Mukufuna kudziwa zambiri zokhudza thanzi la m'matumbo anu? Zonse zokhudza mayeso a colonoscopy!

Moni! Lero tikambirana za mayeso azachipatala omwe anthu ambiri amaopa kufunsa, koma ndi ofunika kwambiri. Izi zimatchedwa colonoscopy. Mwina dokotala wanu wakulangizani kuti muchite izi, kapena mwamvapo za izi kwinakwake. Chifukwa chake, tiyeni tiwone mwachidule kuti ndi chiyani, chifukwa chake zimachitika, komanso momwe zimachitikira. Palibe choopa, tidzakambirana chilichonse momveka bwino.

Kodi colonoscopy ndi chiyani?

Mwachidule, colonoscopy ndi mayeso omwe amayang'ana mkati mwa matumbo anu, rectum, ndi anus. Zili ngati kuyika kamera. Madokotala amatcha izi kuti endoscopy. Izi zikutanthauza kuti amaika chubu chaching'ono, chosinthasintha m'thupi lanu chokhala ndi kamera kakang'ono ndi kuwala kumapeto. Imatchedwa colonoscope. Coloneloscope imayikidwa kudzera mu anus yanu kenako imakwera m'matumbo anu. Pamene ikupita, dokotala amatha kuwona pazenera lomwe likuwonetsa kamera. Izi zikuwonetsani ngati pali mavuto aliwonse mkati mwa matumbo anu.

Nchifukwa chiyani tifunika colonoscopy?

Pali zifukwa zambiri zomwe colonoscopy ingachitikire. Nthawi zina ndi njira yopewera matenda , nthawi zina ndi njira yodziwira matenda , kapena njira yochizira . Nthawi zambiri, ikhoza kukhala kuphatikiza zonse zitatu.

Monga mayeso ozindikira khansa msanga (Kuwunika)

Anthu ambiri amachita kafukufuku wawo woyamba wa colonoscopy monga njira yodziwira khansa ya m'matumbo . Tonsefe tili ndi chiopsezo chotenga khansa ya m'matumbo tikamakalamba. Ichi ndichifukwa chake mabungwe monga American Cancer Society amalimbikitsa kuti aliyense wazaka zopitilira 45 ayesedwe. Mwina simungakhale ndi zizindikiro zilizonse, koma potengera ziwerengero, chiopsezocho ndi chachikulu, choncho ndi bwino kuyezetsa msanga. Khansa ya m'matumbo nthawi zambiri simasonyeza zizindikiro, ndipo ikachitika, imatha kuchedwa kwambiri kuti ichiritsidwe.

Ikhoza kukhala nthawi yoti muchite colonoscopy ngati mayeso oyezetsa khansa, ngati:

• Ngati muli ndi zaka zoposa 45 ndipo simunachitepo mayeso awa.
• Ngati papita zaka pafupifupi 10 kuchokera pamene munachita colonoscopy komaliza.
• Ngati munachotsedwa ma polyps panthawi yomaliza ya colonoscopy.
• Ngati wina m'banja mwanu wakhala ndi khansa ya m'matumbo .
• Muli ndi Familyal Adenomatous Polyposis (FAP).Ngati muli ndi matenda obadwa nawo monga Lynch syndrome (izi zimawonjezera chiopsezo cha khansa).
• Ngati muli ndi vuto ngati matenda a kutupa m'matumbo (IBD) .

Ngati mufunsa dokotala wa banja lanu kapena dokotala amene mukumuwona, angakuuzeni nthawi yomwe muyenera kuyezetsa magazi kutengera thanzi lanu. Mayeso ngati amenewa amapulumutsa miyoyo ya anthu masauzande ambiri chaka chilichonse.

Dziwani matenda

Nthawi zina, dokotala wanu angakupatseni colonoscopy kuti muone bwino zizindikiro zanu chifukwa muli nazo. Izi zili choncho chifukwa zimakupatsani mwayi wowona mkati mwa m'matumbo anu momveka bwino kuposa ma scan ena. Izi zingathandize kudziwa chomwe chimayambitsa zizindikiro zanu kapena kutsimikizira kukayika komwe dokotala wanu ali nako. Nthawi zina, dokotala wanu angafune kutenga chidutswa cha minofu (biopsy) ndikuyang'ana pansi pa maikulosikopu. Izi zitha kuchitikanso panthawi ya colonoscopy.

