RRS Survey: ukulungiswa, ncomo

Sigmoidoscopy - indlela uviwo endoscopic ekuvumela ukuba abangaboniyo ukuhlola imeko ingquza (ngasemva isicatshulwa), kwakunye ukuyibuza le isifo efakwa. Ukongeza, RRS uphando ivumela ukuhlola sigmoid colon distal.

Ubungqina obubonakalayo buxela ukuba

Le izakhi endoscopic eyenziwa ukubhaqa izifo kwesisu kunye nonyango kwabo ngexesha elifanelekileyo. Njengoko umthetho, uphando lubonisa RRS kusebenza kwiimeko ngumhlaza ngezifo kukrokrelwa, bodwa evela igazi namathumbu, yencindi yomlomo okanye ububomvu, besaphula esitulweni, iinkqubo esinganyangekiyo ukudumba kwindawo efakwa. Le zibonisa olu viwo kwakhona hemorrhoids urhano somhlaza prostate emadodeni okanye onkoporazhenie amalungu zangasese kwabasetyhini. Ukongeza, kwamathumbu RRS zisetyenziselwa yokulungiselela, ukuba kufuneka ezinye izakhi endoscopic (umzekelo, barium enema okanye colonoscopy). Kwakhona eyenziwa ukubhaqa izilonda kunye polyp kunye nokuqokelelwa kwezinto soviwo ezincane.

Izimo. ekulungiseleleni isiguli

Uviwo lwe isikali RRS singàphunyezwa phantsi ukopha lweenkcukacha, ubukho sexesheni kwabasetyhini, nangokurhala etsolo ngezantsi okanye isisu, ngokunjalo fissure etsolo ezimpundu, licuthe naso okanye ezifunyenwe yethumbu asezantsi.

Kufuneka kuqatshelwe ukuba imeko ibalulekileyo ukuze ukwazi ukuhlola indlela ezinqeni endoscopic na purgation ubuninzi umxholo.

Ngoko ke, ngosuku olwandulela yale nokuqhathwa Kucetyiswa ukuba unamathele oluthile lokutya. Izigulane banyanzelwa ukuba singasondeli otya ngayo iziqhamo, imifuno, isonka kunye neembotyi ezimnyama, ikhaphetshu kulo naluphi na uhlobo kunye nezinye ukutya ezibangela flatulence (flatulence emathunjini).

Kufuneka kukhunjulwe ukuba ngobusuku phambi kokuba uhlolo, ugqirha le proctologist kwaye kusasa ngomhla saveyi kuvunyelwa kuphela ukuba usele imali encinci ulwelo (ungasebenzisa amanzi non-nezihlwahlwazayo okanye iti ezibuthathaka kunye neswekile).

Ukucoca wamathumbu usebenzisa enema

Ukulungiselela ukuba sigmoidoscopy, ngobusuku phambi kokuba uvavanyo ukwenza ukucocwa enema-2 emva kwesithuba imizuzu eli-15. Kusasa a ukucocwa kwesisu kufuneka liphindwe. Ukuba iimviwo proctologist ucwangciselwe kwisiqingatha sokuqala imini, isidlo sakusasa kungavumelekanga. Ukuba sigmoidoscopy ziya kuqhutywa kwisiqingatha sesibini sale mini, isigulana akuvumelekanga sakusasa ukukhanya, kodwa phambi ushiya ikhaya, kufuneka wenze elinye enema.

Makhe sihlolisise ngokweenkcukacha indlela ukucoca kakuhle kwamathumbu asezantsi, kuba ngaphandle oku akunakwenzeka ukuba balobe RRS.

Ukuthwala enema kufuneka alungise douches imagi, petrolatum, ilitha yamanzi nganye (iqondo lobushushu mayingagqithi 20 C °) kunye enemilenze emithathu. Maluqhutywe ngolu hlobo:

• ukugcwalisa inkqubo, emva ngokujonga ubushushu lwamanzi;

• ukuba uzomisa douches imagi kwi enemilenze nomphakamo akukho ngaphezu kwe-30 cm ukusuka umntu oya coca amathumbu;

• petrolatum lubricates kwincam;

• ukubeka isigulana kwicala lasekhohlo (iinyawo kufuneka maxa emadolweni kwaye abambalwa zinikwa esiswini);

• ukuxuba ezinqeni kwaye ngenisa incam kulo empundu ukuya cm-3 ukuya umbilicus ze emva koko kwi-10 cm ngaxeshanye kwalapho;

• Emva koko uvule vana ukuthintela amanzi ukuba angene amathumbu.

Indlela yokwenza enema yokuhlanjululwa wena?

Ukuze wenze oku, uthabathe indawo idolo-engqinibeni kwigumbi lokuhlambela, ukwayama engqinibeni yakhe, yaye isandla sakhe simahla ukwazisa incam kwi isikali. Kufuneka kwenziwe ngokucotha ngenyameko. Emva koku kufuneka ukuba uvule impompo imagi Esmarch kwaye ufake amanzi. Ukuba iintlungu fluid otyiwa kufuneka kunqunyulwa ulinde ezimbalwa ngokulinganayo ukuphefumla nangesandla esiswini sakhe.

