Ngaba uyoyika i-colonoscopy? Makhe sithethe ngale nto ngokulula.

Ngaba ugqirha wakho ukuxelele ukuba wenze i-colonoscopy? Usenokuba uzive usoyika kancinci kwaye unexhala xa ethetha loo nto. Kuqhelekile ukucinga izinto ezinje, "Yintoni le? Ingaba iza kuba buhlungu? Andazi ukuba ndenze ntoni." Kodwa oku akuyonto yokoyika. Olu luvavanyo olubaluleke kakhulu kwimpilo yakho, ngakumbi ukukukhusela kwizifo ezinzulu ezifana nomhlaza wamathumbu amakhulu. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda, ngokungathi uthetha nomhlobo.

Ngamafutshane, yintoni i-colonoscopy?

Khawucinge ukuba ugqirha ufuna ukubona into engaphakathi emzimbeni wakho ongayiboniyo ngaphandle. I-colonoscopy yiyo kanye loo nto. Ihlola ingaphakathi lethumbu lakho elikhulu , elilithumbu elikhulu kunye ne-rectum kunye ne-anus edibeneyo.

Oku kwenziwa kusetyenziswa ityhubhu encinci kakhulu neguquguqukayo. Kukho ikhamera encinci kunye nokukhanya ekupheleni kwale tyhubhu. Esi sixhobo sibizwa ngokuba yi-'colonoscope'. Le tyhubhu ifakwa nge-anus yakho kwaye idlule kancinci emathunjini akho amakhulu. Ugqirha angabukela imifanekiso evela kwikhamera kwisikrini esikhulu. Kufana nokubukela umboniso weTV ngaphakathi kwikholoni yakho. Olu luhlobo lovavanyo olubizwa ngokuba yi-endoscopy . I-endoscopy lulo naluphi na uvavanyo olubandakanya ukufaka ityhubhu enekhamera ngaphakathi emzimbeni wakho.

Kutheni kufuneka senze i-colonoscopy?

Kukho izizathu ezintathu eziphambili zokuba kwenziwe i-colonoscopy. Ngamanye amaxesha zonke ezi zizathu zintathu zinokufezekiswa kuvavanyo olunye.

1. Ukuthintela kunye nokuQondwa kwangethuba (Ukuhlolwa): Ukufumanisa isifo esinokuvela kwixesha elizayo, ingakumbi umhlaza wamathumbu amakhulu, ngaphandle kweempawu.

2. Ukuxilongwa: Fumana unobangela ochanekileyo wempawu osele unazo (umz. iintlungu zesisu, igazi eliphuma esitulweni).

3. Unyango: Ukuba kukho ingxaki efunyenweyo ngexesha lovavanyo, yinyange ngoko nangoko.

Makhe sijonge nganye kwezi nkcukacha zincinci.

1. Fumana izifo kwangethuba, nokuba azinazo iimpawu (Uvavanyo)

Ngenxa yesi sizathu, abantu abaninzi benza i-colonoscopy yabo yokuqala. Njengoko bekhula, umngcipheko wokuba nomhlaza we-colorectal uyanda kakhulu. Eyona nto iyingozi ngalo mhlaza kukuba uhlala ungabonakalisi zimpawu kwizigaba zokuqala . Xa kuvela iimpawu, kusenokwenzeka ukuba sele kudlule ixesha elide ukuwunyanga.

Ugqirha unokucebisa i-colonoscopy kwezi meko zilandelayo:

• Ukuba uneminyaka engaphezu kwama-45 ubudala kwaye awukaze wenze olu vavanyo ngaphambili.
• Sele kudlule iminyaka eli-10 ukususela oko kwagqitywa ukwenziwa olu vavanyo.
• Ukuba i-polyp isusiwe ngexesha le-colonoscopy yakho yokugqibela.
• Ukuba kukho umntu kusapho lwakho (umama, utata, abantakwenu noodadewabo) okhe waba nomhlaza wamathumbu amakhulu .
• Ukuba unesifo esidluliselwa kwilifa (umz. iFamilial Adenomatous Polyposis - FAP okanye iLynch syndrome).
• Ukuba unesifo samathumbu esingapheliyo esifana ne-Inflammatory Bowel Disease (IBD).

