Ngozi dzeColonoscopy Nosanganisira Perforation, Bleeding, uye Infection
Kakawanda, colonoscopy iyi ndiyo nzira yakachengeteka, uye kunetseka pamusoro pezvinetso hazviwanzo chikonzero chakanaka chekudzivisa kana kudzivisa zvachose. Zvisinei, sezvinoitwa chero kurapa kupi zvayo, zvinetso zvinokwanisika (kunyange zvisingawanzoitiki). Dzidzo inofungidzira kuti njodzi yakawanda yezvinetso zvekodonoscopy nguva dzose inenge yakadzika kwazvo, inenge 0.35 muzana.
Munguva yekolonoscopies iyo inoputirwa ( polypectomy ), njodzi yezvinetso zvakaratidzwa kuva yakakwirira, kunyange zvazvo zvisingawanzoitiki, kusvika kusvika ku3 muzana. Kusiyana neizvi, mungozi yehupenyu hwekuvandudza kanaroni yekoloni inenge 6 muzana. Kuzviisa mukutarisa: mukana wevoruzhinji wemunhu wekudzivirira kenza yekoloni yakakwirira kudarika kuva nechinetso pashure pokunge colonoscopy.
Zvimwe zvezvinetso zvinogona kuitika panguva yekolonoscopy zvinosanganisira kupisa (chinangwa mumatumbo), kubuda ropa, postpolypectomy syndrome, kugadziriswa kwekunyepedzera, uye utachiona.
Chinangwa chechinyorwa chino ndechekudzidzisa varwere pamusoro pezvinhu zvose zvekolonoscopy, iyo inosanganisira zvishoma zvengozi. Kuwanda kwehuwandu hwemungozi kunofanira kusimbisa, kunyanya kupiwa kukosha kwekuongororwa uku kuongorora uye kukosha kwayo pakucherechedza nekudzivirira kanzira yakanyanya. Kana imwe colonoscopy inodiwa, mungozi dzinogona kurondedzerwa pano hazvifaniri kunge dzichidzivisa, asi pane inofanira kupa varwere chivimbo pamusoro pekuchengetedzwa kweizvi.
Colonoscopy Kugadzirira Matambudziko
Pamberi pekolonoscopy, zvinokosha kuchenesa maronda zvakanaka kuitira kuti chiremba achiita chiyero anogona kudarika zvishandiso kuburikidza nekoni uye kutarisa kwakanaka rusvingo rwekoloni. Izvi zvinoreva kubvisa chikwata chechigaro, uye chakaitwa nenzira dzakasiyana-siyana pazuva kana maviri pamberi pekuedzwa.
Zvinetso panguva yekufananidzira kwekolonoscopy hazvishamisi, asi zvinogona kuitika, kunyanya kune vakwegura vakwegura, kana kune avo vane congestive heart failure.
Ngozi yePerforation
Kushongedzerwa ibvudzi kana gomba mumatumbo. Munguva yekolonoscopy, chiremba anogona kubvisa chero mapuropiti (kunze kune rusvingo rwekoloni) anowanikwa. Dambudziko rekudzivirira rinonyanya kuderera mushure mekolonoscopy umo pasina mapepa akabviswa, uye inongova yakanyanya kudarika shure kwekolonoscopy panguva iyo pombi inobviswa. Kushandiswa kunogona kuitika kana chiridzwa chinogadzirisa chikamu chiduku mumadziro ekoroni, kana kuti mhepo inopindirwa mumakoloni panguva yekuedzwa inokonzera kusungwa kwakanyanya.
Chimwe chikuru, chinoratidzika chinoratidzika chirikukurumidzira uye inorapwa kuburikidza nekuvhiyiwa kuti ivhare misodzi. Mune zvimwe zviitiko nemisodzi midiki inowanika kare, kuvhiyiwa hakugoni kudiwa, uye kurasikirwa kunogona kurapwa nemuviri wenyama, antibiotics, uye kutarisa nokungwarira.
