Ingabe ngezinye izikhathi unenkinga yesisu, ushintsho emikhubeni yamathumbu, noma igazi esitulweni sakho? Ngezikhathi ezinjengalezi, udokotela wakho angase akucele ukuhlolwa okukhethekile ukuze abone ukuthi kwenzekani ngaphakathi emathunjini akho amakhulu. Okunye ukuhlolwa okunjalo kubizwa ngokuthi i-barium enema. Igama lingase lizwakale lingavamile, kodwa empeleni akukho okufanele ukwesabe. Ake sibheke ukuthi kuyini, kwenziwa kanjani, nakho konke okudingeka ukwazi.
Iyini i-Barium Enema?
Kalula nje, lokhu ukuhlolwa okuthatha izithombe ze-X-ray zangaphakathi kwamathumbu akho amakhulu (ikholoni). Kodwa akufani ne-X-ray evamile. Ngaphambi kokuba kuthathwe i-X-ray, udokotela noma uchwepheshe uzofaka uketshezi olukhethekile e-rectum yakho. Lokhu yilokho esikubiza ngokuthi 'i-enema' noma 'isihlalo'.
Uketshezi olufakwayo lubizwa ngokuthi i-barium. Luwuketshezi olumhlophe olubukeka njengempuphu yetshoko. Uma lolu ketshezi lumbozwe kahle ezindongeni zangaphakathi zamathumbu, ukuma kwamathumbu, amaqhubu amancane ngaphakathi, kanye namanxeba kungabonakala ngokucacile lapho kuthathwa i-X-ray. Sibiza uketshezi olunjalo ngokuthi `(uketshezi oluhlukile)`.
Lokhu kuhlolwa kwenziwa ngezindlela ezimbili eziyinhloko:
- I-enema yokuhlukanisa okukodwa: Kulokhu, kufakwa uketshezi lwe-barium kuphela.
- I-enema ephindwe kabili: Kulokhu, umoya omncane ufakwa emathunjini kanye noketshezi lwe-barium. Lokhu kubangela ukuthi ithunjini livuvuke kancane, okuvumela ngisho nemininingwane emincane kakhulu odongeni ukuthi ibonakale ngokucacile.
Kungani ucelwa ukuthi ubhale lesi sivivinyo?
Udokotela wakho angase akuncome lokhu kuhlolwa uma unezimpawu ezingachazeki ezihlobene nekholoni lakho. Cabanga ngezinto ezinjengalezi.
| Isibonakaliso | Kalula nje... |
|---|---|
| Ukopha kwegazi endulo | Uma unegazi lapho ukhipha indle noma uma kukhona igazi esitulweni. |
| Ushintsho emikhubeni yokuzilungisa | Uma kukhona ushintsho olungazelelwe ezikhathini, isikhathi, noma uhlobo lokunyakaza kwakho kwamathumbu. |
| Uhudo oluhlala isikhathi eside | Uma uqhubeka nokuba nobuhlungu esiswini ngaphandle kokuthola isizathu. |
| Ubuhlungu besisu obungachazeki | Ubuhlungu obungapheli esiswini esingezansi. |
| Ukwehlisa isisindo ngaphandle kwesizathu | Uma wehlisa isisindo ngokuzumayo ngaphandle kokunciphisa ukudla noma ukuzivocavoca. |
Lokhu kuhlolwa kungakhomba izimo ezingase zibangele izimpawu zakho, njenge:
- I-fistula yendunu
- Ukuvaleka kwamathumbu
- Ama-polyp ekholoni ayizimila ezincane ezakha ngaphakathi kwekholoni.
- Izikhwama ezincane ezikhula odongeni lwamathumbu (i-Diverticulosis)
- I-ulcerative colitis
Eqinisweni, i-barium enemas ayivamile kulezi zinsuku ngenxa yokuhlolwa okufana ne-colonoscopy. Kodwa-ke, kwezinye izimo, inezinzuzo ezikhethekile kunezinye izivivinyo.
Ngokwesibonelo:
- Kwezinye izindawo, lolu vivinyo kulula ukulwenza kune-colonoscopy.
- Akubandakanyi ukungenelela okukhulu emzimbeni njenge-colonoscopy, futhi akubanga ukulahlekelwa ingqondo .
- Abanye abantu bangase babe nomzimba ongezwani nodayi wokwehlukanisa osetshenziswa ekuhlolweni kwe-colonography, kodwa bambalwa kakhulu abantu abangezwani nomzimba ku-barium.
Ungalungiselela kanjani ukuhlolwa?
Lokhu kuyinto ebaluleke kakhulu. Ukuze lokhu kuhlolwa kuphumelele, amathumbu akho kumele ahlanzeke ngokuphelele. Lokho kusho ukuthi akunakuba khona ngisho nomkhondo wendle ngaphakathi.
Udokotela wakho uzokunikeza ikhithi yokulungiselela amathumbu ukuze ikusize uhlanze amathumbu akho. Izofika nencwajana enemiyalelo ecacile yokuthi kufanele uyithathe kanjani futhi nini. Kubaluleke kakhulu ukulandela leyo miyalelo ngqo.
Cishe kuzodingeka ukuthi:
- Yidla ukudla okuhlanzekile okufana namanzi esobho, ujusi wewolintshi, namanzi izinsuku ezimbalwa ngaphambi kokuhlolwa.
- Thatha umuthi wokuhlanza umzimba onikezwe udokotela ngesikhathi esibekiwe.
