The Essential Steps in Preparing Your Colonoscopy
Kana iwe une colonoscopy yakarongwa, hofisi yako yechiremba ingangokuudza iwe matanho aunotora kuti ugadzirire. Ngatitarise kuti iwe unogona sei kugadzirira zvakanakisisa, zvikonzero zvekugadzirira mberi, nekudzokorora zvaunofanira kuziva musati uine muedzo uyu unokosha.
Kukosha Kwako Colonoscopy
Nhanho yekutanga uye inokosha pakugadzirisa yako colonoscopy ndeyekuti unzwisise nei chiyero ichi chaitwa uye kukosha kwayo kune dzimwe nzira dzehutano dzekudzivirira dzungatora.
Kunzwisisa izvo colonoscopy inogona kudzivirira-uye kufungidzira kuti chii chingaitika kana iwe ukasvetuka chiyero ichi zvachose-chinogona kubatsira kana iwe uchinzwa usina kugadzikana kana usina kunetseka pamusoro pechiratidzo chako chiri kuuya.
Kuchengeta colonoscopies ndeimwe yezvikonzero zvinokonzera kuti kufa kwekenza kunowedzera. Nepo pave pane imwe nharo pamusoro pekukosha kwemammograms mukuongororwa kwekenza yemazamu uye PSA miedzo mukuongorora kenza yeprostate, pane kupokana kwakanyanya pamusoro pemubatsiro wekolonoscopies mukuderedza kufa kwekenza yekoloni. Uchapupu hwokuti vanoita mutsauko-kuti vanoderedza ngozi yokuti mumwe munhu achafa nekenza yekoloni-yakasimba.
Zvinofungidzirwa kuti kana munhu wese anokwana mvumo yekolonoscopy aive nekuita izvi, tinogona kuderedza chiyero chekufa kubva mukenza yekoloni muAmerica ne 60 muzana. Kanzera yeColon ikozvino yechitatu inokonzera chikonzero chekufa kwekenza mune zvevarume nevakadzi.
Colonoscopy uye Colon Cancer Kudzivirira - Kutanga Kuongorora nekudzivirira
Chimwe chikamu chakakosha pakati pekuongorora ma-colonoscopies, uye, kuti, mammograms kana PSA miedzo ndeyokuti colonoscopies inogona kudzivirira kenza.
Kufanana nemammograms uye kuongorora kwePSA, colonoscopies inobatanidzwa pakuona kwokutanga . A colonoscopy inogona kuwana kanzira muzvikamu zvekare zvikuru zvinoporesa zvechirwere ichi, uye mukuita kudaro, kunatsiridza mararamiro evanhu vanorwara nekenza .
Asi makoronoscopies akasiyana nenzira inokosha. Vanogonawo kushanda kuti vadzivise kukura kwekenza pakutanga. Kana zvakanyanyisa mapuropa , kana mapepa anogona kuve akajeka anowanikwa, anogona kubviswa panguva yekolonoscopy. (Cherechedza: kwete mapepa ose anotungamirira kukenza yekoloni.)
Saka colonoscopies inotora chikamu chechipiri mukuderedza kufa kwekenza yekoloni; vanogona kubatsira munguva yekukurumidza asi vanogonawo kushanda senzira yekutanga kudzivirira.
Ndeipi Unofanira Kuve neColonoscopy (uye Inodei Paunoda?)
Saka danho rinokosha nderokusarudza kuti iwe unofanira kutevera mirairo uye une colonoscopy yakaitwa.
Zvakakosha kucherechedza kuti mazano ekuenzanisa kenza yemukironi yakagadzirirwa vanhu vose zvichienderana nehuwandu hwehutano. Kana uine mhuri yekenza yekoloni kana zvimwe zvipi zvinokonzerwa nekenza yekoloni , iwe unogona kuva nekolonoscopy mudiki, kana kuti kuedza uku kuitwa kakawanda.
Zvakakoshawo kuziva kuti colonoscopies yekononi yekuongorora kwekenza yakagadzirirwa vanhu vasina zviratidzo; avo "vanoita basa." Kana uine zviratidzo zvekenza yekoloni , yakadai sekurwadziwa kwepamuviri, ropa muchitsigiro chako, kana kuti wakagadzira unemia isina kutsanangurwa , kana kuti kurasikirwa kwekushaya kwekuzvipira, iwe unogona kuedza miedzo pamwe nekolonoscopy.
