Colonoscopy tih i hlau em? Hemi chungchang hi awlsam takin han sawi ila.

I doctor chuan colonoscopy ti turin a hrilh che em? Chutianga a sawi lai chuan hlauthawng leh hlauthawng deuh i nei tawh mai thei. "Hei hi eng nge ni? A na dawn em? Ka tih tur ka hre lo" tih ang chi ngaihtuah hi thil pangngai tak a ni. Mahse hei hi hlauh tur a ni tak tak lo. Hei hi i hriselna test pawimawh tak a ni a, a bik takin colon cancer ang chi natna khirh tak tak laka invenna atan a pawimawh hle. Vawiin hian he thu hi awlsam takin, i hriatthiam theih tur angin, i thianpa nen in inbia ang maiin kan sawi dawn a ni.

A awlsam zawngin, colonoscopy tih hi eng nge ni?

Doctor chuan i taksa chhungah pawn lam atanga i hmuh theih loh thil hmuh a duh ang tih han ngaihtuah teh. Colonoscopy chu chutiang chiah chu a ni. I large intestine chhung lam a enfiah a, chu chu large intestine leh a inzawm rectum leh anus a ni.

Hei hi tube te tak te, flexible tak hmanga tih a ni. He tube tawp lamah hian camera te tak te leh light a awm a. He hmanrua hi ‘colonoscope’ kan ti a. He tube hi i hnute kaltlangin a lut a, zawi zawiin i intestine lian takah a kal chho ta a ni. Chumi hnuah chuan doctor chuan camera atang chuan screen lian takah thlalak te chu a en thei ang. I colon chhunga TV show en ang mai a ni. Hei hi a takah chuan test chi khat endoscopy an tih a ni . Endoscopy chu test eng pawh, i taksa chhunga camera hmanga tube dah luh a ni.

Engvangin nge colonoscopy kan neih a ngaih?

Colonoscopy neih chhan lian tak pathum a awm a. A châng chuan heng chhan pathumte hi test pakhatah hian a tlin theih vek a ni.

1. Prevention and Early Detection (Screening): Nakin lawka lo awm thei, a bik takin colon cancer, symptom nei lo hriatchhuah.

2. Diagnosis: I natna lan chhuah tawh (e.g. pum na, ek chhunga thisen) awm chhan dik tak zawng rawh.

3. Enkawl dan: Enkawl laiin harsatna a awm a nih chuan a hmunah enkawl tur a ni.

Heng zawng zawng hi chipchiar deuhin han thlir ila.

1. Natna lanchhuahna nei lo pawh nise hriat hmasak (Screening) .

Hemi avang hian mi tam tak chuan colonoscopy hmasa ber an nei thin. An tar chhoh zel chuan colorectal cancer vei theihna a sang chho zel a ni. He cancer hlauhawm ber chu a tir lamah chuan symptom a nei lo fo thin . Symptoms a lan hunah chuan enkawl a tlai tawh mai thei.

Doctor chuan a hnuaia thil awmte hi colonoscopy tihsak turin a rawt tlangpui thei che a ni:

• Kum 45 chunglam i nih a, he test hi i la nei lo a nih chuan.
• He test hi an tih hnuhnun ber atang khan kum 10 a liam ta.
• I colonoscopy hnuhnung ber khan polyp lakchhuah a nih chuan .
• I chhungkuaah (nu, pa, unau) tu emaw chuan colon cancer a vei tawh a nih chuan .
• Hriselna lama natna (e.g. Familial Adenomatous Polyposis - FAP emaw Lynch syndrome) i neih chuan.
• Inflammatory Bowel Disease (IBD) ang chi natna khirh tak i neih chuan.

2. A lan chhuah chhan zawng rawh (Diagnosis) .

A châng chuan symptom engemaw zat i nei thei bawk. I doctor hian eng thil nge an thlen tih chiang taka hriat theih nan thlirna chiang tak a mamawh a ni. Colonoscopy hian i intestine lian chhung chu scan dang aiin a chiang zawkin a hmu thei a ni.

Doctor chuan heng ang symptoms i neih chuan colonoscopy tih a rawt thei ang:

• Chhan hriat lohvin hnute atanga thisen emaw thil dang emaw chhuak .
• I rilru hahna (e.g., persistent diarrhea, constipation) a danglamna sawifiah theih loh.
• A chhan hriat lohvin pum na reng reng .
• Chhan awm lovin taksa rihna tihtlem .

He test neih chhung hian doctor-in rinhlelhna hmun a hmuh chuan tissue te tak te (biopsy) a la a, lab-ah a thawn thei a ni. Hei hian natna awmzia dik tak a nemnghet thei a ni.

3. Test neih rualin enkawl tur a ni.

Hei hi colonoscopy thatna lian ber pakhat a ni. Exam laiin doctor-in harsatna a hmuh chuan chutah tak chuan an enkawl thei mai thei.

• Polyps lakchhuah: Polyps hi a pangngai lo, a te te, colon wall-a lo awm a ni. Chung zinga a tam zawk chu cancer vei an ni lo. Mahse, ṭhenkhat chu hun kal zelah cancer an ni thei. Chuvangin Doctor-in polyp a hmuh chuan an paih chhuak ang (a `polypectomy`). Hei hian nakin lawkah cancer a lo awm loh nan a veng thei a ni.
• Hliam damna: Thisen chhuahna hmun tenau te chu seal theih a ni.
• Injection: Damdawi hi a tulna hmunah direct-in i inject thei.
• Thil tibuaitute paih chhuah: Intestine-a harsatna awm chu paih emaw, tihzauh emaw theih a ni.

