Recto-manoscopy (rectoscopy) ndi kufufuza kwa chigawo cha rectum ndi gawo lomaliza la sigmoid colon. Njirayi ikuchitika mothandizidwa ndi rectoscope, yomwe imakhala yamagetsi pafupifupi 30 centimita yaitali ndi 2 masentimita awiri, ndi mapulogalamu apadera, nyali ndi chipangizo chowongolera mpweya. Pakati pa kafukufukuyo, dokotala akhoza kufufuza momwe matumbo amathandizira m'mimba, chikhalidwe chonse cha m'matumbo, kukhazikitsa kupezeka kwa zotupa, mapuloteni, zotupa, zipsera, ming'alu, ziphuphu. Ngati ndi kotheka, n'zotheka kuchita zovuta (kutenga maphunziro a maphunziro okayikira kuti awunike).
Kodi sigmoidoscopy imachitanji?
Ndondomeko ikuchitika mu chipatala ndipo imatenga mphindi zochepa chabe.
Wodwalayo amadzipukuta pansipa m'chiuno ndipo amaikidwa pa kama pa bondo-mmalo mwake (makamaka) kapena ali pambali pake. Choyamba adokotala amachititsa kuti awonongeke zala. Kenaka chubu ya rectoscope imatenthedwa kwambiri ndi mafuta a vaseline ndikujambulidwa mu masentimita 4-5. Zochitika zina zikuchitika pansi pa kuyang'aniridwa ndi zithunzi. Phukusi la rectoscope likuyenda kwambiri pamtunda wa m'mimba, kutulutsa mpweya kuti uwonjezere ndi kuwongolera makutu a mucosa. Pa mtunda wa masentimita 12 mpaka 14, nthawi zambiri zimakhala zokopa za m'matumbo, zomwe zimadutsa m'mimba, komanso ngati wodwalayo sakusangalala, zimakhala zovuta pa nthawi imeneyi.
Zisonyezo za m'mimba zowonongeka
Kuyezetsa uku kumaperekedwa ngati wodwalayo akufunsira proctologist ndi madandaulo otsatirawa:
- magazi;
- purulent kapena mucous flow from rectum;
- ululu m'matumbo akulu;
- ndi kukayikira za chifuwa cha prostate mwa amuna kapena chotupa cha ziwalo zapakhosi mwa akazi;
- pokayikira pa matenda a oncologic a matumbo;
- ndi matenda opweteka matumbo ndi matenda aakulu.
Kodi mungakonzekere bwanji sigmoidoscopy?
Ndi sigmoidoscopy, chovuta kwambiri ndi chosasangalatsa sizingakhale ndondomeko yokha, koma kukonzekera kwa wodwalayo. Zimatengera maola 24 mpaka 48 ndikusowa zinthu zambiri.
Masiku awiri asanayambe kufufuza, ndiwo zamasamba, zipatso, zinthu zina zomwe zimakhala ndi mitsempha yambirimbiri kapena kulimbikitsa gassing (mwachitsanzo, nyemba) ziyenera kuchotsedwa ku zakudya.
Madzulo ndi m'mawa tsiku la kukayezetsa, matumbo ayenera kukonzedwa. Poyeretsa matumbo, pali njira zitatu zowonjezera:
- Kukonzekera chithunzithunzi chachisangalalo cha sigmoidoscopy. Fortrans ndi laxative yokwanira, yomwe imayenera kutengedwa ndi madzi ambiri. Pakali pano, mankhwala ena (flit, dyufalak) angagwiritsidwe ntchito m'malo mwake. Kuti alandire ankhondo madzulo madzulo asanaphunzire amafuna 2 phukusi la mankhwala. Kuthetsa pakiti imodzi kutenga madzi okwanira ndi kumwa mankhwala pa galasi mphindi 15-20. M'mawa, ndondomekoyi imabwerezedwa. Nthawi yotsegula ndi maola 1.5-2, choncho iyenera kutengedwa maola 3-4 asanayambe.
- Konzani sigmoidoscopy ndi microlax. Microlax imakhalanso ndi mankhwala osokoneza bongo, koma cholinga cha maulamuliro. Madzulo kumapeto kwa kufufuza, miyeso iwiri ya mankhwala imayikidwa jekeseni ndi mphindi 15-20. M'mawa, bwerezani ndondomekoyi. Madzulo, mumatha kudya chakudya chamadzulo, m'mawa muyenera kupewa kudya.
- Kukonzekera ndi enemas. Kupukuta kwa thupi kumagwiritsidwa ntchito poyeretsa kawiri, madzulo ndi m'mawa, musanayambe kufufuza. Madzulo kulimbikitsidwa kuika ma lita awiri pa lita imodzi ndi nthawi yaying'ono, madzi otentha opanda zowonjezera. M'mawa, bwerezani njirayi mpaka mutulutse madzi oyera.
Anthu ambiri akuda nkhawa ndi funso: kodi ndi zopweteka kuchita sigmoidoscopy? Inde, kumverera kovuta mu njirayi kumachitika, koma kawirikawiri izo ziri zopweteka ndipo zimachitidwa popanda anesthesia. Kufunika kwa anesthesia kumapezeka kokha ngati wodwalayo ali ndi vuto komanso amathyola muyeso.