Sigmoidoscopy

Sigmoidoscopy maitiro anoshandiswa kuona mukati me sigmoid colon uye rectum. Iyo sigmoid colon ndiyo nzvimbo yematumbo mahombe padyo nereke.

Panguva yekuedzwa:

• Iwe unorara nerutivi rwako rweruboshwe nemabvi ako akaswededzwa kuchipfuva chako.
• Chiremba anoisa zvinyoro-nyoro uye yakakora chigunwe mumutsara wako kuti utarise kuvhara uye zvinyoro nyoro (anowedzera) anus. Izvi zvinodaidzwa kuti digital rectal bvunzo.
• Tevere, sigmoidoscope inoiswa kuburikidza neiyo anus. Iyo chiyero ichubhu inochinjika ine kamera pamagumo ayo. Chiyero chinofambiswa zvinyoro mukoloni yako. Mhepo inoiswa mukoloni kuti iwedzere nzvimbo uye kubatsira chiremba kuona nzvimbo yacho zviri nani. Mhepo inogona kukonzeresa kuita ura kufamba kana kupfuudza gasi. Kubvisa kunogona kushandiswa kubvisa mvura kana chigaro.
• Kazhinji, iyo mifananidzo inoonekwa mune yakakwira tsananguro pane vhidhiyo yekutarisa.
• Chiremba anogona kutora sampuli dzeturu nekadiki biopsy chishandiso kana mutete mutete musimbi wakaiswa kuburikidza chiyero. Kuchenesa (electrocautery) kunogona kushandiswa kubvisa polyps. Mifananidzo yemukati yekoloni yako inogona kutorwa.

Sigmoidoscopy ichishandisa chiyero chakasimba chinogona kuitwa kurapa matambudziko eanus kana rectum.

Anopa hutano hwako anokuudza kuti ungagadzirira sei bvunzo. Iwe unoshandisa enema kuburitsa ura hwako. Izvi zvinowanzoitwa 1 awa pamberi pe sigmoidoscopy. Kazhinji, enema yechipiri inogona kukurudzirwa kana mupi wako anogona kukurudzira laxative yemvura husiku hwapfuura.

Mangwanani enzira yacho, unogona kukumbirwa kutsanya kunze kwemimwe mishonga. Ive neshuwa yekukurukura izvi nemupi wako mushe pamberi. Dzimwe nguva, iwe unobvunzwa kutevedzera yakajeka mvura dhayeti nezuro wacho, uye dzimwe nguva chikafu chenguva dzose chinotenderwa. Zvekare, kurukura izvi nemupi wako mushe musati wezuva rako rekuyedzwa.

Munguva yebvunzo unogona kunzwa:

• Kumanikidza panguva yedhijitari rectal bvunzo kana kana iyo nzvimbo yakaiswa mune yako rectum.
• Iko kudiwa kwekutamba ura.
• Kumwe kuzvimba kana kupwanya kunokonzerwa nemhepo kana nekutambanudza ura nesigmoidoscope.

Mushure mekuyedzwa, muviri wako uchapfuura mweya wakaiswa mukoloni yako.

Vana vanogona kupihwa mushonga wekuti vavate zvishoma (sedated) yeiyi nzira.

Wako mupi anogona kukurudzira uyu muedzo kuti utarise chikonzero che:

• Marwadzo emudumbu
• Dhairrhea, kuvimbiswa, kana zvimwe shanduko muhunhu maitiro
• Ropa, mamasi, kana pus muchigaro
• Kurera uremu izvo zvisingatsanangurike

Bvunzo iyi inogona zvakare kushandiswa ku:

• Simbisa zviwanikwa zveimwe bvunzo kana x-ray
• Screen yekenza yakajeka kana polyps
• Tora biopsy yekukura

Mhedzisiro yekuyedza mhedzisiro haizoratidze matambudziko nekavara, magadzirirwo, uye saizi yemutsara wesigmoid colon, rectal mucosa, rectum, uye anus.

Mhedzisiro isina kujairika inogona kuratidza:

• Anal fissures (diki kupatsanura kana kubvarura mune yakaonda, yakanyorova nyama inonamira iyo anus)
• Anorectal abscess (kuunganidzwa kwepus munzvimbo yeanus uye rectum)
• Kuvharika kwemukati mukuru (Hirschsprung chirwere)
• Gomarara
• Colorectal polyps
• Diverticulosis (homwe dzisina kujairika pamadziro ematumbo)
• Mamota
• Chirwere chekuputira ura
• Kuzvimba kana hutachiona (proctitis uye colitis)

Pane njodzi shomana yekuzora ura (kubvarura gomba) uye kubuda ropa munzvimbo dzebiopsy. Iyo yakazara njodzi idiki kwazvo.

Inochinja sigmoidoscopy; Sigmoidoscopy - inochinjika; Proctoscopy; Proctosigmoidoscopy; Yakaoma sigmoidoscopy; Gomarara rekoloni sigmoidoscopy; Kuchena sigmoidoscopy; Rectal sigmoidoscopy; Kubuda kwepamuviri - sigmoidoscopy; Kubuda ropa - sigmoidoscopy; Melena - sigmoidoscopy; Ropa muzvigaro - sigmoidoscopy; Polyps - sigmoidoscopy

• Colonoscopy
• Sigmoid colon cancer - x-ray
• Rectal biopsy

Pasricha PJ. Kugadzira gastrointestinal endoscopy. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsama 125.

Rex DK, Boland CR, Dominitz JA, et al. Kuongorora kenza yakajeka: kurudziro yevanachiremba nevarwere vanobva kuU.S. Multi-Society Task Force paColorectal Cancer. Ndiri J Gastroenterol. 2017; 112 (7): 1016-1030. PMID: 28555630 www.pubmed.ncbi.nlm.nih.gov/28555630/.

Sugumar A, Vargo JJ. Kugadzirira uye kunetseka kwematumbo endoscopy. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 42.