Ingabe uvame ukuzwa ubuhlungu besisu, ukuqunjelwa, noma izinguquko emikhubeni yamathumbu? Ngezinye izikhathi siyakhohlwa ukuthi lokhu kumane kuyisifo sesisu esibuhlungu, izinkinga zegesi, noma ama-hemorrhoids. Kodwa ngemuva kwalezi zimpawu ezivamile, ngezinye izikhathi kungaba khona into engathi sína kakhulu, njengomdlavuza we-colonectal. Ngakho-ke ngaphambi kokuba wethuke, ake siqale ngembangela yakho.
Kungani lezi zimpawu zifana?
Kalula nje, izimpawu zezifo eziningi ezihlobene ne-colon kanye ne-rectum zifana kakhulu. Cabanga ngokuthi izinto ezivame kangakanani njengobuhlungu besisu, ukuqunjelwa, isifo sohudo kanye nokuqunjelwa kithi. Kodwa lezi zimpawu zingaba yizimpawu zokuqala zomdlavuza we-colon.
Kunezinye izifo eziningana ezivamile ezibonisa izimpawu ezifana nezomdlavuza wamathumbu amakhulu.
- Ama-Hemorrhoids: Ukopha okuvela e-rectum kuyisibonakaliso esiyinhloko. Kodwa-ke, leli gazi livame ukuba nombala obomvu okhanyayo.
- I-Irritable Bowel Syndrome (IBS): Ukushintsha ubuhlungu besisu, ukuqunjelwa, ukuqunjelwa, kanye nesifo sohudo.
- Isifo Samathumbu Esivuvukalayo (IBD): Kunezifo ezimbili eziyinhloko ngaphansi kwalesi sigaba, isifo sikaCrohn kanye nesifo sofuba esibangelwa yizilonda emathunjini. Lezi zingabangela ubuhlungu besisu, indle enegazi noma emnyama ngokuhamba kwamathumbu, kanye nokwehla kwesisindo okungachazeki.
- Ukutheleleka: Ezinye izifo ezibangelwa amagciwane noma amagciwane nazo zingabangela ukucasuka kwesisu okwesikhashana.
Bheka ithebula elingezansi ukuze uqonde ukuthi izimpawu zalezi zifo zifana kangakanani.
| Isibonakaliso | Umdlavuza we-Colorectal | Ezinye izifo ezivamile (i-IBS, i-IBD, ama-Hemorrhoids) |
|---|---|---|
| Ubuhlungu besisu/ubuhlungu | Kungase kube khona | Ngokuvamile kukhona |
| Ushintsho emikhubeni yamathumbu (uhudo/ukuqunjelwa) | Kungase kube khona | Isici esibalulekile se-IBS kanye ne-IBD |
| Igazi esitulweni | Kungaba bomvu noma mnyama | Ibomvu kancane kuma-hemorrhoids. Ingaba khona naku-IBD. |
| Ukwehlisa isisindo ngaphandle kwesizathu | Isici esiyinhloko esenzeka kamuva | Kungabonakala ku-IBD |
Ngakho-ke, uyini umehluko phakathi komdlavuza nenkinga evamile?
Umehluko obaluleke kakhulu nobalulekile lapha ubude bezimpawu. Ubuhlungu besisu noma ukutheleleka kuzophela ezinsukwini ezimbalwa. Kodwa-ke, uma kwenzeka umdlavuza wamathumbu amakhulu, lezi zimpawu azibi ngcono usuku nosuku, kodwa zihlala njalo .
Ezigabeni zokuqala, umdlavuza wamathumbu amakhulu ungase ungabi nazimpawu. Izimpawu zibonakala kuphela ngemva kokuba isifo sesiqhubeke kancane. Ngakho-ke, uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo ezihlala izinsuku ezingaphezu kwezimbalwa, kufanele ukhathazeke.
- Uma kukhona igazi esitulweni noma uma kukhona igazi ephepheni lendlu yangasese.
- Uma une -flatulence engapheli, ukuqunjelwa , noma indle engaphansi kwejwayelekile .
- Uma, ngisho nangemva kokuya endlini yangasese, usazizwa sengathi awukaphumi kahle endlini yangasese .
- Ubuhlungu besisu obuvamile noma ubuhlungu .
- Ukuzizwa ukhathele kakhulu futhi ubuthakathaka ngaphandle kwesizathu.
- Ukwehlisa isisindo ngaphandle komzamo.
