Ngaba nawe unezimila ezifana nale kumathumbu akho amakhulu? Masifunde nge (Tubular Adenomas)!

Ngamanye amaxesha xa senza i-`(Colonoscopy)`, oogqirha banokufumana amaqhuma amancinci ngaphakathi kwikholoni yethu. Yiloo nto bayibiza ngokuba yi-`(Polyps)`. La ma-`(Tubular Adenomas)` nawo luhlobo lwamaqhuma amancinci akhula kwikholoni, ngaphambi kokuba abe ngumhlaza. Usenokuziva usoyika xa usiva ngezi zinto, kodwa ungakhathazeki. Ngaphantsi kwe-9% yezi zinto zijika zibe ngumhlaza. Kodwa oku kufana nesilumkiso sasekuqaleni osifumanayo. Esi silumkiso sinokuba luncedo olukhulu ekunciphiseni umngcipheko wakho wokuba nomhlaza we-colorectal.

Ngaba ezi (iiTubular Adenomas) ziyafana ne (iiVillous Adenomas)? Okanye zahlukile?

Ngoku usenokuba uzibuza ukuba ezi `(Tubular Adenomas)` kunye `(Villous Adenomas)` ziyafana na. Enyanisweni, xa zijongwa ngemicroscope, zombini zibukeka njengeziqwenga ezincinci kumgca wekholoni yakho, okanye njengeziqwenga ezincinci zekholifulawa. Cinga ngazo njengeentyatyambo ezincinci zekholifulawa ezinamathele eludongeni lwekholoni yakho. Kodwa kukho umahluko ocacileyo kwiipateni zokukhula kwezi zimbini.

Ngamafutshane, i-``Tubular Adenomas`` ifana nothotho lweetyhubhu ezincinci zovavanyo ezenziwe ngomgca wekholoni yakho. Oku kuthetha ukuba iiseli zazo zicwangciswe ngendlela ecocekileyo neyityhubhu.

Kodwa oko kubizwa ngokuba yi-"Villous Adenomas" kwahlukile. Zifana namasebe e-fern akhule ngokungacwangciswanga kwiindawo ezahlukeneyo, engcolileyo kancinci, kwaye aneempawu ezininzi ezifana nezeminwe.

Ngoku usenokuba uzibuza ukuba kutheni lo mahluko kwindlela yokukhula ubalulekile. Ukuqonda ezi ndlela zokukhula kuvumela oogqirha ukuba bahlole amathuba okuba i-adenoma yakho ibe nomhlaza. Umzekelo, ii-Villous Adenomas zikhula ngokukhawuleza kunee-Tubular Adenomas kwaye zinokuba nomhlaza. Ke ngoko, kubalulekile ukwazi umahluko phakathi kwezi zimbini.

Kutheni ezi (Tubular Adenomas) zikhula? Zithini izinto ezibangela umngcipheko?

Enyanisweni, nabani na angazihlakulela ezi `(Tubular Adenomas)`. Kodwa abanye abantu basengozini enkulu yokuzifumana. Masibone ukuba zingoobani:

