He aha ka Barium Enema? Ke Kumu, ke Kaʻina Hana & nā Hōʻike

ʻO ka barium enema he hoʻokolokolo X-ray o kou ʻōpū nui (kolona) e hoʻohana ana i kahi mea ʻokoʻa i kapa ʻia ʻo barium sulfate e ʻike ʻia ai nā paia o kou ʻōpū ma nā kiʻi. Kōkua kēia hoʻokolohua i nā kauka e ʻike i ke ʻano, ka nui, a me ke kūlana o kou kolona a me ka rectum ma ka uhi ʻana i ka laina o ka ʻōpū me kahi wai chalky e ʻike maopopo ʻia ma nā X-ray.

E noʻonoʻo e like me ka hoʻohui ʻana i ka ʻokoʻa i kahi kiʻi - hana ka barium ma ke ʻano he mea hōʻike e maʻalahi ai i kāu kauka ke ʻike i nā loli a i ʻole nā ​​mea ʻokoʻa i loko o kāu ʻōpū digestive. ʻOiai ua hoʻohana pinepine ʻia nā hoʻokolohua hou e like me ka colonoscopy i kēia lā, ʻo ka barium enemas ke koe nei he mea hana diagnostic waiwai i kekahi mau kūlana.

He aha ka barium enema?

ʻO ka barium enema he hoʻokolohua X-ray kūikawā e nānā ana i kou ʻōpū nui me ka hoʻohana ʻana i ka barium sulfate ma ke ʻano he mea ʻokoʻa. ʻO ka barium he mea palekana, chalky āu e loaʻa ai ma o kahi paipu liʻiliʻi i hoʻokomo ʻia i loko o kou rectum.

I ka wā o ke kaʻina hana, uhi ka barium i nā paia o loko o kou kolona, ​​e ʻike ʻia ai lākou ma nā kiʻi X-ray. Hiki i kēia i kāu kauka ke ʻike i ka outline a me ke ʻano o kāu ʻōpū intestinal me ka maopopo. Lawe maʻamau ka hoʻokolohua i 30 a 60 mau minuke a hana ʻia i loko o kahi keʻena radiology.

Aia nā ʻano nui ʻelua: he barium enema hoʻokahi-contrast e hoʻohana ana i ka wai barium wale nō, a me kahi barium enema pālua-contrast (air-contrast) e hui pū ana i ka barium me ka ea e hāʻawi i nā kiʻi kikoʻī o ka laina kolona.

No ke aha e hana ʻia ai ka barium enema?

Hiki i kāu kauka ke ʻōlelo aku i kahi barium enema e noiʻi i nā hōʻailona a i ʻole e nānā i nā kūlana i ʻike ʻia e pili ana i kou ʻōpū nui. Kōkua kēia hoʻokolohua i ka ʻike ʻana i nā pilikia digestive like ʻole i ka wā i kūpono ʻole ai a i ʻole i loaʻa nā ala ʻē aʻe.

ʻO nā kumu maʻamau no ke kauoha ʻana i kēia hoʻokolohua, ʻo ia nā loli mau i nā hana ʻōpū, ka ʻeha o ka ʻōpū i wehewehe ʻole ʻia, a i ʻole ke koko i loko o kāu ʻōpū. Hiki nō hoʻi i kāu kauka ke hoʻohana ia mea e nānā i nā maʻi ʻōpū mumū a i ʻole e nānā i nā pilikia ma hope o ke ʻoki ʻana i ka ʻōpū.

Eia nā maʻi nui e hiki ai i ka barium enema ke kōkua i ka ʻike ʻana:

• Colorectal polyps (nā ulu liʻiliʻi ma ka pā o ka ʻōpū)
• Colorectal cancer a i ʻole nā ​​tumors
• Maʻi ʻōpū mumū (maʻi ʻo Crohn a i ʻole ulcerative colitis)
• Diverticulosis (nā ʻeke liʻiliʻi i ka pā o ka ʻōpū)
• Nā ālaina ʻōpū a i ʻole ka ʻuʻuku
• Hernias e pili ana i ka ʻōpū
• Intussusception (i ka wā e paheʻe ai kekahi ʻāpana o ka ʻōpū i kekahi ʻāpana ʻē aʻe)

E noʻonoʻo kāu kauka i kāu mau hōʻailona kikoʻī, ka mōʻaukala olakino, a me nā mea ʻē aʻe i ka wā e hoʻoholo ai inā kūpono kēia hoʻokolohua iā ʻoe. I kekahi manawa, koho ʻia ia i ka wā ʻaʻole hiki ke colonoscopy a i ʻole ma ke ʻano he hahai ʻana i nā haʻawina kiʻi ʻē aʻe.

