Ukuthatha isigqibo sokuhlala ufuna iColonoscopy

Umxholo

• Ngubani ofuna ukufumana ikholonoscopy?
• Kufuneka uyifumane nini ikholonoscopy yokuqala?
• Kufuneka uyifumane nini i-colonoscopy enembali yosapho yomhlaza?
• Ngubani osemngciphekweni wesifo somhlaza?
• Kukangaphi kufuneka ube ne-colonoscopy emva kokususwa kwe-polyp?
• Kukangaphi kufuneka ube ne-colonoscopy ene-diverticulosis?
• Kukangaphi kufuneka ube ne-colonoscopy ene-ulcerative colitis?
• Kufuneka ube ne-colonoscopy kangaphi emva kweminyaka engama-50, 60 nangaphezulu?
• Umngcipheko weColonoscopy kunye neziphumo ebezingalindelekanga
• Yise kude

I-colonoscopy yenziwa ngokuthumela ityhubhu emxinwa, enokubetheka kunye nekhamera ekugqibeleni kwiimbilini zakho ezisezantsi ukujonga okungaqhelekanga kwikholoni yakho, okanye kumathumbu amakhulu.

Yeyona ndlela iphambili yokuvavanywa komhlaza obala. Inkqubo inokusetyenziselwa ukususa iziqwengana ezincinci zenyama ukuyithumela kwilebhu yohlalutyo. Oku kwenziwa xa ugqirha ekrokrela ukuba izicwili ziyagula okanye zinomhlaza.

Ngubani ofuna i-colonoscopy, kufuneka uqale nini ukuyifumana, kwaye ufuna kangaphi ukufumana icolonoscopy esekwe kwimpilo yakho? Sigubungela oko kweli nqaku.

Ngubani ofuna ukufumana ikholonoscopy?

Ngeminyaka engama-50 ubudala, kuya kufuneka uqale ufumane ikholonoscopy qho kwiminyaka eli-10, nokuba ungowesini okanye impilo iyonke.

Njengokuba uneminyaka yobudala, umngcipheko wokuba neepolyps kunye nomhlaza wamathumbu uyanda. Ukufumana ii-colonoscopies eziqhelekileyo kunceda ugqirha wakho ukuba afumane ukungaqheleki kwangoko ukuze banyangwe ngokukhawuleza.

Kuya kufuneka uthathele ingqalelo ukufumana iicolonoscopy kwangoko ebomini bakho ukuba unembali yosapho yomhlaza wamathumbu, okanye, ukuba unayo nayiphi na imeko echongiweyo ngaphambili echaphazela indlela yakho yokwetyisa, kubandakanya:

• Isifo sengqondo sesifo (IBS)
• isifo sesisu esivuthayo (IBD)
• iipolyps ezimibala-bala

Unokucinga ngokufumana i-colonoscopy ngaphezulu kwakanye ngonyaka ukuba umngcipheko weemeko zamathumbu uphezulu kakhulu, okanye uneempawu ezingaguquguqukiyo ezibangela ukuba izibilini zakho zicaphuke okanye zitshise.

Kufuneka uyifumane nini ikholonoscopy yokuqala?

Kuyacetyiswa ukuba ufumane i-colonoscopy yakho yokuqala xa uneminyaka engama-50 ukuba usempilweni ngokupheleleyo kwaye awunayo imbali yosapho yamathumbu.

Esi siphakamiso sinokuhliswa siye kwi-40 okanye ngezantsi ngeseti entsha ye-US Preventive Services Task Force (USPSTF) izikhokelo eziyilwe ziingcali.

Fumana i-colonoscopy rhoqo njengoko ugqirha ekucebisa ukuba ngaba unesifo se-Crohn's disease okanye i-ulcerative colitis. Oku kunokunceda ekuqinisekiseni ukuba amathumbu akho ahlala esempilweni kwaye iingxaki ziyanyangwa ngokukhawuleza.

Buza ugqirha wakho malunga nokuba nekholonoscopy ngexesha lokuvavanywa kwakho komzimba ukuba ungaphezulu kweminyaka engama-50 okanye imeko yesisu.

Oku kuvumela ugqirha wakho ukuba ahlole impilo yakho yekholoni ngaxeshanye ukuba kuvavanywe impilo yakho iphela.

Kufuneka uyifumane nini i-colonoscopy enembali yosapho yomhlaza?

Akukho nto injalo kwangoko kakhulu kwi-colonoscopy ukuba usapho lwakho lunembali yomhlaza wamathumbu.

I-American Cancer Society icebisa ukuba kufuneka uqale ukufumana iicolonoscopy rhoqo xa uneminyaka engama-45 ukuba umngcipheko womhlaza umngcipheko. Amanani omngcipheko ophakathi malunga ne-1 kwayi-22 yamadoda kunye ne-1 kuma-24 yabasetyhini.

Kuya kufuneka ukuba uqale kwangoko ukuba usemngciphekweni omkhulu, okanye ukuba unesifo somhlaza wamathumbu sangaphambili. I-Anecdotally, abanye oogqirha bacebisa ukuba bahlolwe njengabaneminyaka engama-35 ukuba umzali ebekhe wafunyaniswa ukuba unomhlaza.

Inqaku elibalulekileyo: Ngaphandle kokuxilongwa ngumhlaza, ezinye iinkampani zeinshurensi zinokunciphisa umda wokuba unokuvavanywa kangaphi. Ukuba uhlolwe kwi-35, awunakufihlwa kolunye uhlolo de ube uneminyaka engama-40 okanye engama-45. Phanda ngokwakho.

Ngubani osemngciphekweni wesifo somhlaza?

