Wake wezwa 'ngama-polyp ekholoni', noma ukukhula okuncane okukhula emathunjini amakhulu? Mhlawumbe udokotela wakho ukutshelile ngawo, noma mhlawumbe uke wawazwa ndawana thize. Kuvamile ukuzizwa wesaba kancane uma uzwa leli gama. Kodwa uma ukwazi ngempela lokhu, ungagwema izinkinga eziningi ezinkulu zempilo. Ngakho-ke namuhla, ake sixoxe ngalokhu kalula nangendlela enobungane.
Ayini ngempela ama-polyp ekholoni?
Kalula nje, lezi yizimila ezincane ezakha ulwelwesi lwangaphakathi lwamathumbu amakhulu (ikholoni), okuyingxenye yesimiso sethu sokugaya ukudla. Cabanga ngazo njengezimila ezincane esikhumbeni. Iningi lazo alinangozi futhi alibangeli izinkinga. Kodwa-ke
, ezinye izinhlobo zezimila zingakhula zibe umdlavuza wamathumbu amakhulu uma zingelashwa isikhathi eside. Yingakho odokotela bencoma ukususa lezi zimila ngokushesha nje lapho sezitholakala.
Zivame kakhulu kangangokuthi kukholakala ukuthi phakathi kuka-15% no-40% wabantu abadala bangase babe nazo. Ingozi iphezulu kancane kubantu abangaphezu kweminyaka engu-50 kanye nakwabesilisa.
Kungani lokhu kwenzeka? Ubani osengozini enkulu?
Esikhathini esiningi, la mathumba abangelwa izinguquko (ukuguqulwa kwezakhi zofuzo) kumaseli ethu. Kodwa odokotela abasazi kahle ukuthi kungani lezi zinguquko zenzeka. Nakuba noma ubani engazithuthukisa, abanye abantu basengozini enkulu. Bona ukuthi la maqiniso ayasebenza yini kuwe:
- Uma kukhona emndenini oke waba nezimila zamathumbu noma umdlavuza ngaphambilini.
- Uma uneminyaka engu-50 noma ngaphezulu .
- Uma ukhuluphele ngokweqile ( i-BMI engaphezu kuka-25) noma ukhuluphele ngokweqile (i-BMI engaphezu kuka-30).
- Uma ubhema .
- Uma uphuza utshwala (ikakhulukazi kakhulu ngosuku).
- Uma ujwayele ukudla okunamafutha amaningi kanye ne-fiber encane .
- Uma uke waba nesimila esifana nalesi noma umdlavuza wamathumbu amakhulu.
- Uma unesifo samathumbu esivuvukalayo njenge-Ulcerative Colitis noma isifo sikaCrohn.
- Uma unesifo sikashukela sohlobo lwesibili esingalawuleki kahle.
- Ukuzivocavoca okuncaneUma uphila impilo enempilo.
Ngaphezu kwalokho, ezinye izimo ezingavamile zofuzo zingandisa ingozi yalezi zimila kanye nomdlavuza. Isibonelo, izimo ezifana ne-`(Familial Adenomatous Polyposis - FAP)` kanye ne-`(Lynch syndrome)`. Uma unomlando womndeni walokhu, kubaluleke kakhulu ukukhuluma nodokotela wakho ngakho.
Ingabe ukudla nokuphuza kuyayithinta?
Yebo, kukhona umphumela othile. Izifundo zikhombisile ukuthi ukunciphisa ukudla okufana nalokhu kunganciphisa ingozi:
- Inyama ecutshunguliwe - njengesoseji nebhekoni.
- Inyama ebomvu - njengenyama yenkomo nengulube.
- Ukudla okunamafutha - ukudla okuthosiwe kakhulu.
Ingabe kunezinhlobo ezahlukene zala mantongomane?
Yebo, akuzona zonke izimila ezifanayo. Futhi akuzona zonke izimila ezinomdlavuza. Odokotela bazihlukanisa ngokuzibuka ngaphansi kwe-microscope. Ake sibheke ngokushesha izinhlobo eziyinhloko.
| Uhlobo lwe-Polyp | Incazelo nokubaluleka |
|---|
| Ama-polyp e-Adenomatous | Lezi yizinhlobo ezivame kakhulu (cishe u-70%). Iningi lomdlavuza wamathumbu amakhulu liqala kulezi zinhlobo zamathumba. Kodwa kuthatha iminyaka ukuthi akhule abe umdlavuza. Kukhona nezinhlobo ezincane zalezi, kuye ngesimo sazo. |
| Ama-polyp ahlanganisiwe | Leli gama livela eqinisweni lokuthi imiphetho yalezi zilonda ifana namazinyo esaha. Ezinye zalezi zinhlobo zezilonda zingaphenduka umdlavuza. Lezi zibhekwa njengesimo esingaphambi komdlavuza. |
| Ama-polyp angenapulasitiki | Lezi zivame ukuba zincane futhi zinomngcipheko ophansi kakhulu wokuba nomdlavuza. Ngakho-ke akukho okufanele ukhathazeke ngakho. |
| Ama-polyp okuvuvukala | Lezi akuzona izimila zangempela. Zakheka ngenxa yokuvuvukala kwesikhathi eside emathunjini. Aziguquki zibe umdlavuza. |
Zibukeka kanjani lezi zinambuzane?
Udokotela angathola umbono othile ngobucayi balezi zimila ngokusekelwe ekubukekeni kwazo, usayizi, kanye nesimo sazo.
