Ngaba uhlala uhlangabezana neentlungu zesisu, ukudumba, okanye utshintsho kwindlela oziphatha ngayo amathumbu? Ngamanye amaxesha siyalibala ukuba ezi ziintlungu zesisu nje, iingxaki zegesi, okanye ii-hemorrhoids. Kodwa emva kwezi mpawu ziqhelekileyo, ngamanye amaxesha kunokubakho into enzulu ngakumbi, njengomhlaza we-colorectal. Ngoko ke ngaphambi kokuba woyike, masiqale siqonde eyona nto ibangela oko.
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Kutheni ezi mpawu zifana nje?
Ngamafutshane, iimpawu zezifo ezininzi ezinxulumene ne-colon kunye ne-rectum zifana kakhulu. Cinga ngendlela izinto eziqhelekileyo ezifana nentlungu yesisu, ukudumba, urhudo, kunye nokuqhina kwesisu eziqheleke ngayo kuthi. Kodwa ezi mpawu zikwanokuba ziimpawu zokuqala zomhlaza we-colon.
Kukho ezinye izifo ezininzi eziqhelekileyo ezibonisa iimpawu ezifana nezo zomhlaza wamathumbu amakhulu.
- IiHemorrhoids: Ukopha okuvela kwi-rectum luphawu oluphambili. Nangona kunjalo, eli gazi lidla ngokuba nombala obomvu okhanyayo.
- I-Irritable Bowel Syndrome (IBS): Ukutshintsha iintlungu zesisu, ukudumba, ukuqhina, kunye norhudo.
- Isifo samathumbu esibangelwa kukudumba (IBD): Kukho izifo ezibini eziphambili phantsi kolu didi, isifo sikaCrohn kunye nesifo sokudumba kwesilonda. Ezi zinokubangela iintlungu zesisu, isitulo esinogazi okanye esimnyama esihamba ngamathumbu, kunye nokwehla kobunzima ngendlela engachazekiyo.
- Iintsholongwane: Ezinye iintsholongwane okanye iintsholongwane zinokubangela ukudumba kwesisu okwethutyana.
Jonga itheyibhile engezantsi ukuze uqonde ukuba iimpawu zezi zifo zifana kangakanani.
| Uphawu | Umhlaza weColorectal | Ezinye izifo eziqhelekileyo (IBS, IBD, Hemorrhoids) |
|---|---|---|
| Intlungu yesisu/intlungu | Kusenokubakho | Kukho rhoqo |
| Utshintsho kwindlela yokuzilungisa isisu (urhudo/ukuqunjelwa) | Kusenokubakho | Ingxaki enkulu ye-IBS kunye ne-IBD |
| Igazi esitulweni | Inokuba bomvu okanye mnyama | Ibomvu kancinci kwi-hemorrhoids. Inokubakho nakwi-IBD. |
| Ukunciphisa umzimba ngaphandle kwesizathu | Uphawu oluphambili oluvela kamva | Inokubonwa kwi-IBD |
Ngoko ke, yintoni umahluko phakathi komhlaza nengxaki eqhelekileyo?
Umahluko obalulekileyo nobalulekileyo apha bubude bexesha leempawu. Intlungu yesisu okanye usulelo luya kuphela kwiintsuku ezimbalwa. Nangona kunjalo, kwimeko yomhlaza wamathumbu amakhulu, ezi mpawu azipheli imihla ngemihla, kodwa zihlala zikho .
Kwinqanaba lokuqala, umhlaza wamathumbu amakhulu usenokungabi nazimpawu. Iimpawu zibonakala kuphela emva kokuba isifo sihambe kancinci. Ke ngoko, ukuba unempawu enye okanye ezingaphezulu kwezi zilandelayo ezihlala iintsuku ezingaphezu kwezimbalwa, kufuneka uxhalabe.
- Ukuba kukho igazi esitulweni okanye ukuba kukho igazi kwiphepha langasese.
- Ukuba une -flatulence engapheliyo, ukuqhinwa , okanye indle engaphantsi kwesiqhelo .
- Ukuba, nokuba sele uphumile kwindlu yangasese, usaziva ngathi awukayityi indle .
- Iintlungu zesisu okanye iintlungu ezihlala zikho.
- Ndizive ndidiniwe kakhulu kwaye ndibuthathaka ngaphandle kwesizathu.
- Ukunciphisa umzimba ngaphandle komzamo.
Eyona nto ibalulekileyo kukuba, ungazami ukufumanisa unobangela wezi mpawu ngokwakho. Ngugqirha kuphela onokufumanisa unobangela ochanekileyo.
