A colonoscopy chirwere chinoshandiswa kuongorora mukati memakoloni (mumukati makuru) . Shanduro inoshandiswa pane iyi inonzi colonoscope , iyo inogadziriswa chubhu ne lenses, duku duku TV kamera, uye chiedza pamagumo. Nokushandisa fiber-optic teknolojia uye vhidhiyo yekombiyuta chip, colonoscope inogona kuongorora mukati mekoni uye kutumira mifananidzo yemudumbu wemukati kusvika pane vhidhiyo.
A gastroenterologist (nyanzvi mune chirwere chekudya) kana kuti chiremba anovhiya anowanzoita muedzo.
Chikorososcopy inogona kushandiswa kuongororwa zvirwere zvekudya (kana kuti kutonga ivo kunze!), Uyewo ndiyo inotenderera yegoridhe yekuongorora kenza yekoloni nekudzivirira. Kukura mukati mekoloni, inonzi polyps , ndiyo inofanirwa nekenza, asi inogona kubviswa panguva yekolonoscopy. Mushure mokupera, vanhu vazhinji vanoshamiswa kuti zviri nyore sei kuva nekolonoscopy uye kuti kudzokera kubasa kana kuchikoro zuva rakatevera haisi nyaya.
Nei Kune Colonoscopy?
A colonoscopy inobatsira pakutsvaga kanaroni yekoloni , zvipembenene, kuvhiringidza, uye mamwe matambudziko mumakoloni. Kuenzaniswa kwekenza yekoloni, colonoscopy inokurudzirwa makore gumi nemakore mushure mezera remakore makumi mashanu kune avo vari pangozi yakakwana.
Kuongorora kunofanirwa kuitwa munguva duku kune vanhu vane ngozi yakakura yekenza yekoloni nekuda kwehupenyu hwemhuri yekenza yekoloni, chirwere chinoputika chirwere (IBD) , nhoroondo yekukura kwechirwere kana kuti inodhaka yakawanda, uye syndromes dzinowanikwa semhuri dzakadai sedenomatous polyposis (FAP).
Vakadzi vane nhoroondo ye ovarian, endometrial, kana kenza yemazamu inogona kudiwa kakawanda colonoscopies.
A colonoscopy inogonawo kuziva kuti chii chinokonzera kubuda ropa kana kuziva nzvimbo dzekuvhiringidza mumakoroni. Chibatanidzwa pamagumo ekolonoscope chinogona kushandiswa kutora biopsy yemaviri mumutumbi.
Kana pombi inowanika, inogona kubviswa kushandiswa kwetambo kuvharidzirwa kwekolonoscope. Zvose biopsies uye mapuropa zvinotumirwa ku laboratori kuti iwedzere kuedzwa.
Vanhu vane IBD (Crohn's disease uye ulcerative colitis) vangada colonoscopy nguva dzose, kunyange seanowanzoita gore negore. Izvi ndezvekuchengetedza maziso kune chero upi noupi nekuvhiringidzika uye kunzwisisa kuti chii chinokonzera chirwere ichi pakoloni.
Iyo nzira inonzi colonoscopy inogona kutora kusvika paawa imwe nehafu uye inowanzoitwa mune imwe nzvimbo yekupedzisira kana muchipatara sechirongwa chekubuda kunze. Varwere vanowanzogadziriswa nemishonga inopiwa kuburikidza ne IV, iyo inoderedza kusagadzikana. Vanhu vazhinji havayeuki kuedza nekuda kwemishonga ye " twilight sleep " inoshandiswa. Chiremba ari kuita colonoscopy anoongorora colon ye:
- koroni kana kenza yemakwenzi
- kubuda ropa
- zilonda
- kukura kwechimiro ( polyps )
Nzira Yokugadzirira Sei Colonoscopy
Kuti chiremba aone kutarira kwakadzika mumatumbo, koni yacho inofanira kunge isina chinhu chechigaro . Chiremba wako achakupa mirayiridzo yakananga yekuti ungashandisa sei mazai uye enemas musati maitiro ekuchenesa dumbu. Vanachiremba vanokwanisa kupa nzira dzakasiyana dzevamwe varwere.
Semuenzaniso, murwere ane chirwere chakashata chakanyanya haafaniri kunge achida zvakakwana sekunge munhu ane hutano hwakanaka.
Izvo zvinogonawo kuva zvakakosha kutevera kudya kwemazuva kwemazuva maviri kana maviri isati yasvika, uye nokukurumidza mushure meusiku pakati peusiku husiku husati hwaedzwa. Nokutevera mirayiridzo yechiremba zvakanaka, hutumbu hukuru huchava hwakachena uye husina tsvina, saka chero hutachiona hunogona kuonekwa nyore nyore uye hunoonekwa.
Vamwe varwere vanogonawo kumira kutora mamwe mishonga kwezuva kana maviri vasati vamboedzwa. Chiremba achiita colonoscopy achapa mirayiridzo, asi zvinokoshawo kubvunza mibvunzo nezvekutora chero mapiritsi asati aedzwa.