A colonoscopy-ine prep-yakakwana-yakanyatsonaka pakucherechedza maronda emakoroni. Asi imwe colonoscopy inogona kushaya mamwe maronda uye haapi kupa ruzivo pamusoro petumbu mako, mudumbu, pancreas, chiropa, kana zvimwe nhengo dziri mudumbu rako.
Colonoscopy Fact and Fiction
Iye zvino tava kuenda kunhanho yakaoma zvikuru-kuronga nzira. Zvinosuruvarisa, vanhu vazhinji vanoomerera pane danho iri. Tora nguva yekudzidza pamusoro pezvimwe zvezvinyorwa uye zvokwadi uye zvenhema pamusoro pekolonoscopies kuitira kuti ugone kupfuura zvimwe zvezvinotyisa izvi.
Kuronga Zvako Colonsocopy
Danho rechipiri rinonyanya kukosha-shure kwekunzwisisa chikonzero nei uri nekolonoscopy-kuronga kugadzwa.
Kana uri kuedza kuongorora nguva yekufananidza colonoscopy muchirongwa chako, mutsara unoti "itai chete" wakakodzera. Vanhu vazhinji vanopedzisira vaudza colonoscopy (uye dzimwe nguva vanozvidemba chisarudzo) nokuti vanopedza nguva yakawanda vachiedza kuwana nguva yakakodzera yekuita. Kana izvi zvichiita sezvinongoita iwe, enda mberi uye kuronga, uye funganya nezvezveramangwana gare gare.
Kana, zvakasiyana, kana iwe uchigutsikana iwe unoda kuva nekolonoscopy nokukurumidza uye haungatyi kuisa pazviri, zvinogona kubatsira kuronga nzira yacho nenguva yakafanira. Vanhu vazhinji vanoda kuronga muedzo wavo musi weChishanu, vachizvipa purogiramu yekudzoka kana zvichidiwa. Vanhu vazhinji vanonzwa vakagadzirira kudzokera kubasa zuva raitevera uye vasina matambudziko, asi vamwe vanhu vane hutano hunochinja huri mazuva mashoma. Kana ukaronga muedzo panguva yakanaka (kwete zuva risati raenda kuzororo kusvika kuparadhiso) iwe hauzove wakanyanya kunetseka kuti yako colonoscopy inopindira nehupenyu hwako. Munharaunda yedu yakabatikana, mukana wose wekuderedza kushungurudzika wakakosha!
Kunzwisisa Ngozi uye Matambudziko
Paunenge wava nekolonoscopy yako yakarongwa-sezvo ichi ndicho chinetso chakaoma zvikuru-tora nguva yekudzidza zvakawanda pamusoro pegadziriro yacho uye yeuchiyeuchidze nezvezvibatsiro. Sezvo pane chero nzira, kune zvinhu izvo dzimwe nguva zvinogona kuipa. Tora nguva yekunyatsonyatsonzwisisa dambudziko uye zvinetso zvinogona kuitika zvekolonoscopy .
Mumavhiki asati apinda Colonoscopy yako
Kana iwe uri kutora chero mishonga inogona kuderedza ropa rako, chiremba wako angakukumbira kuti urege izvi zvisati zvawana colonoscopy. Izvi hazvisi nguva dzose (somuenzaniso, kana une chirwere chemwoyo wako, cardiologist angave achida kuti iwe utore aspirin yako.) Taura nechiremba wako uye uone zvaunofanira kuita mberi kwenguva. Mamwe mishonga inofanira kubviswa kwemavhiki maviri musati maitwa. Ramba uchifunga kuti izvi zvinosanganisira kupfuura-the-counter uye uyewo kugadzirwa kwemishonga pamwe chete. Aspirin uye kwete-steroidal anti-inflammatory medication, kana Advil (ibuprofen) inogona kuwedzera kubuda uye inofanira kudziviswa kunze kwekuti chiremba wako achifunga kuti mishonga yemishonga iyi inopfuura mungozi ipi zvayo yeropa. Kune miti yakawanda yekugadzirwa kwemishonga uye zvokudya zvinowedzera zvinogona kuwedzera kubuda ropa zvakare.
Mumazuva Asati Aenda KuColonoscopy Yako
Chiremba wako angangodaro akakurudzira imwe kudya asati asvika. Izvi zvinogona kutanga mazuva mashoma mberi kwenguva. Iva nechokwadi chekutevera mazano aya pedyo, uye taura nachiremba wako kana iwe uine dambudziko, somuenzaniso, kana iwe une chirwere cheshuga.
