Colonoscopy yog ib txoj kev kuaj mob uas muaj kev soj ntsuam tob ntawm txoj hnyuv loj uas siv lub tshuab endoscopic. Ua ntej tus txheej txheem, tus neeg mob yuav tsum npaj nws lub cev nyob rau hauv ib txoj kev - kom tshem tawm cov hnyuv los ntawm cov ntsiab lus. Cov npe ntawm cov tshuaj pom zoo rau kev noj ua ntej colonoscopy yog teev nyob rau hauv tsab xov xwm - tus neeg mob tuaj yeem xaiv cov tshuaj uas haum rau nws ntawm cov khoom thiab cov nqi. Tau kawg, ua ntej ua qhov no, koj yuav tsum sab laj nrog koj tus kws kho mob, vim tias tus neeg cov tshuaj tiv thaiv rau ib qho tshuaj yuav txawv.
Yuav ua li cas yog txoj hlab ntshav colonoscopy thiab yog vim li cas thiaj li sau ntawv
Colonoscopy yog ib txoj hauv kev kuaj nrog cov cuab yeej tshwj xeeb - lub colonoscope, uas tau muab tso rau hauv lub qhov quav thiab txuas ntxiv los ntawm cov hnyuv. Nws yog feem ntau lees paub tias txoj kev tso cai rau koj los tshawb txog cov phab ntsa thiab lumen ntawm cov tuabtxoj hnyuv. Txawm li cas los xij, qhov no tsis yog li ntawd, nrog kev pab los ntawm colonoscopy, ntau lub hom phiaj tuaj yeem ua tiav:
- tau daim duab ntawm thaj chaw txaus siab ntawm txoj hnyuv;
- coj biomaterial rau biopsy tom ntej;
- ua ib daim vis dis aus ntawm txoj kev kawm, uas yuav qhia tag nrho cov kab mob (qhov no yuav tso cai rau koj mus sab laj nrog ntau tus kws tshaj lij, qhia txhua tus ntawm lawv cov khoom siv video).
Colonoscopy feem ntau yog muab rau cov neeg mob uas muaj cov kab mob hauv qab no thiab kab mob:
- xov xwm ntawm cov qog - colonoscopy qhia cov qog thiab polyps tsis pom thaum lub sij hawm barium enema;
- kab mob Crohn tus kab mob;
- cem quav ntev;
- plab hnyuv obstruction ntawm ntau yam etiologies;
- cov txheej txheem inflammatory hauv txoj hnyuv;
- xav tias ulcerative colitis;
- plab hnyuv;
- xov xwm txawv txawv lub cev hauv plab hnyuv.
Cov kab mob thiab kab mob hauv qab no yog contraindications rau colonoscopy:
- txias thaum lub sijhawm exacerbation;
- tus kab mob cirrhotic;
- ua pa lossis lub plawv tsis ua haujlwm;
- mob hnyav ischemic colitis;
- suspected peritonitis;
- ntshav txhaws;
- psychopathology;
- xeev khuam;
- mob plab loj heev vim mob plab ulcerative;
- myocardial infarction lossis stroke (txoj kev tsuas yog tso cai tom qab 6 lub hlis thaum lub sijhawm myocardial infarction lossis stroke).
Cov me nyuam 10-12 xyoosYog tias muaj cov txheej txheem pathological hnyav hauv cov hnyuv uas muaj kev pheej hmoo ntawm cov ntshav los ntawm sab hauv, xav tias colonoscopy yog ua raws li kev tshuaj loog.
Ua ntej tus txheej txheem, tus neeg mob yuav tsum npaj. Ob peb hnub ua ntej qhov kev tshwm sim, koj yuav tsum tsis txhob haus cawv, txo cov luam yeeb uas koj haus luam yeeb, lossis tsis haus luam yeeb tag nrho. Dab tsi koj tuaj yeem noj hauv kev npaj rau kev kuaj ntshav colonoscopy yog teev nyob rau qhov kawg ntawm tsab xov xwm. Lub hom phiaj ntawm kev npaj rau kev kuaj mob yog ntxuav cov hnyuv ntawm cov quav kom ntau li ntau tau. Txog rau qhov kawg no, tus kws kho mob yuav qhia cov tshuaj ua ntej qhov colonoscopy. Feem ntau, Fortrans raug tshuaj, nws tso cai rau koj los ntxuav cov hnyuv kom ntau li ntau tau hauv lub sijhawm luv luv. Txawm li cas los xij, qee zaum tus neeg mob tsis zam cov tshuaj no. Hauv qhov no, koj yuav tau noj tshuaj sib txawv.
