Chii chinonzi Barium Enema? Chinangwa, Maitiro & Mhedzisiro

Barium enema kuongororwa kweX-ray kwematumbu ako makuru (colon) anoshandisa chinhu chinonzi barium sulfate kuti aite kuti madziro ako ematumbo aonekwe pamifananidzo. Muedzo uyu unobatsira vanachiremba kuona chimiro, saizi, uye mamiriro ecolon yako uye rectum nekupfeka mutsara wematumbo nemvura ine chalky inoratidza zvakajeka paX-rays.

Funga nezvazvo sekunge uchiwedzera kusiyanisa kumufananidzo - barium inoshanda sechinoratidza chinobatsira chiremba wako kuona chero shanduko kana kusagadzikana munzira yako yekugaya. Nepo miedzo mitsva yakaita secolonoscopy ichishandiswa zvakanyanya nhasi, barium enemas inoramba iri chishandiso chinokosha chekuongorora mune dzimwe nguva.

Chii chinonzi barium enema?

Barium enema imuedzo weX-ray wakakosha uyo unoongorora matumbu ako makuru uchishandisa barium sulfate sechinhu chinosiyanisa. Iyo barium chinhu chakachengeteka, chalky chaunogamuchira kuburikidza netubhu diki rakaiswa murectum yako.

Panguva yacho, iyo barium inopfeka madziro emukati ecolon yako, ichivaita kuti vaonekwe pamifananidzo yeX-ray. Izvi zvinobvumira chiremba wako kuti aone chimiro uye chimiro chenzira yako yematumbo zvakajeka. Muedzo unowanzo tora maminitsi makumi matatu kusvika makumi matanhatu uye unoitwa mudhipatimendi re radiology.

Kune mhando mbiri huru: imwe-kusiyanisa barium enema inoshandisa chete barium mvura, uye kaviri-kusiyanisa (air-contrast) barium enema inobatanidza barium nemhepo kuti ipe mifananidzo yakadzama yemutsara wecolon.

Nei barium enema ichiitwa?

Chiremba wako anogona kukurudzira barium enema kuti aongorore zviratidzo kana kuongorora mamiriro anozivikanwa anokanganisa matumbu ako makuru. Muedzo uyu unobatsira kuongorora matambudziko akasiyana ekugaya kana dzimwe nzira dzisina kukodzera kana dzisipo.

Zvikonzero zvakajairika zvekuraira bvunzo iyi zvinosanganisira shanduko dzisingaperi mumaitiro emudumbu, kurwadziwa mudumbu kusingatsananguriki, kana ropa mumatsvina ako. Chiremba wako angashandisawo izvi kuti aongorore mamiriro emudumbu anopisa kana kutarisa matambudziko mushure mekuvhiyiwa kwemukoloni.

Hezvino mamiriro makuru ayo barium enema inogona kubatsira kuona:

• Colorectal polyps (kukura kudiki pamadziro emukoloni)
• Colorectal cancer kana tumors
• Inflammatory bowel disease (chirwere chaCrohn kana ulcerative colitis)
• Diverticulosis (mapouches madiki mumadziro emukoloni)
• Bowel obstructions kana kusvava
• Hernias inokanganisa ura
• Intussusception (kana chikamu cheura chichitsvedza mune chimwe chikamu)

Chiremba wako achafunga nezve zviratidzo zvako zvakananga, nhoroondo yekurapa, uye zvimwe zvinhu paachasarudza kana bvunzo iyi yakakukodzera. Dzimwe nguva inosarudzwa kana colonoscopy isingabviri kana sekutevera kune dzimwe nzira dzekuongorora.

Ndeipi nzira ye barium enema?

Nzira ye barium enema inoitika mudhipatimendi re radiology rechipatara rine michina yakakosha yeX-ray. Uchasangana ne radiologic technologist uye radiologist avo vachakutungamira kuburikidza nedanho rega rega remaitiro.

Bvunzo isati yatanga, uchachinja kuita gown rechipatara uye kurara patafura yeX-ray. Technologist achatora X-ray yekutanga yedumbu rako kuti aongorore chero zvipingamupinyi kana matsvina akawandisa anogona kukanganisa bvunzo.

