Ufuna ukwazi okwengeziwe ngempilo yakho yamathumbu amakhulu? Konke mayelana nokuhlolwa kwe-colonoscopy!

Sawubona! Namuhla sizokhuluma ngokuhlolwa kwezokwelapha abantu abaningi abesabayo ukukubuza ngakho, kodwa kubaluleke kakhulu. Lokho kubizwa ngokuthi i-colonoscopy. Mhlawumbe udokotela wakho ukweluleke ukuthi ukwenze lokhu, noma uke wezwa ngakho ndawana thize. Ngakho-ke, ake sibone ngamazwi alula ukuthi kuyini, kungani kwenziwa, nokuthi kwenziwa kanjani. Akukho okufanele ukwesabe, sizokhuluma ngakho konke ngokucacile.

Kuyini i-colonoscopy?

Kalula nje, i-colonoscopy ukuhlolwa okubheka ngaphakathi kwekholoni lakho, i-rectum, kanye ne-anus. Kufana nokufaka ikhamera. Odokotela bakubiza lokhu ngokuthi i-endoscopy. Lokho kusho ukuthi bafaka ithubhu elincane, eliguquguqukayo emzimbeni wakho elinekhamera encane kanye nokukhanya ekugcineni. Kubizwa ngokuthi i-colonoscope. I-colonoscope ifakwa nge-anus yakho bese inyuswa ikholoni lakho. Njengoba iqhubeka, udokotela angabona esikrinini esibonisa ikhamera. Lokhu kuzokukhombisa uma kukhona izinkinga ngaphakathi kwekholoni lakho.

Kungani sidinga i-colonoscopy?

Kunezizathu eziningi zokuthi kungani kungenziwa i-colonoscopy. Ngezinye izikhathi kuyavimbela , ngezinye izikhathi kuyaxilonga , noma kuyayelapha . Ngokuvamile, kungaba inhlanganisela yakho konke okuthathu.

Njengokuhlolwa kokuthola umdlavuza kusenesikhathi (Ukuhlolwa)

Abantu abaningi benza i-colonoscopy yabo yokuqala njengendlela yokuhlola umdlavuza we-colon ojwayelekile . Sonke sinengozi ethile yokuthola umdlavuza we-colon njengoba sikhula. Yingakho izinhlangano ezifana ne-American Cancer Society zincoma ukuthi wonke umuntu oneminyaka engaphezu kwengu-45 athole lolu vivinyo. Ungase ungabi nazimpawu, kodwa ngokwezibalo, ingozi iphezulu, ngakho-ke kuwukuhlakanipha ukuhlolwa kusenesikhathi. Umdlavuza we-colon ovame ukungabonisi izimpawu, futhi uma ubonakala, kungaba sekwephuzile ukuwulapha.

Kungase kube yisikhathi sokuba wenze i-colonoscopy njengokuhlolwa komdlavuza, uma:

• Uma uneminyaka engaphezu kwengu-45 ubudala futhi ungakakwenzi lokhu kuhlolwa.
• Uma sekuphele iminyaka engaba yi-10 kusukela wagcina ukwenza i-colonoscopy.
• Uma ususwe ama-polyp ngesikhathi se-colonoscopy yakho yokugcina.
• Uma othile emndenini wakho eke waba nomdlavuza we-colonectal .
• Une -Familial Adenomatous Polyposis (FAP).Uma unesifo esizuzwe njengefa njenge-Lynch syndrome (lokhu kwandisa ingozi yokuba nomdlavuza).
• Uma unesifo esifana nesifo samathumbu esivuvukalayo (IBD) .

Uma ubuza udokotela womndeni wakho noma udokotela omvakashelayo, angakutshela ukuthi kufanele wenze nini lokhu kuhlolwa ngokusekelwe esimweni sakho sempilo. Ukuhlolwa okufana nalokhu kusindisa izinkulungwane zezimpilo minyaka yonke.

Thola isifo

Ngezinye izikhathi, udokotela wakho angase akucele ukuthi kwenziwe i-colonoscopy ukuze ahlole ngokujulile izimpawu zakho ngoba unazo. Lokhu kungenxa yokuthi ikuvumela ukuthi ubone ingaphakathi le-colon yakho ngokucacile kunezinye izikena. Lokhu kungasiza ekutholeni imbangela yezimpawu zakho noma kuqinisekise ukuthi udokotela wakho usola ukuthi kukhona okusolakala. Ngezinye izikhathi, udokotela wakho angase afune ukuthatha ucezu lwezicubu (i-biopsy) alubheke ngaphansi kwe-microscope. Lokhu kungenziwa nangesikhathi se-colonoscopy.

