Unoda kuziva zvakawanda nezvehutano hwemudumbu wako? Zvese nezve bvunzo yecolonoscopy!

Mhoroi! Nhasi tichataura nezvebvunzo yekurapa iyo vanhu vazhinji vanotya kubvunza nezvayo, asi inokosha zvikuru. Izvozvo zvinonzi colonoscopy. Pamwe chiremba wako akakukurudzira kuti uite izvi, kana kuti wakambozvinzwa kune imwe nzvimbo. Saka, ngationei zviri nyore kuti chii, nei zvichiitwa, uye kuti zvinoitwa sei. Hapana chekutya, tichataura nezvese zvakajeka.

Chii chinonzi colonoscopy?

Zvichitaurwa zviri nyore, colonoscopy ibvunzo inotarisa mukati meura, rectum, uye anus. Zvakafanana nekuisa kamera. Vanachiremba vanoti izvi i endoscopy. Izvi zvinoreva kuti vanoisa chubhu diki, inochinjika mumuviri wako ine kamera diki uye chiedza kumagumo. Inonzi colonoscope. Coloneloscope inopinzwa kuburikidza neanus yako yobva yaendeswa kumusoro muura. Painoenderera mberi, chiremba anogona kuona pachiratidziro chinoratidza kamera. Izvi zvichakuratidza kana paine matambudziko mukati meura.

Sei tichida colonoscopy?

Pane zvikonzero zvakawanda zvinoita kuti colonoscopy iitirwe. Dzimwe nguva inodzivirira , dzimwe nguva inodzivirira chirwere , kana kuti inorapa . Kazhinji, inogona kuva musanganiswa wezvose zvitatu.

Sekuyedzwa kwekuona kenza nekukurumidza (Kuongororwa)

Vanhu vazhinji vanotanga kuongororwa colonoscopy yavo yekutanga senzira yekuongororwa kenza yemudumbu . Tese tine mukana wekuva nekenza yemudumbu sezvatinokura. Ndosaka masangano akaita seAmerican Cancer Society achikurudzira kuti munhu wese ane makore anopfuura makumi mana nemashanu apihwe bvunzo iyi. Ungasava nezviratidzo, asi kana tichitarisa nhamba, njodzi yacho yakakura, saka kuchenjera kuongororwa nekukurumidza. Kenza yemudumbu kazhinji hairatidzi zviratidzo, uye kana ikaonekwa, zvinogona kunonoka kuirapwa.

Inguva yekuti uite colonoscopy sebvunzo yekuongorora kenza, kana:

• Kana une makore anopfuura makumi mana nemashanu ekuberekwa uye usati waongororwa chirwere ichi.
• Kana papfuura makore angangoita gumi kubva pawakapedzisira kuongororwa colonoscopy.
• Kana wakabviswa mapolyps panguva yecolonoscopy yako yekupedzisira.
• Kana mumwe munhu mumhuri yako akamborwara nekenza yemudumbu .
• Une Familyal Adenomatous Polyposis (FAP).Kana uine chirwere chinogara nhaka seLynch syndrome (izvi zvinowedzera njodzi yekubatwa nekenza).
• Kana uine chirwere chakadai seIBD (Inflammatory Bowel Disease) .

Kana ukabvunza chiremba wemhuri yako kana chiremba wauri kuona, anogona kukuudza kuti unofanira kuongororwa riini zvichienderana nehutano hwako. Kuongororwa kwakadai kunoponesa zviuru zvevanhu gore rega rega.

Kuongorora chirwere

Dzimwe nguva, chiremba wako anogona kurayira colonoscopy kuti anyatsoongorora zviratidzo zvako nekuti unazvo. Izvi zvinodaro nekuti zvinokutendera kuti uone mukati meura rako zvakajeka kupfuura mamwe ma scan. Izvi zvinogona kubatsira kuona chikonzero chezviratidzo zvako kana kusimbisa kufungira kwachiremba wako . Dzimwe nguva, chiremba wako angada kutora chidimbu chenyama (biopsy) ochitarisa pasi pemaikorosikopu. Izvi zvinogonawo kuitwa panguva yecolonoscopy.

