Kuthetha ukuthini Ukuba Unayo iColon Tortuous?
Sibanzi
Kwiimeko ezininzi zempilo ezinokubandezela umntu, akukho zininzi ezithethwa ngolu hlobo "njenge-colon." Kule ngqungquthela, uya kufunda konke malunga nalo mqathango ongenqabile kwaye ngethemba lokuba loo nkcazelo iya kubeka ingxakini yakho malunga nendima "ehluthwayo" ngokukhululeka.
Yintoni iColon Tortuous?
Ikholoni yakho, mhlawumbi eyaziwa njenge-intestine yakho enkulu, iyilungu elide, elingenalutho eliqhelekileyo malunga neenyawo ezintlanu ubude.
Ikholoni enobuhlungu yinto ede ngaphezu kweqhelekileyo. Ukuze le bhubhu ibambelele esiswini sakho, ikholoni iphetha ngexabiso elongezelelweyo kwaye lijika.
Ngamanye amaxesha i-colon evuthayo ibizwa ngokuba yi-colon ebomvu. Abanye bakwenza ukuhlula ukuba ikholoni ehluthayo inomlinganiselo ogqithiseleyo wokuboleka okubukhali, ngelixa i-colon ebomvu inomthwalo ogqithisileyo weekonti.
Nangona imeko ivakalisa kakuhle, ixhala, amaninzi amaxesha akuyona ingxaki enkulu yempilo. Kwaye unokukhululeka ukwazi ukuba ayinyuli umngcipheko wokufumana umhlaza wekoloni .
Iimpawu
Inkoliso yexesha elixhamlayo i-colon ayinayo impawu kwaye ichongwa kuphela ngovavanyo lokuhlola. Nangona kunjalo, kwezinye iimeko, kunokufaka isandla kwiimpawu ezilandelayo:
- Intlungu zesisu
- Iimbumba zomzimba
- Iimbilini zivalelwe
- Ukuqhawula
- Ukutyunjwa
- Ukugqithisa ngokweqile kwegesi
- UFecal impaction
Inkcazo engaqhelekanga, kodwa inzima kakhulu ehambelana nekoloni ehluthayo yilapho iitshiyali zikhohla kakhulu kwi-colon ukuze zidale imeko eyaziwa ngokuba ngumqobo okanye umlenze we-colonic volvulus.
Izibonakaliso zesithintelo somzimba ziquka:
- Ubuhlungu obukhulu besisu esiswini
- Ukuphazamiseka esiswini
- Ukukhukhumeza ngokwemimba
- I sizathu
- Akukho ntshukumo yokuhamba kwexesha elide kuneentsuku ezintathu
- Kudlula isitulo esine-mucus okanye igazi
- Ukuvutha
Ukuba unayo impawu ekhankanywe apha ngasentla kufuneka ufumane uncedo lwezonyango.
Izizathu
Kukho iintlobo ezahlukahlukeneyo zokuba kutheni umntu abe nekoloni ehluthayo.
Abanye abantu bazalwa kunye nayo kwaye kunokuhle kube nesimo semfuyo eselungelelene nayo. Kwezinye iimeko, isizathu asikwazi ukuchongwa. Kodwa i-colon nayo ingaba yinyumba kwaye isontshiswe ngenxa yokutya okuphantsi kwefayibha yokutya, ukuxilongwa okungapheliyo, izitofu ezinzima ezihlala rhoqo kunye nokuxhatshaza ukuphelisa.
Unyango
Unyango loNyango
Ukuba i-colon yakho ephilileyo okanye ephosakeleyo ingabikho mpawu, ukuzinyamekela kwakho kuphela kukuqinisekisa ukuba udidi lwezempilo olusondeza impilo yakho, kuquka ukulandela ukutya okunesondlo, okuphezulu kunye nokuphendula ngokukhawuleza ukuba unxuse ntshukumo.