Okubaluleke kakhulu: Kufanele utshele udokotela wakho kusengaphambili nganoma yimiphi eminye imithi oyithathayo (isib. yesifo sikashukela, umfutho wegazi), amavithamini, nezinye izimo zezokwelapha onazo, ikakhulukazi uma ukhulelwe .
Kwenzekani ngesikhathi sokuhlolwa?
Lokhu kuhlolwa kuvame ukwenziwa emnyangweni we-X-ray wesibhedlela (isikhungo se-radiology). Yonke inqubo ithatha cishe imizuzu engama-30 kuya kwengama-60.
1. Okokuqala, uzonikezwa ingubo yasesibhedlela ozoyigqoka.
2. Uzobe usuphendulwa ngohlangothi etafuleni lokuhlolwa bese ulaliswa phansi. Ngeke ulahlekelwe ingqondo, ngakho uzokwazi ukuzwa yonke into ngisho nokukhuluma.
3. Ngemuva kwalokho uchwepheshe we-radiology uzofaka ngokucophelela ipayipi elincane, eligcotshwe endunu yakho.
4. Kungale payipi lapho uketshezi lwe-barium ludluliselwa khona kancane kancane emathunjini.
5. Ngesikhathi i-barium isesiswini, uzophendulwa ngezindlela ezahlukene (kwesokudla, kwesobunxele, phezulu) ukuze uthathe izithombe ze-X-ray. Ngezinye izikhathi uzocelwa ukuba ubambe umoya wakho isikhashana. Lokhu kwenziwa ukuze uketshezi lwe-barium lusakazeke kuwo wonke amathumbu.
6. Uma izithombe sezithathiwe, ipayipi lizosuswa bese i-barium ikhishwa. Uzonikezwa ithuba lokuya endlini yokugezela ukuze ukhiphe okusele.
Njengoba uketshezi lugcwalisa isisu sakho, ungase uzizwe sengathi usuthi futhi udinga ukuyokhipha indle. Lokhu kuvamile. Kodwa ungakhathazeki, kukhona ibhaluni elincane ekugcineni kwepayipi ngakho akukho okuphumayo.
Ingabe ikhona imiphumela emibi noma izingozi?
Lolu vivinyo luphephile kakhulu, kodwa kunezinto ezimbalwa.
- Ukuqunjelwa: Lona umphumela ovame kakhulu. I-barium ingabangela ukuthi indle yakho yome kancane. Lokhu kungavinjelwa kakhulu ngokuphuza uketshezi oluningi izinsuku ezimbili kuya kwezintathu ngemva kokuhlolwa.
- Izingozi ezingavamile: Ukungezwani komzimba ne-barium, ukuvuza kwe-barium ngembobo emathunjini, njll. kungenzeka. Kodwa-ke, lokhu akuvamile kakhulu.
Kwenzekani ngemva kokuhlolwa futhi kufanele ngikhulume nini nodokotela ?
Uma isivivinyo sesiphelile, ungaya ekhaya, udle, uphuze, futhi usebenze njengokujwayelekile.
- Ukungakhululeki esiswini: Ungase uzwe ukungakhululeki okuncane esiswini sakho, umuzwa wokugcwala, ihora elilodwa noma amabili. Lokhu kuzophela kancane kancane.
- Indle emhlophe: Indle yakho ingaba mhlophe izinsuku ezimbalwa. Lokho kungenxa ye-barium. Lokho kuvamile, ungakhathazeki.
Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, kufanele uxhumane nodokotela wakho ngokushesha .
| Isikhathi sokuthola iseluleko sezokwelapha ngokushesha | |
|---|---|
| Isibonakaliso | Incazelo |
| Ubuhlungu obukhulu besisu noma ukuqunjelwa | Uma unezinhlungu zesisu ezingabekezeleleki noma isisu sakho sivuvukele njengetshe. |
| Imfiva | Uma umzimba wakho ushisa futhi unomkhuhlane. |
| Igazi esitulweni | Uma kukhona igazi esitulweni. |
| Isiyezi noma ubuthakathaka | Uma uzizwa ubuthakathaka kangangokuthi awukwazi ukuma. |
| Ukungakwazi ukuzibamba | Uma ungakwazi ukukhipha indle noma ukukhipha igesi ezinsukwini ezimbili ngemva kokuhlolwa. |
Kungathatha izinsuku ezimbalwa ukuthola umbiko wokuhlolwa. Uma umbiko usutholiwe, udokotela uzokufonela ukuze akuchazele imiphumela nokuthi yini okufanele uyenze ngokulandelayo.
Umlayezo Wokuya Nawe Ekhaya
- I-enema ye-barium iyindlela yokuhlola i-X-ray ephephile ngokuvamile esetshenziselwa ukuxilonga izifo zekholoni.
- Ukuze uthole imiphumela emihle, kubalulekile ukuhlanza amathumbu kahle ngokwemiyalelo kadokotela.
- Yazisa udokotela wakho kusenesikhathi nganoma yimiphi eminye imithi oyithathayo kanye nanoma yiziphi ezinye izimo zezokwelapha onazo.
- Phuza amanzi amaningi ngemva kokuhlolwa ukuze ugweme ukuqunjelwa. Kuvamile ukuba nendle emhlophe izinsuku ezimbalwa.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile njengobuhlungu obukhulu besisu, umkhuhlane, noma ukuphuma kwegazi, yazisa udokotela wakho ngokushesha.
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