Cishe uke wezwa nge-colonoscopy ndawana thize. Isikhathi esiningi, sizwa ngokulungiselela kwayo. Ngobusuku bangaphambi kokuhlolwa, kufanele uphuze uketshezi olukhethekile ukuze uhlanze amathumbu akho ngokuphelele. Akuzwakali njengento elula ngempela ukuyenza, akunjalo? Kodwa, kunesizathu esibaluleke kakhulu sokuthi kungani odokotela batusa lokhu kuhlolwa kubantu abaneminyaka ephakathi kuka-45 no-75, noma ngabe awunazo izimpawu. Ake sixoxe ngakho namuhla.
Yini ngempela efunwa yilolu vivinyo?
Kalula nje, i-colonoscopy iyisivivinyo esikhethekile somdlavuza we-colorectal (CRC). Zombili lezi zingxenye zitholakala emathunjini ethu amakhulu, okuyingxenye yokugcina yesimiso sethu sokugaya ukudla. Amathumbu amakhulu amunca amanzi nezakhamzimba ekudleni esikudlayo futhi agcine imfucuza esele (ebizwa ngokuthi indle). Bese, imfucuza idlula e-rectum ngaphambi kokuphuma emzimbeni.
Into eyingozi kakhulu ngomdlavuza wamathumbu amakhulu ukuthi awubonisi zimpawu ezigabeni zokuqala .
Cabanga nje, ezinye izimpawu ziqala ukuvela. Isibonelo, izinguquko emikhubeni yamathumbu (ngokuvamile ukuqunjelwa), igazi esitulweni, umuzwa wokuthi isisu asikaphumi ngokuphelele, ubuhlungu besisu obuqhubekayo noma ukuqunjelwa. Ngezinye izikhathi, ukwehla kwesisindo, indle encane njengepensela, ubuthakathaka, kanye nokukhathala okukhulu nakho kungahlotshaniswa nalokhu. Kodwa inkinga iwukuthi, ngesikhathi uhlangabezana nalezi zimpawu, umdlavuza uvame ukuba usuthuthuke kakhulu, okusho ukuthi cishe ususakazeke kabanzi .
Nokho, lokhu kuhlolwa akusetshenziselwa nje ukuthola umdlavuza, kodwa kusetshenziselwa nokuhlonza ezinye izinkinga eziningi.
- Izilonda emathunjini
- Ukuvuvukala emathunjini
- Amaphakethe amancane (i-diverticula) akha odongeni lwamathumbu
- Ukuncishiswa kwezinye izingxenye zamathumbu (ama-Strictures)
- Izimbangela zohudo olungachazeki, oluhlala isikhathi eside
- Ukopha okungachazeki ohlelweni lokugaya ukudla
Eqinisweni, i-colonoscopy akuyona nje indlela yokuhlola ukuthola umdlavuza, kodwa futhi iyindlela enamandla yokuvimbela umdlavuza ukuthi ungakhuli.
Leli iphuzu elibaluleke kakhulu. Kwenzeka kanjani lokhu? Uma odokotela benza lokhu kuhlolwa, bafuna izinto ezifana nokukhula okuncane (ama-polyp) emathunjini angaba umdlavuza. Uma bebona into efana naleyo, bangasusa lokho kukhula ngokushesha. Lokhu kusho ukuthi lokhu kuhlolwa kungasusa into ebingaba umdlavuza esikhathini esizayo futhi kukusindise engozini enkulu.
Kwenziwa kanjani ngempela lokhu kuhlolwa?
Ngokwenza i-colonoscopy, udokotela wakho angabona ngokucacile ingaphakathi le-colon yakho yonke kanye ne-rectum.
Ngosuku olungaphambi kokuhlolwa, uzonikezwa isiphuzo esikhethekile sokuhlanza amathumbu ukuze uhlanze amathumbu akho ngokuphelele. Lena yingxenye abantu abaningi abangayithandi. Kodwa-ke, lesi sinyathelo sibalulekile ukuze udokotela akwazi ukubona ingaphakathi lamathumbu akho ngokucacile.
Ngesikhathi sokuhlolwa, udokotela usebenzisa ithubhu eliguquguqukayo elingangepeni (ikholonoscope) elinekhamera encane enamathiselwe. Leli thubhu lifakwa ngokucophelela ngendunu yakho bese liqondiswa phezulu kwekholoni lakho. Njengoba lidlula, ungabuka izithombe ezivela kukhamera esikrinini. Ngesikhathi ithubhu lisendaweni, umoya omncane uvuthelwa emathunjini ukuze lihlale livulekile futhi lingavimbeki.
Udokotela uzohlola ikakhulukazi ama-polyp, esikhulume ngawo ngaphambili. Uma ekhona, angawasusa ngokushesha. Inqubo yonke ivame ukuthatha cishe imizuzu engama-30. Akudingeki ukhathazeke ngalokhu ngoba uzonikezwa i-anesthesia ukuze ugweme noma yikuphi ukungakhululeki.
Kufanele ngikwenze nini lokhu kuhlolwa?
Ngenxa yokuthi umdlavuza wamathumbu amakhulu uvame ukukhula ngokuhamba kweminyaka, udokotela wakho angase akuncome ukuthi wenze i-colonoscopy yakho yokuqala lapho uneminyaka engu-45 .
