Barium

‫ﻗﺴﻢ ﺍﻷﺷﻌﺔ ﻭﺍﻟﺘﺼﻮﻳﺮ ﺍﻟﻄﺒﻲ‬

‫ﺩﻟﻴﻞ ﺍﳌﺮﻳﺾ ﺧﻄﻮﺓ ﺑﺨﻄﻮﺓ ﺇﻟﻰ‬

‫ﺇﺟﺮﺍﺀ ﻓﺤﺺ ﺍﳉﻬﺎﺯ ﺍﻟﻬﻀﻤﻲ ﻋﻦ ﻃﺮﻳﻖ ﺣﻘﻨﺔ ﺍﻟﺒﺎﺭﻳﻮﻡ‬

‫ﻣﺮﺣﺒــﺎ ﹰ ﺑﻚ ﻋﺰﻳــﺰﻱ ﺍﳌﺮﻳﺾ ﻓﻲ ﻣﺮﻛﺰ ﺍﻷﺷــﻌﺔ ﻭﺍﻟﺘﺼﻮﻳﺮ ﺍﻟﻄﺒﻲ ﲟﺴﺘﺸــﻔﻰ‬ ‫ﺍﳌﺮﻛﺰ ﺍﻟﻄﺒﻲ ﺍﻟﺪﻭﻟﻲ‬ ‫ﻳﺴــﻌﺪﻧﺎ ﺃﻥ ﻧﻘﺪﻡ ﻟﻚ ﻫﺬﺍ ﺍﻟﺪﻟﻴﻞ ﺍﳌﺒﺴﻂ ﻭﺍﻟﺬﻱ ﺳﻴﺴﺎﻋﺪﻙ ﻋﻠﻰ ﻣﻌﺮﻓﺔ ﺍﳌﺰﻳﺪ‬ ‫ﻋﻦ ﺇﺟﺮﺍﺀ ﻓﺤﺺ ﺍﳉﻬــﺎﺯ ﺍﻟﻬﻀﻤﻲ "ﺍﻷﻣﻌﺎﺀ ﺍﻟﻐﻠﻴﻈﺔ" ﻋﻦ ﻃﺮﻳﻖ ﺣﻘﻨﺔ ﺍﻟﺒﺎﺭﻳﻮﻡ‪،‬‬ ‫ﻣﻊ ﺩﻋﻮﺍﺗﻨﺎ ﻟﻜﻢ ﺑﺎﻟﺸﻔﺎﺀ ﺍﻟﻌﺎﺟﻞ‪.‬‬ ‫ﻣﺎ ﻫﻲ ﻃﺒﻴﻌﺔ ﻓﺤﺺ ﺍﻟﻘﻮﻟﻮﻥ ﺑﺎﻟﺒﺎﺭﻳﻮﻡ؟‬ ‫ﻓﺤﺺ ﻃﺒﱢﻲ ﻳﺴــﺎﻋﺪ ﻋﻠﻰ‬ ‫ﺣﻘﻨﺔ ﺍﻟﺒﺎﺭﻳــﻮﻡ ﻫﻲ‬ ‫ﹲ‬ ‫ﺗﺸــﺨﻴﺺ ﺍﳌﺸــﺎﻛﻞ ﻓﻲ ﺍﻟﻘﻮﻟﻮﻥ )ﻭﺍﻟﺬﻱ ﻳﹸﻌﺮﻑ‬ ‫ﺃﻳﻀﺎ ﹰ ﺑﺎﻷﻣﻌﺎﺀ ﺍﻟﻐﻠﻴﻈــﺔ(‪ ،‬ﻣﺜﻞ ﻭﺟﻮﺩ ﺍﻟﺒﻮﻟﻴﺒﺎﺕ‬ ‫)ﺍﻟﺴﻼﺋﻞ( ﺃﻭ ﺍﻷﻭﺭﺍﻡ‪.‬‬ ‫ﱠ‬ ‫ﻳﺘــﻢ ﺇﺩﺧﺎﻝ ﺍﻟﺒﺎﺭﻳــﻮﻡ ﺍﻟﻰ ﺍﻟﻘﻮﻟــﻮﻥ‪ ،‬ﻓﺈﻥ‬ ‫ﻋﻨﺪﻣــﺎ‬ ‫ﱡ‬ ‫ﻈﻬﺮ ﺍﻟﻘﻮﻟﻮﻥ ﺑﺼﻮﺭﺓ ﺃﻛﺜﺮ‬ ‫ﺍﻷﺷــ ﱠﻌﺔ ﺍﻟﺴــﻴﻨﻴﺔ ﺗ ﹸ ﹺ‬ ‫ﻭﺿﻮﺣــﺎ ﹰ‪ .‬ﻭﻳﺘﻢ ﺫﻟﻚ ﺍﻹﺟﺮﺍﺀ ﻟﻠﻤﺮﻳﺾ ﻣﺜﻞ ﺑﺎﻗﻲ‬ ‫ﻓﺤﻮﺻــﺎﺕ ﺍﻟﻌﻴﺎﺩﺓ ﺍﳋﺎﺭﺟﻴﺔ‪ ،‬ﻭﻗﺪ ﻳﺴــﺘﻐﺮﻕﹶ ﻣﻦ‬ ‫ﻧﺼﻒ ﺳــﺎﻋﺔ ﺇﻟﻰ ﺳﺎﻋﺔ‪ ،‬ﻭﻓﻲ ﺑﻌﺾ ﺍﳊﺎﻻﺕ ﻗﺪ‬ ‫ﻳﻄﻠــﺐ ﺃﺧﺼﺎﺋﻲ ﺍﻷﺷــﻌﺔ ﺻــﻮﺭ ﻣﺘﺄﺧــﺮﺓ ﳊﲔ‬ ‫ﺍﻣﺘﻼﺀ ﺍﻟﻘﻮﻟﻮﻥ ﺑﺎﻟﺒﺎﺭﻳﻮﻡ‪ .‬ﺍﳊﻘﻨ ﹸﺔ ﻏﻴﺮ ﻣﺆﳌﺔ‪ ،‬ﻭﻟﻜﻦ ﳝﻜﻦ ﺃﻥ ﺗﻜﻮﻥ ﻏﻴﺮ ﻣﺮﻳﺤﺔ‪.‬‬ ‫ﻭﺑﻌــﺪ ﻫﺬﺍ ﺍﻹﺟــﺮﺍﺀ‪ ،‬ﻳﺨﺮﺝ ﺍﻟﺒﺎﺭﻳــﻮﻡ ﻣﻊ ﺍﻟﺒﺮﺍﺯ ﻣﺜــﻞ ﺃﻳﱠﺔ ﻣﺎﺩﱠﺓ ﻏﺬﺍﺋﻴــﺔ ﺃﺧﺮﻯ ﻭﺗﻌ ﱡﺪ‬ ‫ﺇﺟﺮﺍﺀﺍﺕ ﺍﻟﻔﺤﺺ ﺁﻣﻨﺔ ﺟﺪﺍﹰ‪ ،‬ﻭﻟﻜﻦ ﺇﺫﺍ ﻛﺎﻧﺖ ﺍﳌﺮﻳﻀﺔ ﺣﺎﻣﻼﹰ‪ ،‬ﻳﺠﺐ ﺃﻻ ﱠ ﺗﺨﻀﻊ ﻟﻬﺬﺍ‬ ‫ﹸ‬ ‫ﺍﻟﻔﺤﺺ ﻧﻈﺮﺍ ﹰ‬ ‫ﻟﻠﻜﻤﻴﺔ ﺍﻟﻜﺒﻴﺮﺓ ﻣﻦ ﺍﻷﺷ ﱠﻌﺔ ﺍﳌﺴﺘﺨﺪﻣﺔ‪.‬‬ ‫ﱢ‬

