A gastroenterologist explains a colonoscopy to a Mandarin-speaking patient after a positive bowel-screening result.
- Gastroenterologist · turn 1
Your faecal occult blood test was positive, so your GP referred you for a colonoscopy. The procedure lets us examine the colon and rectum for bleeding, inflammation, polyps or other abnormalities.
您的糞便隱血檢測呈陽性,因此全科醫生將您轉診做結腸鏡檢查。這項檢查讓我們查看結腸和直腸是否有出血、發炎、息肉或其他異常。
- Patient · turn 2
我很擔心會不會是腸癌。我最近排便習慣改變了,有時腹瀉,也偶爾在糞便上看到血。
I am worried that it could be bowel cancer. My bowel habits have changed recently; I sometimes have diarrhoea and occasionally see blood on the stool.
- Gastroenterologist · turn 3
A positive screening result does not by itself mean cancer. Colonoscopy is the best way to identify the cause and, if we find a polyp, we may be able to remove it or take a biopsy for laboratory testing.
篩查結果陽性本身並不代表患癌。結腸鏡是找出原因的最佳方法;如果發現息肉,我們可能可以將其切除,或抽取活組織檢查送往化驗。
- Patient · turn 4
檢查前我需要怎樣準備?我聽說腸道必須清理乾淨。
How do I need to prepare before the test? I have heard that the bowel has to be completely clean.
- Gastroenterologist · turn 5
You will receive written bowel-preparation instructions. Usually this involves a low-fibre diet, clear fluids and a prescribed laxative; following the timing precisely is important so that we can see the bowel lining clearly.
您會收到書面的腸道準備指示。通常包括低纖維飲食、清澈流質和處方瀉藥;準確遵守時間安排很重要,這樣我們才能清楚看見腸壁。
- Patient · turn 6
檢查時我會完全清醒嗎?我害怕疼痛,也想知道之後能否自己開車回家。
Will I be fully awake during the procedure? I am afraid of pain, and I also want to know whether I can drive myself home afterwards.
- Gastroenterologist · turn 7
Most patients receive sedation to make them relaxed and comfortable, although it is not the same as a general anaesthetic. You must arrange an adult to take you home and stay with you afterwards; do not drive or make important decisions that day.
大多數患者會接受鎮靜,使其放鬆和舒適,但這不同於全身麻醉。您必須安排一名成人接您回家並在之後陪伴您;當天不要開車或作出重要決定。
- Patient · turn 8
這項檢查有哪些風險?如果取了活組織或切除了息肉,會不會很危險?
What are the risks of the procedure? Is it dangerous if you take a biopsy or remove a polyp?
- Gastroenterologist · turn 9
Serious complications are uncommon, but bleeding, reaction to sedation and perforation of the bowel are recognised risks. We will discuss your individual risks and ask for informed consent before the procedure.
嚴重併發症並不常見,但出血、鎮靜反應和腸道穿孔都是已知風險。我們會與您討論個人風險,並在檢查前取得知情同意。
- Patient · turn 10
明白。如果結果正常,我以後還需要再做結腸鏡嗎?
I understand. If the result is normal, will I need another colonoscopy in the future?
- Gastroenterologist · turn 11
That depends on the findings, your symptoms and your family history. If polyps are found, we may recommend surveillance at an interval suited to their type and number; we will explain the results and the follow-up plan after the test.
這取決於檢查結果、您的症狀和家族史。如果發現息肉,我們可能建議按其類型和數量作定期監測;檢查後會向您解釋結果和後續計畫。
- Patient · turn 12
謝謝醫生。我會按照腸道準備指示做,也會安排家人陪我回家。
Thank you, doctor. I will follow the bowel-preparation instructions and arrange for a family member to take me home.
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