RRS Survey: teuteu, arotake

Sigmoidoscopy - he tikanga whakamātautau endoscopic e taea ai e koe ki ngā aromatawai i te āhua o te nono (irava hoki), me te ki te titiro i te mucosa rectal. I tua atu, ka taea RRS rangahau ki te tirotiro i te kopirua sigmoid distal.

Tuhinga hoki

Tenei whawhe endoscopic whakamana ki te kitea mate whēkau me ratou maimoatanga wā. Ka rite ki te tikanga, whakaatu ana te ako RRS tono i roto i te wā o te māuiuitanga mate pukupuku whakapae, i roto i te noho wehe i te toto intestinal, hūpē pus ranei, i roto i te ofatiraa o te heamana, ngā tukanga inflammatory ma'i i roto i te rohe rectal. Ko te tohu hoki tenei whakamātautau ko hoki puku māharahara o te matepukupuku repeure i roto i nga tangata ranei onkoporazhenie whēkau papatoiake i roto i nga wahine. I tua atu, i te whēkau RRS whakamahia mo te faaineineraa, ki te hiahia atu whawhe endoscopic (hei tauira, konu werowero colonoscopy ranei). Kei te whakamana hoki te reira ki te kitea mariao me polyps ki kohinga o rauemi i runga i te whakamātautau mōkitokito.

Contraindications. Teuteu tūroro

Examination o te tōu kore te RRS kawea i roto i raro i toto auau, te aroaro o te paheke i roto i nga wahine, mumura whakapeka o te nono ranei puku, me te whakapeka moko whero, whāiti congenital riro ranei o te whēkau o raro.

Me kï reira e ki te huru tino nui i roto i te tikanga e taea e ki te titiro i te tikanga tōu endoscopic ko te horoi mōrahi o te ihirangi.

Na, i runga i te mahana o tenei whawhe tūtohu te ki te piri ki te kai motuhake. E takoha tūroro ki te aukati i tō kai hua hou, huawhenua, taro me te pīni pango, kāpeti i roto i tetahi puka me ētahi atu kai e meinga flatulence (flatulence i roto i nga whekau).

Kia mahara te reira e te po i mua i te tirohanga, te proctologist he tākuta, me te i roto i te ata i te ra o te rangahau whakaaetia anake ki te inu i te nui iti o te wai (ka taea e koe te whakamahi i te wai-hihī kore tea ngoikore ki te huka ranei).

Horoi i te whēkau te whakamahi i te werowero

No te faaineine no te he sigmoidoscopy, te po i mua i te whakamātautau ki te mahi i te werowero purea 2 i wā o te 15 meneti. I roto i te ata te purenga whēkau kia korerotia. Ki te whakaritea whakamātautau proctologist te mo te hawhe tuatahi o te ra, rāhuitia te parakuihi te. Ki te ka whakahaere sigmoidoscopy i roto i te hawhe tuarua o te ra, whakaaetia te manawanui ko te parakuihi marama, engari i mua i waiho koutou whare, kia meatia e koe tetahi atu werowero.

Kia whai whakaaro ano tatou i roto i te taipitopito atu pehea ki tika horoi te whēkau raro, no te mea kahore tenei e kore e taea ki te ruri RRS.

Hoki e mau ana werowero totonu ke teuteu douches maka, petrolatum, ia rita o te wai (e kore e nui ake te pāmahana 20 ° C) me te waetoru. Puta e whai ake:

• whakakiia te pūnaha, i muri i te taki i te pāmahana wai;

• Kei te whakatārewatia e douches maka i runga i te waetoru i te teitei o kaua e nui ake te 30 cm atu i te tangata nei e horoi i te paru;

• lubricates petrolatum te matamata;

• hoatu te manawanui i te taha ki maui (kia piko waewae i nga turi, me te torutoru e hoatu ki te puku);

• waimeha papa, me te tomo i te matamata ki te nono ki te 3 cm ki te umbilicus me ka ki te 10 cm whakarara ki te tuaiwi;

• Na whakatuwhera i te piha ki te ārai i te wai i tomo i te paru.

Me pēhea te ki te hanga i te werowero purea koe?

Ki te mahi i tenei, tangohia te tūranga turi-tuke i roto i te kaukau, ki te okioki i runga i tona whatīanga, me tona ringa noa ki te whakauru i te matamata ki te tōu. kia āta a āta kia meatia reira. I muri i tenei e hiahia ana tatou ki te whakatuwhera i te tap maka Esmarch ka tomo i te wai. Ki te wheako koe kia hatepea mamae inu horomanga atu, ka tatari i te torutoru whakanoho te kupukupu tonu me te stroking tona kopu.