• Ukuba usebenzisa icuba okanye ezinye iimveliso zecuba: Ukutshaya yimbangela enkulu yezifo ezininzi. Kuyichaphazela ngqo le nto. Iikhemikhali ezikwicuba zonakalisa iiseli kumathumbu amakhulu, zikhuthaza ukukhula kwee-polyps ezinje ngale.
• Ukuba ubunzima bomzimba wakho bungaphezulu komlinganiselo ocetyiswayo (Ukutyeba kakhulu): Ukutyeba kakhulu kukwayenye yezizathu zoku. Utshintsho lweehomoni kunye nokuvuvukala okubangelwa kubunzima obugqithisileyo emzimbeni kunokubangela ukukhula kwezi "Adenomas".
• Ukuba uneminyaka engama-50 nangaphezulu: Umngcipheko wakho wokufumana izifo ezithile uyanda ngokuhamba kweminyaka. Ngenxa yokuba inkqubo yokulungiswa kweeseli zomzimba wethu iyehla njengoko sikhula, sinamathuba amaninzi okuphuhlisa iiseli ezingaqhelekanga.
• Ukuba uyindoda:Ngokwezibalo, kufunyenwe ukuba amadoda asemngciphekweni omkhulu wokufumana ezi "Adenomas" kunabafazi.
• Imbali yosapho yomhlaza: Ukuba abazali bakho, abantakwenu, okanye abantwana bakho baye baba nomhlaza we-colorectal, amathuba akho okuwufumana aphindwe kabini. Oku kuthetha ukuba kukho impembelelo yemfuza.
• Ezinye iimeko zonyango ezazikho ngaphambili: Umzekelo, ukuba unesifo samathumbu esibangelwa kukudumba (IBD) esifana nesifo sikaCrohn okanye i-ulcerative colitis, imbali yomhlaza wamathumbu amakhulu, okanye umhlaza wesibeleko, nawe usemngciphekweni.
• Ezinye iinguqu zezakhi zofuzo ezizuzwe njengelifa: Kukho ezinye iimeko ezingaqhelekanga ezinokubangela umhlaza wamathumbu amakhulu kunye neepolyps, ezifana neFamilial Adenomatous Polyposis (FAP) okanye iMUTYH-associated Polyposis (MAP). Ezi ziimeko zezakhi zofuzo ezinokuchaphazela amalungu osapho.

"Akunyanzelekanga ukuba ube nazo zonke ezi zinto zinobungozi. Nokuba unenye okanye ezimbini, ngamanye amaxesha zinokuvela ngaphandle kwesizathu esicacileyo. Yiyo loo nto kubaluleke kakhulu ukuthetha nogqirha kwaye ufunde ngovavanyo `(Uvavanyo)`, ingakumbi emva kweminyaka engama-45-50 ubudala."

Zithini iimpawu ze (Tubular Adenomas)? Zichongwa njani?

Ixesha elininzi, ezi `(Tubular Adenomas)` azibonisi zimpawu . Leyo yeyona nto iyingozi kakhulu. Ngenxa yokuba akukho zimpawu, asazi nokuba kukho into efana nale eyenzekayo emzimbeni. Zinokukhula buthule. Nangona kunjalo, kunqabile kakhulu, ukuba iimpawu ziyavela, uphawu oluqhelekileyo kukuhamba kwegazi elibomvu okanye elibomvu kancinci ngexesha lokuhamba kwamathumbu. Eli gazi linokuxutywa nendle okanye lithanjiswe phezu kwendle.

Kusenokuba kukho nezinye iimpawu ngaphandle koko, kodwa ezi azixhaphakanga kakhulu:

• Ukuqhinwa okanye urhudo: Ukuba kubekho utshintsho olukhawulezileyo nolungachazekiyo kwindlela osebenza ngayo kwindlu yangasese kangangeeveki eziliqela.
• Ukunciphisa umzimba ngokungazi: Ukuba unciphisa umzimba ngaphandle kokunciphisa umzimba, nokuba utya njengesiqhelo.
• Ukungabi namdla wokutya: Ukuziva ungafuni ukutya.
• Intlungu yesisu: Ukungakhululeki okanye intlungu engapheliyo yesisu.
• I-anemia yokunqongophala kwe-iron: Ngenxa yokuba ii-polyps ziphuma kancinci kancinci, ngamanye amaxesha amanqanaba e-iron emzimbeni ayehla, nto leyo ekhokelela kwiimpawu ezifana nokudinwa kunye nokuphaphatheka.

Kodwa khumbula, ukuba nje unale mpawu akuthethi ukuba uneTubular Adenomas. Ezi mpawu zinokubangelwa nazezinye iingxaki zempilo, ezinje ngee-hemorrhoids kunye nezinye izifo zamathumbu. Ke ngoko, ukuba uyaqhubeka nokuba nento efana nale, ngokuqinisekileyo kungcono ukubona ugqirha kwaye ufumane ingcebiso. Musa ukuzixilonga.

