Colonoscopy

Umxholo

• Intoni iikolonoscopy?
• Kutheni i-colonoscopy yenziwa?
• Kufuneka yenziwe kaninzi kangakanani icolonoscopy?
• Yeyiphi imingcipheko yekolonoscopy?
• Uyilungiselela njani ikolonoscopy?
• Amayeza
• I-colonoscopy yenziwa njani?
• Kwenzeka ntoni emva kwekolonoscopy?
• Ufanele ukulandela nini ugqirha wakho?

Intoni iikolonoscopy?

Ngexesha le-colonoscopy, ugqirha wakho ukhangela ukungaqheleki okanye isifo kumathumbu akho amakhulu, ngakumbi ikholoni. Baza kusebenzisa ikholonoscope, ityhubhu ecekeceke, eguqukayo enokukhanya kunye nekhamera eqhotyoshelweyo.

Ikholoni inceda ukwenza elona candelo lisezantsi lephecana lesisu. Ithatha ukutya, ifunxa izondlo ize ilahle inkunkuma.

Ikholoni iqhotyoshelwe kwi-anus nge-rectum. I-anus kukuvula emzimbeni wakho apho kugxothwa ilindle.

Ngexesha le-colonoscopy, ugqirha wakho unokuthatha iisampulu zethishu kwi-biopsy okanye asuse izicwili ezingaqhelekanga ezinje ngee-polyps.

Kutheni i-colonoscopy yenziwa?

I-colonoscopy inokwenziwa njengokhangelo lomhlaza obomvu kunye nezinye iingxaki. Uvavanyo lunokunceda ugqirha wakho:

• khangela iimpawu zomhlaza kunye nezinye iingxaki
• jonga unobangela wotshintsho olungachazwanga kwimikhwa yamathumbu
• vavanya iimpawu zentlungu esiswini okanye ukopha
• fumana isizathu sokuphulukana nobunzima obungachazwanga, ukuqhina okungapheliyo, okanye urhudo

Ikholeji yaseMelika yoGqirha iqikelela ukuba iipesenti ezingama-90 zeepolyps okanye zesisu zinokufunyanwa ngokuhlolwa kwecolososcopy.

Kufuneka yenziwe kaninzi kangakanani icolonoscopy?

Ikholeji yaseMelika yoGqirha yacebisa ikholonoscopy kanye kwiminyaka eli-10 kubantu abahlangabezana nazo zonke ezi ndlela zilandelayo:

• baneminyaka engama-50 ukuya kwengama-75 ubudala
• basemngciphekweni we-cancer
• Unobomi obulindelekileyo ubuncinci iminyaka eli-10

Ijenali yeBritish Medicine (BMJ) icebisa i-colonoscopy yexesha elinye kubantu abahlangabezana nazo zonke ezi ndlela:

• baneminyaka engama-50 ukuya kwengama-79 ubudala
• basemngciphekweni we-cancer
• ubuncinci benethuba leepesenti ezi-3 lokuphuhliswa komhlaza ongalunganga kwiminyaka eli-15

Ukuba usemngciphekweni omkhulu womhlaza ongalunganga, unokufuna iinkqubo ezizezinye rhoqo. Ngokwe-American Cancer Society (ACS), abantu abanokufuna ukuba bahlolwe rhoqo rhoqo kwiminyaka eli-1 ukuya kwemi-5 kubandakanya:

• abantu abanee-polyps ezisuswe ngexesha lekholonoscopy yangaphambili
• abantu abanembali yangaphambili yomhlaza ongalunganga
• abantu abanembali yosapho enomdlavuza obomvu
• abantu abanezifo zesibindi sokuvuvukala (IBD)

Yeyiphi imingcipheko yekolonoscopy?

Kuba ikholonoscopy yinkqubo yesiqhelo, zimbalwa iziphumo ezingapheliyo kolu vavanyo. Kwiimeko ezininzi, izibonelelo zokufumanisa iingxaki kunye nokuqala unyango zigqithile kumngcipheko weengxaki ezivela kwi-colonoscopy.

Nangona kunjalo, ezinye iingxaki ezinqabileyo zibandakanya:

• ukopha kwindawo ye-biopsy ukuba kwenziwe i-biopsy
• ukusabela okungalunganga kulwelo olusetyenziswayo
• inyembezi kudonga lwexande okanye ikholoni

Inkqubo ebizwa ngokuba yi-virtual colonoscopy isebenzisa i-CT scans okanye i-MRIs ukuthatha imifanekiso yekolon yakho. Ukuba ukhetha oko endaweni yoko, unokuziphepha ezinye zeengxaki ezinxulumene ne-colonoscopy yesiko.

