Uninzi lwethu luyoyika kakhulu xa sicelwa ukuba senze uvavanyo lwe-'colonoscopy', akunjalo? Abanye abantu bazama ukuphepha olu vavanyo ngezizathu ezininzi, ezinje ngokungonwabi, iintlungu, kunye nokoyika i-anesthesia xa ikhamera ifakwa emzimbeni. Kodwa kukho into esingafanele siyilibale. Oko kukuthi, umhlaza we-colorectal sisifo esinokunyangwa ngokupheleleyo ukuba sifunyenwe kwangethuba. Ngoko ke eyona ndlela ilungileyo yokwenza oku kukwenza olu vavanyo. Ngoko ke ukuphepha oku kuba usoyika akuyonto ilungileyo konke konke. Namhlanje, sazisa itekhnoloji yanamhlanje ebizwa ngokuba yi-'Virtual Colonoscopy' njengesisombululo esihle kolo loyiko.
Ngamafutshane, yintoni le colonoscopy ebonakalayo?
I-colonoscopy ebonakalayo, ukuba sithetha ngokuchanekileyo, luvavanyo olukhethekileyo olujonga ukukhula okuncinci, okanye oko sikubiza ngokwezonyango ngokuthi 'zii-polyps', ngaphakathi kwikholoni yakho. Ezi polyps zezona zinokuguquka zibe ngumhlaza ngokuhamba kwexesha.
Le ayisiyonkqubo apho kufakwa khona ityhubhu ende emzimbeni wakho njenge-colonoscopy eqhelekileyo. Endaweni yoko, isebenzisa umatshini we-CT scan kunye netekhnoloji yekhompyutha ukuthatha imifanekiso ecacileyo nesemgangathweni yekholoni yakho ngaphandle komzimba wakho. Emva koko ikhompyutha idibanisa le mifanekiso ukwenza imodeli yekholoni yakho enamacala amathathu (3D). Kufana nokuthatha 'uhambo olubonakalayo' lwekholoni yakho. Oku kunokunceda ugqirha wakho ukuba afumane nezona polyps zincinci ngaphandle kokuphosa.
Olu vavanyo aludingi i-anesthesia. Lonke uvavanyo luthatha malunga nemizuzu eli-15. Kodwa kukho into enye ekufuneka uyikhumbule. Ukuba kufunyenwe ii-polyps ngexesha lovavanyo, kuya kufuneka wenze i-colonoscopy yendabuko ukuze uzisuse.
Oogqirha ngokubanzi bacebisa ukuba wonke umntu ahlolwe umhlaza wamathumbu amakhulu emva kweminyaka engama-45. Nangona kunjalo, ukuba unezinto ezithile ezinobungozi (umzekelo, imbali yentsapho yesi sifo), unokufuna uhlolwe kwangethuba. Ungathetha nogqirha wakho malunga nendlela yokuhlolwa efanelekileyo kuwe.
Lusebenza njani olu vavanyo?
Le yinkqubo elula kakhulu.
1. Okokuqala, ingcali isebenzisa umatshini we-CT scan ukuthatha imifanekiso emininzi yesisu sakho kunye ne-pelvis.
2. Emva koko, isoftware yekhompyutha idibanisa yonke le mifanekiso ukuze yenze imifanekiso enamacala amabini (2D) kunye neyamacala amathathu (3D) yekholoni.
3. Okokugqibela, ingcali ye-radiology ihlalutya ngononophelo le mifanekiso yenziwe yikhompyutha ize ihlole ii-polyps okanye ezinye izinto ezingaqhelekanga.
Eyona nto ibalulekileyo kukuba akukho zixhobo zinde ezifakwa emzimbeni ngeli xesha le nkqubo. Yiyo loo nto ikhuselekile kwaye ingakhululeki.
Ufanele uzilungiselele njani ngaphambi kovavanyo?
Ukuze i-colonoscopy ebonakalayo iphumelele, ikholoni yakho kufuneka icocwe ngokupheleleyo. Oku sikubiza ngokuba 'kukulungiselela amathumbu'. Oku kuquka ukususa yonke indle kwikholoni yakho. Oku kuvumela ugqirha ukuba abone kakuhle ingaphakathi lekholoni yakho. Olu lungiselelo ludla ngokwenziwa ngosuku olungaphambi kovavanyo.
