Irrigoscopy - ndi njira yanji? Momwe mungachitire Irrigoscopy. Kukonzekera kwa irrigoscopy

Irrigoscopy ndi njira yotchuka kwambiri mu mankhwala amakono. Mothandizidwa ndi phunziro lotereli lingathe kudziwa kuchuluka kwa matenda ndi mavuto m'ntchito ya m'matumbo.

Ndicho chifukwa lero odwala ambiri akufuna kudziwa zambiri zokhudza njirayi. Kodi kufufuza ndi chiyani? Kodi mungakonzekerere bwanji irrigoscopy? Kodi zizindikiro ndi zotsutsanazi zimayesedwa bwanji? Kodi odwalawo akunena chiyani za ndondomekoyi? Mayankho a mafunso awa adzakhala osangalatsa kwa ambiri.

Irrigoscopy ndi ... Kufotokozera mwachidule njirayi

Irrigoscopy ndi imodzi mwa njira zowonetsera poizoni zamatenda, zomwe zimagwiritsidwa ntchito padera. Mosiyana ndi zimenezi, kawirikawiri amagwiritsidwa ntchito ndi barium sulphate, yomwe imajambulidwa mwachindunji kupyolera mu rectum.

Ndipotu, njira imeneyi ili ndi ubwino wambiri - ndi zosavuta kuchita, zimapereka zotsatira zolondola ndipo sizimagwirizananso ndi mavuto kapena mavuto ena.

Kodi tingawone chiyani pa phunziroli?

Irrigoscopy ndi njira yophunzitsira kwambiri mothandizidwa ndi zomwe zingatheke kupeza deta yofunikira pamtunda wa m'matumbo. Choyamba, zithunzi za X-ray zimapereka deta yolondola pa malo, mawonekedwe ndi mimba ya lumen ya m'matumbo akulu. Pothandizidwa ndi kuyesedwa, adokotala amatha kuyesa kutsika kwa khoma la m'mimba komanso kukula kwake.

Irrigoscopy imathandiza kupeza chidziwitso chokhudza ntchito ya dothi la bauginia - khola la m'matumbo lomwe lili pambali ya leamu kukhala lakuda. Kawirikawiri, makonzedwe ameneŵa amalola zomwe zili m'matumbo mwachindunji chimodzi - poyang'anira kayendetsedwe ka chithunzi chosiyana, wina amatha kufufuza ngati pali zolakwika zina zomwe zimagwiritsidwa ntchito pa damper.

Ndondomekoyi imakhalanso yofunika kwambiri pakudziŵika kwa matenda monga diverticulosis, kuchepa kwa m'mimba. Amagwiritsidwanso ntchito poyikira kuti ndi zotupa ndi fistula. Mothandizidwa ndi X-rays n'zotheka kuyesa ntchito za mbali zosiyanasiyana za m'mimba, komanso kufufuza mpumulo wa nsalu zamkati.

Zisonyezo za njirayi

Kodi ndizifukwa zotani wodwalayo anapatsidwa irrigoscopy? Umboni wa madotolowo umatsimikizira kuti njirayi ili ndi phindu lofunika kwambiri. Chizindikiro cha khalidwe lawo ndi kukayikira kukhalapo kwa matenda ena a m'matumbo akuluakulu. Makamaka, phunziroli limalimbikitsa odwala omwe afunsa dokotala ndi madandaulo otsatirawa:

• Ululu mu utumbo waukulu ndi malo a anal;
• Matenda osapsa, kuphatikizapo kutsekula kwa nthawi yaitali kapena kudzimbidwa;
• Kuwonekera kwa mankhwala osakanikirana kapena mosakaniza mumatumbo;
• Kukhalapo kwa magazi mu rectum;
• Monga prophylaxis, kupukutira kwazitsamba kumachitika nthawi ndi nthawi mwa anthu omwe ali ndi khansara yamakono;
• Kuwonanso komweku kumasonyezanso ngati colonoscopy yomwe yapangidwa kale yakhala ndi zotsatira zovuta, zolakwika.

M'pofunika kuti nthawi zambiri, irrigoscopy imaperekedwa mogwirizana ndi mayesero ena opatsirana.

Malamulo Ophunzitsa

Kukonzekera kwa m'mimba ulimi wothirira ndikofunikira, chifukwa ubwino ndi zotsatira za phunziroli zimadalira izi. Ndiye ndizochita zotani zomwe njirayi imafuna? Inde, dokotala yemwe akuyang'anira adzakuuzani zambiri za izi, koma pali zifukwa zina.

Matumbo aakulu ayenera kumasulidwa kuchitsime. Ndi chifukwa chake odwala ayenera kusintha pang'ono zakudya masiku 2-3 pamaso irrigoscopy. Makamaka, kuchokera pa menyu ndikofunika kuchotsa zinthu zonse zomwe zimayambitsa zambirimbiri komanso zimayambira . Odwala amalangizidwa kuti asiye kugwiritsa ntchito mkate, nyemba zina (oatmeal, mapira, balere), komanso zipatso, ndiwo zamasamba ndi masamba. Zakudya, mwa njira, ndi bwino kuphika kwa awiri.

Tsiku lisanayambe, mungadye chakudya chamwambo, koma kuti musamadye chakudya, musataye. Mwachidziwikire, kadzutsa tsiku la kuyesa sichikonderezedwa.

Kukonzekera ulimi wothirira m'matumbo kumafuna zina. Mwachitsanzo, khola liyenera kutsukidwa ndi enemas: Mmodzi mwa iwo ayenera kukhala madzulo madzulo, ndipo yachiwiri - m'mawa a ndondomekoyi.

