Uma ubona igazi elincane uma uya endlini yangasese, noma uma unesihlungu esingajwayelekile esiswini sakho, kuyinto evamile ukuzizwa wesaba kancane. "Ingabe lo ngumdlavuza wamathumbu amakhulu?" Ukungabaza kungase kube sekhoneni lengqondo yakho. Lona umbuzo abantu abaningi abanawo. Ngakho-ke namuhla, ake sixoxe ngeminye yemibuzo evamile onayo mayelana nomdlavuza wamathumbu amakhulu, ngendlela elula kakhulu nenobungane.
Ngicishe ngibe neminyaka engu-50 futhi akekho emndenini wami oke waba nomdlavuza. Ingabe kufanele ngihlolwe?
Lona umbuzo obaluleke kakhulu. Uma kungekho muntu emndenini wakho oke waba nomdlavuza wamathumbu noma ama-polyps, ubhekwa "njengosengozini evamile." Ngokuvamile, abesilisa nabesifazane abasengozini evamile bayanconywa ukuthi baqale ukuhlolwa kwalomdlavuza ngemva kweminyaka engu-50 .
Kalula nje, lezi zivivinyo zenzelwe ukuthola nokususa amahlumela amancane (ama-polyp) ngaphambi kokuba akhule abe umdlavuza. Lokhu kungavimbela umdlavuza ukuthi ungakhuli.
Manje ake sibone ukuthi lezi zivivinyo ziyini. Ungakhuluma nodokotela wakho bese ukhetha isivivinyo esikufanele kakhulu.
| Igama lokuhlolwa | Indlela yokukwenza kalula | Isikhathi sokwenza (izingozi ezimaphakathi) |
|---|---|---|
| I-Colonoscopy | Lena yindlela enembile nenconywayo kakhulu. Ipayipi eliguquguqukayo elinekhamera encane enamathiselwe lifakwa nge-anus bese kuhlolwa lonke ikholoni. Uma kutholakala noma yimaphi ama-polyp, angasuswa ngesikhathi esifanayo. | Kanye njalo eminyakeni eyi-10. |
| I-Sigmoidoscopy eguquguqukayo | Kufana ne-colonoscopy, kodwa kuhlolwa ingxenye engezansi yamathumbu amakhulu kuphela. | Kanye njalo eminyakeni emi-5. |
| Ukuhlolwa Kwama-Fecal Immunochemical (FIT) | Ukuhlolwa okubheka igazi elingabonakali esibonelweni sendle. Lokhu kungenziwa ekhaya. | Njalo ngonyaka. |
| Ukuhlolwa kwe-DNA yesihlalo | Isampula yendle ihlolwa ukuze kutholakale izinguquko zofuzo (izinguquko ze-DNA) ezivela kumaseli omdlavuza. | Kanye njalo eminyakeni emi-3. |
Ngikhiphe igazi ngenkathi ngiya endlini yangasese. Ingabe lokhu kungaba umdlavuza?
Igazi esitulweni uma uya endlini yokugezela lingaba uphawu lokuqala lomdlavuza wamathumbu amakhulu. Kodwa ungakhathazeki. Esikhathini esiningi, lokhu akubangelwa umdlavuza uqobo. Ezinye izimo, njenge-hemorrhoids (ama-piles), nazo zingabangela lolu hlobo lokopha.
Into ebaluleke kakhulu ukuthi, uma ubona igazi uma uya endlini yangasese, ungalishayi indiva. Ukuze uthole ukuthi imbangela iyini ngempela, qiniseka ukuthi ubona udokotela wakho. Uzokuhlola futhi akutshele ukuthi yini edingekayo.
Ngaphezu kwalokho, uma usola umdlavuza wamathumbu amakhulu, qaphela lezi zimpawu:
- Ushintsho emikhubeni yokuzithutha (ukuqunjelwa kakhulu noma indle ekhululekile kunangaphambili)
- Ubuhlungu besisu obungavamile noma ukungakhululeki okuzwakala sengathi yi-gastritis.
- Indlela yokuhamba kwendle incane njengepensela.
- Ukuzizwa sengathi isisu sakho asikapheli nhlobo, ngisho nangemva kokuya endlini yangasese.
- Ukwehlisa isisindo ngaphandle kwesizathu esithile.
- Ukukhathala okuqhubekayo kanye nokukhathala.
Bathi i-adenoma isusiwe ngesikhathi ngihlola ikholoni. Kuyini lokho?
Umbuzo omuhle. Kalula nje, i-adenoma iwukukhula okuncane, okungenawo umdlavuza (okungekuhle) okwakheka olwelwesini lwamathumbu amakhulu. Sivame futhi ukubiza lawa ma-polyp.
Lawa ma-adenoma abhekwa njengezimbangela zomdlavuza. Lokhu kusho ukuthi ngokuhamba kwesikhathi, amanye awo angaba umdlavuza. Kodwa into ebalulekile ukuthi akuwona wonke ama-adenoma aba umdlavuza. Eqinisweni, inani elincane kakhulu, cishe elilodwa noma amabili kwangu-100, aphenduka abe yingozi. Le nqubo ithatha iminyaka.
