Chii chinonzi Colonoscopy? Chinangwa, Maitiro & Mhedzisiro

Colonoscopy inzira yekurapa apo chiremba wako anoshandisa chubhu chakatetepa, chinofamba-famba chine kamera kuti aongorore mukati memukuru wako (colon) uye rectum. Chishandiso ichi chekuongorora chinobatsira kuona matambudziko akadai se polyps, kuzvimba, kana gomarara kare apo anonyanya kurapika.

Funga nezvazvo sekuongorora kwakadzama kwehutano hwecolon yako. Maitiro acho anowanzo tora maminitsi makumi matatu kusvika makumi matanhatu, uye iwe uchapiwa mushonga wekukubatsira kuzorora uye kunzwa wakasununguka panguva yese yekuita.

Chii chinonzi colonoscopy?

Colonoscopy inzira yekuziva uye yekuongorora inobvumira vanachiremba kuti vaone urefu hwese hwecolon yako uye rectum. Chiremba anoshandisa colonoscope, iyo iri chubhu refu, inochinjika inenge yakafara semunwe wako ine kamera diki uye chiedza kumagumo.

Panguva yekuita, colonoscope inoiswa zvinyoro-nyoro kuburikidza ne rectum yako uye inotungamirirwa kuburikidza necolon yako. Kamera inotumira mifananidzo yechokwadi-nguva kumonitor, ichipa chiremba wako maonero akajeka ekuvharwa kwecolon yako. Izvi zvinovabatsira kuona chero nzvimbo dzisina kujairika, kutora sampuli yematishu kana zvichidikanwa, kana kubvisa polyps panzvimbo.

Maitiro acho anoonekwa seyakajairika yegoridhe yekuvheneka gomarara rekoloni nekuti rinogona kuona nekudzivirira gomarara nekubvisa precancerous polyps vasati vakura kuita gomarara.

Nei colonoscopy ichiitwa?

Colonoscopy inoshanda zvinangwa zviviri zvikuru: kuongorora gomarara rekoloni muvanhu vane hutano uye kuongorora matambudziko muvanhu vane zviratidzo. Vakuru vazhinji vanofanira kutanga kuongororwa nguva dzose pazera remakore makumi mana nemashanu, kana kare kana vaine njodzi dzakadai senhoroondo yemhuri yegomarara rekoloni.

Pakuongorora, chinangwa ndechekubata matambudziko kare apo ari nyore kurapa. Chiremba wako anogona kubvisa polyps panguva yekuita, izvo zvinovadzivirira kuti vasave gomarara gare gare. Izvi zvinoita kuti colonoscopy ive chishandiso chekuongorora uye chekudzivirira.

Kana uri kusangana nezviratidzo, chiremba wako angakurudzira colonoscopy kuti aongorore zviri kukonzera kusagadzikana kwako. Ngatitarisei zvikonzero chaizvo zvichaita kuti chiremba wako akurudzire nzira iyi:

• Kuchinja kunoenderera mberi mumaitiro ematumbo anogara kwemavhiki anopfuura mashoma
• Ropa mumatsvina ako kana kubuda ropa mumatumbo
• Kurwadziwa mudumbu kana kukramba kusingatsanangurwi
• Manyoka asingaperi kana kuvharika
• Kurasikirwa uremu kusingatsanangurwi
• Iron deficiency anemia isina chikonzero chinooneka
• Nhoroondo yemhuri yegomarara remukoloni kana polyps
• Nhoroondo yako yezvirwere zvinopisa matumbo
• Kutevera mushure mekubviswa kwepolyp yapfuura

Chiremba wako achafunga nezvezvinhu zvako zverisiko uye zviratidzo kuti aone kana colonoscopy yakakukodzera. Nzira iyi inogona kubatsira kuongorora mamiriro akaita segomarara remukoloni, polyps, inflammatory bowel disease, diverticulitis, kana zvimwe zvirwere zvekoloni.

Nzira ye colonoscopy chii?

Nzira ye colonoscopy inoitika muzvikamu zvakati wandei, kutanga nekugadzirira kumba uye kupera nekupora panzvimbo yekurapa. Kuongorora chaiko kunowanzo kutora maminitsi makumi matatu kusvika makumi matanhatu, kunyangwe iwe uchipedza maawa akati wandei panzvimbo yekugadzirira nekupora.

Nzira isati yatanga, iwe uchagamuchira sedation kuburikidza neIV kuti ikubatsire kuzorora uye kuderedza kusagadzikana. Vanhu vazhinji havayeuki nzira yacho nekuda kwe sedation, iyo inoita kuti chiitiko chive chakanyanya kunaka.