Test atan engtin nge kan inbuatsaih ang? (The Prep) tih a ni.

Hei hi a kalphung zawng zawnga pawimawh ber leh tlem tal i thawhrim a ngai dawnna hmun a ni . Test hlawhtling tur chuan i colon chu a fai vek tur a ni. In sawp leh mopping ang mai a ni. Colon chhungah bawlhhlawh a awm chuan doctor chuan a ti angA chhung lam chu chiang takin i hmu thei dawn lo. Chutiang a nih chuan test chu sawn hla la, he inbuatsaihna hi i paltlang leh a ngai mai thei.

I doctor emaw damdawi in emaw chuan zawm tur thupek set khat a pe ang che. Anmahni zawm dik a pawimawh hle. A tlangpuiin, hetiang hian a kal thin:

1. Diet: Test hma ni hnih atanga ni thum chhung chu fiber tlem ei turin an ti ang che. Hei hian greens, thlai tam tak, leh thei chi hrang hrang atanga inthiarfihlim a, chhang, buhfai, leh soup ang chi thil ei tihna a ni.

2. Liquid diet: Test hma ni khatah tui chauh ei phal a ni. Entirnan, tui, salted porridge, clear soup, leh smoothie te.

3. Laxative: Test hma tlai emaw zan emaw chuan tui in tur i pe ang. Hei hi a harsa ber a ni. Hei hi i in hnuah i intestines chhunga thil awm zawng zawng chu stool angin a pass out vek ang.

• Ni e, bathroom-ah vawi engemaw zat i kal a ngai dawn a ni. Chumi atan chuan inbuatsaih la, lehkhabu emaw thil dang emaw la la, chawlh hahdam rawh. Hei hi i mamawh angin ngaihtuah rawh.

Hei hi dik taka i tih chuan test ni thlengin i colon chu a fai vek tawh ang.

Test ni hian eng nge thleng?

Test ni ah nangmah chauhin damdawi inah i kal thei lovang. In lama hruai thei tur che i neih a ngai a ni. Hei hi a chhan chu test atana hman anesthetic damdawi te chu a chhe vek theih nan darkar 24 vel a ngai a ni. Chuvangin, i khalh thei lo ang.

Damdawi in i kal hunah chuan hospital gown hak tur pek i ni ang. Tichuan nurse pakhat chuan i kut vein pakhatah cannula te tak te (IV line) a dah ang. A kaltlangin anesthetic leh natna damdawi pek a ni ang.

Hetianga i tih hian i harh em? A na em?

Hei hi mi tam tak tan chuan harsatna lian ber a ni. Ni lo, engmah hrehawm i nei lovang. Anesthesia chi hnih atang hian i thlang thei.

• General Anesthesia: Hei hian muthilh tir che a, test zawh hma chuan i hre lo ang.
• Conscious Sedation: Hei hian muthilh ang maia light sleep ang maiin a dah che a ni. I harh chhuak thei a, mahse a hnuah i hre reng lo mai thei.

Mahse, i rilru atanga tissue chi khat lakchhuah pawh nise, natna engmah i hre lovang. Tube i dah luh a, boruak tlem tal i luh chuan i intestines i hmuh theih nan pressure tlem leh fullness i nei thei. Mahse, tuar theih loh hrehawmna a ni lo.

Test leh result neih zawhah

Test hi minute 30 atanga 45 vel a ni tlangpui . Polyp ang chi thil lakchhuah a nih chuan rei vak lo a la ngai thei. A tih zawh chuan darkar khat vel chu anesthesia atanga i harh hma loh chuan an lo enkawl ang che.

I hriatna i neih leh hnuah doctor chu a lo kal ang a, i enfiah laia thil hmuh chu a rawn hrilh ang che. Biopsy lak a, test tura thawn a nih chuan result a lo chhuah leh theih nan ni engemaw zat emaw kar khat emaw kar hnih emaw a la ngai thei.

In i haw hnuah ni khat emaw vel chu hahdam takin chawl la. I pum chhungah tlem chuan i puar a, i rilru a hah hle mai thei a, mahse chu chu rei vak lo hnuah a reh mai ang. I riltam i hriat veleh pangngai takin i ei thei.

Heng risk te hi a tlem hle tih hre reng ang che. Colonoscopy hlawkna hian heng hlauhawmnate hi a phak lo hle.

Colonoscopy ai chuan hmanraw dang a awm lo em ni?

Ni e, cancer hmuhchhuah dan dang engemaw zat a awm bawk.

• Fecal tests: Stool sample chu thisen thup emaw, cancer nena inzawm DNA inthlak danglamna emaw enfiah a ni. Hengte hi kum khat atanga kum thum danah tih tur a ni. Heng test-te hian harsatna a lantir chuan a dawt leh tur chu colonoscopy a ni.
• Virtual Colonoscopy hmanga tihchhuah a ni.Hei hi CT scan bik a ni. Hei hian taksa chhunga tube dah luh a huam lo. Mahse, colonoscopy pangngai ang bawkin colon tihfai a ngai bawk. Hetiang tih lai hian polyp hmuh a nih chuan, chu chu paih chhuah nan colonoscopy pangngai dang neih leh a ngai dawn a ni.

Heng duhthlan tur awm mahse, colonoscopy hi "Gold Standard" anga ngaih a ni a , a chhan chu,

• A sensitive hle mai . A danglamna tenau ber pawh a hmu thei.
• Natna chu a rualin a hmuchhuak a , a enkawl bawk . Test dangin harsatna a awm tih a hriat chuan colonoscopy hmanga finfiah leh enkawl a la ngai a ni.
• Results a tha a nih chuan test leh tur chu kum 10 vel a la ngai thei .