- Usayizi: Ngokuvamile, uma isimila sikhulu , kulapho ingozi yokuba umdlavuza iba nkulu khona.
- Isimo: Ezinye zithambile, zinamathele odongeni lwamathumbu. Ezinye zigobile. Lezi zinhlobo zamathumba kulula ukuzisusa.
Ziyini izimpawu?
Nansi into ebalulekile.
Esikhathini esiningi, ama-polyp ekholoni awabangeli zimpawu! Ungase ungazi nokuthi unazo. Uzothola uma usuhlolwe ngesinye isizathu. Kodwa-ke, ngezinye izikhathi ungase ube nezimpawu ezifana nalezi:
- Igazi esitulweni: Uma ubona amabala egazi endlini yangasese noma uma kukhona igazi ephepheni lendlu yangasese, kungaba uphawu lokopha ngaphakathi kwamathumbu.
- Ukushintsha kombala wendle: Uma indle imnyama noma inemigqa ebomvu, ingase ibe negazi.
- Ukuqunjelwa noma isifo sohudo esihlala isikhathi esingaphezu kwesonto.
- Ubuhlungu besisu.
- Ukukhathala nokukhathala okukhulu: Njengoba ama-cyst ephuma kancane kancane, i-anemia yokuntuleka kwensimbi ingavela, okuholela ezimpawini ezinjengalezi.
Okubalulekile: Uma unalesi sibonakaliso, akusho ukuthi unesimila samathumbu amakhulu. Kungaba nezinye izimbangela ezilula, njenge-hemorrhoids. Kodwa kubalulekile ukubona udokotela wakho ngokushesha ukuze uthole ukuthi yini ngempela ebangela lesi sifo. Ungasidluli.
Zitholakala futhi zelashwa kanjani lezi zifo?
Ukuthola lezi zimila kusenesikhathi kuyindlela engcono kakhulu yokuvimbela umdlavuza. Kunezindlela eziningana zokuhlola lokhu.
| Ukuhlolwa | Kalula nje... |
|---|
| I-Colonoscopy | Lena "iGold Standard".Uzonikezwa i-anesthesia futhi wonke umphimbo wakho uzohlolwa kusetshenziswa ipayipi elincane neliguquguqukayo elinekhamera enamathiselwe. Uma kutholakala noma yiziphi izimila, zingasuswa ngokushesha. Zizobe sezithunyelwa ukuze kuhlolwe amaseli omdlavuza. |
| I-Colonoscopy Ebonakalayo (i-CT Colonography) | Lokhu kwenziwa kusetshenziswa ubuchwepheshe be-CT scan. Akukho payipi elifakwa emzimbeni. Kodwa-ke, alikwazi ukususa izimila. Uma kukhona izimila, kuzodingeka kwenziwe i-colonoscopy ukuze zisuswe. |
| I-Sigmoidoscopy (i-Sigmoidoscopy eguquguqukayo) | Lokhu kufana ne-colonoscopy, kodwa kuhlolwa ingxenye engezansi ye-colon kuphela. |
| Ukuhlolwa Kwesitulo | Ukuhlolwa okubheka inani elincane legazi esitulweni (FIT/FOBT). Uma lokhu kutholakala ukuthi kuyiqiniso, kuzodingeka i-colonoscopy nakanjani. |
Ukwelashwa ukususa i-polyp (i-polypectomy). Lokhu kungenziwa kaningi ngesikhathi sokuhlolwa kwe-colonoscopy, futhi akubuhlungu. Uma i-polyp isisusiwe ngokuphelele, mancane amathuba okuthi ibuye. Kodwa-ke,
kubalulekile ukuhlolwa njalo njengoba udokotela wakho encoma (isib. njalo eminyakeni emi-3-5), njengoba ama-polyp amasha engase akhule. Yini engenziwa ukuze kuvinjelwe lokhu?
Nakuba singenakukwazi ukushintsha izimbangela zofuzo, singayinciphisa ingozi ngendlela yokuphila enempilo.
- Yidla ukudla okucebile ngezithelo, imifino, kanye nokudla okune-fiber (ubhontshisi, udali, ubhontshisi) .
- Uma ukhuluphele kakhulu, zama ukunciphisa isisindo .
- Nciphisa inyama ebomvu, inyama ecutshunguliwe, kanye nokudla okunamafutha.
- Vivinya umzimba njalo.
- Gwema ukubhema nokuphuza utshwala ngokweqile.
- Khuluma nodokotela wakho ukuze uqiniseke ukuthi uthola i-calcium ne-vitamin D eyanele.
- Uma uneminyaka engaphezu kwengu-50, noma unomlando womndeni wengozi, khuluma nodokotela wakho mayelana nokuhlolwa.
Umlayezo Wokuya Nawe Ekhaya
- Ama-polyp ekholoni akuyona into okufanele uyesabe njengoba ungase ucabange, kodwa futhi akuyona into okufanele ungayinaki.
- Esikhathini esiningi, azikho izimpawu, ngakho-ke ukuhlolwa njengoba ukhula kubaluleke kakhulu.
- Lokhu kungatholakala futhi kususwe ngokushesha nge-colonoscopy.
- Ukushintsha indlela yokuphila elula kunganciphisa ingozi yokuba nalezi zinkinga.
- Uma unezimpawu ezisolisayo, njengegazi esitulweni sakho, ungesabi futhi ubone udokotela wakho ngokushesha.
Ama-polyp ekholoni, i-colonoscopy, igazi esitulweni, ubuhlungu besisu, umdlavuza wamathumbu
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