Enema wa Barium

Enema ya Barium ndi x-ray yapadera yamatumbo akulu, omwe amaphatikizapo coloni ndi rectum.

Mayesowa atha kuchitika kuofesi ya dokotala kapena dipatimenti ya radiology kuchipatala. Zatha pambuyo poti coloni yanu ilibe kanthu komanso yoyera. Dokotala wanu adzakupatsani malangizo oyeretsa m'matumbo.

Pakati pa mayeso:

• Mumagona chafufumimba chagwada pa tebulo la x-ray. X-ray imatengedwa.
• Ndiye mugone chammbali. Wopereka chithandizo chamankhwala amalowetsa modekha chubu chamafuta (enema chubu) mu rectum yanu. Chitolirochi chimalumikizidwa ndi thumba lomwe limasungira madzi okhala ndi barium sulphate. Izi ndizosiyanitsa zomwe zikuwonetsa madera ena mumakoloni, ndikupanga chithunzi chowonekera.
• Bariamu imalowa m'matumbo anu. X-ray amatengedwa. Buluni yaying'ono kumapeto kwa chubu cha enema itha kukwezedwa kuti izithandiza kusunga barium mkati mwanu. Woperekayo amayang'anira mayendedwe a barium pazenera la x-ray.
• Nthawi zina mpweya wocheperako umaperekedwa kumtunda kuti uwonjezere. Izi zimalola zithunzi zowonekera bwino. Mayesowa amatchedwa enemaisi wosiyanasiyana wowerengeka.
• Mukufunsidwa kuti musunthire m'malo osiyanasiyana. Gome limalumikizidwa pang'ono kuti liwonenso malingaliro osiyanasiyana. Nthawi zina zithunzi za x-ray zikajambulidwa, mumauzidwa kuti mupume ndikukhala chete kwa masekondi pang'ono kuti zithunzizo zisamayende bwino.
• Chubu cha enema chimachotsedwa pambuyo poti ma x-ray atengedwa.
• Kenako mumapatsidwa chogona kapena kuthandizidwa kuchimbudzi, kuti mutha kutulutsa matumbo ndikuchotsa barium momwe mungathere. Pambuyo pake, 1 kapena 2 ma x-ray atha kutengedwa.

Matumbo anu ayenera kukhala opanda kanthu polemba mayeso. Ngati alibe kanthu, mayesowa atha kusowa vuto m'matumbo anu akulu.

Mudzapatsidwa malangizo okutsukitsani matumbo anu pogwiritsa ntchito enema kapena mankhwala ofewetsa tuvi tolimba. Izi zimatchedwanso kukonzekera matumbo. Tsatirani malangizowo ndendende.

Kwa masiku 1 mpaka 3 mayeso asanachitike, muyenera kukhala ndi zakudya zomveka bwino zamadzi. Zitsanzo zamadzimadzi omveka ndi awa:

• Chotsani khofi kapena tiyi
• Bouillon wopanda mafuta kapena msuzi
• Gelatin
• Zakumwa zamasewera
• Madzi osakaniza zipatso
• Madzi

Barium ikalowa m'matumbo anu, mungamve ngati mukufunika kuyendetsa matumbo. Muthanso kukhala ndi:

• Kumverera kokwanira
• Wapakati mpaka cramping kwambiri
• Zovuta zonse

Kutenga nthawi yayitali, kupuma mwakuya kungakuthandizeni kupumula panthawiyi.

Sizachilendo kuti chimbudzi chikhale choyera kwa masiku angapo pambuyo pa mayeso. Imwani madzi ena owonjezera kwa masiku awiri kapena anayi. Funsani dokotala wanu za mankhwala otsegulitsa m'mimba ngati mutakhala ndi zotupa zolimba.

Enema wa Barium amagwiritsidwa ntchito ku:

• Zindikirani kapena chophimba cha khansa yamatumbo
• Dziwani kapena yang'anani ulcerative colitis kapena matenda a Crohn
• Dziwani chifukwa cha magazi m'matumba, kutsegula m'mimba, kapena chimbudzi cholimba kwambiri (kudzimbidwa)

Mayeso a enema a barium amagwiritsidwa ntchito mochulukira kuposa kale. Colonoscopy yachitika pafupipafupi tsopano.

Barium iyenera kudzaza coloni mofanana, kuwonetsa matumbo mawonekedwe ndi mawonekedwe ake ndipo palibe zotchinga.

Zotsatira zachilendo zitha kukhala chizindikiro cha:

• Kutsekedwa kwa m'matumbo akulu
• Kupondereza koloni pamwamba pa rectum (Hirschsprung matenda mwa makanda)
• Matenda a Crohn kapena ulcerative colitis
• Khansa m'matumbo kapena m'matumbo
• Kutsetsereka kwa gawo limodzi la m'matumbo kupita kwina (kuthamangitsidwa)
• Zing'onozing'ono zomwe zimatuluka m'kati mwa colon, zotchedwa polyps
• Matumba ang'onoang'ono, otupa kapena zikwama zamkati zamkati zamatumbo, zotchedwa diverticula
• Mzere wopindika wamatumbo (volvulus)

Pali kuchepa kwa ma radiation. Ma X-ray amayang'aniridwa kotero kuti poizoni wocheperako amagwiritsidwa ntchito. Amayi apakati ndi ana amakhala ndi chidwi ndi zoopsa za x-ray.

Chiwopsezo chosowa, koma chachikulu, ndi bowo lomwe limapangidwa m'matumbo (perforated colon) pomwe chubu la enema limayikidwa.

M'munsi mndandanda wamimba; Mndandanda wotsika wa GI; Khansa yoyipa - mndandanda wotsika wa GI; Khansa yoyipa - mankhwala a barium; Matenda a Crohn - mndandanda wotsika wa GI; Matenda a Crohn - mankhwala a barium; Kutsekeka kwamatumbo - mndandanda wotsika wa GI; Kutsekeka kwa m'matumbo - barium enema

• Enema wa Barium
• Khansa yapamtunda - x-ray
• Khansa ya Sigmoid colon - x-ray
• Enema wa Barium

Boland GWL. Colon ndi zowonjezera. Mu: Boland GWL, mkonzi. Kujambula M'mimba: Zofunikira. Wolemba 4. Philadelphia, PA: Elsevier Saunders; 2014: mutu 5.

Chernecky CC, Berger BJ. Enema wa Barium. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 183-185.

Lin JS, Piper MA, Perdue LA, ndi al. Kuwunika kwa khansa yoyipa: lipoti losinthidwa laumboni ndikuwunika mwatsatanetsatane kwa US Preventive Services Task Force. JAMA. 2016; 315 (23): 2576-2594. PMID: 27305422 www.ncbi.nlm.nih.gov/pubmed/27305422. (Adasankhidwa)

Taylor SA, Plumb A. Matumbo akulu. Mu: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, olemba. Grainger & Allison's Diagnostic Radiology: Buku Lophunzirira Kujambula Kwazachipatala. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: mutu 29.