Indlela Yokuhlanza Isisu Sakho Ukuze Uthole I-Colonoscopy: Sebenzisa i-MiraLAX kanye nesiphuzo sezemidlalo!

Ingabe udokotela wakho ukweluleke ukuthi wenze i-colonoscopy maduze? Uma kunjalo, kubalulekile ukuhlanza amathumbu akho amakhulu, noma i-colon, ngaphambi kokuhlolwa. Indlela ephumelela kakhulu odokotela abavame ukuyincoma kulokhu ukusebenzisa impuphu ebizwa ngokuthi i-MiraLAX kanye nesiphuzo sezemidlalo esicacile osithandayo. Ungakhathazeki, ake sixoxe ngalokhu kalula nangokucacile.

Kuyini ukuhlanza amathumbu amakhulu e-MiraLAX?

Kalula nje, iMiraLAX iyisihlanza-mathumbu. Ithambisa indle yakho futhi yenza kube lula ukuyikhipha. Lokhu kuzosiza ekuhlanzeni ikholoni yakho ukuze kwenziwe i-colonoscopy. Siyincibilikisa le mpuphu yeMiraLAX esiphuzweni esicacile, esingena-carbonated, njengeGatorade®.

Kungani ukuhlanza isisu kubaluleke kangaka?

Cabanga nje, lapho udokotela wakho enza i-colonoscopy, ufuna ukubona ingaphakathi le-colon yakho ngokucacile. Njengalapho sishayela imoto ngosuku olukhanyayo olunelanga. Yilapho izinto ezifana nama-polyp ku-colon, ngezinye izikhathi angaphenduka umdlavuza, zingabonakala ngokucacile.

Kodwa uma ikholoni yakho ingahlanzekile ngokuphelele, kufana nokushayela emvuleni enkulu noma enkungwini. Udokotela ngeke akwazi ukubona lutho ngokucacile. Uma lokho kwenzeka, kungase kudingeke wenze ikholoni futhi ngolunye usuku. Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.

Ngingayisebenzisa kanjani i-MiraLAX colon cleansing? Yini engiyidingayo?

Ukuze uhlanze isisu sakho usebenzisa le ndlela, kuzodingeka uthenge izinto ezimbalwa ekhemisi. Awudingi incwadi kadokotela yalokhu.

• Isiphuzo sezemidlalo esingama-ounces angu-64, esicacile , esingena-carbonated, njengeGatorade® , Propel®, noma iCrystal Light®, siyisinqumo esihle . Abantu abaningi baphuza amabhodlela amabili angama-ounces angu-32. Kodwa khumbula, ungaphuzi iziphuzo ezibomvu, ezi-orenji, noma ezinsomi. Le mibala ingaphazamisa ukuhlolwa uma imuncwa emathunjini. Uma unesifo sikashukela, khetha isiphuzo sezemidlalo esingenashukela, njengeGatorade G2®.
• Impuphu ye-MiraLAX iyibhodlela elingamagremu angu-238. Igama elijwayelekile lalokhu yi-polyethylene glycol 3350. Buza ekhemisi ukuthi ikuphi imithi yokuhlanza isisu.
• Amaphilisi amane e-Dulcolax®. Iphilisi ngalinye kufanele libe nama-milligram angu-5 e-bisacodyl. Kufanele usebenzise uhlobo lokuhlanza isisu, hhayi uhlobo lokuthambisa indle, akunjalo?

Lezi zeluleko zibaluleke kakhulu ukuze i-colonoscopy iphumelele!

I-colonoscopy yakho izophumelela uma ulandela lezi zinyathelo ngqo:

• Ikholoni lakho kudingeka lingabi nalutho ngokuphelele ukuze udokotela akwazi ukubona ngaphakathi ngokucacile. Landela imiyalelo kadokotela wakho wezifo zamathumbu ngokucophelela.
• Ungadli ukudla okuqinile ngosuku olwandulela i-colonoscopy yakho. Kuvunyelwe uketshezi olucacile kuphela.
• Thenga lezi zinto ozidingayo ukuze uhlanze isisu sakho (iMiralax, iSports Drink, iDulcolax) ekhemisi okungenani izinsuku ezinhlanu kusengaphambili. Khona-ke ngeke kudingeke ukhathazeke.

Funda kabanzi ngokuhamba ngosuku lwe-colonoscopy yakho.

Lokhu kubaluleke kakhulu, khumbula lokhu. Kumelwe ube nomshayeli onesibopho ozokushayela ukuya nokusukela ngosuku lwe-colonoscopy yakho. Lo muntu kumele ahlale esibhedlela/emtholampilo kusukela ngesikhathi ungeniswa ukuhlolwa kuze kube yilapho usuvunyelwe ukuhamba. Ngeke uvunyelwe ukuya ekhaya wedwa ngemva kokuhlolwa. Uma ungenaye umuntu ozokushayela, ukuhlolwa kwakho kungase kukhanselwe. Ngakho-ke, kubaluleke kakhulu ukuhlela lokhu kusenesikhathi.

