Ingabe ngezinye izikhathi uzwa ubuhlungu esiswini sakho esingezansi? Noma uke waphawula ushintsho ekunyakazeni kwakho kwamathumbu, noma igazi elincane? Ingabe udokotela wakho ukutshelile ukuthi wenze ukuhlolwa kwekhamera okukhethekile ukuthola imbangela yalezi zinto? Yilolo hlobo lokuhlolwa esikhuluma ngalo namuhla, i-Flexible Sigmoidoscopy. Nakuba igama lingase lizwakale njengento enkulu, empeleni lilula kakhulu futhi akukho okufanele ukwesabe.
Iyini ngempela i-Flexible Sigmoidoscopy?
Kalula nje, lena inqubo yokuhlola ingaphakathi lamathumbu akho amakhulu. Udokotela usebenzisa ipayipi elincane neliguquguqukayo elinekhamera encane kanye nokukhanya okunamathiselwe ekugcineni. Sivame ukubiza leli thuluzi ngokuthi i-endoscope.
Cabanga nje, kulolu vivinyo lwe-Flexible Sigmoidoscopy, kufakwa ipayipi elinekhamera nge-anus yakho bese kuhlolwa ukuphela kwamathumbu amakhulu. Amathumbu ethu amakhulu anezingxenye ezine. Ingxenye eseduze nokuphela ibizwa ngokuthi i-sigmoid colon. Lokhu kuhlolwa kutholakala kuleyo ngxenye. Kodwa-ke, lokhu kuhlolwa kungabheka nengxenye engaphezulu nje kwe-sigmoid colon (i-descending colon).
Kungani sidinga ukwenza lolu vivinyo?
Odokotela basebenzisa lolu vivinyo ukubheka izimpawu zesifo engxenyeni engezansi yekholoni lakho. Izithombe ezicacile ezivela kwikhamera zingabukwa esikrinini ukuze zibone kahle ukuthi kwenzekani ngaphakathi kwekholoni lakho. Uma kudingeka, ingxenye encane yezicubu ingathathwa ngethubhu ngesikhathi esifanayo bese ithunyelwa elabhorethri ukuze ihlolwe (i-biopsy). Ngezinye izikhathi, kungenzeka ukwelapha isimo sakho ngesikhathi esifanayo nalolu vivinyo.
Uma unezimpawu ongaziqondi, lolu vivinyo lusetshenziselwa ukuthola imbangela.
| Izimpawu ezivamile eziholela ekuhlolweni | |
|---|---|
| Ukopha okuvela e-rectum noma igazi elisendle. | |
| Izinguquko emikhubeni yokuzilungisa (isib., indle ekhululekile kunangaphambili, ukuqunjelwa, ukushintsha kwesimo sendle). | |
| Ubuhlungu esiswini esingezansi noma endaweni ye-pelvic . | |
| Ukwehlisa isisindo ngaphandle kwesizathu esithile. | |
Yiziphi izifo ezingatholakala ngalesi sivivinyo?
I-Flexible Sigmoidoscopy ingaxilonga izinkinga ezahlukahlukene kumathumbu amakhulu.
- Ukuvuvukala noma ukuvuvukala kwengaphakathi lekholoni: Lezi zimo sizibiza ngokuthi `(Colitis)` noma `(Proctitis)`.
- I-Diverticulitis: Ukutheleleka kwezikhwama ezincane odongeni lwamathumbu. Lokhu kubizwa ngokuthi `(Diverticulitis)`.
- Ukuncishiswa kwamathumbu: Izicubu zezibazi zingabangela ukuthi ingaphakathi lamathumbu libe lincane. Lokhu kubizwa ngokuthi i-stricture.
- Izilonda: Izilonda yizilonda ezenzeka emathunjini noma emiseleni.
- Ukopha: Ukopha emgudwini wokugaya ukudla.
- Ama-polyp: Ukukhula okukhula emathunjini. Amanye alawa angaba ukukhula okuvamile, kanti amanye angaba nomdlavuza noma abe nethuba lokuba nomdlavuza.
Ingabe umdlavuza ungatholakala?
Yebo, lokhu kuhlolwa kungabona umdlavuza we-colon engezansi kwe-colon noma i-rectum. Kodwa-ke, uma kwenzeka, udokotela uzofuna ukuhlola umdlavuza kweminye i-colon. Ngenxa yalokho, kudingeka i-colonoscopy, ehlola lonke i-colon.
Ngenxa yokuthi i-sigmoidoscopy eguquguqukayo ayihloli wonke umathumbu amakhulu, ayibhekwa njengokuhlolwa okuphelele kokuthola umdlavuza. Kodwa-ke, kwabanye abantu, kuwukuhlolwa kokuqala okuhle.
I-Sigmoidoscopy noma i-Colonoscopy? Yikuphi okufanele ukukhethe?
Uma izimpawu zakho zibonisa ukuthi inkinga isengxenyeni engezansi yekholoni lakho , kungase kungadingeki ukuhlola lonke ikholoni. I-colonoscopy iyisivivinyo esiyinkimbinkimbi kancane kune-sigmoidoscopy futhi idinga ukulungiselela okwengeziwe.
| Isici | I-Sigmoidoscopy eguquguqukayo | I-Colonoscopy |
|---|---|---|
| Indawo yokuhlola | Ingxenye engezansi yamathumbu amakhulu kuphela (cishe amasentimitha angu-60) | Ikholoni lonke |
| Ukulungiselela | Ngokuvamile kulula. I-enema ingaba yikho konke okudingekayo. | Kudingeka ukulungiselela okunzulu (isisu kumele sihlanzwe ngokuphelele). |
| Ukupholisa | Ngokuvamile akudingeki. | Ngokuvamile kusetshenziswa i-anesthesia. |
| Isikhathi esichithwe | Cishe imizuzu eyi-15. | Cishe imizuzu engama-30-60. |
Abanye abantu, ikakhulukazi labo abasengozini encane yomdlavuza, bakhetha i-sigmoidoscopy njalo eminyakeni emi-5-10 kanye nokuhlolwa kwendle minyaka yonke esikhundleni se-colonoscopy njalo eminyakeni eyi-10.