IColonoscopy "Prep" - Kuchenesa Mukati Wako Colon
Hofisi yako yezvechiremba ingangokutumira iwe ruzivo rwakanyora runotsanangura kugadzirira kwekolonoscopy nekudzika. Zvakakosha kuverenga ruzivo urwu zvakakwana, sezvo kutsvakurudza kunotiudza kuti vanhu vakawanda havakwanisi kugadzirirwa. Kuti uve nekwanisi kuona zvakaenzana yako colon yako yose, zvose stool inofanira kubviswa.
A colonoscopy prep inowanzoitwa kuburikidza nekubatanidzwa kwe:
- Zvipembenene - Zvipembenene zvinoshanda nekukurudzira kusunungurwa kwemuviri. Zvisarudzo zvakasiyana siyana zviripo , zvakadai sekutiLYLY THREE solution, TriLyte solution, nezvimwe zvizhinji. Kusarudzwa pakati pemishonga iyi yakawanda kunosiyana pakati pevanachiremba vakasiyana uye pane zvakakosha uye zvisingabatsiri kune umwe neumwe. Kune avo vakwegura kana vane mamwe mararamiro, zvinofungidzirwa kuti kugadzirira ne ethylene glycol kunogona kuva yakachengeteka. Kusiyana neizvi, sodium phosphate solutions inofanira kudzivirirwa kune vakwegura kana vanhu vane zvirwere zvakanyanya, zvichienderana nemigumisiro yezvinogadziriswa paitsvo.
- Enemas - Anema inosanganisira kuiswa kwemvura kuburikidza neinus yako uye mumatumbo ako makuru. Mvura yacho inobatwa kwenguva pfupi uye yapfuura. Enemas inogona kuva yakabudirira zvikuru mukuderedza kuwanda kwemhando yefecal mukoni. Zvinokonzerwa nemigumisiro yemaemas inosanganisira hyponatremia (yakadzika yezinga sodium muropa) mamwe uye mamwe matambudziko e electrolyte.
- Kutsanya (kwete kudya) - Zvakare, iva nechokwadi chekutevera vanachiremba mazano pamusoro pekudya usati waita.
- Nyaradzo dzokunyaradza - Mishonga inogona kukurudzirwa iyo inoderedza kusagadzikana kwekuvhara kwemuviri pamwe chete. Izvi zvinogona kusanganisira Reglan kuderedza kushungurudza uye kuora mwoyo, uye Mylicon kana Mylanta (kuderedza gasi kuitira kuti zvinhu zvifambe zvakanyanyisa kuburikidza nemarumbo ako.)
Vanachiremba vanoita colonoscopies vanosiyana nechemberi "prep" vanorumbidza, asi chinangwa chacho chakafanana. Mhuru yako inoda kucheneswa kunze zvakakwana kuti uone chero nzvimbo dzinogona kuunza dambudziko munguva yako yemberi. Sezvo colonoscopies yakanyatsokodzera neyakanaka, uye vanhu vanowanzotaura kuti prep ndiyo chikamu chakaipisisa chekolonoscopy, inobhadhara kuva nechokwadi chokuti prep yako yakakwana nguva yekutanga. Kakawanda kakawanda mitemo iyi inoda kushandurwa zvakare shure kwekufambisa zviri nani, kuisa iwe kuburikidza nekuzvidya mwoyo kwekugadzirisa nekugadzirira kechipiri.
Sezvo imwe nyanzvi, dzidza pamusoro pezvisiri izvo ungaita munguva yako yepolonoscopy prep .
The Night Before Your Colonoscopy
Nguva zhinji iwe uchakumbirwa kuti urege kudya kana kunwa mushure meusiku pakati peusiku husiku hwemaitiro ako. Kana uri kutora chero mishonga, ita nechokwadi kuti utaure nachiremba wako. Kazhinji kazhinji, vanhu vanoudzwa kutora mishonga yavo nguva dzose usiku hwakapfuura uye pazuva rekugadziriswa nediki sips yemvura.