Ezinye izimpawu ezingase zibangele i-colonoscopy zifaka:

• Uma kukhona ukopha noma okunye ukuphuma endunu ngaphandle kwesizathu.
• Uma imikhuba yakho yokugeza ishintshile ngaphandle kwesizathu (isib. uhudo, ukuqunjelwa, ukungakwazi ukuzibamba).
• Uma unesifo sesisu esingapheli ngaphandle kwesizathu.
• Uma wehlisa isisindo ngaphandle kwesizathu, noma uma ungakhuli isisindo ezinganeni ezincane.

Kunezimo eziningana ezingatholakala nge-colonoscopy:

• Izimo ze -colitis ezingamahlalakhona , isibonelo i-ulcerative colitis noma isifo sikaCrohn .
• I-ischemia yamathumbu kanye ne-ischemic colitis (izimo ezibangelwa ukwehla kokugeleza kwegazi emathunjini).
• I-Diverticulosis kanye ne -diverticulitis (ukwakheka kwezikhwama ezincane odongeni lwamathumbu kanye nokutheleleka kwazo).
• Izilonda kanye nokubhoboka kwamathumbu.
• Ukuvaleka kwamathumbu amakhulu.
• Ama-polyp e-Colorectal kanye nomdlavuza .

Njengokwelashwa

Enye yezinzuzo ezinkulu zokuhlolwa kwe-endoscopy njenge-colonoscopy ukuthi uma udokotela ethola noma yiziphi izinkinga ngesikhathi sokuhlolwa, angazilapha ngesikhathi esifanayo . Laba odokotela baqeqeshwe ukwenza izinto ezifana nokuhlinzwa okuncane besebenzisa amathuluzi akhethekile adluliswa nge-endoscope. Lapho benza i-colonoscopy,Ngokuvamile, ama-polyp asuswa khona lapho bese ethunyelwa elabhorethri ukuze ahlolwe umdlavuza. Ukususa la ma-polyp kunciphisa nengozi yokuba nomdlavuza esikhathini esizayo.

Ngesikhathi se-colonoscopy yakho, udokotela wakho angenza izinto ezifana nalezi:

• Ukususwa kwe-polypectomy .
• Mboza amanxeba.
• Thatha imithi.
• Susa izithiyo.
• Faka i-stent (ukuze wandise izindawo ezincane emathunjini).
• Thola ukwelashwa nge-laser .

Ulungiselela kanjani i-colonoscopy?

Lokhu kubaluleke kakhulu . Ukuze ukuhlolwa kuphumelele, udinga ukulungiselela ngokugcwele. Udokotela wakho uzokunikeza imiyalelo eningiliziwe yokuthi yini okufanele uyenze ezinsukwini ezimbalwa kusengaphambili. Inhloso eyinhloko yalokhu kulungiselela ukugcina ikholoni yakho ihlanzekile futhi icacile ngangokunokwenzeka ngesikhathi se-colonoscopy. Uma ungakwenzi lokho, udokotela ngeke akwazi ukubona kahle. Ngemuva kwalokho kungadingeka uhlehlise ukuhlolwa noma udlule kukho konke lokhu kulungiselela futhi. Cabanga ukuthi lokho kuyinselele kangakanani!

Ngokuvamile, kuzodingeka wenze izinguquko ezithile ekudleni kwakho izinsuku ezimbili kuya kwezintathu ngaphambi kokuhlolwa. Uzodla ukudla okune-fiber ephansi izinsuku ezimbili kuya kwezintathu. Ngosuku lokugcina, uzotshelwa ukuthi uphuze uketshezi olucacile kuphela . Kusihlwa noma ngobusuku bangaphambi kokuhlolwa, uzonikezwa ifomula yokuhlanza isisu ukuze uyiphuze. Ngemva kokuyiphuza, kuzodingeka uye endlini yangasese njalo amahora amaningana. Ngakho-ke lungela lokho, futhi uhlale ukhululekile. Bese ulala kahle ebusuku. I-colonoscopy ivame ukwenziwa ekuseni ngakusasa.

Kwenzekani ngosuku lokuhlolwa?

