Ufuna ukufunda ngokulungiswa kwamathumbu kwezinsuku ezimbili ukuze uhlanze ikholoni yakho?

Ingabe unesilingo se-`(Colonoscopy)` esizokwenzeka maduze? Khona-ke kumelwe ukuthi uzwile ngokulungiswa kwamathumbu ngaphambi kwaso. Nakuba lokhu kungase kubonakale sengathi kuyinkathazo, kubalulekile ukuba kwenziwe ukuhlolwa kwe-`(Colonoscopy)` ngendlela efanele. Namuhla, sizoxoxa ngale ndlela yokulungisa amathumbu yezinsuku ezimbili, ikakhulukazi indlela yokukwenza kusetshenziswa amaphilisi e-`( Magnesium Citrate )`, `(Dulcolax)` kanye ne-`(Golytely)`.

Kungani lokhu kuhlanzwa kwamathumbu kubaluleke kangaka ku-"(Colonoscopy)"?

Kalula nje, ikholoni lakho kufanele lingabi nalutho futhi lihlanzekile uma wenza i-colonoscopy. Cabanga ngodokotela wakho eshayela imoto ngosuku olucacile. Kodwa uma ikholoni lakho ligcwele indle, kufana nokushayela imoto emvuleni enkulu noma enkungwini. Awukwazi ukubona lutho ngokucacile.

Into ebaluleke kakhulu ukuthi udokotela angabona ngokucacile ngisho nezinguquko ezincane ngaphakathi kwekholoni, njengokukhula okuncane (ama-polyps), noma ukuqala komdlavuza kuphela uma ikholoni ihlanzwe kahle.

Yingakho kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho wezifo zamathumbu ngqo. Ngaphandle kwalokho, kungase kudingeke ukuthi uhlehlise i-colonoscopy noma uphinde uyenze ngosuku olulandelayo. Uma lokho kwenzeka, akukuphathi kahle.

Ulungiselela kanjani lokhu kulungiselela amathumbu kwezinsuku ezimbili?

Kunezinto ezimbalwa ezincane okudingeka zenziwe ngalokhu izinsuku ezimbalwa. Ake sibone ukuthi ziyini.

Izinto okufanele uzithathe okungenani izinsuku ezinhlanu (5) ngaphambi kokuthi "(i-Colonoscopy)" yakho:

Ungayithenga le mithi ekhemisi. Awudingi incwadi kadokotela ukuze uyithole. Kodwa-ke, imithi efana ne-`(Golytely)` idinga incwadi kadokotela, ngakho yilungiselele kusenesikhathi.

• Ibhodlela elingu-296 ml (ama-ounce ayi-10 oketshezi) loketshezi lwe-'Magnesium Citrate'. (Lolu uketshezi olusiza ekunciphiseni ukuqunjelwa)
• Iphakethe lamaphilisi amane (4) e-Dulcolax. Iphilisi ngalinye kufanele libe nama-milligram angu-5 (5mg) e-Bisacodyl. Okubalulekile: Thatha uhlobo lokuhlanza isisu, hhayi uhlobo lokuthambisa indle .
• Ngaphezu kwalokho, kufanele futhi uthathe umuthi `(Golytely/Nulytely®/Trilyte®/Colyte®)` onqunywe udokotela wakho kusenesikhathi.

Khumbula, landela le miyalelo ngqo. Yilapho-ke kuphela lapho uzokwazi ukwenza i-colonoscopy ephumelelayo futhi ungasadingeki uphinde ukwenze.

Amaphuzu ambalwa abaluleke kakhulu:

• Amathumbu akho kudingeka angabi nalutho ngokuphelele ukuze udokotela akwazi ukubona ngaphakathi ngokucacile.
• Landela imiyalelo enikezwe udokotela wakho wezifo zamathumbu njengoba nje ibhalwe kulebula.
• Ungadli ukudla okuqinile ngosuku olwandulela i-colonoscopy yakho. Kuvunyelwe uketshezi olucacile kuphela. Sizoxoxa ngalokhu kabanzi.

