RRS Survey: lokonzekera, ndemanga

Sigmoidoscopy - njira endoscopic Kupenda kuti amalola kuti zowoneka ngoziyo boma la chotulukira (kumbuyo ndime), komanso kufufuza mucosa thumbo. Komanso, RRS kafukufuku amalola kuyendera wapotalikira sigmoid m'matumbo.

zikuonetsa kuti

Izi mpheto endoscopic anachita kudziwa matenda matumbo ndi mankhwala yake. Monga ulamuliro, kafukufukuyu zikusonyeza RRS ntchito milandu amaganiziridwa khansa kudwala, kwayekha kuchokera m'mimba magazi, mamina kapena mafinya, kuphwanya mpando, aakulu njira yotupa m'dera la thumbo. The zikuonetsa kufufuza ndi zotupa kukayikirana kansa ya prostate amuna kapena onkoporazhenie ziwalo m'chiuno mwa akazi. Komanso, RRS matumbo ntchito yokonza, ngati muyenera ena endoscopic mpheto (mwachitsanzo, barium mankhwala kapena colonoscopy). Iwo anachita kudziwa zilonda ndi tizilombo ting'onoting'ono ndi mndandanda wa mfundo kuona tosaoneka.

Contraindications. kukonzekera odwala

Kudzifufuza mwa rectum RRS si ikuchitika pansi magazi profuse, pamaso pa kusamba mu akazi, pachimake kutukusira kwa chotulukira kapena pamimba, komanso pachimake kumatako fissure, kobadwa nako kapena kugula kuchepetsa za m'mimba m'munsi.

Tikumbukenso kuti chikhalidwe zofunika kwambiri kuti athe kufufuza njira rectum endoscopic ndi purgation pazipita zili.

Choncho, madzulo a mpheto izi tikulimbikitsidwa kumamatira kwa zakudya zenizeni. Odwala amakakamizidwa kuti achotse zakudya zanu zipatso, masamba, mkate komanso nyemba zakuda, kabichi mtundu uliwonse ndi zakudya zina zimene zimachititsa flatulence (flatulence mu matumbo).

Tiyenera kukumbukira kuti usiku pamaso kuyenderako, ndi proctologist dokotala ndipo m'mawa pa tsiku la kafukufuku yekha analola kumwa pang'ono madzi (mungagwiritse ntchito madzi sanali enaake kapena tiyi ofooka ndi shuga).

Kukonza matumbo ntchito mankhwala

Kukonzekera sigmoidoscopy, usiku pamaso mayeso kuchita kuyeretsa mankhwala 2 pa intervals wa mphindi 15. M'mawa ndi matumbo kuyeretsa ayenera mobwerezabwereza. Ngati proctologist Tikadzifufuza inakonzedwa zoyambirira za tsiku, kadzutsa ndikoletsedwa. Ngati sigmoidoscopy izichitikira mu theka lachiwiri la tsiku, wodwalayo ali ololedwa kadzutsa kuwala, koma musananyamuke kupita naye kuchipatala, muyenera kuchita mankhwala wina.

Tiyeni tione mwatsatanetsatane mmene bwino kuyeretsa matumbo m'munsi, chifukwa popanda ichi sikutheka kafukufuku RRS.

Zogwiritsa ntchito mankhwala ayenera kukonzekera makapu wotsukira, petrolatum, pa lita imodzi ya madzi (kutentha sayenera upambana 20 ° C) ndi miyendo itatu. Chitani motere:

• lembani dongosolo, pambuyo poona kutentha madzi;

• ali kusakhulupirira makapu wotsukira pa miyendo itatu pa kutalika kwa palibe masentimita oposa 30 kuchokera munthu amene ayenera kuyeretsa matumbo;

• petrolatum lubricates nsonga;

• kuika mtima kumanzere (mapazi ayenera ndichotse pa mawondo ndi ochepa zaperekedwa kwa m'mimba);

• kuchepetsa matako ndi kulowa nsonga mu chotulukira kuti masentimita 3 kwa umbilicus ndi ndiye kuti 10 cm kufanana kwa msana;

• Ndiyeno tsegulani valavu kuletsa madzi kulowa matumbo.

Kodi kupanga kuyeretsa mankhwala nokha?

Kuti tichite zimenezi, kutenga m'maondo chigongono malo mu bafa, kudalira mkono wake, ndipo dzanja lake ufulu kuyambitsa nsonga mu rectum. Izo zizichitidwa pang'onopang'ono mosamala. Pambuyo pa zimenezi tiyenera kutsegula wapampopi makapu Esmarch ndi kulowa m'madzi. Ngati inu kubva madzimadzi wambiri ayenera adzadulidwa ndi kudikira pang'ono wogawana kupuma ndipo stroking mimba yake.

