Uyayesaba i-colonoscopy? Ake sixoxe ngalokhu kalula.

Ingabe udokotela wakho ukutshelile ukuthi wenze i-colonoscopy? Kungenzeka ukuthi uzizwe wesaba futhi wethukile kancane lapho esho lokho. Kuvamile ukucabanga izinto ezinjengokuthi, "Kuyini lokhu? Ingabe kuzongilimaza? Angazi ukuthi ngenzeni." Kodwa lokhu akulona neze into okufanele uyesabe. Lokhu ukuhlolwa okubaluleke kakhulu empilweni yakho, ikakhulukazi ukukuvikela ezifweni ezimbi njengomdlavuza wamathumbu amakhulu. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda, njengokungathi ukhuluma nomngane.

Kalula nje, iyini i-colonoscopy?

Cabanga ukuthi udokotela ufuna ukubona into ethile emzimbeni wakho ongayiboni ngaphandle. I-colonoscopy injalo nje. Ihlola ingaphakathi lethumbu lakho elikhulu , okuyithumbu elikhulu kanye ne-rectum kanye ne-anus exhumene nalo.

Lokhu kwenziwa kusetshenziswa ipayipi elincane kakhulu neliguquguqukayo. Kukhona ikhamera encane kanye nokukhanya ekugcineni kwaleli payipi. Sibiza leli thuluzi ngokuthi 'ikholonoscope'. Leli payipi lifakwa nge-anus yakho bese lidlula kancane emathunjini akho amakhulu. Udokotela angabuka izithombe ezivela kukhamera esikrinini esikhulu. Kufana nokubuka uhlelo lwe-TV ngaphakathi kwekholoni lakho. Empeleni lolu uhlobo lokuhlolwa olubizwa ngokuthi i-endoscopy . I-endoscopy yinoma yiluphi ukuhlolwa okuhilela ukufaka ipayipi elinekhamera ngaphakathi emzimbeni wakho.

Kungani sidinga i-colonoscopy?

Kunezizathu ezintathu eziyinhloko zokwenza i-colonoscopy. Ngezinye izikhathi zonke lezi zizathu ezintathu zingahlangatshezwa ngokuhlolwa okukodwa.

1. Ukuvimbela Nokutholakala Kwasekuqaleni (Ukuhlola): Ukuthola isifo esingase sivele esikhathini esizayo, ikakhulukazi umdlavuza wamathumbu amakhulu, ngaphandle kwezimpawu.

2. Ukuxilongwa: Thola imbangela eqondile yesibonakaliso osuvele ubhekene naso (isib. ubuhlungu besisu, igazi esitulweni).

3. Ukwelashwa: Uma kutholakala inkinga ngesikhathi sokuhlolwa, yelaphe khona manjalo.

Ake sibheke ngayinye yalezi ngemininingwane ethe xaxa.

1. Thola izifo kusenesikhathi, noma ngabe azinazimpawu (Ukuhlolwa)

Abantu abaningi benza i-colonoscopy yabo yokuqala ngenxa yalesi sizathu. Njengoba bekhula, ingozi yokuba nomdlavuza we-colorectal iyanda kakhulu. Into eyingozi kakhulu ngalo mdlavuza ukuthi uvame ukungabonisi zimpawu ezigabeni zokuqala . Ngesikhathi izimpawu zivela, kungase kube sekwephuze kakhulu ukuwelapha.

Udokotela angase akuncomele i-colonoscopy kulezi zimo:

• Uma uneminyaka engaphezu kwengu-45 ubudala futhi ungakaze uhlolwe ngaphambili.
• Sekuphele iminyaka eyi-10 lokhu kuhlolwa kwenziwa okokugcina.
• Uma i-polyp isusiwe ngesikhathi se-colonoscopy yakho yokugcina.
• Uma kukhona emndenini wakho (umama, ubaba, izingane zakini) oke waba nomdlavuza wamathumbu amakhulu .
• Uma unesifo esizuzwe njengefa (isib. i-Familial Adenomatous Polyposis - i-FAP noma i-Lynch syndrome).
• Uma unesifo samathumbu esingamahlalakhona esivuvukalayo njenge-Inflammatory Bowel Disease (IBD).

