Igama elithi "umhlaza" lisoyikisa sonke kancinci, akunjalo? Kodwa ubusazi na ukuba ezinye iintlobo zomhlaza, ingakumbi umhlaza wamathumbu amakhulu, esiza kuthetha ngazo, zinokunyangeka ngokupheleleyo ukuba zifunyenwe kwangethuba ? Abantu abaninzi baneentloni okanye bayoyika ukuthetha ngotshintsho kwindlela yabo yokuzihlambulula, okanye ngegazi elisesitulweni sabo. Kodwa ukubeka ecaleni loo ntloni kunye noloyiko kunye nokuthetha nogqirha kunokuba sisizathu sokuba usindise ubomi bakho. Ngoko masithethe ngale nto ngokukhululekileyo nangokulula namhlanje.
Yintoni umhlaza we-colorectal?
Ngamafutshane, ngaphakathi esiswini sethu kukho inkqubo ende efana nombhobho egaya ukutya esikutyayo ize ikukhuphe emzimbeni njengenkunkuma. Lo mhlaza uvela kwinxalenye yesibini yale nto, oko kukuthi, amathumbu amakhulu (abizwa ngokuba yi-'colon') kunye ne-rectum ('rectum'). Ngamanye amaxesha ukukhula okuncinci, okunenyama kwakheka eludongeni lwangaphakathi lwale mbhobho. Ngokwezonyango sibiza ezi polyps ngokuthi "iiPolyps".
Khawucinge nje, umntu omnye kwabane abadala abangaphezu kweminyaka engama-50 unokuba ne-polyp enye ubuncinane. Kodwa ungakhathazeki, ayizizo zonke ezi polyp ezinomhlaza. Uninzi lwazo alunabungozi. Nangona kunjalo, ezinye zezi ntlobo, ingakumbi uhlobo olubizwa ngokuba yi-adenomatous polyps, zinokuguquka zibe ngumhlaza ngokuhamba kwexesha.
Okukhona i-polyp inkulu, kokukhona umngcipheko wokuba ibe ngumhlaza uphezulu. Umzekelo, i-polyp encinci kune-1 centimeter inethuba eli-1% lokuba ngumhlaza, ngelixa i-polyp engaphezulu kweesentimitha ezi-2 inethuba eli-40% lokuba ngumhlaza.
Nantsi into ebalulekileyo: Ukuba lo mhlaza ufunyenwe kwaye unyangwa kwangethuba, xa ithumba lisavaleleke eludongeni lwamathumbu , ithuba lokuphiliswa ngokupheleleyo lifikelela kwi-90%. Oko kuthetha ukuba abantu abalithoba kwabalishumi baya kuphiliswa!
Kodwa ukuba unyango lulibaziseka, ezi seli zomhlaza zinokugqobhoza udonga lwamathumbu zize zisasazeke emzimbeni wonke ziye kwii-lymph nodes ezikufutshane, kwezinye izicubu, amalungu anjengesibindi, okanye igazi. Nje ukuba zisasazeke, unyango luba nzima kakhulu. Ngokuxhomekeke kubungakanani besifo, amathuba okusinda anokwehla ukusuka kwi-11% ukuya kwi-72%.
Ziziphi izinto ezibangela umhlaza?
Nangona kungenakwenzeka ukuqiniseka ukuba le yeyona nto ibangela lo mhlaza, oogqirha bafumanise izinto ezininzi ezibangela umngcipheko wokufumana esi sifo. Makhe sijonge ukuba zeziphi.
