Ngaba ngamanye amaxesha ukhe ube neentlungu zesisu, isicaphucaphu, kunye nokuphelelwa ngumdla wokutya? Uninzi lwexesha, asizinaki kakhulu ezi zinto, sicinga ukuba ziqhelekile, okanye mhlawumbi zityhefu yokutya. Kodwa kunqabile kakhulu, ezi mpawu zincinci zinokuba luphawu lwesifo esibi emathunjini ethu. Namhlanje, siza kuthetha ngohlobo lomhlaza olungaqhelekanga kakhulu ekufuneka wonke umntu aluqaphele. Lo ngumhlaza we-duodenal, okanye "umhlaza we-duodenal".
Yintoni umhlaza we-duodenal?
Ngamafutshane, lo ngumhlaza owenzeka emathunjini ethu amancinci. Kwinkqubo yethu yokugaya ukutya, ukutya kuhamba ukusuka esiswini ukuya emathunjini amancinci. Inxalenye yokuqala yale mathunjini amancinci ibizwa ngokuba yi- duodenum . Ngokuchanekileyo, i-duodenum yindawo ephambili apho ukutya okuvela esiswini kudibana khona nee-enzymes ezahlukeneyo eziveliswa ngumzimba wethu, njenge-bile, ukuqala inkqubo yokugaya ukutya.
Umhlaza weDuodenal yimeko engaqhelekanga kakhulu. Ngokwesiqhelo, xa sithetha ngomhlaza wesisu, sihlala sisiva ngomhlaza owenzeka kumathumbu amakhulu, esiswini, nakwipancreas. Kubalulekile ukuqaphela le meko kuba inokusasazeka ngokukhawuleza.
Zithini izizathu kunye nezinto ezibangela ukuba kubekho lo mhlaza?
Oogqirha abakayazi eyona nto ibangela lo mhlaza, kodwa njengezinye iintlobo zomhlaza, kukholelwa ukuba utshintsho oluthile kwiijini zeeseli zomzimba (ii-gene mutations) lunokubangela ukuba ezo seli zikhule zingalawuleki, nto leyo ekhokelela ekudalweni kwethumba lomhlaza.
Abaphandi bafumanise ezinye izinto ezibangela ukuba kubekho le ngozi.
- Ubudala: Lo mhlaza udla ngokufunyaniswa kubantu abadala, abaphakathi kweminyaka engama-60 ukuya kwengama-70. Oku kusenokuba kungenxa yokuba kuthatha ixesha ukuba utshintsho lwemfuza luqokeleleke.
- Imbali yosapho: Ngamanye amaxesha iimeko zemfuza ezizuzwe ngabazali zinokwandisa lo mngcipheko. Ezinye zezi meko ziquka:
- Icystic fibrosis
- I-Familial Adenomatous Polyposis (FAP)
- Isifo sikaPeutz-Jeghers (PJS)
- Iipolyposis ezinxulumene ne-MUTYH
- Isifo seLynch
- Ukutya: Ukutya inyama ebomvu kakhulu, iswekile, kunye neecarbohydrates ezicociweyo ezifana nesonka nepasta, kunye nokutya imifuno neziqhamo ezincinci kakhulu, kunokunyusa umngcipheko.
- Ukutshaya notywala: Nangona kungengazo zonke izifundo ezivumelanayo ngale nto, uphando oluthile lubonisa ukuba ukutshaya okanye utywala, okanye zombini, kunokunyusa umngcipheko womhlaza wamathumbu amancinci.
- Ezinye iithumba ezenzeka kwisibeleko:Ukuba unethumba elingelomhlaza (elingenobungozi) okanye amaqhuma amancinci (iipolyps) esibelekweni sakho, usengozini enkulu yokuba nomhlaza apho.
- Ezinye izifo zamathumbu: Abantu abanezifo zamathumbu ezifana nesifo sikaCrohn, isifo samathumbu esibangelwa kukudumba, kunye nesifo se-celiac banokuba nomngcipheko okhulayo kancinci wokufumana lo mhlaza.
Zithini iimpawu? Uzibona njani?
Eyona ngxaki inkulu ngalo mhlaza kukuba iimpawu azicacanga kakhulu kwaye kulula ukuziphosa kwizigaba zokuqala. Usenokungaluboni utshintsho de umhlaza ukhule emzimbeni wakho kangangeenyanga.
Eyona nto ibalulekileyo kukuba, ungoyiki ukuba unomhlaza kuba nje unenye okanye ezimbini kwezi mpawu. Kodwa ukuba ezi mpawu ziyaqhubeka, qiniseka ukuba ubona ugqirha ukuze akunike ingcebiso.
Makhe sijonge le theyibhile ukuze siziqonde kakuhle ezi mpawu.
| Udidi lweempawu | Inkcazo |
|---|---|
| Iimpawu zokuqala |
|
| Iimpawu ezenzekayo njengoko isifo siqhubeka |
|
Ugqirha ufumanisa njani esi sifo kanye kanye?
Lo mhlaza udla ngokufunyaniswa emva kokuba isifo sisasazeke kancinci. Oku kungenxa yokuba iimpawu esizikhankanyileyo apha ngasentla zinokubangelwa nazizifo ezininzi eziqhelekileyo.
