Colonoscopy with Bowel Prep Go-Lytely, Colyte, Trilyte, Nu-Lytely and Others Colonoscopy is a test used to check the large intestine, also called the colon. A flexible tube called a scope is gently placed into your rectum and guided into your colon. This allows the doctor to see the inside of your colon. During the test, your doctor may also: Remove a small tissue sample called a biopsy Remove growths called polyps An adult family member or friend needs to come with you to take you home after the test. It is not safe for you to drive or leave alone. Arrive on time for your test. Plan a stay of 2 to 3 hours to allow time to get you ready for the test and time to recover after the test. The test itself takes about 30 to 45 minutes. Anus Rectum Large Intestine (colon) To Prepare You will need to buy these items from a pharmacy to clear your colon of stool for this test: Fill your prescription for the bowel prep that was ordered by your doctor. 1
대장내시경 ( 장세척 ) Go-Lytely, Colyte, Trilyte, Nu-Lytely 및기타 대장내시경검사는결장이라고도부르는대장검사입니다. 검사기라고도부르는유연한튜브를항문을통하여대장속으로집어넣습니다. 이렇게하면의사는대장안을볼수있습니다. 검사중에의사는또한 : 조직검사를위하여세포를채취합니다 폴립 (polyps) 이라고부르는종양을제거합니다 검사가끝난후가족이나친구가환자를집으로데리고가야합니다. 환자혼자서운전하는것은안전하지않습니다. 검사받는날제시간에도착하십시오. 검사준비와검사후회복하는시간을합쳐서 2 시간에서 3 시간정도걸릴것으로예상하십시오. 검사자체는약 30 분에서 45 분가량걸립니다. 항문 직장 대장 ( 결장 ) 검사전준비 검사를위하여대장에서대변을청소하는장세척제를약국에서구입해야합니다 : 의사가처방해준장세척제를구입하십시오. Colonoscopy with Bowel Prep. Korean. 1
Fleet enema. Use only if your doctor told you to use an enema. You do not need a prescription for this. There may be a store brand of this product that costs less. Ask the pharmacist to help you. Tell your doctor if you: Have diabetes Take anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen (Advil, Motrin), naproxyn (Aleve), celecoxib (Celebrex); blood thinners such as warfarin (Coumadin) or clopidogrel (Plavix); or iron tablets. You may be given special instructions to follow. Five days before the test, limit the fiber in your diet. Do not eat nuts, seeds, popcorn and corn until your test is done. Also, stop taking any fiber supplements such as Metamucil, Citrucel, or Fiberall. Ask your doctor if you should take your medicines the morning of the test. If so, take with sips of water only. The Day before Your Test Do not eat solid food or drink milk products. Do not drink red or purple liquids. Drink clear liquids only, such as: Water Clear broth or bouillon Clear fruit juices without pulp such as apple, white grape and lemonade Clear drinks such as lemon-lime soda, Kool-aid or sport drinks. Decaeinated coee or tea without milk or nondairy creamer Jello or popsicles 2
플리트 (Fleet) 관장기. 의사가관장기를사용하라고지시했을때만사용하십시오. 이관장기를사는데는처방이필요없습니다. 가격이더싼상점자체브랜드도있습니다. 도움이필요하면약사에게물어보십시오. 아래와같은경우의사에게미리알려주십시오 : 당뇨가있는경우 아스피린, 이부프로펜 ( 애드빌, 모트린 ), 나트록신 ( 알리브 ), 셀레콕십 ( 셀리브렉스 ) 등의항염증제복용. 와파린 ( 쿠마딘 ) 또는클로피도그렐 ( 플라빅스 ) 와같은희석제복용. 철분보조제를복용. 이러한경우의사가특별지시를할수있습니다. 검사받기 5 일전섬유질섭취를제한합니다. 검사가끝날때까지견과류, 씨, 팝콘, 옥수수섭취를중단합니다. 또한, 메타뮤칠, 시트루셀, 또는파이버롤과같은섬유보조제섭취를중단합니다. 검사받는날아침에평소복용하는약들을먹어야하는지의사에게물어보십시오. 먹어도된다면물을약간만드십시오. 검사받기전날 씹는음식이나유제품을먹지않는다. 빨간색이나보라색음료를마시지않는다. 오직투명한음료만마신다. 예를들면 : 물 투명한국물이나부이용 과육이들어있지않은순수한과일주스 ( 사과, 백포도, 레모네이드등 ) 레몬-라임소다, 쿨에이드, 또는스포츠드링크와같은투명한음료수 밀크나비낙농크리머가들어가지않은무카페인커피나차 젤로나팝시클 Colonoscopy with Bowel Prep. Korean. 2
