Nyob rau hauv tsab xov xwm peb yuav qhia koj yuav ua li cas haus dej ua ntej ib tug colonoscopy los ntxuav cov hnyuv. Qhov no yog ib txoj kev tshawb fawb endoscopic rau kev kawm txog lub xeev ntawm txoj hnyuv, uas yuav pab kuaj xyuas cov kev hloov pauv hauv cov kab mob hauv cov hnyuv. Cov txheej txheem no tsis mob rau tus neeg mob, raws li tam sim no tau ua nyob rau hauv sedation los yog luv-acting general anesthesia. Txhawm rau kom txoj kev tshawb fawb kom paub meej, koj yuav tsum noj tshuaj tshwj xeeb los ntxuav cov hnyuv ua ntej colonoscopy.
Vim li cas koj thiaj xav tau txoj hnyuv?
Lub luag haujlwm tseem ceeb ntawm cov tshuaj ntawm hom no yog ntxuav cov hnyuv kom zoo, tshem tawm cov pa roj thiab co toxins. Cov cuab yeej colonoscopy niaj hnub no suav nrog lub raj nyias ua los ntawm cov fibers fibers nrog lub koob yees duab tshwj xeeb thaum kawg. Vim nws siab plasticity, nwskhoov zoo, dhau los ntawm cov qauv ntawm cov hnyuv, yog li ua rau tsis xis nyob rau cov neeg mob. Colonoscopy nrog rau tag nrho cov txheej txheem kuaj nrog kev tshaj tawm ntawm lub monitor, uas ua rau nws tuaj yeem sau thiab sib piv cov txiaj ntsig nrog cov txheej txheem ntxiv.
Dab tsi hauv peb lub plab?
Nyob rau hauv cov hnyuv ntawm cov neeg noj qab haus huv muaj cov khoom tsim los ntawm kev zom zaub mov, fiber ntau, cov khoom khib nyiab, dej, kab kawm, ntsev, mucus, pancreatic thiab bile enzymes, nrog rau cov kab mob flora. Cov khoom noj sib txawv yuav tsum muaj kev sib txawv ntawm lub cev thaum lub sijhawm zom zaub mov. Cov nqaij rog uas tseem nyob hauv cov hnyuv tau ntev tshaj plaws (12 teev lossis ntau dua).
Nyob rau hauv qhov no, txwv tsis pub noj nqaij ua ntej kuaj ntshav colonoscopy. Cov zaub mov uas muaj protein thiab carbohydrate yog digested sai. Cov fiber ntau ntawm cov txiv hmab txiv ntoo thiab zaub, cov kua tuaj tsim tag nrho cov xwm txheej rau kev txav ceev ntawm cov quav hauv plab hnyuv, txhawb nqa peristalsis. Tab sis rau kev tshuaj xyuas ntawm ntuj defecation, raws li txoj cai, nws tsis txaus. Lub lumen thiab phab ntsa ntawm txoj hnyuv rau kev ntsuam xyuas pom ntawm cov qauv ntawm cov ntaub so ntswg yuav tsum tau ntxuav kom ntau li ntau tau. Tus kws kho mob endoscopist tuaj yeem kuaj pom cov caws pliav, rwj, erosions, adhesions, neoplasms, me me polyps.
Rau cov kev kho mob tom ntej, nws yog ib qho tsim nyog los txiav txim siab txog qib ntawm cov txheej txheem inflammatory lossis kev puas tsuaj, nrog rau kev ua haujlwm hauv cheeb tsam ntawm cov txheej txheem pathological. Txhawm rau txhawm rau txhawm rau txhawm rau muab cov txiaj ntsig tau ntseeg tau, kev npaj tau npaj.
