Ngaba wakha weva isalamane okanye umhlobo esithi, "Ndinethumba elincinci kwikholoni yam?" Okanye ngaba ugqirha wakha wakuxelela ngento enjalo? Xa sisiva amagama athi "i-colon polyps," uninzi lwethu lucinga ngomhlaza. Kodwa ngaba zonke ezi thumba zingumhlaza ngokwenene? Kutheni zenzeka? Ngaba sifanele siboyike? Kulungile, namhlanje siza kufumana iimpendulo kuyo yonke imibuzo onayo malunga noku. Ungakhathazeki, ndiza kukuchazela ngendlela elula kakhulu.
Ngamafutshane, zithini ezi polyps zamathumbu amakhulu?
Cinga ngekholoni yethu njengombhobho omde. Ukukhula okuncinci, okunenyama okukhula kumphezulu wale mbhobho kubizwa ngokuba yi-"Colon Polyps." Ngokuchanekileyo, oku kukukhula okungaqhelekanga kweeseli ezikhule kunye.
Ezi zinokuza ngeemilo ezahlukeneyo. Ezinye zifana neebhola ezincinci zewax, ezine " ntloko " kunye "nesiqu." Oogqirha bazibiza ngokuba "ziipedunculated." Ezinye zithe tyaba, ziphakanyisiwe njengeqhubu, azinasiqu. Zibizwa ngokuba "zi-sessile."
Into ebalulekileyo kukuba ukuba nethumba kumathumbu amakhulu akuthethi ukuba unomhlaza. Uninzi lwazo zizilonda ezingenabungozi nezingenabungozi. Nangona kunjalo, ezinye iintlobo zeethumba, ukuba azinyangwa ixesha elide, zinethuba elincinci lokuba ngumhlaza. Yiyo loo nto oogqirha besenza i-colonoscopy ukujonga ezi thumba. Khumbula, phantse zonke iimhlaza zamathumbu amakhulu ziqala ngethumba elincinci. Ngoko ke ukuba sisusa ithumba kwangethuba, sinokuyithintela intsholongwane ukuba ingakhuli.
Ngaba kukho iintlobo ezahlukeneyo zezi nati?
Ewe, ezi thumba zihlulwe ngeendlela ezahlukeneyo. Uhlu olubaluleke kakhulu kukuba ingaba ithumba linokuba ngumhlaza okanye akunjalo. Oku kugqitywa ngugqirha emva kokuhlola ithumba elisusiweyo nge-microscope.
| Uhlobo lwePolyp | Kuthetha ukuthini oku? (Kuthetha ukuthini oku?) |
|---|---|
| Iintlobo ezinokuguquka zibe ngumhlaza (iiNeoplastic Polyps) | |
| Iipolyps ze-Adenomatous | Ezi zezona ntlobo zixhaphakileyo zomhlaza wamathumbu amakhulu. Malunga ne-75% yomhlaza wamathumbu amakhulu iqala ngezi ntlobo zeethumba. Ngoko ke, ukuba uzibona ezi, ngokuqinisekileyo ziyasuswa. |
| Iipolyps ezirhangqiweyo | Olu hlobo lukwanomngcipheko womhlaza, ingakumbi iintlobo ezimbini ezibizwa ngokuba yi-"Sessile serrated lesions" kunye ne-"Traditional serrated adenomas". |
| Iintlobo ezingaqhelekanga ukuba ngumhlaza (iiPolyps ezingezizo ezibangela i-neoplastic) | |
| Iipolyps zeHyperplastic | Ezi zihlala zincinci kwaye azibangeli umngcipheko womhlaza. |
| Iipolyps ezivuthayo | Ezi azizo iithumba ngokwenene. Zifana nenxeba elihlala emva kokuba isilonda sipholile. Aziguquki zibe ngumhlaza. |
| IiHamartomas | Ezi azilohlobo lomhlaza ngokubanzi. |
Eyona nto ibalulekileyo kukuba ngugqirha wakho kuphela onokukuxelela ukuba loluphi uhlobo lwethumba onalo kwaye liyingozi kangakanani. Ngoko ke ungakhathazeki ngokuqikelela.
Kuqheleke kangakanani ukuba la mathumba avele?
Oku kuxhaphake kakhulu kunokuba ucinga. Ingakumbi njengoko ukhula. Cinga nje, malunga nama-20% abantu abadala, okanye malunga nomntu omnye kwabahlanu, banokuba nezi zifo. Le ngozi iyanda nangakumbi emva kweminyaka engama-50. Malunga nama-40% abantu abakuloo minyaka, okanye malunga nama-40 kwabayi-100, banokuba nezi zifo.