Tikumbukenso kuti chofunika kulamulira kuchuluka kwa madzi (sayenera upambana malita awiri). Pakuti matumbo kuyeretsa bwino bwino kusunga madzi kwa mphindi zosachepera 10. Ngati mungathe, inu mukhoza kuyenda kapena kugona pansi pa mimba yanu.

Ngati muyenera kuika 2 mankhwala, pakati pa iwo, inu mukhoza kutenga yopuma mphindi 45. Izi ndi zofunika pofuna kumaliseche a madzi wosambitsa kwa mankhwala oyamba.

Pa pempho la wodwala ntchito yapadera yaying'ono mankhwala (mwachitsanzo, "microlax"). Iwo ntchito rectally. Zotsatira pharmacological zimawonedwa pambuyo Mphindi 15.

Kukonzekera sigmoidoscopy popanda enemas

Kuti tichite zimenezi, kutenga yoyenera wothandizila pharmacological. The zambiri ntchito:

• «Fortrans". Madzulo mayeso, odwala ayenera kumwa maola 17 kuti 20 malita 3 madzi amene kale m'pofunika kupasuka kwa sachet 3 anati chiphunzitso. Pafupifupi ayenera kugula lita imodzi ya yankho paola. M'mawa kadzutsa ndikoletsedwa.

• «Dufalak". Hava sigmoidoscopy kumwa kuchokera maola 18 kuti 20, 2 malita a madzi popeza kusungunuka mmenemo 200 ml ya madzi a. Kadzutsa pa tsiku la mayeso nazonso zoletsedwa.

• «Phospho-koloko zombo." Ngati RRS Tikadzifufuza inakonzedwa zoyambirira za tsiku, m'mawa pamaso pa ndondomeko m'malo kadzutsa ayenera kumwa madzimadzi mbandakucha. Zimakhala tiyi kapena khofi, madzi popanda zamkati kapena osakhala enaake zofewa kumwa. Ndiye 100 ml ya madzi ozizira n'kofunika kupasuka wina sachet chiphunzitso ndi njira chakumwa. Choncho tiyenera kutsukidwa pansi ndi makapu 2 madzi ozizira. M'malo nkhomaliro ayenera kugwiritsa ntchito osachepera 800 ml ya chakudya kuwala madzi m'malo - galasi wina. Pambuyo kuti muyenera kumwa thumba ina ya mankhwala mu mofanana m'mawa.

Features wa sigmoidoscopy

RRS ndondomeko ikuchitika mosamalitsa kusala kudya. Pochitika kumupima wodwala ayenera kuchotsa zovala kuchokera mchiuno pansi ndi kutenga m'maondo chigongono malo pakama. Pamene asonyeza kupweteka kwa chotulukira sigmoidoscopy anachita pansi mankhwala oletsa ululu pamalopo. Chifukwa chaichi, ntchito dikainom mafuta. Iwo akhoza kuchitika perianal anatseka misewu. Ngati ndi kotheka, ntchito mankhwala ochititsa dzanzi ambiri.

dokotala pang'onopang'ono anayambitsanso proctoscope mu rectum wanu ndi propels iye mtsogolo, amtengo kudyetsa mpweya, amene amalola kufalitsa m'makwinya a intestine ndipo zimathandiza kuti zowonera bwino mucosa lapansi. Ndiye kuchotsa obturator ndi m'manja mwa proctoscope patsogolo sigmoid m'matumbo. Pambuyo chubu Tikadzifufuza amachotsedwa lumen za m'mimba mwa kuyenda zozungulira, pamene mukupitiriza bwino.

Tikumbukenso kuti RRS tione otetezeka kwathunthu kokha pamene methodologically kulakwa kuligwira angayambe matumbo perforation, chimene chimafuna yomweyo alowererepo pa opaleshoni.

Reviews a sigmoidoscopy

Mwamsanga ine ndiyenera kuti kafukufuku ameneyu ndi sabweretsa chisoni, koma ndithu zosasangalatsa. Odwala ena Samva kusapeza iliyonse, pamene ena amafuna osachepera mankhwala oletsa ululu pamalopo. Nthawi zambiri kutithandiza kuona kuti amakhudza mtima kuti sigmoidoscopy, wobwezera kuopa kukhazikitsa.

Pakuti kudziwika matenda monga khansa ya m'matumbo kapena sigmoid ndipo anam'peza matenda a m'matumbo , kapena matenda amene amatupitsa akuti ntchito RRS bwino. Madokotala za njirayi ndi zabwino, chifukwa ndi zofunika kwa matenda a ululu pamimba, magazi kapena zinyalala zina wapezeka mu chopondapo, kudzimbidwa aakulu kapena kutsegula m'mimba, komanso chitsulo akusowa magazi m'thupi, ndi etiology amene sakudziwika.

Iwo ayenera kukumbukira kuti sigmoidoscopy akulimbikitsidwa anthu onse pa zaka 55 za kuzindikira mwamsanga zotupa mu intestine lapansi. Pamene ndondomeko ya mbiri banja ayenera pachaka.