Tshuaj kho kom huvtso quav ua ntej colonoscopy
Tshuaj ntxuav cov hnyuv yuav tsum muaj cov tshuaj laxative hais. Txawm li cas los xij, tsis yog txhua yam tshuaj yuav tsim nyog rau kev npaj rau kev kuaj ntshav colonoscopy. Nyob rau hauv lub arsenal ntawm cov kws kho mob tshwj xeeb los txhawb txoj hnyuv motility, muaj cov tshuaj ntawm ntau yam teebmeem nyob rau hauv tee, ntsiav tshuaj, oily daws, zom pads. Ntawm lawv:
- ntxiv fiber ntau thiab enzymes rau quav;
- ua kom cov hlab ntsha xaus nyob hauv cov leeg ntawm cov phab ntsa hauv plab;
Ua ntej kev kawm, cov tshuaj no tsis haum rau kev tu kom zoo. Lawv siv hloov cov tsos ntawm cov kab mob hauv cov hnyuv, ua rau nws nyuaj rau kev kuaj mob. Txog niaj hnub no, cov tshuaj hauv qab no tau siv los ntxuav cov hnyuv ua ntej kuaj ntshav:
- Fortrans;
- Lavacol;
- Moviprep;
- "Fleet";
- "Pikoprep";
- Endofalk.
Cia peb saib qee yam ntxiv.
Fortrans
Kev npaj rau kev tso quav tso tawm los ntawm "Fortrans" li cas? Qhov kev npaj kho mob no rau kev ntxuav cov hnyuv muaj cov poov tshuaj, sodium thiab macrogol ntsev. Nws ua rau lub cev los ntawm kev khi cov tshuaj no rau cov dej molecules. Cov tshuaj pab ua kom cov plab hnyuv ntau ntxiv thiab tom qab ntawd tshem tawm tag nrho los ntawm txoj hnyuv los ntawm qhov quav. Cov tshuaj laxative no tsis absorbed rau hauv kev ncig, tsis tsim cov teebmeem.
Fortrans colonoscopy npaj txoj cai:
- Yog tias txoj kev kawm tiav thaum sawv ntxov, yog hnub ua ntej qhov kev kuaj mob, koj tuaj yeem noj su lossis pluas tshais (txog 12 tav su). Ib tug neeg laus yuav xav tau 4 pob ntawv ntawm cov tshuaj no los ntxuav cov hnyuv. Txhua ntawm lawv yuav tsum tau yaj hauv ib liter dej. Cov tshuaj tau txais txiaj ntsig yog noj 1 khob txhua 15 feeb ntawm 17:00 txog 21:00. Nyob rau hauv tag nrho, tus neeg mob yuav tsum tau haus 4 litres kua. Qhov ntawd yog qhov nws hais hauv cov lus qhia rau kev siv. Tus nqi ntawm "Fortrans" yuav qhia hauv qab no.
- Thaum kev sim ua tiav thaum tav su, siv ob kauj ruam tshuaj tswj hwm. 2 litres ntawm cov tshuaj Fortrans npaj yuav tsum tau noj los ntawm 19: 00 txog 21: 00 ua ntej txoj hnyuv loj thiab tib lub ntim ntawm cov tshuaj thaum sawv ntxov, nyob rau hnub kuaj mob, thaum 8:00 txog 10:00.
Txhawm rau txhim kho qhov saj ntawm cov tshuaj, koj tuaj yeem ntxiv kua txiv qaub me me rau nws. Nyob rau hauv tus txheej txheem ntawm kev noj tshuaj, nws raug nquahu kom txav mus: ua haujlwm hauv tsev, taug kev, nws tus kheej zaws lub plab (raws li cov lus qhia rau kev siv Fortrans).
Tus nqi ntawm cov tshuaj yog los ntawm 440 rubles. Nws nyob ntawm thaj av thiab chaw muag tshuaj.
Tus neeg mob yuav tsum ua raws li tus kws kho mob cov lus qhia nruj me ntsis. Koj tsis tuaj yeem tso tseg kev noj tshuaj thaum muaj teeb meem dyspeptic. Hauv qhov no, koj tuaj yeem ncua sijhawm noj cov tshuaj rau 20-30 feeb, thiab tom qab ntawd txuas ntxiv cov txheej txheem kom txog thaum lub ntim xav tau.