He aha ke kaʻina hana no ka barium enema?

Hana ʻia ke kaʻina hana barium enema ma kahi keʻena radiology haukapila me nā lako X-ray kūikawā. E hana ʻoe me kahi mea loea radiologic a me ka radiologist nāna e alakaʻi iā ʻoe ma kēlā me kēia ʻanuʻu o ke kaʻina hana.

Ma mua o ka hoʻomaka ʻana o ka hoʻokolokolo, e hoʻololi ʻoe i kahi ʻaʻahu haukapila a moe ma luna o kahi papa X-ray. E lawe ka mea loea i kahi X-ray mua o kou ʻōpū e nānā i nā ālaina a i ʻole ka nui o ka ʻōpū e hiki ke hoʻopilikia i ka hoʻokolohua.

Eia ka mea e hana ʻia i ka wā o ke kaʻina hana:

1. E moe ana ʻoe ma kou ʻaoʻao, a e hoʻokomo mālie ʻia kekahi paipu liʻiliʻi i hoʻomaʻemaʻe ʻia i loko o kou ʻōpū
2. E kahe mālie ana ka hui barium ma waena o ka paipu i loko o kou kolonā
3. E noi ʻia ʻoe e hoʻololi i nā kūlana (e moe ana ma kou kua, nā ʻaoʻao, a me ka ʻōpū) e kōkua i ka barium e uhi i nā wahi a pau
4. Lawe ke kauka lapaʻau i nā kiʻi X-ray mai nā kihi like ʻole
5. No ke aʻo ʻana i ka pālua-contrast, hoʻokomo ʻia ka ea e hoʻonui i ka kolonā no ka ʻike maikaʻi
6. Hiki iā ʻoe ke ʻike i ka ʻeha a i ʻole ke kaomi ʻana i ka wā e piha ai kou kolonā, akā he mea maʻamau kēia

ʻO ka hana holoʻokoʻa e lawe maʻamau i 30 a 60 mau minuke. Pono ʻoe e noho mālie i ka wā e hōʻike ʻia ai nā X-ray, akā hiki iā ʻoe ke hanu maʻamau. E kamaʻilio ke kime lapaʻau me ʻoe i ka wā o ke kaʻina hana a kōkua iā ʻoe e ʻoluʻolu e like me ka hiki.

Pehea e hoʻomākaukau ai no kāu barium enema?

He mea nui ka hoʻomākaukau kūpono no ka barium enema kūleʻa no ka mea pono e hoʻomaʻemaʻe loa ʻia kou kolonā no nā kiʻi maopopo. E hāʻawi kāu kauka i nā ʻōlelo kikoʻī, akā hoʻomaka ka hoʻomākaukau ʻana i 1-2 mau lā ma mua o kāu hoʻāʻo.

ʻO ka ʻāpana nui o ka hoʻomākaukau ʻana e pili ana i ka hakahaka loa ʻana i kou kolonā. ʻO ka maʻamau, ʻo ia ka hahai ʻana i ka ʻai wai maʻemaʻe a me ka lawe ʻana i nā laxatives i kuhikuhi ʻia a i ʻole nā enemas e like me ke kuhikuhi ʻana e kāu hui mālama ola.

E komo paha kāu hoʻomākaukau ʻana i kēia mau ʻanuʻu:

• E hahai ana i ka ʻai wai maʻemaʻe no 12-24 mau hola ma mua o ka hoʻāʻo
• Ke lawe nei i nā laxatives i kuhikuhi ʻia a i ʻole nā hoʻonā hoʻomākaukau ʻōpū
• Ke hoʻohana nei i nā enemas i ke ahiahi ma mua a i ʻole ke kakahiaka o ke kaʻina hana
• Ke hoʻōki nei i kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia i ka hoʻāʻo
• Ke pale nei i nā huahana waiū a me nā meaʻai fiber kiʻekiʻe no kekahi mau lā
• Ke inu nei i ka wai maʻemaʻe e noho hydrated

E hōʻoia e hahai pono i nā ʻōlelo a kāu kauka, no ka mea, ʻo ka hoʻomākaukau ʻole ʻana e hopena i ka maikaʻi ʻole o ke kiʻi a pono paha e hoʻonohonoho hou i ka hoʻokolohua. Inā he maʻi diabetes kāu a i ʻole e lawe ana i nā lāʻau e lahilahi ai ke koko, e kūkākūkā i nā mea kūikawā me kāu mea mālama ola.

