Kuvamile ukuzizwa wesaba kancane futhi ukhathazekile lapho udokotela etshela ingane yakho ukuthi idinga ukwenza i-'enema', futhi lokho kwenziwa nge-X-ray. Sonke siyalizonda igama elithi 'enema' kancane, akunjalo? Kodwa ingabe lokhu kuyinto okufanele uyesabe ngempela? Kungani odokotela betshela izingane ezincane ukuthi zenze lolu hlobo lokuhlolwa? Ingabe kuzolimaza ingane? Namuhla, sizophendula yonke le mibuzo kulesi sihloko. Ake sichaze konke kalula nangokucacile.
Iyini i-Contrast Enema (i-Barium Enema)?
Kalula nje, lokhu ukuhlolwa kwe-X-ray okukhethekile ukuhlola amathumbu amakhulu engane yakho (okubizwa nangokuthi ikholoni). Lokhu kuvame ukwenziwa udokotela we-radiologist wezingane ogxile ezifweni zezingane.
Manje ungase ucabange, "Ingabe i-X-ray ejwayelekile ayanele? Kungani ibizwa ngokuthi 'i-Contrast'?" Umbuzo omuhle! Amathumbu ethu ayizitho ezakhiwe ngezicubu ezithambile. Ngakho-ke, kunzima ukubona kahle ukuma, usayizi, noma yiziphi izinkinga ngaphakathi kwamathumbu nge-X-ray evamile.
Yilapho kusetshenziswa khona into ethi `(Contrast)`. Lolu uketshezi olukhethekile. Into evame ukusetshenziswa kulolu vivinyo uketshezi olumhlophe, olufana noshoki olubizwa ngokuthi i-barium . Uma lolu ketshezi lufakwa endunu yomntwana (ngemuva), luyahamba lungcolise izindonga zangaphakathi zamathumbu amakhulu. Ngemuva kwalokho, lapho kuthathwa i-X-ray, izindawo lapho i-barium ingcoliswe khona zibonakala ngokucacile ngomhlophe ku-X-ray. Kufana nomugqa woshoki odwetshwe ebhodini elimnyama. Lokhu kuvumela udokotela ukuthi abone kalula ukuma kwamathumbu, kungakhathaliseki ukuthi kukhona ukuvaleka, kungakhathaliseki ukuthi kubanzi ngendlela engavamile, noma ngabe kukhona enye inkinga.
Ngezinye izikhathi lokhu kuhlolwa kwenziwa kusetshenziswa indlela ebizwa ngokuthi "i-fluoroscopy." Lokhu kusho ukuthi esikhundleni sokuthatha isithombe esisodwa se-X-ray, kuthathwa uchungechunge lwezithombe ze-X-ray ezihambayo, njengevidiyo. Lokhu kukuvumela ukuthi ubone bukhoma ukuthi uketshezi lwe-barium luhamba kanjani emathunjini nokuthi amathumbu asebenza kanjani.
Kungani ingane yami idinga lolu hlobo lokuhlolwa?
Uma udokotela ehlola ingane ngendlela ejwayelekile, ayikwazi ukubona konke ngokuyithinta esiswini. Izinkinga ezingaphakathi kwamathumbu azibonakali ngaphandle. Ngakho-ke, uma ingane inezimpawu noma izimo ezilandelayo, lokhu kuhlolwa kuyanconywa ukuze kutholakale imbangela eqondile.
| Izimpawu/isimo | Incazelo elula |
|---|---|
| Ukuqunjelwa | Uma ingane yakho inenkinga yokuya endlini yangasese, ingahambi izinsuku eziningi, noma inesisu esibuhlungu kakhulu, lokhu kuhlolwa kungasiza ekunqumeni ukuthi kukhona yini ukuvaleka noma enye inkinga yesakhiwo emathunjini. |
| Uhudo olungapheli | Uma ingane iqhubeka nokuba nesifo sohudo ngaphandle kwesizathu esibonakalayo, lokhu kungasiza ekunqumeni ukuthi kukhona yini isimo esinjengokutheleleka noma ukuvuvukala kwamathumbu. |
| Isifo seHirschsprung | Lesi yisimo esiyinkimbinkimbi, esizalwa naso. Okwenzekayo ukuthi ingxenye yamathumbu amakhulu ilahlekelwa amangqamuzana ezinzwa adingekayo ukuze kuphushwe indle. Lokhu kubangela ukuthi leyo ngxenye yamathumbu ivaleke, futhi ingxenye engaphezulu kwawo ikhule. I-enema yokuhlukanisa ibaluleke kakhulu ekuxilongweni kwalesi simo. |
| Ukulahlekelwa Isisindo Okungachazeki | Uma ingane idla kahle kodwa yehlisa isisindo ngaphandle kwesizathu, kungenzeka ukuthi umzimba awumunci kahle izakhamzimba ngenxa yenkinga ohlelweni lokugaya ukudla. Lokhu kuhlolwa kusetshenziselwa futhi ukuthola izimo ezinjalo. |
Ingabe sidinga ukulungiselela ngaphambi kokuhlolwa?
