Kodi Retosigmoidoscopy ndi chiyani, ndi chiyani komanso momwe amachitira
Zamkati
Retosigmoidoscopy ndi mayeso omwe amawonetsedwa kuti akuwonetse kusintha kapena matenda omwe amakhudza gawo lomaliza la m'matumbo akulu. Pakuzindikira kwake, chubu imayambitsidwa kudzera mu anus, yomwe imatha kusintha kapena kukhazikika, yokhala ndi kamera kumapeto kwake, yokhoza kuzindikira zotupa, ma polyps, foci of magazi kapena zotupa, mwachitsanzo.
Ngakhale kukhala mayeso ofanana ndi colonoscopy, ma rectosigmoidoscopy amasiyana chifukwa amawonetsa kokha rectum ndi sigmoid colon, yofananira, pafupifupi, mpaka 30 cm yomaliza yamatumbo. Sifunikanso kutsuka m'mimba kwathunthu kapena kutsitsimula, monga colonoscopy. Onani zomwe zili komanso momwe mungakonzekerere colonoscopy.
Ndi chiyani
Rectosigmoidoscopy imatha kuwunika mucosa kumapeto kwa matumbo, kuzindikira zotupa kapena kusintha kulikonse m'derali. Zitha kuwonetsedwa pazochitika izi:
- Onetsetsani kupezeka kwa thumbo kapena chotupa;
- Tsatani khansa yoyipa;
- Onetsetsani kupezeka kwa diverticula;
- Dziwani ndi kusaka chifukwa cha matenda am'mimba. Mvetsetsani chomwe colitis ndi chomwe chingayambitse;
- Pezani gwero la magazi;
- Onetsetsani ngati pali kusintha komwe kumagwirizana ndi kusintha kwa matumbo.
Kuphatikiza pakuwona kusintha kudzera mu kamera, panthawi yama rectosigmoidoscopy ndizotheka kupanga ma biopsies, kuti athe kusanthula mu labotore ndikutsimikizira kusintha.
Zatheka bwanji
Kuyezetsa kwa rectosigmoidoscopy kumatha kuchitika kuchipatala kapena kuchipatala. Munthuyo amafunika kuti agone pamachira, kumanzere kwake ndikusinthasintha miyendo.
Sikoyenera kuchita sedation, chifukwa ngakhale ndizovuta, siyeso yopweteka. Kuti achite izi, adokotala amatulutsa kachipangizo kudzera mu anus, yotchedwa rectosigmoidoscope, yokhala ndi chala cha 1, chomwe chingakhale cha mitundu iwiri:
- Zovuta, ndichida chachitsulo komanso cholimba, chomwe chimakhala ndi kamera kumapeto kwake ndi gwero lowunikira kuti liziwona njira, kutha kuchita biopsies;
- Kusintha, ndichida chamakono kwambiri, chosinthika, chomwe chilinso ndi kamera komanso chopangira kuwala, koma ndichothandiza kwambiri, chosasangalatsa ndipo chimatha kujambula zithunzi za njirayo, kuwonjezera pa ma biopsies.
Njira ziwirizi ndizothandiza ndipo zimatha kuzindikira ndikusintha zosintha, ndipo atha kusankhidwa kutengera zomwe adokotala amapeza kapena kupezeka kuchipatala, mwachitsanzo.
Kuyezetsa kumatenga pafupifupi mphindi 10 mpaka 15, palibe chifukwa chokhala mchipatala ndipo ndizotheka kubwerera kuntchito tsiku lomwelo.
Kukonzekera kuli bwanji
Kwa ma rectosigmoidoscopy, kusala kapena kudya kwapadera sikofunikira, ngakhale tikulimbikitsidwa kuti tidye chakudya chopepuka patsiku la mayeso kuti tipewe kumva kudwala.
Komabe, tikulimbikitsidwa kuyeretsa kumapeto kwa m'matumbo akulu kuti athandizire kuwunika kwa mayeso, poyambitsa glycerin suppository kapena fleet enema, pafupifupi maola 4 m'mbuyomu, ndikubwereza maola 2 mayeso asanafike, monga zidzawongoleredwa ndi dokotala.
Kuti tichite zombo enema, nthawi zambiri amalimbikitsidwa kuti atsegule mankhwalawo kudzera mu chotulukapo ndikudikirira kwa mphindi 10, kapena bola popanda kutuluka. Phunzirani momwe mungapangire zombo enema kunyumba.