Colonoscopy of the intestine
Response: Colonoscopy of the intestine - if there are indications for carrying out, it is necessary to do.
Will help to make the correct diagnosis
Maybe sick, oh do not be afraid.
Hello. Has decided to tell to you about such procedure as colonoscopy of an intestine which did or made two times. The intestine is one of the most important organs of man, and it must be healthy. Now probably more likely vrekremsh person with a healthy bowel, but people with problems much more. I also encountered these problems. After prolonged treatment and use of pills, my intestines failed. Previously, I did not complain about his work, well, the maximum reaction to certain products, to which the intestines react in the same way. So after a long wanderings around the doctors who said different diagnoses that were not confirmed, the tests were fine, I decided to go through a colonoscopy. In other words, the examination of the intestine by the endoscope, also that of phlogs, only on the other hand. In general, I am very worried about any occasion, and I am afraid of hospitals in general to horror, especially what kind of examinations, on this very worried about the procedure itself, and the result, was afraid of something terrible. Now about the procedure itself and preparation for it. The day before the procedure, you can not eat anything, a maximum of breakfast. Then you need to drink a special solution for cleaning the intestines, it is sold in a pharmacy, and drunk according to the scheme, I do not remember exactly, well, the instructions are written. It's complicated, for me at least it was. The very taste of it, sweetishly salty, vile, and nauseated, still wanted naturally. As soon as it starts to work, it starts endlessly, running to the toilet, I ran every 10 minutes, so at this time I need to stay at home. And the next day I went to the hospital, and the procedure began. Firstly, there was a constriction, a male doctor, introduces an endoscope in the ass! The very process of input, so to speak, painless. Painful sensations begin when they begin to inflate the intestines with air, in order to see his condition. By the way there was a modern equipment, a color monitor on which the video even tinyusenkte sosudiki. I thought I would burst, from this air, I sweated, and turned pale, and even my lips were numb, it was terrible, the doctor calmed me down. The procedure itself did not last long, a few minutes, I thought eternity passed. What a relief, when the endoscope was finished, I was so happy. As a result, my intestines were looked at 68 centimeters, I did not go any further, because I had a decent inflammation. Then the sensations were also not very, since the air that was poured into the intestine, created colic. The air had to be released, ran through all the toilettes, and then I got home yet, and the house was already relieved. The doctor prescribed treatment for me, I was treated somewhere for a month and a half and had to repeat all this. Again this terrible preparation and the procedure itself. But! Most importantly, the second time, I did not even hurt at all when I was inflated with air, almost did not notice, you can say. And why? Because, as I later learned, if everything is good with the intestine, then it is absolutely painless, and after treatment my condition and work improved, so I felt almost nothing. The second time I even looked at the monitor and saw my intestines and what the doctor does, he told me what, where and what. The image is so clear that I saw tonusenkie sosudiki, bubbles. To what I generally write, If you are concerned about the intestines, and this is not just food poisoning, you should proceed to know what to be treated for. This is the most informative type of examination of the intestine, as it allows the doctor to see the state of your intestines, and to make an accurate diagnosis.
Year of use of services:
Overall Impression. if there is evidence for carrying out, it is necessary to do.
Intestinal examination: colonoscopy
Cancer of the large intestine has recently come to the third place in the structure of total mortality from cancer. Conducted scientific studies convincingly prove that early diagnosis can significantly improve the effectiveness of subsequent treatment
Colonoscopyis a highly informative endoscopic examination, during which the condition of the colon and even the terminal part of the small intestine is visually assessed. If necessary, the examination can be supplemented by taking samples of pathologically altered areas of the intestine for subsequent examination under a microscope (biopsy).
Indications for colonoscopy
The main indications forcolonoscopyare abdominal pain, periodic discharge of blood from the rectum. It is also necessary for dispensary observation of patients with previously detected colon neoplasms or chronic colitis. Urgent colonoscopy is performed with intestinal obstruction, bleeding and a foreign body in the large intestine. Colonoscopy is considered the gold standard in the diagnosis of colon tumors. With modern equipment, it is well tolerated by patients.
