RRS Survey: ukulungiselela, ukubuyekezwa

Sigmoidoscopy - ukuhlolisisa indlela endoscopic elikuvumela ukuba zibukeke ukuhlola isimo ingquza (emuva ndima), kanye ukuhlola le mucosa rectal. Ngaphezu kwalokho, RRS inhlolovo ivumela ukuhlola distal sigmoid ikholoni.

izinkomba ngoba

Lokhu zokukhwabanisa endoscopic kwenziwe ukuthola izifo wamathumbu nokwelashwa kwabo ngesikhathi esifanele. Njengoba umthetho, ucwaningo lubonisa RRS isicelo ezimweni okusolakala umdlavuza zokugula, todvwa kusukela emathunjini igazi, isikhwehlela noma ubomvu, kuba ayephuli ngesitulo, izinqubo ezingamahlalakhona ukuvuvukala endaweni rectal. I izinkomba lokhu kuhlolwa futhi hemorrhoids izinsolo umdlavuza wesinye kwabesilisa noma onkoporazhenie izitho okhalo kwabesifazane. Ngaphezu kwalokho, RRS wamathumbu esetshenziselwa ukulungiswa, uma kudingeka ezinye zokukhwabanisa endoscopic (isibonelo, barium yombala enema noma colonoscopy). Futhi wenziwa ukuthola izilonda futhi polyp nge iqoqo impahla ku luhlolo ezincane.

Izimo. Ilungiselela iziguli

Examination of the ingemuva RRS akuyona eyenziwa ngaphansi ukopha kakhulu, khona zokwehlukaniswa kwabesifazane, ukuvuvukala ngokujulile ididi noma esiswini, kanye acute ZaseLaki bendunu ukuvaleka azalwa naso noma bathenga emathunjini aphansi.

Kufanele kuqashelwe ukuthi isimo esibaluleke kakhulu ukuze bakwazi ukuhlola indlela ingemuva endoscopic iyona purgation esiphezulu okuqukethwe.

Ngakho, ngosuku olwandulela lolu zokukhwabanisa Kunconywa ukuba unamathele ukudla othize. Iziguli bephoqeleka ukuwakhipha kusuka ekudleni kwakho izithelo ezisanda kukhiwa, imifino, isinkwa kanye nobhontshisi omnyama, iklabishi kunoma yiluphi uhlobo kanye nezinye izinhlobo zokudla ezibangela ukubuyisa (ukubuyisa emathunjini).

Kufanele kukhunjulwe ukuthi ngobusuku bangayizolo sokuhlolwa, Proctologist udokotela futhi ekuseni ngosuku inhlolovo Uvunyelwe ukuba aphuze isilinganiso esincane okusamanzi (ungasebenzisa amanzi non-carbonated noma itiye ababuthakathaka ushukela).

Ukuhlanza wamathumbu usebenzisa i enema

Ukuze kulungiselelwe sigmoidoscopy, ngobusuku obandulela test ukwenza enema ukuhlanzwa 2 ngezikhathi imizuzu 15. Ekuseni a ukuhlanzwa wamathumbu kufanele liphindwe. Uma Proctologist luhlolo kuhlelelwe engxenyeni yokuqala ka kosuku, ibhulakufesi akuvunyelwe. Uma sigmoidoscopy izobanjelwa engxenyeni ngosuku lwesibili, isiguli uvunyelwe kwasekuseni ukukhanya, kodwa ngaphambi kokuthi uhambe ekhaya, kufanele wenze enye enema.

Ake sihlole kabanzi indlela ukuhlanza wamathumbu aphansi kahle, ngoba ngaphandle lokhu akunakwenzeka ahlolisise RRS.

Ukuthwala enema kufanele ukulungiselela mug douches, petrolatum, ilitha lamanzi ngasinye (izinga lokushisa kumele singeqi 20 ° C) kanye ne-tripod. Qhubekisa kanje:

• ugcwalise uhlelo, emva kokuhlola lokushisa lamanzi;

• kuthiwa okwesikhashana mug douches ku tripod ezingeni ukuphakama akukho cm angaphezu kuka-30 ukusuka indoda ubani okufanele ukuhlanza amathumbu;

• petrolatum Athambisa ithiphu;

• ogulayo ohlangothini lwesobunxele (izinyawo kufanele ibheke emadolweni futhi ambalwa zinikwa esiswini);

• alulaze izibunu bese ufaka ichopho singene ingquza kuya ku-3 cm ekufezeni umbilicus bese kuya ku-10 cm parallel yomgogodla;

• Bese ukuvula valve ukuvimbela amanzi angangeni namathumbu.

Indlela yokwenza enema ukuhlanzwa ngokwakho?

Ukuze wenze lokhu, thatha isikhundla emadolweni indololwane egumbini lokugezela, ukuncika ngendololwane, futhi isandla sakhe khulula ukwethula ichopho singene ingemuva. Kufanele kwenziwe kancane ngokucophelela. Ngemva lokhu kudingeka ukuvula Thepha mug Esmarch bese ufaka amanzi. Uma uhlangabezana ubuhlungu uketshezi eyanele kumelwe unqunywe bese ulinda ezimbalwa ngokulinganayo ukuphefumula futhi kuwukuziphulula esiswini sakhe.

