Tsai, Gurasa, Ƙwayar cuta, da Ƙari
Kwanan ka ji yadda yawancin mallaka suka kasance akan hana ciwon daji na ciwon . Cibiyar Ciwon Kankara ta Amirka ta bada shawarar cewa farawa a shekaru 50, dukkanin maza da mata a matsanancin haɗari ga ciwon ciwon daji ya kamata a samu kowanne shekaru 10 (ko daya daga cikin wadannan hanyoyin a kowace shekara biyar: CT colonography, sigmoidoscopy sigmoidoscopy, enema).
Kuna iya jin dadi game da yadda haɗarin mallaka yake. Akwai matsaloli masu yawa, kuma wasu mutane suna da haɗari mafi girma a gare su fiye da wasu, amma bishara shine cewa duk suna da wuya. Ƙara koyo game da hadarin da kuma yadda za a rage su.
Rashin haɗin Colonoscopy
Rashin haɗarin colonoscopy ya hada da zubar da jini mai tsanani, tsinkayuwa na hanzari (kunna rami a gut), kamuwa da cuta, mummunan aiki ga magunguna, da kuma ciwon zuciya. Duk da haka, waɗannan rikice-rikice ba zai yiwu ba kuma suna da mawuyacin yawa tare da mallaka na ɓangaren da ba su haɗu da ƙwayar polyp . Risks sun hada da:
- Tsayawa
- Bleeding
- Lafiya na Postpolypectomy
- Kamuwa da cuta
- Sakamakon maganin cutar (mafi yawancin zuciya da damuwa na numfashi)
- Colonoscopy prep rikitarwa
- Sakamakon qarya
- Ƙananan rikice-rikice masu wuya (kamar rupture na tayi, diverticulitis , da kuma fashewa na gas)
- Mutuwa
Ta yaya Sau da yawa matsaloli faruwa
Yayinda ƙananan cututtuka irin su bloating su ne na kowa, kawai kimanin kashi 1.6 cikin dari na mutanen da ke fama da matsalolin mallaka wanda yake da tsananin isa ga garanti don yin ziyara ta gaggawa ko kuma asibiti.
Ka tuna cewa wannan ya hada da waɗanda suka cire polyps da waɗanda ba su da, wadanda ke da yanayin likita da ake bukata a cikin koyaswa, da waɗanda suka tsufa ko marasa lafiya. Kusan kashi 85 cikin dari na rikitarwa suna da dangantaka da polyp cire.
Yi la'akari da kowane yiwuwar wahala.
Tsinkaya: Tsayawa yana daya daga cikin mafi girma da tsoro a lokacin mallaka. Wannan zai iya faruwa a lokacin da wani katako na katsewa ta hanyar zubar da hanji da kuma cikin kogin peritoneal sakamakon sakamako na inji, saboda barotrauma, ko a aiwatar da cire wani polyp. Hadarin ya bambanta daga kasa da kashi 0.01 a cikin waɗanda suke da alamar maganin mallaka kawai zuwa kashi 0.3 bisa dari waɗanda aka yiwa polyp cire, tare da mummunar haɗari na kashi 0.05.
Gurasa: Ƙananan jini da jini mai saurin wucewa yana bin binoscopy. Haɗarin zubar da jini mai mahimmanci, duk da haka, yana da 2.6 daga 1,000 ga wadanda suke da mallaka na mallaka, har zuwa 9.8 daga 1,000 ga wadanda aka cire polyp. Rashin haɗari ya fi girma ga waɗanda suka fi girma polyps cirewa, ga waɗanda ke da matsala marar kyau, kuma ga waɗanda ke shan jini thinadd Coumadin ( warfarin ).
Cutar cutar Postpolypectomy: Ciwo na Postpolypectomy yana ciwo da ciwon zuciya wanda ke da alaka da cautery lokacin da aka cire polyp. Ana kuma kira postpolypectomy electrocoagulation ciwo. Hakan ya faru ne daga uku a cikin 100,000 zuwa daya cikin mutane 1,000 (kashi 0.003 zuwa 0.1 bisa dari.) Abun cututtuka, wanda zai fara zuwa kwana biyar bayan tafiyarwa, ya hada da ciwo, zazzabi, da kuma ƙwayar jini .
