Okuqukethwe
I-Colonoscopy ingenye yezindlela zokuhlola izinsimbi zamathumbu, okuvumela ukutholakala ngesikhathi nokwelashwa kwama-pathologies amaningi amakhulu. Nokho, ukunemba kocwaningo kuncike ekutheni umuntu uyilungiselele kanjani inqubo. Kulokhu, sikhuluma ngokuhlanzwa kwamathumbu. Uma ungalandeli izincomo zokuhlanza isitho ngaphambi kwe-colonoscopy, khona-ke ukubonwa kokuxilongwa kuzophazamiseka kakhulu. Ngenxa yalokho, udokotela angase angaboni ukugxila okuthile kokuvuvukala noma i-neoplasm ekhulayo, noma angatholi isithombe esiphelele sesifo.
Ukulungiselela i-colonoscopy kuhilela ukuhlanza amathumbu, ukudla, nokuzila ukudla ngaphambi kwenqubo. Okubaluleke ngokufanayo isimo sengqondo esifanele.
Ukulungiselela i-colonoscopy
Uma umuntu elungiselela kangcono i-colonoscopy, ulwazi oluqukethwe ocwaningweni luyoba phezulu:
Izinsuku eziyi-10 ngaphambi kwenqubo, kuyadingeka ukuyeka ukuthatha amalungiselelo ensimbi, kusuka kumalahle acushiwe. Kuyadingeka futhi ukukhipha izidakamizwa ezinciphisa igazi, okuzogwema ukuthuthukiswa kokuphuma kwegazi.
Uma isiguli sine-valve yenhliziyo yokufakelwa efakwe, khona-ke inkambo yemithi elwa namagciwane inconywa ngaphambi kwe-colonoscopy. Lokhu kuyadingeka ukuvimbela ukuthuthukiswa kwe-bacterial endocarditis.
Uma udokotela evumela, ngaphambi kwe-colonoscopy, isiguli singathatha i-antispasmodic, isibonelo, i-No-shpu.
Odokotela batusa ukuthi bangathathi izidakamizwa eqenjini le-NSAID kanye nezidakamizwa zokumisa isifo sohudo (Lopedium, Imodium, njll.).
Qinisekisa ukuthi uhlanza amathumbu, futhi unamathele ekudleni. Ngobusuku benqubo, kuyadingeka ukuthatha i-laxative (Fortrans, Lavacol, njll.).
Ukudla ngaphambi kwe-colonoscopy
Izinsuku ezingu-2-3 ngaphambi kwenqubo ezayo, isiguli kufanele sinamathele ekudleni okungenama-slag. Ukudla okuqukethe i-fiber kufanele kukhishwe ekudleni, njengoba kungaqala izinqubo zokuvutshelwa emathunjini.
Ukudla ngaphambi kwe-colonoscopy kuhilela izimiso ezilandelayo:
Udinga ukunamathela ekudleni isikhathi esifushane, njengoba kunesici futhi akungalingani ekubunjweni.
Qiniseka ukuthi uphuza amanzi anele. Ukudla kufanele kunikeze umzimba amandla, amavithamini kanye nezakhi zokulandelela.
Kumenyu, udinga ukukhipha ukudla okunzima ukukugaya, noma okukwazi ukuvusa izinqubo zokuvutshelwa emathunjini. Ngakho-ke, inyama enamafutha kanye ne-sinewy, isobho, amafutha e-refractory, inyama ebhemayo, ama-marinades akhishwa ekudleni. Ungadli imifino emisha, amakhowe kanye namakhambi. Ukuvinjelwa kuhlanganisa okusanhlamvu, isinkwa esenziwe ngofulawa we-bran nerye, imbewu namantongomane, ubisi nemikhiqizo yobisi, neziphuzo ezidakayo.
Ukudla kusekelwe kuma-broths, ekudleni kwenyama, isobho kanye nezinhlamvu.
Udinga ukuphuza okungenani amalitha angu-1,5 amanzi ngosuku.
Imikhiqizo iyashiswa noma ibilisiwe. Ukugazinga akuvunyelwe.
Susa izitsha ezibabayo nezinosawoti kumenyu.
Yidla ukudla ngezingxenye ezincane, kodwa ngokuvamile.
Amahora angama-24 ngaphambi kwenqubo, bashintshela ekusetshenzisweni kwezitsha eziwuketshezi. Lezi kungaba isobho, itiye noju, amajusi ahlanjululwe ngamanzi, ama-yoghurts kanye ne-kefir.
Ukudla okungadliwa:
Inkukhu, inyama yenkonyane, yenkomo, inhlanzi kanye nenyama kanogwaja.
Imikhiqizo yobisi.
I-Buckwheat nelayisi elibilisiwe.
Ushizi onamafutha aphansi kanye ne-cottage shizi.
Isinkwa esimhlophe, amakhekhe amabhisikidi.
Itiye elihlaza noju ngaphandle koshukela.
Ijusi lihlanjululwe ngamanzi kanye ne-compote.
Le mikhiqizo elandelayo kufanele ikhishwe kumenyu:
Ibhali namabele.
Amaqabunga e-lettuce, i-paprika, iklabishi, ama-beet kanye nezaqathi.
Ubhontshisi nophizi.
Ama-raspberries nama-gooseberries.
Izithelo ezomisiwe namantongomane.
Amawolintshi, ama-apula, ama-tangerine, amagilebhisi, amabhilikosi, ubhanana namapentshisi.
Isinkwa se-rye.
Amaswidi.
Iziphuzo ezinekhabhoni, ikhofi nobisi.
Isibonelo semenyu okufanele uyilandele ezinsukwini ezintathu ngaphambi kwe-colonoscopy:
Ukudla kwasekuseni: irayisi elibilisiwe netiye.
Isiphuzo: i-kefir enamafutha aphansi.
Isidlo sasemini: isobho nemifino kanye ne-compote.
I-Snack: ushizi onamafutha aphansi.
Isidlo sakusihlwa: inhlanzi ebilisiwe, ilayisi kanye nengilazi yetiye.
Isibonelo semenyu okufanele uyilandele izinsuku ezi-2 ngaphambi kwe-colonoscopy:
Ukudla kwasekuseni: i-cottage shizi enamafutha aphansi.
Ukudla okulula: ama-crackers amabili anetiye.
Isidlo sasemini: umhluzi onesiqephu esincane senyama, iklabishi elishubile.
Isiphuzo: ryazhenka.
Isidlo sakusihlwa: i-buckwheat ebilisiwe kanye netiye.
Ngosuku olwandulela i-colonoscopy, ukudla kokugcina kufanele kwenzeke kungakapheli amahora ayi-14.
Izinqubo zokuhlanza ngaphambi kwe-colonoscopy
Isigaba esiyisibopho sokulungiselela i-colonoscopy inqubo yokuhlanza amathumbu. Isetshenziswa ngosizo lwe-enema noma ngosizo lwezidakamizwa. I-enema inikezwa ngobusuku bangaphambi kocwaningo okungenani izikhathi ezi-2. Bese kuthi izikhathi ezi-2 ngaphezulu ibekwe ngaphambi kwenqubo ngokwayo.
Ngendlela eyodwa, cishe amalitha angu-1,5 amanzi ajovwa emathunjini. Ukuze wenze inqubo yokuhlanza ibe mnene, ungathatha i-laxative amahora angu-12 ngaphambi kwe-colonoscopy.
Uma isiguli sinemifantu ye-rectal noma ezinye izifo zesitho, khona-ke kwenqatshelwe ukumnika i-enema. Kulokhu, ukuphathwa kwezidakamizwa okuhloswe ngazo ukuhlanzwa kahle kwamathumbu kuboniswa.
