Omunye-Okwesithathu Wabantu Abasengozini I-Cancer Yamagciwane Ayifuni Ukuhlolwa
Umdlavuza we-Colorectal, owesibili oholela ekufeni komdlavuza e-United States, uzobangela ukufa kwabantu abangaba ngu-50 000 e-US njalo ngonyaka. Ochwepheshe batusa ukuthi wonke umuntu oneminyaka engama-50 ahlolwe umdlavuza wekoloni. Naphezu kwezinombolo eziphezulu zokuxilongwa nokufa kusuka kumdlavuza wekolon, nje kuphela kwezintathu ezimbili zaseMelika ezingaphezu kweminyaka engu-50 ziye zahlolwa.
Izindaba ezinhle ukuthi, lapho ebanjwe ezinyathelweni zayo zakudala, umdlavuza wokugcoba cishe cishe u-90% uphephile. Ngakho-ke, ubani okufanele ahlolwe umdlavuza we-colorectal?
Kungani Isikrini?
Inhloso yokuhlolisisa umdlavuza wokubala ukuthola noma yikuphi ukukhula okungavamile kololoni okuthiwa ama-polyps . Ama-polyps akhula edongeni lomathumbu, futhi yilokho okulandelana nomdlavuza. Uma itholakale ngesikhathi se-colonoscopy noma i-sigmoidoscopy, ama-polyps angasuswa nge-attachment esekupheleni kwe- colonoscope . Uma i-polyp itholakala futhi isusiwe ngesikhathi sokuhlolwa, ayikwazi ukuphenduka umdlavuza.
Ubani Ongakudinga?
Uma ungaphezu kweminyaka engu-50, i-American Gastroenterological Society incoma ukuba uhlolwe umdlavuza wokubala. Izinketho eziningi zokuhlola zikhona, futhi indlela engcono kakhulu kwesiguli ngasinye kufanele ikhulunywe nodokotela. Akuzona zonke izindlela ezizosebenza kuzo zonke iziguli: udokotela nesiguli kufanele bavumelane ngesindlela esingcono kakhulu esingayisebenzisa.
Abantu abangaphansi kweminyaka engama-50 abanomlando womndeni womdlavuza wokulala, isifo sofuba esivuvukalayo (IBD) , umlando womuntu siqu wokukhula komdlavuza noma ama-polyps adenomatous, noma i-syndromes yezinzalo ezifana ne- familial adenomatous polyposis (FAP) , kufanele ihlolwe futhi umdlavuza ohlelweni lokunconywa kukadokotela.
Kubalulekile ukuthi abantu abasesinye salezi zigaba ezinobungozi obukhulu bakhulume nodokotela mayelana nesikhathi esihle sokuqala ukuhlola, ukuthi yikuphi ukuhlolwa okumele kusetshenziswe, nokuthi kuvame kangakanani ukuhlolwa. Kubantu abasengozini enkulu yokuthuthukisa umdlavuza we-colorectal, ukuhlolwa kungadingeka ngaphambili nangaphezulu kaningi kunabantu abasengozini enkulu (ngokuvamile echazwe njengabantu abangaphezu kweminyaka engama-50).
Okwenza i-Colonoscopy ihle kakhulu
Kunezinhlobo eziningana zezivivinyo ezitholakalayo, kodwa i-colonoscopy iyizinga legolide. Isizathu sokuthi ukuthi i-colonoscopy ingasetshenziselwa ukuvula yonke ikoloni yama-polyps, bese isusa. Uma i-polyp isuswe, kanjalo usongo lwalolo mbumba luphenduka umdlavuza.
Okunye ukuhlolwa kunamaphuzu athile. I-sigmoidoscopy eguquguqukayo iyohlola kuphela ingxenye yamakholoni: noma yiziphi izintambo ezihamba ngaphesheya kobubanzi bokungena kuzolahleka. I-barium enema uhlobo lwe-ray ray futhi alunikeza amandla okukhipha ama-polyps. Uma ama-polyps atholakala phakathi nalolu vivinyo, ikholonoscopy izoconywa noma kunjalo. Isivivinyo se-stool siyothola igazi esitokisini, kodwa ngesikhathi lapho i-polyp ikhona khona futhi iphuma, ingaba nomdlavuza. Uma igazi litholakala esitokisini, i-colonoscopy yokulandela inganconywa noma kunjalo.
