Ngaba wakha waziva ungakhululekanga, uneentlungu, okanye ukopha empundu yakho? Sonke sineentloni kancinci ukuthetha ngezi zinto nabanye, akunjalo? Kodwa ezi ziingxaki eziqhelekileyo ezifunyanwa ngabantu abaninzi kuluntu. Ngoko ke ukuba uya kugqirha oneempawu aze akucele ukuba wenze uvavanyo olubizwa ngokuba yi-'Anoscopy', ungoyiki xa usiva elo gama. Oku akoyikisi njengoko unokucinga. Makhe sibone ukuba yintoni ngokulula.
Yintoni kanye kanye i-anoscopy?
Ngamafutshane, i-anoscopy luvavanyo lwezonyango lwangaphakathi kwe-rectum yakho kunye nenxalenye yokugqibela ye-anus yakho. Oku kwenziwa kusetyenziswa isixhobo esincinci, esikhethekileyo esibizwa ngokuba yi-anoscope. Esi sixhobo sivumela ugqirha ukuba abone ngokucacileyo ulwelo lwe-rectum yakho ukuba akukho monakalo, ukukrazuka, iingxaki, okanye izifo. Kufana nokukhanyisa ithotshi kuyo.
Yintoni i-High-resolution Anoscopy?
Olu luguqulelo oluphucukileyo kancinci lovavanyo lwe-`Anoscopy`. Ukongeza kwisixhobo se-`Anoscope`, kusetyenziswa ne-`Colposcope`, ekhulisa izicubu. Oku kunokufumanisa notshintsho olungabonakaliyo emehlweni. Le ndlela ibaluleke kakhulu ekufumaneni ukuba kukho iiseli ezingaqhelekanga, ezifana neeseli zomhlaza, kwi-rectum. Ukuba kukho amathandabuzo, ugqirha unokuthatha iqhekeza lezicubu kuloo ndawo alithumele kwilebhu . Oku sikubiza ngokuba yi-`(Biopsy)`.
Ngaba kukho ezinye iimvavanyo ezifana ne-anoscopy?
Ewe, kukho ezinye iintlobo ezininzi zovavanyo ezifana nolu, kodwa indawo kunye nenjongo yalo ngalunye yahlukile.
- Umahluko phakathi kwe-Anoscopy kunye ne-Proctoscopy: I-`Proctoscopy` isebenzisa isixhobo eside kancinci kune-`Anoscope`. Ingahlola i-anus yakho kunye nenxalenye yokugqibela yamathumbu akho amakhulu, i-`Rectum`, ngaphezulu kwayo. I-Anoscopy ijonga ikakhulu indawo emalunga ne-intshi enye ukuya kwezimbini ngaphakathi kwe-anus.
- Umahluko phakathi kwe-Anoscopy kunye neColonoscopy: I-colonoscopy yinkqubo ebanzi kakhulu. Ibandakanya ukufaka ityhubhu ende, eguquguqukayo enekhamera (i-colonoscope) nge-anus yakho ukuze kuhlolwe amathumbu akho amakhulu onke . Oku kudla ngokwenziwa phantsi kwe-anesthesia kwaye kuthatha ixesha elifutshane. Nangona inokujonga iingxaki kwi-anus, i-anoscopy idla ngokuba luvavanyo lokuqala oluza kwenziwa ukuba uneempawu ezithile kwi-anus.
Kweziphi iimeko apho kwenziwa i-anoscopy?
Ukuba uneempawu ezinxulumene ne-rectum yakho, ugqirha wakho unokucebisa olu vavanyo ukuze afumane unobangela ochanekileyo. Ngamanye amaxesha, nokuba awunazo iimpawu, oku kungenziwa njengovavanyo lokuhlola ukuba usemngciphekweni omkhulu wezifo ezifana nomhlaza.
Ungafumana umbono olungileyo ngale nto kwiitheyibhile ezimbini ezingezantsi.
| Iimpawu eziqhelekileyo ezikhokelela kwi-anoscopy |
|---|
| Ukopha emqolo |
| Ukurhawuzelela kunye nentlungu kwi-rectum |
| Ukukhupha okungaqhelekanga (okufana nobovu) |
| Ukudumba okanye amaqhuma kwi-rectum |
| Ubunzima bokukhupha indle okanye ukungakwazi ukulawula ukuhamba kwamathumbu |
| Izifo ezinokufunyaniswa nge-anoscopy |
|---|
| IiHemorrhoids |
| Ukuqhekeka kwempundu |
| I-Anal fistula kunye ne-anal abscess |
| Izifo ezidluliselwa ngesondo (iiSTI) |
| Umhlaza wempundu okanye iiseli ezinokuba ngumhlaza (i-Anal Dysplasia) |
Ndingazilungiselela njani ezi vavanyo?
Oku akudingi lungiselelo likhethekileyo. Lelo lelona ncedo likhulu loku. Nangona kunjalo, ugqirha angakunika iingcebiso ezifana nale:
- Kuphephe ukwabelana ngesondo ngasemva ngosuku olungaphambi kovavanyo.
- Musa ukusebenzisa naliphi na iyeza okanye ukhilimu ofakwe kwi-rectum.
- Ngaphambi kovavanyo, khupha amathumbu akho kunye nesinyi ngokukhupha indle uze uchame kakuhle.
- Kwezinye iimeko, ugqirha unokucebisa ukusebenzisa i-enema ukucoca i-rectum, kodwa oku akusoloko kuyimfuneko.
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Ukuba unemibuzo, ungaze woyike ukubuza.
Kwenzeka ntoni ngexesha lovavanyo?
