Wake wahlolwa i-colonoscopy ukuze kuhlolwe umdlavuza wamathumbu amakhulu ? Lapho wenza kanjalo, udokotela wakho cishe wakutshela ukuthi unezimila ezincane ezibizwa ngokuthi ama-polyp kumathumbu amakhulu amakhulu. Empeleni lezi yizimila ezincane ezikhula ongqimbeni lwe-colon yakho. Esikhathini esiningi, azinangozi. Kodwa ngezinye izikhathi, zingaholela kumdlavuza wamathumbu amakhulu . Yingakho kubalulekile ukuzazi.
Kalula nje, iyini i-Tubular Adenoma?
Uhlobo oluvame kakhulu lwe-colon polyp olususwa odokotela ngesikhathi sokuhlolwa kwe-colonoscopy lubizwa ngokuthi "i-Tubular Adenoma." Leli gama livela eqinisweni lokuthi amangqamuzana kula ma-polyp abukeka njengamapayipi amancane uma ebhekwa ngaphansi kwe-microscope.
Izindaba ezinhle ukuthi ngaphansi kuka-10% walezi (i-Tubular Adenoma) ziphenduka umdlavuza. Kodwa-ke, uma unalolu hlobo noma olunye uhlobo lwama-polyp amathumbu amakhulu, udokotela wakho uzowasusa nakanjani. Lokhu kwenzelwa ukuqeda ngisho nethuba elincane kakhulu lokukhula komdlavuza esikhathini esizayo.
La ma-polyp akheka kanjani?
Ngezinye izikhathi amangqamuzana emzimbeni wethu aqala ukukhula ngendlela engalawuleki. Lokhu sikubiza ngokuthi ukuguqulwa kwenqubo. Lawa maseli angajwayelekile aba izimila ezifana nama-polyps. Ama-adenoma e-tubular avame ukuba mancane, angaphansi kwengxenye yesentimitha ngobukhulu.
Ochwepheshe abakakazi kahle ukuthi kungani lokhu kwenzeka, kodwa bakholelwa ukuthi inhlanganisela yezakhi zofuzo kanye nezici zemvelo zinegalelo kulesi simo.
Ngaphezu kwalokho, abantu abanokuvuvukala okungapheli kwekholoni, njenge-ulcerative colitis noma isifo sikaCrohn , bangahlakulela lezi zimila njengempendulo yokuvuvukala. Kodwa-ke, izimila ezikhula ngenxa yalokhu kuvuvukala azivamile ukuba nomdlavuza. Kodwa-ke, lezi zimo ziyandisa ingozi yokuba nomdlavuza wekholoni. Lokhu kungenxa yokuthi lezi zifo zonakalisa ulwelwesi lwekholoni futhi zibangela ukuba amaseli ahlukane ngokushesha ngomzamo wokuzilungisa.
Uyini umehluko phakathi kwe-Tubular ne-Villous Adenoma?
Kunezindlela ezimbili eziyinhloko zokukhula kwama-adenomas ku-colon. Ake siqonde umehluko phakathi kwalawa amabili ngethebula.
| Uhlobo lwe-Adenoma | Ukubukeka kanye nezici |
|---|---|
| I-Tubular Adenoma | Lezi zikhula ngendlela ehlelekile, efana neshubhu. Cishe ama-70% ezimila ezikhula emathunjini amancane angalolu hlobo. Zincane ngobukhulu. |
| I-Villous Adenoma | Lezi zikhula ngendlela efana ne-cauliflower. Lokhu kuzenza zibe nkulu ngobukhulu. Zikhula ngokushesha futhi kungenzeka kakhulu ukuthi ziqukethe amangqamuzana omdlavuza. |
Amanye amathumba angaba nenhlanganisela yawo womabili amaphethini. Siwabiza ngokuthi ``Tubulovillous Adenomas``. Cishe u-15% wamathumba akhula emathunjini amancane angama-``Villous`` noma ``Tubulovillous``.
Ubani osengozini enkulu yokuthola lezi zifo?
Unamathuba amancane okuthuthukisa i-`(Tubular Adenoma)` uma unalokhu okulandelayo:
- Ukuba neminyaka engu-50 noma ngaphezulu.
- Ukuba ne-body mass index ephezulu (BMI) noma ukukhuluphala ngokweqile .
- Ukuba yindoda.
- Uma kukhona emndenini oke waba nezimila zamathumbu noma umdlavuza.
- Ukuba nesifo sikashukela.
- Ukubhema.
- Ukuphuza utshwala ngokweqile.
- Ukungazivocavoci.
Ziyini izimpawu zalokhu?
Into ebalulekile ukuthi, eziningi zalezi polyp azibangeli zimpawu.Lokho kusho ukuthi ungase ungazi nokuthi unalezi zinto kuze kube yilapho udokotela wakho ekwenza i-colonoscopy.
Nokho, ngezinye izikhathi ungabona izimpawu ezifana nalezi:
- Ukopha okubangelwa yi-rectum.
- Ukukhishwa kwendle okufana ne-mucus.
- Uhudo noma ukuqunjelwa njalo.
- Isisu esibuhlungu.
- I-anemia ebangelwa ukulahlekelwa igazi kanye nemikhiqizo engcolile.
Lesi sifo sitholakala futhi selashwa kanjani?
