Ingabe udokotela wakho ukuyalile ukuba wenze i-colonoscopy? Khona-ke kungenzeka ukuthi utshelwe ngokulungiselela amathumbu ngaphambi kwenqubo. Abantu abaningi bakuthola lokhu kuyesabeka kancane, kungakhululekile, futhi kungakhululekile. Kodwa ukukwenza kahle kubalulekile ukuze uvivinywe ngempumelelo. Kuphela uma ikholoni yakho ihlanzekile ngokuphelele lapho udokotela ezokwazi ukubona konke ngokucacile futhi akutshele ngqo ukuthi kunenkinga yini. Ngakho-ke ake sixoxe ngendlela yokunqoba ukwesaba kwakho futhi ukwenze kahle.
Kuyini ngempela i-Colonoscopy Prep?
Kalula nje, ukulungiselela i-colonoscopy inqubo yokukhipha indle ngokuphelele emathunjini akho kanye nokuhlanza indle yakho emathunjini. Cabanga ukuthi kunzima kangakanani ukuthola indle encane phansi ekamelweni elingcolile. Ngokufanayo, uma kukhona indle ngaphakathi emathunjini, udokotela akakwazi ukubona kahle.
Ngisho nezinto ezincane kakhulu njengokukhula kwamangqamuzana anomdlavuza (ama-Polyps) zingaphuthelwa. Lawa "ma-Polyps" amancane angaphenduka umdlavuza wamathumbu ngokuhamba kwesikhathi. Ngakho-ke, kubalulekile ukuthi izindonga zangaphakathi zamathumbu zihlanzeke kakhulu, njengokuthatha isithombe esicacile ngekhamera. Yingakho senza le nqubo yokuhlanza amathumbu, noma "Ukulungiselela Amathumbu".
Yini ekule Kithi Yokulungiselela Amathumbu?
Lona umuthi wokuhlanza umzimba ovame ukuwuthola ngesimo soketshezi noma iphilisi. Kuzodingeka uwuthathe ngobusuku bangaphambi kokuhlolwa kwakho. Kuzodingeka uye endlini yangasese njalo ngemva kokuwuthatha. Kunezinhlobo eziningana zalo muthi. Udokotela wakho uzokunikeza lowo okulungele wena.
Lezi zinsiza zemithi zinezingxenye ezimbili eziyinhloko:
- Ama-laxative e-Osmotic: Lezi izithako ezisebenzayo eziyinhloko ezikwenza uye endlini yangasese. Lawa ngamakhemikhali amathumbu ethu angakwazi ukuwamunca. Ngakho-ke, amathumbu adonsa amanzi emzimbeni angene kuwo. Lawa manzi engeziwe enza indle ibe uketshezi kakhulu, andise umthamo wamathumbu. Lokhu kuvuselela imisipha yamathumbu, kusunduze konke ngaphakathi ngokushesha. Lokhu sikubiza ngokuthi ``(Peristalsis)``.
- Ama-electrolyte: Cabanga ukuthi kwenzekani lapho inani elikhulu lamanzi lilahleka ngokuzumayo emzimbeni. Ukuphelelwa amanzi emzimbeni kungenzeka. Futhi, kanye namanzi, kulahleka usawoti omningi obalulekile (njenge-sodium ne-potassium). Uma lawa sawoti, noma ama-electrolyte, ephela, kungabangela izinkinga ezinkulu zempilo. Ukuvimbela lokhu, le mithi yokuhlanza isisu ifake ama-electrolyte adingekayo.
Yiziphi izinhlobo eziyinhloko zemithi yokuhlanza isisu?
Kunezinhlobo ezimbili eziyinhloko zemithi. Ake sizibheke ngokwehlukana.
1. Imithi esekelwe ku-polymer (ama-PEG Formulas)
Lezi yizinhlobo ezivame ukunqunywa odokotela. Isithako esiyinhloko yi -polyethylene glycol 3350 , noma (PEG) ngamafuphi. Lena i-molecule enkulu engamuncwa amathumbu ethu. Lezi zivame ukuza ngesimo sempuphu. Kufanele uyincibilikise emanzini amaningi (mhlawumbe amalitha ama-4) bese uyiphuza.
