Wake wezwa isihlobo noma umngane ethi, "Nginesimila esincane emathunjini ami?" Noma ingabe udokotela wake wakutshela ngento efana naleyo? Uma sizwa amagama athi "ama-colon polyps," abaningi bethu bacabanga ngomdlavuza. Kodwa ingabe wonke la mathunjini awumdlavuza ngempela? Kungani akheka? Ingabe kufanele siwesabe? Kulungile, namuhla sizothola izimpendulo zayo yonke imibuzo onayo ngalokhu. Ungakhathazeki, ngizokuchazela ngendlela elula kakhulu.
Kalula nje, ayini la ma-polyp amathumbu amakhulu?
Cabanga ngekholoni yethu njengepayipi elide. Ukukhula okuncane, okunenyama okukhula ongqimbeni lwaleli payipi kubizwa ngokuthi "ama-Colon Polyps." Uma sikhuluma iqiniso, lokhu ukukhula okungavamile kwamaseli akhule ndawonye.
Lezi zingafika ngezimo ezahlukahlukene. Ezinye zifana namabhola amancane e-wax, ane-" head " kanye ne-"stem". Odokotela bazibiza ngokuthi "zine-pedunculated." Ezinye ziyisicaba, ziphakanyisiwe njengeqhubu, azinaso isiqu. Zibizwa ngokuthi "sessile."
Into ebalulekile ukuthi ukuba nesimila emathunjini akho akusho ukuthi unomdlavuza. Iningi lalezi zimila ezingenangozi, ezingenangozi. Kodwa-ke, ezinye izinhlobo zezimila, uma zingalashwa isikhathi eside, zinethuba elincane lokuba nomdlavuza. Yingakho odokotela benza i-colonoscopy ukuhlola lezi zimila. Khumbula, cishe zonke izinhlobo zomdlavuza emathunjini ziqala ngesimila esincane. Ngakho-ke uma sisusa isimila kusenesikhathi, singavimba umdlavuza ukuthi ungakhuli.
Ingabe kunezinhlobo ezahlukene zala mantongomane?
Yebo, lezi zimila zihlukaniswa ngezindlela ezahlukene. Ukuhlukaniswa okubaluleke kakhulu ukuthi isimila singaba yini umdlavuza noma cha. Lokhu kunqunywa udokotela ngemva kokuhlola isimila esisusiwe ngaphansi kwe-microscope.
| Uhlobo lwe-Polyp | Kusho ukuthini lokhu? (Kusho ukuthini lokhu?) |
|---|---|
| Izinhlobo ezingaphenduka umdlavuza (ama-Neoplastic Polyps) | |
| Ama-polyps e-Adenomatous | Lezi yizinhlobo ezivame kakhulu zomdlavuza wamathumbu amakhulu. Cishe ama-75% omdlavuza wamathumbu amakhulu aqala ngalezi zinhlobo zamathumba. Ngakho-ke, uma ubona lawa, asuswa nakanjani. |
| Ama-Polyps Ahlanganisiwe | Lolu hlobo luphinde lube nengozi yomdlavuza, ikakhulukazi izinhlobo ezimbili ezibizwa ngokuthi "izilonda ezifakwe i-Sessile" kanye "ne-Traditional serrated adenomas". |
| Izinhlobo ezingavamile ukuphenduka umdlavuza (ama-Polyps angewona ama-neoplastic) | |
| Ama-polyp e-Hyperplastic | Lezi zivame ukuba zincane futhi azibeki ingozi yomdlavuza. |
| Ama-Polyps Okuvuvukala | Lezi akuzona ngempela izimila. Zifana nesibazi esisala ngemva kokuba isilonda sipholile. Aziguquki zibe umdlavuza. |
| Ama-Hamartoma | Lokhu ngokuvamile akulona uhlobo lomdlavuza. |
Into ebaluleke kakhulu ukuthi udokotela wakho kuphela ongakutshela ukuthi hlobo luni lwesimila onaso nokuthi siyingozi kangakanani. Ngakho ungakhathazeki ngokuqagela.
Kuvamile kangakanani ukuthi la mathumba akhule?
Lokhu kuvame kakhulu kunalokho okucabangayo. Ikakhulukazi njengoba ukhula. Cabanga nje, cishe abantu abadala abangu-20%, noma cishe umuntu oyedwa kwabahlanu, bangaba nalezi zimila. Le ngozi iyanda kakhulu ngemva kweminyaka engu-50. Cishe abantu abangu-40% baleyo minyaka, noma cishe abangu-40 kwabayi-100, bangaba nalezi zimila.
