I-Recto-manoscopy (rectoscopy) ihlolisisa i-rectum nesigaba sokugcina se-colmo sigmoid. Inqubo yenziwa ngosizo lwe-rectoscope, okuyinto ithanga eliqinile elingamamentimitha angu-30 ubude nobude obuyizingalo ezimbili, ne-lens ekhethekile, i-illuminator kanye ne-air supply device. Ngesikhathi sokuhlolwa, udokotela angakwazi ukuhlola isimo se-mucosa emathunjini, isimo esiphezulu sezinambuzane, ukubeka ukuba khona kwezicubu, ama-polyps, izicubu, izibazi, ukuphahlazeka, ama-hemorrhoids. Uma kunesidingo, kungenzeka ukuba uqhube i-biopsy (ukuthatha indaba yemfundo esolisayo yokuhlaziywa).
I-sigmoidoscopy yenziwe kanjani?
Inqubo yenziwa emtholampilo futhi ithatha imizuzu embalwa nje.
Isiguli sigxila ngaphansi kwesigqoko futhi sibekwa embhedeni endaweni yegolo-elbow (mhlawumbe) noma ulele eceleni kwakhe. Okokuqala udokotela uqhuba ukuhlolwa komunwe we-rectum. Khona-ke i-tube ye-rectoscope ifakwe kahle ngamafutha we-vaseline futhi ijowe ibe ngamasentimitha angu-4-5. Ukuqhutshwa okuqhubekayo kwenziwa ngaphansi kokuqondiswa okubukwayo. I-tube ye-rectoscope iqhubekile kakhulu emgodini wamathumbu emathunjini emathunjini, iqhube umoya ukuze wande futhi uqondise iminyango ye-mucosa. Ngaphandle kwamakhilomitha angu-12-14 kuya kuleso sikhwama se-intestine, ukuhamba kwe-rectum kuya kwi-sigmoid, futhi uma isiguli singaphumuli ngokwanele, izinzwa ezingathandeki zingenzeka ngalesi sigaba.
Izinkomba zokudliwa kwamathumbu emathunjini
Lokhu kuhlolwa kunqunywe uma isiguli sibheka i-proctologist ngezikhalazo ezilandelayo:
- ukuphuma kwegazi;
- i-purulent noma i-mucous discharge evela e-rectum;
- ubuhlungu emathunjini amakhulu;
- kanye nezinsolo zesifo se-prostate emadodeni noma isisu sezitho zangasese zabesifazane;
- ekusola ngezifo ze-oncologic zamathumbu;
- nezifo ezifuywayo ezikhukhumeza izifo zezinyosi kanye nama- hemorrhoids angapheli.
Ungalungiselela kanjani i-sigmoidoscopy?
Nge-sigmoidoscopy, kunzima kakhulu futhi akujabulisi kungase kube yinkqubo ngokwayo, kodwa ukulungiswa kwesiguli sayo. Kuthatha amahora angu-24 kuya kwangu-48 futhi kudinga izimo eziningi.
Izinsuku ezimbili ngaphambi kokuhlolwa, imifino, izithelo, ezinye izinto eziqukethe imfucuza eminingi noma ukugqugquzela i-gassing (isibonelo, i-legumes) kufanele ikhunjulwe ekudleni.
Ekuseni nasekuseni ngosuku lokuhlolwa, isisu kufanele sisuswe. Ukuhlanza amathumbu, kunezindlela ezintathu ezivame kakhulu:
- Ukulungiselela i-sigmoidoscopy enenhlanhla. I-Fortrans iyi-laxative eqinile ngokwanele, okumele ithathwe ngokuningi ketshezi. Okwamanje, ezinye izidakamizwa (flit, dyufalak) zingasetshenziswa esikhundleni salokho. Ukuthola izinhlanzi kusihlwa ngaphambi kokufundwa kudinga amaphakheji amabili omuthi. Ukwehlisa ipakethe eyodwa kuthatha ilitha lamanzi bese uphuza imithi phezu kwengilazi njalo imizuzu engu-15-20. Ekuseni, inqubo iphindaphindiwe. Isikhathi sokungenisa amahora amahora angu-1.5-2, ngakho kufanele sithathwe okungenani amahora angu-3-4 ngaphambi kwenqubo.
- Lungiselela i-sigmoidoscopy nge-microlax. I-Microlax iphinde ibe ne-laxative, kodwa ihloselwe ukuphathwa kwe-rectal. Kusihlwa ekuhloleni kokuhlolwa, amashubhu amabili omuthi kufanele ajowe nge-interval of 15-20 minutes. Ekuseni, phinda inqubo. Kusihlwa, ungakwazi ukudla ukudla okudliwayo, ekuseni kufanele ugweme ukudla.
- Ukulungiselela nge-enemas. Ukuhlanza kwe-bowel kwenziwa nge- purification enemas kabili, kusihlwa nakusasa, ngaphambi kokuhlolwa. Kusihlwa kunconywa ukuba ufake ama-double enemas ku-1 litre ngesikhashana esincane, amanzi afudumele ngaphandle kwezithasiselo. Ekuseni, phindaphinda inqubo kuze kube sekuphumeni kwamanzi ahlanzekile.
Abantu abaningi bakhathazekile ngombuzo: kuba kubi ukwenza sigmoidoscopy? Yiqiniso, ukungazizwa kahle kule nqubo kuvela, kepha ngokujwayelekile akusizi ngalutho futhi kwenziwa ngaphandle kwe-anesthesia. Isidingo sokubulawa kwe-anesthesia senziwa kuphela uma isiguli sine-traumas futhi siphuka emgqeni wesilwane.