Правильная подготовка к колоноскопии

ATTENTION! This video is for educational and informational purposes only. Contraindications apply. For consultations and surgeries, please contact us on Telegram at https://t.me/operacia_net_ru Or WhatsApp +7 905 034-76-84 A low-residue diet involves consuming only foods that are completely absorbed in the intestinal lumen, leaving no waste in the form of feces. Furthermore, avoid foods and drinks that could stain the colonic mucosa and make it difficult to examine. Allowed: low-fat dairy products, cheese, sour cream, butter, plain yogurt, eggs, lean meat, poultry, and fish (boiled, steamed, or stewed), sugar, and honey (not honeycombed). Allowed liquids: pulpless juice, tea, water, clear broths, non-carbonated, uncolored soft drinks. Avoidable: Bakery products, flour products, and pasta. Vegetables, greens, mushrooms, and seaweed. Cereals, porridge, legumes, grains, nuts, seeds, sesame seeds, poppy seeds, grains, bran, and other seeds and spices. Tough meat with cartilage, canned goods, sausages, cold meats, and seafood. Fruits and berries, including dried fruit, preserves, marmalade, and jelly. Chips, hamburgers, and chocolate. And other foods that Not included in the list of permitted liquids. Prohibited liquids: Milk, alcohol, carbonated drinks, coffee, and fruit drinks. The main active ingredient, most often used as a laxative at this stage, is Macrogol. Different manufacturers produce this drug under different names and with different additional components. Let's look at two of the most common drugs: Fortrans and Moviprep. One packet of Fortrans, containing 64 grams of the drug, is enough for a patient weighing 20 kg. This packet is dissolved in 1 liter of water at room temperature. The resulting liter of solution is drunk over the course of an hour in large glasses at 15-minute intervals. That is, if you weigh 80 kg, you need to drink 4 packets dissolved in four liters of water over a period of 4 hours, the evening before the test. If the test is scheduled for 8:00 a.m. tomorrow, then at 5:00 p.m. today, you should begin drinking the resulting solution: start at 5:00 p.m. and finish at 9:00 PM. This is a one-step preparation. With a two-step preparation, two packets are taken in the evening and two packets in the morning on the day of the test. The main thing to remember is to finish taking the medication at least 3 hours before the test! Let's say your test is scheduled for 12:00 PM tomorrow. You'll take two packets today from 6:00 PM to 8:00 PM, and the next two packets tomorrow from 6:00 AM to 8:00 AM. I'd like to clarify one more point: real-world experience with Fortrans shows that using fewer than four packets, even if you weigh no more than 50 kg, is not recommended. However, increasing the number of packets to more than four is necessary if you weigh over 80 kg. Deviating from this rule can lead to poor preparation. Now I'll tell you about the specifics of using Moviprep. If it's Moviprep, the contents of packet A and packet B are dissolved in one liter of water and also drunk within one hour. But then you need to Wash this solution down with one liter of clean water. If we're talking about a two-step regimen, then in the evening, drink one liter of the solution prepared from packet A and packet B, and then wash it down with one liter of water. On the morning of the examination day, repeat the same procedure. The main thing to remember is to finish taking the medication three hours before the examination. In some cases, Simethicone is recommended as an additional antifoaming agent before the colonoscopy. It is added to the last liter of the laxative solution. As for food, stop eating at 2:00 PM the day before the examination. That is, if you're having a colonoscopy tomorrow, your last meal should be no later than 2:00 PM today. Now I'll talk about the specifics of preparing a patient with constipation. If the patient has constipation, in addition to following a low-residue diet for five days, during the preliminary preparation stage, a week before the examination, it's necessary to take mild laxatives (Duphalac, Slabilen). Usually, they start with a small amount. The dosage of Duphalac is 15 ml per day, which is increased to 45 ml if necessary.