I-recto-manoscopy (rectoscopy) uviwo lwe-rectum kunye necandelo lesigxina se-sigmoid colon. Inkqubo eyenziwa ngoncedo lwe-rectoscope, eline-tube enzima malunga neentimitha ezingama-30 ubude kunye no-2 cm ububanzi, kunye nee-lens ezikhethekileyo, isikhanyiso kunye nesibonelelo somoya. Ngethuba loviwo, ugqirha unokuvavanya isimo se-intestinal mucosa, imeko epheleleyo yesibonda, ukuseka ubukho beentlungu, iipolyps, i-tumors, izikrakra, iziqhekeza, iziqhumane. Ukuba kuyimfuneko, kunokwenzeka ukuqhuba i-biopsy (ukuthatha inkcazelo yemfundo esolisayo ukuhlalutya).
I-sigmoidoscopy yenziwe njani?
Inkqubo eyenziwa kwiklinikhi kwaye ithatha imizuzu embalwa nje.
Isigulana sibeka phantsi ngaphantsi kwesibindi kwaye sibeke phezu kombhede kwindawo ye-knee-elbow (mhlawumbi) okanye ulele kwicala lakhe. Okokuqala ugqirha uqhuba uvavanyo lomunwe lwe-rectum. Emva koko i-tube ye-rectoscope ichithwe ngokucoca ngeoli ye-vaseline kwaye ijojowe ngamasentimitha ama-4-5. Ukuqhutyelwa phambili okuqhutywayo kwenziwa phantsi kolawulo olubonakalayo. I-tube ye-rectoscope iqhutywe ngokukhawuleza kunye nomgudu wamathumbu emathunjini emathunjini, ukuxubha umoya ukuze ukwandise kwaye ulungelelanise iifayile ze-mucosa. Kwimizuzu engama-12 ukuya kwipentimitha ukuya kweyesentimitha ngokuqhelekileyo ibhinqa lomathumbu, isigxina se-rectum kwisigmoid, kwaye ukuba isigulane asiziphumli ngokwaneleyo, ukuvakalelwa okungahambiyo kunokwenzeka ngeli nqanaba.
Iimpawu zokutyiwa kwamathumbu emathumbu
Le mviwo imiselwe ukuba isigulane sibonisane ne-proctologist ngezikhalazo ezilandelayo:
- kuphuma;
- i-purulent okanye i-mucous discharge evela kwi-rectum;
- intlungu emathumbu amakhulu;
- ngokukrokrelwa kwe-prostate tumor kumadoda okanye isisu sezitho zengqungquthela kwabasetyhini;
- ukusola malunga nezifo ze-oncologic zamathumbu;
- nezifo ezingapheliyo zezifo zezilonda kunye nezigulane ezingapheliyo.
Indlela yokulungiselela isigmoidoscopy?
Ngo-sigmoidoscopy, inzima kwaye ingathandeki ingabi yinkqubo ngokwayo, kodwa ukulungiselela isigulane sayo. Kuthatha ukususela kuma-24 ukuya kuma-48 iiyure kwaye kudinga inani leemeko.
Kwiintsuku ezimbini ngaphambi kokuba uphando, imifuno, iziqhamo, ezinye iimveliso eziqulethe i-fibres engahlambulukiyo okanye ukukhuthaza ukuhlutha (umzekelo, izityalo) kufuneka zifakwe ngaphandle kokutya.
Ngobusuku nangomso ngosuku loviwo, isisu kufuneka sisuswe. Ukucoca amathambo, kukho iindlela ezintathu eziqhelekileyo:
- Ukulungiselela i-sigmoidoscopy inenhlanhla. I-Fortrans yomelele enokwaneleyo, enokuthi ithathe isithweba esininzi. Ngeli xesha, ezinye iziyobisi (flit, dyufalak) zingasetyenziselwa endaweni yoko. Ukufumana ama-fortrans ngokuhlwa ngaphambi kokufundwa kufuna iiphakheji ezi-2 zeliza. Ukuphucula iipakethi enye kuthatha ilitha yamanzi kwaye uphuze amayeza ngeglasi nganye imizuzu eyi-15-20. Ngentsasa, inkqubo iya kuphinda. Ixesha lokungcebeleka li-1.5-2 iiyure, ngoko kufuneka kuthathwe ubuncinane iiyure ezingama-3-4 phambi komsebenzi.
- Lungiselela i-sigmoidoscopy nge-microlax. I-Microlax yinto enokuxilisa, kodwa ihloselwe ukulawulwa kwamaritha. Ngobusuku ekuhambeni kwexesha lokubhalwa kweemviwo, ezimbini izibilini zesilwanyana kufuneka zijojowe ngexesha elide lemizuzu eyi-15-20. Ngentsasa, phinda inkqubo. Ngokuhlwa, unako ukufumana isidlo sokutya, kusasa kufuneka ubale ukudla.
- Ukulungiswa kunye ne-enemas. Ukuhlanjululwa kwesilwanyana kwenziwa ngokuhlanjululwa kabini, ngokuhlwa nakusasa, phambi koviwo. Ngokuhlwa kusicetyiswa ukubeka ezimbini kwi-litre eli-1 kunye nekhefu elincinci, amanzi atshisayo ngaphandle kwezibonelelo. Ekuseni, phinda inkqubo kuze kube yindawo yokuphuma kwamanzi acocekileyo.
Abantu abaninzi banenkxalabo malunga nombuzo: ngaba kubuhlungu ukwenza sigmoidoscopy? Ngokuqinisekileyo, ukuziva kakubi kule nkqubo kuvela, kodwa ngokuqhelekileyo ayibuhlungu kwaye yenziwa ngaphandle kwe-anesthesia. Isidingo se-anesthesia senziwa kuphela xa isigulane sineengxaki kunye nokutyhoboza kwindinyana engaphambili.