Ngaba wakha weva 'ngee-colon polyps', okanye ukukhula okuncinci okukhula emathunjini amakhulu? Mhlawumbi ugqirha wakho ukuxelele ngazo, okanye mhlawumbi ukhe waziva ndaweni ithile. Kuqhelekile ukuba uzive usoyika xa usiva eli gama. Kodwa ukuba uyayazi le nto, ungaphepha iingxaki ezininzi zempilo. Ke namhlanje, masithethe ngale nto ngokulula nangendlela enobuhlobo.
Zithini kanye kanye iipolyps zamathumbu amakhulu?
Ngamafutshane, ezi ziintshulube ezincinci ezikhula ngaphakathi kwengaphakathi lamathumbu amakhulu (ikholoni), eliyinxalenye yenkqubo yethu yokugaya ukutya. Zicinge njengezitshulube ezincinci eluswini. Uninzi lwazo alunabungozi kwaye alubangeli ngxaki. Nangona kunjalo
, ezinye iintlobo zezitshulube zinokukhula zibe ngumhlaza wamathumbu amakhulu ukuba azinyangwa ixesha elide. Yiyo loo nto oogqirha becebisa ukuba kususwe la mathumba ngokukhawuleza nje ukuba abonwe.
Zixhaphake kakhulu kangangokuba kukholeleka ukuba phakathi kwe-15% kunye ne-40% yabantu abadala banokuba nazo. Umngcipheko uphezulu kancinci kubantu abangaphezu kweminyaka engama-50 ubudala nakumadoda.
Kutheni ezi zinto zenzeka? Ngubani osengozini enkulu?
Ixesha elininzi, la mathumba abangelwa lutshintsho (ukuguqulwa kwezakhi zofuzo) kwiiseli zethu. Kodwa oogqirha abasazi ukuba kutheni olu tshintsho lwenzeka. Nangona nabani na enokuzivelisa, abanye abantu basengozini enkulu. Jonga ukuba ezi nyaniso ziyasebenza na kuwe:
- Ukuba kukho umntu kusapho lwakhe owakha waba neethumba zamathumbu amakhulu okanye umhlaza .
- Ukuba uneminyaka engama-50 ubudala nangaphezulu .
- Ukuba utyebile kakhulu ( i-BMI engaphezulu kwama-25) okanye utyebile kakhulu (i-BMI engaphezulu kwama-30).
- Ukuba uyatshaya .
- Ukuba usela utywala (ingakumbi kakhulu ngosuku).
- Ukuba uqhele ukutya ukutya okunamafutha amaninzi kunye nefayibha encinci .
- Ukuba wakha waba nethumba elifana neli okanye umhlaza wamathumbu amakhulu.
- Ukuba unesifo samathumbu esibangela ukudumba njenge-Ulcerative Colitis okanye isifo sikaCrohn.
- Ukuba unesifo seswekile sohlobo lwesibini esingalawuleki kakuhle.
- Ukuzilolonga kancinciUkuba uphila ubomi obuqhelekileyo.
Ukongeza, ezinye iimeko ezingaqhelekanga zofuzo zinokunyusa umngcipheko wezi thumba kunye nomhlaza. Umzekelo, iimeko ezifana ne-`(Familial Adenomatous Polyposis - FAP)` kunye ne-`(Lynch syndrome)`. Ukuba unembali yosapho yakho yoku, kubaluleke kakhulu ukuthetha nogqirha wakho ngayo.
Ngaba ukutya nokusela kuyayichaphazela?
Ewe, kukho isiphumo esithile. Izifundo zibonise ukuba ukunciphisa ukutya okunje kunokunciphisa umngcipheko:
- Inyama ezicutshungulweyo - ezifana neesoseji kunye nebhekoni.
- Inyama ebomvu - njengenyama yenkomo nenyama yehagu.
- Ukutya okunamafutha - ukutya okuthosiweyo nzulu.
Ngaba kukho iintlobo ezahlukeneyo zezi nati?
Ewe, ayizizo zonke iithumba ezifanayo. Kwaye ayizizo zonke iithumba ezinomhlaza. Oogqirha bazihlela ngokuzijonga phantsi kwe-microscope. Makhe sijonge ngokukhawuleza iintlobo eziphambili.
| Uhlobo lwePolyp | Inkcazo kunye nokubaluleka |
|---|
| Iipolyps ze-Adenomatous | Ezi zezona ntlobo zixhaphakileyo (malunga nama-70%). Uninzi lomhlaza wamathumbu luqala kwezi ntlobo zeethumba. Kodwa zithatha iminyaka ukuba zibe ngumhlaza. Kukwakho neentlobo ezahlukeneyo zezi zifo, kuxhomekeke kwimilo yazo. |
| Iipolyps ezirhangqiweyo | Eli gama livela kwinto yokuba imiphetho yezi zilonda ifana namazinyo esarha. Ezinye zezi ntlobo zezilonda nazo zingaguquka zibe ngumhlaza. Ezi zithathwa njengemeko engaphambi komhlaza. |
| Iipolyps ezixineneyo | Ezi zihlala zincinci kwaye azinawo umngcipheko wokuba nomhlaza. Ngoko ke akukho nto inokubangela ixhala. |
| Iipolyps ezivuthayo | Ezi azizo iithumba zokwenyani. Zenzeka ngenxa yokudumba okuhlala ixesha elide kumathumbu amakhulu. Aziguquki zibe ngumhlaza. |
Zibukeka njani ezi nati?
Ugqirha unokufumana umbono othile ngobunzima bezi thumba ngokusekwe kwinkangeleko yazo, ubungakanani bazo, kunye nokuma kwazo.