Ingabe udinga umuntu ozohamba nawe ngosuku lwe-colonoscopy yakho?

Yebo, lokhu kuyimpoqo. Uma ubhalisa ukuze uthole i-colonoscopy yakho, kumele ube nomuntu omdala onokwethenjelwa nawe. Lowo muntu kumele ahlale nawe uze ukhishwe esibhedlela. Ngeke uvunyelwe ukuya ekhaya wedwa. Khumbula, ungase uzizwe ungakhululekile noma ulele ngemva kokuhlolwa. Akuphephile ukuya ekhaya wedwa ngaleso sikhathi.

Uma ungenaye umuntu ozokuthatha akuyise ekhaya, ukuhlolwa kwakho kuzodingeka kukhanselwe. Awuvunyelwe ukushayela noma iyiphi imoto, njengebhayisikili, imoto, noma isikuta, noma ukushiya isikhungo sodwa ngalolo suku. Ngakho-ke kubaluleke kakhulu ukuhlela kusengaphambili ngalokhu.

Kudingeka uqaphele ngezidakamizwa ozithathayo.

Ukuze uphephe, eminye imithi kungadingeka iyekwe noma kulungiswe umthamo ezinsukwini ezimbalwa ngaphambi kokuhlolwa. Kubalulekile ukuxoxa ngalokhu nodokotela wakho ukuze uthole iseluleko.

Izinto Zokunciphisa Igazi :

Uma uthatha lolu hlobo lomuthi, qiniseka ukuthi ubona udokotela wakho okungenani amasonto amabili (2) ngaphambi kokuhlolwa ukuze uxoxe ngalo muthi. Lokhu kungenxa yokuthi noma yikuphi ukopha ngesikhathi sokuhlolwa kungaba nzima ukukulawula.

Ezinye izibonelo:

• `I-Clopidogrel (i-Plavix®)`
• `I-Warfarin (i-Coumadin®)`
• "I-Ticlopidine hydrochloride (Ticlid®)"
• `I-Anagrelide (Agrylin®)`
• `Rivaroxaban (Xarelto®)`
• `I-Dabigatran (Pradaxa®)`
• `I-Apixaban (Eliquis®)`
• `I-Prasugrel (Effient®)`

Imithi ye-insulin kanye nesifo sikashukela:

Khuluma nodokotela onikeze lo muthi bese uthola iseluleko sokuthi ungawushintsha kanjani umthamo walo muthi ezinsukwini eziholela ku-colonoscopy yakho.

• Uma kuwusuku lokuhlolwa, ungaphuzi amaphilisi akho esifo sikashukela ngemva kwamabili ebusuku obandulele.
• Uma uthatha i-insulin (isib., 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 (1/2) yomthamo wakho ojwayelekile ngosuku olungaphambi kokuhlolwa. Futhi, xhumana nodokotela wakho ngalokhu.

Imithi Yokulawula Isisindo:

Kufanele wehlise isisindo.Uma uphuza umuthi, kungadingeka ukuthi ushintshe umthamo noma uyeke ukuwuthatha izinsuku ezimbalwa (mhlawumbe isonto) ngaphambi kokuhlolwa. Buza udokotela okunike umuthi ngalokhu.

Ezinye izinhlobo zemithi okungadingeka ziyekwe zifaka:

• `I-Canagliflozin (Invokana®)`
• I -Dapagliflozin (Farxiga®, Forxiga®)
• `I-Dulaglutide (Trulicity®)`
• `I-Empagliflozin (Jardiance®)`
• `I-Ertugliflozin (Steglatro®)`
• ``Exenatide (Byetta®, Bydureon®)''
• "I-Liraglutide (i-Victoza®, i-Saxenda®)"
• `I-Lixisenatide (Adylyxin®)`
• I- Semaglutide (Ozempic®, Wegovy®, Rybelsus®)`
• `I-Tirzepatide (Mounjaro®, Zepbound®)`

Amaphilisi Ensimbi:

Uma uthatha amaphilisi ensimbi, yeka ukuwathatha isonto elilodwa (1) ngaphambi kwe-colonoscopy yakho. Amaphilisi ensimbi angabangela indle emnyama futhi anganqwabelana emathunjini akho, okuphazamisa ukuhlolwa.