Ua ntej yuav tshuaj xyuas txoj hnyuv, koj yuav tsum tsis txhob txhawj thiab ntshai. Qhov kev ntsuam xyuas, ntawm chav kawm, yog qhov zoo heev, vim hais tias thaum lub sij hawm nws kawm, ib tug saj zawg zog raj nrog ib tug tshwj xeeb apparatus yog muab tso rau hauv tus neeg mob lub qhov quav, uas yog ntxig heev heev los ntawm txoj hnyuv. Txawm li cas los xij, yog tias koj so thiab coj tus cwj pwm kom raug, ces yuav muaj qhov mob tsawg kawg nkaus. Tab sis tom qab kev ntsuam xyuas, nws yuav muaj peev xwm hais meej txog qhov muaj lossis tsis muaj kev kuaj mob tshwj xeeb, nrog rau kev sau ntawv kho mob uas yuav ua rau tus neeg mob tau zoo.
Txoj kev ntxuav lub plab ua ntej kev colonoscopy
Lub luag haujlwm tseem ceeb ntawm lub sijhawm npaj peb hnub ua ntej kev kawm yog ua kom huvtxoj hnyuv loj los ntawm slag deposits, fecal accumulations, gases, ua tau ntshav txhaws thiab mucus.
Qee tus neeg mob tsis zoo heev txog kev noj tshuaj. Cov neeg zoo li no sim zais ntawm tus kws kho mob qhov tseeb tias lawv pib noj cov tshuaj laxative. Cov neeg mob siv lwm txoj kev ntxuav lub plab:
- noj senna tshuaj yej, nplooj ntawm cov nroj tsuag no tau ntev tau nto moo rau lawv cov nyhuv laxative;
- enema nrog tshuaj ntsuab los yog dej dawb;
- tswm ciab nrog glycerin, uas kuj muaj cov nyhuv laxative.
Thiab qhov tseeb, tag nrho cov tshuaj no yog qhov zoo rau kev ntxuav cov hnyuv hauv tsev. Tab sis muaj ib tug caveat. Lawv tsis muaj peev xwm hloov cov tshuaj ntxuav cov hnyuv ua ntej kuaj kab mob. Qhov tseeb yog tias cov txheej txheem yuav tsum tau tshem ntawm qhov tob tshaj plaws ntawm txoj hnyuv los ntawm fecal deposits. Tshuaj yej tshwj xeeb lossis enema tsis tuaj yeem ua txoj haujlwm.
Ib lub plab zom mov ua kom lub plab zom mov ua ntej kev kuaj ntshav yuav tsum muaj cov khoom nram qab no:
- muag quav hauv lub sijhawm luv;
- txhawb nqa lawv tshem tawm ntawm lub cev sai li sai tau;
- muaj tshuaj lom tsawg;
- muaj ob peb contraindications thiab phiv li sai tau.
Yog tus neeg mob sim dag thiab tsis noj cov tshuaj uas tus kws kho mob tau sau tseg, qhov tshwm sim ntawm txoj hnyuv loj yuav tsis txaus siab. Fecal masses yuav npog ib feem ntawm cov mucosa, yog li nws yuav nyuaj rau kev txiav txim siab txog nws lub xeev tseeb. Tsis tas li ntawd, quav yuavtiv thaiv kev nkag ntawm lub cuab yeej mus rau hauv txoj hnyuv. Txhawm rau kom tsis txhob muaj teeb meem, nws yog ib qho tsim nyog yuav tsum ua raws li tag nrho cov cai uas tus kws kho mob tau sau tseg thiab noj cov tshuaj thiab raws li tus kws kho mob tau sau tseg.
Yuav siv tshuaj dab tsi ua ntej kuaj ntshav?
