Omnye-Okwesithathu Kubantu Abakujongene Nengozi YeCaron Cancer Awuyi Kuhlolwa
Umdlavuza oqhelekileyo, isibini esibangela ukufa komdlavuza e-United States, kuya kubangela ukuba kufe abantu abangaba ngu-50 000 eMelika minyaka yonke. Iingcali zincoma ukuba wonke umntu ongaphezu kweminyaka engama-50 ahlolwe umhlaza wekoloni. Nangona iinombolo eziphezulu zokuxilongwa kunye nokufa ngenxa yomdlavuza wekoloni, kuphela i-2-thirds kuphela yamaMerika angaphezu kweminyaka engama-50 iye yahlolwa.
Iindaba ezilungileyo kukuba, xa kubanjwe kumanyathelo ayo okuqala, umdlavuza we-colorectal u-90% unyanga. Ngoko, ngubani omele ahlolwe umhlaza womhlaza?
Kutheni Isikrini?
Injongo yokuphonononga umdlavuza omninzi kukufumana ukukhula okungaqhelekanga kwikholoni ebizwa ngokuba yi- polyps . Iipolysi zikhula eludongeni lwamathumbu, kwaye ziyimphambili yomhlaza. Ukuba ifunyenwe ngexesha le-colonoscopy okanye i-sigmoidoscopy, iipolps zingasuswa kunye nesinamathiselo esipheli se- colonoscope . Ukuba i-polyp ifumaneka kwaye isuswe ngexesha lokucoca, ayikwazi ukuguqula umhlaza.
Ngubani ozoyijonga?
Ukuba uneminyaka engama-50 ubudala, i-American Gastroenterological Society incoma ukuba uhlolwe ngumhlaza wokulala. Izinketho ezininzi zokuhlola ikhona, kunye neyona ndlela ifanelekileyo kwisigulane ngasinye kufuneka ixoxwe nodokotela. Ayikho yonke indlela eya kusebenza kuyo yonke isigulane: ugqirha kunye nesigulane kufuneka sifike kwisivumelwano malunga nendlela efanelekileyo yokuyisebenzisa.
Abantu abangaphantsi kweminyaka engama-50 abanembali yentsapho yomhlaza wokulala, isifo sesibindi sokuvuvukala (IBD) , imbali yomuntu siqu yokukhula komdlavuza okanye iipolisi ezidityanisiweyo, okanye i-syndromes njengezifuzo ezifana ne- familial adenomatous polyposis (FAP) , kufuneka ihlolwe umhlaza kwishedyuli yabo.
Kubalulekile ukuba abantu abakwiindidi ezinobungozi obukhulu bakhulume nodokotela malunga nexesha elifanelekileyo lokuqala ukuhlola, ukuba luvavanyo luni lokusetyenziswa, kwaye ziphindwa kaninzi ukuvavanya. Kubantu abasemngciphekweni omkhulu wokuba nomhlaza womnxeba, ukuphonononga kungadinga ngaphambili kwaye kaninzi kunabantu abasengozini emngciphekweni (echazwe ngokubanzi njengabantu abangaphezu kweminyaka engama-50).
Kutheni iColonoscopy ihamba phambili
Kukho iintlobo ezininzi zeemvavanyo ezikhoyo, kodwa i-colonoscopy ngumgangatho wegolide. Isizathu sokuba kukho i-colonoscopy ingasetyenziselwa ukukhenkca i-colon yonke yeepolps, uze uyisuse. Xa i-polyp isuswe, kunjalo nokusongela kweso siqulatho siphendule umdlavuza.
Ezinye iimvavanyo zinokungabikho. I sigmoidoscopy eguquguqukayo iya kuhlola kuphela inxalenye yekoloni: nayiphi na iipolisi ezihamba ngaphaya kwebala lobubanzi ziya kulahlwa. I-enum ye-barium luhlobo lwe-x-ray kwaye linikeza amandla okususa ama-polyps. Ukuba iipolisi ziyafunyanwa ngexesha lovavanyo, i-colonoscopy iya kunconywa nantoni na. Uvavanyo lwe-stool luya kufumana igazi kwi-stool, kodwa ngelixa i-polyp ikhoyo kwaye iphuma, ingaba nomhlaza. Ukuba igazi litholakala kwisitulo, i-colonoscopy yokulandelelana inganconywa nantoni na.
I-upshot kukuba ukuba ne-colonoscopy iya kunika ithuba elihle lokufumana nokususa iipolisi ngaphambi kokuba zibe nomhlaza.
Ukuba omnye uvavanyo lusetyenziswa kwaye i-polyp ibonakala okanye ikhunjulwa, i-colonoscopy iya kucetyiswa nantoni na.
Ezinye iindlela zeCaron Cancer Screening
Uvavanyo lweStool. Ukuba uvavanyo lwegazi lwamafihla (FOBT) lusetyenziswa njengendlela yokuhlola, kucetyiswa ukuba lo vavanyo luphindaphindwa rhoqo ngonyaka. I-FOBT isetyenziselwa ukuhlolisisa i-stool imizila yegazi engenakubonwa ngeso iso. Olu vavanyo lunokuthathwa ekhaya kwaye lunokubona ukuphuma kwegazi ukusuka phantse naphi na kwindlela yokugaya, kuquka oko kuvela kwiipolisi.
Sigmoidoscopy. Ukongeza kwi-FOBT yonyaka, i-sigmoidoscopy eguquguqukayo ikhuthazwa yonke iminyaka emi-5.
I-sigmoidoscopy yindlela yokuba ugqirha ahlole isigxina sesithathu sesitumbu esikhulu, esibandakanya 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 isifo somhlaza, i-polyps, kunye nezilonda .
Barium Enema. Enye enye indlela ye-sigmoidoscopy eguquguqukayo i -enema ye-barium enesibini . I-enum ye-barium (ebizwa ngokuba yintlupheko yesisu esezantsi) luhlobo olukhethekileyo lwe-x-ray esebenzisa i-barium sulfate kunye nomoya ukucacisa umgca we-rectum kunye ne-colon. I-enema ye-barium ingenziwa njengenkqubo yonyango kwaye ngokuqhelekileyo ithatha malunga nemizuzu engama-45. I-enema ingenakukhathazeka, kodwa i-ray-ray ayifuni. Olu vavanyo luphinda lukhuthazwe yonke iminyaka emihlanu ngalabo basebenzisa le ndlela yokujonga.
IColonoscopy. I- colonoscopy inconywa kanye emva kweminyaka elishumi, okanye njengokulandelelwa ukuba nayiphi na igazi, iipolysi okanye ukungabikho kokungafumaneki ngexesha leyiphi na imvavanyo elapha ngasentla. Ngethuba le-colonoscopy, ugqirha unokuhlola ngaphakathi ngaphakathi kwekoloni ngaphaya kweendawo eziza kufikelela kwi-sigmoidoscopy. Inkqubo ye-colonoscopy ingathatha i-1/2 iiyure kwaye iyenziwa phantsi kwesibhedlele kwisibhedlele njengenkqubo yokuphulukisa. Ikhonkco ekupheleni kwe-colonoscope ingasetyenziselwa ukuthatha i-biopsy yeethambo kwi-colon. Ukuba i-polyp ifunyenwe, ingasuswa kwaye zombini i-biopsies kunye ne-polyps izothunyelwa kwibhubhoratri ukuze ihlolwe ngakumbi.
Iikholeji zeColon Cancer Screening Guidelines for People Over 50
Ukuhlola rhoqo kufuneka kufake enye yezinto ezilandelayo:
- FOBT minyaka yonke
- Sigmoidoscopy yonke iminyaka emihlanu
- I-FOBT kunye ne-sigmoidoscopy minyaka yonke emihlanu
- Ukuqhathanisa i-enum ye-barium yonke iminyaka emi-5
- I-Colonoscopy yonke iminyaka eyi-10
Imithombo:
American Cancer Society. "Ziziphi iindidi eziphambili malunga nomhlaza wokulala?" 31 Jan 2014. 28 Feb 2014.
Amaziko okuLawula izifo kunye nokukhusela. Uvavanyo lweCrorectal Cancer lulondoloza ubomi. Uphawu lweVital. 2013. 28 Feb 2014.