Kodwa ungakhathazeki. Njengoba ngishilo ngaphambili, iphesenti elincane kakhulu lala mathumba liphenduka umdlavuza. Futhi lokho kuthatha isikhathi eside kakhulu. Ngokuvamile cishe iminyaka eyi-10 kuya kwengama-20. Okuwukuphela kwento esiyenzayo ngokuhlolwa kwe-"(Colonoscopy)" ukuthola nokususa la mathumba phakathi naleso sikhathi, ukuvimbela umdlavuza ukuthi ungakhuli.
Ngingazi kanjani ukuthi nginalezi zimpawu? Ziyini izimpawu?
Lena yinto eyingozi kakhulu futhi ebaluleke kakhulu ngalokhu. Esikhathini esiningi, la mathumba awabonisi zimpawu. Yebo, ungase ungazizwa umehluko noma ukungakhululeki. Ngesikhathi izimpawu ziqala ukuvela, isimila kungenzeka ukuthi sesiphenduke umdlavuza. Yingakho kubalulekile ukuhlolwa kusenesikhathi, ngaphandle kokulinda ukuthi kuvele izimpawu.
Kodwa-ke, akuvamile kakhulu ukuthi kuvele ezinye izimpawu. Lezi yizi:
- Igazi esitulweni: Ungase uqaphele igazi esitulweni sakho uma uya endlini yangasese, noma ungase ubone igazi ephepheni lendlu yangasese. Ngezinye izikhathi lokhu kuphuma kwegazi akubonakali emehlweni. Kodwa uma uqhubeka nokulahlekelwa igazi kancane kancane, ungase ube ne- anemia yokuntuleka kwensimbi . Khona-ke ungase uzizwe ukhathele ngaso sonke isikhathi, uphaphathekile, futhi uphaphathekile.
- Ushintsho emikhubeni yamathumbu: Ungase uhlaselwe ukuqunjelwa noma isifo sohudo ngokuzumayo ngaphandle kwesizathu esicacile. Ungase futhi ubone amafinyila amaningi esithweni sakho sangasese kunangaphambili.
Lezi zimpawu zingabangelwa ezinye izifo eziningi. Ngakho-ke ungesabi uma uzibona. Kodwa uma ubona into efana nale, qiniseka ukuthi ubona udokotela umtshele ngayo.
Kungani la mathumba akheka? Yiziphi izinto ezibangela ingozi?
Isizathu esiyinhloko salokhu izinguquko ezakhiweni zethu zofuzo (ukuguqulwa kwezakhi zofuzo). Kalula nje, amangqamuzana angaphakathi kwamathumbu ethu avuselelwa njalo. Lapho lawa maseli ehlukana futhi akha amasha, ngezinye izikhathi kwenzeka amaphutha amancane. Amangqamuzana angajwayelekile akheka ngenxa yalawo maphutha yiwo akhula abe yizimila.
Kunezici eziningana ezandisa le ngozi. Ake sizibheke etafuleni.
| Isici Sengozi | Incazelo elula |
|---|---|
| Izinto Ezingalawuleki | |
| Ukuguga | Ingozi iyanda kakhulu ngemva kweminyaka engu-50. |
| Umlando womndeni | Uma umama wakho, ubaba wakho, noma izingane zakini sezike zaba nalezi zimila noma umdlavuza wamathumbu amakhulu, nawe usengozini enkulu. |
| Izimo zofuzo | Ezinye izifo ezingavamile zofuzo, njenge-"Familial adenomatous polyposis (FAP)," zingabangela ukwakheka kwama-polyp amaningi emathunjini. |
| Izici Zokuphila Ezilawulwayo | |
| Ukudla | Ukudla amafutha amaningi, amafutha, kanye nenyama ebomvu (inyama yenkomo, ingulube) kanye ne-fiber encane kakhulu (imifino, imifino, izithelo). |
| Ukubhema notshwala | Zombili lezi zinto zandisa kakhulu ingozi yezimila zamathumbu amakhulu kanye nomdlavuza. |
| Ukuntuleka kokuzilolonga kanye nokukhuluphala ngokweqile | Ukuncipha komsebenzi womzimba kanye nokukhuluphala nakho kuyizinto eziyingozi kakhulu. |
| Ezinye izimo zezokwelapha | Abantu abanesifo sikashukela kanye nesifo samathumbu esivuvukalayo nabo basengozini enkulu. |
Udokotela uzixilonga futhi azelapha kanjani lezi zifo?
