Nangona kungathethwa kangako ngayo phakathi kwabantu bethu, umhlaza wamathumbu amakhulu sisifo esinokusasazeka buthule. Kodwa iindaba ezimnandi zezokuba ukuba ufunyenwe kwangethuba, unokunyangeka ngokupheleleyo, kwaye ngamanye amaxesha uthintelwe ngaphambi kokuba ube ngumhlaza. Eyona ndlela ilungileyo nekuphela kwayo yokwenza oko kukuhlolwa ngexesha elifanelekileyo. Njengokuba sijonga uxinzelelo lwegazi kunye ne-cholesterol yethu, olu vavanyo lubaluleke kakhulu ngokweminyaka. Namhlanje, siza kuthetha ngale nto ngendlela onokuyiqonda, njengomhlobo.
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Kutheni le nto ezi mvavanyo zovavanyo zibaluleke kangaka?
Ngamafutshane, uninzi lomhlaza wamathumbu amakhulu aluphuhli ngaxeshanye. Luqala njengeentsholongwane ezincinci (iipolyps) ezikhula ngaphakathi kwikholoni. Ayizizo zonke ezi ntsholongwane eziba ngumhlaza, kodwa ezinye iintlobo zinokukhula zibe ngumhlaza ngokuhamba kwexesha.
Nantsi into ebalulekileyo: Xa senza ezi mvavanyo, oogqirha banokuzibona ezi zifo ngaphambi kokuba zibe ngumhlaza baze bazisuse apho. Oko kuthetha ukuba siyayimisa ingozi yokuba umhlaza ukhule khona apho. Kwakhona, nokuba umhlaza ukhula, unokubonwa kwasekuqaleni kakhulu, ngoko ke amathuba okuba unyangeke ngokupheleleyo aphezulu kakhulu.
Uvavanyo oluphambili lwale nto yi -colonoscopy , equka ukuhlola ingaphakathi lamathumbu akho amakhulu usebenzisa ityhubhu encinci neguquguqukayo enekhamera.
Ingakanani iminyaka eqhelekileyo yokuqala uvavanyo?
Ingcebiso evela kumaziko ezempilo aziwayo kwihlabathi liphela kukuba nabani na ongenazo izinto ezithile ezinobungozi kufuneka aqale ukuvavanya umhlaza wamathumbu okokuqala xa eneminyaka engama-45 ubudala .
Nangona kunjalo, oku kwenzelwa abo bangekho emngciphekweni uthile. Abanye abantu banokufuna ukuqala uvavanyo kwangethuba. Masibone ngoku ukuba ngubani owela kolo didi 'lomngcipheko ukhethekileyo'.
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Ukuba kukho nayiphi na kwezi zilandelayo ekusebenzelayo, usenokuba semngciphekweni omkhulu kunomntu oqhelekileyo. Ngoko ke, kufuneka ucinge ngokuvavanywa ngaphambi kokuba ufikelele kwiminyaka engama-45 ubudala.
- Ukuba ukhe waba nee-polyps kwikholoni yakho: Ukuba ii-polyps zisusiwe ngexesha le-colonoscopy yangaphambili, usemngciphekweni omkhulu.
- Ukuba unesifo sokudumba kwamathumbu: Ukuba ugqirha ukufumanise ukuba unesifo esifana nesifo sikaCrohn okanye i-Ulcerative Colitis.
- Ukuba kukho umntu kusapho lwakho okhe waba nomhlaza wamathumbu amakhulu okanye iipolyps: ingakumbi umama wakho, utata, abantakwenu, abantwanaUmzekelo, ukuba isalamane esisondeleyo kakhulu siye safumana ezi zifo ngaphambi kokuba sifikelele kwiminyaka engama-60 ubudala, okanye ukuba izalamane ezimbini ezisondeleyo ziye zafumana ezi zifo nangaliphi na ixesha.
- Ukuba unembali yomhlaza kwintsapho yakho: Ezi ziimeko ezingaqhelekanga, zemfuza. Umzekelo, ukuba uyazi ukuba umntu kusapho lwakho unesifo esifana ne-Familial Adenomatous Polyposis (FAP) okanye Heriditary Non-polyposis Colon Cancer (HNPCC).
- Ukuba ukhe wafumana unyango lwe-radiation kwisisu okanye kwindawo ye-pelvic: Ukuba ukhe wafumana unyango lwe-radiation kwezi ndawo njengonyango lomnye umhlaza.
