‘Virtual Colonoscopy’ tih hi i hre tawh em? I doctor-in a rawn rawt che pawh a ni thei a, khawi emaw laiah i chhiar tawh mai thei bawk. A hming hi science fiction ang deuhin ri mah se, a takah chuan hei hi test pawimawh tak a ni a, kan intestine-a cancer cell awmte hriat hmasakna atana puitu a ni a, a bik takin large intestine (colon)-a cancer cell awmte hriatchhuahna atana puitu a ni. Chuti a nih chuan, eng nge ni a, engtin nge tih a nih a, i hlau tur em ni? Heng zawng zawng hi vawiin hian awlsam takin kan sawi dawn a, in hriatthiam theih tur angin.
Virtual colonoscopy tih hi eng nge ni? A awlsam zawngin...
A awlsam zawngin, virtual colonoscopy, a then chuan CT colonography tia sawi thin hi i colon chhungril lam enfiahna noninvasive tak a ni. CT scan machine bik leh computer technology hmangin i colon high-resolution thlalak tam tak a la thei a ni. 3D movie ang bawkin doctor chuan i colon "virtual" tour a nei thei a. Hei hian polyps , thinghnah te tak te, colorectal cancer-a lo chang thei te chu a zawng thei a ni.
A tha ber chu he test hi anesthesia a ngai lo va, minute 15 chhungin tihfel theih a ni. Mahse, he test-naah hian polyp hmuh a nih chuan, chu chu paih chhuah nan traditional colonoscopy neih a ngai dawn a ni.
Virtual CT colonoscopy hi colon cancer screening hmanraw pakhat a ni. Mithiamte chuan kum 45 an tlin hnuah mi zawng zawngin he test hi an nei tur a ni an ti a, mahse, risk factor engemaw zat i neih chuan a hmain tihsak a ngai mai thei. I doctor chuan he virtual colonoscopy hi i tan a tha em tih a hrilhfiah ang che.
Engtin nge hei hi a thawh tak tak?
A awlsam khawp mai. Virtual colonoscopy hian imaging technology hmangin i colon chu chipchiar takin a la thei a ni.
1. Technician pakhat chuan CT scanner (doughnut lian tak ang maia lang machine) hmangin i pum leh i pelvis thlalak eng emaw zat a la ang.
2. Tichuan, computer chuan heng thlalak te hi a process a, 2D leh 3D image ah a chantir thin.
3. Radiologist chuan heng thlalak te hi uluk takin a zirchiang ang a, i colon chhungah polyp emaw thil danglam dang emaw a awm em tih a enfiah ang.
4. Chutiang thil hmuh chhuah a nih chuan colonoscopy mumal tak neih a ngai dawn a, polyps te chu paih chhuah a ngai dawn a ni.
He fiahna hma hian engtin nge kan inbuatsaih thin?
Virtual colonoscopy tih hma hian "bowel preparation" tih a ngai ang., emaw, mi ṭhenkhatin an sawi angin, "prep." Hei hian i colon atanga stool/poop zawng zawng paih vek a, doctor-in i colon leh rectum chiang taka a hmuh theih nan buatsaih a ngai a ni. A tam zawkah chuan he prep hi test hma ni khatah tih thin a ni.
Hemi atana inbuatsaih dan tur i doctor chuan a hrilh ang che. Heng thupekte hian:
- Enemas: Hei hi damdawi tui (liquid medications) a ni a, i rectum-ah dah thin a ni. Hei hian bowel movement a tichak a, stool pass a ti awlsam bawk.
- Laxatives: Hengte hi liquid emaw powder emaw angin an awm thin. An ei chuan ril a ti na fo thin.
- Clear liquid diet: Test hma ni khatah chuan tui, thau tel lo broth, apple tui, leh coffee emaw tea thlum loh te chauh i in thei ang. I doctor chuan i ei leh in theih tur list a pe ang che. Hei hi ngun takin i zawm tur a ni.
- Chaw nghei: Test hma darkar engemaw zat chhung chu engmah i ei leh in thei lovang.
- Contrast medium in: Hei hi liquid bik a ni a, virtual colonoscopy neih laiin i colon chiang taka hmuh theih nan a pui a ni.
Pawimawh: Virtual colonoscopy hlawhtling tak neih nan chuan bowel prep kimchang tak neih a pawimawh hle. Hetih lai hian tui takin riltam i nei fo thei. Chuvangin, chumi ni chuan in leh bathroom bulah awm reng a tha ber.
Test neih chhung hian eng nge thleng? Hlauh tur a awm em?
Test ni-ah chuan thawmhnaw nuam tak ha la, jewelry ha suh. Health worker pakhatin CT scanner awmna room-ah a hruai ang che.
Virtual colonoscopy neih chhunga thil thleng tlangpui chu hengte hi a ni:
1. Hospital gown inbel hnuah exam table-ah mut tir i ni ang.
2. Technician chuan i rectum chhungah tube tawi , inches 2 vel sei chu a dah lut ang. He tube hian zawi zawiin i colon a ti inflate ang. Chumi hnuah chuan colon chu a zau ang a, CT scanner hmangin a thlalak te chu chiang takin a lang ang. Hei hi a nuam lo deuh ang a, mahse a hrehawm lo ang.
3. Table chuan zawi zawiin ``(CT scanner)`` ah a hruai lut ang che. Tunnel te tak te ang mai a ni.
4. CT scanner-in i intestines thlalak a lak hian "buzz... buzz..." emaw "click... click..." tih ri i hre thei.
5. CT scanner-in thlalak a lak lai hian i ding reng a ngai ang. Technician chuan intercom system hmangin a bia ang che. Second tlemte chhung thawk khap turin an ti thei che a, i taksa dinhmun thlak danglam turin an ti thei bawk.