Hezvino zvinoitika panguva yemaitiro:

1. Muchazorara parutivi pako apo chubhu diki, rakazodzwa richinyatsoiswa mumusana mako
2. Musanganiswa webarium unoyerera zvishoma nezvishoma kuburikidza nechubhu ichienda mukoloni yako
3. Uchakumbirwa kuchinja nzvimbo (kurara kumusana kwako, mativi, uye dumbu) kubatsira barium kuvhara nzvimbo dzese
4. Radiologist anotora mifananidzo yeX-ray kubva kumakona akasiyana
5. Pakuongorora kaviri-kusiyana, mweya unoiswawo kuti uwedzere koloni kuti uone zviri nani
6. Unogona kunzwa kurwadziwa kana kudzvinyirirwa apo koloni yako inozara, asi izvi zvakajairika

Maitiro ese anowanzo tora maminitsi makumi matatu kusvika makumi matanhatu. Uchada kumira wakanyarara panguva yekuratidzwa kweX-ray, asi unogona kufema zvakajairika. Chikwata chekurapa chichataurirana newe panguva yese yekuita uye kukubatsira kuti unzwe wakasununguka sezvinobvira.

Nzira yekugadzirira barium enema yako?

Kugadzirira kwakakodzera kwakakosha kubudirira kwe barium enema nekuti koloni yako inoda kucheneswa zvakakwana kuti uwane mifananidzo yakajeka. Chiremba wako achapa mirairo chaiyo, asi kugadzirira kunowanzo kutanga mazuva 1-2 usati waita bvunzo yako.

Chikamu chakakosha chekugadzirira chinosanganisira kubvisa koloni yako zvachose. Izvi zvinowanzoita kuti uteedzere chikafu chemvura yakajeka uye kutora laxatives yakarairwa kana enemas sezvakarairwa nechikwata chako chehutano.

Kugadzirira kwako kunogona kusanganisira matanho aya:

• Kutevera chikafu chemvura yakajeka kwemaawa gumi nemaviri kusvika makumi maviri nemana usati waita bvunzo
• Kutora laxatives yakarairwa kana mhinduro dzekugadzirira matumbo
• Kushandisa enemas manheru asati aitwa kana mangwanani ekuita
• Kumisa mishonga yakati wandei inogona kukanganisa bvunzo
• Kudzivisa zvigadzirwa zvemukaka uye chikafu chine fiber yakawanda kwemazuva akati wandei
• Kunwa mvura yakawanda yakajeka kuti urambe uine mvura

Ita shuwa kuti unotevera mirairo yachiremba wako zvakanyatsonaka, sezvo kugadzirira kusina kukwana kunogona kukonzera mufananidzo wemhando yepamusoro uye zvinogona kudiwa kuti bvunzo idzoserwe. Kana uine chirwere cheshuga kana kutora mishonga yekutapudza ropa, kurukura chero zvinhu zvakakosha nachiremba wako.

Nzira yekuverenga mhedzisiro yako yebarium enema?

Radiologist achaongorora mifananidzo yako yebarium enema uye achatumira mushumo wakadzama kuchiremba wako, kazhinji mukati memazuva mashoma. Chiremba wako achabva atsanangura mhedzisiro yacho uye achakurukura chero zvawanikwa newe panguva yekutevera-kuona.

Mhedzisiro yakajairika inoratidza ura hukuru hune madziro akatsetseka, akajairika uye pasina kukura kusinganzwisisike, kudzikira, kana kuvharika. Iyo barium inofanirwa kuyerera zvakaenzana kuburikidza neura hwako hwese hukuru, ichigadzira zvakajeka zvekutanga zvema curves echisikigo eura uye chimiro.

Zvakawanikwa zvisina kujairika zvinogona kuoneka pabarium yako enema zvinosanganisira:

• Polyps inooneka semakomba madiki, akatenderera ekuzadza
• Tumors kana masasi anoratidza sekukura kusingaenzaniswi kana kuvharika
• Strictures (kudzikira) inooneka senzvimbo dzakasimba uko kuyerera kwebarium kunorambidzwa
• Diverticulosis inooneka semapouch madiki achibva kumadziro eura
• Kuchinja kwekuputika kunoratidza sekusina kujairika kwemadziro kana ulcerations
• Kuvharika kwematumbo kunooneka senzvimbo uko barium isingakwanise kupfuura

Rangarira kuti mhedzisiro isina kujairika hairevi zvakanyanya kenza kana mamiriro akakomba. Zvakawanda zvawanikwa zvakanaka kana kurapika nyore. Chiremba wako achatsanangura zvinoreva chero kusagadzikana kuhutano hwako uye achakurudzira matanho anotevera akakodzera.