Uninzi lomhlaza wamathumbu amakhulu luqala njengeentsholongwane ezincinci (iipolyps) ezikhula ngaphakathi kwikholoni. Ayizizo zonke iipolyps eziba ngumhlaza. Kodwa ezinye zinokuguquka zibe ngumhlaza ekugqibeleni. Ukuba ugqirha angazifumana aze azisuse ezi polyps ngaphambi kokuba zibe ngumhlaza, oko kunokuthintela umhlaza ukuba ungakhuli ngokupheleleyo. Oko kuthetha ukuba ukufunyaniswa kwangoko lolona nyango lungcono.
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Iingcali zicebisa ukuba nabani na osemngciphekweni oqhelekileyo ahlolwe emva kweminyaka engama-45.Kucetyiswa ukuba uhlolwe rhoqo umhlaza wamathumbu amakhulu. Nangona kunjalo, ukuba kukho umntu kusapho lwakho (abazali, abantakwenu okanye abantakwenu) okhe waba nesi sifo, kunokufuneka uqale uhlolwe kwangethuba.
Kwakhona, ukuba unemeko ehlala ixesha elide efana ne-IBD (isifo sikaCrohn okanye i-ulcerative colitis), usemngciphekweni omkhulu wokuba nomhlaza wamathumbu amakhulu. Ngoko ke kubalulekile ukuthetha nogqirha wakho kwaye uhlolwe rhoqo.
Ngamafutshane, ukuba uyaqhubeka nokuba nazo naziphi na iimpawu ezikhankanyiweyo apha ngasentla, okanye ukuba uneengxaki, bona ugqirha ngaphandle kokulibazisa. Ugqirha wakho wosapho angakuthumela kwingcali yezifo zesisu, egxile kweli candelo.
Luhlobo luni lovavanyo oluza kwenziwa ngugqirha?
Ngokuxhomekeke kwiimpawu zakho, ugqirha wakho uya kugqiba ukuba loluphi uvavanyo olufanelekileyo kuwe. Nazi ezinye zezona vavanyo zisetyenziswa kakhulu.
| Igama lovavanyo | Icacisiwe ngokulula |
|---|---|
| I-Colonoscopy | Ityhubhu eguquguqukayo enekhamera eqhotyoshelweyo ifakwa nge-anus ukuze kuhlolwe lonke ithumbu. Ukuba kukho naziphi na izihlunu ezikrokrisayo (ii-polyps), zinokususwa ngoko nangoko, kwaye kuthathwe isiqwenga sethishu ukuze kuhlolwe iiseli zomhlaza (i-biopsy). |
| Uvavanyo lweSitulo | Isampulu yendle ijongwa igazi elingabonakaliyo. Ezinye iimvavanyo zanamhlanje zinokujonga iimpawu ze-DNA ezinxulumene neeseli zomhlaza. |
| I-Sigmoidoscopy eguquguqukayo | Oku kufana ne-colonoscopy, kodwa ihlola kuphela inxalenye esezantsi ye-colon kunye ne-rectum. |
| Uvavanyo lokuFanekisa | Uvavanyo olufana ne-CT scans kunye ne-MRIs lungathatha imifanekiso eneenkcukacha zekholoni. Uhlobo lwe-CT scan olubizwa ngokuba yi-virtual colonoscopy lunokujonga ii-polyps okanye ukukhula komhlaza. Nangona kunjalo, ukuba kukho into oyibonayo, kuya kufuneka wenze i-colonoscopy ukuqinisekisa oko. |
Umyalezo Wokuya Ekhaya
- Ukuba isisu sibuhlungu, utshintsho kwindlela esiziphatha ngayo, okanye ukudumba kuqhubeka kangangeentsuku ezimbalwa , musa ukungayinaki loo nto.
- Ukuba unegazi esitulweni sakho, ngokuqinisekileyo yimeko ekufuneka uye kugqirha ngayo. Musa ukucinga nje ukuba yi-hemorrhoids.
- Emva kweminyaka engama-45 ubudala, ingakumbi ukuba umntu osondeleyo kusapho lwakho ukhe waba nomhlaza wamathumbu amakhulu, ukuxilongwa ngengcebiso kagqirha kunokuba yindlela yokusindisa ubomi.
- Umhlaza wamathumbu amakhulu unokunyangeka ngokupheleleyo ukuba ufunyenwe kwangethuba. Ngoko ke ungoyiki, kwaye ukuba unamathandabuzo, thetha nogqirha namhlanje.
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