Kusho Ukuthini Uma Unayo I-Colon Yesihluku?
Sibutsetelo
Ezimweni eziningi zempilo ezingabhubhisa umuntu, azikho eziningi ezibhekwa ngokuthi "ikoloni ehlukumezayo." Kulesi sihloko, uzothola konke mayelana nalesi simo esingavamile futhi ngethemba ukuthi lolo lwazi luzobeka ukukhathazeka kwakho mayelana nengxenye "yokuhlukumeza" kalula.
Kuyini iColon Tortuous?
Ikholoni yakho, okunye okuyaziwa ngokuthi intombazane yakho enkulu, isitho eside, esingenalutho esivame ukuphakama ngamamitha amahlanu.
I-colon ehlukumezayo yinto ede kunayo evamile. Ukuze leli tube elide likwazi ukulingana esiswini sakho, ikholoni iphetha ngezinye izikhathi ezishintshayo.
Ngezinye izikhathi ikholomu elihlukumezayo libizwa ngokuthi i-colon evulekile. Abanye benza umehluko wokuthi ikoloni ehlukumezayo yilezi zinhlawulo ezibukhali kakhulu, kanti i-colon evulekile inezinhlamvu eziningi kakhulu.
Nakuba isimo sizwakala kahle, ukuhlukumeza, izikhathi eziningi akuyona inkinga enkulu yezempilo. Futhi ungakhululeka ukwazi ukuthi akukwandisi ingozi yokuthola umdlavuza wekoloni .
Izimpawu
Esikhathini esiningi isikhathi se-colon esiphuthumayo asikhiqizi izimpawu futhi sibonakala ngokuhlolwa kokuhlola. Kodwa-ke, kwezinye izimo, kungaba nengxenye kulezi zimpawu ezilandelayo:
- Ubuhlungu besisu
- Izikhwama zomzimba
- Ukufelwa kwesisu
- Ukuvimbela
- Ukuqokwa
- Ukudlula ngokweqile kwegesi
- Ukuthintana kwamaFecal
Ukuhlukumeza okungavamile, kepha okujulile okuhlobene nekoloni elihlukumezayo lapho ama-loops ekoloni ephikisana kakhulu kangangokuthi enza isimo esaziwa ngokuthi isithiyo somzimba noma i-colonic volvulus.
Izimpawu zesithiyo somzimba zihlanganisa:
- Ubuhlungu obukhulu besisu esiswini
- Isisu esisemakhaya
- Ukuvuvukala kwesisu ngokweqile
- I-nausea
- Akukho ukunyakaza kwamathumbu okwedlula izinsuku ezintathu
- Kudlula isonto eliqukethe i-mucus noma igazi
- Ukuvota
Uma unesinye sezibonakaliso ezingenhla kudingeka uthole usizo lwezokwelapha ngokushesha.
Izimbangela
Kunezizathu ezihlukahlukene zokuthi kungani umuntu engase abe nekoloni ehlukumezayo.
Abanye abantu bazalwa nalo futhi kungase kube khona ukubekwa kwezakhi zofuzo zesimo. Kwezinye izimo, imbangela ayikwazi ukukhonjwa. Kodwa i-colon nayo ingaba yinkinga futhi ishintshwe ngenxa yokudla okuncane ngaphansi kwe-fiber yokudla, ukuqotshwa okungapheli, izitshalo ezikhuni njalo nokucindezela ukuqeda.
Ukwelapha
Ukunakekela Ukwelashwa
Uma ikholoni yakho ehlanganisiwe noma ephikisayo ingabonakali izimpawu, khona-ke ukuzinakekela kwakho kuphela ukuqiniseka ukuthi ukufaka imikhuba emihle yezempilo yokugaya impilo yakho, kufaka phakathi ukulandela ukudla okunempilo, okunamandla okukhulu futhi ukuphendula ngokushesha ukucela ukuba kube nesidumbu ukunyakaza.