2. Thola imbangela yezimpawu (Ukuxilongwa)

Ngezinye izikhathi ungase ube nezimpawu ezithile. Udokotela wakho udinga umbono ocacile ukuze athole ukuthi yini ngempela ebangela lezi zimpawu. I-colonoscopy ingabona ingaphakathi lamathumbu akho amakhulu ngokucacile kakhulu kunezinye izikena.

Udokotela angase asikisele i-colonoscopy uma unezimpawu ezifana nalezi:

• Igazi noma okunye ukuphuma endunu ngaphandle kwesizathu esibonakalayo.
• Ushintsho olungachazeki emikhubeni yakho yamathumbu (isib., uhudo oluqhubekayo, ukuqunjelwa).
• Ubuhlungu besisu obuqhubekayo ngaphandle kwesizathu esibonakalayo .
• Ukwehlisa isisindo ngaphandle kwesizathu.

Phakathi nalolu vivinyo, uma udokotela ebona indawo esolisayo, angathatha ucezu oluncane lwezicubu (i-biopsy) aluthumele elabhorethri. Lokhu kungasiza ekuqinisekiseni uhlobo oluqondile lwesifo.

3. Phatha ngesikhathi esifanayo nesivivinyo.

Lokhu kungenye yezinzuzo ezinkulu ze-colonoscopy. Uma udokotela ebona noma yiziphi izinkinga ngesikhathi sokuhlolwa, cishe angazilapha khona lapho.

• Ukususwa kwama-polyps: Ama-polyp ayizimila ezincane ezingavamile, ezakheka odongeni lwe-colon. Iningi lalawa awawona umdlavuza. Kodwa-ke, amanye angaba umdlavuza ngokuhamba kwesikhathi. Ngakho-ke, uma udokotela ethola i-polyp, uzoyisusa (i-'polypectomy'). Lokhu kungavimbela umdlavuza ukuthi ungakhuli esikhathini esizayo.
• Ukuphulukiswa kwenxeba: Izindawo ezincane zokopha zingavalwa.
• Umjovo: Ungajova umuthi ngqo ezindaweni ezidingekayo.
• Ukususa izithiyo: Isithiyo emathunjini singasuswa noma sandiswe.

Ungazilungiselela kanjani ukuhlolwa? (Ukulungiselela)

Lena yingxenye ebaluleke kakhulu yenqubo yonke kanye nengxenye lapho kuzodingeka usebenze kanzima khona . Ukuze ukuhlolwa kuphumelele, ikholoni yakho kumele ihlanzeke ngokuphelele. Kufana nokushanela nokusula indlu. Uma kukhona indle esele kukholoni, udokotela uzokwenzaNgeke ukwazi ukubona kahle ngaphakathi. Uma lokho kwenzeka, hlehlisa ukuhlolwa, futhi kungase kudingeke ukuthi uphinde udlule kule nqubo yokulungiselela.

Udokotela wakho noma isibhedlela sizokunikeza isethi yemiyalelo okufanele uyilandele. Kubaluleke kakhulu ukuyilandela ngqo. Ngokuvamile, kuba kanje:

1. Ukudla: Uzocelwa ukuba udle ukudla okune-fiber encane izinsuku ezimbili kuya kwezintathu ngaphambi kokuhlolwa. Lokhu kusho ukuthi ugweme izinto ezifana nemifino eluhlaza, imifino eminingi, nezithelo, futhi udle izinto ezifana nesinkwa, ilayisi, nesobho.

2. Ukudla okuwuketshezi: Ngosuku olungaphambi kokuhlolwa, kuvunyelwe ukudliwa uketshezi kuphela. Isibonelo, amanzi, iphalishi elinosawoti, isobho elicacile, kanye nama-smoothie.

3. I-laxative: Ngobusuku noma ngobusuku bangaphambi kokuhlolwa, uzonikezwa uketshezi ozoluphuza. Lena yingxenye enzima kakhulu. Ngemva kokuphuza lokhu, konke okusemathunjini akho kuzophuma njengendle.

• Yebo, kuzodingeka uye endlini yangasese izikhathi ezimbalwa. Lungela lokho, thatha incwadi noma into ethile, bese uphumula. Cabanga ngalokhu njengento oyidingayo.

Uma wenza lokhu ngendlela efanele, ikholoni yakho izobe ihlanzekile ngokuphelele ngosuku lokuhlolwa.

Kwenzekani ngosuku lokuhlolwa?