Kamuwa da cuta: Kwayoyin kwayoyin jini (kwayoyin jini a cikin jini) yana faruwa har zuwa kashi 25 cikin dari na mutane, amma wannan yana da wuya a haifar da matsaloli. Wadanda ke da lahani na zuciya (alal misali, saboda gunaguni na zuciya) ya kamata dauka maganin rigakafin rigakafi kafin aikin. Hasarin kamuwa da cuta mai tsanani kamar su peritonitis (kamuwa da cuta a cikin rami na ciki) abu ne mai wuya.
Abubuwan da ake yi wa jijiyar jiki: Labaran da aka ba don mallaka, wanda ake kira " barci maraice ," yana da alaka da zurfin cutar, amma yana iya haifar da matsalolin lokaci. Rashin haɗari na kowa shine cardiopulmonary kuma sun haɗa da hypoxia (rashin isashshen oxygen a cikin jini), ciwon huhu da ciwon zuciya, da kuma zuciyar zuciya. Rashin halayen rashin tausayi ga magunguna masu magungunan magani na iya faruwa. Babban haɗarin rikice-rikice na ƙananan zuciya shine kimanin tara daga mutane 1,000.
Colonoscopy Prep Complications: Ko da yake colonoscopy prep ne m, yawancin mutane yi haƙuri da shi sosai. Matsaloli na iya faruwa ga waɗanda ke da yanayi irin su ƙwayar zuciya da kuma koda.
Maganganun ƙarya: Wani mummunar mummunan yakan faru yayin da cutar ta kasance amma jarrabawar binciken ba zata gano cutar ba. Idan polyp ko ciwon ciwon daji ya kasance, amma ba a gano a kan mallaka ba, wannan za a dauki ƙarya mummunan. Sakamakon ƙaryar maƙarƙashiya ya bambanta, dangane da kwarewar likitan da yake aiki da hanya da hanyar da ake amfani dashi don yin rahoto. Babban haɗarin mummunar sakamako (idan wani ya tasowa ciwon ciwon ciwon daji yayin da yake ci gaba da gwajin gwajin cutar ciwon daji a cikin shekaru uku na baya) ya kasance tsakanin kashi 3.5 da kashi 7.
Ra'ayoyin Rare: Akwai matsaloli masu yawa wadanda suka faru bayan sunadarai. Wasu daga cikin wadannan sun hada da rupture na sutura da diverticulitis. Rashin fashewa na Gas, wanda zai iya haifar da haɗuwa da hydrogen da methane da aka hada da oxygen da na'urar lantarki, yana da wani abu mai ban mamaki.
Mutuwa: Rashin mutuwa da ke da alaka da colonoscopy yana da ragu, an kiyasta a tsakanin .007 da kashi .03 bisa dari. Wani binciken a shekarar 2010 ya gano cewa daga cikin mutane fiye da 371,000 da ke fama da maganin mallaka, akwai mutuwar 128 daga kowane dalili. Idan akai la'akari da cewa ana yin gyaran mallaka a kan tsofaffi da wadanda ke da wasu likita, wannan lambar ba ta da kyau.
Abin da Ya Ƙara Hadarinka don Ƙaddamarwa
Lissafi suna ba da labari game da matsananciyar hadarin matsalolin, amma haɗarin mutum ɗaya na iya bambanta dangane da dalilai da dama. Wasu takamaiman abubuwan da ke kawo haɗarin ku sun hada da:
- Sakamakon cire polyp: A lokacin da aka gano polyps kuma an cire shi a lokacin colonoscopy, akwai yiwuwar hadari ga lalacewa da zub da jini, idan aka kwatanta da lokacin da aka yi amfani da rubutu akan shi kuma ba a gano polyps ba.
- Ya tsufa
- Sauran yanayi na kiwon lafiya: "Yanayin Comorbid" kamar cututtukan zuciya suna kara haɗarin rikitarwa.
- Amfani da jini masu rarrabe: Aspirin asali , wadda ba ta kara yawan hadarin zub da jini, amma yana rage haɗarin rikice-rikice na zuciya.