Me kï reira e hiahiatia e te ki te whakahaere i te nui o te wai (e kore e nui te reira e rua rita). Hoki pai horoi whēkau tūtohutia te ki te pupuri i te wai i te iti rawa 10 meneti. Ki te taea e koe, ka taea e koe te haere takoto iho i runga i to koutou puku ranei.

Ki te hiahia koe ki te hoatu tika 2 werowero, i waenganui ia ratou, taea te tango e koe i te whati o e pā ana ki 45 meneti. Ko te tika tenei i roto i te tikanga ki te whakarite rere o te wai horoi i te werowero tuatahi.

I taea te tono o te manawanui whakamahi werowero moroiti motuhake (hei tauira, "microlax"). E whakamahia ratou rectally. kitea te pānga pharmacological te i muri i te 15 meneti.

Te faaineineraa no te sigmoidoscopy kahore enemas

Ki te mahi i tenei, tangohia te āpiha pharmacological tika. Ko te tino whakamahia nuitia:

• «Fortrans". Ahiahi i mua i te whakamātautau, kia inu tūroro i 17 ki te 20 haora, 3 rita o te wai ki te i mua te mea e tika ana ki te tareka te paihere 3 o mea waihanga. Āhua e pau i te rita o te otinga ia haora. I roto i te parakuihi ata rāhuitia te.

• «Dufalak". Eva sigmoidoscopy ki te inu i 18 ki te 20 haora, ka rewa 2 rita o te wai ki roto 200 ml o te tirikara. Kei te rāhuitia hoki parakuihi i te ra o te whakamātautau.

• «Phospho-pekana Fleet." Ki te whakaritea RRS whakamātautau te mo te hawhe tuatahi o te ra, i roto i te ata i mua i te tukanga hei utu o te parakuihi kia inu inu mama. E nehenehe te reira tea kawhe ranei, wai, kahore penupenu ranei inu ngohengohe kore-koropupū. Na ka he tika 100 ml o te wai matao ki te tareka kotahi waihanga paihere me te otinga inu. Ko te kupu kia horoia reira iho ki 2 kapu o te wai matao. Engari Me tina ki te whakamahi i te iti rawa 800 ml o te paraoa marama wai hei utu - kotahi karaihe. I muri i taua hiahia ana koe ki te inu i tetahi atu o te raau taero putea i roto i te tikanga ano rite i roto i te ata.

Āhuatanga o te sigmoidoscopy

kawea RRS tukanga i roto i tino nohopuku. Hei haere te whakamātautau kia tango i te manawanui kakahu i te hope ki raro, ka tango i te tūranga turi-tuke i runga i te moenga. A, no te whakahuatia mamae i roto i te sigmoidoscopy nono whakamana i raro i rehunga rohe. Hoki tenei whakaaro, te whakamahi i hinu dikainom. Ka taea te kawea te reira i roto i pā perianal. Ki te tika, te whakamahi i te rehunga whānui.

Te tākuta āta whakamōhio proctoscope i roto i to koutou tōu me propels ia atu, tika te kai rangi, e taea ana ki te horapa i te taiepa o te whēkau, me te whai wāhi ki te mātakitaki pai o te mucosa. Na ka tango i te obturator me raro i te mana o te proctoscope i whakanuia ki te kopirua sigmoid. I muri nekehia te ngongo whakamātautau kei i te lumen o te whēkau i roto i te motini porohita, i tonu whakamātautau.

Me kï reira e ko tino haumaru anake, no te tikanga rangahau he ki te pupuri taea puta reira te whakamātautau RRS whēkau perforation, e titau wawaotanga hāparapara tonu.

Reviews o sigmoidoscopy

Tonu me ahau i mea ai he mamae kore, engari tino kino tenei rangahau. e kore e ētahi tūroro wheako tetahi hūhi, ētahi i rapu utu i te iti rawa i te rehunga rohe. E mea pinepine te take te whakatau i e pā te huru ki te sigmoidoscopy, riro te wehi o tona whakatinanatanga.

Hoki te rapunga o mate pērā i te mate pukupuku o te kopirua ranei te sigmoid me colitis ulcerative ranei te mate o Crohn, ara whakamahi RRS whakamātautau. He pai Doctors e pā ana ki tenei tukanga, no te mea he mea nui hoki te tātaritanga o te mamae i roto i te puku, toto ranei te tahi atu poke kitea i roto i te kumete, kōroke ma'i korere ranei, me te rino-hē anemia, te etiology o e he unknown.

Me mahara hoki käore te reira e te tūtohutia sigmoidoscopy mō tangata katoa i runga i 55 tau mo te kite wawe o te pukupuku i te whēkau. A, no te kia tū te tikanga o te aamu utuafare ia tau.