ikakhulukazi ikhemikhali ebizwa ngokuthi `(Polyethylene Glycol 3350)` kanye nama-electrolyte adingwa ngumzimba.

Lomuthi usebenza ngokuxuba indle yakho nokwenza kube lula ukudlula. Bese kuthi amathumbu amakhulu aphume ngokuphelele. Lawo masawoti (ama-Electrolyte) engezwa, ukuze uma uphuma isisu, kungabi amanzi kuphela kodwa nosawoti odingekayo olahlekayo emzimbeni, okuvimbela izimo ezifana nokuphelelwa amanzi emzimbeni. Kubaluleke kakhulu, akunjalo?

Kungani ukulungiselela amathumbu kubaluleke kangaka?

Cabanga nje, udokotela wakho wezifo zamathumbu udinga ukubona ingaphakathi lamathumbu akho amakhulu ngokucacile. Kulapho-ke kuphela lapho ezokwazi khona ukuthola ukuthi kukhona yini ama-polyp, ukuqala komdlavuza, noma ezinye izinkinga.

Uma isisu sihlanzwe kahle, ukuhlola udokotela kufana nokushayela imoto ngosuku olucacile. Azikho izithiyo. Kodwa uma isisu singahlanzwa kahle, kufana nokushayela emgwaqweni onodaka ngosuku olunemvula. Akukho okungabonakala kahle.

Uma lokho kwenzeka, imiphumela yokuhlolwa ingase ingabi yinembile, futhi kungase kudingeke uphinde ukuhlolwa. Yingakho kubalulekile ukwenza lokhu `(Ukulungiselela Amathumbu)` ngendlela efanele.

Ungayisebenzisa kanjani le mithi?

Le mithi efana ne-`(Golytely)` kanye ne-`(Nulytely)` iza ngesimo sempuphu ejagini elikhulu. Okudingeka ukwenze nje ukwengeza inani elibekiwe lamanzi ejagini ngosuku olungaphambi kwe-`(Colonoscopy)` yakho bese uyincibilikisa kahle. Kufanele ufunde imiyalelo esephaketheni lemithi ngokucophelela bese uyilandela kahle. Kufanele uphuze uketshezi oluvela lapho ufaka amanzi.

Uma ulandela imiyalelo ngqo, ikholoni lakho kufanele libe selihlanzekile ngokuphelele ngesikhathi uqeda ukuphuza yonke imithi esenkomishini. Kwezinye izibhedlela, njengeCleveland Clinic, uma ungalandeli le miyalelo ngqo, ungase ungadingi ngisho nokwenza i-colonoscopy. Ngakho-ke, ungakuthathi kalula lokhu, kulungile?

Amathiphu ayisihluthulelo okulungiselela i-colonoscopy ephumelelayo

Qiniseka ukuthi uyazikhumbula lezi zinto:

• Ikholoni yakho kufanele ingabi nalutho nhlobo.Kulapho-ke kuphela lapho udokotela ezokwazi ukubona kahle khona. Landela imiyalelo enikezwe udokotela wakho wezifo zamathumbu ngqo.
• Ungadli ukudla okuqinile ngosuku olwandulela i-colonoscopy yakho. Kuvunyelwe uketshezi olucacile kuphela. Sizoxoxa ngalokho kamuva.
• Thola ikhithi yakho yokulungiselela amathumbu ekhemisi okungenani izinsuku ezinhlanu ngaphambi kwe-colonoscopy yakho.

Uhambo lwe-Colonoscopy losuku olulodwa

Lokhu kubaluleke kakhulu futhi. Uma uyohlolwa ikholoni, udinga ukuba nomshayeli omdala onomthwalo wemfanelo nawe. Kufanele ahlale egumbini lokulinda uze uqede ukuhlolwa. Ngeke ukwazi ukuya ekhaya wedwa ngemva kokuhlolwa. Uma ungenaye umuntu ozokushayela, kungenzeka ukuthi ngeke uhlolwe.

Qaphela imithi!

Ukuze uphephe, eminye imithi kungadingeka iyekwe noma kulungiswe umthamo ezinsukwini ezimbalwa ngaphambi kokuhlolwa. Kubalulekile ukuxoxa ngalokhu nodokotela wakho.

