Ngaba ufuna ukwazi okungakumbi ngempilo yamathumbu akho? Yonke into malunga novavanyo lwe-colonoscopy!

Molo! Namhlanje siza kuthetha ngovavanyo lwezonyango abantu abaninzi abaloyikayo ukubuza ngalo, kodwa lubaluleke kakhulu. Oko kubizwa ngokuba yi-colonoscopy. Mhlawumbi ugqirha wakho ukucebise ukuba wenze oku, okanye ukhe weva ngako ndaweni ithile. Ngoko ke, makhe sibone ngokulula ukuba yintoni, kutheni kwenziwa, kwaye kwenziwa njani. Akukho nto yokoyika, siza kuthetha ngayo yonke into ngokucacileyo.

Yintoni i-colonoscopy?

Ngamafutshane, i-colonoscopy luvavanyo olujonga ngaphakathi kwikholoni yakho, i-rectum, kunye ne-anus. Kufana nokufaka ikhamera. Oogqirha bakubiza oku ngokuthi yi-endoscopy. Oko kuthetha ukuba bafaka umbhobho omncinci, oguquguqukayo emzimbeni wakho onekhamera encinci kunye nokukhanya ekupheleni. Ibizwa ngokuba yi-colonoscope. I-colonoscope ifakwa nge-anus yakho ize inyuswe kwikholoni yakho. Njengoko ihamba, ugqirha unokubona kwisikrini esibonisa ikhamera. Oku kuya kukubonisa ukuba kukho naziphi na iingxaki ngaphakathi kwikholoni yakho.

Kutheni sifuna i-colonoscopy?

Zininzi izizathu zokuba kwenziwe i-colonoscopy. Ngamanye amaxesha iyindlela yokuthintela , ngamanye amaxesha iyindlela yokuxilonga , okanye yonyango . Rhoqo, inokuba yindibaniselwano yazo zontathu.

Njengovavanyo lokufumanisa umhlaza kwangethuba (Uvavanyo)

Abantu abaninzi benza i-colonoscopy yabo yokuqala njengovavanyo oluqhelekileyo lomhlaza we-colon . Sonke sinomngcipheko wokuba nomhlaza we-colon njengoko sikhula. Yiyo loo nto imibutho efana ne-American Cancer Society icebisa ukuba wonke umntu oneminyaka engaphezu kwama-45 ubudala afumane olu vavanyo. Usenokungabi nazimpawu, kodwa ngokwezibalo, umngcipheko uphezulu, ngoko ke kububulumko ukuvavanywa kwangethuba. Umhlaza we-colon uhlala ungabonisi zimpawu, kwaye xa ubonakala, kunokuba kudala kakhulu ukuwunyanga.

Kusenokuba lixesha lokuba wenze i-colonoscopy njengovavanyo lokuhlola umhlaza, ukuba:

• Ukuba uneminyaka engaphezu kwama-45 ubudala kwaye awukalwenzi olu vavanyo.
• Ukuba sele kudlule iminyaka eli-10 ukusukela oko wagqibela ukwenza i-colonoscopy.
• Ukuba ubususwe iipolyps ngexesha le-colonoscopy yakho yokugqibela.
• Ukuba kukho umntu kusapho lwakho oye waba nomhlaza we-colorectal .
• UneFamilial Adenomatous Polyposis (FAP).Ukuba unesifo esizuzwe njengeLynch syndrome (esi sifo sinyusa umngcipheko wokuba nomhlaza).
• Ukuba unesifo esifana ne -Inflammatory Bowel Disease (IBD) .

Ukuba ubuza ugqirha wosapho lwakho okanye ugqirha omjongayo, angakuxelela ukuba kufuneka wenze nini olu vavanyo ngokusekelwe kwimeko yakho yempilo. Uvavanyo olufana nolu lusindisa amawaka abantu minyaka le.

Ukuchonga isifo

Ngamanye amaxesha, ugqirha wakho unokuyalela i-colonoscopy ukuba ijonge nzulu iimpawu zakho kuba unazo. Oku kungenxa yokuba ikuvumela ukuba ubone ngaphakathi kwekholoni yakho ngokucacileyo kunezinye iiskeni. Oku kunokunceda ekufumaneni unobangela weempawu zakho okanye kuqinisekise ukuba ugqirha wakho uyakrokrela ukuba kukho into angayikholelwayo. Ngamanye amaxesha, ugqirha wakho unokufuna ukuthatha iqhekeza lesicwili (i-biopsy) aze alijonge phantsi kwe-microscope. Oku kungenziwa nangexesha le-colonoscopy.