Singazi ngemithi oyisebenzisayo?

Uma uphuza imithi yezimo ezithile, kufanele unake kakhulu leyo mithi ngaphambi kokuhlolwa kwe-colonoscopy. Eminye imithi kungadingeka iyekwe izinsuku ezimbalwa noma umthamo ungadinga ukushintshwa.

• Izithibi zegazi : Uma uthatha umuthi wokwehlisa igazi njenge-`clopidogrel (Plavix®), `warfarin (Coumadin®), `ticlopidine hydrochloride (Ticlid®), `anagrelide (Agrylin®), `rivaroxaban (Xarelto®), `dabigatran (Pradaxa®), `apixaban (Eliquis®)` noma `prasugrel (Effient®),` qiniseka ukuthi ukhuluma nodokotela wakho ngalowo muthi okungenani amasonto amabili ngaphambi kokuhlolwa .
• Imithi ye-insulini kanye nesifo sikashukela: Uma uthatha le mithi, qiniseka ukuthi ubuza udokotela wakho mayelana nokulungisa umthamo wakho ezinsukwini ezingaphambi kwe-colonoscopy yakho. Ungayithathi imithi yakho yesifo sikashukela ngemva kwamabili ngosuku lokuhlolwa. Uma uthatha i-insulin esebenza isikhathi eside njenge-insulin glargine injection (Lantus®), i-insulin lispro (Humalog®), i-insulin isophane (HumulinN®, NovolinN®, ReliOn®), noma i-insulin engu-70/30, kufanele uthathe ingxenye kuphela yomthamo wakho ojwayelekile ngosuku olungaphambi kokuhlolwa kwakho.
• Imithi yokulawula isisindo:Uma uthatha imithi yokwehlisa isisindo (njenge-canagliflozin (Invokana®), i-dapagliflozin (Farxiga®, Forxiga®), i-dulaglutide (Trulicity®), i-empagliflozin (Jardiance®), i-ertugliflozin (Steglatro®), i-exenatide (Byetta®, Bydureon®), i-liraglutide (Victoza®, Saxenda®), i-lixisenatide (Adylyxin®), i-semaglutide (Ozempic®, Wegovy®, Rybelsus®) noma i-tirzepatide (Mounjaro®, Zepbound®)), umthamo wakho ungadinga ukulungiswa noma kungadingeka uyeke ukuthatha umuthi izinsuku/amasonto ambalwa. Khuluma nodokotela wakho ngalokhu.
• Amaphilisi ensimbi: Yeka ukuthatha amaphilisi ensimbi isonto ngaphambi kwe-colonoscopy yakho. Amaphilisi ensimbi angenza indle yakho ibe mnyama, okwenza kube nzima ukubona kahle ngesikhathi sokuhlolwa.

Ungathatha imithi efana ne-aspirin, ama-antibiotic , noma ama-diuretics kanye nesiphuzo samanzi ngosuku lokuhlolwa. Kodwa-ke, uma ungaqiniseki ngokuthi yimiphi imithi ongaqhubeka uyithatha nokuthi yimiphi okufanele uyeke, qiniseka ukuthi ubuza udokotela wakho.

Lokhu kudla kufanele kugwenywe ezinsukwini ezintathu ngaphambi kokuhlolwa kwe-colonoscopy

Kufanele uyeke ukudla lokhu kudla okune-fiber eningi ezinsukwini ezintathu ngaphambi kokuhlolwa, ngoba kunganqwabelana emathunjini futhi kuphazamise ukuhamba kwamathumbu.

• I-Popcorn
• Ubhontshisi
• Okusanhlamvu (isb. i-flax, i-sunflower, i-quinoa)
• Isinkwa sezinhlamvu eziningi
• Amantongomane
• Amasaladi/imifino (ikakhulukazi leyo edliwa iluhlaza)
• Izithelo ezintsha nezomisiwe

Yini okufanele uyenze ngosuku olungaphambi kwe-colonoscopy?

Kufanele uphuze uketshezi olucacile kuphela ngosuku olwandulela i-colonoscopy yakho. Ungadli ukudla okuqinile. Ungaphuza uketshezi olucacile kuze kube amahora amathathu ngaphambi kwe-colonoscopy yakho.