Tshuaj uas muaj cov nyhuv laxative txawv ntawm txoj cai ntawm kev ua. Txhua yam ntawm lawv, nyob ntawm ib los yog lwm yam active tshuaj, muaj ib daim ntawv teev cov kev phiv thiab contraindications. Yog tias koj txiav txim siab xaiv ib lossis lwm yam tshuaj, nco ntsoov hu rau koj tus kws kho mob thiab xyuas kom meej tias kev noj cov tshuaj no ua ntej tuaj yeem kuaj ntshav colonoscopy. Qee cov tshuaj ua haujlwm maj mam, thaum cov hnyuv ib nrab emptied - qhov tshwm sim no yuav tsis txaus rau cov txheej txheem.
Yog li, cov npe tshuaj rau kev ntxuav plab ua ntej colonoscopy:
- "Fortrans";
- "Moviprep";
- "Lavacol";
- "Fleet";
- "Duphalac"
Cov no yog cov tshuaj laxative zoo tshaj plaws, kev noj haus uas ua rau lub plab zom mov sai thiab yuav luag tag. Qhov no tso cai rau koj ua tiav cov txheej txheem nrog qhov zoo tshaj plaws.
"Fortrans": cov lus qhia, qhia, tus neeg mob tshuaj xyuas
Cov khoom xyaw tseem ceeb yog macrogol 4000. Nws kuj muaj cov poov tshuaj chloride, sodium chloride, sodium bicarbonate, sodium saccharinate. Cov tshuaj belongs rau cov chav kawm pharmacological ntawm laxatives nrog osmotic kev txiav txim. Daim ntawv tso tawm - hmoov,ntim rau hauv hnab, npaj rau kev npaj ntawm kev ncua. Txij li thaum muaj pes tsawg leeg ntawm cov tshuaj muaj xws li electrolytes, thaum noj, tsis muaj kev ua txhaum ntawm cov dej-ntsev tshuav nyob rau hauv lub cev, raws li cov lus qhia rau kev siv rau Fortrans.
Ua ntej colonoscopy, dilute cov ntsiab lus ntawm ib lub hnab hauv dej thiab haus. Peb teev tom qab ntawd (zoo dua ua ntej yuav mus pw), rov ua qhov kev hloov pauv nrog lub hnab tshiab. Thaum sawv ntxov, kev ntxuav lub plab yuav tshwm sim (qee tus neeg mob qhia tias qhov xav kom khoob pib thaum hmo ntuj). Tom qab ntawd, koj tuaj yeem mus rau qhov txheej txheem. Tus neeg mob yuav tsum tsis txhob hnov qab txog kev noj zaub mov kom raug ua ntej kev colonoscopy.
Cov lus qhia siv rau "Fortrans" qhia tias cov tshuaj muaj cov lus qhia hauv qab no rau kev siv:
- colon cleansing ua ntej x-ray, endoscopy, colonoscopy;
- npaj lub plab rau kev phais;
- kev npaj rau barium enema.
Cov kev phiv tshwm sim: tsam plab, xeev siab, ntuav, tsis tshua muaj tshwm sim, tsis haum tshuaj.
Tus neeg mob tshuaj xyuas qhia tias Fortrans feem ntau zam tau zoo. Qhov tshwm sim feem ntau yog flatulence (bloating). Cov tshuaj tiv thaiv no yog qhov tseeb heev, txij li qhov kev txiav txim ntawm cov tshuaj yog ua kom cov ntsiab lus ntawm cov hnyuv. Hauv cov neeg mob sib txawv, cov txiaj ntsig ntawm kev noj tshuaj yog pom nyob rau lub sijhawm sib txawv. Qee lub sij hawm lub plab zom mov tau pom tseeb hauv thawj teev tom qab noj koob thib ob, feem ntau - tsib mus rau rau teev tom qab noj koob thib ob. Lub sijhawm ntev tshaj plaws yog kaum teev.
"Moviprep": cov lus qhia, contraindications thiab tshuaj xyuas txog cov tshuaj
Lub ntsiab active ingredient yog macrogol 3350. Cov concentration ntawm cov active tshuaj yog me ntsis qis dua nyob rau hauv cov muaj pes tsawg leeg ntawm Fortrans. Qee zaum, nws qhov kev txiav txim tsis txaus. Vim li no, cov kws kho mob feem ntau sau Fortrans rau cov neeg mob ua ntej colonoscopy.