Izinhlobo zama-laxatives ze-colonoscopy
Ama-laxatives asetshenziselwa ukuhlanza amathumbu. Basiza ezimweni lapho i-enema iphikisana khona.
I-Fortrans
Lesi sidakamizwa senzelwe ngqo ukulungiswa kweziguli ngaphambi kokuhlinzwa nokuhlolwa kwesimiso sokugaya ukudla.
I-Fortrans iyi-laxative ye-osmotic esetshenziselwa ukwelapha ukuqunjelwa okungapheli kanye nokuhlanza amathumbu ngaphambi kokuhlinzwa.
Ukwakhiwa: usawoti (i-sodium ne-potassium), i-macrogol, i-soda, i-additive E 945.
imingcele ye-pharmacological. Umuthi awumuncwe egazini, awungeni emgudwini wokugaya ukudla. Umphumela uvela emahoreni angu-1-1,5 ngemva kokungenisa. Ukusetshenziswa komthamo olandelayo kunciphisa lesi sikhathi ngesigamu.
Ifomu nomthamo. Umuthi ukhiqizwa ngendlela yempushana, esemaphaketheni. Ngaphambi kokuthatha i-sachet engu-1 ichithwa ilitha lamanzi. Kuwo wonke ama-20 kg wesisindo, udinga ukuthatha i-sachet engu-1. Wonke umthamo wokugcina uhlukaniswe izingxenye ezi-2 ezilinganayo. Ingxenye yokuqala idakiwe kusihlwa ngaphambi kwenqubo ezayo, kanti ingxenye yesibili ekuseni, amahora angu-4 ngaphambi kocwaningo.
Contraindications. Ungawuphuzi umuthi kubantu abanesifo senhliziyo, abantu abangaphansi kweminyaka eminingi, iziguli ezinezilonda ezinomdlavuza ohlelweni lokugaya ukudla.
Ukubonakaliswa okungathandeki: ukuhlanza.
Umuthi ukhiqizwa eFrance. Izindleko zokupakisha zingama-ruble angama-450.
I-Lavacol
Lesi sidakamizwa siyi-analogue yesidakamizwa i-Fortrans. Ikhiqizwa yi-Moscow Pharmaceutical Factory. Intengo yephakheji yomkhiqizo womuthi ingama-ruble angama-200.
Izithako: i-macrogol, i-sodium sulfate, i-potassium chloride, i-sodium chloride ne-sodium bicarbonate.
imingcele ye-pharmacological. Umuthi unomphumela we-laxative. I-Macrogol, ngemva kokungena emathunjini, igcina ama-molecule amanzi, ngenxa yokuthi okuqukethwe kwesitho kukhishwa ngokushesha ngaphandle. Usawoti we-sodium ne-potassium uvimbela ukuthuthukiswa kokuphazamiseka kwe-electrolyte emzimbeni.
Ifomu nomthamo. Umuthi ukhiqizwa ngendlela ye-powder, kuwo wonke ama-5 kg wesisindo, isikhwama esisodwa somuthi sithathwa, esihlanjululwa engilazini yamanzi afudumele. Uma wengeza isiraphu encane kwisixazululo, ukunambitheka kwezidakamizwa kuzothuthuka kakhulu. Thatha ingilazi yesisombululo njalo ngemizuzu eyi-15-30.
Contraindications: ukwehluleka kwenhliziyo, ukuvinjelwa kwamathumbu, ukubhobozwa kwezindonga zesisu noma zamathumbu, izilonda kanye nokuguguleka kwesisu noma amathumbu, i-stenosis yesisu, isifo sezinso.
Ukubonakaliswa okungathandeki: isicanucanu nokuhlanza, ukungakhululeki kwesisu.
I-Moviprep
I-Moviprep ingelinye lamalungiselelo e-macrogol afundwe kahle futhi asetshenziswa kabanzi emhlabeni jikelele. E-Russia, wabonakala eminyakeni engu-2 edlule. Ukusebenza kwayo kuqinisekiswe izifundo eziningi zomtholampilo ezenziwa eYurophu, eMelika naseJapan. Iminyaka engu-10 ikhona emakethe yemithi, i-Moviprep ithole ukubuyekezwa okuhle kuphela kochwepheshe.