Zizindikiro zina zomwe zingayambitse colonoscopy ndi izi:

• Ngati pali kutuluka magazi kapena kutuluka kwina kotuluka m'chimbudzi popanda chifukwa.
• Ngati zizolowezi zanu za chimbudzi zasintha popanda chifukwa (monga kutsegula m'mimba, kudzimbidwa, kusadziletsa).
• Ngati muli ndi kupweteka m'mimba kosalekeza popanda chifukwa.
• Ngati mukuchepetsa thupi popanda chifukwa, kapena ngati simukuwonjezera thupi mwa ana aang'ono.

Pali zifukwa zingapo zomwe zingayambitse colonoscopy:

• Matenda a m'matumbo osatha , mwachitsanzo matenda a m'matumbo kapena matenda a Crohn .
• Kusayenda bwino kwa magazi m'matumbo ndi matenda a ischemic colitis (matenda omwe amayamba chifukwa cha kuchepa kwa magazi kupita m'matumbo).
• Diverticulosis ndi diverticulitis (kupanga matumba ang'onoang'ono pakhoma la matumbo ndi matenda awo).
• Zilonda zam'mimba ndi mabowo .
• Kutsekeka kwa matumbo akuluakulu.
• Ma polyps a m'matumbo ndi khansa .

Monga chithandizo

Chimodzi mwa ubwino waukulu wa mayeso a endoscopy monga colonoscopy ndikuti ngati dokotala apeza vuto lililonse panthawi yoyezetsa, amatha kuwachiza nthawi yomweyo . Madokotala awa amaphunzitsidwa kuchita zinthu monga opaleshoni yaying'ono pogwiritsa ntchito zida zapadera zomwe zimadutsa mu endoscope. Pochita colonoscopy,Kawirikawiri, ma polyp amachotsedwa nthawi yomweyo ndikutumizidwa ku labu kuti akayesedwe ngati ali ndi khansa. Kuchotsa ma polyp amenewa kumachepetsanso chiopsezo chotenga khansa mtsogolo.

Pa nthawi ya colonoscopy, dokotala wanu angachite zinthu monga:

• Kuchotsa ziwalo zambiri (polypectomy ).
• Phimbani mabala.
• Imwani mankhwala.
• Chotsani zopinga.
• Ikani stent (kuti muwonjezere malo opapatiza m'matumbo).
• Pezani chithandizo cha laser .

Kodi mumakonzekera bwanji colonoscopy?

Izi ndizofunikira kwambiri . Kuti mayeso apambane, muyenera kukonzekera mokwanira. Dokotala wanu adzakupatsani malangizo atsatanetsatane a zomwe mungachite masiku angapo pasadakhale. Cholinga chachikulu cha kukonzekera kumeneku ndikusunga m'mimba mwanu muli oyera komanso oyera momwe mungathere panthawi ya colonoscopy. Ngati simutero, dokotalayo sadzatha kuwona bwino. Kenako mungafunike kuyimitsa mayesowo kapena kupitiliza kukonzekera konseku kachiwiri. Tangoganizirani momwe zimakhalira zovuta!

Kawirikawiri, muyenera kusintha zakudya zanu kwa masiku awiri kapena atatu musanayesedwe. Mudzakhala mukudya zakudya zopanda ulusi wambiri kwa masiku awiri kapena atatu. Pa tsiku lomaliza, mudzauzidwa kuti mumwe zakumwa zoyera zokha . Madzulo kapena usiku musanayesedwe, mudzapatsidwa mankhwala otsegula m'mimba kuti mumwe. Mukamaliza kumwa, muyenera kupita kuchimbudzi pafupipafupi kwa maola angapo. Choncho khalani okonzeka pa izi, ndipo khalani omasuka. Kenako gonani bwino usiku. Kuyeza colonoscopy nthawi zambiri kumachitika m'mawa wotsatira.

Kodi chimachitika ndi chiyani pa tsiku la mayeso?