Ezinye zeempawu ezinokubangela i-colonoscopy ziquka:

• Ukuba kukho ukopha okanye olunye uphuzo oluphuma kwimpundu ngaphandle kwesizathu.
• Ukuba imikhwa yakho yokuhlamba indlu yangasese itshintshile ngaphandle kwesizathu (umz. urhudo, ukuqhina, ukungakwazi ukuzibamba).
• Ukuba unesisu esibuhlungu esingapheliyo ngaphandle kwesizathu.
• Ukuba unciphisa umzimba ngaphandle kwesizathu, okanye ukuba awunyuki umzimba kubantwana abancinci.

Kukho iimeko ezininzi ezinokufunyaniswa nge-colonoscopy:

• Iimeko ze -colitis ezingapheliyo , umzekelo i-ulcerative colitis okanye isifo sikaCrohn .
• I-ischemia yamathumbu kunye ne-ischemic colitis (iimeko ezibangelwa kukuncipha kokuhamba kwegazi ukuya emathunjini).
• I-Diverticulosis kunye ne -diverticulitis (ukwakheka kweengxowa ezincinci eludongeni lwamathumbu kunye nosulelo lwazo).
• Izilonda zamathumbu kunye nokugqobhoka .
• Ukuvaleka kwamathumbu amakhulu.
• Iipolyps zeColorectal kunye nomhlaza .

Njengonyango

Enye yeenzuzo ezinkulu zovavanyo lwe-endoscopy olufana ne-colonoscopy kukuba ukuba ugqirha ufumana naziphi na iingxaki ngexesha lovavanyo, unokuzinyanga ngaxeshanye . Aba gqirha baqeqeshwe ukwenza izinto ezifana notyando oluncinci besebenzisa izixhobo ezikhethekileyo ezidluliselwa kwi-endoscope. Xa besenza i-colonoscopy,Amaxesha amaninzi, iipolyps zisuswa ngoko nangoko zize zithunyelwe kwilabhoratri ukuze zivavanyelwe umhlaza. Ukususa ezi polyps kunciphisa nomngcipheko wokuba nomhlaza kwixesha elizayo.

Ngexesha le-colonoscopy yakho, ugqirha wakho unokwenza izinto ezifana nezi:

• Utyando lwe-polypectomy .
• Gquma amanxeba.
• Sela amayeza.
• Susa izinto ezithintelayo.
• Faka i-stent (ukwandisa iindawo ezimxinwa emathunjini).
• Fumana unyango lwelaser .

Ulungiselela njani i-colonoscopy?

Oku kubaluleke kakhulu . Ukuze uvavanyo luphumelele, kufuneka ulungiselele ngokupheleleyo. Ugqirha wakho uza kukunika imiyalelo eneenkcukacha malunga nento omawuyenze kwiintsuku ezimbalwa kwangaphambili. Injongo ephambili yolu lungiselelo kukugcina ikholoni yakho icocekile kwaye icacile kangangoko ngexesha le-colonoscopy. Ukuba awukwenzi oko, ugqirha akayi kukwazi ukubona kakuhle. Emva koko kusenokufuneka uhlehlise uvavanyo okanye uphinde wenze lonke olu lungiselelo kwakhona. Khawucinge indlela ekunzima ngayo oko!

Ngokwesiqhelo, kuya kufuneka wenze utshintsho oluthile kwindlela otya ngayo iintsuku ezimbini ukuya kwezintathu ngaphambi kovavanyo. Uya kuba nokutya okunefayibha encinci iintsuku ezimbini ukuya kwezintathu. Ngomhla wokugqibela, uya kuxelelwa ukuba usele kuphela ulwelo olucacileyo . Ngobusuku okanye ngobusuku bangaphambi kovavanyo, uya kunikwa ifomyula yokukhupha isisu ukuze uyisele. Emva kokuyisela, kuya kufuneka uye kwigumbi lokuhlambela rhoqo iiyure ezininzi. Ngoko ke zilungiselele, kwaye uhlale ukhululekile. Emva koko ulale kakuhle ebusuku. I-colonoscopy idla ngokwenziwa kusasa olulandelayo.

Kwenzeka ntoni ngomhla wovavanyo?