Ndezvipi zvinhu zvine njodzi zvekuda barium enema?

Zvimwe zvinhu zvinogona kuwedzera mukana wako wekuda barium enema, kunyangwe bvunzo yacho pachayo yakachengeteka kune vanhu vazhinji. Kunzwisisa izvi zvinhu zvine njodzi zvinokubatsira iwe nachiremba wako kuita sarudzo dzine ruzivo nezvehutano hwako hwekugaya.

Zera ndechimwe chezvinhu zvakakosha, sezvo matambudziko e colorectal achiwanzika mushure memakore 50. Nhoroondo yemhuri inewo basa rakakosha, kunyanya kana hama dzepedyo dzakambove nekenza yegomarara kana chirwere che inflammatory bowel.

Heano zvinhu zvakakosha zvinogona kukonzera kuti ufanirwe kuita bvunzo iyi:

• Zera rinopfuura makore 50
• Nhoroondo yemhuri yekenza ye colorectal kana polyps
• Nhoroondo yako yechirwere che inflammatory bowel
• Zviratidzo zvekugaya zvichiramba zvakadai seropa mumagaro kana kurwadziwa mudumbu
• Mhedzisiro yekutanga yebvunzo isina kujairika
• Mamiriro akati wandei e genetic anowedzera njodzi yekenza yegomarara
• Kusvuta kwenguva refu kana kushandisa doro zvakanyanya
• Kudya kwakanyanya munyama dzakagadzirwa uye kushoma mufiber

Zvisinei, kuva nezvinhu zvine njodzi hazvirevi kuti iwe uchanyatso kuda barium enema. Chiremba wako anofunga nezve mamiriro ako ega, zviratidzo, uye dzimwe nzira dzekuyedza dziripo paanoita mazano.

Ndezvipi zvipingamupinyi zvinogona kuitika zve barium enema?

Barium enemas inowanzoita nzira dzakachengeteka dzine njodzi shoma yezvipingamupinyi. Vanhu vazhinji vanongonzwa kusagadzikana kudiki panguva uye mushure mebvunzo, nekuoma kwakakomba kuchiwanzika.

Migumisiro yakajairika ndeye yenguva pfupi uye inogoneka. Unogona kunzwa kuzvimba, kurwadziwa, kana kusagadzikana mudumbu kudiki panguva yekuita sezvo colon yako ichiwedzera nebarium nemhepo.

Zvinogona kuitika, kunyangwe zvisingawanzoitiki, zvinogona kusanganisira:

• Allergic reactions ku barium (isingawanzoitiki)
• Bowel perforation (kubvaruka kwemadziro e colon) - isingawanzoitiki asi yakakomba
• Barium impaction (barium rakaoma rinovharira ura) - isingawanzoitiki
• Dehydration kubva mukugadzirira ura
• Kuzvimbirwa kwenguva pfupi mushure mekuita
• Kubuda ropa mudumbu diki kana kutsamwa
• Electrolyte imbalances kubva kumishonga yekugadzirira

Njodzi yekuwana matambudziko akakomba ishoma pane 1 muna 1,000 maitiro. Chikwata chako chekurapa chinokutarisa zvakanyatso panguva yekuedzwa uye chakagadzirira kubata chero nyaya dzingamuka. Vanhu vazhinji vanotsungirira maitiro acho zvakanaka uye vanodzoka kumabasa avo akajairika zuva rimwe chetero.

Ndingatarisira riini chiremba nezve mhedzisiro yebarium enema?

Unofanira kubata chiremba wako kana ukaona chero zviratidzo zvinonetesa mushure mebarium enema yako kana uine mibvunzo nezve mhedzisiro yako. Nepo vanhu vazhinji vachipora nekukurumidza, zvimwe zviratidzo zvinoda kutariswa kwekurapa nekukurumidza.

Mushure mekuita, zvakajairika kuva nezvigaro zvichena kana zvine ruvara rwakajeka kwemazuva mashoma sezvo barium ichibuda mumuviri wako. Kunwa mvura yakawanda kunobatsira kubvisa barium uye kunodzivirira kuvharika.