Uma kuqhathaniswa nezidakamizwa ezifanayo, i-Moviprep inezinzuzo ezilandelayo:
Ukuhlanza amathumbu aphezulu, udinga ukuphuza isisombululo esingaphansi izikhathi ezi-2, okungukuthi, hhayi ama-4, kodwa ama-2 amalitha.
Umuthi awubangeli isicanucanu nokuhlanza. Inokunambitheka okumnandi kukalamula.
Inhlanganisela. ISachet A: i-macrogol, i-sodium sulfate, i-sodium chloride, i-potassium chloride, i-aspartame, ukunambitheka kukalamula, i-acesulfame potassium. ISachet B: i-ascorbic acid, i-sodium ascorbate.
imingcele ye-pharmacological. Isidakamizwa sibangela isifo sohudo esilinganiselwe, esikuvumela ukuba uhlanze amathumbu ngendlela efanele.
Ifomu nomthamo. Umuthi uthathwa ngomlomo. Ama-Sachets A no-B achithwa emanzini amancane, emva kwalokho umthamo wawo ulungiswa ku-1 litre. Ngakho-ke, udinga ukulungisa enye ingxenye yesixazululo. Ngenxa yalokho, kufanele uthole amalitha angu-2 oketshezi oluqediwe. Ingadakwa ngesikhathi (ekuseni noma kusihlwa ngaphambi kwenqubo yokuhlanza), noma ihlukaniswe ngamanani angu-1 (ilitha elilodwa lithathwa kusihlwa, kanti ingxenye yesibili yesiphuzo ekuseni). Umthamo wonke wesisombululo kufanele udakwe kungakapheli amahora angu-2-1, uhlukaniswe izingxenye ezilinganayo. Kufanele futhi wengeze umthamo owuketshezi ngejusi engenama-pulp, itiye noma ikhofi ngaphandle kobisi ngevolumu engamalitha ama-2. Yeka ukuphuza amanzi amahora amabili ngaphambi kwe-colonoscopy.
Contraindications: i-gastroparesis, ukuvinjwa kwamathumbu, ukubhobozwa kwezindonga zesisu namathumbu, i-phenylketonuria, i-ulcerative colitis, isifo sika-Crohn, i-megacolon enobuthi, iminyaka engaphansi kweminyaka engu-18, ukuntula ukwazi, ukuzwela okukhulu ezingxenyeni zomuthi.
Ukubonakaliswa okungafuneki: i-anaphylaxis, ikhanda elibuhlungu, ukudlidliza, isiyezi, umfutho okhulayo, ubuhlungu besisu, isicanucanu, ukuhlanza, ukuqunjelwa, ukulunywa kwesikhumba nokuqubuka, ukoma, ukugodola, ukungezwani komzimba, izinguquko esithombeni segazi.
Izindleko zomuthi zingama-ruble angama-598-688.
Endofalk
Lona umuthi we-laxative, isithako esiyinhloko esisebenzayo okuyi-macrogol. Inqunyelwe ukuhlanzwa kwamathumbu ngaphambi kwe-colonoscopy ezayo.
Izithako: i-macrogol, i-sodium ne-potassium chloride, i-sodium bicarbonate.
Imingcele ye-Pharmacological: umuthi unomphumela we-carminative, awungeni emzimbeni, uphuma ungashintshiwe.
Ifomu nomthamo. Umuthi usesimweni sempushana. Ngaphambi kokuyithatha, kufanele ichithwe emanzini (1 litre lamanzi liyadingeka ku-0,5 sachet of powder). Ukuhlanza amathumbu, 3,5-4 amalitha esixazululo adingekayo. Umthamo wonke womuthi kufanele udliwe kungakapheli amahora angama-4-5.
