Masifunde ngqo ngovavanyo lweDigital Rectal Exam (DRE)?

Usenokuba ukhe weva ngolu vavanyo, okanye ugqirha usenokuba ukuxelele ukuba ulwenze. Kuqhelekile ukuba neentloni okanye uzive udanile xa usiva eli gama. Kodwa olu luvavanyo olunceda ekuchongeni izifo ezininzi kwangethuba, alunzima njengoko ucinga, kwaye lugqitywa kwimizuzu embalwa. Ngoko ke, namhlanje siza kuthetha ngokweenkcukacha nangokulula malunga nolu vavanyo lweDigital Rectal Exam (DRE) , oko kukuthi, uvavanyo olwenziwe ngomnwe kwi-rectum.

Yintoni kanye kanye le nto kuthiwa yiDigital Rectal Exam?

Ngamafutshane, le yinkqubo apho ugqirha ehlola inxalenye esezantsi ye-rectum yakho, esekupheleni kwamathumbu amakhulu kunye ne-anus (apho sikhupha khona inkunkuma). Kumadoda, oku kujonga ne-prostate gland. Ugqirha ufaka umnwe ogqunywe ngeglavu, othanjiswe kwi-rectum yakho ukujonga naziphi na iingxaki. Oku ngamanye amaxesha kunokuba yinxalenye yovavanyo lwakho lomzimba oluqhelekileyo lonyaka, ngakumbi kumadoda. Ngamanye amaxesha kungenziwa ngexesha lovavanyo lwe-gynecological kubafazi.

Kutheni kufuneka senze uvavanyo olunjalo?

Uvavanyo lwe-DRE sisixhobo esibalulekileyo sokuxilonga esisetyenziselwa ukuxilonga izifo ezahlukeneyo, ngoko ke ugqirha unokulucebisa ukongeza kuvavanyo lwakho oluqhelekileyo.

Zeziphi izifo ezinokufunyaniswa ngolu vavanyo?

Kukho iimeko ezininzi ugqirha anokuzikrokrela okanye azincede ekuxilongeni ngolu vavanyo. Umzekelo:

• Isifo samathumbu esivuthayo (IBD)
• IiHemorrhoids
• Iimfantu zempundu
• Usulelo lweprostate
• Umhlaza we-rectum okanye i-colon
• Umonakalo obangelwe kuloo ndawo ngengozi ethile
• Ezinye izifo zenkqubo yemithambo-luvo

Ziziphi iimpawu ezinokubangela ukuba oogqirha benze i-DRE?

Ukuba uneempawu ezinje, ugqirha unokuqwalasela uvavanyo lwe-DRE:

• Ukuba kukho ukopha okuphuma kwimpundu.
• Ukuba unegazi esitulweni sakho, okanye ukuba ubona igazi kwindlu yangasese.
• Utshintsho kwindlela yokuzila, umzekelo, ukuqhina okungapheliyo okanye urhudo.
• Ukuba unegazi okanye i-mucus kumchamo wakho.
• Ukuba unengxaki yokulawula umchamo wakho (Ukungakwazi ukuzibamba komchamo).
• Ukuba unengxaki yokulawula ukuhamba kwakho kwamathumbu (ukungakwazi ukuzibamba).

Ugqirha angenza olu vavanyo lwe-DRE ukuba ufuna ukujonga impilo ye-prostate gland yakho okanye ukrokrela into enzulu ngokusekelwe kwiimpawu zakho.

Iingxaki zeprostate kunye novavanyo lwe-DRE

Xa indoda ifumana i-DRE, ugqirha uya kunika ingqalelo ekhethekileyo kwi-prostate gland. Nangona i-US Preventive Services Task Force ingacebisi i-DRE njengesixhobo sokuhlola umhlaza we-prostate, ingasetyenziselwa ukujonga usulelo lwe-prostate. Ugqirha uya kujonga naluphi na ulwandiso lwe-prostate gland, amaqhuma, okanye utshintsho kumphezulu wayo. Olu vavanyo luya kunceda ekuqinisekiseni ukuba kufuneka uvavanyo olongezelelweyo na.

Ukuba ugqirha wakho ucinga ukuba unokuba unentsholongwane, unokuhlikihla i-prostate gland yakho. Oku kuya kubangela ukuba incindi iqokeleleke kumchamo wakho. Isampuli yomchamo iya kuthunyelwa kwilebhu, apho ingcali yezifo iza kuhlola ulwelo phantsi kwe-microscope ukuze ibone ukuba loluphi unyango omele ulufumane.

Kuthekani ukuba kukho igazi kwindle/igazi eliphuma kwimpundu?