| Into Engumngcipheko | Ingcaciso elula |
|---|---|
| Ubudala | Umngcipheko uyanda kakhulu emva kweminyaka engama-50 ubudala. Umngcipheko uyanda ngakumbi njengoko ukhula. |
| Imbali yoSapho | Ukuba omnye wezalamane zakho ezisondeleyo (umama, utata, umntakwenu, umntwana) ukhe waba nalo mhlaza, nawe usengozini enkulu. Ukuba izalamane ezininzi zikhe zawufumana, umngcipheko uphezulu nangakumbi. |
| Ezinye Izifo | Ukuba wena okanye umntu osapho lwakho ukhe waba neepolyps zamathumbu amakhulu okanye umhlaza kwixesha elidlulileyo, okanye ukuba unesifo samathumbu esidumbileyo (ulcerative colitis) okanye isifo sikaCrohn, umngcipheko wakho uphezulu. |
| Iimeko zemfuza ezidluliselwa kwizizukulwana ngezizukulwana (iHeredity) | Abanye abantu banesifo esibangelwa yimfuza. Abantu abaneengxaki ezifana neFamilial Adenomatous Polyposis (FAP) bakhula inani elikhulu lee-polyps besebancinci kakhulu. Aba bantu basengozini enkulu yokuba nomhlaza. |
| Ukutya | Uphando lusaqhubeka ngale nto. Nangona kunjalo, abantu abatya imifuno neziqhamo ezininzi babonakala bengenawo umngcipheko. Ezinye izifundo zibonisa ukuba abantu abatya amafutha amaninzi ezilwanyana kunye neeproteni, ingakumbi inyama ebomvu (inyama yenkomo, inyama yehagu), basengozini enkulu. Kukwakho nenkolelo yokuba izinto ezibangela umhlaza zinokwenzeka, ingakumbi xa ziphekwe kumaqondo obushushu aphezulu (umz., ziyosiwe). |
| Indlela yokuphila | Ukutshaya nokusela iziselo ezinxilisayo ezingaphezu kwe-4 ngeveki nako kuyandisa umngcipheko. |
| Utyando Lwangaphambili kunye neMisebe | Ukuba ukhe waba nalo mhlaza ngaphambili (ingakumbi ngaphambi kokuba ube neminyaka engama-60 ubudala), kukho umngcipheko wokuba ubuye kwakhona. Kwakhona, ukuba ukhe wanyangwa ngemitha esiswini, umngcipheko wokuba nomhlaza kuloo ndawo unokwanda. |
Beka ihlazo lakho ecaleni uze udibane nogqirha.
Umyalezo obalulekileyo endinawo kuwe xa ufunda eli nqaku ngulo: Ukuba ubona utshintsho olukhawulezileyo kwindlela ohamba ngayo amathumbu (umz., ukuhamba rhoqo kwamathumbu, ukuqhina, okanye utshintsho kwimijikelo yamathumbu), igazi eliphuma kwindle yakho, ukungonwabi rhoqo okanye iintlungu zesisu, okanye ukwehla kobunzima ngendlela engachazekiyo, nceda ungakutyesheli oko.
Musa ukucinga ukuba, "Owu, ungamxelela njani ugqirha oku?" Ugqirha wakho ngumntu othetha nezi zigulane yonke imihla aze azinyange. Yinxalenye yomsebenzi wakhe. Ubomi bakho buxabiseke ngaphezu kwehlazo lakho.
Ukuba uya kugqirha kwaye umbonise oku kwangethuba, mhlawumbi uvavanyo olulula (olufana ne-endoscopy) lunokufumana into efana ne-polyp kwaye luyisuse, nto leyo ethintela ingxaki enkulu. Ngoko ke ungoyiki okanye ube neentloni ukubona ugqirha wakho.
Umyalezo Wokuya Ekhaya
- Umhlaza we-Coloral Eclipse udla ngokuqala ngeentsholongwane ezincinci, ezikhula njengenyama ezibizwa ngokuba zii-polyps.
- Ukufunyanwa nokususwa kwezi polyps kwangoko kunokuthintela umhlaza ukuba ungakhuli.
- Umngcipheko wokufumana lo mhlaza uyanda kakhulu emva kweminyaka engama-50 ubudala.
- Ukutya kwakho, indlela ophila ngayo (ukutshaya/utywala), kunye nembali yempilo yosapho lwakho zezona zinto zibalulekileyo ezibangela umngcipheko.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, ezinje ngokutshintsha kwendlela yokuhlamba okanye ukuphuma kwegazi esitulweni sakho, ungabi nazintloni kwaye ubone ugqirha wakho ngoko nangoko. Khumbula, ukubhaqwa kwangoko kunokusindisa ubomi!
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