Ingabe udokotela wakho ukutshelile ukuthi udinga ukwenza i-colonoscopy? Nokho, kuyinto evamile ukuzizwa wesaba futhi ukhathazekile kancane uma ufunda ukuthi udinga ukuhlanza isisu sakho ngokuphelele (Ukulungiselela Amathumbu) ngaphambi kokwenza kanjalo. Eqinisweni, abantu abaningi bathi ukuhlanza amathumbu kuyingxenye enzima kakhulu futhi eyinkinga kakhulu yenqubo. Kodwa uma usuyazi kahle ukuthi kuyini nokuthi kwenzeka kanjani, ukwesaba kwakho kuzonyamalala. Ake sixoxe ngakho konke ngamazwi alula namuhla.
Kungani lokhu kuhlanzwa kwesisu (Ukulungiselela) kubaluleke kangaka?
Kalula nje, ukuze i-colonoscopy iphumelele, i-colon yakho idinga ukuhlanzeka ngokuphelele. Cabanga ngakho, uma ufuna ukuhlola kahle igumbi, udinga ukususa nokukhipha yonke imfucuza, akunjalo? Kunjalo.
Uma kusele indle emathunjini akho, udokotela ngeke akwazi ukubona izindonga zamathunjini akho kahle. Amahlumela amancane angaphenduka umdlavuza, abizwa ngokuthi ama-polyps , avame ukuba mancane kakhulu . Angaphuthelwa uma enamathele ezindongeni zamathunjini akho futhi ambozwe ungqimba lwendle. Yingakho kubalulekile ukuhlanza ithunjini lakho ngaphambi kokuhlolwa, njengokungathi usanda kuligeza.
Iyini le Kithi Yokulungiselela Amathumbu?
Lona umuthi wokuhlanza umlomo okhethekile owunikezwa ngosuku olungaphambi kokuhlolwa kwe-colonoscopy yakho. Ngokuvamile uthathwa njengoketshezi. Uma uwuthatha, kuzodingeka uye endlini yangasese kaningi futhi amathumbu akho azobe engenalutho nhlobo. Kunezinhlobo ezahlukene zemithi odokotela abayinikezayo ngalokhu.
Le mithi iqukethe ikakhulukazi izingxenye ezimbili:
1. Ama-Osmotic Laxatives: Lezi izithako ezisebenzayo eziyinhloko ezihlanza ikholoni lakho. Into ekhethekile ngalezi zinto ukuthi amathumbu ethu awakwazi ukumunca lezi zinto. Ngakho-ke lapho amathumbu ezama ukuzikhipha emzimbeni, adonsa amanzi amaningi angene emathunjini. Lokhu kukhula kwamanzi kubangela ukuthi indle ikhululeke, umthamo wamathumbu uyanda, futhi imisipha iyafinyela (esikubiza ngokuthi i- peristalsis ) bese ikhipha konke ngaphandle.
2. Ama-electrolyte: Uma kulahleka amanzi amaningi emzimbeni ngesikhathi esisodwa, ama-electrolyte , njenge-sodium ne-potassium, abalulekile ukuze umzimba wethu usebenze, nawo ayasuswa emzimbeni. Lokhu kungaholela ekuphelelweni amanzi emzimbeni kanye nokungalingani kosawoti. Lokhu kungaba yingozi, ngakho-ke lolu ketshezi lokuhlanza isisu lufakwe kuma-electrolyte adingekayo ukuze kuvinjelwe lokhu.
Yiziphi izinhlobo zemithi yokuhlanza isisu?
Zingahlukaniswa zibe izinhlobo ezimbili eziyinhloko ngokusekelwe entweni evula isisu eziqukethe. Udokotela wakho uzokhetha uhlobo olufanele kakhulu ngokusekelwe esimweni sakho sempilo.
| Uhlobo lomuthi | Incazelo kanye nezinzuzo/ububi |
|---|---|
| Uketshezi lohlobo lwe-PEG (olusekelwe ku-polymer) Isibonelo: i-GoLYTELY, i-CoLyte, i-MoviPrep | Lezi ziqukethe into ebizwa ngokuthi i-Polyethylene Glycol 3350 (PEG) . Lena yiyo esetshenziswa kakhulu. Izinzuzo:
Okubi:
|
| Amaphilisi/uketshezi olusekelwe kusawoti (olusekelwe kusawoti - NaP) Isibonelo: i-Suprep, i-OsmoPrep, i-SUTAB | Lokhu kuqukethe usawoti ofana ne -Sodium Phosphate (NaP) . Izinzuzo:
Okubi:
|
Ubani osengozini yokuthola i-NaP (usawoti)?
Uma unezinye zezimo zempilo ezilandelayo, udokotela wakho cishe uzoncoma umuthi wohlobo lwe-PEG ngoba uhlobo lwe-NaP lunengozi ephezulu yokungalingani kosawoti.
- Isifo sezinso (Ukungasebenzi kahle kwezinso)
- Isifo sesibindi (Ukwehluleka kwesibindi)
- Isifo senhliziyo noma ukwehluleka kwenhliziyo okungapheli
- Ukuphazamiseka kwenhliziyo (i-Arrhythmia)
- Isifo sikashukela esingalawulwa
- Isifo samathumbu esivuvukalayo
- Ukuba neminyaka engaphezu kwengu-65 ubudala
Into ebaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi imithi yobuhlungu kanye nemithi yomfutho wegazi ophakeme) kanye nazo zonke izifo onazo , ngaphandle kokufihla lutho .
Uyikhetha kanjani indlela ekufanele kakhulu?