Ezinye izinhlobo zemibhede:

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.

Mayelana nokudla nokuphuza izinsuku ezintathu (3) ngaphambi kwe-`(Colonoscopy)`

Kufanele uyeke ukudla ukudla okune-fiber eningi izinsuku ezintathu ngaphambi kokuhlolwa. Lokhu kungahlala emathunjini futhi kuphazamise ukuhlolwa.

• I-Popcorn
• Ubhontshisi
• Okusanhlamvu (isb. i-flax, i-sunflower, i-quinoa)
• Isinkwa sezinhlamvu eziningi
• Amantongomane
• Isaladi/imifino
• Izithelo ezintsha nezomisiwe ezinesikhumba

Usuku olulodwa (1) ngaphambi `(Colonoscopy)`

Lolu usuku okufanele uluqaphele kancane. Kusukela ngosuku olungaphambi kwe-colonoscopy yakho, kufanele uphuze uketshezi olucacile kuphela. Ungadli ukudla okuqinile.

Ungaphuza uketshezi olucacile kuze kube amahora amathathu (3) ngaphambi kwe-colonoscopy yakho.

Ziyini Izinto Ezicwebezelayo Ezicacile?

Kalula nje, uma uwuthululela engilazini bese ubona ukuthi uphuma kuyo, uketshezi olucacile.

Izibonelo:

• Amanzi
• Itiye elingenashukela (ngaphandle kobisi)
• Ikhofi ngaphandle koshukela (ngaphandle kobisi)
• Umhluzi/isobho elicacile (ngaphandle kwezingcezu zemifino noma izingcezu zenyama)
• Ijusi yezithelo (akukho zingcezu, isib. ijusi yama-apula, ijusi yamagilebhisi - akukho mbala omnyama)
• Ijeli (ayimnyama - ayibomvu, ayiphuzi)
• Iziphuzo zemidlalo ezinombala okhanyayo noma ama-soda afana ne-Sprite, 7Up

Izinto okungafanele uzesabe:

• Ubisi nemikhiqizo yobisi
• Amajusi ezithelo amnyama (isb. ijusi likatamatisi, ijusi lewolintshi elinezingcezu kulo)
• Utshwala

Indlela yokwenza amalungiselelo okulungiselela amathumbu ezinsuku ezimbili?

Lena yingxenye ebaluleke kakhulu. Ngaphambi kokwenza uketshezi lokuhlanza amathumbu, funda futhi uqonde yonke imiyalelo ngokucophelela.

Izinsuku ezimbili (2) ngaphambi kwe-`(Colonoscopy)`:

• Kusukela ngo-1 ntambama kuya ku-5 ntambama: Phuza ingilazi yoketshezi olucacile (cishe ama-ounces angu-8) njalo ngehora.
• 5:30 PM: Phuza ibhodlela lonke le-Magnesium Citrate (ama-ounces ayi-10).
• Kusukela ngo-6 ntambama kuya ku-9 ebusuku: Futhi, phuza ingilazi yoketshezi olucwebezelayo njalo ngehora.
• 9:30 PM: Thatha wonke amaphilisi amane (4) eBisacodyl (Dulcolax) ngesikhathi esisodwa ngamanzi.

Uma wenza lezi zinto, kuzodingeka uye endlini yangasese kaningi. Lokhu kuyinto evamile, ngakho ungakhathazeki ngakho. Kuwukuhlakanipha ukuhlala endaweni enendlu yangasese eseduze.