Kulungile, ngoku makhe sijonge indlela olu vavanyo oluqhutywa ngayo. Oku kuyinto elula enokwenziwa eofisini kagqirha (`OPD`) okanye ekliniki.
1. Ukulungiselela: Okokuqala, uza kucelwa ukuba ukhulule impahla yakho yangaphantsi. Uza kunikwa ishiti okanye ilokhwe yokugquma umzimba wakho, ngoko ke akukho mfuneko yokukhathazeka malunga nobumfihlo. Emva koko, uza kucelwa ukuba ulale kwindawo efanelekileyo etafileni yovavanyo. Usenokucelwa ukuba ugobe phambili, ulale ngesisu, okanye ulale ngecala ugobile amadolo.
2. Uvavanyo lokuqala: Ngaphambi kokufaka i-`Anoscope`, ugqirha uza kufaka umnwe ogqunywe ngeglavu kwi-rectum aze enze i-`Digital Rectal Exam`. Oku kwenzelwa ukujonga naziphi na iziqwenga okanye amaqhuma angaqhelekanga ngaphakathi.
3. Ukufaka isixhobo: Okulandelayo, isixhobo se-"Anoscope" esithanjiswe kakuhle sifakwa kancinci kwi-anus yakho.
4. Ukuqwalasela: Emva kokufaka isixhobo, ugqirha uqwalasela ngononophelo izicubu ezingaphakathi njengoko esikhupha kancinci. Ngamanye amaxesha, ugqirha uyasijikelezisa isixhobo kancinci ukuze ajonge macala onke.
5. Ukuthatha isampuli: Ukuba ubona naluphi na ukhuko olungaqhelekanga, olufana nobovu, kuya kuthathwa iswab encinci ithunyelwe kwilebhu. Kwakhona, ukuba ubona izicubu ezikrokrisayo, ``(Biopsy)`` inokuthathwa, njengoko bekutshiwo ngaphambili.
Yonke le nkqubo ithatha imizuzu embalwa kuphela. Ingathatha ixesha elide ukuba kuthathwe i-biopsy.
Ingaba oku kubuhlungu ngokwenene? Kuvakala njani?
Le yeyona ngxaki inkulu kubantu abaninzi. Inyaniso kukuba, i-anoscopy ayidli ngokuba buhlungu . Xa isixhobo sifakiwe, ungaziva uxinzelelo oluncinci, ngokungathi uza kukhupha isisu.
Nangona kunjalo, ukuba sele unemeko ebuhlungu kwi-anus yakho (njengokuqhekeka kwe-anal), ungaziva ungakhululekanga. Kwiimeko ezinjalo, ugqirha wakho angasebenzisa amafutha anjengeLidocaine ukuze avale loo ndawo. Ngoko ke, akufuneki ukhathazeke kakhulu ngentlungu. Ukuba uziva ungakhululekanga, xelela ugqirha wakho ngoko nangoko.
Kwenzeka ntoni emva kovavanyo?
Xa uhlolo lugqityiwe, ugqirha uza kukuxelela oko akubonileyo. Ukuba kuthathwe isampulu, efana ne-biopsy, kuya kuthatha iintsuku ezimbalwa ukuba ingxelo ifike. Nje ukuba oko kwenziwe, kunokwenziwa isigqibo malunga nonyango.
Ngamanye amaxesha, ukuba yimeko efana ne-hemorrhoids, ugqirha angayinyanga ngexesha elinye novavanyo. Emva kovavanyo, ungagoduka ngokwesiqhelo. Ukuba awunayo i-anesthesia, akukho ngxaki yokuba uqhube imoto.
Izinto ekufuneka uziqaphele kunye nexesha lokuthetha nogqirha wakho
Kuqhelekile ukuba umntu azive engonwabanga okanye ephuma igazi kancinci kangangeentsuku ezimbini emva kovavanyo, ingakumbi ukuba kwenziwe i-biopsy. Ukuhlala ebhafini efudumeleyo (sitz bath) kunokubonelela ngokukhululeka okukhulu kolu ngxolo.
Nangona kunjalo, ukuba ufumana ezi mpawu, kufuneka ufowunele ugqirha wakho ngoko nangoko :
- Ukuba uva intlungu enganyamezelekiyo.
- Ukuba kukho ukopha okungapheliyo nokugqithisileyo.
- Ukuba kuvela iimpawu zesifo ezifana nomkhuhlane kunye nesicaphucaphu.
Ungalibali, ezi zizinto eziqhelekileyo kugqirha wakho. Zingaphi izigulana azibonayo ngosuku? Ngoko ke eyona nto ibalulekileyo kukubeka ecaleni iintloni zakho, uchaze iimpawu zakho ngokuchanekileyo, kwaye ufumane unyango olufunekayo.
Umyalezo Wokuya Ekhaya
- I-Anoscopy luvavanyo olulula kakhulu nolukhuselekileyo olujonga ngaphakathi kwi-rectum kwaye lunokugqitywa ngemizuzu embalwa.
- Oku akudli ngokuba buhlungu. Uza kuziva uxinzelelo oluncinci kuphela. Ukuba unengxaki yokungakhululeki, xelela ugqirha wakho.
- Olu vavanyo lubaluleke kakhulu ekuxilongeni iimeko eziqhelekileyo ezifana nee-hemorrhoids kunye ne-anal fissures.
- Kubaluleke kakhulu kwimpilo yakho ukuba ungabi nazintloni ngeempawu zakho zamathumbu, kodwa uthethe nogqirha kwaye ufumane unyango olufanelekileyo.
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