Xa usiya kuvavanyo, kufuneka ube nomntu onokukuqhuba uye ekhaya. Ngenxa yokuba kuthatha malunga nosuku ukuba i-anesthesia iphele, ezinye izibhedlele azikuvumeli nokuba ungene kuvavanyo ngaphandle komntu onoxanduva. (Umntu ohamba nawe kuya kufuneka ahlale apho malunga neeyure ezimbini.) Xa ufika esibhedlele, uya kusiwa kwigumbi kwaye unxitywe ilokhwe yesibhedlele. Emva koko umongikazi uya kungena aze afake umgca we-IV emthanjeni engalweni yakho, apho uya kuqala ukufumana amayeza okuthomalalisa kunye namayeza entlungu.

Ngaba bayasilalisa ngexesha le-colonoscopy?

Ewe, uza kufumana i-anesthesia eqhelekileyo (oko kuthetha ukuba uza kube ulele ngokupheleleyo) okanye uthomalaliswe ingqondo.(Oku kuthetha ukuba ingqondo yakho iyancipha kancinci, ungalala, okanye ungavuka, kodwa usenokungakhumbuli kamva.) Ewe, unako. Ugqirha uza kuthetha nawe kwangaphambili malunga nendlela yokubulala iintlungu oza kuyinikwa. Ngoko ke unokukwazi kwangaphambili oko kuza kwenzeka ngomhla wovavanyo. Ugqirha uza kukunceda ukhethe indlela efanela umzimba wakho neemfuno zakho.

Ngaba olu luvavanyo olubuhlungu?

Ngenxa yokuba uphantsi kwe-anesthesia, awuyi kuva ntlungu ngaphakathi kwikholoni yakho. Oku kuyinyani xa kususwa izicubu kunye nonyango lwe-laser. Nangona kunjalo, xa ikholoni idluliselwa kwikholoni yakho , unokuziva uvakalelwa kancinci yigesi okanye ukutyhala. Oku kungenxa yokuba ikholoni ifumisa ikholoni ngegesi encinci yekhabhoni diokside ukuvumela umbono ongcono wangaphakathi kwikholoni yakho. Nangona kunjalo, oku kudla ngokungaphawuleki kakhulu. Uya kubekwa kwelinye icala lebhedi yesibhedlele amadolo akho etsalwe esifubeni sakho (indawo yosana), kwaye usenokulala.

Ngubani owenza i-colonoscopy?

I-Colonoscopy idla ngokwenziwa yingcali ye-gastroenterologist okanye ugqirha we-colorectal. Bobabini aba gqirha ziingcali kwizifo zenkqubo yokugaya ukutya kwaye baqeqeshwe ngokukodwa ukwenza i-endoscopy. Aba gqirha abajongi nje ngaphakathi emzimbeni, kodwa banokuthatha iisampuli zezicubu kwaye benze unyango oluncinci ukuba kuyimfuneko. Bakwafanelekile ukuhlalutya iziphumo zovavanyo.

I-colonoscopy yenziwa njani kanye kanye?

I-colonoscope yityhubhu ende, ebhityileyo, eguquguqukayo (ekwabizwa ngokuba yi-catheter ) enekhamera encinci kunye nokukhanya okuncamathiselwe esiphelweni.

• Ugqirha ufaka le colonoscope nge-anus yakho aze ayikhokelele emathunjini akho amakhulu, ukuya kuthi ga apho idibana khona namathumbu amancinci.
• Njengoko uyithwala, umoya omncinci ungena ngetyhubhu, uvuthela amathumbu, nto leyo ekuvumela ukuba ubone ngaphakathi ngokucacileyo.
• Imifanekiso evela kwikhamera iboniswa kwisikrini. Ugqirha ujonga isikrini ukuze abone ukuba kukho into engaqhelekanga na.
• Wakufika esiphelweni sekholoni, ikholonoskopu iyakhutshwa kwakhona, ukuze ukwazi ukuyijonga kwakhona.

Khawucinge nje, oku kufana nokuthatha "uhambo" ngaphakathi kwamathumbu akho! Ugqirha ujonga kuyo yonke indawo.

I-colonoscopy ithatha ixesha elingakanani?

Ngokwesiqhelo kuthatha malunga nemizuzu eli-15 ukufaka ikholonoskopu esiphelweni sekholoni kunye neminye imizuzu eli-15 ukuyikhupha. Oku kuthetha ukuba ikholoni yonke ihlolwa kabini. Ukuba kufunyenwe into efuna ukususwa okanye unyango ngexesha lenkqubo, kuya kuthatha ixesha elide. Iipolyps zixhaphake kakhulu;Ezi zifumaneka kwi-colonoscopy eqhelekileyo malunga ne-30%. Nangona uninzi lwazo zingenawo umhlaza, inkqubo eqhelekileyo kukuzisusa kwangoko nje ukuba zifunyenwe. Oku kunokongeza malunga nemizuzu eli-15 kwinkqubo.