Ukuba unegazi esitulweni sakho, ubona igazi kwindlu yangasese, okanye ubona igazi kwiphepha lendlu yangasese, uvavanyo lwe-DRE lunokuba luvavanyo olubaluleke kakhulu . Igazi esitulweni sakho linokuba luphawu lwesifo esisemathunjini aphezulu okanye asezantsi. Kwiimeko ezinjalo, ugqirha wakho unokuyalela iimvavanyo ezongezelelweyo, ezifana ne-colonoscopy, emva kwe-DRE. Oku kunokunceda ekuqinisekiseni ukuba ngumhlaza, ii-hemorrhoids zangaphakathi, okanye ukudumba kodonga lwe-colon.

Ngaba kukho umahluko kwindlela yokusela isisu?

Ukuba unenguqu engaqhelekanga kwindlela oqhuba ngayo amathumbu akho (umzekelo, isitulo esincinci njengepensile, esithe tyaba, okanye esinzima ukusihambisa), ugqirha angenza i-DRE ukujonga ukuba akukho nto ivalelekileyo, njengethumba.

Ngubani owenza olu vavanyo lwe-DRE?

Oogqirha abahlukeneyo banokwenza olu vavanyo lwe-DRE ukunceda ekuxilongeni imeko yakho. Ziquka:

• Ugqirha wakho wosapho (Ababoneleli ngeenkonzo zokhathalelo oluphambili)
• Oogqirha botyando
• Iingcali ze-Gastroenterologists
• Iingcali zokubelekisa kunye neengcali zezifo zabesifazane
• Iingcali zomhlaza

Ndifanele ndenze olu vavanyo lwe-DRE kangaphi?

Ugqirha wakho angacebisa i-DRE njengenxalenye yovavanyo lwakho lomzimba lonyaka . Ukongeza kwi-DRE, ugqirha wakho angayalela uvavanyo lwegazi olubizwa ngokuba yi-PSA (Prostate-Specific Antigen) ukuze kuhlolwe umhlaza we-prostate. I-PSA yiproteni esegazini lakho enokukunika ulwazi malunga nempilo ye-prostate yakho.

Sifanele sizilungiselele njani ngaphambi kovavanyo lwe-DRE?

Iindaba ezimnandi zezokuba, akufuneki wenze nantoni na ekhethekileyo ukuze ulungiselele olu vavanyo lwe-DRE.Nangona kunjalo, ukuba une-anal fissures okanye i-hemorrhoids, kufuneka uxelele ugqirha wakho kwangaphambili, njengoko i-DRE ingenza ezi meko zibe zimbi ngakumbi.

Ugqirha uza kukuchazela indlela olu vavanyo olwenziwa ngayo kuwe, kwaye ungabuza nayiphi na imibuzo onayo ngelo xesha.

Kwenzeka ntoni ngexesha lovavanyo lwe-DRE? Yintoni esifanele siyilindele?

Ugqirha uza kwenza olu vavanyo lwe-DRE kwigumbi lovavanyo labucala eofisini yakhe. Uza kucelwa ukuba ukhulule iimpahla ukusuka esinqeni ukuya ezantsi, kwaye uza kunikwa ilokhwe okanye ilaphu lokukugquma. Lonke uvavanyo luthatha imizuzu embalwa kuphela. Ngokuqhelekileyo alubuhlungu, kodwa ungaziva ungakhululekanga. Abanye abantu banokuziva befuna ukuchama.

Ukuba indoda...

Ugqirha uza kukucela ukuba ulale kwenye yezi ndlela zimbini. Yima uthe nkqo uze ugobe phambili etafileni yovavanyo, okanye ulale etafileni amadolo akho agobe esifubeni sakho.

Okokuqala, ugqirha uza kujonga ngaphandle kwe-rectum yakho ukuze abone ukuba akukho na ii-hemorrhoids okanye ii-anal fissures. Emva koko, xa ulungile, ugqirha uza kukucela ukuba uphumle kwaye uphefumle nzulu. Emva koko, ugqirha uza kufaka umnwe ogqunywe iiglavu kwi-rectum yakho.

Ugqirha uza kuyiva i-prostate gland yakho, ubukhulu bayo, kunye nomphezulu wayo. Ukuba i-prostate gland yakho ikhulisiwe, ungaziva ungakhululekanga okanye intlungu/uxinzelelo oluncinci ngexesha lovavanyo. Okokugqibela, ugqirha uza kuhlola iindonga zekholoni yakho esezantsi kunye ne-rectum ukujonga naziphi na iingxaki.

Ukuba umfazi...

Ugqirha wakho angenza uvavanyo lwe-DRE njengenxalenye yovavanyo lwakho lwe-pelvic. Uza kucelwa ukuba ulale ujonge phezulu etafileni yovavanyo imilenze yakho iphakanyisiwe.