Oogqirha bazifumanisa njani ezi (iiTubular Adenomas)?

Ngokwesiqhelo, xa ugqirha ekuxilonga, iDigital Rectal Exam ingafumana iTubular Adenoma ukuba ikufutshane nerectum. Nangona kunjalo , amaxesha amaninzi, iTubular Adenomas ifunyanwa ngexesha leColonoscopy, uvavanyo lokuhlola umhlaza we-colorectal.

I-``(Colonoscopy)`` yinkqubo apho kufakwa isixhobo esiguquguqukayo nesincinci esifana netyhubhu (esinekhamera encinci kunye nokukhanya okuqhotyoshelwe esiphelweni) nge-anus kwaye wonke amathumbu amakhulu (ikholoni) kunye ne-rectum ziyahlolwa. Kule nto, ugqirha unokubona ngokucacileyo notshintsho oluncinci emathunjini, njenge-``(Polyps)``, kwisikrini. Kungoko ke xa uyijonga apho ezi ``(Adenomas)`` zibanjwa khona. Ngaphambi kolu vavanyo, kufuneka ucoce amathumbu akho kakuhle, apho ugqirha uza kukunika isiselo okanye amayeza akhethekileyo.

Ziziphi iindlela zonyango (iiTubular Adenomas)?

Unyango oluphambili nolusebenzayo koku kukususa ezi `(Adenomas)` kumathumbu akho amakhulu. Iindaba ezimnandi zezokuba uninzi lwexesha ezi `(Adenomas)` zisuswa ngaxeshanye novavanyo lwe `(Colonoscopy)` oluzifumeneyo. Oku kuthetha ukuba akufuneki uye kutyando olukhulu olwahlukileyo ngosuku olwahlukileyo. Le nkqubo ibizwa ngokuba yi `(Polypectomy)`.

Oogqirha badla ngokusebenzisa izixhobo ezikhethekileyo, ezifana ne-wire loop snare okanye i-biopsy forceps, ezidluliselwa kwi-colonoscope ukususa i-adenoma kulwelo lwe-colon. Ii-polyps ezinkulu zinokunqunyulwa zibe ziingceba ezininzi kwaye zisuswe. Usenokuziva ucinezelekile okanye utsalwa kancinci, kodwa ekubeni i-colonoscopy idla ngokwenziwa ngamayeza okudambisa iintlungu kunye nokuthomalalisa , awuyi kuva ntlungu ingako.

Emva koko ugqirha uthatha iziqwenga ze-adenoma azisusileyo aze azithumele kwilebhu ukuze zihlolwe phantsi kwe-microscope (Histopathology/Biopsy). Kulapho banokuqinisekisa khona ukuba ingaba ineeseli zomhlaza kwaye loluphi uhlobo lwe-adenoma. Le yinkqubo eqhelekileyo.

Ndingawunciphisa na umngcipheko wam wokuba neTubular Adenomas?

Xa ufumanisa ukuba une-`(Tubular Adenomas), oko kuthetha ukuba usengozini enkulu kancinci yokuba nomhlaza we-colorectal.Kulungile. Kodwa ungakhathazeki. Zininzi izinto ezibangela umngcipheko ezinxulumene nomhlaza wamathumbu amakhulu. Ezinye zazo sinokuzitshintsha, ezinye asinakuzitshintsha (umz., ubudala, imbali yosapho, ii-genes).

