Ingabe uhlelelwe ukuhlolwa okukhethekile kwezokwelapha, njenge-colonoscopy? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukutshelile ukuthi wenze ukulungiswa kwamathumbu ngaphambi kokuhlolwa. Ngakho-ke ungase uzibuze ukuthi ungayisebenzisa kanjani imithi enikeziwe. Ungakhathazeki, sizokugcina lokhu kulula.
Iyini le khithi yemithi? Yenzani ngempela?
Kalula nje, lo umuthi okhethekile osetshenziselwa ukukhipha nokuhlanza amathumbu akho ngokuphelele. Ngesikhathi sokuhlolwa kwezokwelapha, ikakhulukazi i-colonoscopy, lapho kusetshenziswa ikhamera ukuhlola amathumbu, ingaphakathi lamathumbu lidinga ukubonakala kahle. Yilokhu lo muthi osetshenziselwa kona. Lawa angaphansi kweqembu lemithi yokuhlanza ( imithi yokuhlanza ).
Le khithi yemithi ivame ukuba nezinto ezintathu eziyinhloko:
- I-Polyethylene Glycol: Lokhu kusebenza ngokudonsa amanzi emathunjini, okwenza indle ithambe futhi kube lula ukuyidlulisa.
- I-Bisacodyl: Lokhu kuza ngesimo sephilisi. Kuvuselela imisipha emathunjini futhi kusheshise ukudlula kwendle.
- Ama-electrolyte: Lokhu kubaluleke kakhulu. Uma uqhubeka nokudla, ama-electrolyte omzimba wakho angancipha, okuholela ekuphelelweni amanzi emzimbeni. Njengoba lo muthi uqukethe ama-electrolyte, uwusizo olukhulu ekugcineni ibhalansi yama-electrolyte emzimbeni.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Ngaphambi kokuthatha lo muthi, kubalulekile ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi usho okulandelayo ikakhulukazi:
- Uma unesifo esingamahlalakhona sesisu, amathumbu, noma umphimbo.
- Uma unezinkinga zezinso .
- Uma unesimo samanje esifana nokuphazamiseka kwesisu, ukuqunjelwa, noma ukuvaleka kwamathumbu .
- Uma uke waba nokusabela kokungezwani komzimba kunoma yiziphi izithako ezikulo muthi (i-polyethylene glycol, i-bisacodyl), noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe, noma ulindele umntwana .
- Uma ungumama oncelisayo .
Ukunikeza udokotela wakho lolu lwazi kuzomsiza ukuthi anqume ukuthi lo muthi ukulungele yini noma cha, futhi kuzomsiza nokuthi akunike iseluleko esidingekayo sokuthi ungawusebenzisa kanjani ngokuphephile.
Ngiyisebenzisa kanjani ngempela le mithi?
Lena yingxenye ebaluleke kakhulu. Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo . Lezi yizinyathelo okufanele uzilandele ngokujwayelekile.
1. Ukudla okukhethekile: Uzotshelwa ukuthi ulandele ukudla okukhethekile ngosuku noma ezimbili ngaphambi kokuhlolwa. Ungase utshelwe ukuthi uphuze uketshezi kuphela noma ugweme ukudla okuthile. Landela le miyalelo ngokucophelela.
2. Ukuthatha iphilisi: Gwinya iphilisi le-Bisacodyl ekhabetheni lemithi liphelele nengilazi yamanzi njengoba kuqondiswe udokotela wakho. Ungalokothi ulihlafune, ulichoboze, noma uliphule leli philisi.
3. Lungisa uketshezi: Hlanganisa iphakethe lempuphu ebhokisini kanye nenani lamanzi elishiwo kulo bese uvuselela kahle. Ungangezi lutho olunye (isib. ushukela, izinto ezinambithekayo). Uma ufuna ukunambitheka kube ngcono, ungafaka uketshezi olulungisiwe efrijini bese uluvumela ukuthi luphole kancane ngaphambi kokuphuza.
4. Phuza uketshezi: Qala ukuphuza lolu ketshezi olulungisiwe kancane kancane kusukela ngesikhathi udokotela wakho ekutshela sona. Ngokuvamile, uzotshelwa ukuthi uluphuze ngezikhathi ezithile, njengengilazi njalo ngehora.
5. Ongakulindela: Kuzodingeka uye endlini yokugezela okokuqala zingakapheli ihora noma amahora ambalwa ngemva kokuthatha iphilisi. Uma usuqalile ukuphuza uketshezi, uzoqala ukuhamba njalo kwamathumbu anamanzi. Yilokhu okulindelekile. Yile ndlela amathumbu ahlanzwa ngayo. Ngakho ungakhathazeki ngakho.
Kuthiwani uma ngengozi ngithatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga, shayela iNational Poisons Information Centre eColombo National Hospital ngokushesha. Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ezinye izinto okufanele uziqaphele lapho uthatha lo muthi
- Eminye imithi: Ungayiphuzi eminye imithi ngomlomo ihora lonke ngaphambi kokuqala leli philisi lokuhlanza isisu. Khuluma nodokotela wakho ngokuthi kufanele uyiphuze nini imithi yakho evamile yomfutho wegazi kanye nesifo sikashukela, bese uthola iseluleko kusengaphambili.