Mukapita kukayezetsa, muyenera kukhala ndi munthu amene angakutengereni kunyumba. Chifukwa zimatenga pafupifupi tsiku limodzi kuti mankhwala oletsa ululu athe, zipatala zina sizikulolani kuti mukayezetse popanda munthu wodalirika. (Munthu amene akuperekezani adzayenera kukhala kumeneko kwa maola awiri.) Mukafika kuchipatala, mudzatengedwera kuchipinda ndipo mudzavala diresi lachipatala. Kenako namwino adzabwera ndikuyika mzere wa IV mumtsempha wanu, womwe udzayamba kulandira mankhwala ochepetsa ululu ndi mankhwala ochepetsa ululu.

Kodi amatigonetsa tulo panthawi ya colonoscopy?

Inde, mudzakhala ndi mankhwala oletsa ululu (kutanthauza kuti mudzakhala mutulo tofa nato) kapena mankhwala oletsa ululu omwe amachitika mwadzidzidzi.(Izi zikutanthauza kuti chikumbumtima chanu chachepa pang'ono, mungagone, kapena mungadzuke, koma simungakumbukire pambuyo pake.) Inde, mungathe. Dokotala adzakulankhulani pasadakhale za njira yoperekera mankhwala oletsa ululu yomwe mudzapatsidwe. Kuti mudziwe pasadakhale zomwe zidzachitike patsiku la mayeso. Dokotalayo adzakuthandizani kusankha njira yomwe ikugwirizana bwino ndi thupi lanu komanso zosowa zanu.

Kodi iyi ndi mayeso opweteka?

Popeza muli pansi pa mankhwala oletsa ululu, simudzamva kupweteka kulikonse mkati mwa m'matumbo mwanu. Izi ndi zoona pochotsa minofu ndi chithandizo cha laser. Komabe, colonoscope ikalowetsedwa m'matumbo mwanu , mungamve mpweya pang'ono kapena kukankhidwa. Izi zili choncho chifukwa colonoscope imadzaza m'matumbo ndi mpweya wochepa wa carbon dioxide kuti muwone bwino mkati mwa m'matumbo mwanu. Komabe, nthawi zambiri izi sizimaonekera kwambiri. Mudzaikidwa mbali imodzi ya bedi lachipatala ndi mawondo anu okokedwa mpaka pachifuwa panu (malo a fetal), ndipo mwina mungagone.

Ndani amachita colonoscopy?

Colonoscopy nthawi zambiri imachitidwa ndi dokotala wa matenda a m'mimba kapena dokotala wa opaleshoni ya matumbo. Madokotala onsewa ndi akatswiri pa matenda a m'mimba ndipo amaphunzitsidwa mwapadera kuchita endoscopy. Madokotala awa samangoyang'ana mkati mwa thupi, komanso amatha kutenga zitsanzo za minofu ndikuchita chithandizo chaching'ono ngati pakufunika kutero. Alinso ndi luso lofufuza zotsatira za mayesowo.

Kodi colonoscopy imachitidwa bwanji?

Chojambulira cha m'mimba (colonoscope) ndi chubu chachitali, chopyapyala, komanso chosinthasintha (chomwe chimatchedwanso catheter ) chokhala ndi kamera yaying'ono ndi kuwala komwe kumamatiridwa kumapeto.

• Dokotala amaika colonoscope iyi kudzera mu anus yanu ndikuitsogolera m'matumbo anu akulu, mpaka komwe imakumana ndi matumbo ang'onoang'ono.
• Pamene mukunyamula, mpweya pang'ono umalowa kudzera mu chubu, zomwe zimadzaza matumbo, zomwe zimakuthandizani kuwona bwino mkati.
• Zithunzi zochokera ku kamera zimawonetsedwa pa chowunikira. Dokotala amayang'ana chophimba kuti awone ngati pali china chake chachilendo.
• Mukafika kumapeto kwa m'matumbo, chowonera m'mimba chimachotsedwanso, kuti muthe kuyang'ananso bwino kachiwiri.

Tangoganizirani, izi zili ngati "kuyendayenda" m'matumbo anu! Dokotala amakuyang'ana mbali zonse.

Kodi colonoscopy imatenga nthawi yayitali bwanji?

Kawirikawiri zimatenga mphindi 15 kuti colonoscope iike kumapeto kwa m'mimba ndipo mphindi zina 15 kuti iichotse. Izi zikutanthauza kuti m'mimba yonse imafufuzidwa kawiri. Ngati papezeka chinthu chomwe chikufunika kuchotsedwa kapena kuchiritsidwa panthawi ya opaleshoniyi, zimatenga nthawi yayitali. Ma polyps ndi ofala kwambiri;Izi zimapezeka mu pafupifupi 30% ya ma colonoscopy okhazikika. Ngakhale kuti ambiri mwa iwo si a khansa, njira yodziwika bwino ndikuwachotsa akangopezeka. Izi zitha kuwonjezera mphindi 15 ku opaleshoniyi.

