Yawg Wang, uas muaj hnub nyoog tshaj xya caum xyoo, tau teeb meem tsis ntev los no. Nws ib txwm sighs thiab sighs. Thaum nws tus poj niam nug txog nws, nws ib txwm stutters.
Kuv tus poj niam nug ntau zaus, yog li ntawd Mr. Nws hloov tawm tias tom qab Mr. Wang defecation tsis ntev los no, nws yeej ib txwm pom cov ntshav liab sib xyaw hauv nws cov excrement, uas ua rau nws txhawj xeeb thiab txhawj xeeb txog nws tus txij nkawm.
Kuv tus poj niam tau tu siab heev thiab hais kom nws mus kuaj lub colonoscopy sai, tab sis Mr. Wang tiv taus nws heev. Nws ntshai siv nyiaj thiab txaj muag thiab ntshai.
Nyob rau hauv kev ua tsov ua rog no, nws rub mus thiab mus txog thaum qhov xwm txheej hnyav zuj zus, thiab Mr. Wang yuav tsum tau mus rau hauv tsev kho mob. Tom qab kws kho mob kuaj tau pom tias Mr. Wang muaj mob qog noj ntshav! Cov laus ob leeg raug kev puas tsuaj.
Cov kws kho mob hais tias cov quav nrog cov ntshav yuav tsum tau ceev faj tshwj xeeb tiv thaiv kab mob qog noj ntshav. Yog tias Mr. Wang tuaj yeem kuaj xyuas qhov colonoscopy thiab lwm yam kev kuaj mob sai li sai tau thaum cov tsos mob tshwm sim, nws tuaj yeem kuaj pom mob qog noj ntshav ua ntej thiab kev kho mob yuav zoo dua.
Colonoscopy yog ib qho kev kuaj mob hauv plab hnyuv, tab sis nws txoj kev kuaj mob tshwj xeeb, ntau tus neeg mob tau tawm tsam nws, thiab nws tuaj yeem hais tias qhov kev tsis lees paub yog siab heev.
Dab tsi yog colonoscopy rau? Puas yog txaus ntshai? Xiao Ai yuav muaj kev sib tham ntxaws nrog txhua tus hnub no.
1, Vim li cas cov neeg feem coob tsis kam mus kuaj ntshav colonoscopy?
Ntawm tag nrho cov khoom kuaj hauv Department of Gastroenterology, muaj qhov txaus ntshai, uas yog colonoscopy. Qhov no yog "tus qauv kub" rau kev kuaj mob qog noj ntshav, tab sis ntau tus neeg mob raug hem los ntawm nws, tsis txaus siab lossis txawm ntshai heev los mus kuaj ntshav colonoscopy.
Cov ntaub ntawv qhia tau hais tias hauv Suav teb, tsawg dua 15% ntawm cov neeg muaj hnub nyoog 50 thiab siab dua tuaj yeem tau txais kev kuaj ntshav colonoscopy. Vim li cas cov tib neeg tsis kam ua colonoscopy? Muaj ob peb yam tseem ceeb.
1. Tsis saib xyuas kev kuaj mob qog noj ntshav thaum ntxov
Qhov xwm txheej thiab kev tuag ntawm cov qog nqaij hlav hauv lub cev hauv Suav teb tau nce xyoo los ntawm ib xyoos, tab sis qhov ntau ntawm enteroscopy kuj tsawg. Cov pej xeem tsis tau tsim kom muaj kev nco qab ntawm kev kuaj lub cev tsis tu ncua, thiab txawm tias tsis txaus siab rau kev mob plab hnyuv loj vim qhov tsis yooj yim.
2. Qhov muag tsis pom kev ntshai
Nws yog rumored tias ua colonoscopy yog mob heev thiab yuav ua mob rau cov hnyuv, uas yuav ua tau txaus ntshai. Cov neeg uas tsis tuaj yeem kuaj xyuas kab mob colonoscopy yuav ib txwm mloog cov lus xaiv, tsim kev tsis ncaj ncees rau kev kuaj ntshav, thiab tsim kev ntshai qhov muag tsis pom.
3. Tsis xav haus tshuaj laxative
Ua ntej colonoscopy, nws yog ib qhov tsim nyog los haus cov tshuaj laxative los ntxuav cov hnyuv. Cov laxatives yog qab ntsev, astringent, thiab nyuaj rau nqos, nrog rau cov koob tshuaj loj txhua zaus. Cov neeg mob yuav muaj kev tsis xis nyob xws li tsam plab, xeev siab, thiab ntuav, uas tau dhau los ua ib qho laj thawj vim li cas tib neeg tsis kam kuaj ntshav colonoscopy.
4. Xav txaj muag
Lub npe hu ua colonoscopy yog los ntxig ib lub hose nrog kev sojntsuam mus rau hauv lub qhov quav txhawm rau txhawm rau kuaj xyuas cov hnyuv. Ntau tus neeg mob xav tias txaj muag kom tshem lawv lub ris thiab pom tias nws txaj muag kom nthuav tawm lawv tus kheej, yog li lawv tsis kam mus kuaj ntshav colonoscopy.