Kodwa-ke, kunezimo ezithile lapho ungase ube sengozini enkulu khona. Isibonelo, uma isihlobo esiseduze (umama, ubaba, umfowethu, udadewethu, noma ingane) sibe nomdlavuza wamathumbu, ungase welulekwe ukuthi wenze lokhu kuhlolwa usemncane kakhulu.
Izindaba ezinhle ukuthi uma kungekho ma-polyp atholakalayo ngesikhathi sokuhlolwa kokuqala, kuzodingeka ukuthi wenze ukuhlolwa okulandelayo ngemva kweminyaka eyi-10 . Kodwa-ke, uma kutholakala ama-polyp, udokotela wakho angase akucele ukuthi wenze ukuhlolwa okulandelayo eminyakeni emi-3-5, kuye ngohlobo lwawo.
Yiziphi ezinye izindlela ezikhona zokuthola umdlavuza?
Kunezinye izindlela eziningana ngaphandle kwe-colonoscopy. Kodwa ngayinye yazo inemikhawulo yayo. Ake sizibheke.
| Igama lokuhlolwa | Indlela yokukwenza | Umkhawulo wesikhathi |
|---|---|---|
| Ukuhlolwa Kwegazi Lomlingo Wendle | Kuhlolwa isampula yendle ukuze kutholakale igazi. | Njalo ngonyaka |
| Ukuhlolwa Kwama-Fecal Immunochemical (FIT) | Basebenzisa ama-antibodies ukuhlola igazi lomuntu esitulweni. | Njalo ngonyaka |
| Ukuhlolwa kwe-FIT-DNA | Ukuhlolwa kwe-FIT kubheka izinguquko ze-DNA ezihambisana nomdlavuza esitulweni. | Njalo eminyakeni eyi-1-3 |
| I-CT Colonography | Ama-X-ray namakhompyutha athatha izithombe ze-3D zamathumbu. | Njalo eminyakeni emi-5 |
| I-Sigmoidoscopy | Kufana ne-colonoscopy, kodwa kuhlolwa i-rectum kanye nengxenye yamathumbu amakhulu kuphela. | Njalo eminyakeni emi-5-10 |
Kodwa into ebaluleke kakhulu lapha ukuthi uma noma yikuphi kwalokhu kuhlolwa kuthola i-polyp noma kuqinisekisa ukuthi kukhona igazi esitulweni, kuzodingeka nakanjani wenze i-colonoscopy ukuze uyisuse noma uyibheke eduze .
Yingakho i-colonoscopy ibhekwa "njengendinganiso yegolide" kulo mkhakha, ngoba ingakwazi ukubona lesi sifo futhi iselaphe (isuse ama-polyps) ngesikhathi esisodwa.
Kungani abantu abaningi kangaka bekugwema lokhu?
Kunezizathu ezimbili eziyinhloko zokuthi kungani abantu bengalwenzi lolu vivinyo oluwusizo.
1. Ukuthi , "Udokotela wami akangitshelanga ukuthi ngenze lokhu."
2. Ukucabanga ukuthi "ukuhlanza isisu kunzima kakhulu."
Impendulo yombuzo wokuqala ikuwe. Uma uneminyaka engaphezu kwengu-45 futhi udokotela wakho engakakutsheli, mbuze . Ukubuza, "Dokotela, sekuyisikhathi sokuba ngenze i-colonoscopy?" kuyisinyathelo esibalulekile ongasithatha ukuze uphile impilo yakho.
Into yesibili ukwesaba ukulungiswa kwamathumbu. Kuyiqiniso, kuyacasula kancane. Kodwa cabanga ngakho, uma ungagwema umdlavuza iminyaka eyi-10 ngosuku olulodwa lokungakhululeki, kungakanani okubalulekile? Futhi, imithi nezindlela ezisetshenziswa kulokhu sezithuthuke kakhulu manje. Ungakhuluma nodokotela wakho ngendlela efaneleka kakhulu futhi elula kakhulu kuwe. Uma kuqhathaniswa nokuvimbela umdlavuza, lokhu kuyintengo encane ngempela okufanele uyikhokhe.
Umlayezo Wokuya Nawe Ekhaya
- I-Colonoscopy iwukuhlolwa okubaluleke kakhulu ekutholakaleni komdlavuza wamathumbu kusenesikhathi. Ngokuvamile kunconywa ngemva kweminyaka engu-45.
- Lokhu akugcini nje ngokubona umdlavuza, kodwa futhi kususa ama-polyp angaba umdlavuza, okuvimbela umdlavuza ukuthi ungakhuli.
- Nakuba ukulungiselela ukuhlolwa kungaba nzima kancane, izinzuzo zezempilo zesikhathi eside ezikunikezayo zibaluleke kakhulu.
- Uma unemibuzo ngalokhu, ungesabi. Khuluma nodokotela wakho ngokukhululekile . Uzokuchazela konke.
- Uma uneminyaka efanele futhi udokotela wakho engakashongo ngalokhu, kufanele ubuze ngakho. Impilo yakho ingumthwalo wakho.
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