Uma uya kohlolwa, udinga ukuba nomuntu ongakushayela ngemoto uye ekhaya. Ngenxa yokuthi kuthatha cishe usuku lonke ukuthi i-anesthesia iphele, ezinye izibhedlela azikuvumeli ngisho nokuthi ungene ukuze uyohlolwa ngaphandle komuntu onomthwalo wemfanelo. (Umuntu ohamba nawe kuzodingeka ahlale lapho cishe amahora amabili.) Uma ufika esibhedlela, uzoyiswa ekamelweni bese ugqokiswa ingubo yesibhedlela. Umhlengikazi uzongena afake intambo ye-IV emthanjeni engalweni yakho, lapho uzoqala khona ukuthola imithi yokudambisa ubuhlungu kanye nemithi yokudambisa ubuhlungu.

Ingabe bayasilalisa ngesikhathi sokuhlolwa kwe-colonoscopy?

Yebo, uzothola i-anesthesia ejwayelekile (okusho ukuthi uzobe ulele ngokuphelele) noma ulale ubuthongo.(Lokhu kusho ukuthi ukuqonda kwakho kuncipha kancane, ungase ulale, noma ungase uvuke, kodwa ungase ungakukhumbuli kamuva.) Yebo, ungakwazi. Udokotela uzokhuluma nawe kusengaphambili ngendlela yokubulala izinzwa ozoyinikwa. Ngakho-ke ungazi kusengaphambili ukuthi kuzokwenzekani ngosuku lokuhlolwa. Udokotela uzokusiza ukhethe indlela efanelana kahle nomzimba wakho nezidingo zakho.

Ingabe lokhu kuwuvivinyo olubuhlungu?

Ngenxa yokuthi ungaphansi kwe-anesthesia, ngeke uzwe ubuhlungu ngaphakathi kwekholoni lakho. Lokhu kuyiqiniso ekususweni kwezicubu kanye nokwelashwa nge-laser. Kodwa-ke, lapho i-colonoscope idluliselwa kukholoni lakho , ungase uzizwe umuzwa omncane wegesi noma ukusunduzwa. Lokhu kungenxa yokuthi i-colonoscope ifutha ikholoni ngegesi encane ye-carbon dioxide ukuze ivumele umbono ongcono wengaphakathi lekholoni lakho. Kodwa-ke, lokhu ngokuvamile akubonakali kakhulu. Uzobekwa ohlangothini olulodwa lombhede wesibhedlela amadolo akho edonswe esifubeni sakho (indawo yengane), futhi ungase ulale ngisho.

Ubani owenza i-colonoscopy?

I-Colonoscopy ivame ukwenziwa udokotela wezifo zamathumbu noma udokotela ohlinzayo we-colorenteral. Bobabili laba odokotela bangochwepheshe ezifweni zesimiso sokugaya ukudla futhi baqeqeshwe ngokukhethekile ukwenza i-endoscopy. Laba odokotela ababheki nje ngaphakathi emzimbeni, kodwa bangathatha namasampula ezicubu futhi benze ukwelashwa okuncane uma kudingeka. Bafanelekile futhi ukuhlaziya imiphumela yokuhlolwa.

I-colonoscopy yenziwa kanjani ngempela?

I-colonoscope iyipayipi elide, elincane, eliguquguqukayo (elibizwa nangokuthi i-catheter ) elinekhamera encane kanye nokukhanya okunamathiselwe ekugcineni.

• Udokotela ufaka le colonoscope nge-anus yakho bese eyiqondisa emathunjini akho amakhulu, kuze kufike lapho ihlangana khona namathumbu amancane.
• Njengoba uyiphatha, umoya omncane ufakwa ngepayipi, ufutha amathumbu, okwenza ukwazi ukubona ngaphakathi ngokucacile.
• Izithombe ezivela kukhamera ziboniswa kusikrini. Udokotela ubheka isikrini ukuze abone ukuthi kukhona yini okungajwayelekile.
• Uma usufike ekugcineni kwekholoni, ikholonoscope iyakhishwa futhi, ukuze ukwazi ukuyibuka okwesibili.

Cabanga nje, lokhu kufana nokuthatha "uhambo" ngaphakathi kwamathumbu akho! Udokotela ubheka kuzo zonke izindawo.

Kuthatha isikhathi esingakanani i-colonoscopy?

Ngokuvamile kuthatha imizuzu eyi-15 ukufaka i-colonoscope ekugcineni kwe-colon kanye neminye imizuzu eyi-15 ukuyikhipha. Lokhu kusho ukuthi lonke i-colon lihlolwa kabili. Uma kutholakala okuthile okudingeka kususwe noma kuphathwe ngesikhathi senqubo, kuzothatha isikhathi eside. Ama-polyp avame kakhulu;Lokhu kutholakala cishe kuma-30% ama-colonoscopy avamile. Nakuba iningi lawo lingenawo umdlavuza, inqubo ejwayelekile iwukubasusa ngokushesha nje lapho litholakala. Lokhu kunganezela cishe imizuzu eyi-15 enkambisweni.