Mirayiridzo inofanira kuteverwa zvakanyatsotariswa nokuti kana chikafu chisati chaitwa zvakanaka zvakakwana kuti colonoscopy isati yapera uye zvichange ichishandurwa zvakare. Varwere vanongororwa panguva iyo, kuitira kuti mumwe munhu awane kubudiswa kwemirayiridzo uye adzokere kumba.
Chii Chiri Kuitika MuColonoscopy?
Varwere vanokumbirwa kubvisa zvose zvipfeko (masokisi kana bhosi inogona kubvumidzwa mune mamwe mamiriro ezvinhu) uye kupfeka mune jira rechipatara. Mumwe mupi wehutano anotora kutonhora kwemuviri, kushanda kweropa, uye kupera kwepamusoro (nhamba yekufema neminiti) kuverenga. Electrocardiograph (EKG) yekurekora zvigaro zvinogona kuiswa pachifukidzo chekucherechedza moyo, uye inonzi oximeter yemhepo (chigadzirwa chinoshandisa oksijeni muropa) chinogona kuiswa pamunwe.
Varwere vanokumbirwa kuti vatevere kurutivi rwavo rworuboshwe pane tafura yekuongorora. Mishonga ichapiwa kuburikidza ne-IV kugadzirisa kusagadzikana kwakaitika panguva iyo. Zvadaro, chiremba achaisa saronikoni yakajeka mukati mecherechedzo kuti atange kuedza. Kuti uwane maonero akajeka, imwe mhepo inogonawo kuputirwa kuburikidza nekolonoscope kuti izarure gumbo remukati. Nyuchi dzinogona kutorwa kubva mukati memukoni panguva ino.
Mushure mekuedzwa, IV sedation inoderedzwa uye varwere vanopedza nguva muimba yekudzikinura. Nemhaka yekuti colonoscope inotanga mhepo mukati mekoni, pachava nekubhururuka kuchazobviswa nekupfuura gasi kubva pasi. Mune zviitiko zvakawanda, zvimwe zvokudya (zvakadai sevanopisa) uye juisi inopiwa kuvarwere pavanomuka uye vanogadzirira kuenda kumba.
Colonoscopy Risks
Zvimwe zvinokonzerwa nekolonoscopy zvakanyanya kwazvo. Pane njodzi yokuti chikwata chinogona kuvharwa panguva iyi, asi hazvishamisi. Kunyange zvazvo vanhu vakawanda vachitaura nezvekukuvadza sechikonzero chekurega chikoroscopy, chokwadi zvengozi dzakadzika kwazvo zvokuti haisi chikonzero chakanaka chokudarika chirwere chekenza yekoloni kana konikonikoni yakabatana yenguva dzose.
Kuvatevera Pashure peKolonoscopy
Varwere vanowanzonzwa vakotsira mushure mekunge maitiro apfuura, saka shamwari kana nhengo yemhuri inoda kutyaira kumba. Uyu munhu anogona kubatsirawo kuyeuka chero mirayiridzo yakapiwa nachiremba mushure mekuongorora. Chikafu chinowanzogadziriswa chinogona kutanga zvakare mushure mekuedzwa. Kuteverwa nachiremba kunofanirwa kurongwa mazuva mashomanana mushure mekolonoscopy kuitira kuti zvipi nezvipi kana zvitsva zvinowanikwa zvinogona kukurukurwa.
Nguva Yekudana Dhirere Pashure peColonoscopy
Dana chiremba wako pakarepo kana iwe uchiona:
- rectal kubuda ropa
- kuora mwoyo
- chizoro
- kukurumidza kufema
- moyo palpitations
Tarisa nechiremba wako kana iwe uchiona:
- nausea
- kurutsa
- cramps
- marwadzo emudumbu
- fever
- chills
- severe headache
- muscle aches
Shoko Rinobva
Ichokwadi kuti kuva nekolonoscopy hakusi izvo munhu angafunga kuti "zvinonakidza." Izvo, asi zvakadaro, inoshamisa inobatsira kuongororwa test. Pasina muedzo uyu unogona kuvhara kenza pamwe nekubvisa mapepa, vanhu vakawanda vaizove nekenza yekoloni. Mukuwedzera, vanhu vane zvirwere zvekudya zvingangodaro havazombofi vakawana kuongororwa kwakarurama kana kurapa kwakanaka. A colonoscopy isiri muedzo unofanirwa kuita kana yakakurudzirwa. Vanhu vazhinji vanoshamiswa kuti zviri nyore sei, uye kana yakashandiswa kwekenza yekenza kuongorora, zvingasafanira kudzokororwa kwemakore mashanu kana gumi.
> Sources:
> AGA Mwoyo Murefu. Colorectal Cancer Screening uye Kuongororwa Kwekutanga Kuona. American Gastroenterological Association. 13 Feb 2008.
> Centers For Disease Control and Prevention. Colorectal Cancer Tests Save Lives. Vital Signs. 2013.
> The Cleveland Clinic Information Center. Colonoscopy Procedure. The Cleveland Clinic. 2013.
> Mahnke D. Colonoscopy. NYU Health Centre. 2013.
> National Institute of Diabetes and Digestive and Kidney Diseases. Colonoscopy. National Digestive Diseases Information Clearinghouse. Nov 2014.