Kurohwa, Kubuda, Kuvhara, uye Zvimwe
Iwe wakangodaro wakanzwa kuti makoronoscopies makuru ari kudzivirira kenza yekoloni . IAmerican Cancer Society inokurudzira kuti kutanga pamakore makumi mashanu, varume nevakadzi vose pamusana pangozi yekenza yekoloni vanofanira kuwana colonoscopy makore gumi nerimwe (kana imwe yeiyo nzira inotevera makore ose mashanu: CT colonography, fleximo sigmoidoscopy, kana bhizimisi yakasiyana-siyana enema).
Iwe unogona kunge uchida kuziva nezvekukuvadza kwekolonoscopy. Kune huwandu hwezvinetso zvinogona kuitika, uye vamwe vanhu vari pangozi yepamusoro kune avo kupfuura vamwe, asi mashoko akanaka ndeokuti ivo vose havasi. Dzidza zvakawanda nezvengozi uye kuti ungadzikisa sei.
Colonoscopy Risks
Njodzi dzeColonoscopy dzinosanganisira kubuda kwakanyanya, mumatumbo perforation (kuputira gomba mumatumbo), utachiona, kupindira kwakashata kune zvinokanganisa, uye zvirwere zvemuviri. Zvisinei, zvinetso izvi hazviwanzoitiki uye hazvina kufanana nekolonoscopies iyo isingasanganisi kubviswa kwepolp . Ngozi dzinosanganisira:
- Perforation
- Bleeding
- Postpolypectomy syndrome
- Kurwara
- Kugadzikana kweanesthesia (inowanzosangana nemwoyo uye kupumbuka)
- Colonoscopy prep zvinetso
- Mhedzisiro yakaipa
- Zvinetso zvakaoma zvikuru (zvakadai sokupuka kwepleen, diverticulitis , uye kuputika kwegesi)
- Rufu
Maitiro Anowanzoita Zvinetso
Kunyange zvazvo zviratidzo zviduku zvakadai sokubhururuka zvakajairika, inenge inenge 1,6 kubva muzana yevanhu inosangana nekolonoscopy complication iyo yakakomba yakakwana yekupa imwe nzvimbo yekukurumidzira kushanyira kana kutarisirwa.
Ramba uchiyeuka kuti izvi zvinosanganisira vose avo vane mapepa anobviswa uye avo vasina, avo vane zvirwere zvinoda colonoscopy, nevaya vakwegura kana kuti vanorwara. Inenge 85 muzana yezvinetso zvinokonzerwa nekubviswa kwepolp.
Nyatsocherechedza pane imwe neimwe inogona kuitika.
Kupera simba: Kuora mwoyo ndeimwe yekutya kukuru panguva yekolonoscopy. Izvi zvinogona kuitika apo colonoscope inopinda nepamuviri wechipfuva uye mukati megungwa peritoneal nemhaka yemagetsi, nenzira ye barotrauma, kana mukugadzirisa kubvisa pombi. Iyo ngozi inosiyana kubva pasi pe1011 muzana kune avo vane kuongorora kolonoscopy voga kusvika ku3,3 muzana kune avo vane pombi yakabviswa, pamwe nehuwandu hwakawanda hwe 0.05 muzana.
Kusvibiswa: Kubuda ropa kwemashoma uye kwenguva pfupi kunowanzoenderana nekolonoscopy. Dambudziko rekubuda ropa, asi, 2.6 kubva pa1 000 kune avo vane colonoscopy voga, kusvika kune 9,8 kubva pa1 000 kune avo vane pombi yakabviswa. Dambudziko racho rakanyanya kukura kune avo vane mazamu akawanda akabviswa, kune avo vane hutano husina kunaka, uye kune avo vari kutora ropa rakaderera Coumadin ( warfarin ).
Postpolypectomy syndrome: Postpolypectomy syndrome inokuvadza kupisa mumuviri unoenderana nea cautery inoshandiswa apo pombi inobviswa. Inonziwo postpolypectomy electrocoagulation syndrome. Nharaunda yacho inowanikwa kubva kune vatatu mu100 000 kusvika kune imwe muvanhu 1 000 (0.003 muzana kusvika 0.1 muzana.) Zviratidzo, izvo zvinotanga rimwe kusvika kumashanu mazuva apera, zvinosanganisira marwadzo, fever, uye yakachena yeropa rekuyera masero .
