Kodi mukuopa colonoscopy? Tiyeni tikambirane izi mwachidule.

Kodi dokotala wanu wakuuzani kuti muyezedwe colonoscopy? Mwina munamva mantha pang'ono komanso mantha pamene ananena zimenezo. Ndizachilendo kuganiza zinthu monga, "Ichi n'chiyani? Kodi chidzandipweteka? Sindikudziwa choti ndichite." Koma ichi si chinthu choopa. Ichi ndi mayeso ofunikira kwambiri pa thanzi lanu, makamaka kuti akutetezeni ku matenda akuluakulu monga khansa ya m'matumbo. Lero, tikambirana za izi mosavuta, m'njira yomwe mungamvetse, ngati kuti mukulankhula ndi mnzanu.

Mwachidule, kodi colonoscopy ndi chiyani?

Tangoganizani kuti dokotala akufuna kuona china chake mkati mwa thupi lanu chomwe simungathe kuchiwona kuchokera kunja. Colonoscopy ndi imeneyo. Imafufuza mkati mwa matumbo anu akuluakulu , omwe ndi matumbo akuluakulu ndi rectum ndi anus yolumikizidwa.

Izi zimachitika pogwiritsa ntchito chubu chopyapyala komanso chosinthasintha. Pali kamera yaying'ono ndi kuwala kumapeto kwa chubu ichi. Timatcha chida ichi kuti 'colonoscope'. Chubu ichi chimalowetsedwa kudzera mu anus yanu ndikudutsa pang'onopang'ono m'matumbo anu akulu. Dokotala amatha kuonera zithunzi kuchokera ku kamera pazenera lalikulu. Zili ngati kuonera pulogalamu ya pa TV mkati mwa m'matumbo anu. Uwu ndi mtundu wa mayeso otchedwa endoscopy . Endoscopy ndi mayeso aliwonse omwe amaphatikizapo kulowetsa chubu chokhala ndi kamera mkati mwa thupi lanu.

N’chifukwa chiyani tiyenera kuchita colonoscopy?

Pali zifukwa zitatu zazikulu zochitira colonoscopy. Nthawi zina zifukwa zonse zitatuzi zimatha kukwaniritsidwa mu mayeso amodzi.

1. Kupewa ndi Kuzindikira Mosakhalitsa (Kuwunika): Kuzindikira matenda omwe angayambike mtsogolo, makamaka khansa ya m'matumbo, popanda zizindikiro zilizonse.

2. Kuzindikira: Pezani chifukwa chenicheni cha chizindikiro chomwe mukukumana nacho kale (monga kupweteka m'mimba, magazi m'chimbudzi).

3. Chithandizo: Ngati vuto lililonse lapezeka panthawi yoyezetsa, lithandizeni nthawi yomweyo.

Tiyeni tiwone chilichonse mwa izi mwatsatanetsatane.

1. Dziwani matenda msanga, ngakhale atakhala opanda zizindikiro (Kuwunika)

Anthu ambiri amachita kafukufuku wawo woyamba wa colonoscopy pachifukwa ichi. Akamakalamba, chiopsezo chotenga khansa ya m'matumbo chimawonjezeka kwambiri. Choopsa kwambiri pa khansa iyi ndichakuti nthawi zambiri siimasonyeza zizindikiro zilizonse pachiyambi . Zizindikiro zikayamba kuonekera, zimakhala zitachedwa kwambiri kuti zichiritsidwe.

Dokotala nthawi zambiri angakulangizeni kuti mupange colonoscopy pazochitika izi:

• Ngati muli ndi zaka zoposa 45 ndipo simunayesepo kale mayesowa.
• Papita zaka 10 kuchokera pamene mayesowa adachitika komaliza.
• Ngati polyp inachotsedwa panthawi yomaliza ya colonoscopy.
• Ngati wina m'banja mwanu (amayi, abambo, abale ndi alongo) adadwala khansa ya m'matumbo .
• Ngati muli ndi vuto lobadwa nalo (monga Familyal Adenomatous Polyposis - FAP kapena Lynch syndrome).
• Ngati muli ndi matenda aakulu otupa m'matumbo monga matenda otupa m'matumbo (IBD).

