Colonoscopy Yakachengeteka Zvakadii?
Zvemukati
- Colonoscopy njodzi
- Perforated ura
- Kubuda ropa
- Post-polypectomy electrocoagulation chirwere
- Kusagadzikana kugadzirisa kune anesthetic
- Utachiona
- Colonoscopy njodzi kune vakura vakuru
- Matambudziko mushure mekolonoscopy
- Nguva yekudaidza chiremba
- Dzimwe nzira kune yechinyakare colonoscopy
- Tora woenda nazvo
Mhedziso
Ivhareji yehupenyu hwengozi yekutora kenza yakajeka kenza ingangoita 1 mu 22 varume uye 1 mu24 vakadzi. Colorectal kenza ndiyo yechipiri inotungamira kukonzera kenza kufa muUnited States. Dzakawanda dzenzufu idzi dzinogona kudzivirirwa nekukurumidza, kuongororwa nguva dzose.
Colonoscopy muyedzo wekuongorora unoshandiswa kuona nekudzivirira kanzura dzekoloni uye dzakajeka. Colonoscopies zvakare maturusi anogona kubatsira kuona chinokonzeresa mamiriro emudumbu, senge: chirwere chisingaperi kana kupatira uye rectal kana dumbu kubuda ropa.
Zvinokurudzirwa kuti vanhu vane huremu hwekenza njodzi vanotanga kuwana bvunzo iyi pazera remakore makumi mashanu nemashanu kana makumi mashanu, uye makore gumi ega ega mushure, kusvika pamakore makumi manomwe neshanu
Nhoroondo yemhuri yako uye nhangemutange inogona kukanganisa njodzi yako yekuwana colon kana colorectal cancer. Mimwe mamiriro ezvinhu anogona zvakare kuwedzera njodzi yako, senge:
- nhoroondo yepolyps mukoloni
- Chirwere cheCrohn
- chirwere chinoputira chirwere
- urikanwi colitis
Taura nachiremba nezve ako akanangana nenjodzi uchifunga kuti nguva uye kangani iwe unofanirwa kuve nekolonoscopy.
Hapana chinhu muhupenyu chisina imwe nhanho yenjodzi, kusanganisira maitiro aya. Zvisinei, colonoscopies inoitwa zuva rega rega uye inoonekwa seyakachengeteka. Kunyangwe hazvo matambudziko akakomba uye kunyangwe rufu rungaitika semhedzisiro yekolonoscopy, mikana yako yekuwana colon kana colorectal cancer inopfuura aya mikana.
Kunyangwe izvo zvaunogona kunge wakanzwa, kugadzirira uye kuve nekolonoscopy hazvinyanye kurwadza. Chiremba wako anokupa iwe chaiyo mirayiridzo yekuti ungagadzirira sei bvunzo.
Iwe unozofanirwa kudzikisira kudya kwako kwezuva rapfuura uye kudzivirira zvinorema kana zvakakura zvekudya. Pakati pehusiku, iwe unozomira kudya chikafu chakasimba uye chinja kune chikafu chemvura. Kutsanya uye kunwa ura kugadzirira kuchatevera manheru pamberi pekuedzwa.
Bowel prep inokosha. Iyo inoshandiswa kuve nechokwadi chekuti colon yako haina zvachose marara, ichipa chiremba wako maonero akajeka panguva yekolonoscopy.
Colonoscopies inoitwa chero pasi pechiedza sedation kana general anesthesia. Sezvo nekuvhiya kupi, zviratidzo zvako zvakakosha zvichaongororwa mukati mese. Chiremba anoisa pombi yakatetepa inochinja ine vhidhiyo kamera kumucheto kwayo mukati me rectum yako.
Kana paine chero kusagadzikana kana epamberi polyps akaonekwa panguva yekuyedzwa, chiremba wako anogona kuzobvisa. Iwe unogona zvakare kuve nemishutu yemasuru yakabviswa uye kutumirwa bhiopsy.