Kwenzekani ngemva kokuhlolwa?

Ngemva kokuhlolwa, uzogcinwa uqashwe esibhedlela cishe ihora nesigamu . Lokhu kwenzeka kuze kube yilapho uphinda uqaphile ngemva kokuhlinzwa. Ithimba lezokwelapha lizoqhubeka nokuqapha izimpawu zakho ezibalulekile futhi liqaphele noma yiziphi izimpawu zezinkinga. Ngemva kokuphinda uqaphile, udokotela uzofika akutshele ngalokho okubonwe ngesikhathi sokuhlolwa kanye nokwelashwa okunikeziwe. Uzothola umbiko osemthethweni kamuva, kungaba ngeposi noma nge-elekthronikhi. Uma kuthathwe isampula yezicubu (i-biopsy) , imiphumela izothatha izinsuku ezimbalwa ukubuya.

Kuthatha isikhathi esingakanani ukululama?

Kuthatha cishe amahora angama-24 ukuthi umuthi wokubulala izinzwa uphele ngokuphelele. Yingakho odokotela bethi akufanele ushayele, usebenzise imishini, noma wenze izinqumo ezibalulekile kuze kube usuku olulandelayo. Kodwa uzozizwa ungcono kakhulu emahoreni alandelayo. Ungase uzwe ukuqunjelwa, ubuhlungu begesi, noma isicanucanu ihora lokuqala noma amabili, kodwa lokhu kuzophela ngokushesha. Ungaqala ukudla ngendlela evamile ngokushesha nje lapho uzizwa ungcono. Uma udokotela ekhiphe izicubu, ungase uphume igazi endunu izinsuku ezimbalwa. Lokhu kuvamile.

Ingabe zikhona izingozi ezihilelekile?

Izinkinga nezingozi azivamile , kodwa zingaba khona. Zihlanganisa:

• Umonakalo odongeni lwamathumbu akho , njengokudabuka.
• Ukopha okungalawuleki lapho kususwa izicubu.
• Uhlobo oluhlukile lokutheleleka oludinga ama-antibiotic .
• Impendulo engavamile ku-anesthesia .

Izinto ezinjengalezi azivamile ukwenzeka, kodwa kuhle ukuqaphela.

Imibiko iphuma nini?

Uzothola imiphumela yakho eminingi ngalolo suku . Udokotela uzokwazi ukukutshela ukuthi ubone ini, ukuthi yiziphi izindlela zokwelapha ezinikeziwe, nokuthi ziphumelele yini. Uma i-biopsy ithathwe yathunyelwa elabhorethri, imiphumela izothatha izinsuku noma amasonto ambalwa ukuthi ibuye. Ukuthi nje i-biopsy ithathwe yathunyelwa elabhorethri akusho ukuthi udokotela usola umdlavuza. Kungaba nje isinyathelo sokuqapha, noma kungase kufune okunye, njenge -microscopic colitis . Udokotela uzokutshela ukuthi yini ongayilindela.

Yiziphi imiphumela engavamile?

Imiphumela engavamile ingafaka:

• Ukopha okungalawuleki kwesisu .
• Ama-polyp angenabungozi, angaphambi komdlavuza, noma anomdlavuza.
• Ukuvuvukala (i-colitis) okubangelwa ukutheleleka, ischemia, noma isifo sokuzivikela komzimba.
• Ukulimala kwezicubu okungapheli njengokuqhekeka kwezibazi.
• Ukuvaleka kwamathumbu noma i-stenosis .
• Izikhwama ezingavamile odongeni lwamathumbu (i-diverticulosis) .

Udokotela wakho uzokhuluma nawe ngale miphumela nokuthi isho ukuthini.

Zikhona yini ezinye izindlela zokuthola umdlavuza we-colorectal?

Yebo, kunezinye izivivinyo eziningana zokuhlola umdlavuza we-colorectal. Kodwa-ke, i-colonoscopy ukuhlolwa okubucayi kakhulu. Okusho ukuthi, inethuba eliphezulu lokuthola umdlavuza noma isimo esingaphambi komdlavuza esigabeni sayo sokuqala. Ukuthola umdlavuza kusenesikhathi kubaluleke kakhulu ekuvimbeleni nasekuwelapheni ngempumelelo. Futhi, i-colonoscopy ukuphela kokuhlolwa okungaxilonga nokwelapha lesi sifo ngesikhathi esifanayo. Uma odokotela bethola izicubu ezisolisayo ngesikhathi se-colonoscopy, bangazisusa ngesikhathi sokuhlolwa.