Ukuba unayo nayiphi na kwezi zinto zinobungozi, nceda uxoxe ngayo nogqirha wakho, oya kugqiba ixesha elifanelekileyo lokuhlolwa.
Ishedyuli yovavanyo ecetyiswayo yamaqela akhethekileyo omngcipheko
Ukuba ukwiqela elinomngcipheko ophezulu, amaxesha okwenziwa kwe-colonoscopy ayahluka. Oku kunzima kancinci, ngoko makhe sikwahlule kube yitheyibhile. Kodwa khumbula, ezi ziingcebiso nje eziqhelekileyo. Ngugqirha wakho wezifo zamathumbu kuphela onokumisela ishedyuli echanekileyo kuwe.
| Iqela loMngcipheko | Indlela yokwenza iColonoscopy (Ishedyuli yoHlolo) |
|---|---|
| Abantu ababekhe baba neepolyps ngaphambili |
|
| Abantu abaye batyandwa ngenxa yomhlaza wamathumbu amakhulu | Kungekapheli nonyaka emva kotyando. Ukuba kuyinto eqhelekileyo, kuya kufuneka uphinde emva kweminyaka emi-3 . Ukuba nayo iyinto eqhelekileyo, kuya kufuneka uyenze rhoqo emva kweminyaka emi-5 . |
| Abantu abanembali yomhlaza kusapho lwabo | Kwiminyaka engama-40 okanye eli-10 ngaphambi kweminyaka apho isalamane esisondeleyo safumana umhlaza (nokuba yeyiphi na eza kuqala). Ukuba kuqhelekile, ngoko rhoqo emva kweminyaka emi-5 . |
| Abo banesimo se-FAP sosapho | Uvavanyo kufuneka luqale xa uneminyaka eli-10 ukuya kweli-12 ubudala kwaye kufuneka lwenziwe rhoqo ngonyaka . Ukuba luqinisekisiwe ngovavanyo lwemfuza, ukususwa kwamathumbu amakhulu kunokuqwalaselwa kuba umngcipheko womhlaza uphezulu kakhulu. |
| Abantu abane-HNPCC yosapho | Ukuqala kwiminyaka engama-20-25 okanye kwiminyaka emi-2-5 ngaphambi kwexesha apho isalamane esisondeleyo safumana umhlaza (nokuba yeyiphi na eza kuqala), kwaye rhoqo ngonyaka okanye emibini . |
| Abantu abanesifo samathumbu esibangelwa kukudumba (IBD) | Ukuqala kwiminyaka esi-8 emva kokuqala kwesi sifo, rhoqo ngonyaka okanye emibini . |
Ukubaluleka kokuthetha nogqirha wakho
Usenokuziva udidekile xa ubona le theyibhile. Yinto eqhelekileyo leyo. Into ebalulekileyo kukuthetha ngokukhululekileyo nogqirha wakho wosapho okanye ingcali yezifo zesisu, kunokuthembela kolu lwazi lusengqondweni yakho uze wenze izigqibo wedwa.
Nguye oza kugqiba ukuba uza kulufuna nini uvavanyo lwakho olulandelayo emva kokuqwalasela izinto ezininzi, ezifana nembali yakho yempilo, imbali yosapho, kunye nokuba uyilungiselele kakuhle kangakanani ikholoni yakho ngaphambi kwe-colonoscopy.
Umyalezo Wokuya Ekhaya
- Ukufunyanwa kwangoko komhlaza wamathumbu amakhulu kunye nokususwa kwee-polyps kunokusindisa ubomi, ngoko ke musa ukoyika ezi mvavanyo.
- Ukuba awunazo naziphi na izinto ezinobungozi, thetha nogqirha wakho malunga nokuqala ukuvavanya xa uneminyaka engama-45 ubudala.
- Ukuba kukho umntu kusapho lwakho okhe waba nomhlaza wamathumbu amakhulu okanye iipolyps, qiniseka ukuba uxelele ugqirha wakho. Oku kubalulekile ukuze kuqinisekiswe ukuba uneminyaka emingaphi ekufuneka uqale ngayo ukuxilongwa.
- Ukuhlola amaqela asengozini enkulu kunokuba nzima, ngoko ke soloko unxibelelana nogqirha wakho ukuze ufumane ukuba loluphi ucwangciso olukulungeleyo.
- I-Colonoscopy lithuba elixabisekileyo lokuthintela izifo. Musa ukoyika, cinga ngempilo yakho kwaye uthathe amanyathelo afunekayo.
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