Umdlavuza obala ukhula kubantu abadala. Yazi izimpawu zokuxwayisa
Umdlavuza we-Rectal uhlanganiswe negama elithi "umdlavuza wokubala" futhi ubhekisela kumagciwane angatholakala engxenyeni engezansi yekoloni eduze kwe-anus. Ukukwazi ukubona izibonakaliso nezimpawu zomdlavuza we-rectal kubaluleke kunanini ngaphambili ukulandela isifundo se-2017. Siye safunda ukuthi umdlavuza wokubala unyuke kakhulu kubantu abangaphansi kweminyaka engama-50, ngakho-ke abantu abangakafiki iminyaka lapho ukuhlolwa okubonakalayo kusebenza khona ngokuvamile.
Ngeshwa, kungakhathaliseki ukuthi lesi sifo sabantu abadala noma abantu abadala, ukubambezeleka kokuthola lesi sifo kuyinkinga. Ukulibaziseka okuvamile kubangelwa ukuthi lezi zomshukela zitholakala ezingeni eliphezulu kakhulu lesi sifo; izigaba lapho umbono ongekho omuhle. Ngumuphi umdlavuza we-rectal wokuxwayisa okufanele uzijwayele, futhi kufanele uxhumane nodokotela wakho nini? Ngisho noma wonke umuntu ehlukile, ake sibuke izimpawu ezivame kakhulu ongase uzihlangabezane nazo.
Izimpawu Nezifo Zomdlavuza Oyingqayizivele
Izimpawu zomdlavuza we-rectal azifani, okusho ukuthi bangaba nezimbangela eziningi. Ithuba lokuthi umuntu angase abe nomdlavuza we-rectal cishe uma kukhona okungaphezu kweyodwa yalezi zimpawu ezikhona, kodwa ukuba neyodwa yalezi zibonakaliso kuyisizathu sokuxhumana nodokotela wakho. Kukhona izimo ngaphezu komdlavuza we-rectal okungaba yingozi. Ake sibheke izibonakaliso nezimpawu zomdlavuza we-rectal wonke umuntu kufanele azi.
Igazi eSitokolini
Ukuphuma kwegazi (noma obomvu obomvu noma obomvu okombala) kuyisifo esivamile somdlavuza we-rectal, okwenzeka ngamaphesenti angu-60 kuya kwangu-80 ngesikhathi sokuxilongwa. Lokhu kuphuma kungase kuhlotshaniswe nokuhamba kwekhampasi esitokisini kanye. Ukuphuma kwegazi kungase kungabonakali njalo, kepha ngezinye izikhathi ukuphuma kwegazi kwenzeka kuphela ngesilinganiso esincane.
Isivivinyo esibizwa ngokuthi i-fecal test blood test (FOBT) sithola igazi esitokisini esingabonakali.
Nakuba ukuphuma kwamagciwane kuyimpawu yomdlavuza we-rectal, kuhlangene nezinkinga zempilo ezincane kakhulu, njengeziqubuzelayo kanye nama-fissures an anal . Kukhona nokudla okunye, njenge-beet, ikhabethe, nelayisensi ebomvu engabangela ushintsho kumbala we-stool ofana negazi. Ukuze ube ohlangothini oluphephile, njalo ubike noma yikuphi ushintsho kumbala wesitoreji kudokotela wakho.
Nakuba ukuphuma ngenxa yomdlavuza we-rectal ngokuvamile kubangela igazi elibomvu elibomvu noma elimnyama (i-hematochezia), ungaxoshi izithakazelo ezimnyama. Ukwehla kwamanzi okweqile kolononi, kanye nasesisu ngokuvamile kubonakala kumnyama futhi kuhlale (melena), noma kufana nezindawo zekhofi. Lesi sibonakaliso singabuye sibe isibonakaliso esiyisixwayiso sezokwelapha ezimbi.
Izinguquko Emikhondweni Yezinyosi ezifana Ne-Diarrhea noma Ukuqokwa
Uphawu lwesibili oluvame kakhulu lomdlavuza wesibeletho, olwenzeka cishe ngamaphesenti angu-50 abantu, luyishintsho emisebenzini yezinyosi. Lokhu kungaba isifo sohudo, ukuqotshwa, noma ukwanda noma ukunciphisa imvamisa yokunyakaza kwamathumbu. Ngomdlavuza wama-rectal, uhudo luvame kakhulu. Iphuzu elibalulekile ngemikhuba yokugcoba isilingo sokuqaphela ushintsho olumelela ushintsho kuwe.
Wonke umuntu unemikhuba ehlukene yemilenze, futhi yini evamile kumuntu oyedwa angase abe yinye. Uma ubona noma yikuphi ushintsho, khuluma nodokotela wakho.
Ngokuqinisekile, kunezimbangela eziningi zenguquko emisebenzini yezinyosi, futhi izimpawu zakho kungenzeka ngenxa yento encane njengokushintsha kokudla. Lokho kusho, kungcono ukuphepheka kunokudabuka. Khuluma nodokotela wakho.