Zvimwe zviratidzo zvinogona kukonzera colonoscopy zvinosanganisira:

• Kana paine kubuda ropa kana zvimwe zvinobuda mu anus pasina chikonzero.
• Kana maitiro ako ekugezera akachinja pasina chikonzero (semuenzaniso manyoka, kuvimbiwa, kusazvidzora).
• Kana mudumbu muine kurwadziwa kunogara kwenguva refu pasina chikonzero.
• Kana uri kudzikira uremu pasina chikonzero, kana kuti kana usiri kuwedzera uremu muvana vadiki.

Kune zvimwe zvirwere zvinogona kuonekwa ne colonoscopy:

• Zvirwere zvecolitis zvisingaperi , semuenzaniso ulcerative colitis kana chirwere cheCrohn .
• Kushaya simba mudumbu uye chirwere chemwoyo (ischemic colitis) (mamiriro ezvinhu anokonzerwa nekudzikira kweropa rinoyerera mudumbu).
• Diverticulosis uye diverticulitis (kuumbwa kwemabhegi madiki mumadziro eura uye hutachiona hwawo).
• Maronda emudumbu uye maburi .
• Matumbu makuru akavharika.
• Mapolyps emudumbu negomarara .

Sekurapwa

Chimwe chezvakanakira zvikuru zvekuongororwa kwe endoscopy senge colonoscopy ndechekuti kana chiremba akawana chero matambudziko panguva yekuongororwa, anogona kurapa panguva imwe chete . Vanachiremba ava vakadzidziswa kuita zvinhu zvakaita sekuvhiyiwa kudiki vachishandisa zvishandiso zvakakosha zvinopfuudzwa kuburikidza ne endoscope. Pakuita colonoscopy,Kazhinji, mapolyps anobviswa ipapo ipapo oendeswa kurabhoritari kuti aongororwe kenza. Kubvisa mapolyps aya kunoderedzawo njodzi yekubatwa nekenza mune ramangwana.

Munguva ye colonoscopy yako, chiremba wako anogona kuita zvinhu zvakaita se:

• Kuvhiyiwa kwePolypectomy .
• Fukidza maronda.
• Tora mishonga.
• Bvisa zvinodzivisa.
• Isa stent (kuti nzvimbo dzakamanikana dziwedzere muura).
• Tora kurapwa ne laser .

Unogadzirira sei colonoscopy?

Izvi zvakakosha zvikuru . Kuti bvunzo ibudirire, unofanirwa kugadzirira zvizere. Chiremba wako achakupa mirairo yakadzama yezvaunofanira kuita mazuva mashoma pachine nguva. Chinangwa chikuru chekugadzirira uku ndechekuchengetedza ura hwako hwakachena uye hwakajeka sezvinobvira panguva ye colonoscopy. Kana ukasadaro, chiremba haazokwanisi kuona zvakanaka. Ipapo ungafanira kumisa bvunzo kana kuita gadziriro iyi yese zvakare. Fungidzira kuti hazvina kunaka sei!

Kazhinji, uchafanira kuchinja kudya kwako kwemazuva maviri kusvika matatu usati waongororwa. Uchadya zvekudya zvisina fiber yakawanda kwemazuva maviri kusvika matatu. Pazuva rekupedzisira, uchaudzwa kuti unwe mvura yakachena chete . Manheru kana husiku usati waongororwa, uchapihwa mushonga wekusvira . Mushure mekunwa, uchafanira kuenda kuchimbuzi kakawanda kwemaawa akati wandei. Saka gadzirira izvozvo, uye gara wakasununguka. Wobva warara zvakanaka husiku. Colonoscopy inowanzoitwa mangwanani anotevera.

Chii chinoitika pazuva rebvunzo?

Paunoenda kunoongororwa, unofanirwa kuva nemunhu anogona kukuendesa kumba nemotokari. Nekuti zvinotora zuva rimwe chete kuti mushonga weanesthesia upere, zvimwe zvipatara hazvitombokubvumidze kupinda kunoongororwa pasina munhu ane mutoro. (Munhu anokuperekedza achafanira kugara ikoko kwemaawa maviri.) Paunosvika kuchipatara, uchaendeswa kukamuri wobva wapfekedzwa gown rechipatara. Ipapo mukoti achauya oisa tambo yeIV mutsinga muruoko rwako, iyo ichatanga kupihwa mishonga yekunyaradza nemishonga yekurwadziwa.