According to the materials of American authors, a colonoscopy performed in the presence of the above indications makes it possible to reduce the frequency of lethal outcomes in colorectal cancer by 75%.
Preparing for a colonoscopy
For a detailed examination of the mucous membrane of the colon, it is necessary that in its lumen there is no intestinal contents. The success and informative nature of the study is largely determined by the quality of preparation for the procedure.
There are two main methods of colon cleansing: traditional (with the help of enemas and additional reception laxatives) and medicamentous (with the help of specially created for this purpose preparation Fortrans, France).
In preparation for the traditional scheme at 16-17 hours of the day preceding the study, the patient takes 30-40 g castor oil, then in the evening the patient is made two cleansing enemas (volume of, l), using ordinary water temperature 25-26 С. In the morning on the day of the study, two more cleansing enemas are made.
Packing Fortrans, designed for one patient, consists of four sachets. Each of them is dissolved in one liter of boiled water (you can use drinking water without gas). The prepared solution is taken in fractional portions (1 glass in 15-20 minutes) for 2-4 hours. The solution can be drunk with boiled water or juice; enemas with this method of preparation do not.
With constipation for any preparation 3-4 days before the test, you need to go to a special slag-free diet, Excluding from the diet fresh vegetables and fruits, beans, black bread, cabbage (both fresh and past culinary processing).
Disadvantages of methods of preparation for a colonoscopy
The main drawback of the traditional method of preparation is the need to use cleansing enemas and taking an oil laxative. Minus the scheme using Fortrans - its relatively high cost. With the traditional method, the incidence of inadequate preparation is higher than when applying the scheme with Fortrans. However, this is largely due to the inability of a number of patients to do cleansing enemas or using less effective laxatives instead of castor oil (bisacodyl, senade, etc.). Castor oil is not recommended for patients with cholelithiasis. it can provoke an exacerbation.
How is colonoscopy performed?
The study is performed by an endoscope-colonoscope, which is a flexible device in the form of a tube with a working length of 140-170 cm and a diameter of 9-11 mm. The main component of the colonoscope is an optical system that allows you to examine the lumen of the intestine. The source of light is a halogen or xenon lamp, i.e. so-called cold light is used, which excludes the burn of the intestinal mucosa.
The endoscope is inserted into the anus in the patient's position on the left side. After the apparatus is placed in the sigmoid colon, the patient is placed on his back and in this position a further investigation is made. The doctor advances the apparatus in the lumen of the intestine and studies the state of the mucous membrane and the functional characteristics of its various departments. The endoscope gradually moves forward with a moderate air supply to spread the lumen of the intestine. Often, the assistant presses on the different areas of the patient's stomach during the examination to facilitate the carrying out of the apparatus. The duration of a colonoscopy is usually about 20-30 minutes.
Endoscopic examination of the colon is a rather complicated procedure in the technical sense, therefore, when it is performed from the patient, the instructions of the doctor and the nurse must be strictly followed. Perhaps the patient feels uncomfortable during the study, but the doctor always takes all measures to reduce these unpleasant sensations. In many respects the exact adherence to instructions helps to reduce discomfort.
The reason for the incomplete examination of the colon in colonoscopy is most often an inadequate bowel cleansing before the examination.
Complications of colonoscopy
The main and most formidable complications in colonoscopy are bleeding and perforation of the intestinal wall. However, with modern technical equipment and a high level of professional training of personnel, these complications are rare.
Expert:Galina Filippova, doctor-therapeutist, candidate of medical sciences
The material uses photos belonging to shutterstock.com
Colonoscopy: the essence of the method, indications and rules of preparation for the procedure
Colonoscopy is a diagnostic procedure necessary for an objective assessment of the condition of the large intestine mucosa. The procedure makes it possible to detect in a timely manner the presence of neoplasms - both benign and malignant. The very first rectoscopes allowed to examine no more than 30 cm of the human rectum. Modern fibrocolonoscopes appeared in the middle of the last century. They use fiber optics and so-called. "Cold" light sources, which completely excludes the possibility of thermal burn of the mucosa of the intestinal wall. The length of the device is about one and a half meters, and the diameter does not exceed 10 mm. Due to the presence of special thin channels, additional devices for removing polyps can be introduced into the colonoscope. taking tissue samples or extracting accumulated fluid or air.