Cov lus qhia siv rau "Moviprep" qhia tias lub cuab yeej muaj cov lus qhia hauv qab no rau kev siv:
- colon cleansing ua ntej x-ray, colonoscopy;
- cem quav los ntawm kev noj zaub mov tsis txaus;
- xav tau kev kub ntxhov;
- npaj lub plab rau kev phais;
- kev npaj rau barium enema.
Cov tshuaj yuav tsum tau noj hmo ua ntej kev kuaj ntshav colonoscopy. Cov lus qhia rau kev siv rau "Moviprep" qhia tias muaj cov nram qab no contraindications rau kev nkag:
- hypersensitivity rau ib yam ntawm cov tshuaj ntawm cov tshuaj;
- tshuaj lom megacolon, ib qho teeb meem ntawm kev mob plab hnyuv loj, suav nrog Crohn tus kab mob thiab mob plab hnyuv;
- perforation lossis pheej hmoo ntawm plab hnyuv perforation;
- gastroparesis;
- plab hnyuv;
- phenylketonuria;
- glucose-6-phosphate dehydrogenase deficiency;
- hnub nyoog qis dua 18.
Yog tus neeg mob tsis nco qab lossis vwm, ces sivtshuaj tsis pub. Kev tshuaj xyuas cov neeg mob qhia tias cov nyhuv tom qab noj "Moviprep" raug pom tom qab qhov nruab nrab ntawm tsib teev. Txawm li cas los xij, nyob ntawm tus kheej tus yam ntxwv ntawm lub cev, nws yuav tuaj me ntsis ua ntej lossis tom qab.
Kev piav qhia ntawm cov tshuaj "Lavacol". Tus neeg mob tshuaj xyuas txog nws
"Lavacol" ua ntej kev tshuaj ntsuam xyuas colonoscopy tsis tshua muaj. Cov khoom xyaw tseem ceeb yog macrogol, ib yam li Fortrans. Txawm li cas los xij, cov tshuaj no tsis tshua muaj nyob hauv khw muag tshuaj, yog li nws yooj yim dua rau cov kws kho mob sau tshuaj Fortrans, uas ib txwm nyob hauv Tshuag.
Cov tshuaj tau qhia tias yog tshuaj laxative rau kev ntxuav plab ua ntej endoscopy, barium enema, X-ray, colonoscopy. Lub hauv paus ntsiab lus ntawm kev ua yog tib yam li txhua lwm yam tshuaj nrog macrogol nyob rau hauv lub composition.
Cov lus teb los ntawm cov neeg mob uas tau noj Lavacol yog qhov zoo. Cov tshuaj tsis ua rau muaj kev phiv, qee zaus, cov neeg mob tsuas yog mob plab tom qab noj tshuaj thib ob. Lub plab zom mov tau pom kwv yees li tsib mus rau rau teev tom qab thawj koob tshuaj thiab peb mus rau plaub teev tom qab thib ob.
"Fleet" rau kev ntxuav plab ua ntej colonoscopy
"Fleet" yog ib qho tshuaj laxative uas txhawb nqa dej tuav hauv txoj hnyuv, uas ua rau cov kua qaub thiab ua rau cov quav thiab ua kom lub plab zom mov. Nws muaj cov nyhuv hauv zos, cov metabolites ntawm cov tshuaj tsis nkag mus rau hauv cov hlab ntsha,zoo li yog cov ntaub ntawv nrog feem ntau cov tshuaj laxative ntawm cov tshuaj tshiab. Kev ntxuav plab ua ntej colonoscopy nrog Fleet yog ua tau, txawm li cas los xij, cov kws kho mob tau sau ntawv tsis tshua muaj.
"Fleet" muaj ntau yam contraindications rau kev nkag, nws tsis tuaj yeem siv tau thaum muaj cov kab mob hauv qab no:
- mob plab ntawm txhua qhov xwm txheej;
- ua txhaum lub raum ua haujlwm;
- ascites thiab cirrhosis kuj yog contraindications;
- kab mob plab hnyuv;
- txhua yam txheej txheem pathological nrog ntuav;
- mob kis kab mob hauv plab.
Muaj qee qhov kev tshuaj xyuas ntawm kev ntxuav plab nrog Fleet ua ntej colonoscopy. Txij li nws tsis yog cov tshuaj ntawm thawj qhov kev xaiv hauv cov txheej txheem no. Txawm li cas los xij, cov neeg mob nco ntsoov tias tsis muaj kev phiv thaum noj. Fleet tau txais txiaj ntsig zoo thiab ua rau lub plab zom mov kwv yees li tsib teev tom qab noj.