Ugqirha wakho uza kukunika imiyalelo efunekayo koku. Elo cebiso lingabandakanya oku kulandelayo.
| Amanyathelo okulungiselela | Inkcazo |
|---|---|
| Iilaxatives | Ezi zinokufika zikwimo yolwelo okanye kwiipilisi. Ukusela ezi zinto kuya kukwenza ufune ukuya kwigumbi lokuhlambela rhoqo. Oku kuya kucoca ngokupheleleyo ikholoni. |
| Ukutya okucocekileyo kolwelo | Awuyi kukwazi ukutya ukutya okuqinileyo ngosuku olungaphambi kovavanyo. Endaweni yoko, uya kucelwa ukuba usele kuphela ulwelo olucacileyo olufana namanzi, umhluzi ongenaswekile, ijusi yeapile, kunye neti okanye ikofu engenaswekile. Ugqirha wakho uya kukunika uluhlu lwezinto onokuzitya nongenakuzitya. |
| Ukuzila ukutya | Awuyi kukwazi ukutya okanye ukusela nantoni na kangangeeyure ezimbalwa ngaphambi kovavanyo. |
| Umahluko ophakathi | Ngamanye amaxesha, unikwa ulwelo olukhethekileyo ukuze usele ukuze amathumbu abonakale ngokucacileyo kwimifanekiso yeskeni. |
| Ii-Enemas | Kwezinye iimeko, iyeza (i-suppository) elifakwe kwi-rectum lingacetyiswa ukucoca inxalenye yokugqibela yekholoni. |
Olu 'lungiselelo lwamathumbu' lubalulekile ukuze uvavanyo luphumelele. Kuya kufuneka uye kwigumbi lokuhlambela rhoqo ngeli xesha, ngoko ke bubulumko ukucwangcisa ukuhlala ekhaya ngaloo mini kwaye ube kufutshane negumbi lokuhlambela.
Kwenzeka ntoni ngexesha lovavanyo?
Ngomhla wovavanyo, nxiba impahla ekhululekileyo kwaye ungabi nabucwebe. Esibhedlele, uza kuthathwa uye kwigumbi apho kukho khona i-CT scanner. Lo ngumatshini omile njengedonathi enkulu. Nazi amanyathelo abandakanyekayo kuvavanyo:
1. Ukulungiselela: Emva kokuba unxibe ilokhwe yesibhedlele, uza kucelwa ukuba ulale etafileni yovavanyo.
2. Ukungena komoya: Okulandelayo, ingcali iza kufaka umbhobho omncinci malunga nee-intshi ezimbini ubude kwi-rectum yakho. Oku kuya kupompa umoya omncinci kancinci kwi-colon yakho. Ungakhathazeki, oku kwenzelwa ukwenza i-colon yakho idumbe kancinci ukuze ingaphakathi libonakale ngokucacileyo kwimifanekiso yeskeni.
3. Ukuskena: Itafile okwiyo iya kungena kancinci kwi-CT scanner. Usenokuva izandi ezincinci zokucofa kunye nokubhuza njengoko umatshini usebenza.
4. Hlala uthule: Kufuneka uhlale uthule ngokupheleleyo ngelixa iskena sithatha imifanekiso. Ingcali iya kuthetha nawe ngenkqubo ye-intercom. Basenokukucela ukuba ubambe umphefumlo wakho imizuzwana embalwa, okanye utshintshe indawo yomzimba wakho kancinci.
5. Ukugqiba: Xa ugqibile ukuthatha imifanekiso, itafile iyaphuma. Emva koko ungasusa ityhubhu encinci uze utshintshe impahla yakho.
Olu vavanyo alufanele lube buhlungu. Nangona kunjalo, ungaziva uxinzelelo oluncinci kwi-rectum, uzive ugcwele, okanye ufuna ukuphefumla kuba amathumbu azele ngumoya. Oku kuqhelekile.
Ziziphi iingenelo kunye neengozi zale ndlela?
Njengalo naluphi na uvavanyo lwezonyango, olu luneengenelo zalo kunye nemida/iingozi ezithile. Makhe sijonge kuzo.
| Iinzuzo | Iingozi kunye nokulinganiselwa |
|---|---|
| Ngokukhawuleza: Lonke uvavanyo luthatha nje imizuzu eli-15. | Umngcipheko wokugqobhoka kwamathumbu: Kukho umngcipheko omncinci kakhulu, ongaqhelekanga wokugqobhoka kwamathumbu ngenxa yokuzaliswa komoya. |
| Imifanekiso ecacileyo: Ungafumana imifanekiso ecacileyo ye-2D neye-3D, njengokuba ubuya kwenza nge-colonoscopy yendabuko. | Ukuvezwa kwi-radioactivity: Kukho ukuvezwa kwimitha encinci kakhulu, kodwa la manani akwizinga elikhuselekileyo. |
| Akukho mfuneko yokubulala iintlungu: Ekubeni kungekho nyango lokubulala iintlungu, ukuchacha kuyakhawuleza kakhulu. Ungagoduka ngoko nangoko emva kovavanyo. | Ukutsiba iipolyps ezincinci: Iipolyps ezincinci kakhulu (ezingaphantsi kwe-6 mm) ezibanjwa ngeendlela zesintu zisenokungabonwa yile ndlela. |
| Ukungakhululeki kangako: Ekubeni ityhubhu ende (i-scope) ingafakwanga emzimbeni, ayingeni kakhulu emzimbeni. | Iipolyps azinakususwa: Olu luvavanyo nje. Ukuba kufunyenwe ipolyp, kuya kufuneka i-colonoscopy yendabuko eyahlukileyo ukuze isuswe. |
| Umngcipheko omncinci wokonakala kwamathumbu: Umngcipheko wokonakala kwamathumbu uphantsi kakhulu kunendlela yendabuko. | Ayifanelekanga kuye wonke umntu: Olu vavanyo lusenokungafaneleki kubantu abaneengxaki ezithile zempilo. Yiyo loo nto ugqirha eza kuhlaziya imbali yakho yezonyango. |
| Ukuhlolwa kwamanye amalungu omzimba: Olu vavanyo ngamanye amaxesha lunokufumanisa ngempazamo iingxaki kungekuphela nje ngamathumbu, kodwa nakwezinye amalungu esiswini, njengesibindi nezintso. |
Kwenzeka ntoni emva kovavanyo?