Pali njira zowonjezereka zowononga matumbo. Mwachitsanzo, mankhwala osokoneza bongo amagwiritsidwa ntchito pazinthu izi. Madzulo a phunzirolo, wodwala akhoza kulangizidwa kumwa mankhwala monga Dufalac kapena Fortrans.

Njira ya irrigoscopy

N'zoona kuti odwala ambiri amakhudzidwa ndi funso la momwe ulimi wa irrigoscopy umachitikira komanso ngati njirayi ndi yopweteka. Nthawi yomweyo tiyenera kudziwa kuti kuphunzira koteroko kulibe zopweteka.

Kuti agwirizane ndi matumbo, monga lamulo, chipangizo chapadera chimagwiritsidwa ntchito. Ndi mtsuko wokhala ndi chivindikiro cha pansi, chomwe chimagwirizanitsa maipi awiri. Kumapeto kwa imodzi ya machubu pali peyala ya mphira yomwe mpweya umaperekedwera ku mtsuko, motero imayambitsa kupanikizika. Ndondomeko yosawonongeka, yosakonzedwa ya irrigoscopy imamangirizidwa ku chubu china - ndi kupyolera pamenepo kuti zosiyana zimalowa m'matumbo. Chipangizo chotero cha irrigoscopy chimatchedwa zipangizo za Bobrov.

Panthawiyi, wodwalayo amagona kumbali yake, manja ake kumbuyo kwake ndipo miyendo yake imayendetsa kumapeto. Kupyolera mu chubu kupita m'matumbo kusiyana kwakeko kumaperekedwa pang'onopang'ono. Pamene matumbowa adadzaza, adokotala amachititsa kuti anthu aziwonetsa mafilimu ambirimbiri.

Kenaka ikutsatira gawo lachiwiri la ndondomekoyi - yosiyana kwambiri, yomwe imafunika kuchuluka kwa mpweya m'matumbo pomwe panthawi imodzimodziyo imatenga zithunzi zochepa. Njira imeneyi imathandiza kufalitsa zolembera za mucous memphane ndikuzisanthula mosamala.

Pambuyo pa ndondomekoyi

Ndikoyenera kudziwa kuti patapita masiku 1-3 pambuyo pake, kudzimbidwa kungabwereke. Kuphatikiza apo, misala ikuluikulu ikhoza kutulutsa kapena kuyatsa - izi zimayambitsanso kuyambitsa barium m'mimba. Zochitika zonse izi zimadutsa paokha, kotero inu simuyenera kudandaula.

Kodi pali zotsutsana

Asanayambe kuchita chimodzimodzi, dokotala ayenera kufufuza bwinobwino ndikusunga mbiri yonse. Ndipotu, pali zotsutsana zomwe palibe irrigoscopy. Izi ndizovuta kwambiri kwa wodwalayo. Mwachitsanzo, phunziro silinaperekedwe kwa anthu omwe ali ndi tachycardia yoopsa, kulephera mtima kwambiri komanso matenda ena.

Contraindications imaphatikizanso mimba. Irrigoscopy imatsutsana ndi kutsogolo kwa matumbo a m'matumbo. Mankhwala opweteka kwambiri m'matumbo (mwachitsanzo, ulcerative colitis, diverticulitis) amavomerezedwa motsutsana - ndondomeko ikhoza kuchitidwa, koma mosamala kwambiri, ndipo chisankho chokhazikitsa phunzirocho chapangidwa ndi dokotala yemwe akupezekapo.

Ngati wodwala sangathe kuthirizidwa, katswiri akhoza kulangiza mayeso ena oyeza.

Irrigoscopy ndi zovuta zovuta

Mpaka lero, njirayi imatengedwa kuti ndi imodzi mwabwino kwambiri. Komabe, pali zovuta zina zomwe irrigoscopy zimakhudzidwa. Izi ndizopangidwe za barium granulomas kapena embolism ya barium. Mavuto angaphatikizepo kuperewera kwa khoma la m'mimba. Ndizovuta kwambiri panthawiyi, chinthu chosiyana chimayenderera m'mimba.

Koma musamawope zovuta, chifukwa kuphulika kotere kwa mankhwala masiku ano kulembedwa kawirikawiri. Ngati ndondomekoyi inkachitidwa bwino, wodwalayo adayamba kuyezetsa matenda ndipo adokotala sanapezepo zotsutsana nazo, ndiye kuti mwayi wopanga zolakwazo zapadera sizing'onozing'ono.

Irrigoscopy ya m'mimba: malingaliro oleza mtima

Inde, masiku ano gastroenterology ndondomekoyi imagwiritsidwa ntchito nthawi zambiri, chifukwa zimakhala zosavuta kuchita komanso zimapereka zotsatira zabwino. Irrigoscopy ikulimbikitsidwa kwa odwala ambiri. Maphunziro okhudza kuphunzira koteroko ndi abwino.

Choyamba, anthu amazindikira kuti njirayi sikhala yaitali kwambiri - kuyambira mphindi 40 mpaka 90, malinga ndi kukula kwa phunzirolo. Ponena za kupweteka, kulibe. N'kosatheka kuti tisamvetsetse vuto linalake limene limatulutsa m'mimba. Yankho la wodwala, komabe, limasonyeza kuti vutoli ndilopweteka kwambiri kuposa thupi. Odwala ena amamva kupweteka, ndipo nthawi zina zimakhala zofewa.

Chosayembekezereka n'chakuti mwamsanga mutatha phunziro wodwalayo amapeza zotsatira zomwe zingatheke kupita kwa dokotala yemwe akupezekapo.