Rage raunin Rikicin Colonoscopy
Bayanin mallaka na mallaka zai taimaka wajen tabbatar da cewa likitanku yana da cikakken ra'ayi yayin yadawa ta wurin dinku. Sauran hanyoyin da za a rage haɗarin rikitarwa sun hada da:
- Zabi hanyar da ya dace: Yi amfani da gastroenterologist mai ƙwaƙwalwa don yin aikin, kamar yadda ya saba da likitan likitanku.
- Ka kasance mai ban mamaki: Tabbatar ka bi sha'idodin daidai a yayin da kake yin amfani da salon.
- Tambaya don madadin: Tabbatar cewa anesthesiologist wanda ya shahara zai kasance a yayin aikin idan kana da mummunan dauki ga magunguna.
- Yi kyan gani game da wuri: Zabi asibitin ko asibitin da ke yin babban adadin waɗannan hanyoyin. Nazarin ya nuna cewa wurare da ke yin babban adadin mallaka na mallaka suna da ƙananan kudi fiye da wadanda ba su da yawa.
- Yi hanya a ko kusa da asibitin: Idan ƙwaƙwalwar ƙafa ta auku, kuna so ku sami damar gyara ta nan da nan.
- Tambaya game da matsa lamba na ciki: Ka tambayi likitanka idan ya yi niyyar yin amfani da matsa lamba na ciki a yayin da yake cikin hawan. Wani binciken da aka wallafa a Cibiyar Gastroenterology Nursing ya gano cewa kasuwa da tsawon lokaci, da rashin jin daɗi zai iya ragewa idan likita ya yi amfani da wasu takaddun motsi na ciki lokacin aikin.
Me yasa Colon Cancer Screenings Ajiye Rayuwa
Bayan nazarin yiwuwar rikice-rikice na colonoscopy, yana da muhimmanci a jaddada cewa colonoscopy zai iya ceton rayuka. Ko da yake akwai wasu muhawara game da tasirin ciwon nono da kuma bayyanar cutar ta prostate , maganin ciwon daji na ciwon yana nuna bambanci kuma yana da alhakin rage yawan mutuwa daga ciwon daji. Duk da haka, ciwon daji na ciwon ya zama abu na uku da ya haifar da mutuwar mutane da suka shafi ciwon daji.
Labaran ciwon kankara yana da mahimmanci a cikin cewa za'a iya amfani dashi don rigakafi da ganowa da wuri. Lokacin da aka gano polyps kuma an cire su a cikin matakan da suka dace, haɗin mallaka zai iya taimakawa wajen karewa. Lokacin da aka gano magunguna na farko, haɗin mallaka zai iya zama hanya don ganowa da wuri.
Amfani da Risks da Amfanin
Ya kamata ku sami ladabi ? Amsar ga mafi yawan mutane shi ne saboda saboda amfanin da ya dace ba zai iya wuce hadarin ba. Colonoscopies suna daga cikin kayan aikin da suka fi samun nasara don hana ciwon daji. Duk da haka, yi magana da likitanka game da abubuwan da ke tattare da haɗarinka idan kana da haɗari mafi girma ga rikitarwa fiye da mutum.
> Sources:
> Ƙasar Amirka don Gastrointestinal Endoscopy. Rarraban Colonoscopy. 2011. http://www.asge.org/assets/0/71542/71544/56321364-c4d8-4742-8158-55b6bef2a568.pdf
> Ranasinghe, I., Przynski, C., Searfoss, R., et al. Differences a cikin Colonoscopy Quality Daga cikin Facilities: Ƙaddamar da Post-Colonoscopy Hazard-Standardized Rate na Asibiti Baƙi. Gastroenterology . 2016 150 (1): 103-113.
> Reumkens, A., Rondagh, E., Bakker, C., Winkens, B., Masclee, A., da S. Sanduleanu. Bayanan Post-Colonoscopy: Saurin Tattalin Arziki, Ra'ayin Lokacin, da Nazarin Meta na Nazarin Jama'a. Jaridar American Journal of Gastroenterology . 2016 111 (8): 1092-101.
> Stock, C., Ihle, P., Sieg, A., Schubert, I., Hoffmeister, M., da kuma H. Brenner. M abubuwa da ake buƙatar Harkokin Lafiya A cikin 30 Bayan Bayan Outpatient magancewa da kuma Nonscreening Colonoscopies. Gastrointestinal Endoscopy . 2013. 77 (3): 419-29.