Urashaka kumenya byinshi ku buzima bw'amara yawe? Byose ku isuzuma rya colonoscopy!

Muraho! Uyu munsi tugiye kuvuga ku isuzuma rya muganga abantu benshi batinya kubaza, ariko ni ingenzi cyane. Icyo cyitwa colonoscopy. Ahari muganga wawe yagugiriye inama yo kubikora, cyangwa wabyumvise ahantu runaka. Reka turebe mu magambo make icyo ari cyo, impamvu bikorwa, n'uko bikorwa. Nta kintu cyo gutinya, tuzavuga kuri byose neza.

Inyoboranyigisho ya colonoscopy ni iki?

Muri make, colonoscopy ni ikizamini kireba imbere mu mara yawe, mu nda yawe, no mu kibuno. Ni nko gushyiramo kamera. Abaganga babyita endoscopy. Ibyo bivuze ko bashyiramo umuyoboro muto woroshye mu mubiri wawe ufite kamera nto n'urumuri ku mpera. Byitwa colonoscope. colonoscope ishyirwamo binyuze mu nda yawe hanyuma ikazamuka mu mara yawe. Uko bigenda, muganga ashobora kureba kuri ecran yerekana kamera. Ibi bizakwereka niba hari ikibazo kiri mu mara yawe.

Kuki dukeneye isuzuma rya colonoscopy?

Hari impamvu nyinshi zishobora gutuma colonoscopy ikorwa. Hari igihe iba ari uburyo bwo kwirinda , ubundi ikaba ari uburyo bwo gusuzuma indwara , cyangwa ikaba ari uburyo bwo kuvura . Akenshi, ishobora kuba ari uburyo bwo guhuza ibyo bitatu.

Mu rwego rwo gupima kanseri hakiri kare (Gupima)

Abantu benshi bagira isuzuma rya mbere rya kanseri y'inkondo y'umura nk'isuzuma risanzwe rya kanseri y'inkondo y'umura . Twese dufite ibyago bimwe na bimwe byo kurwara kanseri y'inkondo y'umura uko tugenda dusaza. Niyo mpamvu imiryango nka American Cancer Society isaba ko abantu bose barengeje imyaka 45 bapimwa iki kizamini. Ushobora kuba udafite ibimenyetso, ariko mu mibare, ibyago ni byinshi, bityo ni byiza kwipimisha hakiri kare. Kanseri y'inkondo y'umura akenshi ntigaragaza ibimenyetso, kandi iyo igaragaye, bishobora gutinda kuyivura.

Igihe gishobora kuba kigeze ngo upimwe kanseri mu buryo bwa colonoscopy, niba:

• Niba ufite imyaka irenga 45 kandi utarakora iki kizamini.
• Niba hashize imyaka igera ku 10 uhereye igihe waherukaga gukorerwa isuzuma rya colonoscopy.
• Niba warakuweho polyps mu gihe cyo gupima colonoscopy yawe ya nyuma.
• Niba hari umuntu wo mu muryango wawe warwaye kanseri y'inkondo y'umura .
• Ufite Familyal Adenomatous Polyposis (FAP).Niba ufite indwara uvukana nka Lynch syndrome (izi zongerera ibyago byo kurwara kanseri).
• Niba ufite indwara nk'indwara yo kubyimba amara (IBD) .

Uramutse ubajije muganga w’umuryango wawe cyangwa umuganga urimo kureba, ashobora kukubwira igihe ugomba kwipimisha bitewe n’uburwayi bwawe. Ibipimo nk’ibi bikiza abantu ibihumbi buri mwaka.

Gusuzuma indwara

Hari igihe, muganga wawe ashobora gutegeka kontoskopi kugira ngo arebe neza ibimenyetso byawe kuko ubifite. Ibi biterwa nuko bigufasha kubona imbere mu mara yawe neza kurusha izindi scan. Ibi bishobora gufasha kumenya impamvu y'ibimenyetso byawe cyangwa kwemeza ko umuganga wawe afite amakenga. Hari igihe umuganga wawe ashobora gushaka gufata agace k'uruti (biopsy) akagasuzuma akoresheje mikorosikopi. Ibi bishobora no gukorwa mu gihe cyo kontoskopi.