At 12:00 noon, mix the bowel prep powder with water. Add room temperature water to the fill mark, 4 liters, on the bottle. Add the flavor packet that came with the prescription, but do not add any other ingredients or flavors to the mixture. Twist the cap on the bottle. Shake to mix the powder and water. You may chill the liquid. This makes it easier to drink. Do not put ice in the liquid. At 4:00 in the afternoon, start drinking the liquid. It is best to have an empty stomach before you start drinking the liquid. Drink one cup, which equals 8 ounces or 240 milliliters, every 15 minutes. Continue drinking until the bottle is empty. This medicine does not taste good to many people. You may chew gum or suck on mints or hard candy between the glasses of liquid to help you tolerate the taste. You will need to drink all of the liquid to be ready for the test. You may need to get to the toilet right away. You will have a loose watery bowel movement in about 1 hour. You will have bowel movements throughout the day. They will become watery. Your bowels are clean when there is only pale yellow fluid without stool. When you finish all of the liquid, keep drinking clear liquids again until midnight. At 10 PM, if ordered by your doctor, use the Fleet enema. To use the enema: 1. Shake the bottle. 2. Remove the orange plastic cover on the tip of the bottle. 3. Lie on your left side with your right knee bent and your arms relaxed. 4. Gently put the bottle tip into your rectum. Push as if you are having a bowel movement. This will relax the muscles so the tip goes in easier. 5. Stop pushing and take slow, deep breaths. 3
12 시정오, 장세척분말을물과섞는다. 4리터병에눈금이있는곳까지실내온도의물로채운다. 처방과함께온플레이버를추가하되그밖에다른성분이나플레이버는섞지않는다. 병뚜껑을돌려닫는다. 분말과물을흔들어함께섞는다. 용액을차갑게해서마셔도된다. 차가우면마시기가약간수월하다. 얼음은넣지않는다. 오후 4 시, 용액을마시기시작한다. 빈속에마시는것이가장좋다. 한컵 (8 온스또는 240 밀리리터 ) 씩매 15 분마다마신다. 병을다비울때까지마신다. 대부분의사람들에게이용액은맛이이상하다. 참고마시기쉽게중간에껌을씹거나, 박하사탕이나캔디를먹는것도한방법이다. 용액을모두마셔야검사를받을수있다. 어쩌면즉시화장실로달려가게됩니다. 1 시간후면물같은변을보게될것입니다. 저녁내내화장실을계속왔다갔다해야될것입니다. 변이물같이될것입니다. 변이안나오고옅은누런색물만나올때비로소대장세척이다된것입니다. 용액을다마신다음에는자정까지맹물을계속마셔야합니다. 오후 10 시, 의사가지시했으면, 플리트관장기를사용하십시오. 관장기사용법 : 1. 병을잘흔든다. 2. 병끝에붙은오렌지색플라스틱커버를제거한다. 3. 오른쪽무릎을구부리고두팔이편안한상태로왼쪽으로눕는다. 4. 병끝을항문에천천히넣는다. 마치대변을보는것같이힘을준다. 이렇게하면항문주변의근육이이완이되어병끝이좀더쉽게들어간다. 5. 힘을빼고숨을천천히그리고크게들이마신다. Colonoscopy with Bowel Prep. Korean. 3
6. Squeeze the bottle until most of the liquid is in your rectum. 7. Remove the tip from your rectum. Lie on your left side and squeeze your buttocks to hold the liquid in your rectum. 8. You will have a strong urge to have a bowel movement in about 5 minutes. Hold the liquid in as long as you can. 9. Use the toilet. 10. Wash your hands with soap and water. After 12 midnight, do not eat or drink anything, including water, and do not smoke. On the Day of the Test Do not take your morning medicines unless told to do so by your doctor. During the Test The sta will ask you about: Your medicines including prescription and over the counter medicines, herbals, vitamins and other supplements Allergies to medicines, foods or latex Other health conditions and past surgeries If you are pregnant, or think you may be pregnant, tell the sta. You will wear a hospital gown. An IV (intravenous) tube is put in a vein in your arm. Medicine to make you relaxed and sleepy is put into the IV. You will lie on your left side. You may be asked to pull your knees up toward your chest. The scope is slowly put into your rectum and into your colon. You may feel an urge to move your bowels. Breathe deeply and slowly through your mouth to help you relax. 4
6. 병을꼭눌러안에들어있는액체를항문안에모두쏟아넣는다. 7. 항문에서병끝을뺀다. 항문에들어간액체가흘러나오지않도록몸을왼쪽으로누워엉덩이를조인다. 8. 약 5 분후에대변을보고싶은강한욕구를느끼게된다. 참을수있을때까지액체를배설하지않는다. 9. 화장실로가서대변을본다. 10. 손을비누와물로씻는다. 자정이후, 물을포함하여아무것도먹거나마시면안됩니다. 담배도피우지마십시오. 검사받는날 의사가별도로허락을하지않은이상아침에복용하는약들을복용하지마십시오. 검사중 다음과질문을받을것입니다 : Colonoscopy with Bowel Prep. Korean. 4 처방약을비롯하여비처방약, 한약, 비타민제, 그밖에다른식품보조제를복용하는지 어떤약이나음식또는라텍스에알레르기가있는지 그밖에다른건강문제와과거에수술받은적이있는지 임신을했거나혹시임신했을지모르면의사에게알려주십시오. 병원가운으로갈아입습니다. IV ( 정맥주사 ) 튜브를팔뚝정맥에삽입합니다. 환자를안정시키고졸립게하는약을정맥을통하여주입합니다. 왼쪽으로눕습니다. 가슴쪽으로두무릎을구부리라고요청을받을것입니다. 검사기가항문으로천천히삽입되어결장안으로들어갑니다. 대변을보고싶은욕구를느끼게될것입니다. 마음을편안히갖기위하여입으로천천히심호흡을하십시오.
