Ungase ube nezinkinga zesisu, ubunzima bokukhipha indle, noma igazi esitulweni sakho. Ngezikhathi ezinjengalezi, sivame ukuvakashela udokotela womndeni wethu (GP). Ngezinye izikhathi angakuthumela kuchwepheshe wezifo zamathumbu. Yilapho sizokhuluma khona ngodokotela ohlinzayo ochwepheshe onolwazi oluningi kulo mkhakha. Lowo udokotela ohlinzayo we-colorectal.
Kalula nje, ubani lo dokotela ohlinzayo we-Colorectal?
Udokotela ohlinzayo we-colorectal udokotela ogxile ekwelapheni izimo ezihlobene namathumbu ethu amakhulu ngokuhlinzwa. Amathumbu amakhulu ahlanganisa i-colon, i-rectum, kanye ne-anus.
Esikhathini esidlule, lolu hlobo lochwepheshe lwalubizwa ngokuthi odokotela be-proctologist. Kungenzeka ukuthi uke wezwa lelo gama. Kodwa-ke, igama elinembile nelivame ukusetshenziswa namuhla yi-colorectal surgeon. Isizathu salokhu ukuthi igama elithi "proctologist" libhekisela kumuntu ogxila kuphela endunu nasezindaweni ezizungezile. Kodwa-ke, igama elithi "colorectal" lihlanganisa ikholoni kanye ne-rectum, ingxenye enkulu yamathumbu ethu amakhulu. Kodwa-ke, bobabili ochwepheshe baphatha izingxenye zomzimba ezifanayo.
Kungani uthunyelwa kudokotela ohlinzayo we-colorectal?
Uma unezimpawu ezihlobene nengxenye engezansi yesistimu yakho yokugaya ukudla, amathumbu amakhulu, uzoqala ubonane nodokotela ojwayelekile (GP) noma udokotela wezifo zamathumbu. Uma lowo dokotela ekuxilonga futhi ecabanga ukuthi isimo sakho singadinga ukuhlinzwa , uzokudlulisela kudokotela ohlinzayo we-colorectal.
Kalula nje, laba ochwepheshe belapha izifo zamathumbu eziyinkimbinkimbi okunzima ukuzelapha ngemithi yodwa futhi ezingadinga ukuhlinzwa.
Ngezansi kunezinye zezimo zezokwelapha eziyinhloko ezivame ukudinga ukuhlinzwa.
| Isigaba sesimo sesifo | Incazelo |
|---|---|
| Umdlavuza kanye ne-Polyposis | Ukususa umdlavuza kanye nezimila ezincane (ama-polyp) ezingaba umdlavuza emathunjini kanye nase-rectum. |
| Isifo Sokuvuvukala Kwamathumbu (IBD) | Ukususa izingxenye zamathumbu uma onakele ngenxa yezimo ezifana nesifo sikaCrohn noma i-ulcerative colitis . |
| Ukuncipha kokunikezwa kwegazi (i-Ischemia) | Ukususa ingxenye yamathumbu lapho ukugeleza kwegazi kuya kuwo kuyeka futhi leyo ngxenye ingasebenzi kahle. |
| Amaphutha Esakhiwo | Ukulungisa izimo ngokuhlinzwa njenge-fistula (ukwakheka kwepayipi elisuka emathunjini liye kwesinye isitho), ama-hernia, kanye nokuwa kwe-rectal prolapse. |
Ingabe laba odokotela belapha ikholoni kuphela?
Cha. Nakuba odokotela abahlinzayo be-colorectal bengochwepheshe emathunjini amakhulu, baqeqeshwe futhi njengodokotela abahlinzayo abajwayelekile . Futhi, ngenxa yokuthi isitho ngasinye emzimbeni wethu sixhumene, inkinga emathunjini amakhulu ingathinta ezinye izitho eziseduze. Ngakho-ke, laba odokotela ngezinye izikhathi belapha izifo ezihlobene nezitho ezilandelayo:
- Amathumbu amancane
- Imisipha yaphansi ye-pelvic
- Uhlelo lomchamo
- Uhlelo lokuzala lwabesifazane
Yiziphi izivivinyo kanye nokuhlinzwa okwenziwa udokotela ohlinzayo we-colorectal?
Laba ochwepheshe basebenzisa amasu ahlukahlukene kanye nezinqubo zokuhlinzwa ukuze baxilonge futhi baphathe izifo. Lokhu kusho ukuthi banawo wonke amathuluzi abawadingayo ukuze banikeze ukwelashwa okungcono kakhulu kwesimo sakho. Benza izinhlobo eziningi zokwelapha, kusukela ku-endoscopy engangenisi umdlavuza kuya ekuhlinzeni okungangenisi umdlavuza kanye nokuhlinzwa okuvulekile kwendabuko.