Lokhu kuncike kakhulu kulokho okuthandwa nguwe kanye nesimo sakho sempilo. Ungaxoxa ngalokhu nodokotela wakho ukuze wenze isinqumo esingcono kakhulu. Nazi ezinye izinto okufanele uzicabangele:
Ukwesaba ukuthi ukuthatha umuthi kuzoba nzima?
Abantu abaningi bakuthola kunzima ukuphuza uketshezi oluningi ngesikhathi esisodwa. Lokho kuvamile. Kodwa kubalulekile ukuqeda lonke inani. Uma ungaqiniseki, buza udokotela wakho ngalezi zinketho:
- Ama-PEG angenambitheki kangako, anevolumu encane: Manje sekunama-PEG anezinongo ezengeziwe, anciphisa usawoti, futhi anciphise inani okudingeka uliphuze (isib. i-MoviPrep, i-Halflytely).
- Ifomu le-NaP (amaphilisi): Uma ungenazo ezinye izingozi zempilo, ifomu le-NaP eliza ngesimo sephilisi lingase libe lula.
Ukhathazekile ngemiphumela emibi efana nokuqunjelwa kanye nesicanucanu?
Kunezindlela zokunciphisa lezi ziphazamiso.
- Ukudla: Lokhu kungakhululeki kungancishiswa kakhulu ngokulandela ngokuqinile imiyalelo yokudla enikezwe udokotela (ukudla okune-fiber ephansi, ukudla okumanzi) izinsuku ezimbalwa ngaphambi kokuhlolwa.
- Imithi eyengeziwe: Ngezinto ezifana nokucanuzela kwenhliziyo kanye negesi, buza udokotela wakho ngemithi (isib. i-metoclopramide, i-simethicone) ongayithatha kanye nokulungiselela.
- Izinto ongazenza ekhaya: Ungangeza ijusi likalamula elincane noma iphakethe lokunambitha (hhayi elibomvu) oketshezini lomuthi. Unganciphisa nesicanucanu ngokuphuza itiye lejinja ngezikhathi ezithile.
Kunini lapho ngidinga ukukhuluma nodokotela ngesikhathi sokulungiselela?
Ngisho noma isikhathi esiningi konke kuzoba ngendlela evamile, kubalulekile ukubika noma yiziphi izinkinga ngokushesha. Ezimweni ezilandelayo, qiniseka ukuthi ushayela udokotela wakho noma isibhedlela.
| Isikhathi sokuthola iseluleko sezokwelapha ngokushesha | |
|---|---|
| Uma ukhohlwa ukuqala ukulungiselela ngesikhathi noma uma ungakwazi ukulawula ukudla kwakho ngendlela efanele. | Uma unesifo esifana nomkhuhlane noma umkhuhlane futhi udinga ukuhlehlisa ukuhlolwa. |
| Uma isisu sakho singaqali ukuthulula ngisho nangemva kwamahora amaningana uphuze umuthi. | Uma uzwa ubuhlungu obukhulu esiswini noma ukusabela okubi kakhulu. |
| Uma uhlanza njalo noma ungakwazi ukugcina noma yiluphi uketshezi luphansi. | Uma uzizwa sengathi awukwazi ukuqeda wonke umthamo womuthi. |
"Ingabe kuzomele ngilale ubusuku bonke?"
Cishe akunjalo. Uma uqala ukulungiselela kwakho ngesikhathi, iningi lenqubo yokuhlanza isisu kufanele lenziwe ngaphambi kokulala. Amanye amalungiselelo adinga umthamo ohlukanisiwe. Ngemuva kwalokho kufanele uvuke ekuseni bese uthatha umthamo wesibili. Kodwa ungalala okwamanje.
"Kuthiwani uma kudingeka ngiye endlini yangasese ngesikhathi sokuhlolwa?"
Uma ukulungiswa sekuphumelele, indle yakho izogcina iphume njengamanzi. Kufanele ibe uketshezi olucwebezelayo, oluphuzi olungenamafu noma ukungcola, futhi ungabona phansi . Uma kwenzeka, ukulungiswa sekuphelile. Ngeke kudingeke uye endlini yokugezela kakhulu ngaleso sikhathi. Kodwa uma ukhathazekile, kulungile ukugqoka izingubo zangaphansi ezikhethekile (izivikelo zangaphansi) zabantu abadala ngesikhathi sokuhlolwa.
I-Colonoscopy iyisivivinyo esibaluleke kakhulu ekutholakaleni kusenesikhathi kwezifo ezingathi sína njengomdlavuza wamathumbu amakhulu. Ukuze isivivinyo siphumelele, kubalulekile ukwenza lokhu kulungiselela kahle. Ngaphandle kwalokho, kungase kudingeke uphinde wenze isivivinyo kusukela ekuqaleni. Ngakho ungesabi lokhu, bese ulandela imiyalelo kadokotela kahle.
Umlayezo Wokuya Nawe Ekhaya
- Ukuze i-colonoscopy iphumelele, kubalulekile ukuhlanza ngokuphelele i-colon (prep).
- Ukuze ukhethe uhlobo lokulungiselela olukufanele, khuluma nodokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nemithi.
- Landela imiyalelo kadokotela mayelana nokudla kanye nemithi ngqo.
- Uma uhlangabezana nanoma yiziphi izinkinga ngesikhathi sokulungiselela (ubuhlungu obukhulu, ukuhlanza, umuthi ongasebenzi), yazisa udokotela wakho ngokushesha.
- Yazi ukuthi ukulungiselela kwakho kuyaphumelela uma indle yakho iphenduka uketshezi olucacile noluphuzi.
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