2, Kev kuaj kab mob colonoscopy li cas? Vim li cas koj yuav tsum haus cov tshuaj laxative?
Lub colonoscope siv lub tshuab endoscope hloov tau, nrog lub koob yees duab nyob rau hauv pem hauv ntej kawg ntawm ib tug slender hose. Thaum kuaj xyuas, lub hose yog ntxig los ntawm lub qhov quav mus rau hauv txoj hnyuv kab noj kom txog thaum nws mus txog qhov kawg ntawm ileum.
Tom qab lub colonoscope nkag mus rau hauv lub plab hnyuv kab noj hniav, lub koob yees duab nqa los ntawm nws yuav kis tau qhov teeb meem nyob rau hauv lub plab hnyuv kab noj hniav nyob rau hauv real-time mus rau lub computer nyob rau hauv daim ntawv ntawm cov duab. Cov kws kho mob tuaj yeem soj ntsuam qhov xwm txheej hauv cov hnyuv intuitively, thiab cov kab mob me me nyob ntawm ib nrais muag.
Nrog rau kev tshawb pom ntawm kev kho mob thev naus laus zis, cov colonoscopes qib siab kuj tseem tuaj yeem nthuav dav thiab siv hluav taws xob stained, uas yog qhov zoo dua rau kev kuaj mob qog noj ntshav thaum ntxov.
Tam sim no, colonoscopy hauv kev kho mob tuaj yeem muab faib ua cov tshuaj colonoscopy thiab tsis mob colonoscopy, nrog qee qhov sib txawv ntawm ob.
Ib txwm siv colonoscopy feem ntau yog siv tshuaj loog hauv zos ua ntej kuaj, yog li cov neeg mob yuav muaj kev tsis xis nyob xws li xeev siab thiab mob plab thaum kuaj.
Ua ntej tsis mob colonoscopy, tshuaj loog feem ntau yog muab tso rau hauv cov hlab ntsha. Cov neeg mob pw tsaug zog tsis pub dhau kaum vib nas this thiab tuaj yeem sawv sai sai tom qab kuaj xyuas. Tag nrho cov txheej txheem kuaj mob yuav kav ntev li ntawm 15-30 feeb, thaum tus neeg mob tsis hnov qhov tsis xis nyob. Tom qab kuaj xyuas, lawv tuaj yeem so li ib nrab teev ua ntej tawm mus.
Ua ntej colonoscopy, tseem muaj ib yam khoom tsim nyog, uas yog haus cov tshuaj laxatives.
Cov hnyuv loj tuaj yeem khaws thiab thauj khoom noj, tab sis tau kawg, kuj tseem tuaj yeem muaj cov quav. Kev tso cai rau cov neeg mob noj cov tshuaj laxative yog ua kom lawv cov hnyuv huv si, yog li ntawd thaum lub sij hawm colonoscopy, cov kws kho mob tuaj yeem soj ntsuam qhov mob ntawm cov hnyuv mucosa kom meej meej thiab raug txiav txim rau cov kab mob hauv plab.
3, Ib qho kev kuaj mob qog noj ntshav tuaj yeem ua kom muaj kev nyab xeeb 5 xyoos, tshwj xeeb tshaj yog rau cov tib neeg hauv qeb 7
Xyoo 2020, ib txoj kev tshawb fawb hauv Annals of Internal Medicine tau taw qhia tias qhov txiaj ntsig tsis zoo thiab qhov ua tau zoo ntawm txoj hnyuv tau cuam tshuam nrog kev txo qis ntawm qhov tshwm sim thiab kev tuag ntawm cov qog nqaij hlav hauv plab, thiab lub sijhawm tuaj yeem ncav cuag 17.4 xyoo.
Ib yam li ntawd, txoj kev tshawb fawb Polish ntawm 165887 cov ntsiab lus pom tau tias, tom qab 17.4 xyoo ntawm kev soj ntsuam, piv nrog cov kev mob qog nqaij hlav hauv plab tsis zoo, qhov tshwm sim ntawm kev mob qog nqaij hlav hauv plab hauv qhov tsis zoo ntawm cov qog nqaij hlav hauv plab tau txo qis los ntawm 45%, 46% thiab 54% raws li hauv 0-5 xyoo, 5.1-10 xyoo thiab 10.1-17.6 xyoo.
Ib txoj kev tshawb nrhiav tau pom tias 95% ntawm cov qog nqaij hlav hauv plab feem ntau yog tshwm sim los ntawm kev hloov pauv ntawm plab hnyuv polyps, thiab feem ntau nws yuav siv sijhawm 5-10 xyoo rau plab hnyuv polyps los ua mob qog noj ntshav. Lub hnub nyoog tshwm sim ntau ntawm cov qog nqaij hlav hauv plab yog tom qab hnub nyoog 55. Yog li ntawd, nws raug nquahu kom mus kuaj mob qog noj ntshav thawj zaug tom qab hnub nyoog 40 xyoo.