Ukuba ufumana iimpawu zegesi, ukubhubhisa, isisu esiswini okanye ukutyunjwa, uya kugxininisa ekujonganeni nayo nganye yeempawu. Ukutya ukutya okuphezulu kunye nokusela amanzi amaninzi kunokunceda ukunciphisa ukutyunjwa , nangona kungekho uphando malunga nokusebenza kwayo kwikholoni ehluthayo, ukutya okuphantsi kwe-FODMAP kunokunceda ukuphucula iimpawu zegesi kunye nokuqhaqha. Ukuze ukhululeke esiswini , ungase ufune ukusebenzisa i-pad yokufudumala okanye ibhotile yamanzi eshushu kwisisu sakho apho intlungu ibonakala ivela khona.
Unyango
Akukho mnye umyalelo wonyango othe ngqo wekholoni ehluthayo.
Ugqirha wakho unokusebenza kunye nawe ukuza nesicwangciso solawulo kuyo nayiphina impawu engasigxina yokugaya ukutya, kwaye oku kungabandakanya ukusetyenziswa kwamachiza enyango okanye iimveliso ezingaphezulu kwee-counter. Khetha ziquka:
- Imithi ye-Antispasmodic
- Iifayili zongezelelo
- Laxatives
- Ukunyangwa kwamayeza
- Ukuxhatshazwa kweengxaki (ukuxilwa kweentlungu)
Kwaye nangona isithintelo semfuyo esivela kwikholoni ehluthayo yinto engavumelekanga, ingasongela ubomi kwaye idinga ukungenelela ngonyango.
I-Tortuous Colon ne-IBS
Uninzi lweempawu ze-colon ehluthayo zifana nezoxinzelelo zesifo se-bowel syndrome (IBS).
Ngenkcazo, i-IBS ifunyaniswa xa kungekho sakhiwo esingaqhelekanga (okanye ukuvuvukala okubonakalayo okanye ukulimala) kwaye ngoko i-IBS kunye ne-colon ekhunjulwayo ibonwa njengeemeko ezimbini zempilo ezahlukileyo. Kungenzeka ukuba i-colon ephazamisayo ingachongwa njengoko uhamba nokuvavanya uvavanyo lwe-IBS. Kwakhona kunokwenzeka ukuba ugqirha wakho unokuhlamba iimpawu zakho phantsi kwe-ISS efanayo. Nangona kungekho uphando oluqinileyo ngalo mbandela, kubonakala ukuba ukugqithiswa-okubaluleke kakhulu kwi-IBS (IBS-C) kunokuphakamisa umngcipheko wokuhlakulela i-colon ephazamisayo (kugcinwe engqondweni ukuba i-colon ephazamisayo iyimeko engaqhelekanga).
Ukuxilongwa
Njengoko uyazi ukuba, uvavanyo lwe-colonoscopy luvavanyo olubalulekileyo lwe-colon cancer screening. Iimeko ezifanelekileyo xa i-endoscope, ityhude ende, ekhanyisiweyo esetyenziswa ngexesha le nkqubo, inokufakwa yonke indlela kuyo yonke ikoloni ide ifike kwi-cecum, apho i-intestine encinci kunye namakhulu. Ngethuba le nqubo ugqirha wakho unokujonga impilo yamathumbu akho amakhulu kwaye asuse nayiphi na isisindo esingaqhelekanga, njengama-polyps. Ezi zicubu ziyakwazi ukuvavanywa ukufumaneka kwamaseli omhlaza. Ngokuqhelekileyo, uya kuba nekolonoscopy yakho yokuqala kwiminyaka engama-50 uze uphinde wenze inkqubo nganye kwiminyaka eyi-10. Ukuba unomngcipheko ophezulu kumdlavuza wekolon ngenxa yembali yentsapho okanye ube neplasps zangaphambilini, unokufuna ukuba uvavanyo luyenze kungekudala kuneminyaka engama-50 nangamaxesha amaninzi.
