Masewera a Sigmoidoscopy

Sigmoidoscopy ndi njira yomwe imagwiritsidwa ntchito kuwona mkati mwa sigmoid colon ndi rectum. Sigmoid colon ndi malo amatumbo akulu pafupi ndi rectum.

Pakati pa mayeso:

• Mumagona kumanzere kwanu mutagwira mawondo anu pachifuwa.
• Dokotala modekha amaika chala chopukutidwa ndi chopaka mafuta mu rectum yanu kuti ayang'ane kutsekeka ndikukulitsa (kutambasula) anus modekha. Izi zimatchedwa kuyesa kwapa digito.
• Kenako, sigmoidoscope imayikidwa kudzera mu anus. Kukula kwake ndi chubu chosinthika chokhala ndi kamera kumapeto kwake. Kukula kwake kumasunthidwa mokoma mokhala kwanu. Mpweya umalowetsedwa m'matumbo kukulitsa malowa ndikuthandizira dokotala kuwona malowo bwino. Mpweya ungayambitse chidwi chofuna kuyenda m'matumbo kapena kupititsa mpweya. Suction itha kugwiritsidwa ntchito kuchotsa madzimadzi kapena chopondapo.
• Nthawi zambiri, zithunzizo zimawoneka pamwambamwamba pazowonera kanema.
• Dokotala amatha kutenga zitsanzo zamatenda ndi chida chaching'ono cha biopsy kapena msampha woonda wachitsulo womwe umalowetsedwa mkati mwake. Kutentha (electrocautery) kungagwiritsidwe ntchito kuchotsa ma polyps. Zithunzi zamkati mwa colon yanu zitha kujambulidwa.

Sigmoidoscopy yogwiritsa ntchito yolimba imatha kuchitidwa kuthana ndi mavuto a anus kapena rectum.

Wothandizira zaumoyo wanu adzakuuzani momwe mungakonzekerere mayeso. Mudzagwiritsa ntchito enema kutulutsa matumbo anu. Izi nthawi zambiri zimachitika ola la 1 sigmoidoscopy isanachitike. Nthawi zambiri, enema yachiwiri imatha kulimbikitsidwa kapena omwe akukupatsirani angavomereze zakumwa zamadzimadzi usiku watha.

Mmawa wa ndondomekoyi, mutha kupemphedwa kusala kupatula mankhwala ena. Onetsetsani kuti mukambirane izi ndi wokuthandizani pasadakhale. Nthawi zina, mumafunsidwa kuti muzidya zakudya zamadzi zomveka bwino dzulo lake, ndipo nthawi zina chakudya chololedwa chimaloledwa. Apanso, kambiranani izi ndi omwe akukuthandizani nthawi yanu isanakwane.

Mukamayesa mayeso mumamva:

• Kukakamizidwa pakuwunika kwamakina a digito kapena pomwe muyeso waikidwa mu rectum yanu.
• Kufunika kokhala ndi matumbo.
• Ena bloating kapena crampamp chifukwa cha mpweya kapena kutambasula matumbo ndi sigmoidoscope.

Pambuyo pa mayeso, thupi lanu lidzadutsa mpweya womwe udayikidwa m'matumbo anu.

Ana atha kupatsidwa mankhwala oti awagone mopepuka (ogonja) pochita izi.

Wothandizira anu akhoza kulimbikitsa mayesowa kuti ayang'ane chifukwa cha:

• Kupweteka m'mimba
• Kutsekula m'mimba, kudzimbidwa, kapena kusintha kwina pamatumbo
• Magazi, ntchofu, kapena mafinya pampando
• Kuchepetsa thupi komwe sikungathe kufotokozedwa

Mayesowa amathanso kugwiritsidwa ntchito:

• Tsimikizani zotsatira za mayeso ena kapena ma x-ray
• Chophimba cha khansa yoyera kapena ma polyps
• Tengani biopsy ya kukula

Zotsatira zoyeserera zabwinobwino sizimawonetsa vuto ndi utoto, kapangidwe kake, ndi kukula kwake kwa utoto wa sigmoid colon, rectal mucosa, rectum, ndi anus.

Zotsatira zachilendo zitha kuwonetsa:

• Ziphuphu zakumaso (kagawanika pang'ono kapena kung'ambika muminyama yocheperako, yonyowa yoyika anus)
• Kuphulika kwa anorectal (kusonkhanitsa mafinya m'dera la anus ndi rectum)
• Kutsekedwa kwa m'matumbo akulu (matenda a Hirschsprung)
• Khansa
• Tizilombo ting'onoting'ono Colorectal
• Diverticulosis (zikwama zosazolowereka pamatumbo)
• Minyewa
• Matenda otupa
• Kutupa kapena matenda (proctitis ndi colitis)

Pali chiopsezo chochepa chobowola matumbo (kung'ambika dzenje) ndikutuluka magazi m'malo obisika. Chiwopsezo chonse ndi chochepa kwambiri.

Kusintha sigmoidoscopy; Sigmoidoscopy - kusintha; Proctoscopy; Proctosigmoidoscopy; Okhwima sigmoidoscopy; Khansa ya m'matumbo sigmoidoscopy; Mawonekedwe a sigmoidoscopy; Zovuta sigmoidoscopy; Kutuluka m'mimba - sigmoidoscopy; Magazi otuluka - sigmoidoscopy; Melena - sigmoidoscopy; Magazi mu chopondapo - sigmoidoscopy; Tinthu ting'onoting'ono - sigmoidoscopy

• Zojambulajambula
• Khansa ya Sigmoid colon - x-ray
• Zolemba zenizeni

Pasricha PJ. Kutsekula m'mimba endoscopy. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 125.

Rex DK, Boland CR, Dominitz JA, et al. (Adasankhidwa) Kuwonetsetsa kwa khansa yoyipa: Malangizo kwa asing'anga ndi odwala ochokera ku US Multi-Society Task Force on Colorectal Cancer. Ndine J Gastroenterol. 2017; 112 (7): 1016-1030. (Adasankhidwa) PMID: 28555630 www.pubmed.ncbi.nlm.nih.gov/28555630/.

Sugumar A, Vargo JJ. Kukonzekera ndi zovuta za m'mimba endoscopy. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: mutu 42.