Ezimweni eziningi, lokhu kuhlolwa akudingi noma yikuphi ukulungiselela okukhethekile kwezingane ezincane. Ingane ngokuvamile inganikwa ukudla nokuphuza njengenjwayelo.
Kodwa lokhu kubaluleke kakhulu: Uma udokotela wakho ekunika noma yimiphi imiyalelo ekhethekile (isibonelo, ukuyeka ukudla nokuphuza amahora ambalwa ngaphambi kokuhlolwa), kufanele ulandele leyo miyalelo ngqo.
Ngaphezu kwalokho, kunezinto eziningana esingazenza njengabazali:
- Khuluma nengane yakho: Uma ingane yakho isikhule ngokwanele ukuqonda, yichazele lokhu kalula. Yisho ngamazwi alula njengokuthi, "Udokotela uthatha isithombe sesisu sakho, ufaka ipayipi elincane kuso bese efaka umuthi othile kuso. Ngeke kube buhlungu." Lokhu kuzosiza ekunciphiseni ukwesaba kwengane.
- Ithoyizi eliyintandokazi:Letha ithoyizi olithandayo, ibhere eliyi-teddy, noma ingubo encane. Ukuyibamba ngesikhathi sokuhlolwa kuzosiza ingane yakho izizwe iphephile futhi ikhululekile.
Kwenzekani ngesikhathi sokuhlolwa?
Lokhu kuhlolwa kuvame ukuthatha imizuzu engama-30 kuya kwengama-45. Ingxenye engcono kakhulu ukuthi ungahlala nengane yakho kulo lonke ukuhlolwa. Kuyimpumuzo enkulu kokubili enganeni nakuwe.
Nakhu okwenzekayo isinyathelo ngesinyathelo:
1. Egumbini le-X-ray: Okokuqala, wena nomntwana wakho nizoyiswa ekamelweni le-X-ray. Nizocelwa ukuba nigqoke ingubo ekhethekile eniyinikezwe yisibhedlela.
2. Embhedeni we-X-ray: Ingane ibe isilaliswa embhedeni emshinini we-X-ray.
3. Ukuze uphephe: Njengoba uzoba nomntwana wakho, uzocelwa ukuthi ugqoke i-lead vest ukuze uzivikele kuma-X-ray. Uma ukhulelwe, kungcono ukuletha ilungu lomndeni elithembekile (njengomyeni wakho noma umama) ukuze ube nomntwana wakho, njengoba kunganconywa ukuthi uvezwe kuma-X-ray.
4. I-X-ray yokuqala: Ngaphambi kokuba kuthathwe i-barium swallow, kuthathwa isithombe se-X-ray esivamile sesisu.
5. Ukubeka umntwana endaweni yakhe: Umntwana ube esecelwa ukuba aphendukele ohlangothini lwakhe futhi alethe amadolo akhe esifubeni sakhe. Uma kuyingane encane, abasebenzi bazosiza ngalokhu.
6. Ukufaka ipayipi: Udokotela we-radiation noma uchwepheshe manje uzofaka ngokucophelela ipayipi elincane, eliguquguqukayo, eligcotshwe nge-lubricant, e-rectum yengane. Esinye isiphetho saleli payipi sixhunywe esikhwameni esiqukethe uketshezi lwe-barium.
7. I-Barium enema: Manje uketshezi lwe-barium ludlula kancane ngepayipi luye emathunjini amakhulu engane.
- Okubalulekile: Kujwayelekile kakhulu ukuthi ingane yakho izizwe igcwele, ibe nobuhlungu besisu obuncane, futhi izizwe inesifiso esikhulu sokuya endlini yangasese ngalesi sikhathi. Lokhu kungenxa yokuthi amathumbu agcwele uketshezi. Ungakhathazeki ngalokhu. Thulisa ingane yakho bese ubamba isandla sayo.
8. Ukuthatha izithombe ze-X-ray: Njengoba i-barium isakazeka emathunjini, udokotela we-radiologist uthatha izithombe eziningana ze-X-ray ezivela emakhoneni ahlukene. Ingane ingacelwa futhi ukuthi igoqe kancane iye kwesokudla nakwesobunxele.
