Iningi lethu liyesaba kakhulu uma sicelwa ukuba senze isivivinyo 'se-colonoscopy', akunjalo? Abanye abantu bazama ukugwema lesi sivivinyo ngezizathu eziningi, njengokungakhululeki, ubuhlungu, kanye nokwesaba i-anesthesia lapho kufakwa ikhamera emzimbeni. Kodwa kukhona into okungafanele siyikhohlwe. Okusho ukuthi, umdlavuza we-colorectal yisifo esingelapheka ngokuphelele uma sitholakala kusenesikhathi. Ngakho indlela engcono kakhulu yokwenza lokhu ukwenza lesi sivivinyo. Ngakho ukugwema lokhu ngoba wesaba akuyona into enhle nhlobo. Namuhla, sethula ubuchwepheshe besimanje obubizwa ngokuthi 'i-Virtual Colonoscopy' njengesixazululo esihle salokho kwesaba.
Kalula nje, iyini le colonoscopy ebonakalayo?
I-colonoscopy ebonakalayo, uma sikhuluma iqiniso, iwukuhlolwa okukhethekile okubheka ukukhula okuncane, noma lokho esikubiza ngokuthi 'ama-polyp' ngokwezokwelapha, ngaphakathi kwekholoni lakho. Lawa ma-polyp yiwo angaphenduka umdlavuza ngokuhamba kwesikhathi.
Lena akuyona inqubo lapho kufakwa khona ithubhu ende emzimbeni wakho njenge-colonoscopy evamile. Kunalokho, isebenzisa umshini we-CT scan kanye nobuchwepheshe bekhompyutha ukuthatha izithombe ezicacile nezisezingeni eliphezulu zekholoni lakho elingaphandle komzimba wakho. Ikhompyutha bese ihlanganisa lezi zithombe ukuze idale imodeli enezinhlangothi ezintathu (3D) yekholoni lakho elingaphakathi. Kufana nokuthatha 'uhambo olubonakalayo' lwekholoni lakho elingaphakathi. Lokhu kungasiza udokotela wakho ukuthola ngisho nama-polyp amancane ngaphandle kokuphuthelwa.
Lokhu kuhlolwa akudingi i-anesthesia. Ukuhlolwa konke kuthatha cishe imizuzu eyi-15. Kodwa kukhona into eyodwa okufanele uyikhumbule. Uma kutholakala ama-polyp phakathi nalokhu kuhlolwa, kuzodingeka wenze i-colonoscopy yendabuko ukuze uwasuse.
Odokotela ngokuvamile batusa ukuthi wonke umuntu ahlolwe umdlavuza wamathumbu amakhulu ngemva kweminyaka engu-45. Kodwa-ke, uma unezici ezithile eziyingozi (isibonelo, umlando womndeni walesi sifo), kungadingeka ukuthi uhlolwe kusenesikhathi. Ungakhuluma nodokotela wakho mayelana nendlela yokuhlola engcono kakhulu kuwe.
Lolu vivinyo lusebenza kanjani?
Lena inqubo elula kakhulu.
1. Okokuqala, uchwepheshe usebenzisa umshini we-CT scan ukuthatha izithombe eziningi zesisu sakho kanye ne-pelvis.
2. Ngemuva kwalokho, isofthiwe yekhompyutha ihlanganisa zonke lezi zithombe ukuze idale izithombe zamathumbu ezinobukhulu obubili (2D) kanye nobukhulu obuthathu (3D).
3. Ekugcineni, udokotela we-radiology uhlaziya ngokucophelela lezi zithombe ezenziwe ngekhompyutha futhi ahlole ama-polyp noma ezinye izinkinga.
Into ebaluleke kakhulu ukuthi awekho amathuluzi amade afakwa emzimbeni phakathi nale nqubo. Yingakho kuphephile kakhulu futhi kungakhululeki.
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Ukuze i-colonoscopy ebonakalayo iphumelele, ikholoni yakho idinga ukuhlanzwa ngokuphelele. Lokhu sikubiza ngokuthi 'ukulungiselela amathumbu'. Lokhu kuhilela ukususa yonke indle kukholoni yakho. Lokhu kuvumela udokotela ukuthi abone ingaphakathi lekholoni yakho ngokucacile. Lokhu kulungiselela kuvame ukwenziwa ngosuku olungaphambi kokuhlolwa.