Ukucindezela okunomthelela noma ukugcwele / ukuzwela ukukhipha okungapheli
Esinye isibonakaliso esivamile noma umdlavuza wesibeletho kukhona ukucindezela komgogodla noma ukugcwala, noma ukuzwa okumele ukhiphe isilonda sakho, ngisho noma usuqedile. Isisindo emgqeni singenza ukuzwa ukuphelelwa ukuphela ("tenesmus"), noma ngabe awusadingeki kudlule isitoreji.
Izitshalo ezinomzimba
Ukushintsha kwendlela yokunyakaza kwamathumba kuya ezitheni ezincane noma ezinjenge-ribbon kungabonisa inkinga. Ukukhula ekoloni noma emgqeni okuvimbela kancane isilwane kungashintsha usayizi nokuma kwesitophi njengoba kuphuma emzimbeni.
Ezinye izimo zingase zidale izithambile ezincane, i- polyp enkulu ye- polyp noma i-hemorrhoids. Abanye abantu babuza ukuthi mncane kangakanani omncane kakhulu. Ngenkathi imithombo ethile ichaza omncane ngokuthi "ipensela encane" ayikho incazelo ngempela. Uma uqaphela ukuthi izitokisi zakho zincane kunazo zonke ezijwayelekile, bheka udokotela wakho.
Ukwakhiwa kwesisu / Ukuqothulwa / Ukwakhiwa kwamathumbu
Uma i-tumor e-rectum inkulu, ingavimbela i-rectum kancane noma ngokuphelele. Lokhu kungaholela ekuqotheni okuqinile futhi kuqhubeke kancane kancane. Izindleko ezincane zesitokisi se-liquidy zingase zikwazi ukudlula ukuvinjelwa, kodwa ukuzwa kokuqokwa kuyoqhubeka. Lapho lokhu kwenzeka, kunesidingo sokwelashwa okuphuthumayo kuyadingeka.
Izimpawu ze-Anemia Efana Nokukhathala
Ukuphuma kwe-Microscopic ngenxa yomdlavuza we-rectal ngokuvamile kubangelwa i-anemia. I-anemia, ngokwayo, ingabangela ukukhathala, ukuphefumula (ngokuvamile kuvumelana nomsebenzi ekuqaleni), ubuthakathaka, kanye nesilinganiso senhliziyo esiphakeme. Ukukhathala ngokuvamile kuyimpawu yokuqala abantu abakubhalayo. Abantu abaningi bazizwa bekhathele ngezinye izikhathi, kodwa ukukhathala okuphazamisa imisebenzi yakho evamile kungase kube uphawu lwenkinga yezokwelapha engaphansi.
Ukulahlekelwa kwesisindo esingachaziwe
Abantu abaningi bathola ukulahlekelwa kwesisindo esingalindelekile, kodwa uma ulahlekelwa isisindo futhi ungashintshi ukudla kwakho noma ukuzivocavoca, kubalulekile ukukhuluma nodokotela wakho. Ukulahleka kwesisindo okungenasisekelo kuchazwa njengokulahlekelwa kwamaphesenti angu-5 wesisindo somzimba ngaphezu kwenyanga engama-6 kuya kwezingu-12 ngaphandle kokuzama. Isibonelo singaba ngamaphilenti angu-200 amaningi alahlekelwe amakhilogremu angu-10 ngaphezu kwenyanga eyi-6. Umdlavuza owodwa ungenye yezimbangela zalesi sibonakaliso, futhi ukulahleka kwesisindo okungavamile ngaso sonke isikhathi kufanele uvakashele udokotela wakho.
Ngaphansi Kwezimpawu Ze-Cancer Rectal
Umdlavuza onomdlavuza ukhula, ukwanda okwenyuka eminyakeni engu-30 kuya ku-39 kubonakala kusukela ngo-1995 futhi ukwanda kwabadala abaneminyaka engama-40 kuya kwengu-54 okukhulunywe ngawo kusukela ngo-2005. Asazi isizathu. Ngesikhathi esifanayo, ukuxilongwa kwala ma khansa kaningi kubambezeleka, futhi ngenxa yalokho izicubu zivame kakhulu, okwenza ukwelashwa kube nzima nakakhulu. Ukuqaphela izibonakaliso zempawu zomdlavuza we-rectal, futhi ukufuna ukunakekelwa uma ubhala noma iyiphi yalezi zibonakaliso eziyisixwayiso, kubalulekile ukuze uthole futhi uphathe lezi zibelevuza ngokushesha ngangokunokwenzeka.
> Imithombo:
> I-American Society of Colon kanye ne-Rectal Surgeons. I-Cancer Rectal. https://www.fascrs.org/patients/disease-condition/rectal-cancer
> National Cancer Institute. I-Rectal Cancer Treatment (PDQ) Kubuyekezwe 02/16/18. https://www.cancer.gov/types/colorectal/patient/rectal-treatment-pdq
> Siegel, R., Miller, K., no A. Jemal. Amanani e-Cancer Mortality Rates kubantu abadala abakhulile eminyakeni engu-20 kuya ku-54 e-United States, 1970-2014. I-JAMA . 2017. 318 (6): 572-574.