Isivivinyo Esicacile seKhansela yeColon
I-colop biopsy ukuhlolwa okuvivinya amasampula amathisimu kusuka kukholoni yakho. Udokotela ubheka izicubu ezingavamile, njengezakhi zomdlavuza noma zangaphambi komdlavuza . Khumbula ukuthi ngoba nje udokotela wakho wayala i-biopsy akusho ukuthi unomdlavuza.
Sibutsetelo
Udokotela wakho wathola ukungalungi komunye wemikhankaso yakho yokuhlola umdlavuza wekoloni. Indlela kuphela yokutshela ngokucacile ukuthi ukungajwayelekile kuyinto umdlavuza ngokukhipha izicubu futhi ukubheka it ngaphansi microscope.
Uma ukungajwayelekile kutholakala ngesikhathi se-sigmoidoscopy noma i- colonoscopy , udokotela mhlawumbe wakhipha amathishu ngesikhathi esifanayo. Uma ukungalungi (izicubu, izixuku, igazi esitokisini ) zitholakale ngesikhathi sokuhlolwa kwesilingo ( ukuphambene kabili kwe-barium enema noma ukuhlola kwegazi lokugcoba kwegazi ), uzobe uhlelelwe i-colonoscopy.
I-CT-Guided Biopsy vs. Colonoscopy
Kunezinhlobo ezahlukene zezindlela ze- biopsy ezisekelwe lapho izicubu ezingavamile zitholakala khona. Indlela ejwayelekile kakhulu yokuthola i-biopsy ye- colon iwu-colonoscopy. Kodwa-ke, uma udokotela wakho etholakele okungajwayelekile kwi- computed tomography (CT) engazange ihlukaniswe ekoloni, angayala i-biopsy eqondiswa yi-CT.
I-biopsy eqondiswa yi-CT, ebizwa nangokuthi inaliti noma i-CT-eqondiswa ngenaliti ye-needle, igcwaliswe ekamelweni le-CT esibhedlela noma emtholampilo. Loluhlobo lwe-biopsy luyalwa njalo uma izixuku zitholakala ngaphandle kwekoloni, kuhlanganise nalawo emaphashini, isibindi noma i-pelvis.
Udokotela usebenzisa i-CT scanner ukukhomba indawo engavamile, efaka inaliti embukisweni obhekene nawo, bese ekhishwa amasampula amancane amathishu. Ungabuyela emuva ukuze usebenze ngosuku olufanayo, ngeke udinga ukuhlala, futhi yonke inqubo ithatha cishe ihora elilodwa.
Uma izicubu ezingavamile zivalelwe kukholoni yakho, udokotela wakho uzoyala i-colonoscopy futhi athathe i-biopsy ngaleso sikhathi.
Ngesikhathi se-colonoscopy, i-probe ekhanyisiwe, ebizwa ngokuthi i- colonoscope , ifakwa phakathi kwe-rectum futhi ihlose ikoloni ukuze ibone ngeso lengqondo ingaphakathi. Le probe eguquguqukayo ivumela nokuhamba kwezinsimbi ezikhethekile ezingayithola (isiqeshana) isampula yamathisimu kusuka ku-colon yakho ye-biopsy.
Ukulungiselela
Ukulungiswa kwe- colonoscopy kudinga ukulungiswa okuphelele kwamathumbu ngaphambi kwenqubo. Udokotela wakho angalawula inhlanganisela yamakhemikhali e-liquid, suppositories, noma i-enema yokuhlanza ngaphakathi kwikholoni yakho.
Le nqubo yokuhlanza yenza ukwenziwa kwekhaloni yakho kubonakale ngokuxosha udaba lwamafecal kanye namanzi okugoma emathunjini amakhulu . Xoxa nodokotela wakho uma unesifo sikashukela noma uthatha imithi kadokotela , ikakhulukazi igazi elincane, njengoba udokotela wakho engase abe nemiyalo ekhethekile ngaphambi kokuhlolwa.
Izinkinga nezinengozi
Njenganoma iyiphi inqubo yezokwelapha, i-colon biopsy ayinayo izingozi. Kodwa-ke, uma umdlavuza wekoloni ukhona, ngokushesha ungaqala ukwelashwa ngcono. Udokotela wakho uzoxoxa ngezingozi nezinzuzo nawe ngaphambi kwenqubo.