Bata chiremba wako nekukurumidza kana ukaona:

• Kurwadziwa kwakanyanya mudumbu kana cramping
• Zviratidzo zveutachiona senge fivha kana kutonhora
• Kurwadziwa kana kurutsa
• Kusagona kupfuudza gasi kana kuva nekufamba kwematumbo
• Kubuda ropa murectal kunopfuura kupenya
• Zviratidzo zvekupera mvura mumuviri senge dzungu kana nyota yakanyanya
• Maitiro akakomba ekuita allergic senge kuoma kufema kana kuzvimba

Kuti uwane mhedzisiro yako yekuedzwa, tevera nachiremba wako sezvakatarwa kunyangwe ukanzwa zvakanaka. Kana zvisina kujairika zvawanikwa, chiremba wako achatsanangura zvinorevei uye achakurukura chero mamwe maedzo kana kurapwa zvingadiwa.

Mibvunzo inowanzo bvunzwa nezve barium enema

Q.1 Ko barium enema bvunzo yakanaka pakuona gomarara remukoloni here?

Barium enema inogona kuona akawanda gomarara remukoloni, asi haionekwe seiyo yakanakisa nzira yekutarisa iripo nhasi. Nepo ichigona kuratidza tumors, polyps, uye zvimwe zvisina kujairika, haina kunyanya kunzwisisa kupfuura colonoscopy pakuwana polyps diki kana gomarara rematanho ekutanga.

Colonoscopy inoramba iri nzira yakanakisa yekutarisa kenza yemukoloni nekuti inobvumira kuona zvakananga nekubviswa nekukurumidza kwemapolyps. Zvisinei, barium enemas inogona kuramba iine kukosha kana colonoscopy isingakwanisi kana sekutevera kumamwe bvunzo.

Mubvunzo 2. Barium inogara mumuviri wako mushure mebvunzo here?

Barium inowanzo kubva mumuviri wako mukati me2-3 mazuva mushure mechiitiko. Uchaona zvigaro zvichena kana zvine ruvara rweruvara sezvo barium ichipfuura nemugumbo rako rekudya, izvo zvakajairika zvachose.

Kunwa mvura yakawanda mushure mebvunzo kunobatsira kubvisa barium uye kunodzivirira kuti isasvike mumumatumbo ako. Vanhu vazhinji vanopfuudza barium yese zvakasikwa pasina matambudziko.

Mubvunzo 3. Ndingadya zvakajairika mushure mebarium enema here?

Hongu, iwe unogona kazhinji kutangazve kudya zvakajairika nekukurumidza mushure mebarium enema yako. Zvisinei, tanga nezvokudya zvakareruka uye mvura yakawanda kuti ubatsire hurongwa hwako hwekudya kuti hupore kubva mukugadzirira uye maitiro.

Tarisa pakunwa mvura uye kudya chikafu chakanyanya fiber kuti ubatsire kufambisa barium yasara mumuviri wako. Dzivisa zvikafu zvinorema, zvine mafuta kwezuva rekutanga sezvo muviri wako uchigadzirisa kudya kwakajairika.

Mubvunzo 4. Barium enema yakarurama sei ichienzaniswa necolonoscopy?

Barium enemas haina kururama kupfuura colonoscopy pakuona mapolyps madiki uye kenza yematanho ekutanga. Zvidzidzo zvinoratidza kuti barium enemas inopotsa anenge 15-20% yemamwe mapolyps akakosha ayo colonoscopy yaizowana.

Zvisinei, barium enemas ichiri maturusi ekuongorora anobatsira, kunyanya pakuona huwandu hukuru, kusagadzikana kwemaitiro, uye mamiriro ekuzvimba. Sarudzo pakati pebvunzo dzinoenderana nemamiriro ako chaiwo uye zvaunoda zvekurapa.

Mubvunzo 5. Kune dzimwe nzira dzimwe dzisiri barium enema here?

Hongu, dzimwe nzira dziripo zvichienderana nezvinoda chiremba wako kuti aongorore. Colonoscopy ndiyo imwe nzira yakajairika uye inopa zvese zvekuziva uye zvehutano hunogona kubviswa sezvo mapolyps anogona kubviswa panguva yechiitiko.

Dzimwe sarudzo dzinosanganisira CT colonography (virtual colonoscopy), flexible sigmoidoscopy, uye bvunzo itsva dzakavakirwa pazvinhu zviri mudumbu. Chiremba wako achakurudzira sarudzo yakanakisa zvichienderana nezviratidzo zvako, njodzi, uye hutano hwako hwese.