Kurwara: Mazuva ano bacteremia (mabhakitiriya ari muropa) inowanikwa kusvika 25 muzana yevanhu, asi izvi hazviwanzokonzera matambudziko. Avo vane mafungiro emagetsi emwoyo (somuenzaniso, pamusana pekugunun'una kwemwoyo) vanofanira kutora mishonga inodzivirira vasati vasvika. Mungozi yehutachiona hwehutachiona hwakaita se peritonitis (hutachiwana muhutumbu hwemuviri) hahuwanzoitiki.
Anesthesia Reactions: Izvo zvakasimbiswa nokuda kwekolonoscopies, iyo dzimwe nguva inonzi " twilight kurara ," yakachengeteka kune yakadzika anesthesia, asi inogona kukonzera zvinetso zvenguva nenguva. Dambudziko rinowanzoitika kune cardiopulmonary uye rinosanganisira hypoxia (kushaya oxygen muropa), aspiration pneumonia, uye mwoyo arrhythmias. Allergic response to the medative medication inogonawo kuitika. Zvose zvinokonzerwa nehutano hwemhepo inenge mapfumbamwe kubva pa1 000 vanhu.
Colonoscopy Prep Matambudziko: Kunyange zvazvo colonoscopy prep isingafadzi, vanhu vakawanda vanovabvumira chaizvo. Zvinetso zvinogona kuitika kune avo vane mamiriro akadai sekuperevedzwa kwemoyo wemoyo uye chirwere chepfungwa.
Nhema Dzakaipa: Kuipa kwenhema kunoitika kana chirwere ichipo asi kuedza kuongorora kunokundikana kuona chirwere chacho. Kana kenza yemapuropa kana yekoloni yaivepo, asi haina kuonekwa paikoroscopy, izvi zvingaonekwa sechinhu chisina kunaka. Nhamba dzisina kururama dzenhema dzakasiyana zvikuru, zvichienderana nezvakaitika kunechiremba ari kuita nzira uye nzira iyo inoshandiswa pakubika. Dambudziko rose rekukanganisa kwenhema (apo mumwe munhu anokura kanaroni yekoloni pasinei nekuongorora kwekenza yekoni yekuongorora kuongorora mumakore matatu apfuura) iri pakati pe3,5% uye 7 muzana.
Kunyanya Kakaoma Matambudziko: Pane zviitiko zvakasiyana siyana zvisingawanzoitiki zvakasimbiswa mushure mokunge colonoscopy. Zvimwe zvezvi zvinosanganisira kuputika kwepleen uye diverticulitis. Gasi kuputika, izvo zvingaguma kubva mukubatanidzwa kwehydrogen uye methane yakabatana ne oksijeni uye electrocautery, inowanzoitikawo zvisingawanzoitiki.
Rufu: Ngozi yorufu yakabatana nekolonoscopy yakadzika kwazvo, inofungidzirwa pakati pe1007 ne00 muzana. Chidzidzo muna 2010 chakawana kuti kune vanhu vanopfuura 371 000 vari kutarisana nekolonoscopy, kwaive nevakafa makumi mana kubva pane chero chikonzero. Tichifunga kuti colonoscopies inowanzoitwa kuvanhu vakwegura uye avo vane mamwe marapirwo, nhamba iyi yakanyanya kwazvo.
Chii Chinowedzera Ngozi Yako Kwezvinetso
Nhamba dzinopa pfungwa yehuwandu hwehutano hwezvinetso, asi njodzi yemunhu mumwe nomumwe inogona kusiyana zvichienderana nezvimwe zvinhu. Zvimwe zvinhu zvinokonzera njodzi yako zvinosanganisira:
- Kubviswa kwePolp: Kana mapepa anowanikwa uye abviswa panguva yekolonoscopy, kune dambudziko guru rekuvhenekera uye kubuda ropa, zvichienzaniswa nepo apo colonoscopy yakaitwa yoga uye hapana mapepa anowanikwa.
- Age akwegura
- Zvimwe zvezvehutano: "Zvinokonzera kukanganisa" zvakadai sechirwere chepfungwa zvinowedzera mukana wezvinetso.
- Kushandiswa kweropa rakapfurikidza: Asi kunze kweA aspirin , iyo isingawedzere ngozi yekubuda ropa, asi inoderedza dambudziko rezvinetso zvemwoyo.
Deredza Minonomikoni Njodzi
Yakakodzera colonoscopy prep ichabatsira kuve nechokwadi chokuti chiremba wako ane maonero akajeka paanenge achifamba kuburikidza nekoloni yako. Dzimwe nzira dzokuderedza dambudziko rezvinetso dzinosanganisira:
- Sarudza kodzero ye doc: Sarudza bhoditi- gavroenterologist yakagadziriswa kuita chirongwa ichi, kusiyana nechiremba wemhuri yako.