Vanotirara here panguva yekuongorora colonoscopy?

Ehe, uchapiwa mushonga wekutindivadza muviri (zvichireva kuti ucharara zvachose) kana kuti uchapiwa mushonga wekuti usanyanye kurara.(Izvi zvinoreva kuti pfungwa dzako dzinodzikira zvishoma, unogona kurara, kana kuti ungamuka, asi ungasazozviyeuka gare gare.) Ehe, unogona. Chiremba achataura newe pachine nguva nezvenzira yeanesthesia yauchapihwa. Saka unogona kuziva pachine nguva zvichaitika pazuva rekuongororwa. Chiremba achakubatsira kusarudza nzira inonyatsokodzera muviri wako nezvaunoda.

Uyu muedzo unorwadza here?

Nekuti uri pasi peanesthesia, hauzonzwi kurwadziwa mukati meura rako. Izvi ndezvechokwadi pakubviswa kwenyama uye kurapwa ne laser. Zvisinei, kana colonoscope ikapinzwa muura rako , unogona kunzwa kunhuwa kana kusundidzirwa. Izvi zvinokonzerwa nekuti colonoscope inozadza ura negasi diki recarbon dioxide kuti ikwanise kuona zviri nani mukati meura rako. Zvisinei, izvi hazviwanzoonekwa zvakanyanya. Uchaiswa kune rumwe rutivi rwemubhedha wechipatara mabvi ako akakweverwa kusvika pachipfuva chako (fetal position), uye unogona kutorara.

Ndiani anoita colonoscopy?

Colonoscopy inowanzoitwa nachiremba wezvekudya kana chiremba wekuvhiya dumbu. Vanachiremba ava vese inyanzvi muzvirwere zvemudumbu uye vakadzidziswa zvakanyanya kuita endoscopy. Vanachiremba ava havangotarise mukati memuviri chete, asi vanogonawo kutora masampuli enyama uye kuita kurapa kudiki kana zvichidikanwa. Vane hunyanzvi hwekuongorora mhedzisiro yebvunzo.

Ko colonoscopy inoitwa sei chaizvo?

Chinoonekwa mudumbu (colonoscope) ichubhu refu, yakatetepa, inochinjika (inonziwo catheter ) ine kamera diki nechiedza chakabatanidzwa kumagumo.

• Chiremba anoisa colonoscope iyi kuburikidza nepaburi remusana wako uye anoitungamira muura hwako hukuru, kusvika painosangana neura hudiki.
• Paunenge uchiitakura, mweya mudiki unopombwa nepachubhu, uchifuridza ura, zvichiita kuti ukwanise kuona mukati zvakajeka.
• Mifananidzo iri kubva pakamera inoratidzwa pamonitor. Chiremba anotarisa skrini kuti aone kana paine chimwe chinhu chisingawanzoitika.
• Kana wasvika kumagumo eura, colonoscope inobviswa zvakare, saka unogona kuitarisa zvakare.

Fungidzira, izvi zvakafanana nekufamba uchitarisa muura hwako! Chiremba anotarira-tarisa kwese kwese.

Ko colonoscopy inotora nguva yakareba sei?

Kazhinji zvinotora maminetsi angangoita gumi nemashanu kuisa colonoscope kumagumo kwemudumbu uye mamwe maminetsi gumi nemashanu kuiburitsa. Izvi zvinoreva kuti mudumbu wese unoongororwa kaviri. Kana pakawanikwa chimwe chinhu chinoda kubviswa kana kurapwa panguva yekuvhiyiwa, zvinotora nguva yakati rebei. Mapolyps akajairika;Izvi zvinowanikwa muzvikamu zvinosvika makumi matatu muzana zvemakoronikopi enguva dzose. Kunyangwe hazvo akawanda acho asiri ekenza, nzira yakajairika ndeyekuzvibvisa nekukurumidza kana zvawanikwa. Izvi zvinogona kuwedzera maminetsi gumi nemashanu pakuvhiyiwa.