Amanye amagama emakethe:
- I-GoLYTELY
- I-CoLyte
- I-NuLYTELY
- I-TriLyte
- I-MiraLAX
- Ngokungaphelele
- I-GaviLyte
- Ukulungiselela i-Movi
| Ochwepheshe | Ububi |
|---|---|
| Lezi zisebenza kahle kakhulu ekuhlanzeni amathumbu. | Abanye abantu bakuthola kunzima ukuphuza amanzi amaningi , njengamalitha ama-4. |
| Akudali monakalo noma ukungakhululeki ezindongeni zangaphakathi zamathumbu, okwenza kube mnene kulabo abanezinkinga zamathumbu ezivuvukalayo (njenge-IBS). | Ukunambitheka kwalomuthi kungaba nzima kwabanye abantu ukukugwinya. |
| Kuphephile kakhulu kubantu abanesifo sezinso, isibindi, noma senhliziyo, okusho ukuthi basengozini enkulu yokuphelelwa amanzi emzimbeni kanye nokungalingani kosawoti. | Abanye abantu bangase bangakwazi ukuqeda ukuphuza lokhu ngokuphelele. Uma lokhu kwenzeka, ukuhlolwa kungase kudingeke kuhlehliswe ngoba isisu ngeke sikhishwe kahle. |
Izindaba ezinhle! Kunezinketho ezintsha zokukusiza ugweme lezi ziphazamiso. Eminye imithi iza nokunambitheka okuthile. Ungangeza futhi i-flavouring powder oyikhethile (engebomvu). Kukhona nemikhiqizo edinga uketshezi oluncane futhi ehlanganiswe nenye i-laxative, njenge-MoviPrep, i-Halflytely.
2. Amafomula Asekelwe Kusawoti (NaP)
Lezi ziqukethe ikakhulukazi i-sodium phosphate (NaP) kanye nezinye izimbiwa ezifana ne-potassium ne-magnesium. Inzuzo enkulu yalezi ukuthi akudingeki uziphuze kakhulu ngoba ziwuketshezi, futhi ziza ngesimo samaphilisi . Kodwa lezi azifanele wonke umuntu.
Amanye amagama emakethe:
- I-Clenpiq
- I-Suprep
- I-Prepopik
- I-Visicol
- I-OsmoPrep
- I-SUTAB
| Ochwepheshe | Ububi Nezingozi |
|---|---|
| Kulula kakhulu kubantu abangathandi ukuphuza uketshezi oluningi. Abanye abantu bayakuthanda lokhu ngoba kungathathwa ngesimo samaphilisi. | Lawa sawoti angabangela ukungakhululeki kwamathumbu kubantu abanesifo sokuvuvukala kwamathumbu. |
| Uma imiyalelo ilandelwa kahle, isebenza kahle njenge-PEGs. | Kukhona ingozi enkulu yokuphazamisa ibhalansi kasawoti noketshezi emzimbeni. Amanye amaminerali anganda emzimbeni. |
Ubani osengozini yalezi zinhlobo ze-NaP?
Uma unezinye zezimo ezilandelayo noma izici eziyingozi, udokotela wakho cishe uzoncoma i-PEG.
| Izimo kanye nezici eziyingozi okunganconywa ngazo izinhlobo ze-NaP | |
|---|---|
| Isifo sezinso `(Ukungasebenzi kahle kwezinso)` | Isifo sesibindi `(Ukuntuleka kwesibindi)` |
| Ukwehluleka kwenhliziyo okubangelwa yi-congestive / i-Myocardial infarction | Ukuphazamiseka kwenhliziyo `(Arrhythmia)` |
| Isifo samathumbu esivuvukalayo | Eminye imithi yokwelapha umfutho wegazi ophakeme (ama-ACEI nama-ARB) |
| Isifo sikashukela | Ukuba neminyaka engaphezu kwengu-65 ubudala |
| Ukusetshenziswa okuqhubekayo kwemithi yokubulala izinhlungu ye-NSAID (njenge-Aspirin, i-Ibuprofen) | Ukusetshenziswa kwemithi yokukhipha isisu |
Ngingayikhetha kanjani indlela engcono kakhulu yokulungiselela engifanele?
Lokhu kuncike kakhulu empilweni yakho. Abanye abantu bangakwenza lokhu ngaphandle kobunzima. Abanye bangase babe nokukhathazeka ngokuthatha umuthi, imiphumela emibi engase ibangelwe yiwo, noma ukuthi uzobangela izinkinga yini ngenxa yezinye izimo zezokwelapha abanazo. Udokotela wakho uzocabangela konke lokhu futhi akukhethele umuthi ofanele futhi ophephile kakhulu kuwe.
Into ebaluleke kakhulu: Tshela udokotela wakho ngazo zonke izifo onazo kanye nayo yonke imithi oyiphuzayo (ngisho namavithamini) ngaphandle kokufihla lutho. Ngaleyo ndlela, angakunikeza inketho ephephile.
Ungase ube neminye imibuzo embalwa.
Mangaki amahora okufanele ngiqale ukulungiselela ngaphambi kwe-colonoscopy?
Kufanele uqale ukulungiselela lokhu kusasele izinsuku ezimbalwa. Lokho kusho ukulawula ukudla kwakho. Ngokuvamile uzocelwa ukuba udle ukudla okune-fiber encane izinsuku ezimbili kuya kwezintathu ngaphambi kwesikhathi. Ngosuku lokugcina, uzovunyelwa kuphela ukudla ukudla okunoketshezi olucacile. Isikhathi sokuqala ukuthatha umuthi sizochazwa ngokucacile emiyalweni ozoyinikwa. Ngokuvamile uqala kusihlwa noma ebusuku ngaphambi kokuhlolwa.