- Ubungakanani: Ngokubanzi, okukhona ithumba lilikhulu, kokukhona umngcipheko wokuba libe ngumhlaza uphezulu.
- Imilo: Ezinye zithambile, zinamathele eludongeni lwamathumbu. Ezinye zineepeduncle. Olu hlobo lwezimila kulula ukulususa.
Zithini iimpawu?
Nantsi into ebalulekileyo.
Uninzi lwexesha, iipolyps zamathumbu amakhulu azibangeli zimpawu! Usenokungazi nokuba unazo. Uza kufumanisa xa uvavanyiwe ngesinye isizathu. Nangona kunjalo, ngamanye amaxesha unokufumana iimpawu ezifana nezi:
- Igazi esitulweni: Ukuba ubona amabala egazi kwindlu yangasese okanye ukuba kukho igazi kwiphepha lendlu yangasese, oko kungaba luphawu lokopha ngaphakathi emathunjini.
- Ukutshintsha kombala wendle: Ukuba indle imnyama okanye inemigca ebomvu, isenokuba negazi.
- Ukuqhinwa okanye urhudo oluhlala ixesha elingaphezu kweveki.
- Intlungu yesisu.
- Ukudinwa nokudinwa kakhulu: Njengoko ii-cysts ziphuma kancinci kancinci, i-anemia yokungabikho kwesinyithi inokukhula, nto leyo ekhokelela kwiimpawu ezifana nezi.
Kubalulekile: Ukuba unale mpawu, akuthethi ukuba unesimila samathumbu amakhulu. Kunokubakho ezinye izizathu ezilula, ezifana ne-hemorrhoids. Kodwa kubalulekile ukubona ugqirha wakho ngoko nangoko ukuze ufumane ukuba yintoni kanye kanye ebangela oko. Musa ukuyiphosa.
Zifunyaniswa kwaye zinyangwa njani ezi zifo?
Ukufumana ezi thumba kwangethuba yeyona ndlela ilungileyo yokuthintela umhlaza. Kukho iindlela ezahlukeneyo zokuhlola oku.
| Uvavanyo | Kalula nje... |
|---|
| I-Colonoscopy | Le yi "Gold Standard".Uza kufakwa i-anesthesia kwaye wonke umqolo wakho uza kuhlolwa kusetyenziswa ityhubhu encinci, eguquguqukayo enekhamera eqhotyoshelweyo. Ukuba kukho naziphi na iithumba ezifunyenweyo, zinokususwa ngoko nangoko. Emva koko ziya kuthunyelwa kwi-biopsy ukuze kuhlolwe iiseli zomhlaza. |
| I-Colonoscopy Ebonakalayo (i-CT Colonography) | Oku kwenziwa kusetyenziswa ubuchwepheshe be-CT scan. Akukho tyhubhu ifakwa emzimbeni. Nangona kunjalo, ayinakususa iithumba. Ukuba kukho iithumba, kuya kufuneka kwenziwe i-colonoscopy ukuze zisuswe. |
| I-Sigmoidoscopy (i-Sigmoidoscopy eguquguqukayo) | Oku kufana ne-colonoscopy, kodwa kuhlolwa kuphela inxalenye esezantsi ye-colon. |
| Uvavanyo lweSitulo | Uvavanyo olukhangela igazi elincinci esitulweni (FIT/FOBT). Ukuba ezi zichanekile, kuya kufuneka i-colonoscopy. |
Unyango kukususa i-polyp (i-polypectomy). Oku kunokwenziwa rhoqo ngexesha le-colonoscopy, kwaye akukho ntlungu. Nje ukuba i-polyp isuswe ngokupheleleyo, akunakwenzeka ukuba ibuye. Nangona kunjalo,
kubalulekile ukuba uhlolwe rhoqo njengoko ugqirha wakho ecebisa (umz. rhoqo emva kweminyaka emi-3-5), njengoko ii-polyp ezintsha zinokuvela. Yintoni enokwenziwa ukuthintela oku?
Nangona singenakutshintsha izizathu zemfuza, singawunciphisa umngcipheko ngendlela yokuphila enempilo.
- Yitya ukutya okutyebileyo kwiziqhamo, imifuno, kunye nokutya okune-fiber (iimbotyi, iilentils, iitships) .
- Ukuba utyebile kakhulu, zama ukunciphisa umzimba .
- Nciphisa ukutya inyama ebomvu, inyama ecoliweyo, kunye nokutya okunamafutha.
- Zilolonge rhoqo.
- Kuphephe ukutshaya nokusela utywala kakhulu.
- Thetha nogqirha wakho ukuqinisekisa ukuba ufumana i-calcium kunye ne-vitamin D eyaneleyo.
- Ukuba ungaphezulu kweminyaka engama-50, okanye unembali yosapho lwakho yokuba sengozini, thetha nogqirha wakho malunga nokuhlolwa.
Umyalezo Wokuya Ekhaya
- Iipolyps zamathumbu amakhulu aziyonto yokoyika njengoko unokucinga, kodwa aziyonto yokungayinaki.
- Uninzi lwexesha, akukho zimpawu, ngoko ke ukuhlolwa njengoko ukhula kubaluleke kakhulu.
- Ezi zinokufunyanwa kwaye zisuswe ngoko nangoko nge-colonoscopy.
- Ukutshintsha indlela yokuphila elula kunokunciphisa umngcipheko wokuba nezi zinto.
- Ukuba uneempawu ezirhanelekayo, ezifana negazi elisesitulweni sakho, ungoyiki kwaye ubone ugqirha wakho ngokukhawuleza.
Iipolyps zamathumbu amakhulu, i-colonoscopy, igazi elikwindle, iintlungu zesisu, umhlaza wamathumbu amakhulu
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