Usuku olulodwa (1) ngaphambi kwe-`(Colonoscopy)`:

• Ungadla ukudla okuhlanzekile okusamanzi kuze kube ngu-6 ntambama usuku lonke. Ungadli ukudla okuqinile.
• Ntambama, lungisa ingxube yakho yokuhlanza ulwelo ethi `(Golytely/Nulytely/Trilyte Colyte)` bese uyigcina efrijini. Uma iza nephakethe lezinongo, ungayifaka. Kodwa ungafaki iqhwa, ushukela, noma ezinye izinongo.
• Kufanele uphuze lolu ketshezi ngezingxenye ezimbili.
• 6 PM: Qala ukuphuza ama-ounces angu-8 (ingilazi enkulu) yoketshezi olulungisiwe njalo ngemizuzu engu-15. Qhubeka uphuza uze uqede ingxenye (1/2) yoketshezi oluphelele.
• Amahora ayisithupha (6) ngaphambi kokuhlolwa kwakho: Phuza ingxenye esele (1/2) yoketshezi njengakuqala, ingilazi engama-ounces angu-8 njalo ngemizuzu eyi-15.
• Qhubeka uphuza uketshezi olucacile kuze kube amahora amathathu (3) ngaphambi kwe-colonoscopy yakho. Ngemva kwalokho, ungaphuzi lutho.

Wenzani ngezikhathi ezikhethekile?

Abanye abantu bangase babe nokunyakaza kokuhamba kobunye. Laba bantu bangase badinge izeluleko ezahlukene. Uma unalesi simo, khuluma nodokotela wakho bese uthola izeluleko ezifanele wena.

Kuthiwani uma unesifo sokuqunjelwa?

Ungathatha futhi umuthi wokuhlanza isisu ezinsukwini ezimbalwa ngaphambi kokuhlanza. Lokhu kuzosiza ekunciphiseni ukuqunjelwa kwakho ngaphambi kokuhlanza. Buza udokotela wakho ngalokhu futhi.

Kuthiwani uma ukulungiswa kwamathumbu kwangaphambilini kungahambanga kahle?

Qiniseka ukuthi ubona udokotela wakho. Ungadinga iseluleko esengeziwe noma uhlobo oluhlukile lokulungiselela.

Kuthiwani uma ezinye izifo zibangela ukuphuma kwamathumbu kancane kancane?

Ezinye izifo (isib. isifo sikaParkinson, i-Multiple Sclerosis (MS)) noma imithi ethile (isib., i-Narcotics, i-Gabapentin, imithi ye-Anticholinergic) zingabambezela ukuphuma kwamathumbu. Uma usebenzisa isihlalo sabakhubazekile, lokhu kungathinta nokuhamba kwamathumbu akho. Tshela udokotela wakho ngesimo sakho kanye nanoma yimiphi imithi oyithathayo. Ungadinga isikhathi esengeziwe sokukhipha amathumbu akho kanye nemithi eyengeziwe.

Kuthiwani uma unenkinga yokuphuza uketshezi oluningi?

Qala ukuhlanza isisu sakho kusasele amahora amabili noma amathathu. Ngaleyo ndlela, uzoba nesikhathi esengeziwe sokuphuza lonke inani.

Kuthiwani uma ngingakwazi ukuqeda ukulungiselela amathumbu?

Uma ungakwazi ukuphuza lonke uketshezi lokuhlanza amathumbu, cishe kuzodingeka uhlehlise i-colonoscopy yakho. Ukuhlolwa ngeke kube usizo uma amathumbu akho engahlanzekile ngokuphelele.

Uke wahlinzwa i-bariatric?

Ukuhlinzwa kwe-gastric bypass kuthinta isisu kanye namathumbu amancane. Akushintshi ubude bekholoni lakho. Kodwa kungase kudingeke uphuze amanzi kancane, kaningi. Kusadingeka wenze into efanayo nokuhlanza amathumbu aphelele, kuthatha isikhathi eside.