Kodwa ungakhathazeki. Njengoko benditshilo ngaphambili, ipesenti encinci kakhulu yezi thumba ijika ibe ngumhlaza. Kwaye oko kuthatha ixesha elide kakhulu. Ngokwesiqhelo malunga neminyaka eli-10 ukuya kwengama-20. Into esiyenzayo ngovavanyo lwe-"(Colonoscopy)" kukufumana nokususa ezi thumba ngelo xesha, ukuthintela umhlaza ukuba ungakhuli.
Ndingazazi njani ukuba ndinazo ezi zinto? Zithini iimpawu?
Le yeyona nto iyingozi nebalulekileyo ngale nto. Uninzi lwexesha, la mathumba awabonisi zimpawu. Ewe, usenokungaziva mahluko okanye ukungonwabi. Xa iimpawu ziqala ukubonakala, ithumba lisenokuba lijike laba ngumhlaza. Yiyo loo nto kubalulekile ukuba uhlolwe kwangethuba, ngaphandle kokulinda ukuba kuvele iimpawu.
Nangona kunjalo, kunqabile kakhulu ukuba ezinye iimpawu zivele. Nazi:
- Igazi elikwisitulo: Usenokubona igazi kwisitulo sakho xa usiya kwindlu yangasese, okanye unokubona igazi kwiphepha lendlu yangasese. Ngamanye amaxesha oku kuphuma kwegazi akubonakali emehlweni. Kodwa xa uqhubeka ulahlekelwa ligazi kancinci kancinci, usenokuba ne -anemia yokungabikho kwesinyithi . Emva koko unokuziva udiniwe ngalo lonke ixesha, umhlophe, kwaye umhlophe.
- Utshintsho kwindlela oziphatha ngayo xa uphuma isisu: Usenokuba nokuqunjelwa okanye urhudo ngequbuliso ngaphandle kwesizathu esicacileyo. Usenokubona nencindi engakumbi kwindle yakho kunangaphambili.
Ezi mpawu zinokubangelwa zezinye izifo ezininzi. Ngoko ke musa ukoyika xa uzibona. Kodwa ukuba ubona into efana nale, qiniseka ukuba ubona ugqirha umxelele ngayo.
Kutheni ezi thumba zenzeka? Zithini izinto ezibangela umngcipheko?
Eyona sizathu siphambili soku kukutshintsha kwezakhi zofuzo zethu (iinguqu zemfuza). Ngamafutshane, iiseli ezingaphakathi kwamathumbu ethu zihlala zihlaziywa. Xa ezi seli zahlukana kwaye zenze ezintsha, ngamanye amaxesha kwenzeka iimpazamo ezincinci. Iiseli ezingaqhelekanga ezenzeka ngenxa yezo mpazamo zezona zikhula zibe zezi thumba.
Kukho izinto ezininzi ezonyusa lo mngcipheko. Masizijonge kwitheyibhile.
| Into Engumngcipheko | Ingcaciso elula |
|---|---|
| Izinto Ezingalawulekiyo | |
| Ukwaluphala | Umngcipheko uyanda kakhulu emva kweminyaka engama-50 ubudala. |
| Imbali yosapho | Ukuba umama wakho, utata wakho, okanye abantakwenu bakha baba nezi thumba okanye umhlaza wamathumbu amakhulu, nawe usengozini enkulu. |
| Iimeko zofuzo | Ezinye izifo ezingaqhelekanga zemfuza, ezifana ne-"Familial adenomatous polyposis (FAP)," zinokubangela ukuba kubekho amakhulu ee-polyps kumathumbu amakhulu. |
| Izinto Ezilawula Indlela Yokuphila | |
| Ukutya | Ukutya ioyile eninzi, amafutha, kunye nenyama ebomvu (inyama yenkomo, inyama yehagu) kunye nefayibha encinci kakhulu (iindidi, imifuno, iziqhamo). |
| Ukutshaya notywala | Zombini ezi zinto ziyandisa kakhulu umngcipheko weethumba zamathumbu amakhulu kunye nomhlaza. |
| Ukungazilolongi kunye nokutyeba kakhulu | Ukuncipha komsebenzi womzimba kunye nokutyeba kakhulu zezinye zezinto ezibangela umngcipheko omkhulu. |
| Ezinye iimeko zonyango | Abantu abanesifo seswekile kunye nesifo samathumbu esidumbileyo nabo basengozini enkulu. |
Ugqirha uzixilonga aze azinyange njani ezi zifo?
