Sonke siyoyika kancinci xa sisiva amagama athi “ umhlaza wamathumbu amakhulu, ” akunjalo? Kodwa into abantu abaninzi abangayiqondiyo kukuba lo mhlaza awuhlali ukhula ngaxeshanye. Endaweni yoko, ngaphambi kokuba ube ngumhlaza, utshintsho oluthile luyenzeka kumathumbu amakhulu ethu. Eyona nto ilungileyo kukuba ukuba singazibona ezi “meko zingaphambi komhlaza ” kwangethuba, sinethuba lokuthintela umhlaza ukuba ungakhuli. Ngoko ke namhlanje, masithethe ngezi zilumkiso esizinikwayo ngaphambi kokuba esi sifo siyingozi sifike.
Ziziphi iimeko ezingaphambi kwalo mhlaza?
Ngamafutshane, ezi ziintshulube ezingaqhelekanga zeeseli ezikhula eludongeni lwekholoni yethu. Ezi azingomhlaza okwangoku, kodwa zinokuguquka zibe ngumhlaza ukuba azinyangwa ngokuhamba kwexesha. Kukho iimeko ezininzi eziphambili phakathi kwazo. Makhe sijonge nganye nganye.
1. Iipolyps ze-Adenomatous: Eyona Ngozi Ixhaphakileyo
Mhlawumbi ukhe waliva igama elithi " ii-polyps ." Ezi ziintshulube ezincinci ezikhula eludongeni lwangaphakathi lwekholoni. Zifana nentsuba eluswini, njengentsuba. Kukho iintlobo ezahlukeneyo zee-polyps, kodwa uhlobo olubizwa ngokuba yi-adenomatous lolona lunomngcipheko omkhulu wokuba ngumhlaza.
Into ebalulekileyo kukuba ezi polyps zisenokungabonakalisi zimpawu zangaphandle. Yiyo loo nto uvavanyo lwezonyango lubaluleke kangaka.
Zifunyaniswa kwaye zinyangwa njani ezi zifo?
Eyona ndlela ilungileyo yokujonga ezi polyps kukusebenzisa i-colonoscopy.Uvavanyo. Kule meko, ugqirha uhlola amathumbu amakhulu onke esebenzisa ityhubhu encinci (i-scope) efakwe kwi-anus. Olu vavanyo lunokubona ngokucacileyo izinto ezifana nee-polyps.
Unyango lulandelayo:
- Ukususwa kweepolyp: Iindaba ezimnandi zezokuba ukuba iipolyp zifunyenwe ngexesha le-colonoscopy, zinokusikwa zisuswe ngoko nangoko. Oku akudingi utyando olukhulu.
- Ukuthunyelwa kwilebhu: I-polyp esusiweyo ithunyelwa kwilebhu ukuqinisekisa ukuba ingaba yi-adenomatous okanye lolunye uhlobo olungenabungozi.
- Ukuhlolwa kwakhona : Ukuba kufunyenwe i-polyp enye, ugqirha wakho uya kucebisa ukuba kwenziwe i-colonoscopy epheleleyo ukuze kuhlolwe ezinye. Emva koko, kudla ngokucetyiswa ukuba kwenziwe uvavanyo olulandelayo emva kweminyaka eli-1 ukuya kwemi-3 , emva kokuba i-colon “icocekile” ngokupheleleyo. Ukuba iziphumo zovavanyo lwakho ziyaqhubeka zibonakala zilungile, ugqirha wakho uya kugqiba ukuba uza kwenza nini uvavanyo lwakho olulandelayo.
2. I-Familial Adenomatous Polyposis (FAP)
Le yimeko eyahlukileyo kancinci, kwaye imbi ngakumbi. I-FAP yimeko yemfuza, okanye yemfuza. Umntu onayo le meko ukhula amakhulu, ukuba ayingawo amawaka, ee-polyps kumathumbu akhe amakhulu.
Khawucinge nje, oku kunzulu kangangokuba ukuba umntu one-FAP akanyangwa, amathuba okuba nomhlaza wamathumbu amakhulu xa eneminyaka engama-40 ubudala asondele kwi-100%.