Amasu asetshenziswa kakhulu
| Indlela yobuchwepheshe | Incazelo elula |
|---|---|
| I-Colonoscopy | Ipayipi eligobekayo elinekhamera enamathiselwe lifakwa nge-anus ukuze kuhlolwe wonke amathumbu amakhulu. Izinqubo ezincane njengokususa amaqhubu amancane (ama-polyp) zingenziwa phakathi nalesi sikhathi. |
| I-Sigmoidoscopy | Ukuhlola ingxenye yokugcina yamathumbu amakhulu kuphela (i-sigmoid colon kanye ne-rectum). |
| I-Laparoscopy | Ukuhlolwa kwezitho zesisu ngokufaka ikhamera (i-laparoscope) ngokusebenzisa imbobo encane esiswini. |
| Ukuhlinzwa kwe-Laparoscopic | Ukuhlinzwa kwenziwa ngokusikwa okuncane okuningana esiswini, ngosizo lwekhamera. Kubizwa nangokuthi "ukuhlinzwa kwe-keyhole." |
| Ukuhlinzwa Kwerobhothi | Ukuhlinzwa kwe-laparoscopic kwenziwa kusetshenziswa ingalo yerobhothi elawulwa udokotela ohlinzayo. Lokhu kunikeza ukunemba okukhulu. |
Ukuhlinzwa okuyinhloko kanye nokwelashwa abakwenzayo
- I-Polypectomy: Ukususwa kwamaqhubu amancane (ama-polyp) ku-colon ngesikhathi se-endoscopy.
- Ukuhlinzwa Kokususwa Kwamathumbu: Ukususwa kwengxenye yamathumbu enesifo noma enomdlavuza.
- Ukuhlinzwa Kwe-Ostomy: Isikhwama (i-Colostomy noma i-Ileostomy) sakhiwa ngokuxhumanisa amathumbu nobuso besikhumba sesisu ukuze kudlule indle.
- Ukususwa kwe-Appendectomy: Ukuhlinzwa kokususa i-appendicitis ye-appendicitis.
- Ukulungiswa kwe-Hernia: Ukulungiswa kokuhlinzwa kwezinkinga ze-hernia emathunjini.
- I-Rectopexy: Ukulungisa i-rectum ephumile.
- Ukwelashwa kwama-Hemorrhoids, ama-Fistula, kanye nama-Anal Fissures: Ukwelashwa ngokuhlinzwa kwezimo ezifana nama-hemorrhoids, ama-anal fissures, kanye nama-fistula.
Yiziphi izimo odokotela abahlinzayo be-colorectal abazelaphayo?
Uhla lwezifo ezelashwa yilaba ochwepheshe lubanzi kakhulu. Zingahlukaniswa ngezigaba eziningana eziyinhloko.
1. Umdlavuza We-Colorectal
- Umdlavuza wamathumbu amakhulu
- Umdlavuza we-rectal
- Umdlavuza wendunu
- Umdlavuza wesithasiselo
2. Ama-polyps kanye nama-Syndromes azuzwe njengefa
Ukukhula okuncane (ama-polyp) akhiwa emathunjini amancane kanye nezimo ezithile zofuzo ezandisa ingozi yomdlavuza (isb. i-Familial Adenomatous Polyposis - FAP, i-Lynch syndrome).
3. I-Colitis Eyinkimbinkimbi
- I-Diverticulitis - ukutheleleka kwezikhwama ezincane emathunjini.
- I-ulcerative colitis
- Isifo sikaCrohn
- I-Appendicitis
4. Izimo Ezingenabungozi Zokugoba Kwezinzwa
- Ama-Hemorrhoids: Lesi yisimo esivame kakhulu.
- Imifantu Yendunu: Imifantu endunu.
- I-Anal fistula: Umsele ongajwayelekile ovulekela esikhumbeni eduze kwendunu.
- Ithumba le-Perianal.
5. Ukuphazamiseka Kokusebenza
- Ukuthulula okuvalekile.
- Ukungakwazi ukulawula indle (ukungakwazi ukuzibamba).
- Ukungasebenzi kahle kwephansi le-pelvic.
Njengoba ubona, lo mkhakha mkhulu kakhulu. Laba ochwepheshe bayakwazi ukwelapha izimo eziningi ezahlukene, kusukela kuma-hemorrhoids alula kuya kumdlavuza osongela ukuphila.
Uma unenkinga, ubuhlungu, noma izinguquko ezingavamile ekuthuthweni kwakho kwamathumbu (ikakhulukazi igazi), ungalokothi uzishaye indiva. Okokuqala, bona udokotela womndeni wakho. Uma kudingeka, uzokudlulisela kuchwepheshe ofanele, njengodokotela wezifo zamathumbu noma udokotela ohlinzayo we-colorectal.
Umlayezo Wokuya Nawe Ekhaya
- Udokotela Ohlinzayo We-Colorectal unguchwepheshe oqeqeshwe kakhulu owelapha izifo zamathumbu amakhulu, i-rectum, kanye ne-anus.
- Ngokuvamile uthunyelwa kulolu hlobo lochwepheshe ngudokotela womndeni wakho noma omunye uchwepheshe.
- Zelapha izifo eziningi ezahlukene, okuhlanganisa umdlavuza, ama-hemorrhoids, ama-fistula kanye nokuvuvukala kwamathumbu.
- Benza izindlela zokwelapha ezahlukahlukene, kusukela ekuhlolweni okungekona ukuhlinzwa njenge-colonoscopy kuya ekuhlinzeni okuyinkimbinkimbi kakhulu.
- Uma unezimpawu ezifana negazi esitulweni sakho, ubuhlungu besisu obuhlala isikhathi eside, noma ushintsho endleleni odla ngayo amathumbu, kubaluleke kakhulu ukubona udokotela ngaphandle kokuchitha isikhathi .
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