2. Fumana unobangela weempawu (Ukuxilongwa)

Ngamanye amaxesha usenokuba neempawu ezithile. Ugqirha wakho udinga umbono ocacileyo ukuze afumanise ukuba yintoni kanye kanye ebangela ezo mpawu. I-colonoscopy inokubona ngaphakathi kwamathumbu akho amakhulu ngokucacileyo ngakumbi kunezinye iiskeni.

Ugqirha unokucebisa ukuba wenze i-colonoscopy ukuba uneempawu ezifana nezi:

• Igazi okanye olunye uphumo oluphuma kwimpundu ngaphandle kwesizathu esicacileyo.
• Utshintsho olungachazwanga kwindlela oqhuba ngayo amathumbu akho (umz., urhudo oluqhubekayo, ukuqhina).
• Intlungu yesisu engapheliyo ngaphandle kwesizathu esicacileyo .
• Ukunciphisa umzimba ngaphandle kwesizathu.

Ngexesha lovavanyo, ukuba ugqirha ubona indawo ekrokrisayo, angathatha iqhekeza elincinci lesicwili (i-biopsy) alithumele kwilebhu. Oku kunokunceda ukuqinisekisa uhlobo oluchanekileyo lwesifo.

3. Nyanga ngexesha elifanayo novavanyo.

Le yenye yezona nzuzo zinkulu ze-colonoscopy. Ukuba ugqirha ubona naziphi na iingxaki ngexesha lovavanyo, mhlawumbi unokuzinyanga ngoko nangoko.

• Ukususwa kweePolyps: IiPolyps zizinto ezingaqhelekanga, ezincinci ezikhula eludongeni lwekholoni. Uninzi lwazo azinazo umhlaza. Nangona kunjalo, ezinye zinokuba ngumhlaza ngokuhamba kwexesha. Ke ngoko, ukuba ugqirha ufumana i-polyp, uya kuyisusa (i-'polypectomy'). Oku kunokuthintela umhlaza ukuba ungakhuli kwixesha elizayo.
• Ukuphola kwenxeba: Iindawo ezincinci zokopha zingavalwa.
• Inaliti: Ungayifaka iyeza ngqo kwiindawo ezifunekayo.
• Ukususa izithintelo: Isithintelo emathunjini singasuswa okanye sandiswe.

Ungazilungiselela njani uvavanyo? (Ukulungiselela)

Le yeyona nxalenye ibalulekileyo yenkqubo yonke kwaye yindawo apho kuya kufuneka usebenze nzima kancinci . Ukuze uvavanyo luphumelele, ikholoni yakho kufuneka icoceke ngokupheleleyo. Kufana nokutshayela nokusula indlu. Ukuba kukho indle eseleyo kwikholoni, ugqirha uyaAwuyi kukwazi ukubona kakuhle ngaphakathi. Ukuba oko kuyenzeka, libazise uvavanyo, kwaye kusenokufuneka uphinde ululungiselele kwakhona.

Ugqirha wakho okanye isibhedlele sakho siza kukunika imiyalelo ekufuneka uyilandele. Kubaluleke kakhulu ukuyilandela ngokuchanekileyo. Ngesiqhelo, ihamba ngolu hlobo:

1. Ukutya: Uza kucelwa ukuba utye ukutya okune-fiber encinci kangangeentsuku ezimbini ukuya kwezintathu ngaphambi kovavanyo. Oku kuthetha ukuba ungatyi izinto ezifana nemifuno eluhlaza, imifuno emininzi, neziqhamo, kwaye utye izinto ezifana nesonka, irayisi, kunye nesobho.

2. Ukutya okumanzi: Ngosuku olungaphambi kovavanyo, kuvumelekile ukutyiwa ulwelo kuphela. Umzekelo, amanzi, ipapa enetyuwa, isuphu ecacileyo, kunye neesmoothies.

3. I-laxative: Ngobusuku okanye ngaphambi kovavanyo, uza kunikwa ulwelo ukuze ulusele. Le yeyona nto inzima. Emva kokuba ulusele, yonke into emathunjini akho iya kuphuma njengendle.

• Ewe, kuya kufuneka uye kwigumbi lokuhlambela izihlandlo ezimbalwa. Lungela oko, thatha incwadi okanye into ethile, uze uphumle. Cinga ngale nto njengento oyifunayo.

Ukuba ukwenza oku ngokuchanekileyo, ikholoni yakho iya kuba icocekile ngokupheleleyo ngomhla wovavanyo.

Kwenzeka ntoni ngomhla wovavanyo?