Ungalungiselela kanjani ukuhlolwa?
Ukuze ubone ingaphakathi lamathumbu ngokucacile, kudingeka lingabi nalutho. Yingakho udokotela ezokunikeza iseluleko esinjengalesi.
- Imikhawulo yokudla: Uzocelwa ukuthi udle ukudla okumanzi kuphela (isib. isobho, itiye, amanzi anoshukela, ijusi yezithelo) amahora angama-24 ngaphambi kokuhlolwa.
- Ukuhlanzwa kwamathumbu amakhulu: Uzocelwa ukuthi usebenzise i-enema noma i-suppository ngobusuku bangaphambi noma ekuseni kokuhlolwa. Lokhu kuzosiza ekuhlanzeni amathumbu amakhulu. Ungase futhi unikezwe umuthi wokuxubha.
- Eminye imithi oyithathayo: Lokhu kubaluleke kakhulu . Kubalulekile ukutshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo (ikakhulukazi leyo yesifo sikashukela noma imithi yokwehlisa igazi). Angase akucele ukuthi uyeke ukuthatha leyo mithi izinsuku ezimbalwa.
Ingabe lokhu kubuhlungu? Ingabe ngidinga i-anesthesia?
Kwabaningi, lokhu akulona ukuhlolwa okubuhlungu. Ngakho-ke i-anesthesia ngokuvamile ayidingeki. Kodwa-ke, ungase uzizwe ungakhululekile futhi uzizwe ugcwele lapho kufakwa ikhamera. Lokhu kungenxa yokuthi inani elincane legesi (i-carbon dioxide) lifakwa emathunjini ukuze lisize ukubona kangcono. Lokhu kungakhululeki kuzophela ngemva kwesikhashana.
Kodwa uma uzizwa wesaba kakhulu, ungakhuluma nodokotela ngakho futhi uthole i-anesthesia uma kudingeka.
Kwenzekani ngesikhathi sokuhlolwa?
1. Okokuqala, uzonikezwa ingubo yasesibhedlela ozoyigqoka.
2. Uzobe usubekwa etafuleni lokuhlolwa endaweni eyodwa kwezimbili. Esinye ukulala ngohlangothi lwakho lwesobunxele amadolo akho adonswe esifubeni sakho. Esinye ukulala ngamadolo akho bese ugoba phambili.
3. Udokotela uqala ngokuhlola indunu ngomunwe, bese efaka kancane kancane ithubhu yekhamera egcotshwe ngoketshezi.
4. Ungase uzizwe ungakhululekile esiswini sakho njengoba ipayipi lifakwa ukuze kuvunyelwe umoya ukuthi uphefumulelwe ukuze ubone kahle amathumbu. Izithombe ezivela kukhamera zizoboniswa esikrinini.
5. Uma udokotela ebona indawo esolisayo, angathatha ingcezu encane yezicubu ukuze ihlolwe (i-biopsy). Noma uma ebona ama-polyp amancane angase abe umdlavuza, angawasusa ngokushesha. Ngeke uzwe ubuhlungu uma lezi zinto seziqediwe.
6. Uma ubona indawo ephuma igazi, ungayilapha ngokushesha ngale divayisi.
7. Konke lokhu kuthatha cishe imizuzu eyi-15 .
Kwenzekani ngemva kokuhlolwa?
Udokotela uzokuchazela ukuthi yini ebonwe ngesikhathi sokuhlolwa. Uma amasampula ezicubu ethunyelwe ukuze ayohlolwa, kuzothatha izinsuku ezimbalwa ukuthi imibiko ifike. Uma ukuhlolwa sekuqediwe, ungadla futhi usebenze ngendlela evamile.
Ingabe zikhona izingozi?
Ingozi iphansi kakhulu. Akuvamile ukuthi ithubhu lekhamera libangele ukulimala okuncane emathunjini noma ukuphuma kwegazi.
Kuvamile ukuba nokopha cishe usuku lonke ngemva kokuhlolwa. Ungase futhi uzwe ubuhlungu obubangelwa umoya ovaleleke esiswini sakho, kanti abanye bangase babe nesifo sohudo. Lokhu kungokwesikhashana. Ukuhambahamba kancane kunganciphisa ngokushesha lokhu kungakhululeki.
Umlayezo Wokuya Nawe Ekhaya
- I-Flexible Sigmoidoscopy iyindlela elula nephephile yokuhlola ikhamera ehlola ingxenye engezansi yekholoni.
- Lokhu kusiza kakhulu ekutholeni imbangela yezimpawu ezifana nobuhlungu besisu kanye negazi esitulweni.
- Lokhu kuhlolwa ngokuvamile akubuhlungu kakhulu, futhi ngokuvamile akudingeki i-anesthesia.
- Lokhu kudinga ukulungiselela okuncane nesikhathi esincane kune-colonoscopy.
- Uma unemibuzo mayelana nalolu vivinyo, ungesabi ukukhuluma nodokotela wakho.
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