Indlela engcono kakhulu nenembile yokuthola nokususa i-`(Tubular Adenoma)` ukuhlolwa kwe-`(Colonoscopy)` .
Kulesi sivivinyo, udokotela ufaka ipayipi elide, eliguquguqukayo elinekhamera exhunywe nge-anus yakho bese eliqondisa kancane kancane ebholeni lakho. Izithombe ezingaphakathi kwebholeni lakho zingabukwa esikrinini sevidiyo. Uma kukhona noma yiziphi zalezi zimila, zingabonakala ngokucacile.
Udokotela uzosebenzisa ithuluzi elincane ukusika nokususa isimila, noma abeke ucingo oluzungezile bese esishisa ngogesi. Lokhu kwenziwa ngenkathi ungaphansi kwe-anesthesia, okusho ukuthi ulele ubuthongo obukhulu, ukuze ungezwa ubuhlungu.
Isimila esisusiwe sibe sesithunyelwa elabhorethri, lapho udokotela wezifo esihlola khona ngaphansi kwe-microscope ukuze abone ukuthi sinamangqamuzana omdlavuza yini.
Nakuba kunezinye izivivinyo eziningana zokuthola lezi, i-colonoscopy isadingeka ukuze isuswe. Lezi zivivinyo yilezi:
- I-CT colonography
- I-sigmoidoscopy eguquguqukayo
- Ukuhlolwa kwendle
Kwenzekani ngemva kokususwa kwe-cyst?
Uma uke waba ne-`(Tubular Adenoma)` noma olunye uhlobo lwe-adenoma bese zisuswa, kuzodingeka wenze izivivinyo eziphindaphindwayo ze-`(Colonoscopy)` ukuze ubone ukuthi ziyabuya yini. Lokhu kubizwa ngokuthi `(Ukulandelela)`.
Uma ubunenye noma ezimbili ezincane (ezingaphansi kwamamilimitha ayi-10), cishe kuzodingeka ukuthi wenze ukuhlolwa kwakho okulandelayo eminyakeni engaba ngu-7-10 .
Kodwa,
- Uma unamantongomane amathathu noma amane,
- Uma zikhulu kune-10 millimeters,
- Uma udokotela engakwazi ukuzisusa ngokuphelele,
- Uma kukhona emndenini wakho oke waba nezimila zamathumbu noma umdlavuza,
Udokotela wakho angase akucebise ukuthi wenze ukuhlolwa okuphindaphindiwe ngokushesha, mhlawumbe eminyakeni emi-3-5 . Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
Lokhu kungavinjelwa kanjani ukuthi kungakheki futhi kubangele umdlavuza?
Cishe ama-95% omdlavuza wamathumbu amakhulu aqala njengezimila ezincane (ama-polyp) njengalawa. Lokhu kungathatha iminyaka eyishumi noma ngaphezulu ukuze kukhule kube umdlavuza.
Lokho kusho ukuthi sinesikhathi esanele sokuvimbela lokhu. Okudingeka sikwenze nje ukuhlolwa siseneminyaka efanele, futhi uma sinalezi zimila, sizisuse ngaphambi kokuba zibe umdlavuza.
Odokotela ngokuvamile batusa ukuthi wenze i-colonoscopy yakho yokuqala lapho uneminyaka engu-45. Kodwa-ke,
- Uma kukhona emndenini wakho oke waba nomdlavuza wamathumbu noma izimila,
- Uma unesifo sokuvuvukala kwamathumbu (IBD),
- Uma kukhona isimo sofuzo esikhuphula le ngozi,
Kungase kudingeke uqale ukuhlola ngisho nangaphambi kwesikhathi, cishe uneminyaka engu-40 .
Ngaphezu kwalokho, unganciphisa ingozi yakho ngokwenza lezi zinto:
- Nciphisa ukudla kwakho inyama enamafutha amaningi kanye nenyama ecutshunguliwe.
- Yidla imifino eminingi, izithelo ezintsha, kanye nokudla okune-fiber eningi.
- Zigcine unesisindo esinempilo.
- Gwema ukubhema ngokuphelele.
- Uma uphuza utshwala, bunciphise kakhulu.
- Khuluma nodokotela wakho mayelana nokuthi ukuthatha i-aspirin nsuku zonke kungasiza yini ekunciphiseni ingozi yakho yokuba nomdlavuza, futhi uqaphele izinzuzo nezingozi. Ungalokothi uqale ukuthatha lo muthi ngaphandle kweseluleko sikadokotela.
Umlayezo Wokuya Nawe Ekhaya
- I-Tubular Adenoma iyisimila esivame kakhulu, esingenangozi esakheka emathunjini amakhulu. Akuyona into okufanele uyesabe.
- Iningi lalezi ngeke libe nomdlavuza, kodwa ngenxa yokuthi kunengozi encane, odokotela bazisusa ngokushesha nje lapho bezibona.
- Lezi zimila ngokuvamile azibangeli zimpawu, ngakho-ke indlela engcono kakhulu yokuzithola iwukusebenzisa i-colonoscopy.
- Uma uneminyaka engu-45 noma ngaphezulu futhi usengozini yokuba nomdlavuza, ukuthola i-colonoscopy ngesikhathi esifanele kuyindlela engcono kakhulu yokuvimbela umdlavuza wamathumbu amakhulu.
- Ngemva kokususa i-cyst, qiniseka ukuthi uxhumana nodokotela wakho ngokwesimiso.
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