9. Ukususa ithubhu: Ngemva kokuba zonke izithombe ezidingekayo sezithathiwe, ithubhu lisuswa ngokucophelela.
10. Ukuya endlini yangasese: Manje ingane isivunyelwe ukuya endlini yangasese bese ikhipha uketshezi lwe-barium kanye nendle.
11. I-X-ray yokugcina: Ngemva kokuba ingane iye endlini yangasese, kuthathwa esinye isithombe se-X-ray ukuze kubonakale ukuthi amathumbu abukeka kanjani ngemva kokuba esephumile.
Yilokho kuphela! Ukuhlolwa sekuphelile.
Yini okufanele ngikhathazeke ngayo ngemva kokuhlolwa?
Uma nje ukuhlolwa sekuphelile, ingane yakho ingadla futhi iphuze ngendlela evamile futhi yenze imisebenzi yayo yansuku zonke. Kodwa khumbula lezi zinto:
- Nika ingane yakho uketshezi oluningi lokuphuza: Kubalulekile ukunikeza ingane yakho uketshezi oluningi, njengamanzi kanye nojusi wezithelo, ngemva kokuhlolwa. Lokhu kuzosiza i-barium esele emzimbeni ukuthi iphume kalula esitulweni.
- Indle emhlophe: Kujwayelekile kakhulu ukuthi indle yengane yakho ibe mhlophe, njengoshoki, usuku olulodwa noma ezimbili ngemva kokuhlolwa. Lokhu kungenxa yokuthi i-barium iyakhishwa. Ungakhathazeki ngakho.
- Ukuya endlini yangasese kaningi: Izinsuku ezimbalwa, ingane ingadinga ukuya endlini yangasese kaningi kunokujwayelekile.
Ingabe kukhona izingozi kulokhu?
I-enema yokuhlukanisa ngokuvamile inqubo ephephile kakhulu. Ukuchayeka kuma-X-ray kuncane kakhulu. Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane.
| Imiphumela emibi engaba khona | Funda ngalokhu |
|---|---|
| Ukuqunjelwa, ukuqunjelwa, ukuqunjelwa, isicanucanu, ikhanda elibuhlungu | Lokhu kuvame ukuba ukungakhululeki okuncane okungaba khona. Lokhu kuzophela uma uphuza uketshezi oluningi. |
| Ukusabela Kokungezwani Nomzimba ku-Barium | Lokhu kuyinto engavamile kakhulu . Uma ingane yakho inenkinga yokuphefumula noma ithola izilonda esikhumbeni, yazisa abasebenzi bezokwelapha ngokushesha. |
| Ukubhoboka Kwamathumbu | Lesi yisimo esingavamile kakhulu futhi esibucayi. Lokhu kungase kusolwe uma ingane iba nobuhlungu obukhulu esiswini ngesikhathi noma ngemva kokuhlolwa. |
Kunini lapho udinga ukukhuluma nodokotela?
Ngemva kokuhlolwa, ingane yakho kufanele ibe ngcono futhi ibe ngcono. Kodwa-ke, uma ingane yakho ihlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha ngaphandle kokulibala:Noma thatha ingane uyise e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
| Isikhathi sokuthola iseluleko sezokwelapha ngokushesha | |
|---|---|
| - Isisu sengane sivuvukele | - Imfiva |
| - Ukopha Okuvela Emqaleni | - Ubuhlungu besisu obungabekezeleleki, obukhulu |
| - Isiyezi noma ukuquleka | - Akukho ukuhamba kwamathumbu isikhathi esingaphezu kwezinsuku ezimbili ngemuva kokuhlolwa |
Umlayezo Wokuya Nawe Ekhaya
- I-enema yokuhlukanisa i-contrast iyisivivinyo se-X-ray esiphephile kakhulu esisetshenziswa ukubheka izinkinga kumathumbu amakhulu engane.
- Ingane ayidingi ukulaliswa i-anesthesia (ukwenziwa ingazi lutho) kule nqubo. Yonke inqubo ithatha isikhathi esingaphansi kwehora.
- Ungahlala nengane yakho phakathi nokuhlolwa. Kuzoba yinduduzo enkulu kumntanakho ukuphatha ithoyizi alithandayo.
- Kujwayelekile ukuthi indle yengane yakho ibe mhlophe bese iya endlini yangasese izinsuku ezimbalwa ngemva kokuhlolwa. Ungakhathazeki ngalokho.
- Uma ubona noma yini efana nobuhlungu obukhulu esiswini, umkhuhlane, noma igazi esitulweni sakho, shayela udokotela wakho ngokushesha ngaphandle kokulibala .
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