Mhlawumbi ukhe weva nge-colonoscopy ndaweni ithile. Uninzi lwexesha, siva malunga nokulungiselela kwayo. Ngobusuku bangaphambi kovavanyo, kufuneka usele ulwelo olukhethekileyo ukuze ucoce amathumbu akho ngokupheleleyo. Akubonakali ngathi yinto elula ukuyenza, akunjalo? Kodwa, kukho isizathu esibaluleke kakhulu sokuba oogqirha bacebise olu vavanyo kubantu abaphakathi kweminyaka engama-45 ukuya kwengama-75, nokuba awunazo iimpawu. Makhe sithethe ngayo namhlanje.
Yintoni kanye kanye le vavanyo ejonge yona?
Ngamafutshane, i-colonoscopy luvavanyo olukhethekileyo lomhlaza we-colorectal (CRC). Zombini ezi ndawo zifumaneka kumathumbu ethu amakhulu, elilicandelo lokugqibela lenkqubo yethu yokugaya ukutya. Umathumbu omkhulu ufunxa amanzi kunye nezondlo ekutyeni esikutyayo aze agcine inkunkuma eseleyo (ebizwa ngokuba yindle). Emva koko, inkunkuma idlula kwi-rectum ngaphambi kokuba iphume emzimbeni.
Eyona nto iyingozi ngomhlaza wamathumbu amakhulu kukuba awubonisi zimpawu kwasekuqaleni .
Khawucinge nje, ezinye iimpawu ziqala ukubonakala. Umzekelo, utshintsho kwimikhwa yamathumbu (ngokufuthi ukuqhina), igazi esitulweni, ukuziva isisu singakaphumi ngokupheleleyo, iintlungu zesisu ezingapheliyo okanye ukudumba. Ngamanye amaxesha, ukwehla kobunzima, isitulo esincinci njengepensile, ubuthathaka, kunye nokudinwa kakhulu nazo zinokunxulunyaniswa noku. Kodwa ingxaki kukuba, ngexesha ufumana ezi mpawu, umhlaza uhlala uqhubele phambili, oko kuthetha ukuba kusenokwenzeka ukuba usasazeke kakhulu .
Nangona kunjalo, olu vavanyo alupheleli nje ekufumaneni umhlaza, kodwa lukwasetyenziselwa ukuxilonga ezinye iingxaki ezininzi.
- Izilonda emathunjini
- Ukudumba emathunjini
- Iingxowa ezincinci (i-diverticula) ezikhula eludongeni lwamathumbu
- Ukuncitshiswa kwezinye iindawo zamathumbu (iiStrictures)
- Izizathu zesifo sorhudo esingachazwanga, esihlala ixesha elide
- Ukopha okungachazwanga kwinkqubo yokugaya ukutya
Enyanisweni, i-colonoscopy ayilovavanyo lokufumanisa umhlaza kuphela, kodwa ikwayindlela enamandla yokuthintela umhlaza ukuba ungakhuli.
Le yingongoma ebaluleke kakhulu. Kwenzeka njani oku? Xa oogqirha besenza olu vavanyo, bakhangela izinto ezifana nokukhula okuncinci (iipolyps) kumathumbu amakhulu anokuba ngumhlaza. Ukuba babona into efana naleyo, banokususa loo kukhula ngoko nangoko. Oku kuthetha ukuba olu vavanyo lunokususa into enokuba ngumhlaza kwixesha elizayo kwaye lukusindise kwingozi enkulu.
Lwenziwa njani kanye kanye olu vavanyo?
Ngokwenza i-colonoscopy, ugqirha wakho unokubona ngokucacileyo ingaphakathi le-colon yakho yonke kunye ne-rectum.
Ngosuku olungaphambi kovavanyo, uza kunikwa isiselo esikhethekileyo sokuhlamba amathumbu ukuze ucoce amathumbu akho ngokupheleleyo. Le yindawo abantu abaninzi abangayithandiyo. Nangona kunjalo, eli nyathelo libalulekile ukuze ugqirha akwazi ukubona kakuhle ingaphakathi lamathumbu akho.
Ngexesha lovavanyo, ugqirha usebenzisa ityhubhu eguquguqukayo (ikholonoscope) enobukhulu bepeni enekhamera encinci eqhotyoshelweyo. Le tyhubhu ifakwa ngononophelo nge-anus yakho kwaye ikhokelwe kwikholoni yakho. Njengoko idlula, ungabukela imifanekiso evela kwikhamera kwiscreen. Ngelixa ityhubhu isendaweni, umoya omncinci uyavuthelwa kwikholoni ukuze ihlale ivulekile kwaye ingaxinwa.
Ugqirha uza kujonga ikakhulu iipolyps, ebesithethe ngazo ngaphambili. Ukuba zikhona, unokuzisusa ngoko nangoko. Lonke olu tyando ludla ngokuthatha malunga nemizuzu engama-30. Akunyanzelekanga ukuba ukhathazeke ngale nto kuba uza kunikwa i-anesthesia ukuze uphephe nakuphi na ukungonwabi.
Ndifanele ndilwenze nini olu vavanyo?