Zvinoitika panguva yenzira ndezvi:

1. Muchazorara padivi rako rekuruboshwe patafura yekuvhenekera.
2. Chiremba achaisa zvinyoro nyoro colonoscope kuburikidza nemukati mako.
3. The scope inofambiswa zvishoma nezvishoma kuburikidza necolon yako apo mhepo inopinzwa mukati kuti ikudzirwe colon kuti ionekwe zviri nani.
4. Chiremba anoongorora colon lining apo scope ichifamba.
5. Kana mapolyps akawanikwa, anobviswa achishandisa maturusi akakosha anopfuudzwa kuburikidza ne scope.
6. Tissue samples dzinogona kutorwa kuti diongororwe murabhoritari.
7. The scope inobviswa zvishoma nezvishoma ichienderera mberi nekuongorora colon walls.

Panguva yekuongorora, unogona kunzwa kumwe kumanikidzwa kana cramping apo scope inofamba kuburikidza necolon yako. Sedation inobatsira kuderedza izvi zvinonzwa, uye vanhu vazhinji vanowana maitiro acho asinganyanyi kunetsa sezvavaifungidzira.

Maitiro ekugadzirira colonoscopy yako?

Kugadzirira kwakakodzera kwakakosha kuti colonoscopy ibudirire nekuti colon yako inoda kucheneswa zvakakwana kuti chiremba aone zvakajeka. Chiremba wako achakupa mirairo yakatarwa, asi kugadzirira kunowanzo kutanga mazuva 1-3 pamberi pekuongorora kwako.

Chinhu chakanyanya kukosha chekugadzirira kutora mhinduro yekugadzirira bowel iyo inochenesa colon yako. Mushonga uyu unokonzera manyoka kuti ubudise colon yako zvachose, izvo zvakakosha kuti uwane kuongorora kwakaringana.

Heano matanho makuru ekugadzirira aunozofanira kutevera:

• Rega kudya chikafu chakasimba maawa makumi maviri nemana pamberi pekuongorora kwako
• Inwa zvinwiwa zvakajeka chete semvura, muto, uye majusi akajeka
• Tora mushonga wakanyorwa wekugadzirira bowel sezvakarairwa
• Rega kutora mishonga yakati wandei kana chiremba wako akaraira
• Gadzirira mumwe munhu kuti akutyairire kumba mushure mekuongorora
• Tevedza chero zvirambidzo zvakatarwa zvekudya kwemazuva akati wandei pamberi
• Gara pedyo nechimbuzi mushure mekutanga kugadzirira bowel

Kugadzirira ura kunogona kuva kwakaoma, asi kwakakosha kuchengeteka kwako uye kururama kwechiyero. Vanhu vazhinji vanowana kuti kugara vaine mvura yakakwana uye kutevera mirairo chaizvo kunovabatsira kuti vapfuure nekugadzirira zviri nyore.

Maitiro ekuverenga mhedzisiro yako ye colonoscopy?

Chiremba wako achakurukura mhedzisiro yako ye colonoscopy newe nguva pfupi mushure mekuita, kunyangwe iwe usingayeuke hurukuro nekuda kwezvinokonzera sedation. Iwe uchagamuchira mushumo wakanyorwa unotsanangura zvakawanikwa panguva yekuongorora kwako.

Mhedzisiro yakajairika zvinoreva kuti ura hwako hunoita sehune hutano pasina zviratidzo zve polyps, cancer, kana zvimwe zvisina kujairika. Kana iyi iri screening colonoscopy ine mhedzisiro yakajairika, iwe unowanzozoda imwe kwemakore gumi, zvichienderana nezvinhu zvako zverisiko.

Kana zvisina kujairika zvawanikwa, mhedzisiro yako inogona kuratidza:

• Polyps dzakabviswa panguva yekuita
• Kuzvimba kana kutsamwa kwemutsara weura
• Diverticulosis (mapouches madiki mumadziro eura)
• Nzvimbo dzekubuda ropa kana ulceration
• Nyama inofungira inoda kumwe kuyedzwa
• Zviratidzo zve inflammatory bowel disease

Kana polyps dzakabviswa kana masampuli etishu akatorwa, iwe uchafanirwa kumirira mhedzisiro yelaboratory, iyo inowanzo tora mazuva 3-7. Chiremba wako achakubata nemhedzisiro iyi uye achakurukura chero kutarisirwa kunotevera kana kurapwa kunodiwa.

Ndezvipi zvinhu zverisiko zvekuda colonoscopy?

