Enema Barium

ʻO ka enema Barium kahi x-ray kūikawā o ka ʻōpū nui, i komo pū me ke kolona a me ka kiko.

Hana ʻia kēia hōʻike ma ke keʻena o ke kauka a i ʻole ka radiology haukapila. Hana ʻia ia ma hope o ka hakahaka a me ka maʻemaʻe o kāu kolona. E hāʻawi aku kāu kauka iā ʻoe i nā ʻōkuhi no ka hoʻomaʻemaʻe ʻana i kāu kolone.

Ma ka hoʻāʻo:

• Moe ʻoe i kou kua i ka papa ʻaina x-ray. Lawe ʻia kahi kiʻi x.
• E moe ʻoe ma kou ʻaoʻao. Hoʻokomo mālie ka mea mālama ola i kahi paipu lubricated maikaʻi (enema tube) i loko o kāu pā. Pili ka paipu i kahi ʻeke e paʻa ana i kahi wai i loaʻa ka barium sulfate. He mea ʻokoʻa kēia e hōʻike i nā wahi kikoʻī i loko o ke kolona, ​​e hana ana i kiʻi kikoʻī.
• Kahe ka barium i kāu kolona. Lawe ʻia nā kukuna X. Hiki ke hoʻonui ʻia kahi pāluna liʻiliʻi ma ka piko o ka Tube enema e kōkua i ka mālama ʻana i ka barium i loko o kou kolone. Mālama ka mea hāʻawi i ke kahe o ka barium ma ka pale x-ray.
• I kekahi manawa hāʻawi ʻia kahi ea liʻiliʻi i loko o ke kolona e hoʻonui ai. ʻAe kēia i nā kiʻi ʻoi aku ka maopopo. Kapa ʻia kēia hōʻoia he enemi barium enemi ʻokoʻa.
• Nonoi ʻia ʻoe e neʻe i nā kūlana ʻokoʻa. Kāleo iki ʻia ka pākaukau e kiʻi i nā manaʻo like ʻole. I kekahi mau manawa ke kiʻi ʻia nā kiʻi x-ray, ʻōlelo ʻia ʻoe e hoʻopaʻa i kou hanu a noho no kekahi mau kekona no laila ʻaʻole e blurry nā kiʻi.
• Lawe ʻia ka Tube enema ma hope o ka lawe ʻia o nā kukuna x.
• Hāʻawi ʻia ʻoe i kahi moena moe a i kōkua ʻia i ka lua, no laila hiki iā ʻoe ke hoʻonele i kou ʻōpū a hemo i ka nui o ka barium i hiki. Ma hope, 1 a 2 paha mau x-kukuna e lawe ʻia.

Pono e hakahaka kou ʻōpū no ka hōʻike. Inā ʻaʻohe hakahaka, e haʻo paha ka hōʻoia i kahi pilikia i kou ʻōpū nui.

Hāʻawi ʻia iā ʻoe nā ʻōkuhi no ka hoʻomaʻemaʻe ʻana i kou ʻōpū me ka hoʻohana ʻana i kahi enema a i ʻole nā ​​laxatives. Kapa ʻia kēia mea ʻo ka hoʻomākaukau ʻōpū. E hāhai pololei i nā ʻōkuhi.

No 1 a 3 mau lā ma mua o ka hoʻāʻo, pono ʻoe i ka papa wai māmā. ʻO nā laʻana o nā wai maopopo:

• Kope kope a kī paha
• ʻO ka bouillon momona ʻole a i ka moa paha
• ʻO Gelatin
• Mea inu haʻuki
• Nā wai huaʻai i hoʻoponopono ʻia
• Wai

Ke komo ʻo barium i kāu kolone, manaʻo paha ʻoe e pono ʻoe i kahi ʻōpū. Loaʻa iā ʻoe kekahi:

• ʻO ka manaʻo o ka piha
• Kahi i ka cramping koʻikoʻi
• Hōʻoluʻolu nui

Ke lawe nei i nā hanu lōʻihi a hohonu e kōkua iā ʻoe e hoʻomaha i ka wā o ke kaʻina hana.