Udokotela wakho uzokunikeza imiyalelo edingekayo ngalokhu. Leso seluleko singase sihlanganise okulandelayo.
| Izinyathelo zokulungiselela | Incazelo |
|---|---|
| Ama-laxative | Lokhu kungafika ngendlela yoketshezi noma yamaphilisi. Uma uphuza lokhu, kuzodingeka uye endlini yangasese kaningi. Lokhu kuzohlanza ngokuphelele ithumbu. |
| Ukudla okuhlanzekile okuwuketshezi | Ngeke ukwazi ukudla ukudla okuqinile ngosuku olwandulela ukuhlolwa. Kunalokho, uzocelwa ukuthi uphuze kuphela uketshezi olucacile njengamanzi, umhluzi ongenashukela, ijusi lama-apula, kanye netiye noma ikhofi elingenashukela. Udokotela wakho uzokunikeza uhlu lwalokho ongakudla nalokho ongeke ukudle. |
| Ukuzila ukudla | Ngeke ukwazi ukudla noma ukuphuza lutho amahora ambalwa ngaphambi kokuhlolwa. |
| Isilinganiso sokuqhathanisa | Ngezinye izikhathi, unikezwa uketshezi olukhethekile ukuze uphuze ukuze amathumbu abonakale ngokucacile ezithombeni zokuskena. |
| Ama-Enema | Kwezinye izimo, umuthi (i-serum) ofakwe ku-rectum unganconywa ukuhlanza ingxenye yokugcina ye-colon. |
Lokhu 'kulungiswa kwamathumbu' kubalulekile ukuze ukuhlolwa kuphumelele. Kuzodingeka uye endlini yangasese njalo phakathi nalesi sikhathi, ngakho-ke kuwukuhlakanipha ukuhlela ukuhlala ekhaya ngalolo suku futhi ube seduze nendlu yangasese.
Kwenzekani ngesikhathi sokuhlolwa?
Ngosuku lokuhlolwa, gqoka izingubo ezikhululekile futhi ungabi nobucwebe. Esibhedlela, uzoyiswa ekamelweni lapho kukhona khona i-CT scanner. Lona umshini ofana nedonathi elikhulu. Nazi izinyathelo ezihilelekile esivivinyweni:
1. Ukulungiselela: Ngemva kokugqoka ingubo yesibhedlela, uzocelwa ukuba ulale etafuleni lokuhlolwa.
2. Ukungena komoya: Okulandelayo, uchwepheshe uzofaka ipayipi elincane elingaba amasentimitha amabili ubude nge-rectum yakho. Lokhu kuzofaka umoya omncane kancane kancane ku-colon yakho. Ungakhathazeki, lokhu kwenzelwa ukwenza i-colon yakho ivuvuke kancane ukuze ingaphakathi libonakale kahle ezithombeni ze-scan.
3. Ukuskena: Itafula okulo lizongena kancane kancane ku-CT scanner. Ungase uzwe imisindo emincane yokuchofoza kanye nokubhuza njengoba umshini usebenza.
4. Hlala unganyakazi: Kumelwe uhlale unganyakazi ngokuphelele ngenkathi iskena sithatha izithombe. Uchwepheshe uzokhuluma nawe ngohlelo lwe-intercom. Bangase bakucele ukuthi ubambe umoya imizuzwana embalwa, noma ushintshe ukuma komzimba wakho kancane.
5. Ukuqeda: Uma usuqedile ukuthatha izithombe, itafula liyaphuma. Ngemuva kwalokho ungasusa ipayipi elincane bese ushintsha izingubo zakho.
Lokhu kuhlolwa akufanele kube buhlungu. Kodwa-ke, ungase uzizwe ucindezelekile kancane e-rectum, umuzwa wokugcwala, noma isidingo sokukhipha umoya ngoba amathumbu agcwele umoya. Lokhu kuvamile.
Yiziphi izinzuzo nezingozi zale ndlela?
Njenganoma yikuphi ukuhlolwa kwezokwelapha, lokhu kunezinzuzo zako kanye nemikhawulo/izingozi ezithile. Ake sibheke.
| Izinzuzo | Izingozi Nemikhawulo |
|---|---|
| Okusheshayo: Isivivinyo sonke sithatha imizuzu eyi-15 kuphela. | Ingozi yokubhoboza amathumbu: Kunengozi encane kakhulu, engavamile yokubhoboza amathumbu ngenxa yokugcwaliswa komoya. |
| Izithombe ezicacile: Ungathola izithombe ezicacile ze-2D neze-3D, njengoba nje ubungenza nge-colonoscopy yendabuko. | Ukuchayeka ku-radioactivity: Kukhona ukuchayeka emithanjeni emincane kakhulu, kodwa la manani angaphakathi kwamazinga aphephile. |
| Akukho ukubulala izinzwa okudingekayo: Njengoba kungekho ukubulala izinzwa, ukululama kuyashesha kakhulu. Ungaya ekhaya ngokushesha ngemva kokuhlolwa. | Ukweqa ama-polyp amancane: Ama-polyp amancane kakhulu (angaphansi kuka-6 mm) abanjwa ngezindlela zendabuko angase angatholakali ngale ndlela. |
| Ukungakhululeki okuncane: Akuhlaseli kakhulu ngoba ipayipi elide (i-scope) alifakwa emzimbeni. | Ama-polyp awakwazi ukususwa: Lokhu kumane nje kuwukuhlolwa. Uma kutholakala i-polyp, kuzodingeka i-colonoscopy yendabuko ehlukile ukuze isuswe. |
| Ingozi encane yokulimala kwamathumbu: Ingozi yokulimala kwamathumbu iphansi kakhulu kunendlela yendabuko. | Akufanele wonke umuntu: Lokhu kuhlolwa kungase kungafaneleki kubantu abanezimo ezithile zezokwelapha. Yingakho udokotela ezobuyekeza umlando wakho wezokwelapha. |
| Ukuhlolwa kwezinye izitho zomzimba: Lokhu kuskena ngezinye izikhathi kungabona ngephutha izinkinga hhayi ngamathumbu kuphela, kodwa nakwezinye izitho esiswini, njengesibindi nezinso. |
Kwenzekani ngemva kokuhlolwa?