Nazi ezinye izinto ongaziphuza nongaziphuzi:

Izinto ongaziphuza:

• Amanzi
• Isobho elicwengekile (akukho zingcezu, akukho mafutha)
• Itiye, ikhofi (ngaphandle kobisi noma ukhilimu)
• Ijusi yezithelo ecacile (isb. i-apula, amagilebhisi amhlophe. Gwema anombala omnyama njengowolintshi, umango)
• Ijeli (elibomvu, eli-orenji, elinsomi)
• Iziphuzo zemidlalo ezicacile (lezo ezingenazo imibala okukhulunywe ngayo ngenhla)
• Amanzi e-soda (i-soda engenalutho)

Izinto ongeke uziphuze:

• Ubisi nokudla kobisi
• Ijusi yezithelo emnyama
• Utshwala
• Isuphu enezicucu
• Akukho ukudla okuqinile

Indlela yokwenza nokuphuza ingxube yokuhlanza isisu iMiraLAX neGatorade

Le ngxube yokuhlanza isisu kufanele ithathwe ngezingxenye ezimbili. Kunesikhala samahora amaningana phakathi kwezingxenye ezimbili. Udokotela wakho uzokutshela izikhathi eziqondile. Udinga ukulandela leyo miyalelo ngqo, akunjalo?

Izinto ozozidinga (awudingi ibhola lomuthi kulokhu):

Njengoba kushiwo ngaphambili, lungisa lezi zinto ekhemisi:

• Ama-ounces angu-64 esiphuzo sezemidlalo esicacile, esingena-carbonated (esingenabo obomvu, o-orenji, noma onsomi), njenge-Gatorade®, i-Propel®, noma i-Crystal Light®. Abantu abanesifo sikashukela kufanele basebenzise i-`Gatorade G2®` engenashukela.
• Amaphilisi okudambisa isisu e-Dulcolax® angu-4 (ngalinye liqukethe u-5mg we-bisacodyl).
• Impuphu ye-MiraLAX (238 grams) noma uhlobo lwayo olujwayelekile lwe-`polyethylene glycol 3350`.

Indlela yokwenza ingxube: Ngosuku olungaphambi kwe -colonoscopy yakho, hlanganisa isiphuzo sakho sezemidlalo nama-ounces angu-64 (amagremu angu-238) empuphu ye-MiraLAX ejagini elikhulu bese uvuselela kahle. Hlanganisa noma ushukumise kuze kube yilapho impuphu ye-MiraLAX incibilika ngokuphelele. Ungayifaka efrijini uma uthanda.

Ingxenye Yokuqala: Ubusuku Bangaphambi Kokuhlolwa Kwekholoni

• Cishe ngo-5:00 ntambama: Thatha wonke amaphilisi amane e-Dulcolax ngesikhathi esisodwa.
• Cishe ngo-6:00 ntambama: Qala ukuphuza ingxenye yengxube ye-MiraLAX oyenzile, engama-ounces angu-32. Uma unenkinga yokuyiphuza yonke ngesikhathi esisodwa, phuza ingilazi enkulu (cishe ama-ounces angu-8) njalo ngemizuzu engu-15.
• Qhubeka uphuza uketshezi olucacile (njengamanzi, itiye).

Ingxenye Yesibili: Amahora Ayisithupha Ngaphambi Kwe-Colonoscopy

• Amahora ayisithupha ngaphambi kwe-colonoscopy yakho, qala ukuphuza ingxube esele ye-MiraLAX (ama-ounces angu-32) njengakuqala. Lokho kusho ingilazi eyodwa yama-ounces angu-8 njalo ngemizuzu engu-15.
• Ungaphuza uketshezi olucacile (njengamanzi) kuze kube amahora amathathu ngaphambi kokuhlolwa. Ngemva kwalokho, ungaphuzi lutho.

Ingabe unezimo ezikhethekile ezifana nalezi? Bese ubheka nalezi

Ukunyakaza kwamathumbu kwabanye abantu kungase kuhambe kancane. Abantu abanjalo bangase badinge izeluleko ezahlukene. Uma unalesi simo, kungcono ukukhuluma nodokotela wakho uthole izeluleko ezikufanele.

• Kuthiwani uma umuntu ehlala equnjelwa?

Ungaphuza nemithi yokuhlanza isisu ezinsukwini ezimbalwa ngaphambi kokuhlanza. Ngemuva kwalokho, ngesikhathi uhlanza, ukuqunjelwa kwakho kuzobe sekwehle kakhulu. Buza udokotela wakho ngalokhu futhi.

• Kuthiwani uma ukuhlanza amathumbu kwangaphambilini kungazange kuveze imiphumela efiselekayo?

Qiniseka ukuthi utshela udokotela wakho ngalokhu. Ungase udinge iseluleko esengeziwe.

• Kuthiwani uma umuntu engasebenzi kahle kwamathumbu ngenxa yokugula okuthile?