Awukwazi ukuya esibhedlela wedwa ngosuku lokuhlolwa. Kumelwe ube nomuntu ozokuyisa ekhaya. Lokhu kungenxa yokuthi kuthatha cishe amahora angama-24 ukuthi imithi yokubulala izinzwa esetshenziswa ekuhlolweni iphele ngokuphelele. Ngakho-ke, ngeke ukwazi ukushayela.

Uma uya esibhedlela, uzonikezwa ingubo yesibhedlela ozoyigqoka. Umhlengikazi uzofaka i-cannula encane (umugqa we-IV) emthanjeni ongalweni yakho. Kuzonikezwa umuthi wokubulala izinzwa kanye nemithi yobuhlungu ngayo.

Ingabe uvukile uma wenza lokhu? Ingabe kuyabuhlungu?

Lena yinkinga enkulu kubantu abaningi. Cha, ngeke uzwe ubuhlungu. Ungakhetha ezinhlotsheni ezimbili ze-anesthesia.

• I-General Anesthesia: Lokhu kukwenza ulale futhi ngeke ukwazi kuze kube yilapho ukuhlolwa sekuphelile.
• Ukulala Okunembeza: Lokhu kukufaka esimweni sokulala okulula. Ungase uzizwe uphapheme, kodwa ungase ungakukhumbuli kamuva.

Nokho, ngeke uzwe ubuhlungu, noma ngabe kukhishwe ingcezu yezicubu emathunjini akho. Ungase uzizwe ucindezelekile futhi uzizwe ugcwele lapho ipayipi lifakwa futhi umoya omncane uvunguzwa ukuze ubone amathumbu akho kangcono. Kodwa akulona ubuhlungu obungabekezeleleki.

Ngemva kokuhlolwa nemiphumela

Ukuhlolwa kuvame ukuthatha imizuzu engama-30 kuya kwengama-45 . Kungathatha isikhathi eside uma kususwa okuthile okufana nama-polyp. Ngemva kokuqeda, uzoqashwa cishe ihora uze uvuke ekuhlinzweni kwe-anesthesia.

Ngemva kokuba usuphinde waphaphama, udokotela uzofika akutshele ukuthi yini ebonwe ngesikhathi sokuhlolwa. Uma kuthathwe i-biopsy futhi kwathunyelwa ukuhlolwa, kungathatha izinsuku ezimbalwa noma isonto noma amabili ukuthi imiphumela ibuye.

Ngemva kokubuyela ekhaya, phumula kahle usuku olulodwa noma ngaphezulu. Ungase uzizwe uvuvukele kancane futhi ungakhululekile esiswini sakho, kodwa lokho kuzophela ngemva kwesikhashana. Ungadla ngendlela evamile ngokushesha nje lapho uzizwa ulambile.

Khumbula ukuthi lezi zingozi zincane kakhulu. Izinzuzo ze-colonoscopy zidlula kakhulu lezi zingozi.

Azikho yini ezinye izindlela esikhundleni se-colonoscopy?

Yebo, kunezinye izindlela eziningana zokuthola umdlavuza.

• Ukuhlolwa kwendle: Isampula yendle iyahlolwa ukuze kutholakale ukuthi kukhona yini igazi elifihliwe noma izinguquko ze-DNA ezihlobene nomdlavuza. Lokhu kufanele kwenziwe njalo eminyakeni eyodwa kuya kwemithathu. Uma lokhu kuhlolwa kubonisa inkinga, isinyathelo esilandelayo i-colonoscopy.
• I-Colonoscopy Ebonakalayo:Lokhu kuyi-CT scan ekhethekile. Lokhu akubandakanyi ukufaka ipayipi emzimbeni. Kodwa-ke, kudinga nokuhlanza ikholoni, njenge-colonoscopy evamile. Uma kutholakala ama-polyp phakathi nale nqubo, kuzodingeka wenze enye i-colonoscopy evamile ukuze uwasuse.

Naphezu kwalezi zinketho, i-colonoscopy ibhekwa njenge-"Gold Standard" ngoba,

• Izwela kakhulu . Ingabona ngisho nomehluko omncane kakhulu.
• Iyaxilonga futhi yelaphe lesi sifo ngesikhathi esifanayo . Uma olunye uvivinyo lubonisa inkinga, kusadingeka i-colonoscopy ukuze iqinisekiswe futhi yelashwe.
• Uma imiphumela imihle, kungathatha iminyaka engaba yi-10 ukuthola isivivinyo esilandelayo .