Ezinye izindlela zokuhlola umdlavuza:

• Ukuhlolwa kwegazi elingabonakali lendle (FOBT): Lokhu kuhilela ukuthatha isampula yendle yakho bese ubheka izimpawu zomdlavuza. Kunezindlela eziningana zokubheka igazi esitofini sakho. Olunye uhlobo luze luhlaziye i-DNA esitofini sakho ukuze lubone ukuthi kukhona yini izinguquko ezingase zibonise umdlavuza. Lokhu kuhlolwa kufanele kwenziwe njalo eminyakeni eyodwa kuya kwemithathu . Uma kutholakala umphumela omuhle kulokhu kuhlolwa, isinyathelo esilandelayo i-colonoscopy kanye ne-biopsy .
• I-colonoscopy ebonakalayo: Lolu uhlobo lwe -CT scan . Lungathatha izithombe ezicacile kakhulu, ezinezinhlangothi ezintathu (3D) zekholoni lakho. "Luyi-virtual" ngoba lubheka ingaphakathi lekholoni lakho kusetshenziswa izithombe ezithathwe ngaphandle komzimba wakho. Njenge-colonoscopy evamile, ludinga nokulungiswa kwamathumbu. Kodwa aludingi i-anesthesia. Odokotela batusa ukuba nalolu vivinyo njalo eminyakeni emihlanu .

Ngakho-ke yiziphi izinzuzo ze-colonoscopy?

Izinzuzo ze-colonoscopy yendabuko yilezi:

• Ukuzwela okuphezulu: Kunethuba elikhulu lokubona izinguquko zomdlavuza ngokushesha.
• Ukuxilongwa, ukwelashwa kanye nokuvimbela konke: Uma ezinye izivivinyo zibuya zilungile, i-colonoscopy yendabuko isadingeka ukuqinisekisa nokwelapha umdlavuza.
• Kudingeka kwenziwe kanye kuphela eminyakeni eyi-10: Uma imiphumela yakho ijwayelekile, ngeke kudingeke ukuthi uphinde uhlolwe isikhathi esithile.

I-colonoscopy ingaxilonga, yelaphe, futhi ivimbele izifo ngesikhathi esisodwa. Lokhu kungase kungabonakali njengento enkulu uma ungenayo, kodwa uma unayo, kungenza umehluko omkhulu. Umdlavuza we-Colorectal uwumdlavuza ovamile eSri Lanka. Ungavinjelwa, kodwa udinga ukutholwa kusenesikhathi. Nge-colonoscopy, odokotela bangathola futhi baphathe umdlavuza ngaphambi kokuba ukhule, usakazeke, noma ubangele izimpawu. Uma imiphumela yakho imihle, kungadingeka ukuthi wenziwe njalo eminyakeni eyi-10.

Okokugcina, izinto ezibaluleke kakhulu okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, uma wake wesaba i-colonoscopy, ngithemba ukuthi usuyiqonde kangcono. Nakuba kungase kubonakale kungakhululekile kancane, kungaba ukuhlolwa okuwusizo kakhulu, okusindisa impilo yakho .

• Ukutholwa kusenesikhathi kungcono kakhulu: ikakhulukazi ezifweni ezifana nomdlavuza we-colorectal.
• Lungiselela njengoba udokotela esho: kubalulekile ukuthi isivivinyo siphumelele.
• Ungakhathazeki: ngeke uzwe ubuhlungu ngenxa yomuthi wokubulala izinzwa.
• Buza udokotela wakho uma unemibuzo: Susa noma yikuphi ukungabaza ongase ube nakho.

Uma uneminyaka engaphezu kwengu-45 ubudala, noma uma othile emndenini wakho eke waba nomdlavuza wamathumbu amakhulu, khuluma nodokotela wakho futhi ucabangele ukwenza i-colonoscopy. Impilo yakho isezandleni zakho!

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I- Colonoscopy, umdlavuza wamathumbu amakhulu, i-endoscopy, ukuhlolwa kwamathumbu, ukuhlolwa komdlavuza, uhlelo lokugaya ukudla, ukuhlolwa kwezokwelapha