Indlela engcono kakhulu nenembile yokuthola lezi zimila iwukusebenzisa i-colonoscopy .
Kuyini ukuhlolwa kwe-colonoscopy?
Abantu abaningi bathola lokhu kuhlolwa kusabisa futhi kungakhululeki. Kodwa akwesabisi njengoba ungase ucabange. Kuhilela ukukunikeza i-anesthesia (njengokulala okuncane), ukufaka ipayipi elincane, eliguquguqukayo elinekhamera exhunywe ngendunu yakho, nokuhlola ingaphakathi layo lonke ithumbu lakho.
Inzuzo enkulu yalolu vivinyo ukuthi,Uma udokotela ebona i-polyp, angadlulisa ithuluzi elincane ngepayipi alisike bese elikhipha ngenkathi enza ukuhlolwa. Lokhu kubizwa ngokuthi "i-Polypectomy". Lokhu kusho ukuthi kokubili ukuxilongwa kanye nokwelashwa kungenziwa ngesikhathi esisodwa.
Isimila esisusiwe sibe sesithunyelwa "ukuyohlolwa." Lokhu kusho ukusibheka ngaphansi kwe-microscope ukuze kutholakale ukuthi siluhlobo luni lwesimila nokuthi sinamangqamuzana omdlavuza yini.
Ingabe kukhona okunye ukuhlolwa?
Yebo, kunezivivinyo zokuhlola igazi elifihliwe esitulweni, njenge-`(Ukuhlolwa kwendle)` kanye ne-`(I-Virtual colonoscopy)`, kanye ne-`(I-CT scan)`. Kodwa uma noma iyiphi yalezi zindlela isola isimila, ekugcineni kuzodingeka ukuthi kwenziwe i-`(I-Colonoscopy)` ukuze isisuse.
Kwenzekani ngemva kokwelashwa?
Ngemva kokususwa kwama-cyst akho, udokotela wakho uzonquma ukuthi i-colonoscopy yakho elandelayo kufanele yenziwe nini ngokusekelwe emiphumeleni ye-biopsy. Kungaba ngonyaka, eminyakeni emi-3, emi-5, noma eyi-10. Kuya ngenani, uhlobo, usayizi, kanye nezinye izinto eziyingozi zama-cyst onawo.
Singakwazi yini ukuvimbela ukwakheka kwalezi zimila?
Asikwazi ukushintsha izinto ezifana nezici zofuzo nokuguga, kodwa singayinciphisa nakanjani le ngozi ngokushintsha indlela yethu yokuphila.
- Ukudla okuhle: Faka imifino ecebile nge-fiber, imifino, izithelo, kanye nokusanhlamvu okuphelele ekudleni kwakho. Lawula uwoyela, amafutha, ushukela, kanye nenyama ebomvu.
- Ukuzivocavoca: Thola okungenani imizuzu engama-30 yokuzivocavoca okukhulisa ukujuluka ngosuku. Ngisho nokuhamba kuhle.
- Gcina isisindo esinempilo.
- Yeka ukubhema notshwala ngokuphelele. Lokhu kuzokuvikela hhayi nje kuphela kumdlavuza wamathumbu amakhulu, kodwa nakwezinye izifo eziningi.
Ungakuhlehlisi ukwenza i-colonoscopy ngenxa yokwesaba noma ukungabaza. Kungasindisa impilo yakho. Ukuthola isimila nokusisusa kusho ukuthi usususe okuthile obekungakukhathaza.
Umlayezo Wokuya Nawe Ekhaya
- Ama-polyp ekholoni avame kakhulu kunalokho ongakucabanga, ikakhulukazi njengoba ukhula. Iningi lalawa awawona umdlavuza.
- Lezi zimila zivame ukungabi nazimpawu, ngakho-ke ukuhlolwa ngesikhathi esifanele kubaluleke kakhulu.
- I-Colonoscopy iyindlela engcono kakhulu yokuthola lezi zimila bese uzisusa ngokushesha .
- Uma unegazi esitulweni sakho noma ushintsho olusheshayo endleleni yakho yokuzilungisa, ungesabi futhi ubone udokotela wakho.
- Unganciphisa ingozi yakho ngokuphila impilo enempilo (ukudla okuhle, ukuvivinya umzimba, nokugwema ukubhema notshwala).
- Ungaphuthelwa ukuhlolwa kwakho okuvamile, njengoba udokotela wakho esikisela. Leyo yindlela engcono kakhulu yokuzivikela.
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