Empeleni, igama elithi "ukuhlolwa kwendle" lingase lizwakale lingavamile kwabanye abantu, futhi mhlawumbe lihlazeke kancane. Kodwa namuhla sizoxoxa ngokuthi lokhu kuhlolwa kubaluleke kangakanani, ukuthi kwenziwa kanjani, nokuthi kwenziwa kanjani. Ngakho ake sixoxe ngakho ngaphandle kokwesaba, kulungile?
Kuyini ukuhlolwa kwendle? Kalula nje...
Kalula nje, ukuhlolwa kwendle kuwukuhlolwa okuthatha isampula yendle yakho bese kubheka amagciwane , njengebhaktheriya , amagciwane , noma izimuncagazi, ezingasenza sigule. Kubheka nezinye izimpawu zokopha ezingabonakali ngeso lenyama. Lokhu kungasiza odokotela ukuthola izinkinga eziningi ohlelweni lwethu lokugaya ukudla (i-Gastrointestinal - GI) , kusukela ekuthelelekeni kuya ezimweni ezimbi kakhulu njengomdlavuza.
Kunini lapho udokotela ekutshela khona ukuthi wenze ukuhlolwa kwendle?
Udokotela wakho angase akucele lokhu kuhlolwa uma unezimpawu ezifana nalezi:
- Uma ubona igazi esitulweni sakho .
- Uma kukhona uketshezi esitulweni.
- Uma unesifo sohudo esiqhubeka izinsuku ezingaphezu kwezintathu (isifo sohudo).
- Uma unesifo sesisu noma isicanucanu .
- Uma uzizwa unesicanucanu noma uhlanza izinsuku eziningi .
- Uma unomkhuhlane .
Uma unesifo esifana nalesi, udinga ukubona udokotela, uyaqonda?
Yini engatholakala kulolu vivinyo lwendle?
Lokhu kuhlolwa kungakunikeza izinkomba ngezinto eziningi ezenzeka emizimbeni yethu. Cabanga ngezimo ezinjengalezi:
- Ingabe kukhona inxeba elincane endunu (umfantu wendunu) ?
- I-anemia , okusho ukuthi kukhona ukushoda kwamaseli abomvu egazi.
- I-Colitis , okusho ukuthi ingxenye yekholoni ivuvukile noma ilimele.
- Izinto ezifana nama-polyp ekholoni .
- Lokhu kusiza ekutholeni umdlavuza ofana nomdlavuza we-colorectal kusenesikhathi.
- Uma kukhona ukuphuma kwegazi emathunjini (Gastrointestinal Bleeding) .
- Izimo ezifana nama-hemorrhoids .
- Izifo ezahlukahlukene - lokhu kungaba izifo zamagciwane , amagciwane, noma ezibangelwa amagciwane .
- Izimo zokuvuvukala okuqhubekayo kwamathumbu, njenge -IBD (Isifo Samathumbu Esivuvukalayo) .
- Uma ukhipha amafutha amaningi kakhulu endle yakho (i-Steatorrhea) .
- Izilonda zesisu .
- Ukuntuleka Kwe-Exocrine Pancreatic (EPI), okusho ukuthi ukudla akukwazi ukugaywa kahle.
- Ungahlola futhi amaphakethe amancane (i-diverticulosis) emathunjini .
Uyabona, kungakanani okungatholakala ngokuhlolwa okukodwa!
Yiziphi izindlela zokuhlola indle?
Kunezindlela eziningana zokuhlola indle yakho. Udokotela wakho uzokhetha indlela engcono kakhulu ngokusekelwe ezimpawini zakho:
- Ukuhlolwa Kwegazi Lomlingo Wendle (FOBT): Lokhu kuhlola izinhlayiya zegazi ezincane kakhulu esitulweni ezincane kakhulu ukuba zingabonwa ngamehlo enyama. Uma umphumela "ulungile", kusho ukuthi kukhona ukopha endaweni ethile ohlelweni lokugaya ukudla.
- Ukuhlolwa kwe-FIT-DNA: Lokhu kufana ne-`(FOBT)`, kodwa kungathola hhayi igazi kuphela, kodwa nezingcezu ze-DNA ezishintshile ngendlela engahlotshaniswa namaseli omdlavuza. (Lapha i-`FIT` imele i-`Fecal Immunochemical Test`).
- Ukuhlolwa kokutheleleka: Lokhu kwenziwa ngezindlela eziningana. Ngezinye izikhathi amagciwane ayakhuliswa futhi abhekwe "ngesiko", abukwe ngesibonakhulu, noma ngokubheka "i-DNA" yamagciwane.
Ingabe kukhona engikudingayo ukwenza okuthile okukhethekile ngaphambi kokuhlolwa kwendle?
Esikhathini esiningi, ngeke kudingeke wenze noma yini ekhethekile. Kodwa-ke, khumbula ukuthi ngezinye izikhathi udokotela wakho angakutshela ukuthi uyeke ukuthatha imithi ethile izinsuku ezimbalwa , noma ugweme ukudla okuthile (njengenyama ebomvu nemifino ethile) izinsuku ezimbalwa . Lezi zinto zingahluka kusukela ekuhlolweni kuya ekuhlolweni kanye nakumuntu nomuntu. Ngakho -ke kubalulekile ukubuza udokotela wakho uma udinga ukwenza noma yini ekhethekile ngaphambi kokuhlolwa.