Ezinye iimeko okanye iimbali zempilo yosapho zinokukubeka emngciphekweni omkhulu.

Nazi ezinye zezinto ekufuneka ziqwalaselwe ngaphambili okanye ngakumbi rhoqo kwiicolonoscopy ngenxa yomngcipheko ophezulu womhlaza ongalunganga:

• Usapho lwakho lunembali yomhlaza obomvu okanye iipolyps zomhlaza
• Unembali yeemeko ezinje ngesifo sikaCrohn okanye isifo sokudumba okwenziwa sisilonda sikabhobhosi
• Usapho lwakho luthwala imfuza eyonyusa umngcipheko wee-cancer ezithile, ezinje nge-adenomatous polyposis (FAP) okanye iLynch syndrome
• Uvezwe kwimitha ejikeleze isisu sakho okanye ummandla we-pelvic
• wenze utyando ukususa inxenye yekholoni yakho

Kukangaphi kufuneka ube ne-colonoscopy emva kokususwa kwe-polyp?

Iipolyps kukukhula okuncinci kwethishu engaphezulu kwikholoni yakho. Uninzi alunabungozi kwaye lunokususwa ngokulula. Iipolyps ezaziwa ngokuba yi-adenomas kunokwenzeka ukuba zibe nomhlaza kwaye kufuneka zisuswe.

Utyando lokususa ipolyp lubizwa ngokuba yi-polypectomy. Le nkqubo inokwenziwa ngexesha lekholonoscopy yakho ukuba ugqirha uyifumene.

Uninzi loogqirha bancomela ukufumana i-colonoscopy ubuncinci iminyaka emi-5 emva kwe-polypectomy. Unokufuna enye kwenye iminyaka emi-2 ukuba umngcipheko we-adenomas uphezulu.

Kukangaphi kufuneka ube ne-colonoscopy ene-diverticulosis?

Uya kudinga i-colonoscopy qho emva kweminyaka emi-5 ukuya kweli-8 ukuba une-diverticulosis.

Ugqirha wakho uya kukwazisa ukuba ufuna kangaphi ikholonoscopy ukuba une-diverticulosis kuxhomekeke kubukhali beempawu zakho.

Kukangaphi kufuneka ube ne-colonoscopy ene-ulcerative colitis?

Ugqirha wakho unokucebisa ukuba ube nekholonoscopy qho emva kweminyaka emi-2 ukuya kwemi-5 ukuba unesifo sokudumba kolusu.

Umngcipheko womhlaza wakho unyuka malunga neminyaka esi-8 ukuya kweli-10 emva kokuxilongwa, ngenxa yoko ii-colonoscopies eziqhelekileyo zibalulekile.

Ungazidinga rhoqo ukuba ulandela ukutya okukhethekileyo kwesilonda esibuhlungu sokulunywa sisisu.

Kufuneka ube ne-colonoscopy kangaphi emva kweminyaka engama-50, 60 nangaphezulu?

Uninzi lwabantu kufuneka bafumane ikholonoscopy ubuncinci kube kanye kwiminyaka eli-10 emva kokuba begqibe iminyaka engama-50. Kuya kufuneka uyifumane rhoqo emva kweminyaka emi-5 emva kokuba ufike kwiminyaka engama-60 ukuba umngcipheko womhlaza uyanda.

Nje ukuba ujike i-75 (okanye i-80, kwezinye iimeko), ugqirha unokucebisa ukuba ungaphinde ufumane ii-colonoscopies. Umngcipheko weengxaki unokugqwesa ngaphezu kwezibonelelo zokujonga okuqhelekileyo njengoko ukhula.

Umngcipheko weColonoscopy kunye neziphumo ebezingalindelekanga

IiColonoscopies zithathwa njengezikhuselekileyo kwaye zingenabungozi.

Kusekho umngcipheko othile. Uninzi lwexesha, umngcipheko ugqithile kwisibonelelo sokuchonga nokunyanga umhlaza okanye ezinye izifo zesisu.

Nazi ezinye iingozi kunye neziphumo ebezingalindelekanga:

• ubuhlungu obukhulu esiswini sakho
• ukopha ngaphakathi kwindawo apho kususwe khona ithishu okanye ipolyp
• iinyembezi, ukugqobhoza, okanye ukwenzakala kwikholoni okanye kwi-rectum (oku kunqabile kakhulu, kwenzeka ngaphakathi)
• impendulo engalunganga kwi-anesthesia okanye i-sedative esetyenziselwa ukugcina ulele okanye ukhululekile
• ukusilela kwentliziyo xa usabela kwizinto ezisetyenzisiweyo
• usulelo lwegazi olufuna ukunyangwa ngamayeza
• utyando olungxamisekileyo luyafuneka ukulungisa naziphi na izicwili ezonakeleyo
• ukufa (kunqabile kakhulu)

Ugqirha wakho unokucebisa i-colonoscopy ebonakalayo ukuba unobungozi obukhulu bezi ngxaki. Oku kubandakanya ukuthatha imifanekiso ye-3D yekolon yakho kunye nokuvavanya imifanekiso kwikhompyuter.

Yise kude

Ukuba impilo yakho ilungile ngokubanzi, uyakufuna kuphela ikholonoscopy kube kanye emva kweminyaka eli-10 emva kokuba uneminyaka engama-50. Ukuhamba rhoqo kunyuka ngezinto ezahlukeneyo.

Thetha ugqirha malunga nokufumana i-colonoscopy ngaphambi kwama-50 ukuba unembali yosapho yeemeko zesisu, basemngciphekweni omkhulu wokukhulisa umhlaza wekolon, okanye ngaphambili babenee-polyps okanye umhlaza wekolon.