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He test hi a hrehawm lo. Mahse, i rectum-ah pressure tlem emaw, gas pass ngai emaw i nei thei. Hei hi thil pangngai a ni.
He test hi eng nge a thatna leh a that lohna?
Hlawkpuina:
- Hei hi minute 15 chhungin tihfel theih a ni .
- Colonoscopy pangngaia hmuh ang bawka chiang leh chipchiar tak 2D leh 3D image a hmu thei a ni.
- Sedation pek i nih loh avangin i dam thuai ang .
- Doctor ten intestine chhungah scope an dah a ngai loh avangin invasive lo zawk test a ni.
- Colonoscopy pangngai aiin i colon a chhiat theihna a tlem zawk.
- Eng emaw chhan vanga sedation emaw colonoscopy pangngai emaw i tih theih loh chuan hei hi duhthlan tur tha tak a ni.
- Hei hian i intestine pumpui thlalak a la thei a, chuvangin bowel obstruction emaw i intestine hmun a tawi emaw a nih chuan a thawk tha hle.
- Tin, a chang chuan i kal, thin emaw, i pum chhung hmun dangah emaw harsatna a lantir thei bawk.
Risk leh limitation te: 1.1.
- Thli chu intestine-a a luh hian bowel perforation a thlen tam lo hle (hei hi a tlem hle).
- Radiation tlemte nena inzawmna a awm (exposure level hi a him).
- Colonoscopy pangngai hmanga man theih polyp te zawk chu hmuh loh theih a ni .
He test hi mi zawng zawng tan a him lo mai thei a, chuvang chuan doctor chuan i medical history leh damdawi i ei tawh zawng zawng chu uluk takin a enfiah hmasa ang.
Test zawhah eng nge beisei tur?
Virtual colonoscopy hnuah i hnathawh dan pangngaiah i kir leh thei a, a hma ang bawkin ei leh in i ei thei bawk. Anesthesia a ngai loh avangin virtual colonoscopy hnua dam leh hun hi a tlem hle a, a awm chuan a tlem hle.
Mahse, side effect tenau tak tak i nei thei. Entirnan, gas tam lutuk hi flatulence vangin a chhuak thei. He gas hian cramping emaw bloating emaw engemaw zat a thlen thei. Mahse, hengte hi thil pangngai a ni a, rei vak lo hnuah a reh mai ang.
He test result hian eng nge a sawi tak tak?
- Thil danglam emaw polyp emaw hmuhchhuah a nih chuan:
Hei hian colorectal cancer i nei tihna a ni lo.Mahse, chu polyp chu paih chhuah tur chuan follow-up colonoscopy neih a ngai ngei ang. A châng chuan, i prepped tawh avangin, chu test chu ni khatah i nei thei bawk.
- Intestine pawn lama taksa peng dangah harsatna a awm chuan:
Virtual colonoscopy hian i pelvis chhunga taksa peng dangte pawh a rough idea a pe thei bawk avangin, a chang chuan i colon pawn lama harsatna awmte chu a hmuchhuak thei bawk. Chutiang a nih chuan i doctor chuan chu taksa peng hrang hrangte chu test dang neih belh turin a ti ang.
- Results a normal a nih chuan:
Chumi awmzia chu doctor chuan i colon-ah thil danglam tak a hmu lo tihna a ni. I doctor hnenah engtikah nge i colorectal cancer screening neih leh tur tih zawt rawh. Colon cancer vei theihna chance tlem i neih chuan virtual colonoscopy neih leh turin an ti leh thei che a, kum nga danah vel.
Heng result te hi engtiang chiahin nge a dik?
Zirna engemaw zatah chuan virtual colonoscopy hian polyp lian tak tak leh cancer hmuhchhuahna kawngah hian traditional colonoscopy ang bawkin a thawk tha hle tih hmuhchhuah a ni. Mahse, he dikna hi polyp lian leh te a zirin a danglam thei. A tlangpuiin polyp millimeter 10 aia lian hmuhchhuahnaah a dik zawk. Millimeter 6 aia te polyp hmuhchhuahna kawngah a hlawk lo hle.
Engtikah nge doctor ka hmuh nghal ang?
Virtual colonoscopy hnuah heng symptoms te hi i neih chuan doctor lam pan nghal tur a ni:
- I ek chhungah thisen a awm a nih chuan, emaw, i butthole/rectum atanga thisen chhuak a nih chuan.
- I luak chhuak tih i hriat chuan.
- Khawsik i neih chuan.
- Pum natna nasa tak i neih chuan.
A tawp berah chuan i hriat reng tur pawimawh ber chu! (In lama hruai tur thuchah)
Colorectal cancer hi puitling zingah cancer chi hrang hrang zingah chuan a tam ber pawl a ni. Mahse thu lawmawm tak chu he cancer hi a hmaa hriatchhuah a nih chuan enkawl a awlsam hle. Chuvang chuan screening test neih theih a ni.
Mahse, mi tam tak chuan colonoscopy pangngai tih an hreh hle. Hei hi inbuatsaihna, anesthesia emaw, tih dan hlauh vang emaw pawh a ni thei.
Chutiang mite tan chuan virtual colonoscopy hi duhthlan tur tha tak a ni. Harsatna a thlen theihna a hniam a, a dam chak zawk bawk.
Chuvangin, i doctor nen eng colon cancer screening method nge i tan a tha tih sawi rawh. Tichuan virtual colonoscopy hi i tan a tha em tih i hre thei ang. Hemi chungchang hi i doctor zawt hlau lo la, hreh suh.I hriselna tur chu nangmahin i rel thin!
` Virtual Colonoscopy, CT Colonography, Colon Cancer, Polyps, Bowel Exam, Cancer Screening, Virtual Colonoscopy te hi a ni
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