Ake sifunde ngqo ngokuhlolwa kwe-Digital Rectal Exam (DRE)?

Kungenzeka ukuthi uke wezwa ngalolu vivinyo, noma udokotela kungenzeka ukuthi ukutshelile ukuthi ulwenze. Kuvamile ukuzizwa unamahloni noma unamahloni uma uzwa leli gama. Kodwa lolu vivinyo olusiza ekutholeni izifo eziningi kusenesikhathi, alunzima njengoba ucabanga, futhi luqedwa ngemizuzu embalwa. Ngakho-ke, namuhla sizoxoxa ngokuningiliziwe nangokulula ngalolu hlolo lwe-Digital Rectal Exam (DRE) , okungukuthi, ukuhlolwa okwenziwe ngomunwe odlula e-rectum.

Kuyini ngempela lokhu okubizwa ngokuthi i-Digital Rectal Exam?

Kalula nje, lena inqubo lapho udokotela ehlola ingxenye engezansi ye-rectum yakho, okuwukuphela kwamathumbu amakhulu kanye ne-anus (lapho sikhipha khona indle). Kwabesilisa, lokhu kuhlola ne-prostate gland. Udokotela ufaka umunwe ogcotshwe ngegilavu ​​​​e-rectum yakho ukuze ahlole noma yikuphi ukukhubazeka. Lokhu kungaba yingxenye yokuhlolwa kwakho ngokomzimba okuvamile kwaminyaka yonke, ikakhulukazi kwabesilisa. Kungenziwa futhi ngezinye izikhathi ngesikhathi sokuhlolwa kwabesifazane kwabesifazane.

Kungani sidinga ukwenza ukuhlolwa okunjalo?

Ukuhlolwa kwe-DRE kuyithuluzi elibalulekile lokuxilonga elisetshenziselwa ukuhlola izifo ezahlukahlukene, ngakho udokotela angase akuncome ngaphezu kokuhlolwa kwakho okuvamile.

Yiziphi izifo ezingatholakala ngalesi sivivinyo?

Kunezimo eziningana udokotela angazisola noma asize ekuxilongeni ngalesi sivivinyo. Isibonelo:

• Isifo Sokuvuvukala Kwamathumbu (IBD)
• Ama-Hemorrhoids
• Imifantu yendunu
• Ukutheleleka kwe-prostate
• Umdlavuza we-rectum noma i-colon
• Umonakalo odalwe kuleyo ndawo ngengozi ethile
• Ezinye izifo zesimiso sezinzwa

Yiziphi izimpawu ezingashukumisela odokotela ukuba benze i-DRE?

Uma unezimpawu ezinjengalezi, udokotela angase acabangele ukuhlolwa kwe-DRE:

• Uma kukhona ukuphuma kwegazi endunu.
• Uma unegazi esitulweni sakho, noma uma ubona igazi endlini yangasese.
• Ushintsho emikhubeni yamathumbu, isibonelo, ukuqunjelwa okuqhubekayo noma uhudo.
• Uma unegazi noma i-mucus emchameni wakho.
• Uma unenkinga yokulawula umchamo wakho (Ukungakwazi ukuzibamba komchamo).
• Uma unenkinga yokulawula ukuhamba kwakho kwamathumbu (ukungakwazi ukuzibamba).

Udokotela angenza lolu vivinyo lwe-DRE uma efuna ukuhlola impilo yendlala yakho ye-prostate noma esola okuthile okungathi sína ngokusekelwe ezimpawini zakho.

Izinkinga ze-prostate kanye nokuhlolwa kwe-DRE

Uma indoda ihlolwa i-DRE, udokotela uzonaka kakhulu i-prostate gland. Nakuba i-US Preventive Services Task Force ingancomi i-DRE njengethuluzi lokuhlola umdlavuza we-prostate, ingasetshenziswa ukuhlola ukutheleleka kwe-prostate. Udokotela uzobheka noma yikuphi ukwanda kwe-prostate gland, amaqhubu, noma izinguquko ebusweni bayo. Lokhu kuhlolwa kuzosiza ekunqumeni ukuthi kudingeka yini ukuhlolwa okwengeziwe.

Uma udokotela wakho ecabanga ukuthi unesifo, angase ahlikihle i-prostate gland yakho. Lokhu kuzokwenza ukuthi uketshezi luqoqeke emchameni wakho. Isampula yomchamo izothunyelwa elabhorethri, lapho udokotela wezifo ezohlola khona uketshezi ngaphansi kwe-microscope ukuze anqume ukuthi yikuphi ukwelashwa okufanele ukuthole.

Kuthiwani uma kukhona igazi esitulweni/egazini eliphuma endunu?