Contraindications: i-dysphagia, i-gastric stenosis, i-ulcerative colitis, ukuvinjelwa kwamathumbu.
Ukubonakaliswa okungathandeki: ukuphazamiseka emsebenzini wenhliziyo, isicanucanu, ukuhlanza, ukungezwani komzimba.
Umuthi ukhiqizwa inkampani yase-Italy eyenza imithi. Izindleko zayo zingama-ruble angama-500-600.
I-Picoprep
I-Picoprep isidakamizwa esisha esisetshenziselwa ukuhlanza amathumbu. I-sodium picosulfate, eyingxenye yayo, ibangela ukuthi izindonga zesitho zibe yinkontileka, zihambisa isitulo ngaphandle. I-Magnesium citrate imunca amanzi futhi ithambise okuqukethwe kwamathumbu.
Izithako: Citric Acid, Magnesium Oxide, Sodium Picosulfate, Potassium Bicarbonate, Sodium Saccharinate Dihydrate, Orange Flavored Supplement. Lesi sengezo siqukethe i-ascorbic acid, i-xanthine gum, i-orange extract eyomile kanye ne-lactose. Isidakamizwa sinohlobo lwempushana lokukhululwa. Impushana ngokwayo imhlophe, futhi isixazululo esilungiselelwe kuyo singase sibe ne-tint ephuzi kanye nephunga eliwolintshi.
imingcele yemithi. Lesi sidakamizwa siyingxenye yezixazululo ze-laxative.
Ifomu nomthamo. Isikhwama esisodwa somuthi kufanele sihlakazwe ku-150 ml wamanzi. Ingxenye yokuqala yesisombululo ithathwa ngaphambi kwesidlo sakusihlwa, igezwe phansi ngezingilazi zamanzi ezi-5, amalitha angu-0,25 ngayinye. Umthamo olandelayo uthathwa ngesikhathi sokulala nezingilazi ezi-3 zamanzi.
Contraindications: ukuphelelwa amanzi emzimbeni, isilonda peptic of the pheshana emathunjini, izifo zenhliziyo nemithambo yegazi, ukukhulelwa, colitis, ukuvinjelwa kwamathumbu, isifo sezinso, ukukhulelwa, iminyaka engaphansi kweminyaka engu-9, ukungabekezelelani lactose, isikhathi ukuvuselelwa ngemva kokuhlinzwa.
Ukubonakaliswa okungathandeki: ukungezwani komzimba, ikhanda elibuhlungu, isicanucanu nokuhlanza, isifo sohudo, ubuhlungu besisu.
Izindleko zomuthi zingama-ruble angama-770.
Flit Phospho-Soda
Ukwakhiwa: sodium hydrogen phosphate dodecahydrate, sodium dihydrogen phosphate dihydrate, sodium benzoate, glycerol, utshwala, sodium saccharin, ulamula namafutha ginger, amanzi, citric acid.
imingcele ye-pharmacological. Umuthi ungowama-laxatives, ugcina futhi uqongelela amanzi emathunjini, okubangela ukufinyela kwawo futhi kukhuthaze ukuphuma ngokushesha.
Ifomu nomthamo:
I-aphoyintimenti yasekuseni. Ngehora lesi-7 ekuseni, esikhundleni sokudla kwasekuseni, baphuza ingilazi yamanzi kanye nomthamo wokuqala womuthi (45 ml wesidakamizwa uhlanjululwe ngesigamu sengilazi yamanzi). Lesi sixazululo sigezwa phansi ngenye ingilazi yamanzi. Ngesikhathi sokudla kwasemini, esikhundleni sokudla, phuza izingilazi ezi-3 zamanzi. Esikhundleni sokudla, thatha enye ingilazi yamanzi. Ngemuva kwesidlo sakusihlwa, thatha umthamo olandelayo wesisombululo, uhlanjululwe ngesigamu sengilazi yamanzi. Geza umuthi ngengilazi yamanzi apholile. Udinga futhi ukuphuza uketshezi ngaphambi kwamabili.
Ukuqokwa kwakusihlwa. Ngehora lokuqala ungadla ukudla okulula. Ngehora lesikhombisa baphuza amanzi. Ngemuva kwesidlo sakusihlwa, thatha umthamo wokuqala womuthi ngengilazi yamanzi. Kusihlwa, udinga ukuphuza ezinye izingilazi ezi-3 zoketshezi.
Ngosuku lokuqokwa. Ngehora lesikhombisa ekuseni abadli, baphuza ingilazi yamanzi. Ngemuva kokudla kwasekuseni, thatha umthamo olandelayo womuthi, uwuphuze ngenye ingilazi yamanzi.
Contraindication: ukungabekezelelani ngabanye ezingxenyeni zomuthi, ukuvinjelwa kwamathumbu, isicanucanu, ukuhlanza, ubuhlungu besisu, izifo ezivuthayo zomgudu wokugaya ukudla kanye nokwephulwa kobuqotho bezindonga zabo, ukwehluleka kwezinso, iminyaka engaphansi kweminyaka engu-15, ukukhulelwa nokuncelisa.
Ukubonakaliswa okungathandeki: isicanucanu, ukuhlanza, ubuhlungu besisu, ukuqunjelwa, isiyezi, ikhanda elibuhlungu, ukuqubuka komzimba, ukuphelelwa amanzi emzimbeni.
Izindleko zomuthi zingama-ruble ayi-1606-2152 iphakethe ngalinye
I-Dufalac
Ukwakhiwa: amanzi kanye ne-lactulose.
Imingcele ye-Pharmacological: ithuthukisa ukuhamba kwamathumbu, isheshisa imetabolism. Inani elincane lomuthi lingena egazini.
Ifomu nomthamo. Umuthi ukhiqizwa ngendlela yesiraphu, ehlanganiswe emabhodleleni angama-200 no-500 ml. Umthamo unqunywa udokotela, ngesikhathi sokwelashwa kuyadingeka ukugcina isimiso sokuphuza esinqunyiwe.
Contraindications: isifo sikashukela i-mellitus, i-appendicitis, ukungabekezelelani kwe-lactulose.
Ukubonakaliswa okungathandeki: i-flatulence, ukuhlanza, isiyezi, ukwanda kobuthakathaka.
Umuthi ukhiqizwa eNetherlands, izindleko zawo zingama-ruble angama-475.
I-Dinolak
Ukwakheka: lactulose, simethicone.
imingcele ye-pharmacological. Isidakamizwa sithuthukisa ukuhamba kwamathumbu, sisheshisa imetabolism, sinciphise amagesi. Ayimuncwa emzimbeni, ikhishwa ingashintshiwe.
Ifomu nomthamo. Umuthi utholakala ngendlela yokumiswa. Udokotela ukhetha umthamo ngamunye.
Contraindications: ukuvinjelwa kwamathumbu, ukungabekezelelani komuntu ngamunye kwe-lactulose.
Ukubonakaliswa okungathandeki: ukuhluleka kwenhliziyo, ikhanda elibuhlungu, ukukhathala okwandayo.
Umuthi ukhiqizwa eRussia. Izindleko zomuthi zingama-ruble angama-500.
Amalungiselelo asekelwe ku-Lactulose asebenza kancane kakhulu kunamalungiselelo e-macrogol.
I-Colonoscopy izokuvumela ukuthi uthole imiphumela enokwethenjelwa kuphela uma umuntu elandela zonke izincomo zikadokotela mayelana nokuhlanzwa kwamathumbu nokudla. Isikhathi esiningi, inqubo ihamba ngaphandle kwezinkinga. Kodwa-ke, ngokukhuphuka kwezinga lokushisa lomzimba, ngokukhula kwegazi emathunjini noma ukuhlanza, udinga ukufuna usizo lwezokwelapha ngokushesha ngangokunokwenzeka.