• Izinto zokunciphisa igazi: Uma uthatha noma yimuphi wale mithi, njenge-Clopidogrel (Plavix®), i-Warfarin (Coumadin®), i-Ticlopidine Hydrochloride (Ticlid®), i-Anagrelide (Agrylin®), i-Rivaroxaban (Xarelto®), i-Dabigatran (Pradaxa®), i-Apixaban (Eliquis®), kanye ne-Prasugrel (Effient®), qiniseka ukuthi uthintana nodokotela wakho ngale mithi okungenani amasonto amabili ngaphambi kokuhlolwa .
• Imithi ye-insulini kanye nesifo sikashukela: Khuluma nodokotela wakho mayelana nendlela yokulungisa umthamo wakho ezinsukwini eziholela ku-colonoscopy yakho. Ungayithathi imithi yakho yesifo sikashukela ekuseni kokuhlolwa kwakho. Uma uthatha i-insulini, njengomjovo we-insulini glargine (Lantus®), i-insulini lispro (Humalog®), i-insulini isophane esebenza isikhathi eside (Humulin®, Novolin®, ReliOn®), noma i-insulini engu-70/30, kufanele uthathe ingxenye yomthamo wakho ojwayelekile ngosuku olungaphambi kokuhlolwa kwakho.
• Imithi yokulawula isisindo: Uma uthatha noma yimuphi umuthi wokulawula isisindo, kungadingeka ulungise umthamo noma uyeke ukuwuthatha izinsuku/amasonto ambalwa ngaphambi kokuhlolwa. Khuluma nodokotela onikeze umuthi ukuze uthole iseluleko. Eminye imithi okufanele uyeke yi-(Canagliflozin (Invokana®)), (Dapagliflozin (Farxiga®, Forxiga®)), (Dulaglutide (Trulicity®)), (Empagliflozin (Jardiance®)), (Ertugliflozin (Steglatro®)), (Exenatide (Byetta®, Bydureon®)), (Liraglutide (Victoza®), Saxenda®))`, `(Lixisenatide (Adylyxin®))`, `(Semaglutide (Ozempic®, Wegovy®, Rybelsus®))` kanye ne-`(Tirzepatide (Mounjaro®, Zepbound®))`.
• Amaphilisi ensimbi:Yeka ukuthatha lokhu isonto ngaphambi kwe-colonoscopy yakho.

Imithi efana ne-aspirin, ama-antibiotic, noma ama-diuretic ingathathwa kanye nesiphuzo samanzi ekuseni kokuhlolwa.

Kodwa-ke, uma ungaqiniseki ngokuthi yimiphi imithi ongaqhubeka uyisebenzisa nokuthi yimiphi okufanele uyeke, qiniseka ukuthi ubuza udokotela wakho.

Izinsuku ezintathu ngaphambi kokuhlolwa kwe-colonoscopy...

Kufanele uyeke ukudla ukudla okune-fiber ephezulu kusukela manje kuqhubeke, njengoba lokhu kuthatha isikhathi eside ukugaya futhi kungaphazamisa ukuhamba kwamathumbu.

Nazi ezinye izitsha ezinjalo:

• I-Popcorn
• Amantongomane (njengobhontshisi, ubhontshisi)
• Okusanhlamvu (imbewu yefilakisi, imbewu yelanga, i-quinoa)
• Isinkwa sezinhlamvu eziningi
• Amantongomane
• Iletisi/imifino (idliwa iluhlaza)
• Izithelo ezintsha nezomisiwe

Ngosuku olwandulela i-colonoscopy...

Ngalolu suku, awukwazi ukudla ukudla okuqinile. Ungaphuza kuphela uketshezi olucacile.

Ungaphuza lezi ziphuzo ezicacile kuze kube amahora amathathu ngaphambi kwe-colonoscopy yakho.