Colonoscopy njodzi
Sekureva kweAmerican Society yeGastrointestinal Endoscopy, kunetsekana kwakakomba kunoitika munenge 2.8 muzana yezviuru zvese maitiro kana zvikaitwa muvanhu vane njodzi.
Kana chiremba akabvisa polyp panguva yekuyedzwa, mikana yako yezvinetso inogona kuwedzera zvishoma. Kunyangwe zvisingawanzoitika, kufa kwakataurwa zvichitevera colonoscopies, kunyanya kune vanhu vaive nematumbo maronda anoitika panguva yekuyedzwa.
Kusarudza nzvimbo yekurapa kunze kwaunenge uine maitiro kunogona kukanganisa njodzi yako. Imwe ongororo yakaratidza musiyano wakatarwa mumatambudziko, uye mhando yekutarisirwa, pakati pezvivakwa.
Njodzi dzakabatana necolonoscopy dzinosanganisira:
Perforated ura
Utumbo hwemaperembudzi tumisodzi tudiki mumadziro eredhiyo kana colon. Zvinogona kugadzirwa netsaona panguva yekuita nechiridzwa. Idzi punctures dzinogona kuitika zvishoma kana polyp ikabviswa.
Perforations inogona kurapwa nekumirira kwakamirira, kuzorora kwemubhedha, uye maantibayoti. Misodzi mikuru ndezvekurapwa kwekukurumidza kunoda kugadziriswa kwekuvhiya.
Kubuda ropa
Kana sampuro yetishu ikatorwa kana polyp yabviswa, unogona kuona kumwe kubuda kweropa kubva padziva rako kana muropa muduru rako zuva kana maviri mushure mekuedzwa. Izvi hazviite chinhu chekufunganya nezvazvo. Zvisinei, kana kubuda kwako ropa kuri kurema, kana kuti kusingamiri, rega chiremba wako azive.
Post-polypectomy electrocoagulation chirwere
Ichi chinetso chisingawanzoitika chinogona kukonzera kurwadziwa kwakanyanya kwemimba, kukurumidza kwemoyo, uye kupisa muviri mushure mekolonoscopy. Inokonzerwa nekukuvara kumadziro emudumbu izvo zvinoguma nekutsva. Izvi hazviwanzo zvinoda kugadziriswa kwekuvhiya, uye zvinowanzo kurapwa nekurara kwemubhedha uye mishonga.
Kusagadzikana kugadzirisa kune anesthetic
Maitiro ese ekuvhiya anotakura imwe njodzi yekusagadzikana kweanesthesia. Izvi zvinosanganisira kugadzikana uye kufema.
Utachiona
Hutachiona hutachiona, senge E. coli naKlebsiella, zvave zvichizivikanwa kuti zvinoitika mushure mekolonoscopy. Izvi zvinogona kuve zvinowanzoitika kuzvipatara izvo zvisina kukwana hutachiona matanho anoiswa.
Colonoscopy njodzi kune vakura vakuru
Nekuti kenza yekoloni inokura zvishoma nezvishoma, colonoscopies haigare ichikurudzirwa kune vanhu vane hunyanzvi hwepakati kana vane makore anopfuura makumi manomwe nemashanu, chero vaine muyedzo kanokwana kamwe mumakore gumi apfuura. Vakwegura vakuru vane mukana wakanyanya kupfuura varwere vadiki kusangana nematambudziko kana kufa mushure meiyi nzira.
Uturu hwepamberi hunoshandiswa dzimwe nguva hunogona kunge hune hanya nevakuru nekuti hunogona kutungamira mukushomeka kwemvura kana kusaenzana kwemagetsi.
Vanhu vane kuruboshwe kwema ventricular kusagadzikana kana congestive moyo kutadza vanogona kuita zvisina kunaka kugadzirira mhinduro dzine polyethylene glycol. Izvi zvinogona kuwedzera intravascular mvura vhoriyamu zvichikonzera matambudziko akadai edema.
