ʻO Sigmoidoscopy

ʻO Sigmoidoscopy kahi hana i hoʻohana ʻia e ʻike ai i loko o ka kolamu sigmoid a me ka pololei. ʻO ke kolamu sigmoid kahi o ka ʻōpū nui kokoke i ka pololei.

Ma ka hoʻāʻo:

• Moe ʻoe i kou ʻaoʻao hema me kou mau kuli i huki ʻia i kou umauma.
• Hoʻokomo mālie ke kauka i kahi manamana lima i hoʻopulima ʻia a lubricated i loko o kāu kiko e nānā ai no ka poloka a hoʻonui ākea (dilate) i ka anus. Kapa ʻia kēia he hoʻokolohua hoʻokolohua pololei.
• A laila, kau ʻia ka sigmoidoscope ma o ka anus. ʻO ke ākea kahi paipu maʻalahi me kahi kāmela i kona hope. Hoʻoneʻe mālie ʻia ka laulā i kāu kolona. Hoʻokomo ʻia ka ea i loko o ke kolona e hoʻonui i ka wahi a kōkua i ke kauka e ʻike i ka wahi ʻoi aku ka maikaʻi. Hoʻokumu paha ka lewa i ka ʻiʻini e loaʻa i kahi ʻōpū a i ʻole e hele i ke kinoea. Hiki ke hoʻohana ʻia ke omo e hoʻoneʻe i ka wai a i ʻole ka noho.
• ʻO ka pinepine, ʻike ʻia nā kiʻi i ka wehewehe kiʻekiʻe ma kahi nānā wikiō.
• Lawe paha ke kauka i nā laʻana kiko me kahi mea hana biopsy liʻiliʻi a i ʻole ka pahele keleawe lahilahi i hoʻokomo ʻia ma o ka laulā. Hiki ke hoʻohana ʻia ka wela (electrocautery) e wehe i nā polyps. Hiki ke kiʻi ʻia i nā kiʻi o loko o kou kolone.

Hiki paha ke hana ʻia ʻo Sigmoidoscopy e hoʻohana ana i kahi pae ʻoʻoleʻa e mālama i nā pilikia o ka anus a i ʻole ke kiko.

E haʻi aku kāu mea mālama ola iā ʻoe pehea e hoʻomākaukau ai no ka hoʻokolohua. E hoʻohana ʻoe i kahi enema e ninini i kou ʻōpū. Hana pinepine ʻia kēia i hoʻokahi hola ma mua o ka sigmoidoscopy. ʻO ka pinepine, e paipai ʻia kahi kekona enema ʻelua a i ʻole hāʻawi paha kāu mea hāʻawi i kahi laxative wai i ka pō ma mua.

I ke kakahiaka o ke kaʻina hana, noi ʻia ʻoe e hoʻokē ʻai me ka ʻokoʻa o kekahi mau lāʻau. E nānā pono i kēia me kāu mea hoʻolako ma mua. I kekahi manawa, noi ʻia ʻoe e hāhai i ka papa wai maikaʻi i ka lā ma mua, a i kekahi manawa ʻae ʻia kahi papaʻai maʻamau. E kūkākūkā hou me kēia me kāu mea hoʻolako ma mua o kāu lā hoʻokolohua.

I ka wā o ka hoʻokolohua ʻike paha ʻoe:

• Kaomi i ka wā o ka hoʻokolohua hoʻokolohua pololei a i ʻole ke kau ʻia ka laulā i kāu pā.
• ʻO ka pono e loaʻa kahi ʻōpū.
• ʻO kekahi bloating a cramping paha i hoʻokumu ʻia e ka ea a i ʻole ke kīloi ʻana i ka ʻōpū e ka sigmoidoscope.

Ma hope o ka hoʻāʻo, e hele ana kou kino i ka ea i hoʻokomo ʻia i kāu kolona.

Hāʻawi ʻia nā keiki i ka lāʻau e hiamoe māmā ai (hoʻoluʻu ʻia) no kēia kaʻina hana.

E ʻōlelo paha kāu mea hāʻawi i kēia hoʻāʻo e nānā no ke kumu o:

• Abdominal eha
• ʻO ka maʻi pākī, ka paʻa paʻa, a i ʻole nā ​​hoʻololi ʻē aʻe i ke ʻano o ka ʻōpū
• Koko, ʻū, a i ʻole nū i loko o ka pahu
• ʻO ke kaupaona hiki ʻole ke wehewehe

Hiki ke hoʻohana ʻia kēia hōʻike i:

• E hōʻoia i nā mea i loaʻa no kahi hōʻike ʻē aʻe a i ʻole nā ​​x-ray
• Pākuʻi no ka maʻi ʻaʻai kala a polyps paha
• E lawe i kahi biopsy o kahi ulu

ʻO kahi hopena hōʻike maʻamau e hōʻike ʻole i nā pilikia me ke kala, ʻano, a me ka nui o ka uhi o ke kolamu sigmoid, mucosa rectal, a me anus.

Hiki i nā hopena maʻamau ke hōʻike:

• Nā māwae anal (hoʻokaʻawale iki a haehae paha i ka lahilahi, a maʻū ka mea i uhi i ka anus)
• Anorectal abscess (hōʻiliʻili o ka pus ma kahi o ka anus a me ka pololei)
• Ka poloka o ka ʻōpū nui (Hirschsprung maʻi)
• Kanesa
• Nā polyps kala
• Diverticulosis (ʻeke kūpono ʻole i ka uhi o nā ʻōpū)
• Hemorrhoids
• Maʻi maʻi ʻōpū
• Hoʻonā a maʻi paha (proctitis a me colitis)

Aia kahi makaʻu iki o ka ʻōpū o ka ʻōpū (e haehae ana i kahi lua) a ke kahe nei ke kahe ma nā wahi biopsy. Heʻuʻuku loa ka makaʻu nui.

Flexible sigmoidoscopy; Sigmoidoscopy - maʻalahi; Proctoscopy; Proctosigmoidoscopy; Sigmoidoscopy ʻoʻoleʻa; ʻO ka sigmoidoscopy maʻi ʻaʻai Kolona; Colorectal sigmoidoscopy; Sigmoidoscopy Rectal; Kahe koko gastrointestinal - sigmoidoscopy; Kahe koko - sigmoidoscopy; Melena - sigmoidoscopy; Koko i ka noho - sigmoidoscopy; Polyps - sigmoidoscopy

• Kolonekia
• Ka maʻi ʻaʻai Sigmoid kolona - x-ray
• ʻO Biopsy Rectal

Pasricha PJ. Endoscopy Gastrointestinal. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 125.

Rex DK, Boland CR, Dominitz JA, et al. ʻO ka loiloi ʻana i ka maʻi ʻaʻai Colorectal: nā ʻōlelo aʻoaʻo no nā kauka a me nā mea maʻi mai ka U.S. Multi-Society Task Force on Colorectal Cancer. ʻO Am J Gastroenterol. 2017; 112 (7): 1016-1030. PMID: 28555630 www.pubmed.ncbi.nlm.nih.gov/28555630/.

ʻO Sugumar A, ʻo Vargo JJ. Hoʻomākaukau a me nā pilikia o ka gastrointestinal endoscopy. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 42.