Isifo esingazixubushayo soloko singafuneki ukuba sifumane ukuxilongwa
Kwiimeko ezininzi, izifo ezithintekayo azibonakali. Xa izifo ezithengiswayo zingekho iimpawu, akukho sizathu sokuya ukukhangela okanye ukunyanga. Nangona kunjalo, inokuthi ifunyanwe njengokuba oogqirha baya kubhekisela kuyo "njengento" ekufumaneni ngayo i-colonoscopy yokuhlola.
I-Diverticula ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-40. Ukuqala kwiminyaka engama-50 ubudala, kunconywa ukuba abantu abasemngciphekweni omkhulu wokuvelisa umhlaza wekoloni kunye nomhlaza wesibeleko banokolonoscopy yokuhlola .
Ukuba i-colonoscopy yenziwe ukujonga iipolisi , eziyimphambili kumdlavuza wekoloni. Naliphi na iipolisi ezitholakala ngexesha le-colonoscopy zisuswe, ezibavimbela ngokuphumelelayo ukuba ziqhubele phambili zibe ngamaseli anomhlaza.
Ngethuba le-colonoscopy yokuphonononga, ugqirha ozalisa uvavanyo uya kukhangela nakwezinye iziphumo ezikhoyo kwi-colon. Kwezinye iimeko, oko kunokuthetha ukufumana i-diverticula engabangeli naziphi na iimpawu.
Ukuba kukho iimpawu ezikhankanywayo ukuba zivela kwi-diverticula ezivuthayo kwaye zenza imeko ebizwa ngokuba yi-diverticulitis, enye ingxaki okanye enye imivavanyo ingenziwa ukwenzela ukuyiqinisekisa. Iimvavanyo ezinokuthi zenziwe ukuxilonga izifo zentlukwano ziyi-colonoscopy okanye i-computed tomography (CT).
IColonoscopy
I-colonoscopy ngumvavanyo owenziwe ukujonga ngaphakathi emathunjini amakhulu. Ikholoni yilapho amanzi aphelelwa khona kwaye ukutya okungazange kuphulwe ngokupheleleyo kuqhutywe phambili.
Emva kokuba wenze indlela yayo ekupheleni kwekholoni, isitoreji igcinwa kwi-rectum, apho ekugqibeleni iphuma emdeni okhulayo kunye ne-sphincter njengentshukumo yokuhamba.
Ukulungiselela uvavanyo
Ngethuba le-colonoscopy, i-colonoscope, eyona bhubhu ende ende kunye nekhamera ekugqibeleni, ifakwe kwi-anus.
Ukuze uzalise lo vavanyo, kwaye ube nokukhululeka kunokwenzeka kwizigulane, amanye amanyathelo athathwe kwiintsuku eziphambili.
Kubalulekile ukuba ikoloni ibe yicaciso nakweyiphi na i-stool ukwenzela ukuba ugqirha ogqityiweyo uvavanyo angabonakali ukubonakala kwidonga lekholoni. Oku kubizwa ngokuba yi- colonoscopy ukulungiselela , okanye i-prep, kwaye idlalwa njengengxenye enzima yenkqubo yonke.
Ugqirha ozalisa i-colonoscopy uya kunika inkqubo yokulungiswa ngokubhekiselele ekukhethweni kwabo kunye nokuthatha nayiphi na ingqalelo ngesigulane (njengeminye imeko yezempilo okanye nayiphi na inketho).
Ukulungiswa ngokuqhelekileyo kwenziwa ngokusebenzisa i- laxatives ezinamandla ezinokuthi zinikezwe kwifom ye-liquide okanye yepilisi, ngamanye amaxesha zidibeneyo. Kwezinye iimeko, i- enema ingasetyenziswa kwakhona. Ukuzila ukutya ngaphambi kokuba uvavanyo luyimfuneko, ngoko-ke ukutya okucoca ngokucokisekileyo kunqunywe ngemini phambi kokuvavanya kwaye akukho nto yokutya okanye ukusela emva kobusuku bobusuku ngaphambi kovavanyo.
I-IV iya kuqalwa phambi kwe-colonoscopy, ukwenzela ukuba unike umbane kunye nokunyangwa kwamayeza . Emva kokuba kunikwe izidalwa zonyango, ugqirha uya kugqiba uvavanyo. Xa uvavanyo luphelile, iimpawu eziya kuthi ziza kugcinwa kwaye izigulane ziya kuvuka kwaye zijongwe ixesha elifutshane.