- Ubisi kanye nama-Antacid: Gwema ukudla kobisi okufana nobisi, i-yogurt, kanye nobisi olukhishwe amafutha ihora elilodwa ngaphambi nangehora elilodwa ngemuva kokuthatha i-bisacodyl. Futhi, gwema ama-antacid asetshenziselwa i-gastritis. Lokhu kungalimaza ungqimba oluvikelayo lwethebhulethi futhi kwandise ukungakhululeki kwesisu kanye nobuhlungu.
- Ukuqunjelwa: Ungase uzizwe uqunjelwe kancane uma uphuza uketshezi. Uma uzizwa ungakhululekile, yeka ukuphuza uketshezi isikhashana. Noma, yehlisa inani oliphuzayo ngesikhathi bese uliphuza isikhathi eside.
- Ukuphefumula impuphu: Uma ufaka impuphu yomuthi emanzini, ungahogeli uthuli lwempuphu. Lokhu kungabangela ukusabela kokungezwani komzimba njengobunzima bokuphefumula noma ukuthimula.
Imiphumela emibi engaba khona yomuthi
Njengayo yonke imithi, kunethuba lemiphumela emibi, eminingi yayo engeyona embi kakhulu.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho noma ku-ETU ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile, isiyezi, ubuhlungu besifuba. |
| Imiphumela ezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Ukuquleka | Ukuquleka okungazelelwe. |
| Ubuhlungu obukhulu besisu | Ubuhlungu besisu obungazelelwe noma obukhulu, igazi esitulweni, umkhuhlane, isicanucanu. |
| Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha (kodwa tshela udokotela wakho uma iqhubeka) | |
| Ukuqunjelwa kanye nesicanucanu | Lokhu kungenzeka uma uqala ukuthatha umuthi. |
| Ubuhlungu besisu | Umuzwa omncane weqhubu esiswini. |
| Ukuvuvukala kwe-rectum | Ukuvuvukala noma ubuhlungu e-rectum ngenxa yokuhamba njalo kwamathumbu. |
Umlayezo Wokuya Nawe Ekhaya
- Le khithi yemithi isetshenziselwa ukuhlanza amathumbu ngokuphelele ngaphambi kokuhlolwa ngudokotela.
- Landela imiyalelo yokudla kadokotela wakho kanye nemiyalelo yemithi ngqo.
- Kuvamile ukuba nohudo olunamanzi njalo ngemva kokuthatha umuthi. Ungakhathazeki ngakho.
- Uma uthatha amaphilisi e-bisacodyl, gwema imikhiqizo yobisi kanye nama-antacid ihora ngaphambi nangemva.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezinkulu, njengobuhlungu obukhulu besisu, izimpawu zokungezwani komzimba, ubuhlungu besifuba, noma ukuquleka.
- Uma unemibuzo noma ukukhathazeka, ungalokothi unqikaze ukubuza udokotela wakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 I-Polyethylene Glycol; Ama-Electrolyte; I-Bisacodyl (i-PEG Prep Kit / i-HalfLytely) iyisihlanza esithathwa ngaphambi kwasiphi isivivinyo?
Leli yikhithi yokulungiselela amathumbu! Leli khithi lisetshenziswa odokotela ukususa yonke indle kanye nokungcola okuvela emathunjini amakhulu/emathunjini amakhulu esiguli ngosuku olwandulela i-colonoscopy, lapho kufakwa khona ikhamera emathunjini amakhulu. I-colon kumele ihlanzeke ngokuphelele ukuze ibonwe kahle yikhamera.
💬 Ngingawususa kanjani ngokuphelele wonke udoti emathunjini ami ngemva kokuthatha lo muthi (PEG + Bisacodyl)?
Leli phakethe liqukethe imithi emibili emangalisayo (etholakala kuzo zombili izinhlangothi)! Okokuqala, uma uthatha amaphilisi amabili e-'Bisacodyl', asebenza njengesikhuthazi, okwenza amathumbu anyakaze/anyakaze ngokushesha. Ngemuva kwalokho, uma uncibilikisa leyo 'PEG powder + salt mix' kumalitha amabili amanzi bese uyiphuza, yonke indle emathunjini igezwa njengomfula (i-Osmotic Lavage) ngalawo malitha amabili amanzi! (Ngenxa yokuthi iqukethe usawoti/ama-electrolyte, i-sodium/potassium ayingeni emzimbeni).
💬 Yiziphi izinkinga/izingozi ezingaba khona zokuphuza lolu ketshezi lokuhlanza isisu (i-Prep Kit)?
Iqiniso liwukuthi, ukuphuza amalitha ama-2 alolu ketshezi olunosawoti nolujiyile (ugcwele isisu) 'kuyisenzakalo esingathandeki esingabekezeleleki' ezigulini eziningi! Ngenxa yalokho, isicanucanu/ukuhlanza okukhulu, ukuqunjelwa/ukuqaqamba kwesisu akunakugwenywa. Enye ingozi ukuthi lokhu kubangela ukuqunjelwa okukhulu, futhi uma ungaphuzi ezinye izinhlobo zamanzi/uketshezi, ungaphelelwa amanzi emzimbeni kakhulu (Ukuphelelwa amanzi emzimbeni okukhulu/Ukukhubazeka Kwezinso) futhi izinso zakho zingase ziyeke ukusebenza!
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