Uma ubhekene nezimpawu zegesi, ukubhula, ubuhlungu besisu noma ukuqokwa, uzogxila ekubhekaneni nalezi zimpawu ngokuzenzakalelayo. Ukudla ukudla okuphezulu-uphethiloli nokuphuza amanzi amaningi kungasiza ekunciphiseni ukuqothulwa , kanti nakuba kungekho cwaningo ekusebenzeni kwayo kwe-colon ehlukumezayo, ukudla okuphansi kwe-FODMAP kungasiza ekunciphiseni izimpawu zegesi nokuqeda. Ukuze uthole ubuhlungu besisu , ungase ufune ukusebenzisa i-pad yokushisa noma ibhodlela lamanzi ashisayo esiswini sakho lapho ubuhlungu bubonakala buvela khona.
Ukwelashwa
Ayikho inqubo ethile yokwelashwa eqondene nekoloni elihlukumezayo.
Udokotela wakho angase asebenze nawe ukuze ahlele uhlelo lokuphatha nganoma yisiphi izimpawu zokugaya okungapheli ongase uzibonele, futhi lokhu kungabandakanya ukusetshenziswa kwemithi kadokotela noma imikhiqizo engaphezu kwamakhompiyutha. Izinketho zihlanganisa:
- Imithi ye-Antispasmodic
- Izithako ze-Fiber
- Ama-laxatives
- Imithi yokuqokwa
- Ama-anti-depressants (ukuphumula ubuhlungu)
Futhi nakuba isithintelo sezinyosi esivela ku-colon ehlukumezayo yisenzakalo esingavamile kakhulu, singasongela ukuphila futhi sidinga ukungenela okuhlinzekwayo.
I-Colon ehlukumezayo vs. IBS
Izimpawu eziningi ze-colon ezihlukumezayo zifana nezomzimba wesifo sofuba (IBS).
Ngencazelo, i-IBS ikhonjelwa uma kungekho okungajwayelekile kwesakhiwo (noma ukuvuvukala okubonakalayo noma ukulimala) ngakho-ke i-IBS ne-colon ehlukumezayo ibhekwa njengemibandela emibili yezempilo. Kungenzeka ukuthi ikholomu ehlukumezayo ingabonakala njengoba uhamba ngokuhlolwa kwe-IBS. Kungenzeka nokuthi udokotela wakho angase akhohlwe izimpawu zakho ngaphansi kwe-IBS isambulela efanayo. Nakuba kungekho ucwaningo olunzulu ngalolu daba, kubonakala sengathi ukuqashwa-okubaluleke kakhulu kwe-IBS (IBS-C) kungase kuphakame ingozi yokuthuthukisa ikoloni ehlukumezayo (ekhumbula ukuthi ikoloni ehlukumezayo yisimo esingavamile).
Ukuxilongwa
Njengoba mhlawumbe uyazi, ukuhlolwa kwe-colonoscopy kuyisimo esibalulekile sokuhlolwa komdlavuza wekoloni. Isimo esihle kakhulu lapho i-endoscope, ithanga elide, elikhanyisiwe elisetshenziswe ngenkathi yenqubo, lingeniswa kuyo yonke ikoloni ize ifinyelele ku-cecum, lapho i-intestine encane nenkulu ihlangana khona. Phakathi nale nqubo udokotela wakho angabuka impilo yesisu sakho esikhulu futhi asuse noma yiziphi izicubu ezingavamile, ezifana nama-polyps. Lezi zicubu zingabuye zihlolwe ukuba khona kwamangqamuzana omdlavuza. Ngokuvamile, ungena kolononcopy yakho yokuqala eneminyaka engu-50 bese uphinda inqubo njalo eminyakeni eyishumi. Uma usengozini ephakeme yomdlavuza wekoloni ngenxa yomlando womndeni noma ube ne-polyps yangaphambilini, kungadingeka ukuba uvivinywe kwenziwe maduzane kuneminyaka engama-50 futhi ngezikhathi eziningi.