Xa sele ulungile, ugqirha wakho uza kukucela ukuba uphumle kwaye uphefumle nzulu. Emva koko, uza kufaka umnwe othanjiswe ngeglavu kwi-rectum yakho. Ngeli xesha, ugqirha wakho uza kuhlola inxalenye esezantsi yekholoni yakho kunye nodonga lwe-rectum yakho ukujonga naziphi na iingxaki.

Kwenzeka ntoni emva kovavanyo lwe-DRE?

Ungenza imisebenzi yakho yesiqhelo emva nje kokwenza i-DRE. Ukopha kancinci kwi-anus akuqhelekanga , kodwa kunokwenzeka. Usethubeni lokopha ukuba une-anal fissures okanye i-hemorrhoids. Ukuba ukopha kakhulu emva kokwenza i-DRE, xelela ugqirha wakho.

Ngaba kukho naziphi na iingozi ngolu vavanyo lwe-DRE? Ngaba kukho iingxaki ezinokwenzeka?

Uvavanyo lwe-DRE ludla ngokuthathwa njengolukhuselekileyo kakhulu, lunokungonwabi okuncinci kuphela okuhlala kusenzeka. Nangona kunjalo, kulungile ukuqaphela iingozi ezimbalwa ezincinci kunye neengxaki ezinokubakho:

• Ukungonwabi okanye intlungu:Abanye abantu banokuziva bengakhululekanga okanye iintlungu ezincinci xa ugqirha efaka umnwe wakhe kwi-rectum. Oku kudla ngokuba yinto yexeshana kwaye kuyaphela xa uhlolo lugqityiwe.
• Ukopha emqolo: Kunqabile kakhulu, abanye abantu banokuba nokopha okuncinci emqolo emva kokwenza i-DRE, ingakumbi ukuba banemifantu engaphambili okanye ii-hemorrhoids. Kubalulekile ukuxelela ugqirha wakho ukuba ufumana ukopha okukhulu emva kovavanyo.
• Usulelo: Oku kukwayinto engaqhelekanga. Kukho ithuba elincinci kakhulu lokosulelwa yiyo nayiphi na inkqubo ebandakanya ukufakwa kwesixhobo emzimbeni. Oogqirha basebenzisa iiglavu ezicocekileyo kunye nezinto zokuthambisa ngexesha lenkqubo ukunciphisa lo mngcipheko.

Siza kuzazi nini iziphumo zovavanyo lwe-DRE?

Ugqirha wakho ufanele akwazi ukukuxelela iziphumo ze-DRE kwangoko nje ukuba uvavanyo lugqityiwe .

Zisixelela ntoni iziphumo zovavanyo lwe-DRE?

Iziphumo eziqhelekileyo ezivela kuvavanyo lwe-DRE zithetha ukuba ugqirha akafumananga nto ingaqhelekanga ngexesha lovavanyo. Nangona kunjalo, banokuyalela ezinye iimvavanyo ukuqinisekisa iziphumo.

Iziphumo ezingaqhelekanga zinokuthetha izinto ezininzi. Kusenokuba negazi, amaqhuma onokuwava, imifantu yempundu, ii-hemorrhoids, okanye iintlungu ezinkulu ngexesha lovavanyo. Ugqirha wakho uza kuthetha nawe ngale nto ngoko nangoko aze akuxelele into omawuyenze ngokulandelayo.

Ingaba i-DRE nayo yenziwa ngexesha le-colonoscopy?

Ewe, ngamanye amaxesha ugqirha angenza i-DRE njengenyathelo lokuqala kwi-colonoscopy. Nangona kunjalo, bahlala bengayijongi i-prostate gland ngexesha le-DRE. Basebenzisa le DRE kuphela ukuhlola i-rectum yakho kunye nokufaka i-lubricant ukulungiselela i-colonoscopy. Ngoko ke, ungabuza ugqirha wakho ukuba angajonga na i-prostate yakho ngexesha le-DRE eyenziwa ngexesha le-colonoscopy.

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

Khangela, siyayiqonda. Ingcinga yovavanyo lwedijithali lwe-rectal inokuba yintloni kwaye ingakhululeki. Kodwa, nangona isenokungabi ngamava amnandi, ihlala iyindlela ekhawulezayo nengenabuhlungu. Kwaye ugqirha wakho sele ekubone konke oku ngaphambili. Akukho nto unokuba neentloni ngayo. Ukuba ugqirha wakho uthi lixesha le-DRE, kubalulekile ukumamela. Ii-DRE zinokukunceda ufumane okwenzekayo emzimbeni wakho, kwaye zinokukunceda ukufumanisa izifo ezithile kunye neemeko kwangethuba . Ngoko ke, ungoyiki okanye ungabi neentloni ukuthetha nogqirha wakho ngayo.

"Uvavanyo lwerectum, uvavanyo lwedijithali lwerectum, iprostate, ukuqhina, ii-hemorrhoids, uvavanyo lomhlaza, i-DRE