"Duphalac": cov lus qhia rau kev siv, cov lus qhia rau kev nkag thiab tshuaj xyuas txog cov tshuaj
Cov khoom xyaw tseem ceeb ntawm cov tshuaj yog lactulose. Daim ntawv tso tawm - syrup thiab hmoov rau kev ncua. Cov tshuaj muaj cov nyhuv hyperosmotic, thiab tseem ua rau lub plab zom mov zoo heev.
Cov lus qhia rau kev siv "Duphalac":
- rau kev ntxuav plab ua ntej colonoscopy;
- rau kev tshem tawm lub cev ua ntej x-rays, kev cuam tshuam kev phais;
- mobcem quav.
Ua ntej siv cov tshuaj, koj yuav tsum paub koj tus kheej nrog contraindications thiab, yog tias muaj tsawg kawg, tsis kam siv "Duphalac":
- YLactulose intolerance;
- galactosemia;
- colostomy thiab ileostomy;
- plab hnyuv obstruction ntawm ntau yam etiologies;
- xav tias mob plab hnyuv plab;
- mob ntshav qab zib.
Kev tshuaj xyuas tus neeg mob ntawm "Duphalac" yog qhov zoo. Cov tshuaj yuav luag tsis ua rau muaj kev phiv, nyob rau hauv tsawg zaus, cov neeg mob yws ntawm tsam plab. Lub plab zom mov tshwm sim nyob rau nruab nrab rau rau mus rau xya teev tom qab thawj koob tshuaj.
Kuv puas yuav tsum siv Senade ua ntej kuaj ntshav?
"Senade" yog ib qho tshuaj laxative nrov, lub ntsiab tseem ceeb yog cov nplooj nias ntawm cov nroj tsuag senna. Qhov no tej zaum yuav yog cov tshuaj laxative nrov tshaj plaws ntawm cov neeg yuav khoom, tab sis yuav tsum tsis txhob noj ua ntej kev kuaj ntshav colonoscopy.
Qhov tseeb yog tias cov nyhuv ntawm "Senade" yog qeeb qeeb - lub plab zom mov tuaj yeem tshwm sim tom qab 8 lossis 12 teev tom qab noj tshuaj. Xws li ib qho kev tshwm sim tsis tau tshwm sim tsis haum rau kev npaj tshawb fawb. Tom qab tag nrho, lub sij hawm ntawm cov txheej txheem tuaj yeem tuaj, thiab cov kab mob hauv plab yuav tseem tsis tau ntxuav txaus. Vim li no, kev npaj muaj senna yuav luag tsis tau siv los npaj rau kev kuaj ntshav colonoscopy.
Kuv tuaj yeem noj dab tsi ua ntej txheej txheem?
Qhov teeb meem no kuj yuav tsum tau ua tib zoo saib. Raws li cov kws tshaj lij, kev npaj rau kev xeem yuav tsum pib peb hnub ua ntej. Nws yog ib qho tsim nyog yuav tsum tso tseg tag nrho kev siv cov dej cawv, dej qab zib, txo cov tshuaj yej dub thiab kas fes. Tus neeg mob tau qhia kom haus dej huv kom ntau li ntau tau.
Peb hnub ua ntej koj txoj kev kuaj colonoscopy, koj yuav tsum tsum tsis txhob noj zaub mov thiab tais diav hauv qab no:
- nqaij rog, nqaij npuas, cov kaus poom thiab cov nqaij haus luam yeeb;
- cov khoom noj tshiab (yog tias tsis tuaj yeem tsis lees paub tag nrho, ces txo kev noj kom tsawg);
- khoom qab zib, tshwj xeeb tshaj yog cov rog rog;
- txiv tsawb, persimmon;
- sauerkraut thiab stew;
Txhua lub tais thiab cov khoom lag luam uas ua rau tus kheej ua rau tsam plab thiab cem quav hauv tus neeg yuav tsum raug cais tawm. Ntawm qhov tsis sib xws, koj yuav tsum ua kom koj cov zaub mov muaj txiaj ntsig nrog cov khoom noj uas muaj txiaj ntsig zoo rau kev ua haujlwm ntawm cov hnyuv thiab txhim kho peristalsis.
