Kolonoskopi

Ko te colonoscopy (koe-lun-OS-kuh-pee) he whakamātautau e whakamahia ana hei kimi i ngā huringa—pēnei i ngā kōpū pupū, ngā kōpū mamae, ngā polyps, te mate pukupuku rānei—i roto i te pūkahukahu nui (colon) me te tūturu. I te wā o te colonoscopy, ka whakauruhia he pūtau roa, ngawari (colonoscope) ki roto i te tūturu. Ka taea e te kamera ataata iti kei te pito o te pūtau te āwhina i te tākuta kia kite i te taha o roto o te colon katoa.

Ka tūtohutia pea e tō tākua he colonoscopy ki te: Tirotiro i ngā tohu me ngā pūāhua o te pūkahukahu. Ka taea e te colonoscopy te āwhina i tō tākua ki te torotoro i ngā take pea o te mamae o te kopu, te toto o te tūturu, te ruaki roa, me ētahi atu raruraru o te pūkahukahu. Whakamātau mō te mate pūkahukahu. Ki te 45 tau ou rānei neke atu, ā, kei te taumata morearea noa koe mō te mate pūkahukahu—kāhore hoki ētahi atu take morearea mō te mate pūkahukahu atu i tō tau—ka tūtohutia pea e tō tākua he colonoscopy i ngā tau 10 i te kotahi. Ki te whai koe i ētahi atu take morearea, ka tūtohutia pea e tō tākua te whakamātau i mua atu. Ko te colonoscopy tētahi o ngā whiringa torutoru mō te whakamātau mate pūkahukahu. Kōrero atu ki tō tākua mō ngā whiringa pai mōu. Rapua atu ngā polyps. Ki te whai koe i ngā polyps i mua, ka tūtohutia pea e tō tākua he colonoscopy aru anō ki te rapu me te tango i ētahi atu polyps. Ka mahia tēnei hei whakaiti i tō morearea o te mate pūkahukahu. Whakaora i tētahi take. I ētahi wā, ka mahia pea he colonoscopy mō ngā kaupapa whakaora, pēnei i te whakanoho i te stent, te tango rānei i tētahi mea kei roto i tō pūkahukahu.

Ko te colonoscopy ehara i te mea he nui te raruraru. Ko te tino onge, ko nga raruraru o te colonoscopy ka uru atu ki: He mate pāwera ki te rongoā whakapakari i whakamahia i te wā o te whakamātautau Te toto mai i te wāhi i tangohia ai te tauira kiko (biopsy) te polyp ranei, te atu kiko ranei ka tangohia He pakaru i te pakitara o te kōroke, o te tūturu ranei (perforation) I muri i te kōrero ki a koe mō ngā tūponotanga o te colonoscopy, ka tono atu tō tākuta kia hainatia e koe tētahi puka whakaae hei tuku whakaaetanga mō te mahi.

I mua i te colonoscopy, me horoi koe (whakangā) i tō kōroke. Ka āhei tetahi toenga kei roto i tō kōroke kia uaua ai te tiki i te tirohanga pai o tō kōroke me tō tūāpapa i te wā o te whakamātautau. Hei whakangā i tō kōroke, ka tono pea tō tākua ki a koe kia: Whai i te kai motuhake i te rā i mua i te whakamātautau. I te nuinga, kāore koe e kainga te kai kaha i te rā i mua i te whakamātautau. Ka āhei pea te inu ki ngā wai mā—wai mā, tii me te kōpi kāore he miraka, he kirikiri rānei, hupa, me ngā inu kakā. Kaua e inu i ngā wai whero, e taea te whakaaro he toto i te wā o te colonoscopy. Kāore pea koe e kainga, e inu rānei i tetahi mea i muri i te po i te pō i mua i te whakamātautau. Tangohia he laxative. Ka tūtohutia e tō tākua te tango i te laxative rongoā, i te nuinga i te nui i roto i te ahua piritaka, i te wai rānei. I te nuinga o ngā wā, ka whakahauhia koe ki te tango i te laxative i te pō i mua i tō colonoscopy, ka tono pea rātou ki a koe kia whakamahi i te laxative i te pō i mua me te ata o te mahi. Whakatikahia ō rongoā. Whakamaharahia tō tākua ki ō rongoā i te iti rawa kotahi wiki i mua i te whakamātautau—inā hoki mēnā kei a koe te mate huka, te toto teitei, te raruraru ngākau rānei, mēnā kei te tango koe i ngā rongoā, i ngā taapiri rānei e whakauru ana i te rino. Korero atu hoki ki tō tākua mēnā kei te tango koe i te aspirin, i ētahi atu rongoā rānei e whakapaitini ana i te toto, penei i te warfarin (Coumadin, Jantoven); ngā anticoagulants hou, penei i te dabigatran (Pradaxa) i te rivaroxaban rānei (Xarelto), e whakamahia ana hei whakaiti i te tūponotanga o ngā toto toto, o te pōkairangi rānei; i ngā rongoā ngākau rānei e pā ana ki ngā platelets, penei i te clopidogrel (Plavix). Ka hiahia pea koe ki te whakatika i ō horoinga, ki te mutu rānei i te tango i ngā rongoā mo te wā poto.