Ngemva kokuhlolwa kwe-colonoscopy okubonakalayo, ungaqhubeka nemisebenzi yakho evamile. Ungadla futhi uphuze ngendlela evamile. Njengoba kungekho sidakamizwa sokubulala izinzwa, asikho isikhathi esikhethekile sokululama esidingekayo.
Kodwa-ke, umoya ophonswa emathunjini ungabangela imiphumela emibi emincane.
- Ukuqunjelwa
- Ukuzizwa sengathi isisu sibuhlungu
- Ukudlula komoya njalo (igesi eningi)
Lezi yizinto ezivamile. Lesi simo sizophela emahoreni ambalwa.
Uthini umbiko wokuhlolwa?
Imiphumela yombiko wokuhlolwa ingaba ngezindlela ezimbili.
1. Imiphumela ijwayelekile (Imiphumela Ejwayelekile)
Lokhu kusho ukuthi akukho okungavamile noma ama-polyp atholakale kukholoni lakho. Lezi yizindaba ezinhle kakhulu. Udokotela wakho uzokutshela ukuthi kufanele wenze nini ukuhlolwa kwakho okulandelayo. Uma usengozini encane, ungase unconywe ukuthi lokhu kuhlolwa kuphindwe njalo eminyakeni emihlanu.
2. Imiphumela Engavamile
Uma umbiko wakho wokuhlolwa uthi une-polyp, akusho ukuthi unomdlavuza. Ngakho ungakhathazeki. Kusho ukuthi kutholakale iqhubu elincane elingaba umdlavuza futhi elidinga ukususwa.
Ukuze ususe le polyp, kuzodingeka wenze i-colonoscopy yendabuko . Kwezinye izibhedlela, uma kungenzeka, uzobe usuvele uhlanziwe i-colon yakho, ngakho-ke ungakwenza lokho ngosuku olufanayo.
Inembile kangakanani le miphumela?
Izifundo eziningana zibonise ukuthi i-virtual colonoscopy iyasebenza njenge-colonoscopy yendabuko ekutholeni ama-polyp amakhulu nomdlavuza. Kodwa-ke, lokhu kunemba kungahluka kancane kuye ngobukhulu be-polyp.
- Kunembile kakhulu ekutholeni ama-polyp amakhulu kuno-10 mm.
- Impumelelo ingase ibe ngaphansi kancane ekutholeni ama-polyp amancane kuno-6 mm.
Isikhathi sokubona udokotela ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlolwa, noma ngabe zingavamile kakhulu, funa iseluleko sezokwelapha ngokushesha. Noma iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ubuhlungu obukhulu besisu
- Igazi esitulweni noma ukuphuma kwegazi endulwini
- Isiyezi
- Imfiva
Umdlavuza wekholoni ungenye yezinhlobo zomdlavuza ezivame kakhulu kubantu abadala. Kodwa ungelashwa kalula uma utholakala kusenesikhathi. Abantu abaningi bayayigwema ikholoni ngenxa yokwesaba ukuhlolwa. Njengoba kunezinkinga ezimbalwa kanye nokululama okusheshayo, ikholoni ebonakalayo iyindlela engcono kakhulu. Khuluma nodokotela wakho ukuthola ukuthi iyiphi indlela engcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Virtual Colonoscopy iyindlela yokuhlola esheshayo nengangenisi kakhulu engathola umdlavuza wamathumbu kusenesikhathi.
- Lokhu kusebenzisa ubuchwepheshe be-CT scan ukuthola izithombe zamathumbu ezinobukhulu obuthathu (3D) esikhundleni sepayipi elide.
- Ukulungiselela kahle amathumbu ngosuku olwandulela ukuhlolwa kubalulekile ukuze ukuhlolwa kuphumelele.
- Uma kutholakala ama-polyp ngesikhathi sokuhlolwa, kuzokwenziwa i-colonoscopy yendabuko ukuze kususwe lawo ma-polyp.
- Lena inketho enhle kulabo abesaba noma abangakwazi ukwenza i-colonoscopy yendabuko. Khuluma nodokotela wakho ngalokhu bese wenza isinqumo.
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