Eyona ndlela ilungileyo nechanekileyo yokubona ezi thumba kukusebenzisa i-colonoscopy .
Yintoni uvavanyo lwe-colonoscopy?
Abantu abaninzi bafumanisa ukuba olu vavanyo luyoyikisa kwaye alunamdla. Kodwa aluyoyikisi njengoko unokucinga. Lubandakanya ukukunika i-anesthesia (njengokulala kancinci), ukufaka ityhubhu encinci, eguquguqukayo enekhamera eqhotyoshelwe kwi-anus yakho, kunye nokuhlola ingaphakathi lekholoni yakho yonke.
Eyona nzuzo inkulu yolu vavanyo kukuba,Ukuba ugqirha ubona i-polyp, angadlulisela isixhobo esincinci kwityhubhu aze asinqumle aze asisuse ngelixa esenza uvavanyo. Oku kubizwa ngokuba yi-"Polypectomy". Oku kuthetha ukuba zombini ukuxilongwa kunye nonyango zinokwenziwa ngaxeshanye.
Ithumba elisusiweyo lithunyelwa "kwi-biopsy." Oku kuthetha ukulijonga phantsi kwe-microscope ukuze kuqinisekiswe ukuba loluphi uhlobo lwethumba kwaye ingaba linazo na iiseli zomhlaza.
Ngaba kukho ezinye iimvavanyo?
Ewe, kukho iimvavanyo zokujonga igazi elifihliweyo esitulweni, ezifana `(Uvavanyo lweSitulo)` kunye `(I-Virtual colonoscopy)`, kunye `(I-CT scan)`. Kodwa ukuba nayiphi na kwezi ndlela ikrokrela ukuba kukho ithumba, ekugqibeleni kuya kufuneka wenze i-`(I-Colonoscopy)` ukuze ulisuse.
Kwenzeka ntoni emva konyango?
Emva kokuba ii-cysts zakho zisusiwe, ugqirha wakho uya kugqiba ukuba kufuneka wenze nini i-colonoscopy yakho elandelayo ngokusekelwe kwiziphumo ze-biopsy. Isenokuba ngonyaka, iminyaka emi-3, emi-5, okanye eli-10. Kuxhomekeke kwinani, uhlobo, ubungakanani, kunye nezinye izinto ezinobungozi zee-cysts onazo.
Ngaba singazithintela ezi thumba ukuba zingabikho?
Asinakutshintsha izinto ezifana nezinto ezibangela ufuzo kunye nokwaluphala, kodwa ngokuqinisekileyo singawunciphisa lo mngcipheko ngokutshintsha indlela esiphila ngayo.
- Ukutya okulungileyo: Faka imifuno, imifuno, iziqhamo, kunye neenkozo ezipheleleyo ezityebileyo kwisidlo sakho. Lawula ioyile, amafutha, iswekile kunye nenyama ebomvu.
- Ukuzilolonga: Fumana ubuncinci imizuzu engama-30 yokuzilolonga okubangela ukubila ngosuku. Nokuba uhamba kakuhle.
- Gcina ubunzima bakho busempilweni.
- Yeka ukutshaya notywala ngokupheleleyo. Oku kuya kukukhusela kungekuphela nje kumhlaza wamathumbu amakhulu, kodwa nakwezinye izifo ezininzi.
Musa ukulibazisa ukwenza i-colonoscopy ngenxa yoloyiko okanye ukuthandabuza. Ingasindisa ubomi bakho. Ukufumana ithumba nokulisusa kuthetha ukuba ukhuphe into ebinokukukhathaza.
Umyalezo Wokuya Ekhaya
- Iipolyps zekholoni zixhaphake kakhulu kunokuba unokucinga, ingakumbi njengoko ukhula. Uninzi lwazo azinawo umhlaza.
- Ezi thumba zihlala zingabonisi zimpawu, ngoko ke ukuhlolwa ngexesha elifanelekileyo kubaluleke kakhulu.
- I-Colonoscopy yeyona ndlela ilungileyo yokufumana ezi thumba kunye nokuzisusa ngoko nangoko .
- Ukuba unegazi esitulweni sakho okanye utshintsho olukhawulezileyo kwindlela ohamba ngayo amathumbu akho, musa ukoyika uze ubone ugqirha wakho.
- Ungawunciphisa umngcipheko wakho ngokuphila ubomi obusempilweni (ukutya okunempilo, ukuzilolonga, kunye nokuphepha ukutshaya notywala).
- Ungaphoswa kukuhlolwa rhoqo, njengoko ugqirha wakho ecebisa. Leyo yindlela engcono yokuzikhusela.
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