Uvavanyo oluchanekileyo lweCaron Cancer
I-colop biopsy ngumvavanyo ovavanya iisampuli zamathambo kwi-colon yakho. Ugqirha ufuna iinkcuphu ezingavumelekanga, ezinjengezeseli zomhlaza okanye zangaphambili . Gcina ukhumbule ukuba nje ngokuba ugqirha wakho wayala i-biopsy ayithethi ukuba unomdlavuza.
Sibanzi
Ugqirha wakho ufumene isitenxo kwisinye seemvavanyo zakho zomhlaza. Indlela yodwa yokuchazela ngokucacileyo ukuba ukungaqhelekanga ngumhlaza ngumfuyo ngokukhipha izicubu kunye nokujonga ngaphantsi kwe-microscope.
Ukuba ukungaqhelekanga kufunyenwe ngexesha le-sigmoidoscopy okanye i- colonoscopy , ugqirha mhlawumbi wathabatha amathishu ngexesha lovavanyo olufanayo. Ukuba izitenxo (izibilini, izixuku, igazi kwi-stool ) zifunyenwe ngexesha lomnye uphononongo wokuhlola ( i-bluum ye-bima ye-bema okanye i- fecal blood tests test ), uza kulungiswa kwi-colonoscopy.
I-CT-Guided Biopsy vs. Colonoscopy
Kukho iindlela ezahlukeneyo kwinkqubo ye- biopsy exhomekeke kuyo apho kufumaneka khona izicubu ezingaqhelekanga. Indlela eqhelekileyo yokufumana i-biopsy yekolon ihamba nge-colonoscopy. Nangona kunjalo, ukuba ugqirha wakho akafumananga okungaqhelekanga kwi-scan computed tomography (CT) engazange ikhethwe kwikholoni, unokuyalela i-biopsy ekhokelwa yi-CT.
I-biopsy ekhokelwa yi-CT, ebizwa nangokuthi inaliti okanye inaliti ekhokelwa yi-CT ekhokelwayo, igqityiwe kwigumbi le-CT esibhedlele okanye kwiklinikhi. Olu hlobo lwe-biopy luyalelwe ngokuphindaphindiweyo xa izihlunu zifunyenwe ngaphandle kwekoloni, kubandakanye nalawo kwimiphunga, isibindi, okanye i-pelvis.
Ugqirha usebenzisa i-CT scanner ukukhomba indawo engavumelekanga, ufaka inaliti ebunini bombuzo, kwaye uphononise amasampuli amancinci amancinci. Unokubuyela kumsebenzi ngomhla ofanayo, awuyi kufuna isidlo, kwaye yonke inkqubo ithatha malunga neyure enye.
Ukuba izicubu ezingavumelekanga zigcinwe kwikolon yakho, ugqirha wakho uya kuyala i-colonoscopy kwaye athathe i-biopsy ngexesha le nkqubo.
Ngethuba le-colonoscopy, iprobote ekhanyisiweyo, ebizwa ngokuba yi- colonoscope , ifakwe kwi-rectum kwaye ikhupha i-colon ukuze ibone ingaphakathi. Le probe eguquguqukayo ivumela ukuba kuhambiswe izixhobo ezizodwa ezingayifumana (iqhosha) isampuli yeethambo ezivela kwikolon yakho ye-biopsy.
Ukulungiselela
Ukulungiswa kwe- colonoscopy kudinga ukulungiswa kweembilini ngokupheleleyo ngaphambi kokuba kwenziwe inkqubo. Ugqirha wakho unokuyalela udibaniso lwamakhekhelo amanzi, i-suppositories, okanye i-enema yokucoca ngaphakathi kwikholoni yakho.
Le nkqubo yococo yenza i-colon yakho ibonakale ngokukhupha i-fecal kunye nama- fluid emathunjini amakhulu . Thetha ugqirha wakho ukuba unesifo sikashukela okanye uthathe imithi yonyango , ingakumbi i-blood thinners, njengoko ugqirha wakho unokufumana imiyalelo ekhethekileyo phambi kwakho.
Iingxaki kunye neengozi
Njengawo nayiphi na inkqubo yonyango, i-colon biopsy ayinayo ingozi. Nangona kunjalo, ukuba umhlaza wekolon ukhona, kungekudala unokuqala unyango olungcono. Ugqirha wakho uya kuxubusha ingozi kunye neenzuzo kunye nawe ngaphambi kwenkqubo.
Qiniseka ukuba ubuze imibuzo ukuba iinkcukacha zenkqubo azicaci. Iingozi zobungakanani be-biopsy colon ziquka:
- Ukuhlamba
- Sulelo
- Ubunzima bokuhamba
- Bhedlele
- Postpolypectomy syndrome
- I-colonoscopy ehlukileyo
- Iingxaki zokuxiliswa ngaphandle kwegazi abagciniweyo ngaphambi kokuvavanya
- Iingxaki ezivela kwi-anesthesia
Ukuba unembali yenkxalabo yonyango okanye ukhulile, ubunzima bakho bunokunyuka . Xoxa nayiphi na imithi okanye i-anti-counter-counter-medication kunye nodokotela wakho ngaphambi kwenkqubo. Umongikazi okanye umntu osebenza esibhedlele okanye kwiklinikhi unokukubiza ukuba uhlaziye imiyalelo phambi kwenkqubo yakho.