Small amounts of air may be put into the colon through the scope. You may feel some cramping or discomfort during parts of the test. After your doctor has checked your colon, the scope is gently removed along with some of the air from the test. After the Test Medicines given during the test will make you sleepy. You will need to have an adult family member or friend take you home. It is not safe for you to leave alone or to drive after your test. You stay in the test area until most of the eects of the medicine wears o. You may have gas after the test because of the air put in your colon. Do not drive, make major decisions or sign any legal forms for 24 hours after the test. You can return to your normal diet after the test. If a polyp is removed, your doctor may limit your diet for short time. You may have a small amount of blood from the rectum. This is normal. Test results are sent to your doctor. Your doctor will share the results with you. Call your doctor right away if you have: Severe pain A fever over 100.5 degrees F or 38 degrees C A lot of bleeding from the rectum An abdomen which feels larger or hard 5
검사기를통하여약간의공기가결장안으로들어갈수있습니다. 검사중에약간의경련이나불편함을느낄수있습니다. 의사가결장검사를마친후검사기를천천히빼면서공기도빠져나갑니다. 검사후 검사중에주는약때문에졸릴것입니다. 검사가끝난후성인가족이나친구가환자를집으로데리고가야합니다. 검사후혼자떠나거나운전하는것은안전하지않습니다. 대부분의약기운이떨어질때까지검사실에있게될것입니다. 결장에공기가들어갔기때문에검사후에방귀가나올수있습니다. 검사후 24 시간동안은운전하거나, 중요한결정을하거나, 법적문서에서명하지마십시오. 검사후에는평소같이식사를해도됩니다. 폴립을제거했으면짧은기간동안음식을제한할것입니다. 항문에서약간의피가나올수있습니다. 이런현상은정상입니다. 검사결과는의사에게보내집니다. 의사가결과를환자에게알려줄것입니다. 아래와같은문제가있으면의사나간호사에게즉시연락하십시오 : 심한통증 화씨 100.5 도또는섭씨 38 도이상의열 항문에서과다출혈 복부가커졌거나딱딱한것이느껴진다 Colonoscopy with Bowel Prep. Korean. 5
Talk to your doctor or nurse if you have any questions or concerns. 2005 9/2011 Health Information Translations Unless otherwise stated, user may print or download information from www.healthinfotranslations.org for personal, non-commercial use only. The medical information found on this website should not be used in place of a consultation with your doctor or other health care provider. You should always seek the advice of your doctor or other qualified health care provider before you start or stop any treatment or with any questions you may have about a medical condition. The Ohio State University Medical Center, Mount Carmel Health System, OhioHealth and Nationwide Children s Hospital are not responsible for injuries or damages you may incur as a result of your stopping medical treatment or your failure to obtain medical treatment. 6
질문이나문제가있으면의사나간호사와상담하십시오. 2005 9/2011 Health Information Translations Unless otherwise stated, user may print or download information from www.healthinfotranslations.org for personal, non-commercial use only. The medical information found on this website should not be used in place of a consultation with your doctor or other health care provider. You should always seek the advice of your doctor or other qualified health care provider before you start or stop any treatment or with any questions you may have about a medical condition. The Ohio State University Medical Center, Mount Carmel Health System, OhioHealth and Nationwide Children s Hospital are not responsible for injuries or damages you may incur as a result of your stopping medical treatment or your failure to obtain medical treatment. Colonoscopy with Bowel Prep. Korean. 6