Kwenzeka ntoni emva kovavanyo?

Emva kovavanyo, uza kugcinwa ujongiwe esibhedlele kangangeyure enesiqingatha . Oku kuqhubeka de ubuyele ezingqondweni emva kokusebenzisa i-anesthesia. Iqela lezonyango liza kuqhubeka nokujonga iimpawu zakho ezibalulekileyo kwaye lijonge naziphi na iimpawu zeengxaki. Emva kokuba uphinde waziqonda, ugqirha uza kuza akuxelele ngento ebonwe ngexesha lovavanyo kunye nonyango olunikiweyo. Uza kufumana ingxelo esemthethweni kamva, nokuba ngeposi okanye nge-elektroniki. Ukuba kuthathwe isampuli yethishu (i-biopsy) , iziphumo ziya kuthatha iintsuku ezimbalwa ukuba zibuye.

Kuthatha ixesha elingakanani ukuchacha?

Kuthatha malunga neeyure ezingama-24 ukuba i-anesthesia iphele ngokupheleleyo. Yiyo loo nto oogqirha besithi akufanele uqhube, usebenzise oomatshini, okanye wenze izigqibo ezibalulekileyo kude kube lusuku olulandelayo. Kodwa uza kuziva ungcono kakhulu kwiiyure ezilandelayo. Usenokuba nokudumba, iintlungu zegesi, okanye isicaphucaphu kwiyure yokuqala okanye ezimbini, kodwa oku kuya kuncipha ngokukhawuleza. Ungaqala ukutya ngendlela eqhelekileyo kwangoko nje ukuba uzive ungcono. Ukuba ugqirha ukhuphe izicubu, unokuba nokopha okuthile kwi-anus kangangeentsuku ezimbalwa. Oku kuqhelekile.

Ngaba kukho naziphi na iingozi ezibandakanyekileyo?

Iingxaki kunye neengozi azixhaphakanga , kodwa zinokwenzeka. Ziquka:

• Umonakalo eludongeni lwamathumbu akho , njengokukrazuka.
• Ukopha okungalawulekiyo xa kususwa izicubu.
• Uhlobo olwahlukileyo losulelo olufuna amayeza okubulala iintsholongwane .
• Impendulo engaqhelekanga kwi-anesthesia .

Izinto ezinje azifane zenzeke, kodwa kulungile ukuba uqaphele.

Ziphuma nini iingxelo?

Uza kufumana uninzi lweziphumo zakho ngaloo mini . Ugqirha uya kukwazi ukukuxelela oko akubonileyo, unyango olunikiweyo, kunye nokuba luphumelele na. Ukuba i-biopsy ithathwe yaza yathunyelwa kwilabhoratri, iziphumo ziya kuthatha iintsuku okanye iiveki ezimbalwa ukuba zibuye. Ukuba i-biopsy ithathwe yaza yathunyelwa kwilabhoratri akuthethi ukuba ugqirha urhanela umhlaza. Isenokuba yindlela nje yokuthintela, okanye isenokuba ifuna enye into, njenge -microscopic colitis . Ugqirha uya kukuxelela into omawuyilindele.

Zithini iziphumo ezingaqhelekanga?

Iziphumo ezingaqhelekanga zingabandakanya:

• Ukopha kwamathumbu okungalawulekiyo.
• Iipolyps ezinobungozi, ezingaphambi komhlaza, okanye ezinomhlaza.
• Ukudumba (i-colitis) okubangelwa kusulelo, ischemia, okanye isifo sokuzikhusela komzimba.
• Ukonakala kwezicubu okungapheliyo okufana nokuqhekeka.
• Ukuvaleka kwamathumbu okanye i-stenosis .
• Iingxowa ezingaqhelekanga eludongeni lwamathumbu (i-diverticulosis) .

Ugqirha wakho uza kuthetha nawe ngezi ziphumo kunye nentsingiselo yazo.

Ngaba zikho ezinye iindlela zokufumanisa umhlaza we-colorectal?

