Usenokuba uneengxaki zesisu, ubunzima bokukhupha indle, okanye igazi eliphuma esitulweni sakho. Ngamaxesha anje, sidla ngokutyelela ugqirha wethu wosapho (GP). Ngamanye amaxesha unokukuthumela kwingcali yezifo zamathumbu. Kulapho siza kuthetha khona ngogqirha oqeqeshiweyo onolwazi oluninzi kweli candelo. Lowo ngugqirha ohlinzayo we-colorectal.
Ngamafutshane, ngubani lo gqirha wotyando lwe-Colorectal?
Ugqirha otyandayo e-colorectal ngugqirha ochwephesha ekunyangeni izifo ezinxulumene namathumbu ethu amakhulu. Amathumbu amakhulu aquka i-colon, i-rectum, kunye ne-anus.
Ngaphambili, olu hlobo lweengcali lwalubizwa ngokuba ziingcali zoogqirha be-proctologist. Usenokuba ukhe waliva elo gama. Nangona kunjalo, igama elichanekileyo nelisetyenziswa kakhulu namhlanje ngugqirha we-colorectal. Isizathu soku kukuba igama elithi "proctologist" libhekisa kumntu ogxila kuphela kwi-anus nakwiindawo ezingqongileyo. Nangona kunjalo, igama elithi "colorectal" ligubungela i-colon kunye ne-rectum, eyona ndawo inkulu yamathumbu ethu amakhulu. Nangona kunjalo, zombini iingcali ziphatha amalungu omzimba afanayo.
Kutheni uthunyelwa kugqirha we-colorectal?
Ukuba uneempawu ezinxulumene nenxalenye esezantsi yenkqubo yakho yokugaya ukutya, amathumbu amakhulu, uya kuqala ubonane nogqirha oqhelekileyo (GP) okanye ugqirha wezifo zamathumbu. Ukuba loo gqirha uyakuxilonga kwaye ucinga ukuba imeko yakho isenokufuna utyando , baya kukuthumela kugqirha otyanda i-colorectal.
Ngamafutshane, ezi ngcali zinyanga iingxaki zamathumbu ezinzima ukuzinyanga ngamayeza odwa kwaye zinokufuna utyando.
Apha ngezantsi kukho ezinye zeengxaki eziphambili zempilo ezidla ngokufuna utyando.
| Udidi lwemeko yesifo | Inkcazo |
|---|---|
| Umhlaza kunye nePolyposis | Ukususa umhlaza kunye nokukhula okuncinci (iipolyps) ezinokuba ngumhlaza kumathumbu amakhulu nakwi-rectum. |
| Isifo samathumbu esivuthayo (IBD) | Ukususa iindawo zamathumbu xa zonakaliswe zizifo ezifana nesifo sikaCrohn okanye i-ulcerative colitis . |
| Ukuncipha kokunikezelwa kwegazi (i-Ischemia) | Ukususa icandelo lamathumbu xa igazi lisiya kulo liyeka ukuhamba kwaye elo candelo lingasebenzi kakuhle. |
| Iziphene zoLwakhiwo | Ukulungisa iimeko ngotyando ezifana ne-fistula (ukwakheka kombhobho osuka emathunjini ukuya kwelinye ilungu), i-hernias, kunye ne-rectal prolapse. |
Ngaba aba gqirha banyanga ikholoni kuphela?
Hayi. Nangona oogqirha be-colorectal begxile kumathumbu amakhulu, baqeqeshwe njengoogqirha abaqhelekileyo . Kwakhona, ngenxa yokuba ilungu ngalinye emzimbeni wethu lidibene, ingxaki kumathumbu amakhulu inokuchaphazela amanye amalungu akufutshane. Ke ngoko, aba gqirha ngamanye amaxesha banyanga izifo ezinxulumene nala malungu alandelayo:
- Ndibonise uthando
- Imisipha yomgangatho wepelvic
- Inkqubo yomchamo
- Inkqubo yokuzala yabasetyhini
Zeziphi iimvavanyo kunye notyando olwenziwa ngugqirha ohlinzayo nge-colorectal?
Ezi ngcali zisebenzisa iindlela ezahlukeneyo kunye neenkqubo zotyando ukuxilonga nokunyanga izifo. Oku kuthetha ukuba zinazo zonke izixhobo ezizidingayo ukubonelela ngonyango olungcono kwimeko yakho. Zenza uluhlu olubanzi lonyango, ukusuka kwi-endoscopy engangenisi ntsholongwane ukuya kutyando olungenasithintelo kangako kunye notyando oluvulekileyo lwendabuko.