‫ﺩﻭﺍﻋﻲ ﺍﺳﺘﺨﺪﺍﻡ ﺍﻟﻔﺤﺺ؟‬ ‫ﻳﻄﻠــﺐ ﺍﻟﻄﺒﻴﺐ ﺇﺟﺮﺍﺀ ﻫــﺬﺍ ﺍﻟﻔﺤﺺ ﻟﻠﺘﺄﻛﺪ ﻣﻦ ﺗﺸــﺨﻴﺺ ﺍﻟﻜﺜﻴﺮ ﻣﻦ ﺍﻷﻣﺮﺍﺽ‬ ‫ﻣﺜــﻞ ﺍﻹﻟﺘﻬﺎﺑــﺎﺕ ﺃﻭ ﺍﻟﺘﻘﺮﺣــﺎﺕ ﺃﻭ ﺍﻷﻭﺭﺍﻡ ﻭﻓﻲ ﺣﺎﻻﺕ ﺍﻹﺻﺎﺑﺔ ﺑﺈﺳــﻬﺎﻝ ﻣﺰﻣﻦ ﺃﻭ‬ ‫ﺇﻣﺴــﺎﻙ ﺃﻭ ﻭﺟﻮﺩ ﺩﻡ ﻓﻲ ﺍﻟﺒﺮﺍﺯ ﺃﻭ ﻓﻘﺪﺍﻥ ﺍﻟﻮﺯﻥ ﺍﳌﻔﺎﺟﺊ ﺑﺴــﺒﺐ ﺗﻐﻴﺮﺍﺕ ﻓﻲ ﺍﻷﻣﻌﺎﺀ‬ ‫ﺃﻭ ﺣﺘﻰ ﺑﺪﻭﻥ ﺳﺒﺐ‪.‬‬ ‫ﺍﻟﺘﺤﻀﻴﺮ ﻟﻸﺷﻌﺔ؟‬ ‫• ﻳﺠــﺐ ﺇﺑــﻼﻍ ﺍﻟﻄﺒﻴﺐ ﺇﻥ ﻛﻨﺖ ﺗﻌﺎﻧﻲ ﻣﻦ ﺃﻱ ﺃﻋــﺮﺍﺽ ﻣﺮﺿﻴﺔ‪ ،‬ﻛﻤﺎ ﻳﺠﺐ ﺇﺧﺒﺎﺭ‬ ‫ﺍﻟﻄﺒﻴﺐ ﺇﺫﺍ ﻛﻨﺖ ﺗﻌﺎﻧﻲ ﻣﻦ ﺣﺴﺎﺳــﻴﺔ ﻷﻱ ﻣﻦ ﺍﻷﺩﻭﻳﺔ ﺍﻟﻌﻼﺟﻴﺔ‪ ،‬ﻭﻋﻠﻰ ﺍﻟﺴــﻴﺪﺓ‬ ‫ﺍﳊﺎﻣﻞ ﺇﻃﻼﻉ ﺍﻟﻄﺒﻴﺐ ﻓﻲ ﺣﺎﻟﺔ ﻭﺟﻮﺩ ﺣﻤﻞ‪.‬‬ ‫• ﺳــﻮﻑ ﺗﻌﻄــﻰ ﺑﻌﺾ ﺍﻷﺩﻭﻳــﺔ ﺍﳌﹸﻠﹰﻴﻨــﺔ ﻟﺘﻨﻈﻴﻒ‬ ‫ﺍﻟﻘﻮﻟﻮﻥ‪.‬‬ ‫• ﺑﻌﺪ ﺍﻟﺘﺤﻀﻴﺮ‪ ،‬ﻳﺠﺐ ﺍﻹﻣﺘﻨﺎﻉ ﻋﻦ ﺍﻷﻛﻞ ﺃﻭ ﺍﻟﺸﺮﺏ‬ ‫ﳌﺪﺓ ‪ ٨‬ﺳﺎﻋﺎﺕ‪.‬‬ ‫• ﺑﻌــﺪ ﺍﻟﻔﺤــﺺ ﻳﺠــﺐ ﺷــﺮﺏ ﺍﻟﻜﺜﻴــﺮ ﻣــﻦ ﺍﳌﺎﺀ‬ ‫ﻟﻠﻤﺴﺎﻋﺪﺓ ﻓﻲ ﺍﻟﺘﺨﻠﺺ ﺍﻟﺴﺮﻳﻊ ﻣﻦ ﺍﻟﺒﺎﺭﻳﻮﻡ‪.‬‬

