Sigmoidoscopy

Ko te Sigmoidoscopy he tikanga e whakamahia ana kia kite i roto i te kopamutu sigmoid me te taatai. Ko te kopirua sigmoid te rohe o te kohanga nui e tata atu ana ki te taatai.

I te wa o te whakamatautau:

• Ka takoto koe i to taha maui me o turi ka toro atu ki to uma.
• Ka ata whakatakotohia e te taakuta tetahi maihao kua oti te whakakakahu ki te taha o to pungarehu, kia tirohia he aha te aukati me te whakarahi marie (whakawhanui) i te nono. Ka kīia tēnei he whakamātautau whakatiki matihiko
• Muri iho, ka whakauruhia te sigmoidoscope ki roto i te nono. Ko te whanui he ngongo ngawari me te kaamera kei tona pito. Ka nekehia te waahanga ki roto i to koroni. Ka whakauruhia te hau ki roto i te kopirua hei whakanui i te rohe kia pai ake ai te tiro a te taakuta ki taua takiwa. Na te hau pea i akiaki te hiahia ki te neke haere te kopu, ki te tuku penehi ranei. Ka whakamahia pea te ngote hei tango i te wai, i te turanga ranei.
• I te nuinga o nga wa, ko nga whakaahua ka kitea i te whakamaramatanga nui i runga i te kaitaata ataata
• Ka tango pea te taakuta i nga tauira kiko me te taputapu koiora iti, te mahanga whakarewa kikokore ranei i whakauruhia ki roto i te waahanga. Te wera (hiko) hei tango i nga polyps. Ka taea te tango i nga whakaahua o roto o to kopu.

Ko te Sigmoidoscopy ma te whakamahi i te waahanga pakari kia mahia hei whakaora i nga raru o te nono, o te huha ranei.

Ma to kaiwhakarato hauora e whakaatu ki a koe me pehea te whakarite mo te whakamatautau. Ka whakamahia e koe te enema hei whakaheke i ou whekau Ko te tikanga ka mahia 1 haora i mua i te sigmoidoscopy. I te nuinga o nga wa, ka taunakitia te tuarua o te enema, ka taunaki ranei to kaiwhakarato kia whakahinuhia te wai i te po i mua atu.

I te ata whakatikatika, ka tonoa pea koe kia nohopuku me te kore o etahi rongoa. Kia mahara ki te korero mo tenei me to kaiwhakarato i mua atu. I etahi wa, ka tonoa koe ki te whai i tetahi kai maama wai i te ra i mua atu, ana i etahi waa ka whakaaetia te kai noa. Ano, korerohia tenei me to kaiwhakarato i mua o to ra whakamatautau.

I roto i te whakamātautau ka whakaaro koe:

• Te pehanga i te wa o te whakamatautau tuuturu a-tihi ranei, i te wa e whakatakotoria ana te whanui ki to tuara.
• Te hiahia kia neke te kopere.
• Ko etahi pupuhi ka pupuhi ranei na te rangi na te toro o te kopu na te sigmoidoscope.

Whai muri i te whakamātautau, ka paahihia e to tinana te hau i tukuna ki to koroni.

Ka taea te hoatu rongoa ki nga tamariki kia ngawari ai to moe (whakaahuru) mo tenei whakahaere.

Ka taunaki pea to kaiwhakarato i tenei whakamatautau kia tirohia nga putake o:

• Te mamae o te kopu
• Ko te mate pukupuku o te mate pukupuku, te mate kokiri, etahi atu whakarereketanga ranei o nga tikanga o te whekau
• Te toto, te huhu, te pupuhi ranei i te tuumatua
• Te whakaheke taumaha kaore e taea te whakamaarama

Ka taea hoki te whakamahi i tenei whakamatautau ki:

• Whakaūhia nga kitenga mo tetahi atu whakamatautau, hihi-x ranei
• Mata mo te mate pukupuku kakaka ranei, polyps ranei
• Tangohia he koiora o te tipu

Ko te hua o te whakamatautau ka kitea kaore he raru mo te kara, te tae me te rahi o te arai o te kopirua sigmoid, te mucosa tika, te kokoti, me te nono.

Ko nga hua kaore e taea te tohu:

• He wawao whero (he wehenga iti, he roimata ranei i te kiko kikokore, maeneene e kapi ana i te nono)
• Ngaru korekore (kohinga pona i te rohe o te nono me te tuaono)
• Te aukati i te kohanga nui (mate Hirschsprung)
• Mate pukupuku
• Polyps karakara
• Diverticulosis (nga peera rereke i te papa o nga whekau)
• Hemorrhoids
• Te mate puku mumura
• Te mumura, te mate ranei (proctitis me te colitis)

He iti ake te tuponotanga o te koha whekau (haehae poka) me te whakaheke toto i nga waahi koiora. Ko te raru katoa he iti rawa.

Sigmoidoscopy hangore; Sigmoidoscopy - hangore; Whakatairanga; Proctosigmoidoscopy; Sigmoidoscopy mārō; Sigmoidoscopy mate pukupuku koroni; Sigmoidoscopy Tae; Sigmoidoscopy Tapawhā; Toto Gastrointestinal - sigmoidoscopy; Te whakaheke toto - sigmoidoscopy; Melena - sigmoidoscopy; Te toto i te turanga - sigmoidoscopy; Polyps - sigmoidoscopy

• Koroneihana
• Te mate pukupuku Sigmoid colon - x-ray
• Te koiora tapawha

Pasricha PJ. Endoscopy Gastrointestinal. I roto i: Goldman L, Schafer AI, eds. Te rongoa Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 125.

Rex DK, Boland CR, Dominitz JA, et al. Te tirotiro mate pukupuku Colorectal: nga taunakitanga mo nga taakuta me nga tuuroro mai i te US Multi-Society Task Force mo te mate pukupuku Colorectal. Am J Gastroenterol. 2017; 112 (7): 1016-1030. PMID: 28555630 www.pubmed.ncbi.nlm.nih.gov/28555630/.

Sugumar A, Vargo JJ. Te faaineineraa no te me te pōauautanga o te endoscopy gastrointestinal. I roto i: Feldman M, Friedman LS, Brandt LJ, eds. Ko te Maama Gastrointestinal me te ate o Sleisenger me Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 42.