Ibimenyetso bimwe na bimwe bishobora gutuma umuntu akorerwa colonoscopy birimo:

• Iyo hari amaraso cyangwa andi mavuta ava mu kibuno nta mpamvu.
• Niba ingeso zawe zo kwiyuhagira zarahindutse nta mpamvu (urugero: impiswi, impatwe, kudakora imibonano mpuzabitsina).
• Niba urwaye igifu kidashira nta mpamvu.
• Niba ugabanya ibiro nta mpamvu, cyangwa niba utari kwiyongera ibiro mu bana bato.

Hari indwara nyinshi zishobora gupimwa hakoreshejwe colonoscopy:

• Indwara za colitis zidakira , urugero nk'indwara y'ibisebe cyangwa indwara ya Crohn .
• Ischemia yo mu mara na colitis ischemic (indwara ziterwa no kugabanuka kw'amaraso ajya mu mara).
• Diverticulosis na diverticulitis (iremwa ry'udufuka duto mu rukuta rw'amara n'ubwandu bwabyo).
• Ibisebe byo mu mara n'ibitobo .
• Kuziba amara manini.
• Polyps zo mu mara na kanseri .

Nk'ubuvuzi

Kimwe mu byiza bikomeye byo gupima indwara ya endoskopi nka colonoscopy ni uko iyo muganga abonye ikibazo icyo ari cyo cyose mu gihe cyo gupima, ashobora kugivura icyarimwe . Aba baganga batojwe gukora ibintu nk'ukubaga bito bakoresheje ibikoresho byihariye binyuzwa muri endoskopi. Mu gihe bakora colonoscopy,Akenshi, polyps zikurwa aho ngaho zikoherezwa muri laboratwari kugira ngo zipimwe kanseri. Gukuraho izi polyps bigabanya ibyago byo kurwara kanseri mu gihe kizaza.

Mu gihe cyo gupima colonoscopy, muganga wawe ashobora gukora ibintu nk'ibi:

• Kubaga hakoreshejwe uburyo bwa polypectomy .
• Upfuke ibikomere.
• Fata imiti.
• Kuraho ibintu bibangamira.
• Shyiramo stent (kugira ngo wongere uduce duto mu mara).
• Shaka ubuvuzi bwa laser .

Witegura ute isuzuma rya colonoscopy?

Ibi ni ingenzi cyane . Kugira ngo ikizamini kigende neza, ugomba kuba witeguye neza. Muganga wawe azaguha amabwiriza arambuye y'icyo wakora iminsi mike mbere y'uko gitangira. Intego nyamukuru y'iyi gahunda ni ukugumisha amara yawe asukuye kandi asukuye uko bishoboka kose mu gihe cyo gupima colonoscopy. Nutabikora, muganga ntazabasha kubona neza. Hanyuma ushobora gusubika ikizamini cyangwa kongera gukora iyi gahunda yose. Tekereza ukuntu bitoroshye!

Ubusanzwe, uzakenera guhindura indyo yawe iminsi ibiri cyangwa itatu mbere yo kwipimisha. Uzaba uri ku indyo idafite fibre nyinshi mu minsi ibiri cyangwa itatu. Ku munsi wa nyuma, uzabwirwa kunywa ibinyobwa bisukuye gusa . Nimugoroba cyangwa nijoro mbere yo kwipimisha, uzahabwa umuti wo kunywa umuti wo koroshya . Umaze kuwunywa, uzakenera kujya mu bwiherero kenshi mu gihe cy'amasaha menshi. Bityo rero, witegure, kandi ugume umerewe neza. Hanyuma sinzire neza nijoro. Ubusanzwe indyo ya colonoscopy ikorwa mu gitondo gikurikira.

Ni iki kibaho ku munsi w'ikizamini?

Iyo ugiye kwipimisha, ugomba kugira umuntu ushobora kugutwara mu rugo. Kubera ko bifata umunsi umwe kugira ngo ikinya kigushe, hari ibitaro bimwe na bimwe bitakwemerera kwinjira mu isuzuma nta muntu ubishinzwe. (Umuntu uguherekeje azamarayo amasaha abiri.) Nugera mu bitaro, uzajyanwa mu cyumba maze uhabwe ikanzu y'ibitaro. Hanyuma umuforomo azaza agushyiremo umurongo wa IV mu kuboko, aho uzatangira guhabwa imiti igabanya ububabare n'imiti igabanya ububabare.