Iwe Uchada Mutyairi uye "Mubatidzi"
Iyo anesthesia inowanzoshandiswa kwekolonoscopy inonzi inotarisirwa kutarisirwa anesthesia, inoziva sedation, kana kuti "usiku husiku hunovata ." Iwe unogona kurara kuburikidza nenzira iyo kana kuti ungave wakamuka asi usingafungi nezvezvinoitika. Sezvo anesthesia inogona kugara mumutambo wako kwechinguva, iwe uchadikanwa kuva nemutyairi kuti atore newe kumba. Kana iwe uchigara uri woga, iwe uchafanirwawo kuronga kuti mumwe munhu agare newe kwemaawa makumi mana mushure mekuita.
Nzira yeColonoscopy
Tora nguva shomanana mberi kwenguva kuti udzidze pamusoro pezvinoitika panguva yekolonoscopy .
Mushure meKo Colonoscopy Yenyu
Sezvakataurwa pamusoro apa, mushure mokunge iwe colonoscopy iwe unoda mumwe munhu kuti akutakure kumba uye ugare newe kwamaawa makumi maviri nemaviri. Kazhinji kazhinji iwe unogona kudzokera kunodya kudya kwakakwana. Pamusana pemigumisiro yeanesthesia, vanachiremba vakawanda vanokurudzira kubvisa doro kwemaawa 24 ekutanga zvakare. Kana iwe usina pombi yakabviswa, iwe unowanzoitazve mabasa ezvakanaka panguva iyoyo.
Kana iwe wakanga uine pombi yakabviswa, chiremba wako angangokurudzira kuti iwe udzivise mabasa ako pamusoro pevhiki inotevera. Munguva ino iwe unofanirwa kudzivisa kudzidzira kuoma, kusimudza zvinhu zvakaoma, uye kufamba.
Matambudziko haana kujairika, asi iwe unofanirwa kudana chiremba wako kana iwe ukava nefivha, unononoka kusvika wakakomberedzwa mumimba uye kurwadziwa (kumwe kusagadzikana uye kubhururuka kunowanzoitika), kana kana uchinge uchinge ubuda ropa
Pasi Pano pa Kugadzirira Colonoscopy Yako
Kana iwe wakaronga colonoscopy yako, iwe unofanira kufadza iwe. Kutora nguva yekuita iyi nzira ndeimwe yenzira dziri nyore (maererano nezvedzidzo dzakasimba) kuderedza dambudziko rako rokufa nekenza. Sezvo kenza yekoloni kazhinji ine nguva inotungamirira (iyo inofambira kubva pakushanduka kwemaitiro kusina kuchena kusvika kunonyanya kunyorera mapuropiti uye zvino kenza) ndiyo imwe yekenza shomanana inogona kubatwa mambakwedza kana kudziviswa zvachose kunyangwe kuongorora maitiro.
Izvozvo zvakati, colonoscopies haisi zvachose benzi hunoratidza. Kana iwe uine kana unoramba uine zviratidzo zvekenza yekoloni, iva nechokwadi chokuti unotaura nachiremba wako kunyange iwe waive ne "yekare" colonoscopy. Zviratidzo ndezvekuti muviri wedu unotiudza kuti chimwe chinhu chakaipa. Bvunza mibvunzo kusvikira wawana mhinduro.
Kugadzirira kwekolonoscopy yako kunogona kuratidzika semarwadzo, asi tiri kudzidza nekuwedzera kuti kusagadzikana kwegadziriro yacho kwakakosha zvakashata zvisingagumi zvepamberi uye maitiro munguva refu. Tora nguva kuti utarise pane izvi mazano uye matanho ekugadzirira kwekolonoscopy kubva kune avo vanga varipo.
Sources:
Ho, S., Hovesepians, R., uye S. Gupta. Optimal Bowel Cleansing for Colonoscopy muVakuru Vakwegura. Zvinodhaka nekukwegura . 2017. 34 (3): 163-172.
Kasper, Dennis L .., Anthony S. Fauci, naStephen L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw Hill yembudzi, 2015. Print.
Kurlander, J., Sondhi, A., Walijee, A., Menees, S., Connell, C., Schoenfeld, P., uye S. Saini. Nzira Inobudirira Ndeipi Mishonga Dzidzo Inopindira Kuvandudza Bowel Kugadzirira KoKonoscopy? Kurongeka Kwakarongeka. PLoS One . 2016. 11 (10): e0164442.
Liu, Z., Zhang, M., Li, Y., Li, L., uye Y. Li. Kuvandudza Dzidzo Yekugadzira Zvigadziriswa Pamberi Colonoscopy: A State-of-the-Art Review. Nyaya yeDzimba dzeMapfupa . 2017 Jan 9. (Epub mberi kwekudhinda).