Nangona kunjalo, kukho izinto ezininzi onokuzenza ukunciphisa umngcipheko wakho :

• Ukuba usela utywala, yehlisa umlinganiselo owuselayo, okanye uyeke ngokupheleleyo: kungcono ukubunciphisa kangangoko unako.
• Yeka ukutshaya nokusebenzisa iimveliso zecuba ngokupheleleyo: Le yinto ekufuneka uyenze ngokupheleleyo. Thetha nogqirha ukuba ufuna uncedo ngale nto.
• Fumana ubunzima obusempilweni: Ukuzilolonga kunye nokutya okunesondlo kunokunceda kule nto. Ungaqala ngento elula njengokuhamba imizuzu engama-30 ngosuku.
• Yitya ukutya okunempilo: Yitya imifuno etyebileyo kwi-fiber, iziqhamo, iimbotyi, kunye neenkozo ezipheleleyo. Nciphisa inyama ebomvu (njengenyama yenkomo, inyama yehagu) kunye nenyama ecutshungulweyo (njengesoseji, ibhekoni).
• Zilolonge rhoqo: Zilolonge ngokulinganisela ubuncinane iintsuku ezimbalwa ngeveki.

"Ukwenza ezi zinto kusenokungayiyeki ngokupheleleyo into yokuba i-`(Tubular Adenomas)` ibuyele umva, kodwa kuya kunceda kakhulu ukunciphisa umngcipheko wokuba nomhlaza wamathumbu amakhulu. Kwakhona, kubaluleke kakhulu ukuba kwenziwe uvavanyo lwe-`(Colonoscopy)` ngexesha elicwangcisiweyo, njengoko ugqirha esitsho."

Ukuba ndine (Tubular Adenomas), ndimele ndilindele ntoni?

Ii-Tubular adenomas luhlobo lokukhula ngaphambi komhlaza kumathumbu akho nakwi-rectum. Zihlala zifumaneka ngexesha le-colonoscopy, uvavanyo olusetyenziselwa ukuvavanya umhlaza wamathumbu. Ke, ukuba ugqirha wakho ufumanisa ezi polyps ngexesha le-colonoscopy, kuya kufuneka wenze i-colonoscopy rhoqo kunezinye. Oko kuthetha ukuba nangona umntu ongena-tubal adenoma enokucetyiswa ukuba enze i-colonoscopy rhoqo emva kweminyaka emi-5 ukuya kweli-10, unokucelwa ukuba ubuye kwakhona ukuze uhlolwe rhoqo, njengakwiminyaka eli-1 ukuya kwemi-3.

Eli xesha "lokulandelela" limiselwa ngugqirha wakho. Kukho izinto ezininzi ezichaphazela oku:

• Inani le-`(Adenomas)` elifunyenwe kuwe.
• Ubungakanani bazo.
• Inkangeleko yazo ngemicroscope (`Histology`), oko kukuthi, nokuba zineempawu ze``Villous`` okanye nokuba zinenguqu ezinkulu ezifana ne``High-grade dysplasia``.
• Imbali yosapho lwakho yomhlaza wamathumbu amakhulu.
• Impilo yakho iyonke.

Ngoko ke, eyona nto ibalulekileyo kukwenza i-colonoscopy ngokweshedyuli ugqirha akuxelele yona.

Ngaba i-Tubular Adenomas ingaphinda ivele kwakhona?

Ewe, ngelishwa, iiTubular Adenomas zinokuphinda zivele.Akunakwenzeka ukuthi i-colonoscopy ayizukuphinda ikhule kuba nje isusiwe kube kanye. Ingakumbi ukuba ungumntu otshayayo okanye ukuba usenezi zinto zinobungozi ezikhankanyiweyo ngaphambili, umngcipheko wokukhula oku uphezulu nangakumbi. Yiyo loo nto oogqirha becebisa ukuba uphinde wenze i-"Colonoscopy" rhoqo ngamaxesha athile ukuze ujonge ukukhula okutsha. Le "Colonoscopy yokujonga" okanye "iColonoscopy yokulandelela" ibalulekile kuba inokuchonga nokususa ukukhula okutsha kwasekuqaleni, ngaphambi kokuba kube ngumhlaza.

Ndingazinyamekela njani ukuba ndine (Tubular Adenomas)?