Into ebaluleke kakhulu ukuthi, ungazami ukuthola imbangela yalezi zimpawu ngokwakho. Udokotela kuphela onganquma imbangela eqondile.
Iningi lomdlavuza wamathumbu amakhulu liqala njengezimila ezincane (ama-polyp) ezikhula ngaphakathi kwamathumbu amakhulu. Akuwona wonke ama-polyp aba umdlavuza. Kodwa amanye angagcina ephenduke umdlavuza. Uma udokotela engathola futhi asuse la ma-polyp ngaphambi kokuba abe umdlavuza, kungavimbela umdlavuza ukuthi ungakhuli ngokuphelele. Lokho kusho ukuthi ukutholakala kusenesikhathi kuyindlela engcono kakhulu yokwelapha.
Kufanele simbone nini udokotela?
Ochwepheshe batusa ukuthi noma ubani osengozini ejwayelekile ahlolwe ngemva kweminyaka engu-45.Kunconywa ukuthi uhlolwe njalo umdlavuza wamathumbu amakhulu. Kodwa-ke, uma othile emndenini wakho (abazali, izingane zakini) eke waba nalesi sifo, kungadingeka uqale ukuhlolwa kusenesikhathi.
Futhi, uma unesimo sesikhathi eside njenge-IBD (isifo sikaCrohn noma i-ulcerative colitis), usengozini enkulu yokuba nomdlavuza wamathumbu amakhulu. Ngakho-ke kubalulekile ukukhuluma nodokotela wakho futhi uhlolwe njalo.
Kalula nje, uma uqhubeka nokuba nanoma yiziphi izimpawu ezishiwo ngenhla, noma uma unenkinga, bona udokotela ngokushesha. Udokotela wakho womndeni angakudlulisela kudokotela wezifo zamathumbu, ochwepheshe kule ndawo.
Hlobo luni lokuhlolwa oluzokwenziwa udokotela?
Kuye ngezimpawu zakho, udokotela wakho uzonquma ukuthi yikuphi ukuhlolwa okufanele kakhulu kuwe. Nazi ezinye zezivivinyo ezisetshenziswa kakhulu.
| Igama lokuhlolwa | Kuchazwe kalula |
|---|---|
| I-Colonoscopy | Ipayipi eligobekayo elinekhamera enamathiselwe lifakwa nge-anus ukuze kuhlolwe wonke umathumbu. Uma kukhona ukukhula okusolisayo (ama-polyp), angasuswa ngokushesha, bese kuthathwa ingcezu yezicubu ukuze kuhlolwe amangqamuzana omdlavuza (i-biopsy). |
| Ukuhlolwa Kwesitulo | Isampula yendle iyahlolwa ukuze ibone igazi elincane. Ezinye izivivinyo zanamuhla zingabheka nezimpawu ze-DNA ezihlotshaniswa namaseli omdlavuza. |
| I-Sigmoidoscopy eguquguqukayo | Lokhu kufana ne-colonoscopy, kodwa kuhlola kuphela ingxenye engezansi ye-colon kanye ne-rectum. |
| Ukuhlolwa Kwezithombe | Ukuhlolwa okufana ne-CT scans kanye ne-MRIs kungathatha izithombe ezinemininingwane zekholoni. Uhlobo lwe-CT scan olubizwa ngokuthi i-virtual colonoscopy lungabheka ama-polyps noma ukukhula komdlavuza. Kodwa-ke, uma ubona noma yini, kuzodingeka wenze i-colonoscopy ukuze ikuqinisekise. |
Umlayezo Wokuya Nawe Ekhaya
- Uma ubuhlungu besisu, izinguquko emikhubeni yamathumbu, noma ukuqunjelwa kuqhubeka izinsuku ezingaphezu kwezimbalwa , ungakushayi indiva lokho.
- Uma unegazi esitulweni sakho, ngokuqinisekile kuyisimo okufanele ubonane nodokotela ngaso. Ungacabangi nje ukuthi yi-hemorrhoids.
- Ngemva kweminyaka engu-45, ikakhulukazi uma othile emndenini wakho eke waba nomdlavuza wamathumbu amakhulu, ukuhlolwa ngeseluleko sezokwelapha kungaba yindlela yokusindisa impilo.
- Umdlavuza wamathumbu amakhulu ungelapheka ngokuphelele uma utholakala kusenesikhathi. Ngakho-ke ungesabi, futhi uma unokungabaza, khuluma nodokotela namuhla.
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