Ingabe ungumuntu osebenzisa i-dialysis ngenxa yesifo sezinso?

Kufanele nakanjani ubonane nodokotela wakho wezinzwa ukuze uthole iseluleko esiqondile ngaphambi kokuhlela i-colonoscopy yakho. Ngokuvamile, iziguli ezihlinzwa nge-dialysis zithatha isisombululo sokuhlanza amathumbu amakhulu i-Golytely bese zivivinywa ngosuku olufanayo ne-dialysis yazo (i-colonoscopy ekuseni kanye ne-dialysis kusihlwa).

Ake sithole ukuthi kusho ukuthini ngempela ukuthi “ama-Clear Liquids”?

Lokhu kulula kakhulu. Uma ungathela uketshezi engilazini bese ulubona, lubhekwa “njengoketshezi olucacile.” Isibonelo, amanzi, isobho elicacile, ijeli enombala okhanyayo (hhayi obomvu noma onsomi), itiye elingelona ubisi, nekhofi. Ubisi, ijusi yezithelo ezimnyama, kanye notshwala akuweli kulesi sigaba.

Esinye isikhumbuzo mayelana nohambo lokuya ekhaya

Sesishilo kakade ukuthi udinga ukuba nomuntu omdala nawe uma ubhalisa ukuze uthole i-colonoscopy yakho. Lowo muntu kumele ahlale nawe kuze kube yilapho ukuhlolwa kuphelile futhi uyiswa ekhaya. Ungagibela i-Uber®, i-Lyft®, itekisi, noma ibhasi kuphela uma umuntu omdala ohamba nawe esemotweni nawe.

Ungacabangi nokuthi, "Ngizolala lapha isikhashana bese ngihamba ngedwa." Lokho akunakwenzeka. Kumelwe ube nomuntu omdala onokwethenjelwa nawe lapho ungena, ube lapho ngesikhathi sokuhlolwa, futhi akuyise ekhaya. Awukwazi ukushayela noma iyiphi imoto kuze kube sekupheleni kosuku. Lokhu kungenxa yokuphepha kwakho.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke kusukela kulokho esikuxoxile, ngithemba ukuthi unombono omuhle wenqubo yokulungiselela amathumbu yezinsuku ezimbili. Ungakhathazeki, uma ulandela le miyalelo ngokucophelela, konke kuzohamba kahle.

• Landela imiyalelo kadokotela ngqo: Lena yinto ebaluleke kakhulu. Uma uphuthelwa ngisho nento encane kakhulu, ukuhlolwa kungaphazamiseka.
• Qaphela ukuthi udlani futhi uphuzani: Ikakhulukazi ezinsukwini eziholela ekuhlolweni kanye nosuku olwandulelayo, landela imiyalelo ngqo. Yenza lokhu uma utshelwa ukuthi uphuze "uketshezi olucacile" kuphela.
• Buza udokotela wakho ngemithi: Yazisa udokotela wakho ngayo yonke imithi oyithathayo bese wenza noma yiziphi izinguquko ezidingekayo.
• Letha othile: Ungakhohlwa ukuletha umuntu onesibopho sokukuyisa ekhaya ngosuku lokuhlolwa.
• Buza imibuzo: Uma unemibuzo noma ungaqondi lutho mayelana nalokhu "Ukulungiselela Amathumbu" noma "I-Colonoscopy", ungesabi ukubuza udokotela noma umhlengikazi wakho.

Nakuba lokhu kulungiselela kungase kubonakale kuyinselele kancane, kufanelekile ukukwenza kahle ngoba lokhu kuyivivinyo elibaluleke kakhulu empilweni yakho. Ngikufisela inhlanhla!

Ukulungiswa kwe - Colonoscopy, ukulungiswa kwamathumbu, i-magnesium citrate, i-dulcolax, i-golightly, ukuhlanzwa kwamathumbu amakhulu, uhlelo lokugaya ukudla