I-colon ehlukumezayo ingabonisa inselele kudokotela wakho njengoba ama-twist, izilophu kanye / noma ama-angles abukhali enza kube nzima ukuthola i-endoscope kuyo yonke inhlangano. Ngokuvamile, odokotela baye basebenzisa okunye okulandelayo:
Ukuhlukanisa kabili i-barium enema (DCBE): Esikhathini esidlule, lokhu kwakuyisivivinywa esivame ukusetshenziswa ngaso sonke isikhathi njengenye indlela yamakholoniksi yendabuko yekoloni ehlukumezayo. Kule nqubo, ukubunjwa kwamanzi okuqukethe i-barium kufakwa ku-rectum yakho njenge-agent ehlukile futhi uchungechunge lwe-X-ray lithathwa kwesisu sakho esingaphansi. Okulandelayo, i-barium ivunyelwe ukuphuma futhi umoya uphonswe ekolon yakho ngokusebenzisa izithombe zakho ze-rectum nokuqhubekayo kwe-X. Esinye sezizathu zokuthi kungani i-DCBE ingatholakali ukuthi ukucwaninga kubonise ukuthi akuyona into enhle ekuboneni ukuba khona kwezicubu ezingavamile ngaphakathi emathunjini amakhulu.
I-Colonoscopy Virtual : I-colonoscopy ebonakalayo, eyaziwa nangokuthi i-computed tomography colonography (CTC) inikeza okunye okunye kokolonoscopy yendabuko yekoloni ehlukumezayo. Kule nqubo, kumele uqhubeke usungula isilwane sokukhupha okudingekayo okudingekayo ekolonoscopy yendabuko ngaphambi kosuku lokuhlolwa. Ngenqubo, uzocelwa ukuba uphuze uketshezi oluqukethe idayisi ehlukile. Ithimba elifushane, elincanyana lizofakwa ukuthi lizopompa umoya ku-colon yakho. Uzothola uchungechunge lwe-X ray. Njenge-DCBE, le nqubo inezilinganiso ezithile ekukwaziyo ukuthola amapolitiki amancane. Futhi uma kukhona ubufakazi bokuthi kukhona khona ama-polyps, kuzodingeka ulandele ikholonoscopy yendabuko.
Kodwa-ke, ucwaningo olusha luveza ukuthi kungaba khona izinga eliphezulu lokuphumelela kwekolonoscopy egcwele, enhle kakhulu ngokuzama ukuphinda. Le mpumelelo ingaba khona uma i-endoscope yesayizi ehlukile isetshenzisiwe, njengeyodwa eyenzelwe izingane.
Izwi elivela
Njengoba kushiwo ngenhla, ikoloni ehlukumezayo yinkinga ebizwa ngebheyili. Ngokuvamile, lokhu kuyimvelo enobungozi engabangela ukungahambi kahle futhi engavamile ukuholela ezinkingeni zempilo ezimbi. Uma unezimpawu zokugaya okungapheli ezihlobene nokuba ne-colon ehlukumezayo, qiniseka ukuthi usebenza nodokotela wakho ohlelweni lokuphatha izimpawu. Futhi ungavumeli ikoloni ehlukumezayo ingene endleleni yakho ukuze uhlolwe ngokwanele ukuba khona komdlavuza wekoloni.
> Imithombo:
> Gawron AJ, Veerappan, Keswani RN. "Ukuphumelela okuphezulu kwekolonoscopy ephindaphindiwe nge-endoscopes ejwayelekile ezigulini ezibhekiswe ngaphambi kwekolonoscopy engaphelele" Journal of Gastroenterology 26, 589-592.
> Brahmania M, Park J, Svarta S, Tong J, Kwok R, Enns R. "I-colonoscopy engaphelele: Ukukhuphula izinga lokuqedwa kwama-gastroenterologists" BMC Gastroenterology 2014; 14: 56.