Ese baradusinziriza mu gihe cyo gupima colonoscopy?

Yego, uzahabwa ikinya rusange (bivuze ko uzaba usinziriye burundu) cyangwa ukagira ikinya cyo kuruhuka.(Ibi bivuze ko ubwenge bwawe bugabanuka gato, ushobora gusinzira, cyangwa ukanguka, ariko ushobora kutabyibuka nyuma.) Yego, urashobora. Muganga azakubwira mbere y'igihe uburyo bwo gusinziriza uzahabwa. Bityo ushobora kumenya mbere y'igihe ibizakurikiraho ku munsi w'ikizamini. Muganga azagufasha guhitamo uburyo bujyanye n'umubiri wawe n'ibyo ukeneye.

Ese iki ni ikizamini kibabaza?

Kubera ko uri munsi y'ikinya, ntuzumva ububabare mu mara yawe. Ibi ni ukuri ku bijyanye no gukuraho ingirangingo no kuvurwa na laser. Ariko, iyo colonoscope ishyizwe mu mara yawe , ushobora kumva umwuka muto cyangwa gusunika. Ibi biterwa nuko colonoscope yongera umwuka muto wa dioxyde de carbone mu mara kugira ngo ubone neza imbere mu mara yawe. Ariko, ibi akenshi ntibigaragara cyane. Uzashyirwa ku ruhande rumwe rw'igitanda cyo kwa muganga amavi yawe akururwa agera ku gituza (aho umwana ari), ndetse ushobora no gusinzira.

Ni nde ukora isuzuma ry’imitsi yo mu nda (colonoscopy)?

Ubusanzwe isuzuma ry’imitsi rikorwa n’inzobere mu by’igifu cyangwa umuganga w’inzobere mu kubaga amenyo. Aba baganga bombi ni inzobere mu ndwara zo mu gifu kandi bahuguwe cyane mu gukora isuzuma ry’imitsi. Aba baganga ntibareba imbere mu mubiri gusa, ahubwo bashobora no gufata ingero z’ingingo no kuvura mu buryo buciriritse bibaye ngombwa. Bafite kandi ubushobozi bwo gusesengura ibyavuye mu isuzuma.

Ni gute neza neza isuzuma rya colonoscopy rikorwa?

Ikirahuri ni umuyoboro muremure, woroshye kandi woroshye (witwa kandi catheter ) ufite kamera nto n'urumuri bifatanye ku mpera.

• Muganga ashyira iyi colonoscope mu kibuno cyawe maze akayiyobora mu mara manini, kugeza aho ihurira n'amara mato.
• Mu gihe uyitwaye, umwuka muto winjira unyuze mu muyoboro, ukazamura amara, bigatuma ubona imbere neza.
• Amashusho ya kamera agaragara kuri ecran. Muganga areba ecran kugira ngo arebe niba hari ikintu kidasanzwe.
• Iyo umaze kugera ku mpera y'amara, colonoscope irakurwamo nanone, bityo ushobora kuyireba neza ku nshuro ya kabiri.

Tekereza, ibi ni nko "gukora urugendo" mu mara yawe! Muganga areba mu mpande zose z'amara yawe.

Gupima colonoscopy bifata igihe kingana iki?

Ubusanzwe bifata iminota 15 gushyira colonoscope mu mpera y'amara n'indi minota 15 kuyikuramo. Ibi bivuze ko amara yose asuzumwa kabiri. Iyo habonetse ikintu gikeneye gukurwaho cyangwa kuvurwa mu gihe cyo kubagwa, bizatwara igihe kirekire. Polyps zirakunze kugaragara cyane;Ibi biboneka muri 30% by'ibizamini bisanzwe bya colonoscopy. Nubwo inyinshi muri byo atari kanseri, uburyo busanzwe ni ukubikuraho ako kanya bikimara kugaragara. Ibi bishobora kongeraho iminota 15 ku gikorwa.

Bigenda bite nyuma y'ikizamini?