Zvimwe zvinhu zvinowedzera njodzi yako yekuvandudza matambudziko e colon uye zvinogona kuita kuti colonoscopy screening ive yakakosha kwauri. Zera ndicho chinhu chakanyanya kukosha cherisiko, nekenza zhinji dze colon dzichiwanzowanikwa muvanhu vane makore anopfuura 50, kunyangwe mitengo iri kuwedzera muvanhu vakuru vadiki.

Nhoroondo yemhuri inotamba basa guru mumwero wako werisiko. Kana iwe uine hama dzepedyo dzine cancer ye colon kana polyps, ungangoda kutanga screening kare uye uve nekuongorora kakawanda kupfuura vanhu vese.

Zvinokonzera njodzi zvakajairika zvingaratidza kuongororwa kare kana kakawanda zvinosanganisira:

• Nhoroondo yemhuri yegomarara remukati kana mapolyps
• Nhoroondo yako yechirwere chekuputika kwematumbo
• Mapolyps emukati akamboitika kana gomarara
• Zvirwere zvemajini senge Lynch syndrome kana familial adenomatous polyposis
• Kudya kwakanyanya nyama tsvuku uye kushoma fiber
• Kusvuta uye kunwa doro zvakanyanya
• Kufutisa uye mararamiro ekugara
• Type 2 chirwere cheshuga
• Radiation therapy kumudumbu kana pelvis

Chiremba wako achaongorora zvinokonzera njodzi zvako kuti aone kuti unofanira kutanga rini kuongororwa uye kuti unoda kuongororwa kakawanda sei colonoscopy. Vanhu vane zvinokonzera njodzi zvakanyanya vanowanzo fanira kutanga kuongororwa vasati vasvika makore makumi mana nemashanu uye vangada kuongororwa kakawanda.

Ndezvipi zvinogona kukonzerwa necolonoscopy?

Colonoscopy inowanzova yakachengeteka, nekuti matambudziko akakomba anoitika mune isingasviki 1% yezvaitwa. Vanhu vazhinji vanongonzwa kusagadzikana kudiki uye vanopora nekukurumidza pasina matambudziko.

Mhedzisiro yakajairika ndeyekuti haina simba uye yenguva pfupi, kusanganisira bloating, gasi, uye cramping kubva mumhepo inoshandiswa kuwedzera mukati mako panguva yekuita. Zviratidzo izvi zvinowanzo gadzirisa mukati memaawa mashoma sezvo mhepo ichitorwa kana kupfuudzwa.

Matambudziko asingawanzoitiki asi akakomba anogona kusanganisira:

• Perforation (kubvaruka) kwemadziro emukati (inoitika mune imwe ye1,000 maitiro)
• Kubuda ropa, kunyanya mushure mekubviswa kwepolyps (inoitika mune imwe ye1,000 maitiro)
• Mhinduro kumishonga yekuzorodza
• Kutapukirwa (kusingawanzoitiki)
• Matambudziko emoyo kana mapapu ane chekuita nekuzorodza

Chiremba wako achakutarisa zvakanyatso panguva uye mushure mekuita kuti atarise chero zviratidzo zvematambudziko. Matambudziko mazhinji, kana akaitika, anogona kurapwa zvakabudirira, kunyanya kana akabatwa kare.

Njodzi yekuwana matambudziko kazhinji yakaderera zvakanyanya pane njodzi yekusawana kenza yemukoloni kare. Chiremba wako achakurukura njodzi dzako dzega uye kukubatsira kunzwisisa mabhenefiti nenjodzi dzechirongwa ichi.

Ndingatarisana nechiremba rini kuti ndiende ku colonoscopy?

Unofanira kukurukura colonoscopy nachiremba wako kana uine makore 45 kana kupfuura uye usina kuongororwa, kana uri kusangana nezviratidzo zvinogona kuratidza matambudziko emukoloni. Kuona kare kunovandudza zvakanyanya mhedzisiro yekurapa, saka usanonoke kutsvaga rubatsiro rwekurapa.

Pakuongorora kwenguva dzose, vanhu vazhinji vanofanira kutanga pazera re45, asi unogona kuda kutanga kare kana uine njodzi dzakadai senhoroondo yemhuri yekenza yemukoloni. Chiremba wako anogona kubatsira kuona chirongwa chakanaka chekuongorora mamiriro ako.