Iindlela ezisetyenziswa rhoqo
| Indlela yobugcisa | Ingcaciso elula |
|---|---|
| I-Colonoscopy | Ityhubhu eguquguqukayo enekhamera eqhotyoshelweyo ifakwa nge-anus ukuze kuhlolwe amathumbu amakhulu onke. Iinkqubo ezincinci ezifana nokususa amaqhuma amancinci (ii-polyps) zingenziwa ngeli xesha. |
| I-Sigmoidoscopy | Ukuhlola kuphela inxalenye yokugqibela yamathumbu amakhulu (i-sigmoid colon kunye ne-rectum). |
| I-Laparoscopy | Ukuhlolwa kwamalungu esisu ngokufaka ikhamera (i-laparoscope) ngokusebenzisa umngxuma omncinci esiswini. |
| Utyando lweLaparoscopic | Utyando lwenziwa ngokusikwa okuncinci okumbalwa esiswini, ngoncedo lwekhamera. Ikwabizwa ngokuba "lutyando lwe-keyhole." |
| Utyando lweRobhothi | Utyando lwe-laparoscopic lwenziwa kusetyenziswa ingalo yerobhothi elawulwa ngugqirha. Oku kunika ukuchaneka okukhulu. |
Utyando oluphambili kunye nonyango abalwenzayo
- I-Polypectomy: Ukususwa kwee-grows ezincinci (ii-polyps) kumathumbu amakhulu ngexesha le-endoscopy.
- Utyando Lokususwa Kwamathumbu: Ukususwa kwenxalenye yamathumbu enesifo okanye enomhlaza.
- Utyando lwe-Ostomy: Ingxowa (i-Colostomy okanye i-Ileostomy) yenziwa ngokuqhagamshela amathumbu kumphezulu wesikhumba sesisu ukuze kudlule isitulo.
- I-Appendectomy: Utyando lokususa i-appendicitis.
- Ukulungiswa kweHernia: Ukulungiswa kweengxaki zehernia emathunjini ngotyando.
- I-Rectopexy: Ukulungisa i-prolapsed rectum.
- Unyango lweHemorrhoids, iFistula, kunye neAnal Fissures: Unyango lotyando lweemeko ezifana nehemorrhoids, i-anal fissures, kunye ne-fistula.
Zeziphi iimeko ezinyangwa ngoogqirha be-colorectal?
Uluhlu lwezifo ezinyangwa ngaba ngcali lubanzi kakhulu. Zinokwahlulwa zibe ziindidi ezininzi eziphambili.
1. Umhlaza weColorectal
- Umhlaza wamathumbu amakhulu
- Umhlaza wamathumbu
- Umhlaza wempundu
- Umhlaza wesihlomelo
2. Iipolyps kunye neeSyndromes ezizuzwe njengelifa
Ukukhula okuncinci (iipolyps) okwakheka kumathumbu amakhulu kunye neemeko ezithile zofuzo ezinyusa umngcipheko womhlaza (umz. iFamilial Adenomatous Polyposis - FAP, iLynch syndrome).
3. Isifo Sokudumba Kwemiphunga Esintsonkothileyo
- I-Diverticulitis - usulelo lweengxowa ezincinci emathunjini.
- I-ulcerative colitis
- Isifo sikaCrohn
- I-Appendicitis
4. Iimeko ezingeyongozi ze-Anorectal
- IiHemorrhoids: Le yimeko eqhelekileyo kakhulu.
- Iimfa zempundu: Imifantu empundu.
- I-Anal fistula: Umbhobho ongaqhelekanga ovulekela eluswini kufutshane ne-anus.
- Ithumba le-Perianal.
5. Iingxaki Zokusebenza
- Ukuthulula okuvalekileyo.
- Ukungakwazi ukulawula indle (ukungakwazi ukuzibamba).
- Ukungasebenzi kakuhle komgangatho we-pelvic.
Njengoko ubona, eli candelo likhulu kakhulu. Ezi ngcali ziyakwazi ukunyanga iimeko ezahlukeneyo, ukusuka kwi-hemorrhoids ezilula ukuya kumhlaza osongela ubomi.
Ukuba kukho naluphi na uvakalelo, iintlungu, okanye utshintsho olungaqhelekanga kwindlela ohamba ngayo amathumbu akho (ingakumbi igazi), ungaze ulutyeshele. Okokuqala, bona ugqirha wosapho lwakho. Ukuba kuyimfuneko, uza kukuthumela kwingcali efanelekileyo, efana ne-gastroenterologist okanye i-colorectal surgeon.
Umyalezo Wokuya Ekhaya
- Ugqirha weCoronary Ectal yingcali eqeqeshwe kakhulu enyanga izifo zamathumbu amakhulu, i-rectum, kunye ne-anus.
- Udla ngokuthunyelwa kolu hlobo lwengcali ngugqirha wosapho lwakho okanye omnye ugqirha oyingcali.
- Zinyanga izifo ezahlukeneyo, eziquka umhlaza, ii-hemorrhoids, i-fistulas, kunye nokudumba kwamathumbu.
- Benza uluhlu olubanzi lonyango, ukusuka kuvavanyo olungelulo utyando olufana ne-colonoscopy ukuya kutyando oluntsonkothileyo.
- Ukuba uneempawu ezifana negazi esitulweni sakho, iintlungu zesisu ezinde, okanye utshintsho kwindlela ohamba ngayo, kubaluleke kakhulu ukubona ugqirha ngaphandle kokuchitha ixesha .
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