Uma udokotela ebona i-polyp efana nale ngesikhathi sokuhlolwa kwe-colonoscopy, kunzima ukubona ukuthi inomdlavuza noma cha. Ingozi iphezulu kakhulu kuma-polyp amakhulu. Ngakho-ke, ngaphandle kokuthatha noma yiziphi izingozi, odokotela basusa yonke i-polyp abayibonayo ngokushesha. Lena yindlela engcono kakhulu yokuvimbela umdlavuza.
Ungakwazi yini ukunciphisa ingozi yalo mdlavuza ngokushintsha indlela odla ngayo?
Yebo, ngezinga elithile kungenzeka. Kukhona ukuxhumana phakathi kokudla kanye nomdlavuza wamathumbu amakhulu.
Abantu abaningi bakholelwa ukuthi ukudla okune-fiber eningi kunganciphisa ingozi yomdlavuza. Nakuba ezinye izifundo zibonise umphumela omncane, kukhona ukuxhumana okucacile phakathi kokudla ukudla okunamafutha amaningi ne-cholesterol kanye nengozi eyengeziwe yomdlavuza.
Ngakho-ke, kuhle njalo ukudla ukudla okune-fiber eningi (imifino, izithelo, ubhontshisi, ilayisi le-bran) ngoba kusiza ekuvikeleni kwezinye izifo eziningi, njengesifo senhliziyo, umfutho wegazi ophakeme kanye nesifo sikashukela.
Khumbula, indlela engcono kakhulu yokuvimbela umdlavuza ukudla ukudla okunempilo, ukuvivinya umzimba (ukuzivocavoca), nokugcina isisindo esinempilo. Kubalulekile futhi ukuhlolwa njalo ngemva kweminyaka engu-50 (noma ngaphambi kwalokho uma kunomlando womndeni wengozi).
Wenzani ngokukhathala okukhulu okuza ngemva kokwelashwa komdlavuza?
Ukukhathala okuhlobene nomdlavuza kuyimiphumela emibi evamile yokwelashwa komdlavuza. Uma umyeni wakho, umkakho, noma othandekayo wakho enalesi simo, kunezinto ezimbalwa ongazenza ukuze umsize.
- Bhala phansi amazinga akho amandla: Cishe isonto lonke, bhala phansi ukuthi uzizwa ukhathele kakhulu nini nokuthi uzizwa unamandla kangakanani. Bhala futhi noma yiziphi izinto ocabanga ukuthi zingaba imbangela yalezi zinto.
- Yonga amandla: Hlela umsebenzi wakho kusenesikhathi. Beka eceleni isikhathi sokuphumula emini. Hlukanisa umsebenzi kunokuba uzame ukwenza okuningi kakhulu ngesikhathi esisodwa.
- Nikeza ukudla okunempilo: Kubaluleke kakhulu ukudla kahle ngesikhathi sokwelashwa. Kungcono ukubonisana nochwepheshe wezokudla ngalokhu.
- Ukuzivocavoca: Kungase kubonakale kungavamile, kodwa ukuzivocavoca okulula nokulingene kungasiza ekunciphiseni ukukhathala. Ngisho nento efana nokuhamba kahle. Kodwa khuluma nodokotela wakho ngaphambi kokuqala noma yiluphi uhlelo lokuzivocavoca.
- Nciphisa ukucindezeleka: Gxila ezintweni eziphumuza ingqondo yakho. Izinto ezifana nokuzindla, ukulalela umculo, noma ukufunda incwadi zingasiza.
- Khuluma nodokotela wakho: Nakuba lokhu kukhathala kuyinto evamile, kubalulekile ukutshela udokotela wakho ngakho. Ngezinye izikhathi kungaba uphawu lwenye inkinga yezempilo. Udokotela wakho angakweluleka nangemithi noma ezinye izindlela zokuphatha lokhu kukhathala.
Umlayezo Wokuya Nawe Ekhaya
- Kubaluleke kakhulu kubantu abasengozini evamile ukuqala ukuhlolwa komdlavuza wamathumbu ngemuva kweminyaka engama-50.
- Uma uzwa ukopha lapho uya endlini yangasese, kungenzeka ukuthi kungenxa yesinye isizathu, njenge-hemorrhoids, kodwa ungalokothi ungazinaki futhi ubone udokotela wakho ngokushesha.
- Ngesikhathi sokuhlolwa kwekholoni, amaqhubu amancane (ama-polyps/adenomas) ayasuswa ukuze kuncishiswe ingozi yokuthi abe umdlavuza esikhathini esizayo.
- Ukudla okunempilo, indlela yokuphila esebenzayo, kanye nokugcina isisindo esinempilo kunganciphisa ingozi yomdlavuza.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imiphumela emibi, njengokukhathala, engase ibangelwe ukwelashwa komdlavuza.
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