Qhov no yog kho rauKev ntxuav lub plab ua ntej colonoscopy yog contraindicated nyob rau hauv cov nram no:
- tus neeg mob hnyav xws li lub cev qhuav dej lossis lub plawv tsis ua haujlwm hnyav;
- ib nrab lossis ua tiav plab hnyuv;
- muaj cov qog nqaij hlav lossis lwm yam kab mob ntawm txoj hnyuv, uas yog nrog los ntawm kev puas tsuaj rau cov hnyuv mucosa;
- hnub nyoog qis dua 15 xyoo (raws li tsis muaj ntaub ntawv ntawm kev siv tshuaj kho mob);
- siab rhiab heev rau polyethylene glycol, raws li muaj cov lus ceeb toom ntawm kev txhim kho ntawm kev tsis haum tshuaj (o, ua pob liab vog) thaum noj tshuaj.
Lavacol
Xav txog cov lus qhia rau kev siv "Lavacol". Nqe thiab kev tawm tswv yim kuj yuav muab.
Cov tshuaj no yog nyob rau qeb ntawm osmotic laxatives. Nyob rau hauv nws muaj pes tsawg leeg, nws muaj poov tshuaj thiab sodium chlorides, polyethylene glycol, sodium bicarbonate. Cov tshuaj muaj cov nyhuv ntawm cov phab ntsa ntawm cov hnyuv loj, txhawb kev tso tawm cov kua rau hauv nws lumen. Nyob rau tib lub sijhawm, cov quav mos mos thiab pib tawm ntawm lub cev. Yog li ntawd, kev ntxuav lub plab nrog Lavacol ua ntej colonoscopy yog qhov zoo heev. Ib pob muaj 15 pcs.
Cov khoom siv kho mob muaj ntau yam zoo: nws tsis cuam tshuam cov electrolyte tshuav ntawm cov ntshav, tsis metabolize nrog tsim cov khoom lom, tsis sib sau hauv lub cev, tsis ua rau khaus ntawm cov mucous.npog ntawm txoj hnyuv. Tsis tas li ntawd, cov cuab yeej tsis hloov qhov qub muaj pes tsawg leeg ntawm cov hnyuv microflora.
Yog tias txoj kev tshawb fawb tau teem rau thaum sawv ntxov, hnub ua ntej, txhua 15 pcs. yuav tsum tau diluted hauv 200 ml dej thiab haus ib ntus ntawm 15-20 feeb. Txhawm rau kom muaj txiaj ntsig zoo tshaj plaws, cov tshuaj yuav tsum xaus 18-19 teev ua ntej kev kuaj mob, yog li lub sijhawm pom zoo rau kev noj yog los ntawm 14:00 txog 19:00.
Yog tias qhov kev kuaj mob endoscopic tau npaj rau yav tsaus ntuj, tom qab ntawd kev npaj rau nws nrog kev pab ntawm cov tshuaj "Lavacol" yog ua nyob rau hauv ob theem. Hnub ua ntej tus txheej txheem, kev ntxuav lub plab yog ua raws li cov txheej txheem saum toj no. Thaum sawv ntxov, ua ntej qhov colonoscopy, tus neeg mob yuav tsum npaj 5 pob ntawv ntxiv thiab noj cov tshuaj hauv ib teev. Nrog rau txhua txoj kev, cov kws tshaj lij pom zoo kom nce cov kua dej uas koj haus 1 liter.
Contraindications rau kev siv cov tshuaj no yog:
- mob plab zom mov;
- lub plawv tsis ua hauj lwm;
- dehydration;
- raum tsis ua haujlwm;
- tshuaj tsis haum;
- qis dua 18;
- lub sijhawm cev xeeb tub.
Qhov no lees paub cov lus qhia rau kev siv. Raws li kev txheeb xyuas, tus nqi ntawm "Lavacol" yog qhov zoo heev - txog 200 rubles. Ntau tus neeg nyiam cov cuab yeej no. Nws ua tau zoo thiab zam tau zoo. Yog tias piv nrog Fortrans, ces Lavacol yog qhov zoo dua, vim tias nws yog 2 zaug pheej yig dua.
