דף הבית / Glossary / דפקגורפיה (בדיקת התרוקנות הרקטום (חלחולת))

דפקגורפיה (בדיקת התרוקנות הרקטום (חלחולת))

בדיקה רנטגנית המתבצעת לצורך בירור תפקוד ריצפת האגן והתרוקנות החלחולת.

מידע כללי

המטרה בבדיקת הדקגורפיה היא למעשה לבצע סימולציה של מנגנון היציאה, תוך שיקוף רנטגן של השרירים ואיברי האגן. הבדיקה מאפשרת לראות את הרקטום ולהעריך את תפקודו.

סיבות

שתי סיבות עיקריות לעריכת הבדיקה:

הפרעות ביציאות
חשד לצניחה של איברי האגן השונים

מהלך וסיבוכים

מהלך הבדיקה:

כ-60 דקות לפני תחילת הבדיקה על החולה לשתות 200 סמ"ק תרחיף בריום לשתיה.
בזמן הבדיקה, הרופא מבצע מילוי של החלחולת על ידי 200 סמ"ק של בריום סמיך (בצמיגות דומה לתוכן במעי הגס).
לנשים מבצעים מילוי נרתיק עם כמות קטנה של בריום לצורך הדגמת ציר הנרתיק.
החולה מתיישב/ת על כיסא מיוחד, שקוף לקרני הרנטגן ובנוי בצורת אסלה.
לפי בקשת הרופא המבצע, החולה אמור לעשות מספר פעולות פשוטות (לכווץ את שרירי העכוז, לגרום ללחץ בבטן בדומה ללחץ בזמן התרוקנות ולרוקן את תוכן המעיים לאסלה).
כל הפעולות הנ"ל מצולמות בשיקוף רנטגני.
אורך הבדיקה בין 30–20 דקות.
הבדיקה כרוכה בשהייה של כ-3 שעות במכון.

לאחר הבדיקה:
על החולה לשתות כ–2 ליטר נוזלים במשך היום. אין שום הגבלות אחרות.
תשובה תינתן מיד לאחר הבדיקה.
הבדיקה כרוכה בקרינה, ולכן לא ניתן לבצע אותה לנשים בהריון ולנשים בזמן הווסת. יש לידע את הרופא המפנה במידה ויש סיכוי להריון.

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