Chii chinoitika mushure mekuyedzwa?

Mushure mekuongororwa, muchachengetwa muchiongororwa muchipatara kweinenge awa nehafu . Izvi zvinoitwa kusvika mapora simba kubva mukurapwa neanesthesia. Chikwata chekurapa chicharamba chichitarisa zviratidzo zvenyu zvehupenyu uye kutarisa chero zviratidzo zvematambudziko. Mushure mekunge mapora simba, chiremba achauya kuzokuudzai nezvezvakaonekwa panguva yekuongororwa uye kurapwa kwakaitwa. Muchagamuchira mushumo wepamutemo gare gare, kungave netsamba kana nemagetsi. Kana sampuli yenyama (biopsy) yakatorwa, mhedzisiro yacho inotora mazuva mashoma kuti idzoke.

Zvinotora nguva yakareba sei kuti munhu apore?

Zvinotora maawa angangoita makumi maviri nemana kuti mushonga weanesthesia upere zvachose. Ndosaka vanachiremba vachiti haufanirwe kutyaira, kushandisa michina, kana kuita sarudzo dzakakosha kusvika mangwana acho. Asi uchanzwa zviri nani mumaawa anotevera. Unganzwa kuzvimba, kurwadziwa negasi, kana kuda kurutsa kweawa yekutanga kana maviri, asi izvi zvichapera nekukurumidza. Unogona kutanga kudya zvakajairika kana wangonzwa zviri nani. Kana chiremba akabvisa nyama, unogona kubuda ropa kubva muhuro kwemazuva mashoma. Izvi zvakajairika.

Pane njodzi dziripo here?

Matambudziko nenjodzi hazviwanzoitiki , asi zvinogona kuitika. Zvinosanganisira:

• Kukuvadzwa kwemadziro emudumbu mako , sekunge kubvaruka.
• Kubuda ropa kusingadzoreki kana nyama yabviswa.
• Rudzi rwakasiyana rwehutachiona hunoda mishonga inorwisa mabhakitiriya .
• Mhinduro isina kujairika kune anesthesia .

Zvinhu zvakaita seizvi hazviwanzoitiki, asi zvakanaka kuziva.

Mishumo inobuda riini?

Muchawana mhinduro dzenyu zhinji pazuva iroro . Chiremba achakwanisa kukuudzai zvaakaona, marapirwo akaitwa, uye kana akabudirira. Kana biopsy ikatorwa ikatumirwa kurabhoritari, mhinduro yacho inotora mazuva mashoma kana mavhiki kuti idzoke. Kungoti biopsy ikatorwa ikatumirwa kurabhoritari hazvirevi kuti chiremba anofungidzira kuti ane kenza. Ingave nzira yekudzivirira, kana kuti ingave ichitsvaga chimwe chinhu, senge microscopic colitis . Chiremba achakuudzai zvekutarisira.

Ndezvipi mhedzisiro isina kujairika?

Mhedzisiro isina kujairika inogona kusanganisira:

• Kubuda ropa mudumbu kusingadzoreki.
• Mapolyps asina kunaka, asina kenza, kana kuti ane kenza.
• Kuzvimba (colitis) kunokonzerwa nehutachiona, ischemia, kana chirwere che autoimmune.
• Kukuvara kwenyama zvachose kwakadai sekunge mavanga.
• Kuvharika kwedumbu kana stenosis .
• Matumba asina kujairika ari mumadziro eura (diverticulosis) .

Chiremba wako achakuudza nezvemhedzisiro iyi uye zvazvinoreva.

Pane dzimwe nzira dzekuona kenza yemudumbu here?

Ehe, kune mimwe miedzo yakawanda yekuongorora kenza yemudumbu. Zvisinei, colonoscopy ndiyo bvunzo inonyanya kuomera. Kureva kuti, ine mukana mukuru wekuona kenza kana chirwere chisati chatanga kenza. Kuona kenza nekukurumidza kwakakosha zvikuru pakudzivirira nekurapa chirwere ichi zvinobudirira. Zvakare, colonoscopy ndiyo bvunzo chete inogona kuongorora nekurapa chirwere panguva imwe chete. Kana vanachiremba vakawana nyama inofungirwa panguva yecolonoscopy, vanogona kuibvisa panguva yebvunzo.