Pehea e heluhelu ai i nā hopena o kāu barium enema?

E kālailai ana ke kauka lapaʻau i kāu mau kiʻi barium enema a e hoʻouna i kahi hōʻike kikoʻī i kāu kauka, maʻamau i loko o kekahi mau lā. A laila e wehewehe kāu kauka i nā hopena a kūkākūkā i nā mea i loaʻa me ʻoe i ka wā o ka manawa e hahai ai.

Hōʻike nā hopena maʻamau i kahi kolonā me nā paia maʻemaʻe, maʻamau a ʻaʻohe ulu ʻokoʻa, ka liʻiliʻi, a i ʻole nā ​​pāpā. Pono ka barium e kahe like ma waena o kou ʻōpū nui holoʻokoʻa, e hana ana i nā outline maopopo o nā ʻano kūlohelohe a me ke ʻano o ka kolonā.

ʻO nā mea i loaʻa ʻole e ʻike ʻia ma kāu barium enema e komo pū ana:

• ʻO nā polyps e ʻike ʻia he mau kīnā liʻiliʻi, poepoe
• ʻO nā tumora a i ʻole nā ​​pūʻulu e hōʻike ana he ulu ʻole a i ʻole nā ​​pāpā
• ʻO nā strictures (ka liʻiliʻi) e ʻike ʻia he mau wahi paʻa kahi e kaupalena ʻia ai ke kahe barium
• ʻO ka diverticulosis i ʻike ʻia he mau ʻeke liʻiliʻi e hoʻolōʻihi ana mai ka pā kolonā
• ʻO nā loli inflammatory e hōʻike ana i ka mānoanoa o ka paia ʻole a i ʻole nā ​​ʻōpala
• ʻO nā pale ʻōpū e ʻike ʻia he mau wahi kahi e hiki ʻole ai ka barium

E hoʻomanaʻo ʻaʻole pono ka hopena ʻokoʻa e manaʻo i ka maʻi maʻi a i ʻole ke kūlana koʻikoʻi. He nui nā mea i loaʻa he benign a i ʻole hiki ke mālama maʻalahi. E wehewehe kāu kauka i ke ʻano o nā mea ʻokoʻa no kou olakino a e ʻōlelo i nā hana kūpono e hiki mai ana.

He aha nā mea pilikia no ka pono o ka barium enema?

Hiki i kekahi mau mea ke hoʻonui i kou hiki ke pono i ka barium enema, ʻoiai he palekana ka hoʻokolohua no ka hapa nui o nā kānaka. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo i ʻike ʻia e pili ana i kou olakino digestive.

ʻO ka makahiki kekahi o nā mea nui loa, no ka mea, ʻoi aku ka maʻamau o nā pilikia colorectal ma hope o ka makahiki 50. He mea nui nō hoʻi ka moʻolelo o ka ʻohana, ʻoiai inā he maʻi ʻaʻai kolona a i ʻole ka maʻi ʻāʻī ʻāʻī o nā ʻohana pili.

Eia nā mea pilikia nui e hiki ke alakaʻi i ka pono o kēia hoʻokolohua:

• ʻOi aku ka makahiki ma mua o 50 mau makahiki
• Moʻolelo ʻohana o ka maʻi ʻaʻai colorectal a i ʻole nā ​​polyps
• Moʻolelo pilikino o ka maʻi ʻāʻī ʻāʻī
• Nā hōʻailona digestive mau e like me ke koko i loko o ka ʻōpala a i ʻole ka ʻeha o ka ʻōpū
• Nā hopena hoʻokolohua screening abnormal mua
• Nā kūlana genetic kekahi e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai kolona
• Puhi paka lōʻihi a i ʻole ka hoʻohana ʻana i ka waiʻona nui
• ʻAi nui i nā ʻiʻo i hana ʻia a me ka liʻiliʻi o ka fiber

Eia naʻe, ʻo ka loaʻa ʻana o nā mea pilikia ʻaʻole ia he manaʻo e pono maoli ʻoe i ka barium enema. E noʻonoʻo kāu kauka i kou kūlana pilikino, nā hōʻailona, ​​a me nā koho hoʻokolohua ʻē aʻe i loaʻa i ka wā e hana ai i nā ʻōlelo paipai.