Kodi chimachitika ndi chiyani pambuyo pa mayeso?

Pambuyo pa mayeso, mudzayang'aniridwa kuchipatala kwa pafupifupi ola limodzi ndi theka . Izi zimachitika mpaka mutachira kuchokera ku opaleshoni yoletsa ululu. Gulu lachipatala lidzapitiriza kuyang'anira zizindikiro zanu zofunika ndikuyang'anira zizindikiro zilizonse za mavuto. Mukachira, dokotala adzabwera kudzakuuzani zomwe mudawona panthawi yoyesedwa komanso chithandizo chomwe mudapatsidwa. Mudzalandira lipoti lovomerezeka pambuyo pake, kaya kudzera pa positi kapena pakompyuta. Ngati mwatenga chitsanzo cha minofu (biopsy) , zotsatira zake zimatenga masiku angapo kuti zibwererenso.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire?

Zimatenga pafupifupi maola 24 kuti mankhwala oletsa ululu athetsedwe kwathunthu. Ichi ndichifukwa chake madokotala amanena kuti simuyenera kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kupanga zisankho zofunika mpaka tsiku lotsatira. Koma mudzamva bwino kwambiri m'maola otsatira. Mutha kukhala ndi kutupa m'mimba, kupweteka kwa mpweya, kapena nseru kwa ola limodzi kapena awiri, koma izi zidzatha msanga. Mutha kuyamba kudya bwino mukangomva bwino. Ngati dokotala wachotsa minofu, mutha kutuluka magazi kuchokera ku anus kwa masiku angapo. Izi ndi zachilendo.

Kodi pali zoopsa zilizonse zomwe zingachitike?

Mavuto ndi zoopsa sizichitika kawirikawiri , koma zimatha kuchitika. Izi zikuphatikizapo:

• Kuwonongeka kwa khoma la m'mimba mwanu , monga kung'ambika.
• Kutuluka magazi kosalamulirika minofu ikachotsedwa.
• Mtundu wina wa matenda omwe amafunika maantibayotiki .
• Yankho losazolowereka ku opaleshoni yoletsa kupweteka .

Zinthu ngati izi sizimachitika kawirikawiri, koma ndibwino kudziwa.

Kodi malipoti amatuluka liti?

Mudzapeza zotsatira zanu zambiri tsiku lomwelo . Dokotala adzatha kukuuzani zomwe adawona, mankhwala omwe adaperekedwa, komanso ngati adapambana. Ngati biopsy idatengedwa ndikutumizidwa ku labu, zotsatira zake zimatenga masiku kapena milungu ingapo kuti zibwererenso. Kungoti biopsy idatengedwa ndikutumizidwa ku labu sizitanthauza kuti dokotalayo akukayikira khansa. Ikhoza kukhala njira yodzitetezera, kapena ikufuna china chake, monga microscopic colitis . Dokotalayo adzakuuzani zomwe mungayembekezere.

Kodi zotsatira zachilendo ndi ziti?

Zotsatira zachilendo zingaphatikizepo:

• Kutuluka magazi m'mimba mosalamulirika.
• Ma polyps abwinobwino, osakhala ndi khansa, kapena a khansa.
• Kutupa (colitis) komwe kumachitika chifukwa cha matenda, ischemia, kapena matenda a autoimmune.
• Kuwonongeka kwa minofu kosatha monga kuvulala.
• Kutsekeka kwa matumbo kapena stenosis .
• Matumba osazolowereka pakhoma la matumbo (diverticulosis) .

Dokotala wanu adzakuwuzani za zotsatira izi ndi tanthauzo lake.

Kodi pali njira zina zodziwira khansa ya m'matumbo?