Kufanele kuqashelwe ukuthi liyadingeka ukulawula inani lamanzi (kufanele singadluli amalitha amabili). Ukuze kangcono wamathumbu yokuhlanza Kunconywa ukugcina uketshezi okungenani angu-10. Uma unga, ungahamba noma ulale ngesisu sakho.

Uma udinga ukubeka enema 2 nje, phakathi kwazo, ungathatha ikhefu imizuzu engu-45. Lokhu kuyadingeka ukuze kuqinisekiswe ukudedelwa kwamanzi ukugeza kusukela enema kuqala.

Ngesicelo isiguli angasebenzisa enema micro ekhethekile (isib, "microlax"). Zisetshenziswa rectally. Umthelela kwemithi siyenzeka ngemva kwemizuzu engu-15.

Ukulungiselela sigmoidoscopy ngaphandle enemas

Ukuze wenze lokhu, thatha ejenti kwemithi ezifanele. Ezisetshenziswa kakhulu:

• «Fortrans". Kusihlwa ngaphambi kokuhlolwa, iziguli kufanele uphuze amahora 17 kuya ku-20, 3 amalitha amanzi ukuze elalikade kubalulekile ukuncibilikisa sachet 3 wathi ekwakhiweni. Cishe kufanele kudle ilitha isixazululo ngehora. Esikhathini ibhulakufesi ekuseni akuvunyelwe.

• «Dufalak". Eva sigmoidoscopy ukuphuza amahora 18 kuya ku-20, 2 amalitha amanzi kokuba yahlakazeka therein 200 ml isiraphu. Nebhulakufesi ekhatsi ngosuku ekuhlolweni futhi akuvumelekile.

• «Phospho-Soda Fleet." Uma RRS luhlolo kuhlelelwe engxenyeni yokuqala yosuku, ekuseni ngaphambi inqubo esikhundleni ibhulakufesi kufanele uphuze uketshezi ukuxegiselwa. Kungaba itiye noma ikhofi, juice ngaphandle uginindela noma isiphuzo esithambile non-carbonated. Khona-ke 100 ml amanzi abandayo kuyadingeka ukuncibilikisa eyodwa sachet ekwakhiweni kanye isixazululo isiphuzo. Ngakho-ke kufanele wageza phansi 2 izinkomishi amanzi abandayo. Kunalokho kwasemini kudingeka usebenzise okungenani 800 ml ketshezi ukukhanya ukudla esikhundleni - ingilazi eyodwa. Ngemva kwalokho kudingeka baphuze enye isikhwama zomuthi ngendlela efanayo ekuseni.

Izici sigmoidoscopy

Inqubo RRS Kwenziwa ngokuqinile ukudla. Ukuze udlulisele luhlolo isiguli kufanele ususe izingubo kusuka okhalweni kwehle futhi ukuthatha isikhundla emadolweni indololwane phezu kombhede. Lapho uzwakalise ubuhlungu sigmoidoscopy ingquza wenziwa ngaphansi izinzwa wendawo. Ngenxa yale njongo, sebenzisa amafutha okugcoba dikainom. Kungaba kwenziwe ukuvinjelwa perianal. Uma kunesidingo, sebenzisa ukubulawa kwezinzwa okuvamile.

Udokotela kancane kancane yethula proctoscope e ingemuva yakho bese enza kuye phambili, ngokulinganisela ukusuthisa emoyeni, okuvumela ukusakaza emphethweni emathunjini bese neqhaza ngeso kangcono le mucosa. Khona-ke ukususa obturator futhi ngaphansi kokulawula proctoscope isihambile kuya ikholoni sigmoid. Ngemva tube luhlolo esuswa inesikhala emathunjini ngokunyakaza isiyingi, ngalesikhatsi kuchutjekwa luhlolo.

Kufanele kuqashelwe ukuthi luhlolo RRS iphephile ngokuphelele kuphela uma methodologically okungalungile ukubamba lesi simo singenzeka wamathumbu perforation, okuyinto edinga ngokushesha kuhlinzwa.

Uphenyo sigmoidoscopy

Ngavele kumelwe bathi lolu hlolo kuyinto kobuhlungu, kodwa ngokuqinisekile edabukisayo. Ezinye iziguli musa uhlangabezana ukungakhululeki, kuyilapho ezinye zidinga okungenani izinzwa wendawo. Ngokuvamile lunqume ukuthi kuthinta isimo sengqondo sigmoidoscopy, uba nokwesaba ekwenzeni lokho okuhleliwe.

Ukuze ukuthola izifo ezifana nomdlavuza kapopopo noma sigmoid futhi izilonda emathunjini noma isifo Crohn, okungukuthi zisebenzisa RRS luhlolo. Odokotela ngalokhu inqubo akhayo, ngoba kubalulekile sitholakele ubuhlungu esiswini, igazi noma ezinye ukungcola zitholiwe sezinyawo, ukuqunjelwa ezingelapheki noma isifo sohudo, kanye nensimbi-ukuntula kwegazi, etiology zazo alwaziwa.

Kufanele kuphawulwe ukuthi sigmoidoscopy Kunconywa bonke abantu eminyakeni engaphezu kwengu-55 i-masinya izimila emathunjini. Lapho inqubo yomlando womkhaya kufanele ubanjwe minyaka yonke.