2. Pezani chomwe chimayambitsa zizindikiro (Kuzindikira)

Nthawi zina mungakhale ndi zizindikiro zina. Dokotala wanu amafunika kudziwa bwino lomwe chomwe chikuyambitsa matendawa. Colonoscopy imatha kuona bwino mkati mwa matumbo anu akuluakulu kuposa ma scan ena.

Dokotala angakulangizeni kuti mupange colonoscopy ngati muli ndi zizindikiro monga izi:

• Magazi kapena zinthu zina zotuluka m'machubu popanda chifukwa chomveka.
• Kusintha kosaneneka kwa machitidwe anu am'mimba (monga kutsegula m'mimba kosalekeza, kudzimbidwa).
• Kupweteka m'mimba kosalekeza popanda chifukwa chomveka .
• Kuchepetsa thupi popanda chifukwa.

Pa nthawi yoyezetsa imeneyi, ngati dokotala awona malo okayikitsa, akhoza kutenga chidutswa cha minofu (biopsy) ndikuchitumiza ku labu. Izi zingathandize kutsimikizira mtundu weniweni wa matendawa.

3. Chitani nthawi yomweyo ndi mayeso.

Uwu ndi umodzi mwa ubwino waukulu wa colonoscopy. Ngati dokotala awona mavuto aliwonse panthawi yoyezetsa, mwina akhoza kuwachiza nthawi yomweyo.

• Kuchotsa Ma polyps: Ma polyps ndi matenda osazolowereka, ang'onoang'ono omwe amapangika pamakoma a m'matumbo. Ambiri mwa iwo si khansa. Komabe, ena amatha kukhala khansa pakapita nthawi. Chifukwa chake, ngati dokotala apeza polyp, adzaichotsa ('polypectomy'). Izi zitha kuletsa khansa kukula mtsogolo.
• Kuchira kwa bala: Malo ang'onoang'ono otuluka magazi amatha kutsekedwa.
• Jakisoni: Mutha kulowetsa mankhwala mwachindunji m'malo ofunikira.
• Kuchotsa zopinga: Chopinga m'matumbo chingachotsedwe kapena kukulitsidwa.

Kodi mungakonzekere bwanji mayeso? (Kukonzekera)

Iyi ndi gawo lofunika kwambiri pa ndondomeko yonseyi komanso gawo lomwe muyenera kugwira ntchito molimbika pang'ono . Kuti mayesowo apambane, m'mimba mwanu muyenera kukhala woyera kwathunthu. Zili ngati kusesa ndi kupukuta nyumba. Ngati pali chopondapo chilichonse m'mimba mwanu, dokotala adzatero.Simudzatha kuona bwino mkati. Ngati zimenezo zitachitika, yesani mayesowo, ndipo mwina mungafunike kukonzekeranso.

Dokotala wanu kapena chipatala chanu adzakupatsani malangizo oti muwatsatire. Ndikofunikira kwambiri kuwatsatira bwino. Nthawi zambiri, zimakhala motere:

1. Zakudya: Mudzapemphedwa kudya zakudya zopanda ulusi wambiri kwa masiku awiri kapena atatu musanayesedwe. Izi zikutanthauza kupewa kudya zakudya monga ndiwo zamasamba, ndiwo zamasamba zambiri, ndi zipatso, komanso kudya zakudya monga buledi, mpunga, ndi supu.

2. Zakudya zamadzimadzi: Tsiku lisanafike mayeso, zakumwa zokha ndi zomwe zimaloledwa kudya. Mwachitsanzo, madzi, phala la mchere, supu yoyera, ndi ma smoothies.

3. Chotulutsira madzi m'thupi: Madzulo kapena usiku usanachitike mayeso, mudzapatsidwa madzi oti mumwe. Iyi ndi nthawi yovuta kwambiri. Mukamaliza kumwa madzi awa, chilichonse m'matumbo mwanu chidzatuluka ngati ndowe.

• Inde, muyenera kupita kuchimbudzi kangapo. Konzekerani zimenezo, tengani buku kapena china chake, ndipo pumulani. Ganizirani izi ngati chinthu chomwe mukufuna.

Ngati muchita izi molondola, m'mimba mwanu mudzakhala mutayera bwino pofika tsiku loyesa.

Kodi chimachitika ndi chiyani pa tsiku la mayeso?

Simungapite kuchipatala nokha pa tsiku loyesa. Muyenera kukhala ndi munthu amene angakutengereni kunyumba. Izi zili choncho chifukwa zimatenga maola pafupifupi 24 kuti mankhwala oletsa ululu omwe amagwiritsidwa ntchito poyesa azitha. Chifukwa chake, simudzatha kuyendetsa galimoto.

Mukapita kuchipatala, mudzapatsidwa diresi la kuchipatala kuti muvale. Kenako namwino adzaika kansalu kakang'ono (IV line) mumtsempha womwe uli m'dzanja lanu. Mankhwala oletsa ululu ndi mankhwala opweteka adzaperekedwa kudzera mu mtsemphawo.

Kodi umadzuka ukachita izi? Kodi zimapweteka?

Ili ndiye vuto lalikulu kwa anthu ambiri. Ayi, simudzamva ululu uliwonse. Mungasankhe mitundu iwiri ya mankhwala oletsa ululu.

• Mankhwala Oletsa Kugona: Izi zimakupangitsani kugona ndipo simudzadziwa mpaka mayeso atatha.
• Kugona Mosazindikira: Izi zimakupangitsani kukhala ngati munthu wogona pang'ono. Mungamve ngati muli maso, koma simungakumbukire pambuyo pake.

Komabe, simudzamva ululu uliwonse, ngakhale chidutswa cha minofu chitachotsedwa m'matumbo mwanu. Mungamve kupanikizika pang'ono ndi kumva kudzaza pamene chubucho chalowetsedwa ndipo mpweya pang'ono walowetsedwa kuti muwone bwino matumbo anu. Koma si ululu wosapiririka.

Pambuyo pa mayeso ndi zotsatira zake

Mayesowa nthawi zambiri amatenga mphindi 30 mpaka 45. Zingatenge nthawi yayitali ngati chinthu chonga ma polyps chikuchotsedwa. Mukamaliza, mudzayang'aniridwa kwa ola limodzi mpaka mutadzuka kuchokera ku opaleshoni yoletsa ululu.

Mukachira, dokotala adzabwera kudzakuuzani zomwe mwawona panthawi yoyezetsa. Ngati biopsy idatengedwa ndikutumizidwa kuti ikayesedwe, zingatenge masiku angapo kapena sabata imodzi kapena ziwiri kuti zotsatira zake zibwerere.

Mukapita kunyumba, pumulani bwino kwa tsiku limodzi kapena kuposerapo. Mungamve kutupa pang'ono komanso kusasangalala m'mimba mwanu, koma zimenezo zidzatha pakapita kanthawi. Mutha kudya bwino mukangomva njala.

Kumbukirani kuti zoopsa izi ndi zazing'ono kwambiri. Ubwino wa colonoscopy umaposa zoopsa izi.

Kodi palibe njira zina m'malo mwa colonoscopy?

Inde, pali njira zina zingapo zodziwira khansa.

• Kuyezetsa ndowe: Kuyezetsa ndowe kumayesedwa ngati pali kusintha kwa magazi obisika kapena DNA komwe kumakhudzana ndi khansa. Izi ziyenera kuchitika chaka chilichonse kapena zaka zitatu zilizonse. Ngati mayesowa akuwonetsa vuto, gawo lotsatira ndi colonoscopy.
• Colonoscopy yeniyeni:Iyi ndi njira yapadera yojambulira CT. Izi sizikutanthauza kulowetsa chubu m'thupi. Komabe, zimafunikanso kuyeretsa m'matumbo, monga momwe zimakhalira ndi colonoscopy yanthawi zonse. Ngati ma polyps apezeka panthawiyi, muyenera kuchitidwanso colonoscopy yanthawi zonse kuti muwachotse.

Ngakhale njira izi, colonoscopy imaonedwa kuti ndi "Gold Standard" chifukwa,

• Ndi yofewa kwambiri . Imatha kuzindikira ngakhale kusiyana kochepa kwambiri.
• Imazindikira ndi kuchiza matendawa nthawi yomweyo . Ngati mayeso ena akuwonetsa vuto, colonoscopy imafunikabe kuti itsimikizire ndikuchiza.
• Ngati zotsatira zake zili zabwino, zingatenge zaka pafupifupi 10 kuti muyesedwenso mayeso ena .