Dangane da manoscopy (rectoscopy) yana nazarin dubun duban kuma sashe na sigmoid. Ana gudanar da wannan tsari tare da taimakon magungunan ƙarfe, wanda shine magwaji mai tsabta kamar kimanin centimita 30 tsawo kuma santimita 2 a diamita, tare da ruwan tabarau na musamman, mai hasken wuta da na'urar samar da iska. A lokacin jarrabawa, likita zai iya tantance yanayin mucosa na hanji, yanayin yanayin ciwon hanji, kafa ciwon ciwace-ciwacen ƙwayoyi, polyps, ciwace-ciwacen ƙwayoyi, ƙuƙwalwa, fashe, basur. Idan ya cancanta, yana yiwuwa a gudanar da biopsy (shan wani abu na m ilimi don bincike).
Yaya aka yi sigmoidoscopy?
Ana gudanar da tsari a cikin asibiti kuma yana daukan kawai 'yan mintuna.
Ƙararruwar masu haƙuri a karkashin ƙafar ka kuma an sanya shi a kan gado a cikin gindin gwiwa (zai fi dacewa) ko kwance a gefensa. Na farko, likita ya fara nazarin dubun duban. Sa'an nan kuma tube na rectoscope an lubricated richly da man fetal man da allura a cikin 4-5 inimita. An yi karin magudi a karkashin kulawa na gani. Rigon maganin ta atomatik yana ci gaba sosai tare da canjin na hanji, yin amfani da iska don fadadawa da kuma daidaita madogarar mucosa. A nesa na 12-14 inimita yawanci sauƙaƙa na hanji, sashi na dubun a cikin sigmoid, kuma idan mai haƙuri ba ya jin dadi sosai, jin dadi ba zai yiwu a wannan mataki ba.
Indications ga na hanji rectosurgery
An ba da wannan jarrabawa idan mai haƙuri yayi magana da masanin kimiyya tare da wadannan gunaguni:
- zub da jini;
- purulent ko mucous fitarwa daga dubura;
- ciwo a babban hanji;
- tare da tuhumar ciwon prostate a cikin maza ko ciwon ƙwayar ƙwayar jikin mace a cikin mata;
- a kan zato akan cututtuka masu ilimin cututtuka na hanji;
- tare da ciwon cututtuka na ciwon ƙwayar cuta da na kullum.
Yadda za a shirya don sigmoidoscopy?
Tare da sigmoidoscopy, mafi wuya da maras kyau bazai zama hanya ta kanta ba, amma shiriyar mai haƙuri ga shi. Ana daukan daga sa'o'i 24 zuwa 48 kuma yana buƙatar adadin yanayi.
Kwana biyu kafin binciken, kayan lambu, 'ya'yan itatuwa, sauran kayayyakin da ke dauke da adadin ƙwayoyin cuta ko ƙaddamar da gassing (alal misali, legumes) ya kamata a cire daga abinci.
Da tsakar rana da safiya a ranar jarrabawar, sai a tsabtace hanji. Don tsabtace hanji, akwai hanyoyi guda uku da suka fi dacewa:
- Shiryawa don sigmoidoscopy sa'a. Sojoji suna da karfi sosai, wanda ya kamata a dauka da ruwa mai yawa. A halin yanzu, ana amfani da wasu kwayoyi (flit, dyufalak) a maimakon haka. Don karɓar garuruwa da yamma kafin binciken ya buƙaci 2 kunshe na miyagun ƙwayoyi. Don tsarke fakiti daya ka ɗauki lita na ruwa ka sha ruwan magani akan gilashi kowace minti 15-20. Da safe, ana maimaita hanya. Lokacin zafi shine tsawon awa 1.5-2, don haka ya kamata a dauki akalla sa'o'i 3-4 kafin hanya.
- Shirya don sigmoidoscopy tare da microlax. Microlax yana da laxative, amma an yi nufi don gudanar da gyare-gyare. Da maraice a rana ta farko na jarrabawar, an yi wa allurar miyagun ƙwayoyi guda biyu tare da wani lokaci na minti 15-20. Da safe, sake maimaita hanya. Da maraice, zaka iya samun abincin abincin dare, da safe za ku guje cin abinci.
- Shiri tare da enemas. An yi amfani da shayar daji tare da shawo kan cutar sau biyu sau biyu, da maraice da safiya, kafin binciken. Da maraice ana bada shawara don sanya sau biyu enemas a kan lita 1 tare da karamin lokaci, ruwan dumi ba tare da addittu ba. Da safe, sake maimaita hanya har sai fitar da ruwa mai tsabta.
Mutane da yawa suna damuwa game da tambaya: yana da zafi don yin sigmoidoscopy? Hakika, jin dadin rashin jin daɗi a cikin wannan hanya ya taso, amma a gaba ɗaya ba shi da nakasa kuma an yi shi ba tare da maganin cutar ba. Dole ne maganin rigakafi ya faru ne kawai idan mai fama da cututtuka da fashe a cikin littafi mai tsabta.