RRS ongororo: kugadzirira, mhinduro

Recto-manoscopy ndiyo nzira yekuongorora yekupedzisira inokubvumira kuti uone maitiro einus (anus), pamwe nekuongorora rectal mucosa. Mukuwedzera, kubvunzurudzwa kweRRS kunopa mukana wekuongorora nzvimbo dzakasiyana dze sigimidhi colon.

Zviratidzo zvekuitisa

Izvi zvinogadziriswa zvinoshandiswa pakuziva zvirwere zvemuviri uye kurapwa kwakakodzera. Semutemo, chirongwa cheRRS chinoratidzwa kuti chigone kushandiswa mumamiriro ekufungidzirwa kwehutachiona hwehutachiona, neropa, mucus kana pus kubva mumatumbo, zvinetso zvechigaro, uye zvisingaperi zvekuvhiringidza zvirongwa munzvimbo yepamusoro. Chiratidzo chekuongororwa uku ndechekudzivirira zvipembenene, chirwere chekenza chesafate mumarume, kana kuti incology yezvikamu zvepachiviri muvakadzi. Mukuwedzera, RRS mumatumbo inoshandiswa pakugadzirira kana zvimwe zvinogadziriswa zvinogadziriswa zvinodiwa (semuenzaniso, irrigoscopy kana colonoscopy). Inoshandiswawo kuitira kuonekwa kwezvironda uye mapepa ane mikana yekuunganidza zvinyorwa zvinyorwa zvinyoronyoro.

Contraindications. Kugadzirira kwevarwere

Kuongorora kweiyo rectum RRS haina kuitwa nekubuda ropa zvakanyanya, kana kune mwedzi unobuda ropa kune vakadzi, nekunetseka kukuru kweanus kana mimba dzomukati, pamwe chete nekakuvara kwakashata, kuberekwa kana kuti kunowana kuderera kwemukati mumatumbo.

Izvo zvinofanira kuonekwa kuti chinonyanya kukosha kuitira kuti tikwanise kuongorora rectum nenzira yekupedzisira ndeyekuchenesa kwakakwana kwemukati kubva mukati.

Saka, manheru ekuita kwekugadzirisa uku kunorayira kunamatira kune imwe kudya. Varwere vanomanikidzwa kuti varege kubvisa zvokudya zvavo zvitsva, miriwo, chingwa chine mutsvuku nemafuta, kabichi mune chero mhando uye mamwe mishonga inotungamirira ku flatulence (yakawedzera gadziriro yakagadzirwa mumatumbo).

Inofanira kurangarirwa kuti manheru manheru asati aongorora proctologist uye mangwanani ezuva rekuongororwa, chete shoma shoma yemvura inobvumirwa (iwe unogona kushandisa mvura ichiri kana cheki isina simba nehuga).

Kuchenesa kwematumbo ne enema

Kugadzirira sigmoidoscopy, manheru manheru usati wanyatsoongorora iwe unofanirwa kuita 2 kuchenesa zvigaro neminenge yemaminitsi gumi nemashanu. Mambakwedza, kucheneswa uku kwemukati kunofanira kudzokororwa. Kana kuongororwa kwe proctologist kuri kurongwa kwehafu yekutanga yezuva, kudya kwekudya kwakabvumirwa. Kana sigmoidoscopy ichizoitwa masikati, murwere anobvumirwa kudya kwemazuva ano, asi asati abva mumba, imwezve enema inofanira kuitwa.

Funga nezvedzimwe tsanangudzo yekuchenesa zvakakwana utumbo hwakadzika, sezvo pasina ruzivo rweRRS harwukwanisi.

Kuti uite eema yekuchenesa, iwe unofanirwa kugadzira mugoro weEsmarch, Vaseline, litsi yemvura (kutonhora kwayo hakufaniri kunge kunopfuura 20 ° C) uye katatu. Nzira iyi ndeyotevera:

• Tinozadza sangano nekutanga kutarisa kutonhora kwemvura;

• Simira mugomba waEsmarch pane imwe katatu pahupamhi hwemasendimita makumi matatu kubva kumunhu anofanirwa kucheneswa nemukumbo;

• Gadzira chidimbu chacho ne petroleum jelly;

• isa murwere kurutivi rworuboshwe (makumbo anofanira kukotama pamabvi uye zvishoma nezvishoma akaiswa kumimba);

• kuderedza zvigaro uye uise chidimbu mukati meanus 3 cm kusvika kumativi, uye ipapo 10 cm parallel to the spine;

• Zvadaro svinura vheji kuitira kuti mvura inopinda mumukumbo.

Ndinoita sei eema yekuchenesa ini?

Kuti uite izvi, unofanirwa kutora nzvimbo yebvi-bhodhi muimba yekugezera, sendamira pahota yako, uye isa ruoko rwako muchikamu chako neruoko rwako rusununguko. Ita izvi zvishoma nezvishoma uye zvakanyatsonaka. Mushure meizvi, unoda kuzarura Esmarch mug crane uye kuisa mvura. Kana kurwadziwa kunonzwika, kudya kwemvura kunofanira kudziviswa uye kumirira nguva shomanana, kufema pamwe chete uye kuputira mudumbu.