Nyuma yo gupimwa, uzaguma ukurikiranwa mu bitaro mu gihe cy'isaha n'igice . Ibi ni kugeza igihe uzagarura ubwenge nyuma yo guhabwa ikinyabutabire. Itsinda ry'abaganga rizakomeza gukurikirana ibimenyetso by'ubuzima bwawe no kureba ibimenyetso by'ingorane. Nyuma yo kongera kugarura ubwenge, muganga azaza kukubwira ibyagaragaye mu isuzuma n'ubuvuzi bwatanzwe. Uzahabwa raporo yemewe nyuma, haba mu iposita cyangwa mu buryo bw'ikoranabuhanga. Niba hafashwe icyitegererezo cy'inyama (biopsy) , ibisubizo bizafata iminsi mike kugira ngo bigaruke.

Bifata igihe kingana iki kugira ngo umuntu akire?

Bifata amasaha agera kuri 24 kugira ngo ikinyabutabire kiveho burundu. Niyo mpamvu abaganga bavuga ko udakwiye gutwara imodoka, gukoresha imashini, cyangwa gufata ibyemezo bikomeye kugeza ku munsi ukurikiyeho. Ariko uzumva umeze neza cyane mu masaha akurikiraho. Ushobora kugira kubyimba, ububabare bw'imyuka, cyangwa isesemi mu gihe cy'isaha ya mbere cyangwa ebyiri, ariko ibi bizashira vuba. Ushobora gutangira kurya bisanzwe ukimara kumva umeze neza. Niba muganga yakuyemo inyama, ushobora kuva amaraso mu kibuno mu minsi mike. Ibi ni ibisanzwe.

Ese hari ingaruka zishobora guterwa n'ibyo?

Ingorane n'ibyago ni gake cyane , ariko birashobora kubaho. Birimo:

• Kwangirika k'urukuta rw'amara yawe , nko gucika kw'amara.
• Kuva amaraso mu buryo butunguranye iyo hakuweho ingirabuzima fatizo.
• Ubwoko butandukanye bw'ubwandu busaba imiti igabanya ubukana .
• Igisubizo kidasanzwe ku ndwara yo gusinziriza .

Ibintu nk'ibi bibaho gake cyane, ariko ni byiza kubimenya.

Raporo zisohoka ryari?

Uzabona ibisubizo byinshi kuri uwo munsi . Muganga azashobora kukubwira ibyo yabonye, ​​uburyo bwo kuvura bwatanzwe, n'uko byagenze neza. Niba hafashwe biopsy yoherezwa muri laboratwari, ibisubizo bizatwara iminsi cyangwa ibyumweru bike kugira ngo bigaruke. Kuba biopsy ifatwa yoherezwa muri laboratwari ntibivuze ko muganga akeka ko yarwaye kanseri. Bishobora kuba ari ukwirinda gusa, cyangwa se bishobora kuba bishakisha ikindi kintu, nka mikorobe ya colitis . Muganga azakubwira icyo ukwiye kwitega.

Ni ibihe bisubizo bidasanzwe?

Ibisubizo bidasanzwe bishobora kuba birimo:

• Kuva amaraso mu gifu bitagenzuwe.
• Polyps mbi, zidafite kanseri, cyangwa kanseri.
• Kubyimba (colitis) guterwa n'ubwandu, ischemia, cyangwa indwara y'ubwiyongere bw'umubiri.
• Kwangirika kw'ingingo burundu nko gukomeretsa.
• Kuziba amara cyangwa gutemba kw'imitsi .
• Udupfunyika tudasanzwe mu rukuta rw'amara (diverticulosis) .

Muganga wawe azakubwira ibyo bisubizo n'icyo bivuze.

Ese hari ubundi buryo bwo kumenya kanseri y'inkondo y'umura?

Yego, hari ibindi bipimo byinshi byo gusuzuma kanseri y'inkondo y'umura. Ariko, colonoscopy ni cyo kizamini cy’ingenzi cyane. Ni ukuvuga ko gifite amahirwe menshi yo kubona kanseri cyangwa indwara itaratangira kanseri mu gihe cyayo cya mbere. Gusuzuma kanseri hakiri kare ni ingenzi cyane mu kuyirinda no kuyivura neza. Nanone, colonoscopy ni cyo kizamini cyonyine gishobora gusuzuma no kuvura indwara icyarimwe. Iyo abaganga basanze ingingo ziteye amakenga mu gihe cyo gusuzuma colonoscopy, bashobora kuzikuraho mu gihe cyo gusuzuma.