Enyanisweni, ngokwenza i-`(Colonoscopy)` uze ufumanise ukuba une-`(Tubular Adenomas)`, uthathe inyathelo elikhulu ekuzinyamekeleni. Ukuba ukhathazekile okanye uyoyika iziphumo ze-`(Colonoscopy)`, kunokuba luncedo ukukhumbula ezi nyaniso zimbalwa malunga ne-`(Tubular Adenomas)`:

• Oogqirha abenza i-colonoscopy badla ngokususa ii-tubular adenomas zakho ngexesha elinye xa besenza uvavanyo. Ngoko ke ingxaki enkulu isonjululwa ngoko nangoko.
• Malunga ne-90% yee-`(Tubular Adenomas)` ezifunyenweyo azibi ngumhlaza. Oku kukunika isiqabu esikhulu, akunjalo? Oko kuthetha ukuba uninzi lwazo alunabungozi.
• Ukuba ne-colonoscopy rhoqo kuthetha ukuba nokuba kuvela ii-Tubular Adenomas ezintsha, oogqirha banokuzichonga nokuzisusa ngaphambi kokuba zibe ngumhlaza. Oku kuthetha ukuba ukwinkqubo ekhuselekileyo neyokubhaqwa kwangethuba.

"Ngoko ke, eyona nto ibalulekileyo kukulandela imiyalelo kagqirha ngokuchanekileyo. Ukuya kuvavanyo lokulandelela ngexesha, ukwenza utshintsho olufunekayo kwindlela yokuphila (njengokuyeka ukutshaya, ukutya ukutya okunempilo, ukuzilolonga) zezona zinto zibalaseleyo onokuzenzela zona. Thetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onazo."

Ndifanele ndiphinde ndimbone ugqirha kwakhona?

Ngelixa ulinde i-"Follow-up Colonoscopy" yakho ecwangcisiweyo, ukuba ubona naluphi na utshintsho olutsha emzimbeni wakho, ingakumbi ukuba ucinga ukuba usenokuba ne-"Tubular Adenomas" entsha, okanye ukuba ucinga ukuba unokuba neempawu zomhlaza wamathumbu amakhulu, bona ugqirha wakho ngokukhawuleza.

Khumbula, uninzi lwexesha, iiTubular Adenomas azinazo iimpawu. Nangona kunjalo, ukuba iimpawu ziyenzeka, uphawu oluqhelekileyo lungabi nantlungu, igazi elibomvu okanye elibomvu kancinci emva kokuhamba kwamathumbu. Ukuba ubona into efana nale, musa ukuyityeshela. Qiniseka ukuba uxelela ugqirha. Kwakhona, qaphela naziphi na iimpawu ezintsha okanye eziya ziba mandundu ezikhankanyiweyo ngaphambili (ezifana neentlungu zesisu, utshintsho kwimikhwa yamathumbu, ukwehla kobunzima).

Kunini apho kufuneka ndiye kwiSebe leeNgxamiseko (ETU) emva kokwenza i-colonoscopy?

Iingxaki ezinkulu emva kwe-colonoscopy azixhaphakanga. Nangona kunjalo, ukuba ziyenzeka, kubalulekile ukuthatha amanyathelo ngokukhawuleza. Ukuba ufumana naziphi na kwezi ngxaki zilandelayo emva kwe-colonoscopy (ngesiqhelo kwiintsuku ezimbalwa), kuya kufuneka uye kwigumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko, okanye utsalele umnxeba ugqirha wakho:

• Intlungu ebuhlungu okanye ukurhawuzelelwa esiswini okuya kusiba mandundu. (Ukudumba kancinci okanye igesi emva kovavanyo kuqhelekile, kodwa akuyontlungu inzima.)
• Ukuba isisu sakho sinzima, njengelitye, kwaye intlungu inzima xa usicinezela ngesandla sakho.
• Ubunzima obuqhubekayo bokukhupha igesi okanye ukukhupha indle.
• Umkhuhlane ophezulu (ngokudla ngokuba ngaphezulu kwe-100.4°F okanye i-38°C).
• Ukuba uziva unesizungu okanye utyhafile.
• Ukuba uhlanza rhoqo.
• Ukuhamba kwamathumbu rhoqo okanye okunegazi elininzi.
• Ukuba ukopha okuphuma emqolo akukwazi ukuyekiswa, okanye ukuba kuphuma iipuni ezimbini zegazi.