‫ﻛﻴﻒ ﻳﺒﺪﻭ ﺷﻜﻞ ﺍﳉﻬﺎﺯ؟‬ ‫ﻳﺘﻜﻮﻥ ﺍﳉﻬﺎﺯ ﻣﻦ ﻃﺎﻭﻟﺔ ﻳﺴــﺘﻠﻘﻲ ﻋﻠﻴﻬﺎ ﺍﳌﺮﻳﺾ ﻭﺃﻧﺒﻮﺏ ﺃﺷــﻌﺔ ﻳﺴﻤﺢ ﺑﺘﺼﻮﻳﺮ‬ ‫ﺍﻟﻘﻮﻟﻮﻥ‪ ،‬ﺛﻢ ﻳﻘﻮﻡ ﺑﻌﺮﺽ ﺗﺼﻮﻳﺮ ﺣﻲ ﻳﺴــﻤﺢ ﺑﺮﺅﻳﺔ ﺣﺮﻛﺔ ﺍﻟﻘﻮﻟﻮﻥ ﻋﻠﻰ ﺷﺎﺷــﺔ‬ ‫ﺗﻠﻔﺰﻳﻮﻧﻴﺔ‪.‬‬ ‫ﻛﻴﻒ ﻳﺘﻢ ﺍﻟﻔﺤﺺ؟‬ ‫ﻳﻮﺿــﻊ ﺍﳌﺮﻳﺾ ﻋﻠﻰ ﻃﺎﻭﻟــﺔ ﺍﻟﻔﺤﺺ‬ ‫ﻭﻣﻦ ﺛﻢ ﻳﺘﻢ ﺣﻘﻨﻪ ﺑﺼﺒﻐﺔ "ﺍﻟﺒﺎﺭﻳﻮﻡ"‬ ‫ﻋﻦ ﻃﺮﻳﻖ ﺍﳌﺴــﺘﻘﻴﻢ ﺑﻮﺍﺳﻄﺔ ﺣﻘﻨﺔ‬ ‫ﺷــﺮﺟﻴﺔ‪ ،‬ﻭﻳﺘــﻢ ﺗﺼﻮﻳــﺮ ﺍﻟﻘﻮﻟﻮﻥ ﻓﻲ‬ ‫ﺃﻭﺿــﺎﻉ ﻣﺨﺘﻠﻔــﺔ‪ ،‬ﻭﻛﺠــﺰﺀ ﻣــﻦ ﻫﺬﻩ‬ ‫ﺍﻹﺟــﺮﺍﺀﺍﺕ‪ ،‬ﻗــﺪ ﻳﹸﻄﻠﺐ ﻣــﻦ ﺍﳌﺮﻳﺾ ﺃﻥ‬ ‫ﺍﳊﻤــﺎﻡ‬ ‫ﻳﺬﻫــﺐ ﺇﻟــﻰ ﱠ‬ ‫ﺑﻌــﺾ‬ ‫ﻟﺘﻔﺮﻳــﻎ‬ ‫ﺍﻟﺒﺎﺭﻳــﻮﻡ‪ .‬ﻭﻗﺪ ﻳﹸﺪﺧﻞ‬ ‫ﻃﺒﻴﺐ ﺍﻷﺷــ ﱠﻌﺔ ﺃﻳﻀﺎ ﹰ ﺑﻌﺾ ﺍﻟﻬــﻮﺍﺀ ﺇﻟﻰ ﺍﻟﻘﻮﻟﻮﻥ ﻷﺧﺬ ﺍﳌﺰﻳﺪ ﻣﻦ‬ ‫ﺻﻮﺭ ﺍﻷﺷﻌﺔ ﺍﻟﺴﻴﻨﻴﺔ‪.‬‬ ‫ﻳﺠﺐ ﺃﻥ ﺗﺸﺰﺏ ﺍﻟﻜﺜﻴﺮ ﻣﻦ ﺍﳌﻴﺎﺓ ﺑﻌﺪ ﺍﻟﻔﺤﺺ ﻟﻠﻤﺴﺎﻋﺪﺓ ﻋﻠﻰ ﺇﺧﺮﺍﺝ ﺍﻟﺒﺎﺭﻳﻮﻡ ﻣﻦ‬ ‫ﺍﻷﻣﻌﺎﺀ‪.‬‬