Ubundi buryo bwo gupima kanseri:

• Gupima amaraso y’umwanda (FOBT): Ibi bikubiyemo gufata icyitegererezo cy’umwanda wawe no gushaka ibimenyetso bya kanseri. Hari uburyo bwinshi bwo gushakisha amaraso mu mwanda wawe. Hari ubwoko bumwe busesengura ADN mu mwanda wawe kugira ngo barebe niba hari impinduka zishobora kugaragaza kanseri. Ibi bizamini bigomba gukorwa buri mwaka kugeza kuri itatu . Iyo habonetse igisubizo cyiza muri iki kizamini, intambwe ikurikiraho ni ugupima inkari (colonoscopy) no gusuzuma imiterere y’umubiri (biopsy) .
• Inkondo y'umura ikoresha ikoranabuhanga: Ubu ni ubwoko bwa CT scan . Ishobora gufata amafoto asobanutse neza, afite imiterere itatu (3D) y'inkondo y'umura. Ni "iy'umwimerere" kuko ireba imbere mu nda yawe ikoresheje amafoto yafashwe hanze y'umubiri wawe. Kimwe na colonoscopy isanzwe, isaba no gutegura amara. Ariko ntibisaba ikinya. Abaganga basaba ko iki kizamini kigirwa buri myaka itanu .

None se ni izihe nyungu zo gukoresha colonoscopy?

Ibyiza byo gukoresha uburyo bwa gakondo bwo gupima ikibyimba cy’imbere mu mubiri ni ibi bikurikira:

• Ubushobozi bwo kumenya indwara ya kanseri: Hari amahirwe menshi yo kubona impinduka za kanseri vuba.
• Gusuzuma kanseri, kuyivura no kuyirinda: Iyo ibindi bipimo byagaragaye ko ari ubwandu, haracyakenewe gupimwa kanseri mu buryo busanzwe kugira ngo hamenyekane kandi havurwe kanseri.
• Bigomba gukorwa rimwe gusa mu myaka 10: Niba ibisubizo byawe ari ibisanzwe, ntuzongera gukenera kongera kwipimisha igihe runaka.

Inpimo ngenderwaho y’imitsi ishobora gusuzuma, kuvura no gukumira indwara icyarimwe. Ibi bishobora gusa nkaho atari ikibazo gikomeye niba utayifite, ariko iyo uyifite, bishobora kugira itandukaniro rikomeye. Kanseri y’imitsi isanzwe ni kanseri ikunze kugaragara muri Sri Lanka. Irashobora kwirindwa, ariko igomba kumenyekana hakiri kare. Hamwe na inpimo ngenderwaho y’imitsi isanzwe, abaganga bashobora kuyisuzuma no kuyivura mbere yuko ikura, ikwirakwira, cyangwa ngo itere ibimenyetso. Niba ibisubizo byawe ari byiza, ushobora kuyikenera gusa buri myaka 10.

Hanyuma, ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Niba warigeze gutinya gupimwa indwara ya colonoscopy, ndizera ko ubu wabisobanukiwe neza. Nubwo bishobora gusa nkaho bitagushimishije gato, bishobora kuba ikizamini cy'agaciro kanini kandi kikiza ubuzima bwawe .

• Kumenya kare ni byiza cyane: cyane cyane mu ndwara nka kanseri y'inkondo y'umura.
• Itegure nk'uko muganga abivuga: ni ngombwa kugira ngo ikizamini kigire icyo gitwara.
• Wihangayika: ntabwo uzumva ububabare ubwo aribwo bwose bitewe n'ikinya.
• Baza muganga wawe niba ufite ikibazo: Kuraho gushidikanya kose ushobora kuba ufite.

Niba ufite imyaka irenga 45, cyangwa niba hari umuntu wo mu muryango wawe warwaye kanseri y'amara, vugana na muganga wawe kandi utekereze ku gukorerwa isuzuma rya colonoscopy. Ubuzima bwawe buri mu maboko yawe!

` Colonoscopy, kanseri y'amara, endoscope, isuzuma ry'amara, ibizamini bya kanseri, urugingo, ibizamini by'ubuvuzi