Kufuneka kuqatshelwe ukuba kufuneka ukulawula umlinganiselo wamanzi (it mayingagqithi iilitha ezimbini). Kuba nokucoca engcono kwesisu Kucetyiswa ukuba ukugcina ulwelo ubuncinane imizuzu eli-10. Ukuba unako, unako ukuhamba okanye kulala phantsi isisu sakho.

Ukuba ufuna ukubeka enema 2 nje, phakathi kwabo, ungakwazi ukuthatha ikhefu lemizuzu engama-45. Oku kuyimfuneko ukuze kuqinisekiswe kwalawo yokuhlamba amanzi enema yokuqala.

Ngesicelo isigulane angasebenzisa enema ekhethekileyo micro (umzekelo, "microlax"). Zisetyenziswa rectally. Isiphumo amayeza liyasetyenziswa emva kwemizuzu eli-15.

Ukulungiselela sigmoidoscopy ngaphandle enemas

Ukuze wenze oku, thatha le arhente ezifanelekileyo imithi. Eyona ezininzi eziqhele ukusetyenziswa:

• «Fortrans". Ngokuhlwa phambi kokuba uvavanyo, izigulane kufuneka asele iiyure-17 ukuya ku-20, iilitha ezi-3 zamanzi apho ngaphambili kuyimfuneko wavala sachet 3 wathi uqulungqo. Malunga kufuneka kudla selitha kwesisombululo ngeyure nganye. Xa isidlo kusasa akuvumelekanga.

• «Dufalak". Eve sigmoidoscopy kusela ukusuka kweeyure eziyi-18 ukuya ku-20, 2 iilitha zamanzi ukuba lichithakale kuwo ml 200 isiraphu. Breakfast ngomhla uvavanyo nako akuvumelekanga.

• «Phospho-Soda Fleet." Ukuba iimviwo RRS ucwangciselwe kwisiqingatha sokuqala imini, kusasa phambi kokuba inkqubo endaweni sakusasa kufuneka basele amanzi lighter. Kusenokuba iti okanye ikofu, isiselo ngaphandle yintlama okanye isiselo non-nezihlwahlwazayo ethambileyo. Emva koko 100 ml yamanzi abandayo kuyimfuneko ukunyibilikisa ekuqulunqeni sachet elinye kwaye nesisombululo othululwayo. Ngoko ke kufuneka ihlanjwe phantsi kunye iikomityi ezi-2 zamanzi abandayo. Endaweni sasemini kufuneka zisebenzise ubuncinane i-800 ml okungumgubo ulwelo ukukhanya endaweni - enye negilasi. Emva koko kufuneka usele enye ingxowa beziyobisi ngendlela efanayo kusasa.

Iimpawu sigmoidoscopy

Inkqubo RRS wenziwa ngqongqo ukuzila. Ukuze abangalupasanga uviwo isigulane kufuneka asuse impahla ukusuka esinqeni phantsi kwaye uthathe indawo idolo-engqinibeni phezu kwesingqengqelo. Xa abonisa intlungu sigmoidoscopy empundu eyenziwa phantsi Ukubulawa yasekuhlaleni. Ukulungiselela le njongo, sebenzisa amafutha dikainom. Oko kwenziwe ngaphandle kwamabutho perianal. Ukuba kuyimfuneko, sebenzisa i Ukubulawa jikelele.

ngcembe Ugqirha wazisa proctoscope kwi ezinqeni yakho eshukumisa kuye phambili, abangaxhalabisiyo ukondla umoya, nto leyo evumela ekusasazeni ezibayeni zempahla emathunjini kunye negalelo nokuthelekelela ngcono ngeli isifo. Emva koko susa obturator naphantsi kolawulo proctoscope phambili ukuya colon sigmoid. Emva ityhubhu uviwo liyasuswa mithambo yethumbu kwi isiphakamiso setyhula, lo gama kuthathelwa iimviwo.

Kufuneka kuqatshelwe ukuba uviwo RRS kukhuseleke ngokupheleleyo kuphela methodologically xa engalunganga ukubamba oko kunokuthi kwenzeke kwesisu perforation, esifuna ukungenelela yotyando.

Izimvo sigmoidoscopy

Ngoko nangoko ndiya kuthi ukuba le saveyi yalula, kodwa ngokuqinisekileyo ezingemnandi. Ezinye izigulane nazo waziva, ngexa eminye ifuna ubuncinane Ukubulawa yasekuhlaleni. Amaxesha amaninzi, eyona nto ichaphazela sengqondo ukuya sigmoidoscopy, uba ukoyika zokuphunyezwa kwayo.

Kuba efumanise kwezifo ezifana umhlaza colon okanye sigmoid kunye sisilonda sikabhobhosi okanye isifo Crohn, oko kukuthi sebenzisa iimviwo RRS. Oogqirha ngale nkqubo ezincomekayo, kuba kubalulekile ukuba uxilongo iintlungu esiswini, igazi okanye xa kukho ubumdaka kubonakele ku isitulo, ukuqhina esinganyangekiyo okanye isifo sorhudo, ngokunjalo yentsimbi-imibala anemia, lo umyalezo apho ayaziwa.

Kufuneka kuqatshelwe ukuba sigmoidoscopy Kucetyiswa ukuba bonke abantu abangaphezu kweminyaka engama-55 ukuze ukubhaqwa yamathumba ethunjini. Xa inkqubo wembali yosapho kufuneka kubanjwa qho ngonyaka.