Kodwa ukuba lo mhlaza ufunyenwe kwangethuba , ngaphambi kokuba usasazeke, kukho ithuba elikhulu lokunyangwa ngokupheleleyo ngonyango. Yiyo loo nto kubalulekile ukuba uzazi iimpawu.
Ugqirha wakho unokucebisa iimvavanyo ezininzi ukuze kufunyaniswe imeko, ezifana nezi:
Uvavanyo lokuFanekisa
- I-Endoscopy (Esophagogastroduodenoscopy): Kule nto, kufakwa ityhubhu encinci enekhamera kunye nokukhanya ngomlomo kwaye kuhlolwa umphimbo, isisu kunye ne-duodenum.
- I-ultrasound scan: Oku kunceda ukubona ukuba iqhuma lidumbile na kwaye umhlaza usasazeke kangakanani.
- I-CT scan (i-Computed Tomography Scan): Oku kusenokungakwazi ukubona umhlaza ngokuthe ngqo, kodwa kunokuchonga izinto ezifana nokuthintelwa okubangelwa yi-tumor kwaye kubone ukuba umhlaza usasazeke na kwezinye iindawo.
Uvavanyo lweLebhu
- I-Biopsy: Ngexesha le-endoscopy, kuthathwa iqhekeza elincinci lesicwili kwindawo ekrokrisayo lize lihlolwe ukuqinisekisa ukuba ingaba linesifo somhlaza na.
- Uvavanyo lwegazi: Ekubeni lo mhlaza unokubangela i-anemia, kwenziwa uvavanyo lwegazi olupheleleyo ukujonga inani leeseli ezibomvu zegazi egazini. Uvavanyo lwegazi lwenziwa ukujonga indlela amalungu omzimba, njengesibindi nezintso, asebenza ngayo.
Zithini iindlela zonyango?
Unyango oluphambili lomhlaza wesibeleko lutyando .
- Inkqubo yeWhipple: Olu lolona tyando luqhelekileyo. Lubandakanya ukususa intloko yepancreas, i-duodenum, inxalenye yesisu, i-gallbladder, kunye ne-bile duct. Olu lutyando oluntsonkothileyo.
- Ukususwa kwee-lymph nodes: Ukuba umhlaza usasazeke kwii-lymph nodes, ukususwa kwazo ngotyando kwandisa amathuba okusinda kwesigulana.
- Utyando lokunciphisa iimpawu: Ukuba isigulana siva iintlungu eziqatha ngenxa yezinto ezifana nokuvaleka kwamathumbu, utyando lunokwenziwa ukuze kuncitshiswe loo meko.
- Unyango lweKhemotherapy: Ngenxa yokuba lo mhlaza unqabile, ikhemotherapy ayisetyenziswa rhoqo. Nangona kunjalo, uphando lubonisa ukuba olu nyango lunokuba luncedo kwiimeko apho utyando lungenakwenzeka.
Izinto esinokuzenza ukunciphisa lo mngcipheko
Akukho ndlela iqinisekisiweyo yokuthintela lo mhlaza, kodwa kukho izinto ezininzi esinokuzenza ukunciphisa umngcipheko wethu womhlaza.
- Gcina ukutya okunempilo: Yitya iziqhamo ezintsha, imifuno, kunye neenkozo ezipheleleyo. Izondlo, iivithamini, kunye nee-antioxidants ezikwezi zinto zokutya zinceda ekunciphiseni umngcipheko womhlaza.
- Zilolonge kwaye ugcine ubunzima obusempilweni: Ukugcina ubunzima bomzimba wakho buphantsi kangangoko kunokunceda ukukhusela phantse kuzo zonke iintlobo zomhlaza. Zama ukwenza umthambo ubuncinane imizuzu engama-30 ngosuku, njengokuhamba ngokukhawuleza, okunyusa ukubila.
- Thetha nogqirha wakho: Ukuba unesifo semfuza esibangela ukukhula okuncinci (iipolyps) kwisibeleko sakho, utyando lokususa ezi ntsholongwane lunokuba licebo elihle lokunciphisa umngcipheko wokuba nomhlaza kwixesha elizayo. Kungcono ukuthetha nogqirha wakho ngale nto uze wenze isigqibo.
Umyalezo Wokuya Ekhaya
- Umhlaza we-Duodenal ngumhlaza ongaqhelekanga kakhulu, kodwa onzima.
- Ungaze uzityeshele iimpawu ezifana nentlungu yesisu engapheliyo, ukwehla kobunzima ngendlela engachazekiyo, okanye isitulo esimnyama.
- Njengakuyo nayiphi na imhlaza, ukufunyanwa kwangoko kubaluleke kakhulu ukuze unyango luphumelele.
- Ukuba uqhubeka unempawu ezikrokrisayo, nceda ubone ugqirha wakho ngaphandle koloyiko okanye ukulibazisa.
- Ukugcina indlela yokuphila esempilweni (ukutya okunempilo, ukuzilolonga) kunokunciphisa umngcipheko weentlobo ezininzi zomhlaza.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho