Umdlavuza weColon yindlela eqhelekileyo yomdlavuza, kwaye isifo sesibindi esisifo (IBD) sinokunyusa umngcipheko wobomi bokuvelisa umdlavuza wekoloni. Iimpawu zomhlaza wekoloni kunye ne-IBD zifana ngokufanayo. Ngoko ke, kubalulekile ukuba uhlale ufumana utshintsho kwimikhwa yobomi okanye nayiphina impawu ezintsha okanye ezingavamile ezihlolwe ngugqirha.
Iimpawu
Kwezinye iimeko, ngexesha leempawu okanye iimpawu zomdlavuza wekoloni zibonakala, umhlaza uye waphuma.
Kwaye abo bantu abanomngcipheko omncinci wesifo somhlaza kufuneka babe nayo nayiphi na impawu ezilandelayo zihlolwe ngugqirha.
Izimpawu zesifo somhlaza ziquka:
- Tshintsha kwimikhwa yobomi
- Uhudo, ukunqandwa, okanye ukuziva ukuba ibilwelwe ayifuni ngokupheleleyo
- Igazi elibomvu elibomvu okanye elimnyama kwi-stool
- Izigqoko ezinde
- Ubuhlungu begesi, ukuqhaqha, ukuzaliswa, kunye neenkampu
- Ukulahleka kwesisindo esingachazwanga
- Ukukhathala okungapheliyo
- Ukuvutha
Uvavanyo lweSkrini
Iimvavanyo eziliqela zingasetyenziselwa ukuxilonga umdlavuza omnyama. Ukongeza kwisifundo somzimba ( esingaquka ukuhlolwa kwesigxina se-digital ) kunye nokuvavanywa kwembali yonyango jikelele, ezinye iimvavanyo ezininzi zingenziwa.
Sigmoidoscopy . I-sigmoidoscopy yindlela yokuba ugqirha ahlole i-third-thirds of the intestine enkulu, equka i-rectum kunye ne-sigmoid colon. I-tube yokubukela eguquguqukayo ene-lens kunye nomthombo olula ekupheleni, othiwa yi-sigmoidoscope, isetyenziswe. Ukujonga ngaphaya komnye umgca wobubanzi, ugqirha unokubona ngaphakathi kwikholoni.
Kule vavanyo, ugqirha unokujonga umhlaza, ukukhula okungavamile (iipolisi) kunye nezilonda . Ngokuqhelekileyo kwenziwa kwiofisi yegqirha kwaye unokuthatha imizuzu eyi-15-30. Ukususela kwiminyaka engama-50, i-sigmoidoscopy idla ngo-3 ukuya kwi-5 iminyaka ukuya kwisikrini somhlaza wesifo. Kubantu abasemngciphekweni ophezulu wesifo somhlaza ngenxa yesifo se-ulcerative colitis, imbali yentsapho yomdla we-colorectal, okanye i-polyposis yentsapho, ukuphononongwa kunganconywa ukususela kwiminyaka engama-35.
IColonoscopy . I-colonoscopy ngumvavanyo ukuhlola ngaphakathi kwikholoni, ekwazi ukuhamba ngaphaya kwemimandla yesigmoidoscopy. Olu vavanyo lusebenzisa i-colonoscope, ephethe ityhubhu eguquguqukayo kunye neelensi, ikhamera encinane yeTV kunye nokukhanya ekupheleni. Ngokusebenzisa ubuchwepheshe befiber-optic kunye nekhompyutheni yekhomputha yevidiyo, i-colonoscope inokuyiphenya ngaphakathi kwikholoni ize idlulisele imifanekiso kwisikrini sevidiyo. Ikhonkco ekupheleni kwe-colonoscope ingasetyenziselwa ukuthatha i-biopsy yeethambo kwi-colon. Ukuba i-polyp ifunyenwe, ingasuswa isetyenzisiweyo se-wire loop kwi-colonoscope. Zombini iipopu kunye ne-polyps ziya kuthunyelwa kwibhubhoratri ukwenzela ukuvavanya. Inkqubo ye-colonoscopy ingathatha i-1/2 iiyure kwaye iqhutyelwa esibhedlele njengenkqubo yonyango. Ukuhlolwa komhlaza wekoloni, i-colonoscopy inconywa yonke iminyaka eyi-10 emva kweminyaka yobudala engama-50 kubantu abangengobungozi obuphezulu.
I-Barium Enema I-barium enema (ebizwa ngokuba yintlupheko yesisu esezantsi) yinto ekhethekileyo ye-X-ray esebenzisa i-barium sulfate kunye nomoya ukucacisa umgca we-rectum ne-colon. I-Barium sulfate yikhemikhali ekhethiweyo ebonakalisa imhlophe kwifilimu ye-X-ray. I-barium inikezwa nge-enema, leyo 'ibanjwe' ngaphakathi kwikholoni ngelixa i-X-ray ithathwa.
Ukungaqhelekanga emathunjini kungabonakala njengama-silhouettes amnyama okanye iipateni kunye ne-intestinal lining kwi-X-ray. Umoya ungaphunyelwa kwikolon ukukunceda ukucwangcisa umgca wodonga lwamathumbu. I-enema ye-barium ingenziwa njengenkqubo yonyango, kwaye ngokuqhelekileyo ithatha malunga nemizuzu engama-45. I-enema ingenakukhathazeka, kodwa i-X-rays ayinabuhlungu ngokupheleleyo. I-enema ye-barium isetyenziselwa ukujonga iipolisi (ukukhula okungavamile kwimbilini yamathumbu), i-diverticulosis, i-tumors, okanye ezinye izinto ezingekhoyo. Ukususela kwiminyaka engama-50, i-enema ye-barium inokucetyiswa kanye emva kweminyaka emihlanu ukuya kwe-10 endaweni ye-colonoscopy kubantu abangengobungozi obuphezulu.
Biopsy . I-biopsy yisampuli yincinci yamathambo okanye iiseli eziza kuhlolwa kwibhubhoratri. Ngexesha le-colonoscopy, ii-biopsies eziliqela (nganye kwiindawo ezahlukeneyo kwi-colon ne-rectum) zingathathwa. Ngokuqhelekileyo zisetyenziselwa ukuxilonga umhlaza okanye ukuqikelela ukuba umhlaza usasazeka kangakanani. I-biopsy isetyenziselwa ukufumana izibonda zeetyhubhu ukuba zihlolwe kwibhubhoratri ngezibonakaliso zomhlaza okanye ezinye izifo. Isampula ye-biopsy icutywe kwaye ihlolwe phantsi kwe-microscope kwibra. Uvavanyo olufutshane luyakunceda uchwepheshe webhubhoratri ukuba abone ukuba isampuli iyinto evamile, inxalenye yesikhumba esingenayo umdlavuza, okanye isifo somdlavuza (esibi).
Ixesha elizayo lokuCoca
Kulabo baxhamla kwingcamango ye-colonoscopy, kukho ithemba kwixesha elide. Uvavanyo olutsha luye lwaphuhliswa, kodwa ungasebenzisi oko njengesizathu sokungena kwigqirha. Gcina ezo zikhundla ze-colonoscopy! Yindlela efanelekileyo yokufumana umdlavuza wekolon ekuqaleni. Ukuthathwa kwangaphambili, umdlavuza wekolon uyaphila.