He aha nā pilikia e hiki ke loaʻa i ka barium enema?

He mau hana palekana ka barium enemas me ka haʻahaʻa o nā pilikia. ʻO ka hapa nui o nā kānaka e ʻike wale i ka ʻoluʻolu liʻiliʻi i ka wā a ma hope o ka hoʻokolohua, me nā pilikia koʻikoʻi he mea maʻamau.

He mea manawaleʻa a hiki ke mālama ʻia nā hopena ʻaoʻao maʻamau. Hiki iā ʻoe ke ʻike i ka ʻōpū, ka ʻeha, a i ʻole ka ʻoluʻolu o ka ʻōpū liʻiliʻi i ka wā o ke kaʻina hana i ka wā e hoʻonui ai kou kolona me ka barium a me ka ea.

Hiki i nā pilikia, ʻoiai ʻaʻole maʻamau, ke komo:

• Nā hopena maʻi i ka barium (ʻaʻole maʻamau)
• Ka lua o ka ʻōpū (ka haehae ʻana o ka paia kolona) - ʻaʻole maʻamau akā koʻikoʻi
• Barium impaction (barium paʻakikī e ālai ana i ka ʻōpū) - ʻaʻole maʻamau
• Dehydration mai ka hoʻomākaukau ʻana i ka ʻōpū
• Paʻa ʻana i ka manawa ma hope o ke kaʻina hana
• Ke kahe koko rectal liʻiliʻi a i ʻole ka huhū
• Nā kaulike electrolyte mai nā lāʻau lapaʻau hoʻomākaukau

He haʻahaʻa ka pilikia o nā pilikia koʻikoʻi ma lalo o 1 i loko o 1,000 mau hana. Mālama pono kāu hui lapaʻau iā ʻoe i ka wā o ka hoʻokolohua a ua mākaukau e mālama i nā pilikia e kū mai ana. ʻO ka hapa nui o nā kānaka e ʻae maikaʻi i ke kaʻina hana a hoʻi i nā hana maʻamau i ka lā hoʻokahi.

I ka manawa hea e ʻike ai au i ke kauka e pili ana i nā hopena barium enema?

Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana ma hope o kāu barium enema a i ʻole he mau nīnau kāu e pili ana i kāu hopena. ʻOiai e ola wikiwiki ka hapa nui o nā kānaka, pono kekahi mau hōʻailona i ka nānā olakino koke.

Ma hope o ke kaʻina hana, he mea maʻamau ka loaʻa ʻana o nā noho keʻokeʻo a i ʻole nā ​​noho māmā no kekahi mau lā i ka wā e haʻalele ai ka barium i kāu ʻōnaehana. ʻO ka inu ʻana i ka wai nui e kōkua i ka holoi ʻana i ka barium a pale i ka constipation.

E hoʻokaʻaʻike koke i kāu kauka inā loaʻa iā ʻoe:

• ʻEha ʻōpū nui a i ʻole ka ʻūlū
• Nā hōʻailona o ka maʻi e like me ke kuni a i ʻole nā ​​anu
• Ka luaʻi mau a i ʻole ka luaʻi
• ʻAʻole hiki ke hele i ke kinoea a i ʻole ka neʻe ʻana o ka ʻōpū
• Ke kahe ʻana o ka ʻōpū i ʻoi aku ma mua o ka ʻike māmā
• Nā hōʻailona o ka dehydration e like me ka dizziness a i ʻole ka make wai nui
• Nā hopena maʻi maʻi koʻikoʻi e like me ka pilikia o ka hanu a i ʻole ka pehu

No kāu hopena hoʻokolohua, e hahai me kāu kauka e like me ka mea i hoʻonohonoho ʻia inā maikaʻi ʻoe. Inā loaʻa nā mea ʻokoʻa, e wehewehe kāu kauka i ke ʻano o lākou a kūkākūkā i nā hoʻokolohua a i ʻole nā ​​lapaʻau hou e pono ai.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka barium enema

Q.1 He maikaʻi anei ka hoʻokolohua barium enema no ka ʻike ʻana i ka maʻi kanesa o ka ʻōpū?