Ezi mpawu zibonisa ingxaki enokwenzeka, kodwa engaqhelekanga (umz., ukugqobhoka kwamathumbu, ukopha kakhulu) emva kokuhlolwa kwe-colonoscopy. Ngoko ke ziqaphele ezi zinto.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha wam malunga ne-Tubular Adenoma?

Ukuba ufumanisa ukuba uneTubular Adenomas ngexesha le-colonoscopy yakho yesiqhelo, ungabuza ugqirha wakho le mibuzo. Ukubuza le mibuzo kunokukunceda uqonde ngcono imeko kwaye kukuncede unciphise uloyiko lwakho:

• "Gqirha, yintoni kanye kanye `(Tubular Adenoma)`? Ungandicacisela ngayo ngokulula?"
• "Ingaba oku kuthetha ukuba ndinomhlaza we-colorectal? Okanye ndiza kuwufumana kwixesha elizayo?"
• "Zithini iindlela zonyango zezi `(Tubular Adenomas)`? Ngaba ezo zifunyenwe emzimbeni wam zisusiwe? Ngaba zonke zisusiwe?"
• "Ithini ingxelo ye-biopsy malunga ne-adenomas ezisusiweyo? Ngaba bekukho utshintsho oluyingozi olufana ne-dysplasia ephezulu?"
• "Ingaba ndinotyekelo lwemfuza lokuba nomhlaza wamathumbu amakhulu ngenxa yesi sifo? Ngaba ndifanele ndixelele nosapho lwam ngale nto?"
• "Ndifanele ndiyenze nini i-colonoscopy yam elandelayo?"
• "Ndingenza ntoni ukunciphisa umngcipheko wokuba nomhlaza wamathumbu amakhulu? Zeziphi iinguqu endifanele ndizenze kwindlela endiphila ngayo?"
• "Ngawaphi amathuba okuba ezi `(Adenomas)` ziphinde zikhule?"

"Ungaze woyike okanye ungathandabuzi ukubuza le mibuzo. Unelungelo lokwazi ngempilo yakho. Ugqirha uza kukuchazela yonke into. Ukuba awuqondi, buza kwakhona."

Okokugqibela, into ekufuneka siyikhumbule kuyo yonke le nto (Umyalezo Wokubuyela Ekhaya)

Ii-Tubular Adenomas zinokuthathwa njengophawu lwesilumkiso kwangethuba lomhlaza we-colorectal. Ii-Tubular Adenomas azingomhlaza, kwaye amathuba okuba zibe nomhlaza aphantsi kakhulu, ingakumbi ukuba zincinci kwaye azibangeli zimpawu.

Kodwa, ukuba nezi zinto kuthetha ukuba uthi, 'Hee, kufuneka ndenze uphando malunga nento endinokuyenza ukunciphisa umngcipheko wokuba nomhlaza wamathumbu amakhulu, kwaye kufuneka ndenze ulandelelwano oluthethwa ngugqirha.' Thetha nogqirha wakho kwaye ubuze ngezinto onokuzenza. Banokukuxelela ngeenkqubo kunye neenkonzo ezinokukunceda. Kungakunceda ukuyeka ukutshaya, okanye kungakunceda ukugcina ubunzima obusempilweni, okanye ukuqhelana nokutya okunempilo.

Eyona nto ibalulekileyo kukungabi naloyiko, ungoyiki, kodwa kukulandela iingcebiso zonyango ezifanelekileyo kwaye ungaluphosi uvavanyo olufunekayo. Emva koko ungawulawula kakuhle lo mngcipheko, uhlale usempilweni, kwaye wonwabile!

I- Tubular adenoma, ii-colon polyps, i-colonoscopy, umhlaza wamathumbu amakhulu, ii-polyps, ii-colon polyps, igazi elisesitulweni, umngcipheko womhlaza, uvavanyo lwempilo