ʻO ka maʻamau no ke keʻokeʻo keʻokeʻo no kekahi mau lā ma hope o kēia hōʻike. Inu wai keu no 2 a 4 mau lā. E noi i kāu kauka e pili ana i ka laxative inā ʻoe e hoʻomōhala i nā noho paʻa.

Hoʻohana ʻia ka enema Barium i:

• Kuhi a pale paha no ka maʻi ʻaʻai kolona
• Kuhi a nānā i ka ulcerative colitis a i ʻole Crohn maʻi
• Hōʻailona i ke kumu o ke koko i nā noho, ka maʻi diarrhea, a i ʻole nā ​​pā paʻakikī (paʻa paʻa)

Hoʻohana pinepine ʻia ka hoʻāʻo barium enema ma mua o ka wā i hala. Hana pinepine ʻia ʻo Colonoscopy i kēia manawa.

Pono e hoʻopiha i ka kolona i ke kolona, ​​e hōʻike pono ana i ke ʻōpū o ke ʻōpū a me ke kūlana a ʻaʻohe paʻa.

ʻO nā hopena hōʻike maʻamau ka hōʻailona o:

• Ka paʻa ʻana o ka ʻōpū nui
• ʻO ka hoʻopili ʻana o ke kolona ma luna aʻe o ka kiko (Hirschsprung maʻi i loko o nā pēpē)
• ʻO ka maʻi Crohn a i ʻole colitis ulcerative
• Ka maʻi ʻaʻai i ke kolona a i ʻole ka kiko
• Kaheʻe ʻana o kekahi ʻāpana o ka ʻōpū i kahi ʻē aʻe (intussusception)
• ʻO nā mea ulu liʻiliʻi e kū i waho o ka pale o ke kolona, ​​i kapa ʻia ʻo polyps
• ʻO nā ʻeke liʻiliʻi, ʻōhū a i ʻole nā ​​ʻeke o ka uhi o loko o ka ʻōpū, i kapa ʻia he diverticula
• Loop wili o ka ʻōpū (volvulus)

Aia ka hōʻike radiation haʻahaʻa. Nānā ʻia nā kukuna X i mea e hoʻohana ʻia ai ka nui o ka pāhawewe. ʻOi aku ka maʻalahi o nā wahine hāpai a me nā keiki i nā pōʻino x-ray.

ʻO kahi pōkole, akā koʻikoʻi, he puka kahi i hana ʻia i loko o ke kolona (kolona perforated) ke hoʻokomo ʻia ka Tube enema.

Papa moʻo o lalo; Māhele GI lalo; Ka maʻi ʻaʻai kala - Color GI series; Maʻi ʻaʻai Colorectal - barium enema; Maʻi Crohn - lalo GI moʻo; Maʻi Crohn - barium enema; Holo ka ʻōpū - lalo GI moʻo; Hoʻopau i ka ʻōpū - barium enema

• Enema Barium
• Ka maʻi ʻaʻai Rectal - x-ray
• Ka maʻi ʻaʻai Sigmoid kolona - x-ray
• Enema Barium

Boland GWL. Kolona a me ka pākuʻi. I: Boland GWL, hoʻoponopono. ʻO ke kiʻi Gastrointestinal: nā koina. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2014: chap 5.

Chernecky CC, Berger BJ. Enema Barium. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 183-185.

Lin JS, Piper MA, Perdue LA, et al. Ke nānā ʻana no ka maʻi ʻaʻai colorectal: hōʻike hōʻike hōʻike hou a me ka loiloi ʻōnaehana no ka US Preventive Services Task Force. JAMA. 2016; 315 (23): 2576-2594. PMID: 27305422 www.ncbi.nlm.nih.gov/pubmed/27305422.

ʻO Taylor SA, Plumb A. Ka ʻōpū nui. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology: He puke aʻo ʻike kiʻi. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Churchill Livingstone; 2015: chap 29.