Barium enema

Barium enema hoto ne na musamman na babban hanji, wanda ya hada da hanji da dubura.

Ana iya yin wannan gwajin a ofishin likita ko sashen rediyon asibiti. Ana yin sa bayan ciwon mara ya zama fanko kuma tsafta. Likitanka zai baka umarni na tsarkake mahaifar ka.

Yayin gwajin:

• Kuna kwance kwance a bayanku akan teburin x-ray. Ana daukar hoto.
• Daga nan sai ki kwanta a gefenki. Mai kula da lafiyar a hankali yana saka bututun mai mai mai (enema tube) a cikin duburar ku. An haɗa bututun da jaka wanda ke riƙe da ruwa mai ɗauke da barium sulfate. Wannan wani abu ne mai banbanci wanda ke haskaka takamaiman yankuna a cikin mallaka, ƙirƙirar hoto mai kyau.
• Barium yana gudana zuwa cikin uwar hanji. Ana daukar hoto. Ana iya kumbura ƙaramin balan-balan a ƙarshen bututun kabeji don taimakawa barium a ciki. Mai ba da sabis yana kula da kwararar barium akan allo na x-ray.
• Wani lokaci akan kawo iska kaɗan zuwa cikin hanji don faɗaɗa shi. Wannan yana ba da damar ma bayyane hotuna. Wannan gwajin ana kiransa da bambanci mai sau biyu barium enema.
• Ana tambayarka don matsawa zuwa matsayi daban-daban. Tebur an ɗan kaɗa shi don samun ra'ayoyi daban-daban. A wasu lokuta idan aka ɗauki hotunan x-ray, ana gaya maka ka riƙe numfashinka ka yi shuru na secondsan daƙiƙa don hotunan ba za su zama masu haske ba.
• Ana cire bututun enema bayan an ɗauki x-ray.
• Daga nan za'a baka gado ko kuma a taimaka maka a bayan gida, saboda haka zaka iya zubar da hanjin ka ka cire barikin da yawa. Bayan haka, ana iya ɗaukar ƙarin x-ray 1 ko 2.

Hannunka na bukatar zama fanko kwata-kwata don jarrabawa. Idan basu fanko ba, gwajin na iya rasa matsala a cikin hanjinku manya.

Za a baku umarni don tsarkake hanjinku ta amfani da enema ko laxatives. Wannan kuma ana kiransa shiri na hanji. Bi umarnin daidai.

Don kwanaki 1 zuwa 3 kafin gwajin, kana buƙatar kasancewa akan abinci mai tsabta na ruwa. Misalan bayyanannu ruwa sune:

• Share kofi ko shayi
• Bouillon mara kiba ko romo
• Gelatin
• Wasanni yanã shã
• Taba ruwan 'ya'yan itace
• Ruwa

Lokacin da barium ya shiga cikin hanjinka, zaka iya jin kamar kana bukatar yin hanji. Hakanan kuna iya samun:

• Ji na cikawa
• Matsakaici zuwa tsananin matsewa
• Janar rashin jin daɗi

Longaukar dogon lokaci, zurfin numfashi na iya taimaka maka ka shakata yayin aikin.

Yana da kyau al'ummomin su zama fari na 'yan kwanaki bayan wannan gwajin. Shan karin ruwa na kwana 2 zuwa 4. Tambayi likitanku game da laxative idan kuka sami ci gaba mai ƙarfi.

Ana amfani da Barium enema don:

• Gano ko allo don ciwon kansa
• Binciko ko saka idanu kan cututtukan ulcerative ko cutar Crohn
• Binciko abin da ke haifar da jini a cikin maras gudawa, gudawa, ko kuma bahaya mai tauri sosai (maƙarƙashiya)

Ana amfani da gwajin barium enema sau da yawa ƙasa da na baya. Ana yin colonoscopy sau da yawa yanzu.

Barium yakamata ya cika hanjin daidai, yana nuna fasalin hanji na al'ada da wuri kuma babu toshewa.

Sakamakon gwaji mara kyau na iya zama alamar:

• Toshewar hanji babba
• Karkatar da babban hanji sama da dubura (cutar Hirschsprung a jarirai)
• Cutar Crohn ko ulcerative colitis
• Ciwon daji a cikin hanji ko dubura
• Zamewa daya daga cikin hanjin cikin wani (intussusception)
• Growthananan ci gaban da ke fita daga rufin uwar hanji, wanda ake kira polyps
• Ananan, buɗaɗɗen jaka ko aljihunan rufin ciki na hanji, wanda ake kira diverticula
• Arƙwarar madafa na hanji (juzu'i)

Akwai ƙananan tasirin radiation. Ana sanya idanu kan hasken rana don a yi amfani da ƙaramin adadin radiation. Mata masu ciki da yara sun fi damuwa da haɗarin x-ray.

Hadari, amma mai tsanani, haɗari shine rami da aka sanya a cikin hanji (ɓarkewar hanji) lokacin da aka saka bututun enema.

Gastroananan jerin kayan ciki; Gananan jerin GI; Cancer na launi - ƙananan jerin GI; Cancer na launi - barium enema; Crohn cuta - ƙananan jerin GI; Crohn cuta - barium enema; Tsarin hanji - ƙananan jerin GI; Toshewar hanji - barium enema

• Barium enema
• Ciwon daji na mahaifa - x-ray
• Sigmoid ciwon daji na hanji - x-ray
• Barium enema

Boland GWL. Gugar ciki da shafi. A cikin: Boland GWL, ed. Hoto na Gastrointestinal: Bukatun. 4th ed. Philadelphia, PA: Elsevier Saunders; 2014: babi na 5.

Chernecky CC, Berger BJ. Barium enema. A cikin: Chernecky CC, Berger BJ, eds. Gwajin Laboratory da hanyoyin bincike. Na 6 ed. St Louis, MO: Elsevier Saunders; 2013: 183-185.

Lin JS, Piper MA, Perdue LA, et al. Nunawa don cutar kansa ta launi: rahoton shaidun da aka sabunta da kuma nazari na yau da kullun don Tasungiyar Servicesungiyar Ayyukan Kare Amurka. JAMA. 2016; 315 (23): 2576-2594. PMID: 27305422 www.ncbi.nlm.nih.gov/pubmed/27305422.

Taylor SA, Plumb A. Babban hanji. A cikin: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Tsarin Rigakafin Hikimar Grainger & Allison: Littafin rubutu na likitancin hoto. Na 6 ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: babi na 29.