Uyilanda kanjani isampula yendle ekhaya? Lokhu kuzwakala kudida kancane, akunjalo?
Yebo, lokhu kungaba yinto engavamile kwabanye abantu. Kodwa ungakhathazeki, udokotela noma ilabhorethri bazokunikeza konke okudingayo kulokhu. Bazokunikeza ibhodlela elincane, elihlanzekile elinesivalo sokufaka isampula (isitsha sesampula). Kufanele futhi libhalwe igama lakho nosuku lokuzalwa kulo.
Nazi ezinye izinyathelo ezijwayelekile okufanele uzilandele:
1. Okokuqala, uma udinga ukuchama , kwenze. Into ebaluleke kakhulu ukungavumeli umchamo nendle kuhlangane. Ukwenza kanjalo kungashintsha imiphumela yokuhlolwa.
2. Okulandelayo, udinga ukufaka okuthile endlini yangasese ukuze ubambe indle. Udokotela wakho angakunika ithileyi noma isitsha esikhethekile salokhu. Ngaphandle kwalokho, ungabeka ucezu lwepulasitiki phakathi kwesihlalo sendlu yangasese nesitsha sendlu yangasese. Noma ungabeka isitsha esihlanzekile, esomile (njengendebe endala ye-ayisikhilimu) ngaphakathi endlini yangasese. (Kodwa-ke, uma unendle ekhululekile, njengohudo, indlela yokugoqa ipulasitiki cishe ayiyona engcono kakhulu.)
3. Okubaluleke kakhulu! Ungavumeli indle ithinte amanzi noma ingaphakathi lendlu yangasese.Uma lokhu kwenzeka, isampula ingase ingcole futhi umphumela onembile ungase ungatholakali.
4. Bese usebenzisa isipuni sepulasitiki esinikezwe yilebhu, noma isipuni sepulasitiki esilahlwayo ongasisebenzisa, ukuze uthathe inani elincane lesampula yendle bese ulifaka esitsheni sesampula esinikeziwe. Udokotela uvame ukukutshela ukuthi kufanele uthathe malini, noma isitsha sizobe sibhalwe lelo nani kuso.
5. Vala ibhodlela ngokuqinile.
6. Ngemva kokuthatha isampula, beka indle esele ngokucophelela endlini yangasese bese uyihlanza ngamanzi.
7. Beka konke okusetshenziselwa ukuqoqa isampula (izipuni, ukugoqa ngepulasitiki, njll.) esikhwameni sepulasitiki, ukubopha ngokuqinile, bese ukuphonsa emgqonyeni kadoti.
8. Ekugcineni, geza izandla zakho kahle ngensipho namanzi agobhozayo cishe umzuzu.
9. Isampula kufanele ilethwe elabhorethri noma ehhovisi likadokotela ngokushesha okukhulu. Uma ngesizathu esithile ungakwazi ukuyiletha ngokushesha, ungayibeka efrijini isikhashana (amahora ambalwa). Kodwa-ke, uma ingalethwa zingakapheli amahora angama-24 , ingase ingahlolwa.
Khumbula, funda imiyalelo ngokucophelela bese uyilandela njengoba nje udokotela wakho noma ilebhu ikunikeza. Ungase futhi unikezwe imiyalelo ekhethekile.
Kuthatha isikhathi esingakanani ukuthi imiphumela yokuhlolwa kwendle ibuye?
Ngokuvamile ungathola imiphumela yakho zingakapheli izinsuku ezintathu , kodwa kuye ngokuthi yini ehlolwayo, ngezinye izikhathi kungathatha isikhathi eside.
Ngilihlola kanjani isampula lami elabhorethri?
Kuyahlukahluka kuye ngohlobo lokuhlolwa okwenziwayo.
- Kwezinye izivivinyo, inani elincane lendle libekwa ekhadini lokuhlola elikhethekile.
- Kokunye ukuhlola, inani elincane lendle libekwa ku-slide yengilazi bese lihlolwa ngaphansi kwe-microscope.
- Ngezinye izikhathi, indle ibekwa "epuletini lokukhulisa" eliqukethe izakhamzimba ezidingekayo ukuze amagciwane akhule, futhi amagciwane abonakala ekhula.
- Ngenxa yokuthi amanye amagciwane kunzima ukuwabona, i-DNA yawo iyandiswa ngokuyikopisha kaningi emshinini okhethekile.
Imiphumela ithini? Emihle? Engemihle?
Imiphumela yokuhlolwa kwendle ingaba ``Inhle`` noma ``Imbi``.
- Umphumela othi "negative" usho ukuthi indle yakho ijwayelekile, futhi ilebhu ayitholanga lutho olufana negazi noma amagciwane abangela izifo. Lokho kusho ukuthi cishe akukho nkinga.