What is a colonoscopy for?
Colonoscopy is performed by means of a special probe (endoscope), which is equipped with a portable light source. In most cases, the procedure is well tolerated by the patient, since it is accompanied by a minimum of unpleasant sensations. During the manipulation may feel a sense of discomfort, but the medical staff (doctor and nurse) are able to minimize them. Try to follow the instructions of the doctor, and the survey will not give you unpleasant sensations. To reduce to zero the discomfort will allow the use of the doctor so-called. "Rotational" technique based on accurate and consistent advancement of the endoscope through fixed areas of the intestine and its natural bends followed by pulling the colonoscope and picking the passed straight section and smoothing the angle bending. Currently, the colonoscopy uses the most modern equipment, which undergoes disinfection, so the risk of infection is minimized.
Indications for colonoscopy
Indications for colonoscopy may include:
- pathological admixtures in faeces;
- family predisposition to colon tumors (presence in the family of close relatives suffering from these pathologies);
- preventive examination for possible diseases after surgery on the large intestine;
- refinement of data obtained by other methods of examination.
How is colonoscopy prepared?
3 days before the colonoscopy, the diet excludes vegetarian food, black bread. With propensity to constipation shows the reception of laxativesThe day before the study, the patient:
- Limits its diet broths and soups.
- Accepts food in small quantities.
- In 2 hours after a light dinner - reception of 2-3 spoons of castor oil.
- Does not supper.
- In the evening makes 2 enemas of 1-2 liters each. Enema is made before the appearance of pure washing water.
Immediately on the day of examination:
- In the morning - 2 cleansing enemas. The result is clean washing water.
- If you can not eat breakfast - do not eat, if you suffer from diabetes or some other a disease requiring regular meals - limit yourself to a light breakfast of cereal, coffee, tea, a piece of bread.
When preparing for a colonoscopy, the enema can be replaced by the use of polyethylene glycol or Fortrans preparation, appointed according to a special scheme. On the day before the study, the patient is administered drugs from the group of antispasmodics (Dicetel, Drotaverin, But-Shpa), which subsequently allows you to relax the musculature of the wall of the large intestine and reduce the sensation discomfort. To reduce soreness, on the day of the examination, injection of analgesic and relaxing drugs (in particular Relanium in combination with Tramal) is indicated. In some cases, general anesthesia (anesthesia) may be necessary.
How is the procedure performed?
The colonoscopy takes 10-15 minutes on average. The study is carried out in a specially designed for this office. The patient is required to get rid of all clothing (in exchange, a special disposable underwear is given out). note: the large intestine has a length of "only a meter, and the diameter varies from 4-6 to 14 cm, so its examination is not particularly difficult.During the procedure, through the anus, the probe is inserted into the lumen of the rectum. The tube of the colonoscope gradually moves inwards, which is accompanied by the supply of air under pressure to spread the walls of the intestine. At this time, the patient may feel a bloating, but after the end of the examination, excess air will be pumped through a specially designed endoscope channel. Thus, all negative feelings will disappear.During the examination, the patient may be asked to take the most optimal position: turn on his side or on his back. The movement of the apparatus during the passage of natural bends is controlled through the abdominal wall by a specialist's hand. To clarify the diagnosis during the examination, an additional biopsy may be performed, i.e., taking samples of tissues. Most often this manipulation is carried out in the presence of polyps. At the end of this medical diagnostic manipulation do not need to adhere to a special diet. If there is a slight swelling of the abdomen, it will quickly pass as the natural release of the intestine from the gases. The endoscopist can record the research process on an optical disc, so that the patient can easily consult with other specialists. For more information on the indications for colonoscopy, the features of the procedure and the preparation for it, you will receive by reviewing this video review:
Plisov Vladimir, physician-phytotherapeutist
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Sources: http://otzovik.com/review_3042770.html, http://www.medweb.ru/infohubs/akne/encyclopedias/diagnostika/article/issledovanie-kishechnika-kolonoskopiya, http://okeydoc.ru/kolonoskopiya-sut-metoda-pokazaniya-i-pravila-podgotovki-k-procedure/
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