Is it "stupid" to make a painless gastrointestinal?

With the increase of anti -cancer awareness, gastric and colonoscopy has gradually become a "standard" for physical examinations of people over the age of 50. However, many people feel scared for gastrointestinal examination. Doing conventional gastrointestinal gastroscopy is painful and unbearable, and painless gastrointestinals are afraid of "silly" because they have used anesthesia, and people over the age of 50, many people have basic diseases such as diabetes and hypertension. Can they do colonoscopy? Intersection Is your body "spending money to buy crimes"? Jiangsu Cancer Hospital (Affiliated to Cancer Hospital of Nanjing Medical University) Director Zhu Buyu, the head nurse of the digestive endoscopy center, explains his doubts.

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1. Can basic diseases such as diabetes hypertension do gastroscopy?

Aunt Zhang (pseudonym) has diabetes and hypertension. Although the drug control is ideal, she is very worried. Can this situation do a painless gastrointestinal examination? Captain Zhu said that as long as Aunt Zhang is controlled by blood sugar and blood pressure, it is maintained at normal levels. There is no other gastroscopy taboos. Under strict monitoring, gastroscopy can be performed. Sugar or muscle injection of insulin to prevent hypoglycemia due to an empty stomach. If there is a history of drug allergies, hypertension, heart disease, hemorrhagic diseases, and mental diseases, please be sure to tell the doctor in advance that the doctor will deal with it as appropriate according to different situations.

The following situations are absolute taboos of gastrointestinal gastroscopy: those who have severe cardiopulmonary insufficiency, those who are in shock, those who cannot collaborate, and endoscopy are severely acute inflammation or internal organs. Intestinal obstruction, toxic giant colon, and allergies of intestinal cleaners cannot be used.

The following situations are relatively taboos of gastrointestinal gastrointestinal examination: cardiopulmonary incompleteness, bleeding tendency with hemoglobin is less than 50g/L, high spine deformity, and huge diverticulum in the esophagus or duodenum.

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2. Can gastroscopy need anesthesia, will it make people stupid?

Mr. Li is 35 years old and is an IT practitioner. He has a colonoscopy for long -term blood in the stool. Both he and his family are worried that if you do painless bowels, will the IQ become low and will it affect future work? Captain Zhu reminded that this worry is superfluous. Painless gastrointestinal anesthesia is currently the most commonly used anesthesia is properool. The effect and metabolism are very fast. They can fall asleep in 1-2 minutes. Generally, they can be awake after 5-10 minutes. Metabolism and removal, all metabolic substances are not active, so it will not have a continuous impact on the brain, and the painless gastrointestinal examination will be monitored by a full -time anesthesia doctor. It is determined that the patient is adjusted at any time according to the patient's situation to ensure the safety of patients.

3. What should I pay attention to before gastroscopy?

The first is regular preparation. At this stage, the nucleic acid report meets the requirements of the hospital according to the needs of the epidemic; ECG reports within two months. In addition, it is necessary to pay attention to the suspension of anticoagulant drugs (such as aspirin, Huafarin, Sanqi powder, etc.) under the guidance of the doctor within the guidance of the doctor; Because of the history of allergies (what to do? If so, you cannot use Lidaine during the operation), remove the dentures before the examination. Female patients must avoid the physiological period when checking.

The second is preparation before gastrointestinal examination. Gastroscopy was required to fast for 4 to 6 hours before the gastroscopy was forbidden. The low residue and semi -current diet were carried out 2 days before the colonoscopy, and the diet without a residue full -flow diet was carried out in the first day, and the intestinal cleaner drugs were taken according to the doctor's order.

4. What should I pay attention to after gastroscopy

After the gastroscopy, the anesthesia effect of the pharynx has not disappeared, fasting within 2 hours, 2 hours later, you can eat warm and cool liquid foods, and then gradually transition to normal diet, and avoid spicy stimulation and rough food. Checking the pharynx may have a little pain or foreign body sensation. Generally, no special treatment is required, and it can be completely returned to normal after a few days.

Do not worry about mild abdominal distension after colonoscopy, because checking the doctor will cheer up and note a little water in the intestinal cavity; after the examination is sober, you can gently rub the abdomen or walk slowly with your family. It will be clearly relieved.

The inspection of Chinese doctors will take biopuminum examinations according to the situation during the operation. If a small amount of bleeding is found after gastrointestinal examination, it is normal. Generally, special treatment is not required. Pay attention to the phenomenon of obvious abdominal pain, abdominal distension, vomiting, black stool and other phenomena.

Family members must be accompanied before and after the gastrointestinal examination. Patients cannot drink alcohol within 12 hours. They must not drive motor vehicles within 24 hours after examination, perform mechanical operations and engage in high -altitude operations to prevent accidents.

5. Do you do a good gastroscopy for your body?

Ms. Zhu, in her 50s, prepared colonoscopy with Mr. Li. Her body was uncomfortable, but she had a family history of intestinal cancer. She was asked to do colonoscopy regularly by doctors. She is very puzzled. People like me do colonoscopy.

Captain Zhu told Ms. Zhu that her age and family history belong to the high -risk group of bowel cancer. Gastrointestinal tumors develop from polyps and pre -cancer lesions to cancer. There will be a longer process. During this period, early intervention can be performed through gastrointestinal examination. The early diagnosis rate of Japanese gastric cancer was as high as 50%of ‐70%, while the cure rate of early gastric cancer> 90%. As a high incidence of gastric cancer, the public's awareness of prevention and treatment is not high. Only 10%‐ 15%of early gastric cancer can be discovered. Once many people are diagnosed, they are the gastric cancer period. The effect is also greatly reduced. However, a survey of medium and advanced colorectal cancer released by my country in 2020, statistics from 2299 cases of mid -to -advanced colorectal cancer found that more than 64%of them do not understand the high -risk factors of colorectal cancer at all; 97%of colorectal colorectal Increased colonoscopy before the illness; at the first diagnosis, 83%of patients with colorectal cancer were in the middle and late stages, and 44%of patients had metastasis of liver and lungs. The head nurse reminds that the regular gastroscopy examination of high -risk people is the most effective screening method. It truly achieves early, early diagnosis, and early treatment, so it is by no means unnecessary money to buy.

Correspondent Xilinhua

Yangtze Evening News/Zi Niu Journalist Yang Yan

Edit: Qin Xiaoyi

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