- Umphumela othi "unegciwane" usho ukuthi kutholakale igciwane noma uphawu lwesifo (isb., igazi eliyimfihlakalo). Umbiko ungase ufake ngisho negama legciwane elitholakale.
Yini oyenzayo ngokulandelayo uma imiphumela ikhombisa ukuthi unesifo?
Uma ukuhlolwa kwendle yakho "kunomphumela omuhle", udokotela wezifo (uchwepheshe obuyekeza umbiko webhubhu) uzotshela udokotela wakho ngakho. Lokhu kufaka phakathi uhlobo lwegciwane olutholakale, nokuthi ngabe kukhona yini ezinye izimpawu zokutheleleka (isib., inani legazi esitofini, inani lamafutha).
Ngokusekelwe kulolu lwazi, udokotela wakho uzonquma imbangela eqondile yezimpawu zakho futhi akunikeze ukwelashwa okufanele.
Lokhu kubaluleke kakhulu: Ngezinye izikhathi, uma imiphumela iphakamisa into efana nomdlavuza, ungesabi. Udokotela wakho uzokudlulisela kudokotela wezifo zomdlavuza ukuze ahlolwe futhi athole ukwelashwa okudingekayo.
Ingabe ukuhlolwa kwendle kuhle njenge-colonoscopy?
Kuyiqiniso ukuthi ukuhlolwa kwendle kunganikeza odokotela ulwazi oluningi olubalulekile. Kodwa-ke, ngezinye izikhathi izinguquko ezincane kakhulu emathunjini amakhulu (isib. ama-polyp amancane kakhulu) zingase zibe zisheshe kakhulu ukuthi zingabonwa ngokuhlolwa kwendle.
Ezimweni ezinjalo, ikakhulukazi uma ukuhlolwa kwendle yakho kungenayo imiphumela emihle kodwa uqhubeka nokuba nezimpawu (njengobuhlungu besisu noma ukopha), udokotela wakho angase akuncome ukuthi kwenziwe i- colonoscopy . Kalula nje, i-colonoscopy ihilela ukufaka ithubhu elide neliguquguqukayo elinekhamera encane nge-rectum yakho, okuvumela udokotela wakho ukuthi abheke ngqo ngaphakathi kwe-colon yakho. Lokhu kungasiza ekutholeni noma yikuphi ukukhula okuncane (ama-polyp) okungasuswa kalula ngaphambi kokuba kube kukhulu ngokwanele ukubangela izinkinga, futhi kungathatha amasampula amancane (ama-biopsies) uma kudingeka.
Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
Uma ngikhuluma iqiniso, ukuhlolwa kwendle akuyona into 'emnandi' kunoma ubani. Kuvamile futhi ukuzizwa wesaba kancane, ungakhululekile, noma unamahloni uma ungakaze ukwenze ngaphambili.
Kodwa, ungavumeli lokho kwesaba kukuvimbele ekwenzeni lokhu kuhlolwa okubalulekile. Uma uzizwa sengathi kukhona "okungahambi kahle," uba nezinhlungu zesisu njalo, noma ubona igazi esitulweni sakho, qiniseka ukuthi utshela udokotela wakho.
Lokhu kuhlolwa kwendle okulula kunganikeza udokotela wakho ulwazi olubalulekile mayelana nembangela yezinkinga zakho zokugaya ukudla. Ngokuthola ukuthi yimaphi amagciwane asendle yakho nokuthi ngabe kukhona yini ezinye izinkinga, udokotela wakho angakunikeza ukuxilongwa okunembile kakhulu futhi aqale ukwelashwa okuphumelelayo kakhulu . Ngakho-ke, lokhu kubaluleke kakhulu empilweni yakho!
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Ukuhlolwa kwendle/indle kubheka ini?
Lokhu kuvame ukwenziwa uma unesifo sohudo noma ubuhlungu besisu obuqhubekayo, ukuthola amagciwane ayingozi (njengeSalmonella), izimuncagazi, amaqanda ezibungu (izibungu), kanye namakholoni e-amoeba emathunjini. Lokhu kwenza kube lula ngodokotela ukukunikeza ama-antibiotic.
💬 Yini okufanele uyiqaphele lapho uthatha isampula yendle?
Into ebaluleke kakhulu ukuthi ungavumeli isampula ihlangane nezinye izinto (amanzi, umchamo, insipho endlini yokugezela). Futhi, ngokushesha nje lapho uba nezimpawu (uhudo), kufanele uthathe isampula entsha esitsheni esihlanzekile bese uyiletha elebhu zingakapheli amahora amabili.
💬 Ingabe lokhu kuwuphawu lokuthi ukudla kwethu akugaywa kahle?
Yebo! Uma indle yakho icwebezela ngendlela engavamile noma inamafutha (i-steatorrhea), kusho ukuthi izingcezu zokudla ezinamafutha azigaywa kahle futhi zikhishwa emzimbeni wakho ngenxa yesifo se-pancreas noma i-gallbladder.
Ukuhlolwa kwendle , Ukuhlolwa kwendle, uhlelo lokugaya ukudla, amagciwane, isifo sohudo, izinkinga zesisu, ukuxilongwa

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment