Mwina mwamvapo za colonoscopy kwinakwake. Nthawi zambiri, timamva za kukonzekera kwake. Usiku usanachitike mayeso, muyenera kumwa madzi apadera kuti muyeretse matumbo anu kwathunthu. Sizikumveka ngati chinthu chophweka kuchita, eti? Koma, pali chifukwa chofunikira kwambiri chomwe madokotala amalimbikitsira mayesowa kwa anthu azaka zapakati pa 45 ndi 75, ngakhale mutakhala kuti mulibe zizindikiro zilizonse. Tiyeni tikambirane za izi lero.
Kodi mayesowa akuyang'ana chiyani kwenikweni?
Mwachidule, colonoscopy ndi mayeso apadera a khansa ya m'matumbo (CRC). Zigawo zonsezi zili m'matumbo athu akuluakulu, omwe ndi gawo lomaliza la dongosolo lathu logaya chakudya. Matumbo akuluakulu amayamwa madzi ndi michere kuchokera ku chakudya chomwe timadya ndikusunga zinyalala zotsala (zotchedwa ndowe). Kenako, zinyalalazo zimadutsa mu rectum zisanatuluke m'thupi.
Choopsa kwambiri pa khansa ya m'matumbo ndichakuti sichisonyeza zizindikiro zilizonse kumayambiriro .
Tangoganizirani, zizindikiro zina zimayamba kuonekera. Mwachitsanzo, kusintha kwa matumbo (nthawi zambiri kudzimbidwa), magazi m'chimbudzi, kumva kuti m'mimba simunatulukemo kwathunthu, kupweteka kwa m'mimba kosalekeza kapena kutupa. Nthawi zina, kuchepa thupi, ndowe zopyapyala ngati pensulo, kufooka, ndi kutopa kwambiri zitha kugwirizanitsidwanso ndi izi. Koma vuto ndilakuti, mukadzakumana ndi zizindikirozi, khansa nthawi zambiri imakhala itakula kwambiri, zomwe zikutanthauza kuti mwina yafalikira kwambiri .
Komabe, mayesowa si ongofuna kuzindikira khansa yokha, komanso amagwiritsidwa ntchito pozindikira mavuto ena ambiri.
- Zilonda m'matumbo
- Kutupa m'matumbo
- Matumba ang'onoang'ono (diverticula) omwe amapangika m'khoma la m'mimba
- Kuchepa kwa ziwalo zina za m'mimba (Strictures)
- Zifukwa za kutsegula m'mimba kosadziŵika bwino komanso kwa nthawi yayitali
- Kutuluka magazi kosamveka bwino m'mimba
Ndipotu, colonoscopy si njira yodziwira khansa yokha, komanso ndi njira yamphamvu yopewera khansa kuti isakule.
Iyi ndi mfundo yofunika kwambiri. Kodi izi zimachitika bwanji? Madokotala akamayesa izi, amafufuza zinthu monga zotupa zazing'ono (polyps) m'matumbo zomwe zingakhale khansa. Ngati awona china chake chonga chimenecho, amatha kuchotsa chotupacho nthawi yomweyo. Izi zikutanthauza kuti mayesowa akhoza kuchotsa chinthu chomwe chingakhale khansa mtsogolo ndikukupulumutsani ku chiopsezo chachikulu.
Kodi mayesowa amachitika bwanji kwenikweni?
Ndi colonoscopy, dokotala wanu amatha kuona bwino mkati mwa colon yanu yonse ndi rectum.
Tsiku lisanafike mayeso, mudzapatsidwa chakumwa chapadera chotsukira matumbo kuti muyeretse matumbo anu kwathunthu. Ichi ndi gawo lomwe anthu ambiri sakonda. Komabe, sitepe iyi ndi yofunika kwambiri kuti dokotala athe kuwona bwino mkati mwa matumbo anu.
Pa nthawi yoyezetsa, dokotalayo amagwiritsa ntchito chubu chofewa komanso chofewa chofanana ndi cholembera (colonoscope) chokhala ndi kamera kakang'ono kolumikizidwa. Chubuchi chimayikidwa mosamala kudzera mu anus yanu ndikuyendetsa m'matumbo anu. Pamene chikudutsa, mutha kuwona zithunzi kuchokera ku kamera pazenera. Pamene chubucho chili pamalo ake, mpweya pang'ono umalowa m'matumbo kuti chikhale chotseguka komanso chosapindika.
Dokotala adzayang'ana makamaka ngati pali ma polyps, omwe tidakambirana kale. Ngati alipo, akhoza kuwachotsa nthawi yomweyo. Njira yonseyi nthawi zambiri imatenga mphindi 30. Simuyenera kuda nkhawa ndi izi chifukwa mudzapatsidwa mankhwala oletsa ululu kuti mupewe kuvutika maganizo.
Kodi ndiyenera kuchita mayeso awa liti?