Awunakuya esibhedlele wedwa ngomhla wovavanyo. Kufuneka ube nomntu onokukusa ekhaya. Oku kungenxa yokuba kuthatha malunga neeyure ezingama-24 ukuba amayeza okubulala iintlungu asetyenziswa kuvavanyo aphele ngokupheleleyo. Ngenxa yoko, awuyi kukwazi ukuqhuba imoto.

Xa usiya esibhedlele, uza kunikwa ilokhwe yesibhedlele oza kuyinxiba. Emva koko umongikazi uza kubeka i-cannula encinci (umgca we-IV) emthanjeni osengalweni yakho. Kuya kunikwa amayeza okuthomalalisa iintlungu kunye namayeza okunyanga.

Ingaba uvukile xa usenza oku? Ingaba kuyabuhlungu?

Le yeyona ngxaki inkulu kubantu abaninzi. Hayi, awuyi kuva ntlungu. Ungakhetha phakathi kweentlobo ezimbini ze-anesthesia.

• I-General Anesthesia: Oku kukwenza ulale kwaye awuyi kukwazi oko de uvavanyo luphele.
• Ukulala kancinci: Oku kukubeka kwimeko yokulala kancinci. Usenokuziva uvukile, kodwa usenokungakukhumbuli kamva.

Nangona kunjalo, awuyi kuva ntlungu, nokuba kususwe iqhekeza lethishu emathunjini akho. Usenokuziva uxinezelekile kancinci kwaye uzive ugcwele xa ityhubhu ifakwa kwaye umoya omncinci uvuthelwa ngaphakathi ukuze ubone amathumbu akho kakuhle. Kodwa ayizizo iintlungu ezinganyamezelekiyo.

Emva kovavanyo kunye neziphumo

Uvavanyo ludla ngokuthatha malunga nemizuzu engama-30 ukuya kwengama-45 . Kungathatha ixesha elide ukuba kukho into efana nee-polyps ezisuswayo. Emva kokuba lugqityiwe, uza kuhlolwa malunga neyure ude uvuke kwi-anesthesia.

Emva kokuba ubuyele ezingqondweni, ugqirha uza kuza akuxelele oko kubonwe ngexesha lovavanyo. Ukuba kuthathwe i-biopsy yaza yathunyelwa ukuze ivavanywe, kungathatha iintsuku ezimbalwa okanye iveki okanye ezimbini ukuba iziphumo zibuye.

Emva kokuba ubuyele ekhaya, phumla kakuhle kangangeentsuku okanye ngaphezulu. Usenokuziva uqunjelwe kwaye ungakhululekanga esiswini sakho, kodwa oko kuya kuphela emva kwexesha elithile. Ungatya ngendlela eqhelekileyo kwangoko nje ukuba uzive ulambile.

Khumbula ukuba ezi ngozi zincinci kakhulu. Iingenelo ze-colonoscopy zingaphezulu kakhulu kwezi ngozi.

Ngaba azikho ezinye iindlela endaweni ye-colonoscopy?

Ewe, kukho ezinye iindlela ezininzi zokufumanisa umhlaza.

• Uvavanyo lwelindle: Isampuli yendle ijongwa ukuba akukho tshintsho lwegazi okanye iDNA olufihliweyo olunxulumene nomhlaza. Oku kufuneka kwenziwe rhoqo emva kweminyaka emithathu. Ukuba olu vavanyo lubonisa ingxaki, inyathelo elilandelayo yi-colonoscopy.
• I-Colonoscopy eSebenzayo:Olu luvavanyo lwe-CT olukhethekileyo. Oku akubandakanyi ukufakwa kombhobho emzimbeni. Nangona kunjalo, kufuna nokucoca ikholoni, njenge-colonoscopy eqhelekileyo. Ukuba kufunyenwe ii-polyps ngexesha lale nkqubo, kuya kufuneka wenze olunye uvavanyo lwe-colonoscopy oluqhelekileyo ukuze uzisuse.

Nangona kukho ezi ndlela, i-colonoscopy ithathwa njenge "Gold Standard" kuba,

• Ibuthathaka kakhulu . Iyakwazi ukubona nomahluko omncinci.
• Iyaxilonga kwaye inyange isifo ngaxeshanye . Ukuba olunye uvavanyo lubonisa ingxaki, kusafuneka i-colonoscopy ukuze iqinisekiswe kwaye inyangwe.
• Ukuba iziphumo zilungile, kungathatha iminyaka eli-10 ukufumana uvavanyo olulandelayo .