Nazi ezinye izinto ongaziphuza nongaziphuzi:

| Izinto Okufanele Uphuze (Uketshezi Olucacile) | Izinto Okufanele Uphuze |

| :- ...

| Amanzi | Ubisi nemikhiqizo yobisi |

| Isobho elicwengekile (inkukhu/inyama yenkomo/imifino emanzini ngaphandle kwezingcezu, ngaphandle kwamafutha) | Isobho elinokhilimu |

| Ijusi lezithelo elicwengekile (isb. i-apula, amagilebhisi - hhayi umbala omnyama, ngaphandle kwezingcezu) | Ijusi lezithelo elimnyama (isb. utamatisi, i-orenji nezingcezu) |

| Itiye, ikhofi (ngaphandle kobisi, i-creamer) | Utshwala |

| Ijeli ecacile (akukho bomvu, onsomi, o-orenji) | Ijeli ebomvu, onsomi, o-orenji, i-ayisikhilimu, ama-soda |

| Isoda ecacile (isb. iSprite, 7Up) | |

| Ama-ice popsicles (akukho ubisi, akukho zingcezu, akukho obomvu/onsomi/orenji) | |

Sicela uqaphele: Amagama emikhiqizo ayizimpawu zokuhweba ezibhalisiwe.

Ungayithatha kanjani i-Golytely, i-Nulytely, i-Trilyte noma i-Colyte?

Isixazululo somuthi kufanele silungiswe kusihlwa ngaphambi kwe-``(Colonoscopy)``. Senze bese usigcina esiqandisini ngaphambi kokuphuza. Ungangeza iphakethe lokunambitheka elihambisana nephakethe lomuthi. Kodwa ungafaki iqhwa, ushukela, noma yini enye esixazululweni.

Kufanele uphuze lo muthi ngezingxenye ezimbili:

Ingxenye Yokuqala: Cishe ngo-6:00 ntambama ngosuku olwandulela i-colonoscopy

• Phuza ingilazi yamanzi engama-ounces angu-8 (cishe ama-240 ml) njalo ngemizuzu engu-15 (kuze kube yilapho ingxenye yoketshezi isiphelile).
• Buyisela umuthi osele esiqandisini.

Ingxenye Yesibili: Amahora Ayisithupha Ngaphambi Kwe-Colonoscopy

• Phuza ingilazi engama-ounces angu-8 njalo ngemizuzu eyi-15 (kuze kube yilapho ingxenye yomuthi osele isiphelile).
• Ungaphuza uketshezi olucacile kuze kube amahora amathathu ngaphambi kokuhlolwa.

Abanye abantu bahamba kancane ngamathumbu, ngakho-ke bangadinga izeluleko ezahlukene. Uma unalesi simo, buza udokotela wakho:

• Izimo ezidinga ukunakekelwa okukhethekile.
• Uma `(Ukulungiselela Amathumbu)` kwangaphambilini kungenziwanga kahle, futhi imiphumela yayingemihle.
• Uma ube nezinkinga nge-anesthesia ngesikhathi sokuhlolwa kwangaphambilini.

Ingabe ikhona imiphumela emibi kule mithi?

Le mithi yokuhlanza isisu equkethe `(i-Polyethylene Glycol)` ngokuvamile iphephile futhi inemiphumela emihle. Kodwa-ke, abanye abantu bangase babe nemiphumela emibi emincane.

• Ukuqunjelwa
• Ubuhlungu besisu `(Ukuqaqamba kwesisu)`
• Isicanucanu noma ukuhlanza
• Umuzwa oshisayo eduze kwendunu.

Lokhu kuvame ukuncipha uma usuqedile ukuthatha umuthi futhi isisu sakho singenalutho. Kodwa uma kunzima, tshela udokotela wakho.

Imibuzo Evame Ukubuzwa Nezimpendulo (FAQs)

Yini okufanele ngiyenze uma nginokuqunjelwa?

Ungathatha nemithi yokuhlanza isisu ezinsukwini ezimbalwa ngaphambi kokuhlanza. Ngaleyo ndlela, lapho ukuhlanza sekuphelile, ukuqunjelwa kuzobe sekunciphile kakhulu. Cela iseluleko kudokotela wakho ngalokhu futhi.

Kuthiwani uma imiphumela yokuhlanzwa kwamathumbu ngaphambilini (imiphumela yokulungiselela) ibingemihle?

Qiniseka ukuthi wazisa udokotela wakho. Ungadinga imiyalelo eyengeziwe noma uhlobo oluhlukile lokulungiselela amathumbu.

Kuthiwani uma nginezinkinga zokunyakaza?

Ezinye izimo zezokwelapha (njengesifo sikaParkinson, i-multiple sclerosis (MS)), noma abantu abasebenzisa isihlalo sabakhubazekile bangenza ukuthi amathumbu aphume kancane kancane. Eminye imithi (njengezidakamizwa, i-gabapentin , kanye nemithi yokulwa ne-cholinergic) nayo ingabangela lesi simo. Tshela udokotela wakho ngomlando wakho wezokwelapha kanye nanoma yimiphi imithi oyithathayo. Ungadinga isikhathi esengeziwe sokukhipha amathumbu akho kanye neminye imithi yokuhlanza.