Kugadzirira zvinwiwa zvine sodium phosphate zvinogona zvakare kukonzera kusagadzikana kwetsvo kune vamwe vanhu vakuru.
Zvakakosha kuti vanhu vakura vanzwisise zvizere kwavo colonoscopy prep mirairo uye vakagadzirira kunwa huwandu hwakazara hwemvura yepamberi inodiwa. Kusaita kudaro kunogona kukonzera madiki ekupedzisa mitengo panguva yekuedzwa.
Zvichienderana nemamiriro ehutano ehutano uye nhoroondo yehutano kune vakura vakuru, panogona zvakare kuve nenjodzi yakawedzera yezviitiko zvemwoyo- kana zvemapapu mumavhiki anotevera colonoscopy.
Matambudziko mushure mekolonoscopy
Iwe ungangove wakaneta mushure mekuita. Sezvo anesthesia ichishandiswa, ungangodikanwa kuti mumwe munhu akuendese kumba. Zvakakosha kutarisa zvaunodya mushure mekuita kuitira kuti usatsamwisa colon yako uye kudzivisa kupera mvura.
Postprocedure matambudziko anogona kusanganisira:
- kunzwa kubhowa kana gassy kana mweya ukaunzwa mukoloni yako panguva yekuita uye wotanga kusiya system yako
- huwandu hushoma hweropa hunouya kubva pahunhu hwako kana mukufamba kwako kwekutanga ura
- mwenje wenguva pfupi kupwanya kana kurwadziwa mudumbu
- kuda kurutsa semhedzisiro yeanesthesia
- rectal kutsamwa kubva mudumbu prep kana maitiro
Nguva yekudaidza chiremba
Chero chiratidzo chinokonzera kunetsekana chikonzero chakanaka chekudaidza chiremba.
Izvi zvinosanganisira:
- kurwadziwa kwakanyanya kana kwenguva refu kwemudumbu
- kupindwa nechando
- chills
- kubuda ropa kwakanyanya kana kwenguva refu
- kukurumidza kurova kwemoyo
Dzimwe nzira kune yechinyakare colonoscopy
Colonoscopy inoonekwa seyegoridhe chiyero chekuongorora bvunzo dzekoloni uye rectal cancer. Nekudaro, kune mamwe marudzi ebvunzo ayo angave akakukodzera. Iyi bvunzo inowanzo kuda colonoscopy sekutevera kana zvisizvo zvikafumurwa. Zvinosanganisira:
- Fecal immunochemical bvunzo. Iyi yekumba-bvunzo bvunzo inotarisa ropa muchigaro uye inofanirwa kutorwa gore rega.
- Fecal zvemashiripiti ropa bvunzo. Bvunzo iyi inowedzera chikamu chekuyera ropa kune iyo fecal immunochemical test uye zvakare inofanirwa kudzokororwa gore rega.
- Chitsiko DNA. Iyi yekumba-kumba bvunzo inoongorora chigaro cheropa uye cheDNA iyo inogona kuve inosanganisirwa nekenza yekoloni.
- Kaviri-kusiyanisa barium enema. Iyi iri-muhofisi X-ray inodawo kutanga kuchenesa ura. Inogona kuve inoshanda pakuziva makuru polyps asi inogona kutadza kuona idiki.
- CT colonography. Iyi ye-muhofisi bvunzo inoshandisawo ura yekuchenesa prep asi haidi kutindivadza.
Tora woenda nazvo
Colonoscopies anonyanya kushanda ekuongorora maturusi anoshandiswa kuona cancer yekenza, rectal cancer, uye mamwe mamiriro. Ivo vakachengeteka kwazvo, asi kwete zvachose pasina njodzi.
Vakwegura vakuru vanogona kusangana nematanho epamusoro eanjodzi kune mamwe marudzi ezvinetso. Taura nachiremba kuti uone kana iwe uchifanira kuva necolonoscopy.