Ngenxa yokuba umhlaza wamathumbu amakhulu uhlala ukhula ngokuhamba kweminyaka, ugqirha wakho unokucebisa ukuba wenze i-colonoscopy yakho yokuqala xa uneminyaka engama-45 ubudala .
Nangona kunjalo, kukho iimeko apho unokuba semngciphekweni omkhulu. Umzekelo, ukuba isalamane esisondeleyo (umama, utata, umnakwenu, udadewenu, okanye umntwana) sikhe saba nomhlaza wamathumbu, ungacetyiswa ukuba wenze olu vavanyo uselula nangakumbi.
Iindaba ezimnandi zezokuba ukuba akukho polyps zifunyenweyo ngexesha lovavanyo lokuqala, kuya kufuneka wenze uvavanyo lwakho olulandelayo emva kweminyaka eli-10 . Nangona kunjalo, ukuba zifunyenwe iipolyps, ugqirha wakho unokukucela ukuba wenze uvavanyo lwakho olulandelayo kwiminyaka emi-3-5, kuxhomekeke kuhlobo lwazo.
Ziziphi ezinye iindlela zokufumanisa umhlaza?
Kukho ezinye iindlela ezininzi ngaphandle kwe-colonoscopy. Kodwa nganye kuzo inemida yayo. Makhe sizijonge.
| Igama lovavanyo | Indlela yokwenza oko | Umda wexesha |
|---|---|---|
| Uvavanyo lwegazi le-Fecal Occult | Isampuli yendle iyahlolwa ukuba ayinagazi na. | Qho ngonyaka |
| Uvavanyo lwe-Fecal Immunochemical (FIT) | Basebenzisa ii-antibodies ukujonga igazi lomntu elisesitulweni. | Qho ngonyaka |
| Uvavanyo lwe-FIT-DNA | Uvavanyo lwe-FIT lujonga utshintsho lwe-DNA olunxulumene nomhlaza kwindle. | Rhoqo emva kweminyaka eli-1-3 |
| I-CT Colonography | Ii-X-reyi kunye neekhompyutha zithatha imifanekiso ye-3D yamathumbu. | Rhoqo emva kweminyaka emi-5 |
| I-Sigmoidoscopy | Kufana ne-colonoscopy, kodwa kuphela i-rectum kunye nenxalenye yamathumbu amakhulu ezihlolwayo. | Rhoqo emva kweminyaka emi-5 ukuya kweli-10 |
Kodwa eyona nto ibalulekileyo apha kukuba ukuba naluphi na olunye uvavanyo lufumana i-polyp okanye luqinisekisa ukuba kukho igazi esitulweni, kuya kufuneka wenze i-colonoscopy ukuze uyisuse okanye uyijonge kakuhle .
Yiyo loo nto i-colonoscopy ithathwa njengeyona "mgangatho wegolide" kweli candelo, kuba iyakwazi ukubona isifo kwaye isinyange (isuse ii-polyps) ngaxeshanye.
Kutheni abantu abaninzi kangaka bekuphepha oku?
Kukho izizathu ezibini eziphambili zokuba abantu bangenzi olu vavanyo lubalulekileyo.
1. Ukuthi , "Ugqirha wam akandixelelanga ukuba ndenze oku."
2. Ukucinga ukuba "ukucoca isisu kunzima kakhulu."
Impendulo yombuzo wokuqala ixhomekeke kuwe. Ukuba ungaphezulu kweminyaka engama-45 kwaye ugqirha wakho akakakuxeleli, mbuze . Ukubuza, "Gqirha, ngaba lixesha lokuba ndenze i-colonoscopy?" linyathelo elibalulekileyo onokulithatha ukuze ukhusele impilo yakho.
Into yesibini kukoyika ukulungiselela amathumbu. Yinyani leyo, ayikhululekanga kangako. Kodwa cinga ngayo, ukuba ungawuphepha umhlaza iminyaka eli-10 ngemini enye yokungakhululeki, ixabisa malini loo nto? Kwakhona, amayeza kunye neendlela ezisetyenzisiweyo koku ziphucuke kakhulu ngoku. Ungathetha nogqirha wakho ngendlela efanelekileyo nelula kuwe. Xa kuthelekiswa nokuthintela umhlaza, eli lixabiso elincinci ngokwenene lokuhlawula.
Umyalezo Wokuya Ekhaya
- I-Colonoscopy luvavanyo olubaluleke kakhulu ekufumaneni umhlaza wamathumbu kwangethuba. Idla ngokucetyiswa emva kweminyaka engama-45.
- Oku akugcini nje ngokubona umhlaza, kodwa kususa neepolyps ezinokuba ngumhlaza, nto leyo ethintela umhlaza ukuba ungakhuli.
- Nangona ukulungiselela uvavanyo kunokuba nzima kancinci, izibonelelo zempilo ezihlala ixesha elide ezilunikayo zibaluleke kakhulu.
- Ukuba unemibuzo malunga noku, ungoyiki. Thetha ngokukhululekileyo nogqirha wakho . Uza kukuchazela yonke into.
- Ukuba uneminyaka eyiyo kwaye ugqirha wakho akakakhankanyi oku, kufuneka ubuze ngako. Impilo yakho luxanduva lwakho.
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