Nangona kunjalo, iza neengxaki zayo. Umzekelo, isenokungafumani iipolyps ezincinci kakhulu. Njenge teknoloji entsha, kunqabile ukuba ihlawulwe yinshurensi yezempilo.

Uyilungiselela njani ikolonoscopy?

Ugqirha wakho uya kukunika imiyalelo yokulungiselela isisu (isisu sokulungiselela). Kuya kufuneka utye ukutya okungamanzi okucacileyo iiyure ezingama-24 ukuya kwezingama-72 ngaphambi kwenkqubo yakho.

Ukutya okuqhelekileyo kokutya kwangaphambili kubandakanya:

• umhluzi okanye i-bouillon
• gelatin
• ikofu okanye iti
• Ijusi engenampuphu
• iziselo zemidlalo, ezinjengeGatorade

Qinisekisa ukuba awuseli naluphi na ulwelo olunedayi ebomvu okanye emfusa kuba banokuyilahla ikholoni yakho.

Amayeza

Tshela ugqirha wakho malunga nawaphi na amayeza owasebenzisayo, kubandakanya iziyobisi ezingaphaya kwekhawuntareni okanye izongezo. Ukuba zinokuchaphazela i-colonoscopy yakho, ugqirha wakho angakuxelela ukuba uyeke ukuzithatha. Oku kunokubandakanya:

• abacoci gazi
• iivithamini ezinesinyithi
• amayeza athile eswekile

Ugqirha wakho unokukunika i-laxative ukuba uthathe ubusuku ngaphambi kokuqeshwa kwakho. Baya kukucebisa ukuba usebenzise i-enema ukukhupha ikholoni yakho ngosuku lwenkqubo.

Unokufuna ukulungiselela ukukhwela ekhaya emva kwedinga lakho. Ukuthomalalisa oya kunikwa ngenkqubo kwenza kungakhuseleki kuwe ukuba uziqhube.

I-colonoscopy yenziwa njani?

Kanye ngaphambi kwekolonoscopy yakho, uya kutshintsha ube yingubo yesibhedlele. Uninzi lwabantu lufumana iyeza lokuthomalalisa kunye neentlungu ngokusebenzisa umgca wokungena ngaphakathi.

Ngexesha lenkqubo, uya kulala ngecala lakho kwitafile eneemviwo. Ugqirha wakho unokukubeka ngamadolo akho kufutshane nesifuba sakho ukuze ufumane i-angle engcono kwikholoni yakho.

Ngelixa usecaleni lakho kwaye uhleli, ugqirha wakho uya kukukhokelela kwi-colonoscope kancinci kwaye ngobunono kwi-anus yakho nge-rectum nakwikholoni. Ikhamera ekupheleni kwekolonoscope idlulisela imifanekiso kwisilathisi esiza kujongwa ngugqirha wakho.

Nje ukuba icolonoscope ibekwe, ugqirha wakho uya kufaka ikholon usebenzisa ikharbon diokside. Oku kubanika umbono ongcono.

Ugqirha wakho angasusa iipolyps okanye isampuli yesicubu kwi-biopsy kule nkqubo. Uya kuvuka ngexesha lekolonoscopy yakho, ngoko ugqirha uya kuba nakho ukukuxelela okwenzekayo.

Yonke le nkqubo ithatha imizuzu eli-15 ukuya kwiyure.

Kwenzeka ntoni emva kwekolonoscopy?

Emva kokuba inkqubo yenziwe, uya kulinda ixesha elingangeyure ukuvumela ukuthamba. Uya kucetyiswa ukuba ungaqhubi iiyure ezingama-24 ezizayo, de kube kuphelele.

Ukuba ugqirha wakho ususa izicwili okanye i-polyp ngexesha le-biopsy, baya kuyithumela elebhu ukuvavanywa. Ugqirha wakho uza kukuxelela iziphumo xa sele zilungile, ngesiqhelo kwiintsuku ezimbalwa.

Ufanele ukulandela nini ugqirha wakho?

Uya kuba nerhasi kunye nokuqunjelwa kwigazi ugqirha wakho abeke kwikholoni yakho. Nika eli xesha lokuba uphume kwinkqubo yakho. Ukuba iyaqhubeka iintsuku emva koko, oko kunokuthetha ukuba kukho ingxaki kwaye kuya kufuneka unxibelelane nogqirha wakho.

Kwakhona, igazi elincinci kwisitulo sakho emva kwenkqubo yesiqhelo. Nangona kunjalo, tsalela ugqirha wakho ukuba:

• qhubeka nokudlulisa igazi okanye amahlwili egazi
• amava entlungu
• Unomkhuhlane ongaphezu kwe-100 ° F (37.8 ° C)