Kuthiwani uma nginenkinga yokuphuza uketshezi oluningi ngesikhathi esisodwa?

Qala ukuthatha umuthi emahoreni amabili kuya kwamathathu ngaphambi kokuba kufike isikhathi sokuqala. Ngaleyo ndlela, ungathatha isikhathi esengeziwe ukuthatha umuthi.

Kuthiwani uma ngingakwazi ukuqeda yonke imithi yokuhlanza isisu?

Uma ungakwazi ukuthatha umthamo ophelele wemithi, i-colonoscopy yakho cishe kuzodingeka ihlehliswe ngoba amathumbu akho ngeke ahlanzwe kahle.

Ngike ngahlinzwa i-bariatric. Ingabe ngidinga ukulungiselela ngokugcwele?

Yebo. Ukuhlinzwa kwe-gastric bypass kuthinta isisu kanye namathumbu amancane. Ubude bamathumbu amakhulu abushintshi. Kungase kudingeke uphuze kancane, kancane. Kodwa kusadingeka wenze amalungiselelo aphelele amathumbu. Kuthatha isikhathi eside.

Kuthiwani uma ngisebenzisa i-dialysis?

Ngaphambi kokubhukha i-colonoscopy yakho, qiniseka ukuthi ubona udokotela wakho wezinzwa ukuze uthole iseluleko esithile. Iziguli ezinesifo sokuhlanza amathumbu zivame ukuthatha imithi yokuhlanza amathumbu efana ne-Golytely bese zivivinywa ngosuku olufanayo ne-dialysis yazo (i-colonoscopy ekuseni, i-dialysis kusihlwa).

Wazi kanjani kahle ukuthi iyini "i-clear liquid"?

Kulula. Uma ufaka lolo ketshezi engilazini bese ubona ngalo, luwuketshezi olucacile.

Ngingasebenzisa i-Uber®, i-Lyft®, itekisi, noma ibhasi ukuze ngifike ekhaya?

Cha. Umuntu omdala kumele abe nawe uma ungena ku-`(Colonoscopy)`. Kumele ahlale lapho uze uphume eyunithi ye-`(Endoscopy)` ngemva kokuhlolwa. Ungasebenzisa isevisi yamatekisi kuphela uma lo mnakekeli omdala ehamba nawe kusukela ngesikhathi ungena ngaso, kuze kube yilapho ukuhlolwa kuqediwe, bese eya ekhaya nawe ngetekisi efanayo.

Angikwazi yini "ukulala" lapha isikhashana bese ngishayela ngedwa?

Lutho neze. Kumelwe ube nomuntu omdala onokwethenjelwa nawe uma ungena. Lowo muntu kumele ahlale esikhungweni se-Endoscopy ngesikhathi sokuhlolwa futhi akushayele ekhaya. Akumelwe ushayele usuku lonke ngemva kokuhlolwa.

Okokugcina, into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Ukulungiswa kwamathumbu kuyisihluthulelo se-colonoscopy ephumelelayo. Uma ikholoni yakho icacile, udokotela wakho angabona kalula ngisho nama-polyp amancane noma ezinye izinkinga.

Khumbula, imiyalelo ingahluka kancane kuye ngesibhedlela, kuye ngohlobo lomuthi wokuhlanza amathumbu owusebenzisayo. Ngakho-ke, funda imiyalelo ngokucophelela bese uyilandela kahle.

Uma unemibuzo mayelana nesikhathi noma indlela yokuphuza imithi yakho, ungangabazi ukubuza udokotela wakho noma umhlengikazi. Ungakhohlwa ukuthi uma ungayilandeli imiyalelo ngqo, i-colonoscopy yakho ingase ibambezeleke. Ake sikwenze lokhu ngenxa yempilo yakho, akunjalo?

I- Colonoscopy, ukuhlanzwa kwamathumbu amakhulu, ukuhlanzwa kwamathumbu amakhulu, ukuhlanza amathumbu amakhulu, ukuhlanza amathumbu amakhulu, ukuhlolwa kwezokwelapha