Moviprep
Cov tshuaj no yog tsim los ntawm cov hmoov uas muaj sodium ntsev, ascorbic acid, macrogol. Cov tshuaj nonce osmotic siab nyob rau hauv txoj hnyuv lumen, vim hais tias cov kua los ntawm cov ntshav nkag mus rau hauv txoj hnyuv kab noj hniav, cov quav yog liquefied thiab tshem tawm tag nrho ntawm lub cev.
Muaj qee qhov txiaj ntsig rau kev ntxuav plab ua ntej colonoscopy nrog Moviprep:
- qhov ntim ntawm cov tshuaj yog 2 zaug tsawg dua li ntawm cov nyiaj saum toj no;
- tshuaj muaj txiv qaub tsw, uas ua rau nws yooj yim dua rau noj.
Koj tuaj yeem noj 18-20 teev ua ntej kuaj mob, tom qab ntawd koj tau tso cai haus dej, tshuaj yej, lim dej. Thaum cov txheej txheem tau teem caij rau thaum sawv ntxov, kev npaj yog nqa tawm hauv ib kauj ruam. Cov tshuaj tau noj raws li cov txheej txheem hauv qab no:
- ntawm 19:00 txog 20:00 noj ib liter dej hauv;
- tom qab ntawd koj yuav tsum haus li 0.5 liv dej;
- ntawm 21:00 txog 22:00 - lwm liter ntawm kev daws.
Kev ua noj, koj yuav tsum nqa ib lub hnab "A" thiab ib "B". Cov hmoov yuav tsum tau tov nyob rau hauv 300 ml ntawm dej, ces ntxiv kua rau ib tug ntim ntawm ib liter. Tag nrho cov ntim yuav tsum muab faib ua 4 koob tshuaj - haus txhua 15 feeb. Qhov thib ob liter ntawm cov khoom yog npaj tib yam.
Yog kawm tiav thaum tav su, thawj liter yog noj thaum sawv ntxov, qhov thib ob - txij 10:00 txog 11:00.
Fleet ua ntej colonoscopy
Cov tshuaj no rau kev ntxuav plab ua ntej endoscopy muaj sodium phosphate ntsev. Cov txheej txheem ntawm cov nyhuv laxative yog vim qhov nce ntawm cov dej hauv cov hnyuv, nrog rau kev txhawb nqa ntawm peristalsis. Xyaum tsis absorbed rau hauv cov ntshav. Tej zaum yuav muaj kev ua txhaum me ntsis ntawm qhov concentration ntawm phosphorus thiab sodium hauv cov ntshav, uas tsis tas yuav kho.
Contraindications rau laxative siv:
- tshuaj lom megacolon;
- muaj qhov txhab mob hauv plab hnyuv;
- under 15;
- mob plawv tsis ua hauj lwm;
- hloov pauv hauv lub raum ua haujlwm;
- tshuaj tsis haum.
Kev siv suav nrog cov haujlwm hauv qab no: thaum 7-8 teev sawv ntxov, noj ib khob dej, tom qab ntawd yaj 45 ml ntawm cov tshuaj hauv ib nrab khob dej, haus hauv ib khob dej. Koj yuav tsum noj tsawg kawg 3 litres ntawm cov kua uas tso cai rau noj rau ib hnub.
Picoprep
Tseem muab ua ntej Pikoprep colonoscopy. Cov tshuaj no muaj nyob rau hauv daim ntawv ntawm cov hmoov nrog citrus tsw thiab muaj citric acid, magnesium oxide thiab sodium picosulfate. Txoj hnyuv ntxuav tau tshwm sim vim yog kev ua haujlwm osmotic ntawm cov khoom. Cov ntsev tsis nqus thiab tsis ua rau lub cev muaj zog.
