Enema ea Barium

Enema ea Barium ke x-ray e khethehileng ea mala a maholo, a kenyeletsang colon le rectum.

Teko ena e kanna ea etsoa ofising ea ngaka kapa lefapheng la radiology la sepetlele. E etsoa kamora hore colon ea hau e se na letho ebile e hloekile. Ngaka ea hau e tla u fa litaelo tsa ho hloekisa kolone ea hau.

Nakong ea tlhahlobo:

• U rapaletse ka mokokotlo tafoleng ea x-ray. Ho nkuoa x-ray.
• Joale u robala ka lehlakore. Mofani oa tlhokomelo ea bophelo o kenya tube e tlotsitsoeng hantle (enema tube) kahare ea hau. Phala e hokahane le mokotla o ts'oereng mokelikeli o nang le barium sulfate. Ena ke thepa e fapaneng e totobatsang libaka tse ikhethileng ka har'a kolone, e etsa setšoantšo se hlakileng.
• Barium e phalla ka har'a colon ea hau. X-ray e nkoa. Balune e nyane ntlheng ea tube ea enema e kanna ea tšeloa moea ho thusa ho boloka barium kahare ho kolone ea hau. Mofani o lekola phallo ea barium skrineng sa x-ray.
• Ka linako tse ling moea o fokolang o isoa koloneng ho o holisa. Sena se lumella litšoantšo tse hlakileng le ho feta. Teko ena e bitsoa enema e fapaneng ea barium enema.
• O kopuoa ho fallela maemong a fapaneng. Tafole e kentsoe hanyane ho fumana maikutlo a fapaneng. Linakong tse itseng ha litšoantšo tsa x-ray li nkuoa, u bolelloa hore u phefumolohe 'me u khutse metsotsoana e seng mekae hore litšoantšo li se ke tsa hlaka.
• Tube ea enema e tlosoa kamora hore li-x-ray li nkuoe.
• Ebe o fuoa sekoaelo sa ho robala kapa o thusoa ho ea ntloaneng, ka hona o ka tšolla mala a hau le ho tlosa barium e ngata kamoo ho ka khonehang. Kamora moo, ho ka nkuoa li-x-ray tse fetang 1 kapa tse 2.

Mala a hau ha a hlokahale bakeng sa tlhatlhobo. Haeba li se na letho, tlhahlobo e ka 'na ea fetoa ke bothata mala a hao a maholo.

U tla fuoa litaelo tsa ho hloekisa mala ka ho sebelisa enema kapa litlolo. Sena se boetse se bitsoa ho lokisetsa mala. Latela litaelo hantle.

Bakeng sa matsatsi a 1 ho isa ho a 3 pele ho tlhahlobo, o hloka ho ba lijong tse hlakileng tsa mokelikeli. Mehlala ea lino tse hlakileng ke:

• Tlosa kofi kapa tee
• Bouillon kapa moro o se nang mafura
• Gelatin
• Lino tsa lipapali
• Mero ea litholoana tse sa hlatsoang
• Metsi

Ha barium e kena ka har'a kolone ea hau, o ka utloa eka o hloka ho tsamaea ka maleng. U kanna ua ba le:

• Boikutlo ba botlalo
• Cramping e mahareng ho isa ho e matla
• Bothata bo akaretsang

Ho hema nako e telele, e tebileng ho ka u thusa ho phomola nakong ea ts'ebetso.

Ho tloaelehile hore litulo li be tšoeu matsatsi a 'maloa kamora tlhahlobo ena. Noa maro ka matsatsi a 2 ho isa ho a mane. Botsa ngaka ea hau ka laxative haeba u ba le litulo tse thata.

Enema ea Barium e sebelisetsoa ho:

• Hlahloba kapa u hlahlobe kankere ea colon
• Hlahloba kapa ho lekola lefu la ulcerative colitis kapa lefu la Crohn
• Hlahloba sesosa sa mali ka litulo, letšollo, kapa litulo tse thata haholo (ho sokela)

Teko ea enema ea barium e sebelisoa hanyane ka hanyane ho feta nakong e fetileng. Colonoscopy e etsoa khafetsa hona joale.

Barium e lokela ho tlatsa kolone ka ho lekana, e bonts'a sebopeho se tloaelehileng sa 'mele le boemo mme ho se na li-blockages.

Liphetho tse sa tloaelehang tsa liteko e kanna ea ba sesupo sa:

• Thibelo ea mala a maholo
• Ho khutsufatsa kolone ka holim'a rectum (lefu la Hirschsprung ho masea)
• Lefu la Crohn kapa ulcerative colitis
• Kankere ka hara kolone kapa ka hare
• Ho thellisoa ha karolo e 'ngoe ea mala ho ea ho e ngoe (intussusception)
• Limela tse nyane tse tsoang ka ntle ho lesela la kolone, tse bitsoang li-polyps
• Mekotla e menyenyane, e phoroselang kapa mekotla ea bokahare ba kahare ba mala, e bitsoang diverticula
• Lupu e sothehileng ea mala (volvulus)

Ho na le kotsi e tlase ea mahlaseli a kotsi. X-ray e behiloe leihlo e le hore ho sebelisoe radiation e nyane haholo. Bakhachane le bana ba amehile haholo ka likotsi tsa x-ray.

Kotsi e sa tloaelehang, empa e tebile ke lesoba le entsoeng ka kolone (perforated colon) ha tube ea enema e kenngoa.

Letoto le ka tlase la masapo; Mokhahlelo o tlase oa GI; Kankere e hlakileng - letoto le tlase la GI; Kankere e hlakileng - enema ea barium; Lefu la Crohn - letoto le tlase la GI; Lefu la Crohn - enema ea barium; Thibelo ea mala - letoto la li-GI tse tlase; Thibelo ea mala - barium enema

• Enema ea Barium
• Kankere ea 'mala - x-ray
• Kankere ea Sigmoid colon - x-ray
• Enema ea Barium

Boland GWL. Colon le sehlomathiso. Ka: Boland GWL, ed. Litšoantšo tsa ka mpeng: The Requisites. La 4 ed. Philadelphia, PA: Elsevier Saunders; 2014: khaolo ea 5.

CC ea Chernecky, Berger BJ. Enema ea Barium. Ka: Chernecky CC, Berger BJ, bahlophisi. Liteko tsa Laboraro le Mekhoa ea Tlhatlhobo. La 6th. St Louis, MO: Elsevier Saunders; 2013: 183-185.

Lin JS, Piper MA, Palo ea LA, et al. Ho hlahloba kankere e khanyang: tlaleho ea bopaki bo ntlafalitsoeng le tlhahlobo e hlophisitsoeng bakeng sa Sesole sa Ts'ireletso ea US. JAMA. 2016; 315 (23): 2576-2594. PMID: 27305422 www.ncbi.nlm.nih.gov/pubmed/27305422.

Taylor SA, Plumb A. Mala a maholo. Ka: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, bahlophisi. Grainger & Allison’s Diagnostic Radiology: Buka ea Litšoantšo ea Bongaka ea Bongaka. La 6th. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: khaolo ea 29.