Ngoko ke, ukuba i-FAP ifunyenwe, ngokuqinisekileyo kuya kufuneka unyango lotyando. Iinkqubo zotyando kunye nonyango loku zidweliswe kwitheyibhile engasezantsi.
| Imeko yesigulana | Indlela yonyango kunye notyando |
|---|---|
| Ukuba akukho polyps kwi rectum | I-colectomy iyonke: Uninzi lwe-colon lususwa ngotyando, kwaye inxalenye yamathumbu amancinci (ileum) ixhunyelelwa kwi-rectum. Emva kotyando, i-rectum ihlolwa rhoqo kwiinyanga ezi-6 (proctoscopy). |
| Ukuba unee-rectal polyps okanye awufuni ukuthatha umngcipheko womhlaza | I-Ileal pouch-anastomosis: Zombini i-large intestine kunye ne-rectum ziyasuswa. Emva koko, kwenziwa i-pack encinci esuka kwi-small intestine ize idityaniswe nesiphelo se-rectum. Oku kuvumela isigulane ukuba siqhubeke nokuhamba kwesisu ngendlela eqhelekileyo. |
3. Isifo samathumbu esibangelwa kukudumba (IBD)
I-IBD kukudumba okungapheliyo kwamathumbu. Imizekelo yoku zizifo ezifana ne -ulcerative colitis . Xa amathumbu evuvukile ixesha elide, kukho umngcipheko wokuba iiseli kwezo ndawo ziya kutshintsha zibe ngumhlaza .
Ungayiphatha njani umntu one-IBD?
- Ukuhlolwa rhoqo: Abantu abane-IBD kufuneka bafumane ii-colonoscopy rhoqo ukuze bajonge iimpawu zomhlaza. Oku kunokunceda ekufumaneni naluphi na utshintsho kwangethuba.
- Utyando lwe-Prophylactic Colectomy: Abanye abaguli bagqiba ekubeni basuse ikholoni ngotyando ngaphambi kokuba umhlaza uvele, endaweni yokulinda ukuba uvele. Nalapha, utyando lwe-"ileal pouch-anal anastomosis" olukhankanyiweyo ngaphambili lunokwenziwa ukuze kugcinwe umgangatho wobomi olungileyo.
Konke oku kuyenza icace into yokuba umhlaza wamathumbu amakhulu awuyonto eyenzeka ngobusuku obunye. Umzimba wethu usinika imiqondiso eyahlukeneyo ngaphambi kokuba yenzeke. Eyona nto ibalulekileyo kukuba siyazi loo miqondiso, sibone ugqirha ngexesha elifanelekileyo, size sifumane uvavanyo nonyango olufunekayo.
Umyalezo Wokuya Ekhaya
- Uninzi lomhlaza wamathumbu amakhulu luqala njengezifo ezinokunyangwa, ezingezizo zomhlaza (iimeko ezingaphambi komhlaza).
- Uvavanyo olufana ne-colonoscopy lunokuzibona ezi meko kwangethuba kwaye luzisuse ngaphambi kokuba zibe ngumhlaza. Ukuba ugqirha wakho uyacebisa, musa ukuziphosa ezi mvavanyo.
- Ukuba kukho nabani na kusapho lwakho oye waba neemeko ezifana nomhlaza wamathumbu amakhulu, iipolyps, okanye i-FAP, kubalulekile ukwazisa ugqirha wakho. Oku kuya kumnceda ukuba ahlole umngcipheko wakho.
- Umhlaza wamathumbu amakhulu ungathintelwa phantse ngokupheleleyo ngokufunyanwa kwangethuba kunye nonyango olufanelekileyo. Ngoko ke musa ukoyika, qaphela.
Umhlaza Wekholoni, Iimeko Ezingaphambi Komhlaza, Iipolyps Ze-Adenomatous, I-Colonoscopy, I-FAP, Iipolyposis Ze-Adenomatous Zosapho , I-IBD, Isifo Samathumbu Esivuthayo, Utyando
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