Txhawm rau ntxuav cov hnyuv kom zoo, koj yuav tsum ua raws li cov lus qhia. Cov ntsiab lus ntawm thawj sachet yuav tsum tau noj, yaj hauv dej, thaum 8:00-9:00, ua ntej colonoscopy. Haus cov tshuaj 1, 25 litres kua. Dilute lub hnab thib ob hauv dej thiab haus ntawm 16:00-17:00 nrog 3 khob dej. Tag nrho cov kua dej haus thaum nruab hnub yuav tsum tsawg kawg yog 4 litres.
Muaj qee qhov kev txwv tsis pub siv cov tshuaj Pikoprep:
- kev tsis haum;
- pronounced dehydration;
- plab hnyuv;
- siab magnesium hauv cov ntshav;
- mob phais mob pathologies;
- pregnancy.
Endofalk ua ntej kuaj mob
Raws li kev tshuaj xyuas, "Endofalk" hauv kev ntxuav plab ua ntej colonoscopy kuj zoo heev.
Cov khoom lag luam tshuaj ntawm cov tshuaj Endofalk yog pib ua raws li dej raws plab, txij li kev sib xyaw ntawm macrogol 3350 thiab ntau yam electrolytes muaj nyob rau hauv cov tshuaj provokes ib tug laxative nyhuv, uas yuav pab kom ceev txoj kev ntawm txoj hnyuv.
Vim muaj qhov hnyav molecular hnyav polyethylene glycol, ib qho kev daws teeb meem iso-osmolar, uas muaj pes tsawg tus ntawm cov ntsiab lus ntawm cov khoom yaj yog piv rau lawv qib hauv cov ntshav plasma. Cov electrolytes nyob rau hauv cov tshuaj yog nyob rau hauv ib tug balanced lub xeev. Tsis tas li ntawd, osmolarity thiab sib npaug tiv thaiv kev nqus dej hauv lub plab thiab cov hnyuv thiab txhawb kev sib npaug ntawm electrolytes thiab dej ntawm lumen ntawm lub plab zom mov thiab lub txaj vascular.
Dej- ntsev sib npaug hauv lub cev, yog li, yuav luag tsis cuam tshuam. Polyethylene glycol tiv thaiv kev tsim roj los ntawm kev ua haujlwm metabolizing ntawm cov kab mob vim qhov tseeb tias nws tsis nqus thiab metabolized.
Contraindications: plab hnyuv, cuam tshuam ntawm lumen ntawm txoj hnyuv lossis plab; tshuaj lom megacolon, plab hnyuv perforation, mob colitis, ulcerative lesions, nyiam mus aspiration thiab regurgitation ntawm gastric ntsiab lus, mobnqos reflex, qaug zog, lub cev qhuav dej, lub plawv tsis ua hauj lwm qib 3 thiab 4, lub raum tsis ua hauj lwm, kab mob siab, hnub nyoog qis dua 18.
Txhawm rau npaj cov tshuaj, cov ntsiab lus ntawm 1 sachet yog diluted hauv 0.5 liv dej. Cov tshuaj yog pom zoo kom noj 0.2-0.3 litres nrog ib ncua ntawm 10 feeb. Txhawm rau ntxuav kom tiav, koj yuav tsum haus 3-4 litres ntawm kev daws.
Yuav tshuaj twg zoo dua?
Raws li cov kws tshaj lij, yuav luag tag nrho cov tshuaj laxatives uas tau tham saum toj no siv los ntxuav cov hnyuv ua ntej colonoscopy, tib txoj cai ntawm kev ua. Qhov txawv tsuas yog nyob rau hauv me me nuances ntawm lub compositions thiab saj ntawm kev npaj.
Feem ntau, cov kws kho mob tau sau tshuaj Fortrans. Cov cuab yeej no tsis muaj qab ntxiag saj, tab sis suav tias yog qhov zoo tshaj plaws. Nrog rau 99% qhov tshwm sim, cov tshuaj yuav muab cov txiaj ntsig zoo, uas kuj tau lees paub los ntawm cov neeg mob tshuaj xyuas.