I-upshot yukuthi ukuba ne-colonoscopy izonikeza ithuba elihle lokuthola nokususa ama-polyps ngaphambi kokuba liphendule umdlavuza.
Uma ngabe esinye isilingo sisetshenziswa futhi i-polyp ibonakala noma icatshangwa, i-colonoscopy izoconywa noma kunjalo.
Ezinye Izindlela Zokuhlola I-Colon Cancer
Ukuhlolwa kweStool. Uma ukuhlola kwegazi lokumnyama (FOBT) kusetshenziselwa njengendlela yokuhlola, kunconywa ukuba loluhlolo luphindwe njalo ngonyaka. I-FOBT isetshenziselwa ukuhlola isitoreji sezimpawu zegazi ezingenakubonwa ngeso lengqondo. Lokhu kuhlolwa kungathathwa ekhaya futhi kungase kutholakale ukuphuma kwegazi cishe noma yikuphi endaweni yokugaya, kufaka phakathi lokho okuvela kuma-polyps.
I-Sigmoidoscopy. Ngaphandle kwe-FOBT yonyaka, i- sigmoidoscopy eguquguqukayo inconywa njalo eminyakeni emihlanu.
I-sigmoidoscopy iyindlela yokuthi udokotela ahlole ingxenye yesithathu yokugcina amathumbu amakhulu, okuhlanganisa i-rectum ne-sigmoid colon. I-tube yokubukeka eguquguqukayo ene-lens kanye nomthombo olula ekugcineni, okuthiwa sigmoidoscope, isetshenziswa. Uma ubukeka ngeso lengubo ngakwesinye ukuphela kwesibalo, udokotela angabona ngaphakathi kwekoloni. Kuloluhlolo, udokotela angakwazi ukuhlola umdlavuza, ama-polyps, nezilonda .
Barium Enema. Okunye okunye okushiwo yi-sigmoidoscopy eguquguqukayo yi -enema ye-barium enama- double . I-barium enema (ebizwa nangokuthi uchungechunge oluphansi lwamathumbu) luhlobo oluthile lwe-x ray olusebenzisa i-barium sulfate nomoya ukuchaza uhlaka lwe-rectum ne-colon. I-enam ye-barium ingenziwa njengendlela yokuphulukisa iziguli futhi ngokuvamile ithatha imizuzu engaba ngu-45. I-enema ingase ingakhathazeki, kodwa ama-x-ray ayiphutheli ngokuphelele. Lokhu kuhlolwa kuphakanyiswa njalo eminyakeni emihlanu kulabo abasebenzisa le ndlela yokuhlola.
I-Colonoscopy. I- colonoscopy inconywa kanye njalo ngemva kweminyaka eyishumi, noma njengokulandelwayo uma kukhona igazi, ama-polyps noma okungajwayelekile lapho kutholakala noma yikuphi ukuhlolwa okungenhla. Phakathi ne-colonoscopy, udokotela angakwazi ukuhlola ngaphakathi kwekoloni ngaphesheya kwezindawo i-sigmoidoscopy engayifinyelela. Inqubo ye-colonoscopy ingathatha cishe amahora angu-1/2 futhi yenziwa ngaphansi kwesibhedlela esibhedlela njengendlela yokuphulukisa iziguli. Okunamathiselwe ekugcineni kwe-colonoscope kungasetshenziselwa ukuthatha i-biopsy yezicubu ekoloni. Uma i-polyp itholakele, ingasuswa futhi kokubili ama-biopsies nama-polyps azothunyelwa ebhokisatri ukuze kuhlolwe ukuhlolwa.
Imikhombandlela Yokuhlola Ngomdlavuza weColon Cancer For People Over 50
Ukuhlola njalo kumele kuhlanganise okunye okulandelayo:
- FOBT njalo ngonyaka
- Sigmoidoscopy njalo eminyakeni emihlanu
- I-FOBT ne-sigmoidoscopy njalo eminyakeni emihlanu
- Bese uqhathanisa i-enam ye-barium njalo eminyakeni emihlanu
- I-colonoscopy yonke iminyaka engu-10
Imithombo:
I-American Cancer Society. "Yiziphi izibalo ezibalulekile mayelana nomdlavuza we-colorectal?" 31 Jan 2014. 28 Feb 2014.
Izikhungo Zokulawulwa Kwezifo Nokuvimbela. "Ukuvivinya kweCcerrectal Cancer Save Life." Izimpawu ze-Vital. 2013. 28 Feb 2014.