Uma unegazi esitulweni sakho, ubona igazi endlini yangasese, noma ubona igazi ephepheni lendlu yangasese, ukuhlolwa kwe-DRE kungaba ukuhlolwa okubaluleke kakhulu . Igazi esitulweni sakho lingaba uphawu lwesifo emathunjini akho aphezulu noma angaphansi. Ezimweni ezinjalo, udokotela wakho angase acele ukuhlolwa okwengeziwe, njenge-colonoscopy, ngemuva kwe-DRE. Lokhu kungasiza ekunqumeni ukuthi umdlavuza, ama-hemorrhoids angaphakathi, noma ukuvuvukala kodonga lwamathumbu amakhulu.

Ingabe kukhona umehluko emikhubeni yokuzila ukudla?

Uma unezinguquko ezingavamile emikhubeni yakho yamathumbu (isibonelo, indle encane njengepensela, eyisicaba, noma okunzima ukuyidlulisa), udokotela angenza i-DRE ukuhlola ukuthi kukhona yini ukuvaleka, njengesimila.

Ubani owenza lolu vivinyo lwe-DRE?

Odokotela abahlukahlukene bangenza lolu vivinyo lwe-DRE ukusiza ekuxilongeni isimo sakho. Bahlanganisa:

• Udokotela womndeni wakho (Abahlinzeki bokunakekelwa okuyinhloko)
• Odokotela abahlinzayo
• Odokotela Bezifo Zesisu
• Odokotela bezifo zabesifazane kanye nodokotela bezifo zabesifazane
• Odokotela be-Oncology

Kufanele ngibe nokuhlolwa kwe-DRE kangaki?

Udokotela wakho angase akuncome i-DRE njengengxenye yokuhlolwa kwakho komzimba kwaminyaka yonke . Ngaphezu kwe-DRE, udokotela wakho angase futhi akucele ukuhlolwa kwegazi okubizwa ngokuthi i-PSA (Prostate-Specific Antigen) ukuze kuhlolwe umdlavuza we-prostate. I-PSA iyiprotheni egazini lakho engakunikeza ulwazi mayelana nempilo ye-prostate yakho.

Kufanele sizilungiselele kanjani ngaphambi kokuhlolwa kwe-DRE?

Izindaba ezinhle kakhulu ukuthi, awudingi ukwenza lutho olukhethekile ukuze ulungiselele lolu vivinyo lwe-DRE.Kodwa-ke, uma unemifantu yendunu noma ama-hemorrhoids, kufanele utshele udokotela wakho kusengaphambili, njengoba i-DRE ingenza lezi zimo zibe zimbi kakhulu.

Udokotela uzochaza ukuthi lolu vivinyo lwenziwa kanjani kuwe, futhi ungabuza noma yimiphi imibuzo onayo ngaleso sikhathi.

Kwenzekani ngesikhathi sokuhlolwa kwe-DRE? Yini okufanele siyilindele?

Udokotela uzokwenza lokhu kuhlolwa kwe-DRE ekamelweni lokuhlolwa elizimele ehhovisi lakhe. Uzocelwa ukuthi ukhumule kusukela okhalweni kuye phansi, bese unikezwa ingubo noma indwangu yokumboza. Ukuhlolwa konke kuthatha imizuzu embalwa kuphela. Ngokuvamile akubuhlungu, kodwa ungase uzizwe ungakhululekile. Abanye abantu bangase bazizwe bedinga ukuchama.

Uma kungumuntu...

Udokotela uzokucela ukuthi ulale endaweni eyodwa kwezimbili. Sukuma uqonde bese ugoba phambili etafuleni lokuhlolwa, noma ulale etafuleni amadolo akho agobe esifubeni sakho.

Okokuqala, udokotela uzobheka ngaphandle kwe-rectum yakho ukuze abone ukuthi kukhona yini ama-hemorrhoids noma imifantu ye-anal. Ngemuva kwalokho, uma usukulungele, udokotela uzokucela ukuthi uphumule futhi uphefumule ngokujulile. Ngemuva kwalokho, udokotela uzofaka umunwe ogcotshwe ngegilavu ​​​​e-rectum yakho.

Udokotela uzozwa indlala yakho ye-prostate, ubukhulu bayo, kanye nobuso bayo. Uma indlala yakho ye-prostate ikhulisiwe, ungase uzizwe ungakhululekile noma ubuhlungu/ukucindezeleka okuncane ngesikhathi sokuhlolwa. Ekugcineni, udokotela uzohlola izindonga zekholoni lakho elingezansi kanye ne-rectum ukuze ahlole noma yikuphi ukukhubazeka.

Uma owesifazane...

Udokotela wakho angenza i-DRE njengengxenye yokuhlolwa kwe-pelvic. Uzocelwa ukuba ulale ubheke phezulu etafuleni lokuhlolwa imilenze yakho iphakanyisiwe.

Uma usukulungele, udokotela wakho uzokucela ukuthi uphumule futhi uphefumule ngokujulile. Ngemuva kwalokho, uzofaka umunwe ogcotshwe ngegilavu ​​​​e-rectum yakho. Ngalesi sikhathi, udokotela wakho uzohlola ingxenye engezansi yekholoni lakho kanye nezindonga ze-rectum yakho ukuze ahlole noma yikuphi ukukhubazeka.

Kwenzekani ngemva kokuhlolwa kwe-DRE?

Ungenza imisebenzi yakho evamile ngokushesha ngemva kokuhlinzwa kwe-DRE. Ukopha okuncane okuvela endunu akuvamile , kodwa kungenzeka. Unamathuba amaningi okopha uma unemifantu yendunu noma ama-hemorrhoids. Uma ukopha kakhulu ngemva kokuhlinzwa kwe-DRE, tshela udokotela wakho.

Ingabe zikhona izingozi ngalolu vivinyo lwe-DRE? Ingabe kungaba nezinkinga?

Ukuhlolwa kwe-DRE ngokuvamile kubhekwa njengokuphephile kakhulu, kanye nokungakhululeki okuncane okuvame ukwenzeka. Kodwa-ke, kuhle ukuqaphela izingozi ezimbalwa ezincane kakhulu kanye nezinkinga ezingaba khona:

• Ukungakhululeki noma ubuhlungu:Abanye abantu bangase bazizwe bengakhululekile noma bezwa ubuhlungu obuncane lapho udokotela efaka umunwe wabo e-rectum. Lokhu kuvame ukuba okwesikhashana futhi kuphele uma ukuhlolwa sekuphelile.
• Ukopha endulwini: Akuvamile kakhulu, abanye abantu bangase babe nokopha okuncane endulwini ngemva kokuhlolwa kwe-DRE, ikakhulukazi uma benemifantu yendunu noma ama-hemorrhoids akhona kakade. Kubalulekile ukutshela udokotela wakho uma uzwa ukopha okukhulu ngemva kokuhlolwa.
• Ukutheleleka: Lokhu futhi kuyinto engavamile kakhulu. Kukhona ithuba elincane kakhulu lokutheleleka nganoma iyiphi inqubo ehilela ukufaka idivayisi emzimbeni. Odokotela basebenzisa amagilavu ​​​​ahlanzekile kanye nezinto zokugcoba ngesikhathi senqubo ukunciphisa le ngozi.

Sizoyazi nini imiphumela yokuhlolwa kwe-DRE?

Udokotela wakho kufanele akwazi ukukutshela imiphumela ye-DRE ngokushesha nje lapho ukuhlolwa sekuqediwe .

Imiphumela yokuhlolwa kwe-DRE isitshelani?

Imiphumela evamile evela ekuhlolweni kwe-DRE isho ukuthi udokotela akatholanga lutho olungavamile ngesikhathi sokuhlolwa. Kodwa-ke, bangase bacele ukuhlolwa okwengeziwe ukuqinisekisa imiphumela.

Imiphumela engavamile ingasho izinto eziningana. Kungase kube negazi, amaqhubu ongawazwa, imifantu yendunu, ama-hemorrhoids, noma ubuhlungu obukhulu ngesikhathi sokuhlolwa. Udokotela wakho uzokhuluma nawe ngalokhu ngokushesha futhi akutshele ukuthi yini okufanele uyenze ngokulandelayo.

Ingabe i-DRE nayo yenziwa ngesikhathi se-colonoscopy?

Yebo, ngezinye izikhathi udokotela angenza i-DRE njengesinyathelo sokuqala ku-colonoscopy. Kodwa-ke, ngokuvamile abayihloli i-prostate gland ngesikhathi se-DRE. Basebenzisa le DRE kuphela ukuhlola i-rectum yakho bese befaka i-lubricant ukulungiselela i-colonoscopy. Ngakho-ke, ungabuza udokotela wakho ukuthi angayihlola yini i-prostate yakho ngesikhathi se-DRE eyenziwa ngesikhathi se-colonoscopy.

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Bheka, siyaqonda. Umcabango wokuhlolwa kwe-digital rectal ungaba namahloni futhi ungakhululeki. Kodwa, nakuba kungase kungabi yinto ejabulisayo, ngokuvamile kuyinqubo esheshayo nengenabuhlungu. Futhi udokotela wakho useke wakubona konke ngaphambili. Akukho okufanele ube namahloni ngakho. Uma udokotela wakho ethi sekuyisikhathi se-DRE, kubalulekile ukulalela. Ama-DRE angakusiza ukuthola ukuthi kwenzekani emzimbeni wakho, futhi angasiza ekutholeni izifo nezimo ezithile kusenesikhathi . Ngakho-ke, ungesabi noma ube namahloni okukhuluma nodokotela wakho ngakho.

'Ukuhlolwa kwe-rectum, ukuhlolwa kwe-digital rectum, i-prostate, ukuqunjelwa, ama-hemorrhoids, ukuhlolwa komdlavuza, i-DRE