Popeza khansa ya m'matumbo nthawi zambiri imayamba ndi ukalamba, dokotala wanu angakulangizeni kuti muyesedwe koyamba ndi colonoscopy mukakwanitsa zaka 45 .
Komabe, pali zochitika zina zomwe mungakhale pachiwopsezo chachikulu. Mwachitsanzo, ngati wachibale wapafupi (amayi, abambo, mchimwene, mlongo, kapena mwana) wakhala ndi khansa ya m'matumbo, mungalangizidwe kuti muchite mayesowa muli aang'ono kwambiri.
Nkhani yabwino ndi yakuti ngati palibe ma polyp omwe apezeka panthawi yoyezetsa koyamba, mudzafunika mayeso anu otsatira patatha zaka 10. Komabe, ngati ma polyp apezeka, dokotala wanu angakufunseni kuti muyesedwenso patatha zaka 3-5, kutengera mtundu wawo.
Ndi njira zina ziti zodziwira khansa?
Pali njira zina zingapo kupatula colonoscopy. Koma iliyonse ili ndi zofooka zake. Tiyeni tiwone njirazi.
| Dzina la mayeso | Momwe mungachitire | Malire a nthawi |
|---|---|---|
| Kuyesa Magazi a Zamatsenga a Chimbudzi | Kuyezetsa ndowe kumayesedwa ngati pali magazi. | Chaka chilichonse |
| Kuyesa kwa Immunochemical ya Chiwindi (FIT) | Amagwiritsa ntchito ma antibodies kuti aone ngati magazi a munthu ali m'chimbudzi. | Chaka chilichonse |
| Kuyesa kwa FIT-DNA | Mayeso a FIT amafufuza kusintha kwa DNA komwe kumachitika chifukwa cha khansa m'chimbudzi. | Chaka chilichonse 1-3 |
| Kujambula kwa CT Colonography | Ma X-ray ndi makompyuta amajambula zithunzi za matumbo mu mawonekedwe a 3D. | Zaka 5 zilizonse |
| Sigmoidoscopy | Zili ngati colonoscopy, koma rectum ndi gawo la matumbo akulu okha ndi omwe amawunikidwa. | Zaka 5-10 zilizonse |
Koma chofunika kwambiri apa ndichakuti ngati mayeso ena aliwonse apeza polyp kapena kutsimikizira kuti pali magazi m'chimbudzi, muyenera kuchitidwa colonoscopy kuti muchotse kapena kuyang'anitsitsa bwino .
Ndicho chifukwa chake colonoscopy imaonedwa kuti ndi "muyezo wabwino kwambiri" m'munda uwu, chifukwa imatha kuzindikira matendawa ndikuchiza (kuchotsa ma polyps) nthawi imodzi.
N’chifukwa chiyani anthu ambiri amapewa izi?
Pali zifukwa ziwiri zazikulu zomwe anthu sachita mayeso ofunika awa.
1. Kunena kuti , "Dokotala wanga sanandiuze kuti ndichite izi."
2. Kuganiza kuti "kutsuka m'mimba n'kovuta kwambiri."
Yankho la funso loyamba lili m'manja mwanu. Ngati muli ndi zaka zoposa 45 ndipo dokotala wanu sanakuuzeni, mufunseni . Kufunsa kuti, "Dokotala, kodi nthawi yakwana yoti ndichite colonoscopy?" ndi gawo lofunika kwambiri lomwe mungachite kuti mukhale ndi thanzi labwino.
Chinthu chachiwiri ndi mantha a kukonzekera matumbo. N'zoona, zimakhala zovuta pang'ono. Koma taganizirani izi, ngati mungathe kupewa khansa kwa zaka 10 ndi tsiku limodzi lokha la kusasangalala, kodi ndi ndalama zingati? Komanso, mankhwala ndi njira zomwe zimagwiritsidwa ntchito pochiza izi zasintha kwambiri tsopano. Mutha kulankhula ndi dokotala wanu za njira yoyenera komanso yosavuta kwa inu. Poyerekeza ndi kupewa khansa, iyi ndi mtengo wochepa kwambiri wolipira.
Uthenga Wopita Nawo Kunyumba
- Kuyeza khansa ya m'matumbo (colonoscopy) ndi njira yofunika kwambiri yodziwira khansa ya m'matumbo msanga. Nthawi zambiri imalimbikitsidwa munthu akakwanitsa zaka 45.
- Izi sizimangozindikira khansa yokha, komanso zimachotsa ma polyps omwe angakhale khansa, zomwe zimaletsa khansa kuti isakule.
- Ngakhale kukonzekera mayeso kungakhale kovuta pang'ono, ubwino wa thanzi womwe umapereka kwa nthawi yayitali ndi wofunika kwambiri.
- Ngati muli ndi mafunso okhudza izi, musachite mantha. Kambiranani momasuka ndi dokotala wanu . Iye adzakufotokozerani zonse.
- Ngati muli ndi zaka zoyenera ndipo dokotala wanu sanatchulepo izi, muyenera kufunsa za izi. Thanzi lanu ndi udindo wanu.
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