- Iva nehanya: Ita kuti iwe unotevera mazano chaiwo panguva yako colonoscopy prep.
- Kumbira kubatsirwa: Iva nechokwadi chokuti anesthesiologist ane ruzivo achange aripo panguva yekuita iwe kana iwe uine maitiro asina kunaka kumeso.
- Iva nenyota pamusoro pekugara: Sarudza kliniki kana chipatara ichiita nhamba yakakura yeiyi nzira. Zvidzidzo zvinoratidza kuti zvivako zvinogadzira nhamba yakawanda yekolonoscopyine ine tsananguro yakaderera yepamusoro pane iyo inoita zvishoma nzira.
- Ita maitiro mukati kana pedyo nechipatara: Kana hutachiona hunobuda, unoda kukwanisa kugadziriswa pakarepo.
- Bvunza nezvekurwadziwa kwepamuviri: Bvunza chiremba wako kana iye anoronga kushandisa mimba yekumanikidzwa munguva yekolonoscopy. Chimwe chidzidzo chakabudiswa muGastroenterology Nursing chakawana kuti njodzi dzekolonoscopy, nguva, uye kusagadzikana zvinogona kuderedzwa kana chiremba achishandisa dzimwe dzimba dzokumanikidzira maitiro panguva inoitwa.
Chikonzero nei Colon Cancer Screenings Ichengetedza Upenyu
Mushure mokunge maongorora zvinogona kuitika zvinokonzerwa nekolonoscopy, zvakakosha kusimbisa kuti colonoscopy inogona kunyatsochengetedza hupenyu. Kunyange pakave nedzimwe nharo pamusoro pekubudirira kwekenza yebonde uye kenza yeprotate kuongorora, kenza yekenza yekoloni zvechokwadi inoita mutsauko uye inokonzera kuderera kwekufa kwekenza yekoloni. Kunyange zvakadaro, chirwere chekoloni chinoramba chiri chechitatu chinokonzera kukonzera kufanana nekenza mune varume.
Kuongorora kwekenza yeColon yakasiyana nekuti inogona kushandiswa kumativi ose ekudzivirira uye kutanga kuonekwa. Apo mapuropiti anowanikwa uye abviswa munzvimbo yakananga, colonoscopy inogona kuita basa rinodzivirira. Apo maperembudzi ekutanga anowanikwa, colonoscopy inogona kushanda senzira yekuona kare.
Kuongorora Njodzi Nezvipo
Unofanira kuwana colonoscopy ? Mhinduro yevanhu vazhinji ndeyekuti hongu maitiro anobatsira anopfuura zvakanyanya njodzi. Colonoscopies ndeimwe yezvigadzirwa zvakabudirira zvikuru zviripo zvekudzivirira kenza. Zvisinei, taura nachiremba wako pamusoro pehutano hwako huripo kana iwe uine dambudziko rakakura rematambudziko kupfuura munhu akawandisa.
> Sources:
> America Society yeMastastine Endoscopy. Matambudziko eColonoscopy. 2011. http://www.asge.org/assets/0/71542/71544/56321364-c4d8-4742-8158-55b6bef2a568.pdf
> Ranasinghe, I., Przynski, C., Searfoss, R., et al. Kusiyanisa muColonoscopy Quality Pakati Pechazviyo: Kugadziriswa kwePas-Colonoscopy Dambudziko-Chimiro Chinoenderana Nezvipatara Zvisati Zvarongwa. Gastroenterology . 2016. 150 (1): 103-113.
> Reumkens, A., Rondagh, E., Bakker, C., Winkens, B., Masclee, A., uye S. Sanduleanu. Zvinetso zvePost-Colonoscopy: Ongororo Yakagadziriswa, Nguva dzeMitambo, uye Meta-Kuongorora kweVanhu-Vakadzidza. American Journal of Gastroenterology . 2016. 111 (8): 1092-101.
> Stock, C., Ihle, P., Sieg, A., Schubert, I., Hoffmeister, M., naH. H. Brenner. Zviitiko Zvakaipa Zvinoda Kubhadharwa Muzvipatara Mumashure Mazuva 30 Mushure mekunge Muchipatara Kuonekwa uye Kuchengetedzwa Kwemavara Colonoscopies. Gastrointestinal Endoscopy . 2013. 77 (3): 419-29.