Emva kovavanyo lwe-colonoscopy olusebenzayo, ungaqhubeka nemisebenzi yakho yesiqhelo. Ungatya kwaye usele ngokwesiqhelo. Ekubeni kungekho sixhobo sokubulala iintlungu esisetyenziswayo, akukho xesha likhethekileyo lokuchacha elifunekayo.
Nangona kunjalo, umoya ophonswa emathunjini unokubangela iziphumo ebezingalindelekanga ezincinci.
- Ukudumba
- Ukuziva ngathi isisu sibuhlungu
- Ukuphuma komoya rhoqo (igesi engaphezulu)
Ezi zizinto eziqhelekileyo. Le meko iza kuphela emva kweeyure ezimbalwa.
Ingxelo yovavanyo ithini?
Iziphumo zengxelo yovavanyo zingaba ngeendlela ezimbini.
1. Iziphumo ziqhelekile (Iziphumo eziqhelekileyo)
Oku kuthetha ukuba akukho ziphazamiso okanye iipolyps ezifunyenweyo kumathumbu akho amakhulu. Ezi ziindaba ezimnandi kakhulu. Ugqirha wakho uza kukuxelela ukuba kufuneka wenze nini uvavanyo lwakho olulandelayo. Ukuba usemngciphekweni omncinci, unokucetyiswa ukuba olu vavanyo luphindwe rhoqo emva kweminyaka emihlanu.
2. Iziphumo ezingaqhelekanga
Ukuba ingxelo yovavanyo lwakho ithi une-polyp, akuthethi ukuba unomhlaza. Ngoko ke ungakhathazeki. Kuthetha nje ukuba kufunyenwe iqhuma elincinci elinokuba ngumhlaza kwaye kufuneka lisuswe.
Ukuze ususe le polyp, kuya kufuneka wenze i-colonoscopy yendabuko . Kwezinye izibhedlele, ukuba kunokwenzeka, uya kuba sele ucocekile i-colon yakho, ngoko ungayenza loo nto ngaloo mini inye.
Zichane kangakanani ezi ziphumo?
Izifundo ezininzi zibonise ukuba i-virtual colonoscopy iyasebenza njenge-colonoscopy yendabuko ekufumaneni ii-polyps ezinkulu kunye nomhlaza. Nangona kunjalo, oku kuchaneka kunokwahluka kancinci ngokuxhomekeke kubukhulu be-polyp.
- Ichanekile kakhulu ekufumaneni iipolyps ezinkulu kune-10 mm.
- Impumelelo isenokuba sezantsi kancinci ekufumaneni iipolyps ezincinci kune-6 mm.
Ixesha lokubona ugqirha ngoko nangoko
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kovavanyo, nokuba aziqhelekanga, funa ingcebiso yezonyango ngoko nangoko. Okanye yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Intlungu ebuhlungu yesisu
- Igazi elikwisitulo okanye ukopha emqolo
- Isiyezi
- Ifiva
Umhlaza wekholoni lolunye lwezona ntlobo zixhaphakileyo zomhlaza kubantu abadala. Kodwa unokunyangeka lula ukuba ufunyenwe kwangethuba. Abantu abaninzi bayayiphepha ikholoni ngenxa yokoyika uvavanyo. Ngenxa yeengxaki ezimbalwa kunye nokuchacha ngokukhawuleza, ikholoni ebonakalayo lolunye ukhetho oluhle. Thetha nogqirha wakho ukuze ufumane ukuba yeyiphi indlela efanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- I-Virtual Colonoscopy yindlela yokuvavanya ekhawulezayo nengenabungozi kangako enokuchonga umhlaza wamathumbu kwangethuba.
- Oku kusebenzisa iteknoloji ye-CT scan ukufumana imifanekiso ye-three-dimensional (3D) yamathumbu endaweni yetyhubhu ende.
- Ukulungiselela amathumbu ngendlela efanelekileyo ngosuku olungaphambi kovavanyo kubalulekile ukuze uvavanyo luphumelele.
- Ukuba kufunyenwe iipolyps ngexesha lovavanyo, kuya kwenziwa i-colonoscopy yendabuko ukuze zisuswe.
- Olu lukhetho oluhle kakhulu kwabo bayoyikayo okanye abangakwaziyo ukwenza i-colonoscopy yendabuko. Thetha nogqirha wakho ngale nto uze wenze isigqibo.
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