Kuthatha isikhathi esingakanani ukuthi isisu siqale ukunyakaza ngemva kokuthatha lo muthi?
Kuya ngohlobo lomuthi owuthathayo. I-PEG ingaqala ukusebenza zingakapheli ihora elilodwa kuya kwamathathu. I-NaP ingathatha amahora amathathu kuya kwayisithupha. Uma unesicanucanu esinzima, kungathatha isikhathi eside. Uma ungenaso isisu ngisho nangemva kokuthatha umuthi isikhathi eside, khuluma nodokotela wakho.
Ingabe kuzodingeka ngihlale endlini yokugezela ubusuku bonke ngenxa yalokhu?
Cishe akunjalo. Uma uqala ukuthatha umuthi ngesikhathi, abantu abaningi bangaqeda lo mjikelezo wokuya endlini yangasese ngaphambi kokulala. Ngezinye izikhathi umuthi ungahlukaniswa ube yimithamo emibili. Bese uthatha owodwa ebusuku kanti omunye ekuseni kokuhlolwa. Noma ngabe yikuphi, uzothola okusele okudingayo ukuze ulale.
Wenzani uma kusadingeka uye endlini yangasese ngesikhathi sokuhlolwa?
Uma indle yakho icwebezela njengamanzi (yize ingaba phuzi, kodwa ibukeka njengamanzi, futhi ingenalo uthuli), kusho ukuthi ukulungiselela kwakho kuphumelele futhi amathumbu akho ahlanzekile. Akuyona into enkulu uma kufanele uye endlini encane kancane ngesikhathi. Uma uqale ukulungiselela kwakho ngesikhathi, uzobe usuyekile ukuya endlini encane ngesikhathi ufika esibhedlela. Uma ukhathazekile ngengozi, ungasebenzisa into efana ne-diaper yabantu abadala ukuze ikunike ukuthula kwengqondo.
Ngalesi sikhathi, shayela udokotela ucingo.
Ezimweni ezilandelayo, yazisa udokotela wakho noma isibhedlela ngokushesha.
| Ithuba | Incazelo |
|---|---|
| Uma uphuthelwa yimiyalelo | Uma ukhohlwa ukuyeka ukudla ngesikhathi esibekiwe, noma uma wephuza ukuqala ukuthatha umuthi. |
| Uma umuthi ungasebenzi | Uma ukuhamba kwakho kwamathumbu kungakaqali ukuhamba ngisho nangemva kwamahora amaningi uphuze umuthi. |
| Uma kwenzeka ukusabela okunzima | Uma unezinhlungu zesisu ezinzima, ukuhlanza okuqhubekayo, noma ungakwazi ukugcina uketshezi luphansi. |
| Uma ungakwazi ukuqeda umuthi | Uma uzizwa ungakwazi ukuphuza umthamo ophelele wemithi ngenxa yokuhlanza, isicanucanu, noma ezinye izizathu. |
| Ukugula okungazelelwe | Ukuthola ukuthi ukuhlolwa kufanele kuhlehliswe yini uma unesifo esifana nomkhuhlane noma umkhuhlane ezinsukwini ezingaphambi kokuhlolwa. |
Usuvele uyazi ukuthi kubaluleke kangakanani ukwenza i-colonoscopy. Kubalulekile futhi ukulandela imiyalelo yale nqubo yokuhlanza amathumbu kusengaphambili. Uma ungakwenzi lokho, ngeke uthole izinzuzo ezigcwele zokuhlolwa kwakho. Kungase kudingeke ukuthi uphinde ukwenze. Ngakho-ke, yize kunzima kancane, kubaluleke kakhulu ukukwenza kahle.
Umlayezo Wokuya Nawe Ekhaya
- Ukuze i-colonoscopy iphumelele, ukulungiselela amathumbu ngokuphelele kubalulekile.
- Tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nemithi oyiphuzayo ukuze akwazi ukukhetha ikhithi yokulungiselela ephephe kakhulu kuwe.
- Funda imiyalelo kadokotela ngokucophelela bese uyilandela kahle. Yenza konke ngendlela efanele, kusukela ekulawuleni ukudla kwakho kuya esikhathini sokuphuza imithi yakho.
- Uma uhlangabezana nanoma yiziphi izinkinga noma ukungakhululeki okukhulu ngesikhathi sokulungiselela, ungesabi ukukhuluma nodokotela wakho.
- Lokhu kungakhululeki kungokwesikhashana. Kodwa lokhu kuhlolwa kungasindisa impilo yakho. Ngakho-ke, kubaluleke kakhulu ukuqeda lezi zinyathelo ngendlela efanele.
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