Inde, pali mayeso ena angapo oyesera khansa ya m'matumbo. Komabe, colonoscopy ndiye mayeso ovuta kwambiri. Izi zikutanthauza kuti, ili ndi mwayi waukulu wopeza khansa kapena vuto la khansa lisanafike nthawi yoyambirira. Kuzindikira khansa msanga ndikofunikira kwambiri popewa ndikuchiza bwino. Komanso, colonoscopy ndiye mayeso okhawo omwe angapeze ndikuchiza matendawa nthawi yomweyo. Ngati madokotala apeza minofu yokayikitsa panthawi ya colonoscopy, amatha kuichotsa panthawi yoyesa.

Njira zina zoyezera khansa:

• Kuyezetsa magazi m'chimbudzi (FOBT): Izi zimaphatikizapo kutenga chitsanzo cha ndowe yanu ndikuyang'ana zizindikiro za khansa. Pali njira zingapo zofufuzira magazi m'chimbudzi chanu. Mtundu wina umafufuzanso DNA m'chimbudzi chanu kuti uone ngati pali kusintha kulikonse komwe kungasonyeze khansa. Mayesowa ayenera kuchitika chaka chilichonse mpaka zaka zitatu . Ngati zotsatira zabwino zapezeka kuchokera ku mayesowa, gawo lotsatira ndi colonoscopy ndi biopsy .
• Kujambula colonoscopy: Iyi ndi mtundu wa CT scan . Imatha kujambula zithunzi zomveka bwino komanso zamitundu itatu (3D) za m'mimba mwanu. Ndi "pakompyuta" chifukwa imayang'ana mkati mwa m'mimba mwanu pogwiritsa ntchito zithunzi zomwe zatengedwa kunja kwa thupi lanu. Monga colonoscopy yokhazikika, imafunanso kukonzekera m'mimba. Koma sikufuna mankhwala oletsa ululu. Madokotala amalimbikitsa kuti muyesedwe zaka zisanu zilizonse .

Kotero, kodi ubwino wa colonoscopy ndi wotani?

Ubwino wa colonoscopy yachikhalidwe ndi:

• Kuzindikira kwambiri: Pali mwayi waukulu wozindikira kusintha kwa khansa msanga.
• Kuzindikira matenda onse pamodzi, kuchiza ndi kupewa: Ngati mayeso ena abwera ndi kachilombo, colonoscopy yachikhalidwe imafunikabe kuti itsimikizire ndikuchiza khansa.
• Ziyenera kuchitika kamodzi kokha pazaka 10 zilizonse: Ngati zotsatira zanu zili bwino, simudzafunika kuyezetsanso kwa kanthawi.

Kuyeza colonoscopy kumatha kuzindikira, kuchiza, ndikuletsa matenda nthawi imodzi. Izi sizingawoneke ngati nkhani yaikulu ngati mulibe, koma ngati muli nazo, zingapangitse kusiyana kwakukulu. Khansa ya m'matumbo ndi khansa yofala ku Sri Lanka. Itha kupewedwa, koma iyenera kuzindikirika msanga. Ndi colonoscopy, madokotala amatha kuzindikira ndikuchiza khansa isanakule, kufalikira, kapena kuyambitsa zizindikiro. Ngati zotsatira zanu zili zabwino, mungafunike kuzichita zaka 10 zilizonse.

Pomaliza, zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Kotero, ngati munayamba mwaopapo colonoscopy, ndikukhulupirira kuti tsopano mwamvetsa bwino. Ngakhale zingawoneke ngati zosasangalatsa pang'ono, zitha kukhala mayeso amtengo wapatali komanso opulumutsa moyo pa thanzi lanu .

• Kuzindikira msanga ndikwabwino kwambiri: makamaka matenda monga khansa ya m'matumbo.
• Konzekerani monga momwe dokotala wanenera: ndikofunikira kuti mayesowo apambane.
• Musadandaule: simudzamva ululu uliwonse chifukwa cha mankhwala oletsa ululu.
• Funsani dokotala wanu ngati muli ndi mafunso aliwonse: Chotsani kukayikira kulikonse komwe mungakhale nako.

Ngati muli ndi zaka zoposa 45, kapena ngati wina m'banja mwanu wakhala ndi khansa ya m'matumbo, lankhulani ndi dokotala wanu ndipo ganizirani zochitidwa colonoscopy. Thanzi lanu lili m'manja mwanu!

Colonoscopy , khansa ya m'matumbo, endoscopy, kuyezetsa matumbo, mayeso a khansa, m'mimba, mayeso azachipatala