Unofanira kubata chiremba wako nekukurumidza kana uine zviratidzo izvi:

• Ropa mumatsvina ako kana kubuda ropa murectum
• Kuchinja kunoramba kuripo mumaitiro ematumbo anogara kwemavhiki anopfuura maviri
• Kurwadziwa mudumbu kusingatsananguriki kana cramping
• Kurasikirwa uremu kusingadiwi
• Kuneta kana kusava nesimba kunoramba kuripo
• Kunzwa kuti matumbo ako haana chinhu zvachose
• Matusvina akamanana kana kuchinja mumatsvina

Mushure me colonoscopy, unofanira kubata chiremba wako nekukurumidza kana uine kurwadziwa kwakanyanya mudumbu, fivha, kubuda ropa zvakanyanya, kana zviratidzo zvehutachiona. Izvi zvinogona kuratidza matambudziko anoda kutariswa kwekurapa nekukurumidza.

Mibvunzo inowanzo bvunzwa nezve colonoscopy

Mubvunzo 1. Ko colonoscopy bvunzo yakanaka pakuongorora kenza yemukoloni here?

Hongu, colonoscopy inoonekwa seyakajairika yegoridhe pakuongorora kenza yemukoloni. Iyo ndiyo nzira yekuongorora yakanyanya kukwana nekuti inogona kuona kenza uye mapolyps asati aita kenza mumukoloni wese, kwete chikamu chayo chete.

Kusiyana nemamwe bvunzo dzekutarisa dzinongowana kenza iripo, colonoscopy inogona kudzivirira kenza nekubvisa mapolyps vasati vava nemalignant. Zvidzidzo zvinoratidza kuti colonoscopy yekutarisa nguva dzose inogona kuderedza kufa kwekenza yemukati nemakumi matanhatu kusvika makumi manomwe muzana.

Q.2 Inorwadza here colonoscopy?

Vanhu vazhinji havawanzonzwa kurwadziwa panguva ye colonoscopy nekuti unogamuchira sedation kuburikidza ne IV. Sedation inokubatsira kuzorora uye kazhinji inokugadzira kuti uve nehope kana kukonzera kuti urare panguva yekuita.

Unogona kunzwa kumwe kumanikidzwa, cramping, kana bloating sezvo scope ichifamba nemukati mako, asi izvi zvinonzwa zvinowanzoita zvishoma uye zvenguva pfupi. Mushure mekuita, unogona kuva negasi uye bloating kwemaawa mashoma, asi izvi zvinowanzoita kuti zvigadziriswe nekukurumidza.

Q.3 Inotora nguva yakareba sei colonoscopy?

Iyo chaiyo colonoscopy procedure inowanzo tora maminitsi makumi matatu kusvika makumi matanhatu, zvichienderana nezvinowanikwa nachiremba wako uye kana chero mapolyps achida kubviswa. Zvisinei, uchapedza maawa akawanda panzvimbo yekurapa yekugadzirira uye kupora.

Ronga kupedza maawa anenge 3-4 muhofisi, kusanganisira nguva yekutarisa-mukati, kugadzirira, maitiro pachayo, uye kupora kubva ku sedation. Vanhu vazhinji vanogona kuenda kumba zuva rimwechete kana vamuka zvizere uye vakagadzikana.

Q.4 Ndingawanzowana colonoscopy kangani?

Kana mhedzisiro yako ye colonoscopy yakajairika uye uine avhareji njodzi, iwe unowanzoita maitiro makore gumi ega ega kutanga pazera re45. Zvisinei, chiremba wako anogona kukurudzira kuongorora kakawanda zvichienderana nezvinhu zvako zvenjodzi.

Vanhu vane njodzi yepamusoro, senge nhoroondo yemhuri yekenza yemukati kana nhoroondo yako yemapolyps, vangangoda kuongororwa makore 3-5 ega ega. Chiremba wako achagadzira chirongwa chekutarisa chakagadzirirwa zvinoenderana nemamiriro ako chaiwo uye mhedzisiro.

Q.5 Ndingadyei mushure me colonoscopy?

Tangira nezvokudya zvakareruka, zviri nyore kugaya mushure me colonoscopy yako sezvo hurongwa hwako hwekugaya huchida nguva yekupora. Tangira nemvura yakajeka uye zvishoma nezvishoma uende kuzvokudya zvakapfava sezvaunonzwa wakasununguka.

Zvisarudzo zvakanaka zvinosanganisira muto, makarotsi, toast, mabhanana, mupunga, uye yogati. Dzivisa zvinonhuwira, mafuta, kana zvokudya zvine fiber yakawanda kwemaawa makumi maviri nemana ekutanga. Vanhu vazhinji vanogona kudzokera kune zvavo zvakajairika mukati mezuva rimwe kana maviri, asi teerera muviri wako uye fambisa kudya kwako zvishoma nezvishoma.