Ewe, kukho ezinye iimvavanyo ezininzi zokuhlola umhlaza we-colorectal. Nangona kunjalo, i-colonoscopy lolona vavanyo lunobuzaza. Oko kukuthi, inethuba eliphezulu lokufumanisa umhlaza okanye imeko engaphambi komhlaza kwinqanaba layo lokuqala. Ukufumanisa umhlaza kwangethuba kubaluleke kakhulu ekuthinteleni nasekunyangeni ngempumelelo. Kwakhona, i-colonoscopy lolona vavanyo lunokuchonga nokunyanga isifo ngaxeshanye. Ukuba oogqirha bafumana izicwili ezirhanelekayo ngexesha le-colonoscopy, banokususa ngexesha lovavanyo.

Ezinye iindlela zokuhlola umhlaza:

• Uvavanyo lwegazi olungaqhelekanga lwendle (FOBT): Oku kuquka ukuthatha isampuli yendle yakho nokukhangela iimpawu zomhlaza. Kukho iindlela ezahlukeneyo zokukhangela igazi kwindle yakho. Olunye uhlobo lude luhlalutye i-DNA kwindle yakho ukuze lubone ukuba kukho naluphi na utshintsho olunokubonisa umhlaza. Olu vavanyo kufuneka lwenziwe rhoqo emva kweminyaka emithathu . Ukuba iziphumo ezilungileyo zifunyenwe kolu vavanyo, inyathelo elilandelayo yi-colonoscopy kunye ne-biopsy .
• I-colonoscopy ebonakalayo: Olu luhlobo lwe -CT scan . Ingathatha imifanekiso ecacileyo kakhulu, enemilinganiselo emithathu (3D) yekholoni lakho. "Yeyokwenyani" kuba ijonga ngaphakathi kwekholoni lakho isebenzisa imifanekiso ethathwe ngaphandle komzimba wakho. Njenge-colonoscopy eqhelekileyo, ikwafuna ukulungiswa kwamathumbu. Kodwa ayifuni i-anesthesia. Oogqirha bacebisa ukuba olu vavanyo lwenziwe rhoqo emva kweminyaka emihlanu .

Ngoko ke zithini iingenelo ze-colonoscopy?

Iingenelo ze-colonoscopy yendabuko zezi:

• Uvakalelo oluphezulu: Kukho ithuba elikhulu lokufumanisa utshintsho olubangelwa ngumhlaza kwangethuba.
• Ukuxilongwa, unyango kunye nokuthintela konke: Ukuba ezinye iimvavanyo zibuya zilungile, i-colonoscopy yendabuko isafuneka ukuqinisekisa nokunyanga umhlaza.
• Kufuneka kwenziwe kube kanye kuphela emva kweminyaka eli-10: Ukuba iziphumo zakho ziqhelekile, akuyi kufuneka uphinde uvavanywe okwethutyana.

I-colonoscopy inokuxilonga, inyange, kwaye ithintele isifo ngaxeshanye. Oku kusenokungabonakali ngathi yinto enkulu ukuba awunayo, kodwa ukuba unayo, kunokwenza umahluko omkhulu. Umhlaza we-Colorectal ngumhlaza oqhelekileyo eSri Lanka. Ungathintelwa, kodwa kufuneka ufunyanwe kwangethuba. Nge-colonoscopy, oogqirha banokufumanisa baze banyange umhlaza ngaphambi kokuba ukhule, usasazeke, okanye ubangele iimpawu. Ukuba iziphumo zakho zilungile, unokufuna ukuba wenziwe rhoqo emva kweminyaka eli-10.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, ukuba wakha woyika i-colonoscopy, ndiyathemba ukuba ngoku uyiqonda ngcono. Nangona isenokubonakala ingathandeki kancinci, inokuba luvavanyo oluxabisekileyo nolusindisa ubomi kwimpilo yakho .

• Ukufunyanwa kwangoko yeyona ndlela ilungileyo: ingakumbi kwizifo ezifana nomhlaza we-colorectal.
• Lungisa njengoko ugqirha esitsho: kubalulekile ukuba uvavanyo luphumelele.
• Ungakhathazeki: awuyi kuva ntlungu ngenxa ye-anesthesia.
• Buza ugqirha wakho ukuba unemibuzo: Susa nakuphi na ukuthandabuza onokuba nakho.

Ukuba uneminyaka engaphezu kwama-45 ubudala, okanye ukuba kukho umntu kusapho lwakho okhe waba nomhlaza wamathumbu amakhulu, ngokuqinisekileyo thetha nogqirha wakho kwaye ucinge ngokwenza i-colonoscopy. Impilo yakho isezandleni zakho!

I- Colonoscopy, umhlaza wamathumbu amakhulu, i-endoscopy, uvavanyo lwamathumbu, uvavanyo lomhlaza, inkqubo yokugaya ukutya, uvavanyo lwezonyango