Hiki i ka barium enema ke ʻike i nā maʻi kanesa o ka ʻōpū, akā ʻaʻole ia i manaʻo ʻia ʻo ke ʻano screening maikaʻi loa i loaʻa i kēia lā. ʻOiai hiki iā ia ke hōʻike i nā ʻōpū, nā polyps, a me nā mea ʻokoʻa ʻē aʻe, ʻaʻole ia i ʻoi aku ka maʻalahi ma mua o ka colonoscopy no ka loaʻa ʻana o nā polyps liʻiliʻi a i ʻole nā ​​maʻi kanesa mua.

ʻO ka colonoscopy ke kūlana gula no ka nānā ʻana i ka maʻi kanesa o ka ʻōpū nui no ka mea e hiki ai ke nānā pololei a me ka wehe koke ʻana i nā polyps. Eia naʻe, hiki nō i nā enemas barium ke waiwai inā ʻaʻole hiki ke hana i ka colonoscopy a i ʻole he hana ma hope o nā hoʻokolohua ʻē aʻe.

Q.2 Noho anei ka barium i loko o kou ʻōnaehana ma hope o ka hoʻokolohua?

Haʻalele maʻamau ka barium i kou ʻōnaehana i loko o 2-3 mau lā ma hope o ke kaʻina hana. E ʻike ʻoe i nā noho keʻokeʻo a i ʻole nā noho māmā i ka wā e hele ai ka barium ma kou ʻōnaehana digestive, he mea maʻamau loa ia.

ʻO ka inu ʻana i ka wai nui ma hope o ka hoʻokolohua e kōkua i ka holoi ʻana i ka barium a pale i ka paʻakikī ʻana i loko o kou ʻōpū. ʻO ka hapa nui o nā kānaka e hala i ka barium a pau ma ke ʻano maoli me ka ʻole o nā pilikia.

Q.3 Hiki iaʻu ke ʻai maʻamau ma hope o ka barium enema?

ʻAe, hiki iā ʻoe ke hoʻomaka hou i ka ʻai maʻamau ma hope koke o kāu barium enema. Eia naʻe, e hoʻomaka me nā meaʻai māmā a me ka wai nui e kōkua i kāu ʻōnaehana digestive e ola mai ka hoʻomākaukau a me ke kaʻina hana.

E kālele ana i ka inu ʻana i ka wai a me ka ʻai ʻana i nā meaʻai fiber kiʻekiʻe e kōkua i ka hoʻoneʻe ʻana i ke koena barium ma kou ʻōnaehana. E pale i nā meaʻai kaumaha a me ka momona no ka lā mua i ka wā e hoʻoponopono hou ai kou kino i ka ʻai maʻamau.

Q.4 Pehea ka pololei o ka barium enema i hoʻohālikelike ʻia me ka colonoscopy?

ʻAʻole pololei nā enemas barium ma mua o ka colonoscopy no ka ʻike ʻana i nā polyps liʻiliʻi a me nā maʻi kanesa i ke kahua mua. Hōʻike nā haʻawina e hala nā enemas barium ma kahi o 15-20% o nā polyps nui e loaʻa i ka colonoscopy.

Eia naʻe, he mau mea hana diagnostic pono nō nā enemas barium, ʻoi aku ka nui o ka ʻike ʻana i nā puʻupuʻu nui, nā hemahema structural, a me nā kūlana inflammatory. Aia ke koho ma waena o nā hoʻokolohua i kāu kūlana kikoʻī a me nā pono olakino.

Q.5 Aia kekahi mau koho ʻē aʻe i ka barium enema?

ʻAe, aia kekahi mau koho ʻē aʻe e pili ana i ka mea e pono ai kāu kauka e nānā. ʻO ka colonoscopy ke koho maʻamau a hāʻawi i nā hiki diagnostic a me ka therapeutic no ka mea hiki ke wehe ʻia nā polyps i ka wā o ke kaʻina hana.

ʻO nā koho ʻē aʻe e komo pū ana me ka CT colonography (virtual colonoscopy), flexible sigmoidoscopy, a me nā hoʻokolohua hou i hoʻokumu ʻia i ka noho. E ʻōlelo aku kāu kauka i ke koho maikaʻi loa e pili ana i kāu mau hōʻailona, nā mea pilikia, a me ke kūlana olakino holoʻokoʻa.