‫ﻛﻢ ﻳﺴﺘﻐﺮﻕ ﺍﻟﻔﺤﺺ؟‬ ‫ﻳﺴــﺘﻐﺮﻕ ﺍﻟﻔﺤــﺺ ﻣﻦ ‪ ٣٠‬ﺇﻟــﻰ‪ ٦٠‬ﺩﻗﻴﻘــﺔ‪ ،‬ﻭﻓﻲ ﺑﻌﺾ‬ ‫ﺍﻷﺣﻴﺎﻥ ﻗﺪ ﻳﺘﻄﻠﺐ ﺍﻷﻣﺮ ﺃﺧﺬ ﺻﻮﺭ ﻣﺘﺄﺧﺮﺓ ﺑﻌﺪ ﺳــﺎﻋﺔ ﺃﻭ‬ ‫ﺃﻛﺜﺮ ﺣﺴﺐ ﺣﺮﻛﺔ ﺍﻟﻘﻮﻟﻮﻥ‪.‬‬ ‫ﻣﺎ ﻫﻲ ﻣﺰﺍﻳﺎ ﺍﻟﻔﺤﺺ؟‬ ‫ﻳﻘﻮﻡ ﺑﺘﺼﻮﻳﺮ ﺣﻲ ﻟﻠﻘﻮﻟﻮﻥ ﻣﻦ ﺍﻟﺪﺍﺧﻞ ﳑﺎ ﻳﺴــﺎﻋﺪ ﻛﺜﻴﺮﺍ ﻓﻲ ﺗﺸــﺨﻴﺺ ﺍﻟﻜﺜﻴﺮ‬ ‫ﻣﻦ ﺍﻷﻣﺮﺍﺽ‪.‬‬ ‫ﳝﻜﻨﻚ ﻣﺰﺍﻭﻟﺔ ﻧﺸﺎﻃﻚ ﺍﻟﻴﻮﻣﻲ ﺍﻟﻌﺎﺩﻱ ﺑﻌﺪ ﺇﺟﺮﺍﺀ ﺍﻟﻔﺤﺺ ﻣﺒﺎﺷﺮﺓ‪.‬‬