I-Post-Procedure Follow-Up
Kukho konke, uya kuguqulwa kwi-colonoscopy kunye ne-biopsy; Ngoko ke, akufanele uvalelwe into. Ukulandela inkqubo, uya kuthathwa kwindawo yokubuyisela, apho abasebenzi baza kukubeka iliso uze uvuke kwaye uqaphele.
Ngenxa yobude, awuyi kuvunyelwa ukuba uziqhube ekhaya, nangona uvakalelwa kuyo. Isigwebo sakho sithathwa njengesigxina ngokusemthethweni kwiiyure ezingama-24 emva kwesilation (ungasayineli naziphi na iincwadi zomthetho okanye).
Kwakhona, umoya ufakwe kwi-colon yakho ngexesha le nkqubo, enokubangela i- gas egumbing and pass . Unganqikazi ukuqhagamshelana nogqirha wakho ukuba uhlakulela umkhuhlane, ukugubha, ukukhupha, isisu , isisu, okanye ukhangele igazi kwiindawo zakho ezilandelayo emva kwe-biopsy.
Ukufumana iziphumo
Ngokukhawuleza emva kwe-biopsy yakho, isampuli yenyama isithunyelwa kwi-pathologist. I-pathologist ngugqirha okhethekileyo ogqirha ohlola iiscupu kunye negazi phantsi kwe-microscope.
Uya kuyidinga ixesha lokuhlola isampuli yakho yeesisulu ngokufanelekileyo kwaye uya kwakha ingxelo ye-pathology. Ingxelo ichaza ukuba ngaba izicubu ezifunyenwe ziqhelekileyo okanye ziza kumdlavuza kwaye ziza kunceda ugqirha wakho amisele isigaba kunye nesigaba somhlaza wakho.
Ngokukhethekileyo phambi kwenkqubo (njengoko ungasikhumbuli emva koko), cela udokotela wakho xa ungalindela iziphumo. Uya kuba nako ukunika isibalo se-ballpark kwaye akukhuthaze ukuba wenze ukuqokwa kokulandelwa.
Xa ugqirha wakho ethola isiphumo sakho se- biopsy kwi-pathologist, uya kukubiza. Ukuba awunayo i-aphoyintimenti yokuxubusha ezi ziphumo, enye iya kulungiswa kuwe ngeli xesha.
Ugqirha uya kufuna ukuxoxa ngeziphumo zakho kumntu, kungekhona kwifowuni okanye nge-imeyile. Nangona ukulinda kunokuvelisa uxhalaba olunzima, kungcono ukuhlala phantsi nokuthetha nodokotela wakho malunga neziphumo ubuso nobuso.
Ingxelo yePathology
Ugqirha wakho unemvelaphi yonyango kunye nokuqeqesha ukuchaza ingxelo yakho yokugula. Ingxelo yonyango iya kubandakanya:
- Lapho izilonda (s) zazikho ngaphakathi kwikholoni
- I-Histology, okanye uhlobo lweeseli ezifunyenweyo, ezifana neziqhelekileyo (ezinobungozi) okanye ezibi (umdlavuza). Ukuba unobungozi, ingxelo iya kubonisa uhlobo lomhlaza (i-adenocarcinoma yintlobo yesifo somhlaza wekolon ).
- Ibanga, elichaza indlela eguqula ngayo iifom (zifana noko zifana nezilwanyana eziqhelekileyo, ezingabonakali nonke, okanye ibanga phakathi) kwaye zisetyenziselwa ukubeka umhlaza wakho.
- Ukuhlasela, okusebenza kwizicubu ezithathiwe ngexesha lotyando lomhlaza wekolon kwaye kunceda ukuqonda ukuba umhlaza usasazeka kangakanani kumathishini anempilo.
Unganqikazi ukubuza ugqirha wakho kunye nabahlengikazi imibuzo nakweliphi na indlela endleleni. Abaqeqeshi bezonyango banokukuncedisa.
Imithombo:
American Cancer Society. I-American Cancer Society's Guide epheleleyo yeCrorectal Cancer . Clifton Fields, NE: I-American Cancer Society.
I-American Society ye-Gastrointestinal Endoscopy. (2012). IColonoscopy.
National Cancer Institute. (NgoMeyi 2011). Iimiphumo zecandelo le-Chemotherapy: Iinguqu zokutya.
Lange, V. (2009). Yiba nguMsindisi. Isikhokelo soNyango lweCrorectal Cancer . (4th ed.). Los Angeles: I-Lange Productions.
Levin, TR, Zhao, W., Conell, C., et al. Iingxaki zeColonoscopy kwiNkqubo yokuNakekelwa kweMpilo yoHlangeneyo. Ama-Annal of Medicine Internal; 145.