Abantu abanezimo ezifana nesifo sikaParkinson, i-multiple sclerosis (MS), kanye nalabo abasebenzisa izihlalo zabakhubazekile bangase babe nokunyakaza kwamathumbu okuhamba kancane. Lokhu kungabangelwa nemithi ethile, njengezidakamizwa kanye ne-gabapentin. Tshela udokotela wakho ngomlando wakho wezokwelapha kanye nanoma yimiphi imithi oyithathayo njengamanje. Ungadinga isikhathi esengeziwe sokuhlanza amathumbu akho kanye nemithi eyengeziwe.

• Kuthiwani uma kunzima ukuphuza uketshezi oluningi ngesikhathi esisodwa?

Qala ukuhlanza amahora amabili kuya kwamathathu ngaphambi kwesikhathi sakho esihleliwe. Ngaleyo ndlela, ungathatha isikhathi esengeziwe ukuqeda ukuthatha umuthi.

• Kuthiwani uma ngingakwazi ukuqeda yonke imithi yokuhlanza isisu?

Uma ungakwazi ukuqeda wonke umthamo, i-colonoscopy yakho kungadingeka ihlehliswe ngoba amathumbu akho ngeke akhishwe kahle. Ngakho zama ukuphuza konke ngangokunokwenzeka.

• Uke wahlinzwa i-bariatric?

Ukuhlinzwa kwe-gastric bypass kuthinta isisu kanye namathumbu amancane. Ubude bekholoni abushintshi. Ungase ukwazi ukuthatha okuncane ngesikhathi esisodwa, ngakho-ke kungadingeka ukuthi ukuthathe kaningi. Kodwa udinga ukuthatha umthamo ophelele wemithi. Kuthatha isikhathi eside.

• Ingabe usebenzisa i-dialysis?

Qiniseka ukuthi ukhuluma nodokotela wakho wezinzwa futhi uthole iseluleko esiqondile ngaphambi kokuhlela i-colonoscopy. Iziguli ze-Dialysis zivame ukunikezwa umuthi wokuhlanza amathumbu obizwa ngokuthi i-Golytely, futhi ukuhlolwa kuvame ukwenziwa ngosuku olufanayo ne-dialysis (i-colonoscopy ekuseni, i-dialysis kusihlwa).

Kuyini ngempela "i-Clear Liquid Diet"?

Lokhu kulula kakhulu. Uma ungathela uketshezi engilazini bese ulubona, lubhekwa “njengoketshezi olucacile.” Isibonelo, amanzi, itiye elinombala okhanyayo, isobho elicacile (akukho zigaxa).

Ngingakwazi yini ukugibela itekisi noma i-Uber® ukuze ngiye ekhaya ngedwa?

Cha, awukwazi. Kumelwe ube nomuntu omdala nawe uma uyokwenza i-colonoscopy. Lowo muntu kumele ahlale lapho uze uvunyelwe ukuhamba. Ungagibela itekisi kuphela uma lo muntu omdala ehlala nawe kusukela ngesikhathi ungena, ehlala lapho kuze kube yilapho uvunyelwe ukuhamba, futhi ebuyela ekhaya nawe ngetekisi. Ngeke uvunyelwe ukuhamba wedwa.

Awukwazi yini ukulala lapho isikhashana bese uhamba wedwa ngemoto?

Lutho neze. Kumelwe ube nomuntu omdala onokwethenjelwa nawe lapho ungena. Lowo muntu kumele abe khona ngesikhathi sokuhlolwa futhi akuyise ekhaya. Awukwazi neze ukushayela ngosuku olufanayo ngemva kokuhlolwa. Ngoba imithi oyinikwayo yokuhlolwa ingakwenza uzizwe udakiwe futhi ulele kancane.

Ezinye izinto ezibalulekile okufanele uzikhumbule

Ukuhlanza amathumbu kahle kubalulekile empumelelweni ye-colonoscopy yakho. Ngakho-ke landela imiyalelo kadokotela wakho we-gastroenterologist ngokucophelela. I-colon ecacile izosiza udokotela wakho ukuthi abone ama-polyps, ukuvuvukala, nezinye izinkinga kalula.

Uma unemibuzo mayelana nokuthi ungaxuba kanjani iMiraLAX neGatorade (noma esinye isiphuzo sezemidlalo), noma yini enye, ungangabazi ukubuza udokotela wakho. Ukubambisana kwakho kuzosiza kakhulu ekwenzeni lolu vivinyo lube yimpumelelo.

I- Colonoscopy, Ukuhlanzwa Kwamathumbu Amakhulu, i-MiraLAX, Ukuhlanzwa Kwamathumbu Amakhulu, Ukulungiselela I-Colonoscopy, i-Dulcolax