‫ﻛﻴﻔﻴﺔ ﺍﳊﺠﺰ‪:‬‬ ‫ﻟﻠﺤﺼــﻮﻝ ﻋﻠﻰ ﻣﻮﻋﺪ ﺃﻭ ﻟﻠﻤﺰﻳــﺪ ﻣﻦ ﺍﳌﻌﻠﻮﻣﺎﺕ ﺍﻟﺮﺟﺎﺀ ﺍﻹﺗﺼــﺎﻝ ﺑﺎﻟﺮﻗﻢ ﺍﻟﺘﺎﻟﻲ‪:‬‬ ‫‪ ٦٥٠٩٠٠٠‬ﲢﻮﻳﻼﺕ‪١٩٩٣ / ٥٩٠٠ :‬‬ ‫ﺃﻭ ﺗﻔﻀﻞ ﺑﺰﻳﺎﺭﺗﻨﺎ ﻓﻲ ﻣﺮﻛﺰ ﺍﻷﺷﻌﺔ ﻭﺍﻟﺘﺼﻮﻳﺮ ﺍﻟﻄﺒﻲ ﺑﺎﻟﺪﻭﺭ ﺍﻷﻭﻝ‪.‬‬

Medical Imaging Center

A step by step patient’s guide to

MRK-D27-2010

Barium Enema

Welcome to the International Medical Center’s Medical Imaging Center..

We are pleased to offer you this simple guide, which will help you to learn more about the examination of the digestive system by barium enema. We wish you speedy recovery.

What is a Barium Enema?

Barium Enema is a medical examination that helps diagnose problems in the colon (also known as the large intestine), such as the presence of polyps or tumors.

When Barium Enema is placed in the colon, x-rays can show the colon more clearly. The procedure is done on outpatient basis, and could take one hour. It is not painful, but could be uncomfortable.

After the procedure, barium is extracted in feces like any other food material.

The testing procedure is very safe, but if you pregnant you must not have the test due to amount of radiation used.

Why Barium Enema?

A barium enema may be performed for a variety of reasons, including abdominal pain or a change in bowel habits (such as diarrhea or constipation), as well as a change in the caliber (size) of the stool. This exam is also requested when parasites, blood, mucus, or pus are found in stool.

How to prepare?

• Before a barium enema, tell your doctor if you are experiencing any symptoms.

• You should tell the doctor if you are pregnant.

• You should tell the doctor if you are allergic to any of the medications used in the treatment.

• You will be given laxative to keep the bowel empty.

• You should not eat or drink 8 hours before the examination.

How does the equipment look like?

The equipment consists of a radiographic table, an x-ray tube and a television-like monitor that is located in the examining room.

How does the procedure work?

You will be positioned on the examination table and the radiologist will then insert a small tube into the rectum and begin to instill, using gravity, a mixture of barium and water into the colon.

In some circumstances, the radiologist or referring physician may prefer a water and iodine solution rather than barium. Next, a series of x-ray images is taken.

Part way through the procedure, you may be asked to go to the bathroom and empty some of the Barium. The radiologist may also place some air in the colon to take more x-rays with double contrast.

You have to drink plenty of water after examination to facilitate excretion of barium.

How long the procedure takes?

It generally will take 30 to 60 minutes. In particular cases; delayed imaging may be required.

What are the benefits of Barium Enema?

• Helps in the diagnosis of many diseases because it is real-time imaging.

After the examination, patients may leave and resume his daily activities normally.

Scheduling Barium Enema Procedure: For further information or to schedule a Barium Enema procedure, please call 650-9000 Ext: 5900 / 1993 / 1999 / 9199 or kindly visit The Medical Imaging Center on the first floor.