I-colon enobuhlungu ingaba ngumngeni ugqirha wakho njengezitshintshi, izikhonkwane kunye / okanye i-angles ezibukhali yenza kube nzima ukufumana i-endoscope yonke indlela kulo lonke iqumrhu. Ngokwesiko, oogqirha baye basebenzisa enye yeendlela ezilandelayo:
Ukwahlula kabini i-barium enema (DCBE): Kwixesha elidlulileyo, lo luvavanyo olusetyenziswa ngokuqhelekileyo njengenye indlela yekolonoscopy yendabuko yekoloni ehluthayo. Kule ndlela, ukufakelwa kwamanzi kunye ne-barium kufakwe kwi-rectum yakho njengowomntu ochaseneyo kwaye ke uchungechunge lwe-X-ray lwenziwa kwisisu sakho esiphantsi. Ngokulandelayo, i-barium ivumelekile ukuba ikhuphe kwaye umoya uphonywe kwi-colon yakho ngokusebenzisa i-rectum kunye nemifanekiso ye-X-ray. Esinye sezizathu ezenza ukuba i-DCBE ingabonakaliyo kukuba uphando lubonisile ukuba akukho into efanelekileyo ekuboneni ubukho beethambo ezingaqhelekanga ngaphakathi kwamathumbu amakhulu.
I-colonoscopy ebonakalayo : I-colonoscopy ebonakalayo, eyaziwa ngokuba yi-computed tomography colonography (CTC) inikeza enye indlela kwi-colonoscopy yendabuko kwi-colonos coly. Kule nkqubo, kufuneka uqhubeke nokukhupha isilwanyana esilulekayo esifanelekileyo kwi-colonoscopy yendabuko ngaphambi komhla wokuvavanya. Kule nkqubo, uya kucelwa ukuba uphuze umbane oqukethe idayi eyahlukileyo. Ibhuthi elifutshane, elincinci liya kufakwa eliza kupompoza umoya kwi-colon yakho. Uya kufakwa uluhlu lwe-X-ray. Njenga-DCBE, le nkqubo inemida ethile ekukwazi ukufumana iipolisi ezincinci. Kwaye ukuba kukho ubungqina bokuba ubukho beepolisi, uya kufuneka ufumane i-colonoscopy yendabuko.
Nangona kunjalo, uphando olutsha lubonisa ukuba kukho inqanaba eliphambili lempumelelo ye-colonoscopy epheleleyo kunye nokuzama ukuphinda. Le mpu melelo ingafumaneka xa i-endoscope yesayizi ehlukileyo isetyenzisiweyo, njengaleyo eyenzelwe abantwana.
ILizwi
Njengoko kuchaziwe ngasentla, i-colon ephazamisayo yinkcitho ebizwa ngokuba yimeko. Ngokuqhelekileyo, le yimeko engabonakaliyo kwaye ingabikho nto iqhubela phambili kwiingxaki zempilo. Ukuba unesifo esingapheliyo sokugaya isifo se-colon, qiniseka ukuba usebenze nogqirha wakho kwisicwangciso solawulo lwezimpawu. Yaye ungavumeli ikoloni ehluthulukileyo ingene endleleni yokuba ulungele ngokwaneleyo ukubonakala komhlaza wekoloni.
> Imithombo:
> Gawron AJ, Veerappan, Keswani RN. "Inqanaba eliphezulu lempumelelo yokuphindaphinda i-colonoscopy enee-endoscopes eziqhelekileyo kwizigulana ezibhekiselelwe kwi-colonoscopy engaphelelanga" I- Canadian Journal of Gastroenterology 26, 589-592.
> Brahmania M, Park J, Svarta S, Tong J, Kwok R, Enns R. "I-colonoscopy engapheliyo: Ukuphakamisa izinga lokugqiba i-gastroenterologists" BMC Gastroenterology 2014; 14: 56.