Inofanira kuonekwa kuti zvakakosha kudzora huwandu hwemvura yakatangwa (haufaniri kudarika mairi maviri). Kana uchida kuchenesa zviri nani mumatumbo, zvinokurudzirwa kubata mvura yacho kwemaminitsi gumi. Kana zvichibvira, unogona kufamba kana kurara pamudumbu mako.

Kana uchida kuisa 2 kuchenesa, iwe unogona kuita kuputsa pakati pavo maminitsi 45. Izvi zvakakosha kuitira kuve nechokwadi chokuti mvura yokushambidza inoyerera ichibva kure inema yekutanga.

Pachikumbiro chemurwere, microclysters chaiyo inogona kushandiswa (semuenzaniso, "Mikrolaks"). Dzinoshandiswa rectally. Pharmacological action inoonekwa pashure pemaminitsi gumi nemashanu.

Kugadzirira sigmiidoscopy pasina enema

Kuti uite izvi, tora mishonga yakakodzera yemishonga. Kazhinji kacho zvinowanzoshandisa zvinotevera:

• Fortrans. Manheru manheru asati aongorora, murwere anofanirwa kunwa kubva pa3: 00 kusvika pa8: 00 masikati matatu emvura, umo zvakakosha kuputsa mapepa matatu ezvakagadzirwa pamusoro apa. Inenge inofanira kudyiwa neawa imwe yegadziriswa neawa. Manheru kudya mangwanani kunorambidzwa.

• Zvinyorwa. Pakati pezuva re sigmoidoscopy, unoda kunwa 2 litres emvura kubva pamasere gumi nemasere kusvika makumi maviri, kupera 200 ml yesira mairi. Kudya kwemazuva mashoma pazuva rekuongorora kunorambidzwawo.

• "Flit Phospho-soda". Kana rutsva rweRRS rwuri kurongwa kwehafu yekutanga yezuva, uye mangwanani mangwanani kusati kwaitwa nzira panzvimbo yekudya kwekudya mangwanani-ngwanani kunofanira kunwa mvura yakachena. Inogona kuva yeti kana kofi, juice isina pulp kana kuti isina-carbonated soft drink. Zvadaro mu 100 ml yemvura inotonhorera zvakakosha kuputsa imwe sachet yekugadzirira uye kunwa mhinduro. Mukuita kudaro, inofanira kushambidzwa pasi ne 2 magirazi emvura inotonhora. Panzvimbo yekudya kwemasikati, unofanirwa kushandisa 800 ml yemvura yakachena, panzvimbo yekudya - rimwe girazi. Mushure meizvozvo, iwe unoda kunwa imwe pikiti yemishonga nenzira imwechete seyo mangwanani.

Zviratidzo zvechimiro chechimirochi

Nzira yeRRS inoshandiswa zvakasimba pane dumbu risina chinhu. Nokuda kwekuongororwa, murwere anofanira kubvisa nguo dzake pasi pechiuno uye atore nzvimbo yebvi-bhodhi pamubhedha. Nokurwadziwa kwakanyanya mune anus, sigmoidoscopy inoitwa neanesthesia yekunzvimbo. Kumugumo uyu, shandisa mafuta ne dicain. Perianal blockade inogona kuitwa. Kana zvichidiwa, general anesthesia inoshandiswa.

Chiremba zvishoma nezvishoma anounza rectoscope mu rectum uye anoifambisa mberi, achidyisa mhepo zvine mwero, izvo zvinoita kuti zvikwanise kururamisa maruva emukumbo uye kukurudzira kuona zvakanaka kwemucosa. Zvadaro bvisa obturator uye pasi pechiratidzo chekuona rectoscope inosvika kune sigmoid colon. Mushure mekuongororwa, bhuti rinobviswa kubva pachiedza chemukati mukati mezvinyorwa zvese, zvichienderera mberi nekuongorora.

Zvinofanira kuonekwa kuti kuongorora kweRRS kwakachengeteka zvakakwana, kana bedzi iyo inenge isiri yakarurama , chirwere chemuviri chinogona kuitika , izvo zvinoda kupindira nokukurumidza kupindira.

Kuongorora nezve sigmoidoscopy

Pakarepo unoda kutaura kuti kuongorora uku hakubatsiri, asi, zvechokwadi, hakufadzi. Vamwe varwere havanzwisisi nhamo chero ipi zvayo, nepo vamwe vanoda chikamu chinonzi anesthesia. Kazhinji kacho kugadzirisa chinokanganisa mafungiro ekureva sigmoidoscopy, inotya maitiro ayo.

Kuziva zvirwere zvakadai sekenza ye rectum kana sigmoid colon, uyewo chironda chekurwara kana chirwere cheCrohn, shandisa urongwa hweRRS. Zvinotaurwa navanachiremba pamusoro pezviitiko izvi zvakanaka, sezvo zvichikosha pakuongororwa nemarwadzo emimba, ropa kana zvimwe zvakasvibiswa muzvigaro, kuvhiringidzika kwenguva refu kana chirwere, uye kuperevedza kwesimbi kusina anemia, etiology iyo isingazikamwi.

Inofanirawo kuonekwa kuti inokurudzirwa kuita sigmoidoscopy kuvanhu vose mushure memakore makumi mashanu nemashanu kuti vaone kusangana kwezvinyorwa mumatumbo. Nekuyerwa kwehutano, iyi nzira inofanira kuitwa gore negore.