Dzimwe nzira dzekuongorora cancer:

• Kuongororwa kweropa retsvina (FOBT): Izvi zvinosanganisira kutora sampuro yetsvina yako uye kutsvaga zviratidzo zvegomarara. Kune nzira dzakasiyana siyana dzekutsvaga ropa mutsvina yako. Rumwe rudzi runotoongorora DNA mutsvina yako kuti ruone kana paine shanduko dzinogona kuratidza gomarara. Kuongororwa uku kunofanirwa kuitwa makore ese kusvika matatu . Kana mhinduro yakanaka ikawanikwa kubva mukuedzwa uku, danho rinotevera icolonoscopy uye biopsy .
• Virtual colonoscopy: Iyi imhando yeCT scan . Inogona kutora mifananidzo yakajeka, ine mativi matatu (3D) eura rako. "Ichokwadi" nekuti inotarisa mukati meura rako uchishandisa mifananidzo yakatorwa kubva kunze kwemuviri wako. Kufanana necolonoscopy yenguva dzose, inodawo kugadzirira ura. Asi haidi anesthesia. Vanachiremba vanokurudzira kuita bvunzo iyi makore mashanu ega ega .

Saka ndezvipi zvakanakira colonoscopy?

Zvakanakira zve colonoscopy yechinyakare ndeizvi:

• Kunzwa kwakanyanya: Pane mukana mukuru wekuona shanduko dzekenza nekukurumidza.
• Kuongorora chirwere ichi, kurapwa uye kudzivirira: Kana mimwe miedzo ikaonekwa kuti ine chirwere ichi, colonoscopy yechinyakare ichiri kudiwa kuti isimbise uye irape kenza.
• Zvinongoda kuitwa kamwe chete mumakore gumi ega ega: Kana zvabuda zvakanaka, hauzodi kuongororwazve kwenguva yakati.

Kuongororwa kwecolonoscopy kunogona kuongorora, kurapa, uye kudzivirira chirwere panguva imwe chete. Izvi zvingasaita sedambudziko guru kana usina, asi kana ukadaro, zvinogona kuita mutsauko mukuru. Gomarara remudumbu igomarara rinowanzoitika muSri Lanka. Rinogona kudzivirirwa, asi rinofanira kuonekwa nekukurumidza. Nekuongororwa kwecolonoscopy, vanachiremba vanogona kuona nekurapa gomarara risati rakura, kupararira, kana kukonzera zviratidzo. Kana mhedzisiro yako yakanaka, ungangoda kuti riitwe makore gumi ega ega.

Chekupedzisira, zvinhu zvinonyanya kukosha zvaunofanira kurangarira (Mharidzo Yekuenda Kumba)

Saka, kana wakambotya colonoscopy, ndinovimba wava kunzwisisa zviri nani. Kunyange zvazvo zvingaita sezvisina kugadzikana, zvinogona kuva bvunzo inobatsira zvikuru uye inoponesa hupenyu hwako .

• Kuonekwa kwechirwere ichi nekukurumidza ndiko kwakanakisa: kunyanya muzvirwere zvakaita sekenza yemudumbu.
• Gadzirira sezvakataurwa nachiremba: zvakakosha kuti bvunzo ibudirire.
• Usazvidya moyo: hauzonzwi kurwadziwa nekuda kweanesthesia.
• Bvunza chiremba wako kana uine mibvunzo: Bvisa kusava nechokwadi kwaungave nako.

Kana uine makore anopfuura makumi mana nemashanu ekuberekwa, kana kuti mumwe munhu mumhuri mako akamborwara nekenza yemuura, taura nachiremba wako uye funga nezvekuongororwa kwemuura. Hutano hwako huri mumaoko ako!

Colonoscopy , kenza yemuura mukuru, endoscopy, kuongororwa kweura, bvunzo dzekenza, kugaya chikafu, bvunzo dzekurapa