Akukhuselekile ukuqhuba ngenxa yezidalwa, ngoko umhlobo okanye ilungu lentsapho liya kufuna ukuqhuba ekhaya. Emva kokuphumla nokuthatha lula ngalo lonke usuku, abaninzi abantu banokubuyela kwishedyuli yabo rhoqo ngosuku olulandelayo.
Ukufumana iziphumo
Kwezinye izigulane, ukuqeshwaniswa kokulandelelana kunye nodokotela okanye omnye oqeqeshiweyo wezempilo ukuze akhulume ngemiphumo yokuvavanywa ingafuneka. Kwezinye iimeko, iipolps zingasuswa okanye i- biopsies ingathathwa ngexesha le-colonoscopy.
Kuya kuba neemvavanyo ezenziwe kwezi zicubu kwaye ugqirha uya kufumana iziphumo. Ukuba kukho i-diverticula efunyenwe, kuya kuxoxwa ngazo, kunye nokuba ngaba kukho nayiphi na impembelelo ekudleni okanye kwindlela yokuphila.
Isisu se-CT Scan
Izifo ezichanekileyo zingafumaneka kwakhona nge- CT scan . Olu vavanyo luhlobo lwe-x-ray ekhethekileyo ukuze ubone izitho kunye nezakhiwo ngaphakathi kwesisu. Olu vavanyo lungasetyenziselwa ukuxilonga izifo ze-diverticular, ingakumbi ukuba kukho impawu zamathumbu (njengentlungu okanye ukuphuma kwegazi) kunye ne-colonoscopy ayikwazi.
I-scan ye-CT iyilingo olungenabuhlungu kunye nolungenayo. Isiphumo sisimfono sombane esingabonwa lula kwaye sithunyelwe. Ukulungiselela kuphela ukuzila ukutya kwiiyure ezimbalwa ngaphambi kokuvavanywa.
Yintoni ongayilindela
Uyacelwa ukuba ususe naluphi na ubucwebe bensimbi okanye ezinye izinto zetsimbi ezifana neeklasi. Umshini we-CT ukhulu, kunye neetafile ezityhila kumatshini. Uya kulala etafileni kwaye xa uvavanyo luqala, itafile iya kutshintsha kumatshini uze ube kwindawo echanekileyo. Umatshini uza kusebenzisa i-x ray ukuze athathe imifanekiso. Uchwephesha oqhuba uvavanyo uya kunika nayiphi na imiyalelo kuba kubalulekile ukuhlala uhleli kwaye ubambe umoya kumaphuzu athile. Uvavanyo luvame ukuthatha malunga nemizuzu engama-30, kuxhomekeke kwimiba emininzi imfuneko.
Idayi yokuhlula isetyenziselwa ukuba ezinye izakhiwo zomzimba zibonise ngcono kwimifanekiso yokugqibela. Ngomfanekiso wekoloni idayi iya kunikwa kokubili njengiselo, kunye ne-IV. Isiselo siya kunikwa ngaphambi kokuqala kovavanyo.
Ukufumana iziphumo
Emva kokuskena kwe-CT, nayiphi na ilandelelwano efunekayo iya kuba yedwa ngokusekelwe kwiziphumo zovavanyo kunye nempilo yesigulane. Kwezinye iimeko, uvavanyo luyenziwa nje kuphela ukuba lunokwenzeka ukuba lube ne-diverticulitis, kodwa kwakhona luhlolisise ukuba kukho ezinye iimeko ezingabangela iimpawu. Xa i-diverticulitis ifunyaniswa, isicwangciso sonyango siya kufunwa ngokukhawuleza ngenxa yobume bolu bume. Ukuba kukho i-diverticula efunyenwe kwi-colon kodwa ayibangela ukuba kubekho iimpawu, kunokuthi mhlawumbi okanye kungekho isidingo sokwenza utshintsho kwindlela yokutya nokuphila.
> Imithombo:
> I-American Society of Colon kunye neeRectal Surgeons. "Izifo ezichanekileyo." FASCRS.com 2018.
> I-Harvard Men's Health Watch. "Izifo ezingafaniyo zekholoni." I-Harvard Health Publishing.
> ITursi A, uPapa A, iDanese S. "Isihloko sokuphonononga: i-pathophysiology kunye nokulawulwa kwezokwelapha ze-diverticulosis kunye nezifo ezahlukahlukeneyo zekholoni . & Rdquo Ukutya i-Pharmacol Ther 2015: 42: 664-684.