Ngozi yekubvisa
Kubvumira kunowanikwa munenge 1 kubva pa1 000 pakolonoscopy nzira. Kubuda ropa kunogona kurapwa panguva yekuedzwa, asi mune dzimwe nguva, kubuda ropa kuchabva kwaro pachako. Apo pombi inobviswa, pane 30 kusvika ku50 muzana mukana wekuti kubuda ropa kuchaitika chero kupi zvako kwemazuva maviri kusvika kwema manomwe mushure mekolonoscopy.
Rudzi urwu rwekubuda ropa runogonawo kubuda rwaro, asi rungada kurapwa kana rikava rakaoma.
Postpolypectomy Syndrome
Ichi chirwere chinowanzoitika nekuda kwekupisa kumadziro emadzimai munguva yekubviswa kwepolp. Sezvinoita kugadziriswa kwepolpectomy, kubva kune maawa gumi nemaviri kusvika mumazuva mashomanana gare gare, murwere anoita fever, kurwadziwa kwepamuviri, uye nechepamusoro tsvuku reyero rekuverenga ropa shure kwekolonoscopy. Ngozi ye postpolypectomy syndrome mushure mokunge colonoscopy iyo iyo polypectomy yaitwa yakazara. Mishonga inogona kusanganisira zororo, inopisa mvura, uye mishonga inorwisa mabhakitiriya.
Migumisiro Inobva kuAnesthetic Mishonga
Sedating mishonga, inowanzonzi "twilight sleep," inopiwa panguva yekolonoscopy kuitira kuti varwere vagadzikane.
Pane njodzi, dzakadai seanoratidzika zvinopinda kana zvinetso zvekupumadza, chero nguva ipi zvayo inowanikwa nokuda kwekuita. Munguva yekolonoscopy, kune ngozi shomanana yekuputira zvakanyanya kubva pamishonga. Dzimwe njodzi dzinobva kumagetsi dzinosanganisira kugadziriswa pane nzvimbo yejojo, kushungurudza, kurutsa, uye kuderera kweropa.
Njodzi yeAIDS
Utachiona mushure mokunge colonoscopy isingawanzoitiki. Utachiona hunogona kutapurirwa pakati pevarwere kana endoscope isinganatswa uye yakasarudzwa zvakanaka pakati pekuedzwa. Dambudziko rekuitika uku, zvisinei, rakanyanya kuderera.
Shoko Rinobva
A colonoscopy ndiyo nzira yakachengeteka. Nzira yakanakisisa yekuziva kuti njodzi idzi ndeikukurukurirana nechiremba achiedza. Muzviitiko zvakawanda, kunyanya kana colonoscopy iri kuitwa kuvhara kenza yekoloni, njodzi dzinoderera kudarika ngozi yekuva nekenza. Ngozi inowanzosava chikonzero chekudzivisa kuva nekolonoscopy. Varwere vane kodzero yekubvunza pamusoro pengozi dzekolonoscopy uye kugadzirira: mhinduro dzinofanira kuva dzinosimudzira.
Sources:
Arora G, Mannalithara A, Singh G, Gerson LB, Triadafilopoulos G. "Dambudziko rekutsvaira kubva kune colonoscopy kuvanhu vakuru: kudzidza kukuru kwevanhu." Gastrointest Endosc Mar 2009.
ASGE. "Matambudziko eColonoscopy." American Society for Gastrointestinal Endoscopy 2006.
> Reumkens A, Rondagh EJ, Bakker CM, et al. "Zvinetso zvePost-Colonoscopy: Kuongorora kwakarongeka, Nguva dzeMitambo, uye Meta-Kuongorora kweVanhu-Vakadzidza Dzidzo." Am J Gastroentero l. 2016 Jun 14.
Wayne JD. "Postpolypectomy electrocoagulation syndrome." UpToDate 11 Jan 2013.