Qinisekisa ukubuza imibuzo uma imininingwane yenqubo ingacacile. Izingozi ezingase zibe khona ze -colon biopsy zihlanganisa:
- Ukuphuza
- Ukutheleleka
- I-perforation ye-bowel
- Isibhedlela
- I-Postpolypectomy syndrome
- I-colonoscopy ehlulekile
- Izinkinga zokugcoba ngaphandle kwegazi eliphansi ngaphambi kokuhlolwa
- Izinkinga ezivela ku-anesthesia
Uma unomlando wezokwelapha oluyinkimbinkimbi noma esebekhulile, izici zakho ezingozini zingase zande. Xoxa ngemithi yokwelapha noma ngaphezulu-the-counter nodokotela wakho ngaphambi kwenqubo. Umhlengikazi noma ilungu lomsebenzi esibhedlela noma emtholampilo angakubiza ukuthi ubuyekeze imiyalelo ngaphambi kwenqubo yakho.
Ukulandela Okulandela-Indlela
Kusobala ukuthi uzokwehliselwa i-colonoscopy ne-biopsy; Ngakho-ke, akufanele uzizwe into. Ukulandela inqubo, uzoyiswa endaweni yokutakula, lapho abasebenzi bazokuqapha khona uze uphapheme futhi uqaphele.
Ngenxa sedation, ngeke uvumeleke ukushayela ekhaya, noma ngabe uzizwa uphelele. Isinqumo sakho sithathwa njengokukhubazeka ngokusemthethweni emahoreni angu-24 ngemuva kokusondeza (ungasayine noma yimaphi amadokhumende omthetho noma).
Futhi, umoya ufakwa ku-colon yakho ngesikhathi senqubo, okungabangela igazi elithile lokugaya nokudlula . Unganqikazi ukuxhumana nodokotela wakho uma uhlakulela umkhuhlane, ukuzamazama, ukukhukhuma, ubuhlungu besisu , isizungu, noma ukuphawula igazi ezitokisini zakho kulandela i-biopsy.
Ukuthola Imiphumela
Ngokushesha ngemva kwe-biopsy yakho, isampula yamathambo isithunyelwa ku-pathologist. Udokotela wezifo udokotela okhethekile ohlola izicubu negazi ngaphansi kwe-microscope.
Uzodinga isikhathi sokuhlola isampula sakho sesisindo ngokugcwele futhi uzokwakha umbiko we-pathology. Lo mbiko uchaza ukuthi ngabe izicubu ezitholakalayo zivamile yini noma zikanomdlavuza futhi zizosiza udokotela wakho ukuba anqume ukuthi isigaba somdlavuza wakho siyini.
Okungcono ngaphambi kwenqubo (njengoba ungase ungakhumbuli emva kwalokho), cela udokotela wakho uma ungalindela imiphumela. Uzokwazi ukukunikeza isibalo se-ballpark futhi akukhuthaze ukuba wenze ukuqokwa kokulandelela.
Uma udokotela wakho ethola imiphumela yakho ye- biopsy evela ku-pathologist, uzokubiza. Uma ungenayo i-aphoyintimenti yokuxoxa ngale miphumela, eyodwa izohlelwa wena ngalesi sikhathi.
Udokotela uzofuna ukuxoxa ngemiphumela yakho kumuntu, hhayi ngefoni noma nge-imeyili. Nakuba ukulinda kungabangela ukukhathazeka okukhulu, kungcono ukuhlala phansi uxoxe nodokotela wakho mayelana nemiphumela ubuso nobuso.
Umbiko Wezifo
Udokotela wakho unemvelaphi yezokwelapha kanye nokuqeqesha ukuchaza umbiko wakho wezokwelapha kuwe. Umbiko wezokwelapha uzofaka:
- Lapho izilonda (s) zitholakala ngaphakathi kwekhaloni
- I-Histology, noma uhlobo lwamaseli atholakele, afana nokujwayelekile (benign) noma okubi (umdlavuza). Uma kungavumelani, lo mbiko uzobonisa uhlobo lomdlavuza (i-adenocarcinoma yihlobo lomdlavuza oluvamile ).
- Ibanga, elichaza ukuthi zithinte kanjani izicubu (zifana nezicubu ezivamile zamakholoni, ezingabonakali nhlobo, noma enye ibanga phakathi) futhi zisetshenziselwa ukubeka umdlavuza wakho.
- Ukuhlasela, okusebenza emathisini okwenziwe ngesikhathi sokuhlinzwa ngomdlavuza wekoloni futhi kusiza ukunquma ukuthi umdlavuza usakaze kangakanani emathisini enempilo.
Unganqikazi ukubuza odokotela bakho nabahlengikazi imibuzo nganoma isiphi indlela endleleni. Odokotela bezokwelapha bakhona ukukusiza.
Imithombo:
I-American Cancer Society. Umhlahlandlela ophelele we-American Cancer Society ku-Cancer Colorectal . I-Clifton Fields, NE: i-American Cancer Society.
I-American Society Ye-Endoscopy Yokugubha. (2012). I-Colonoscopy.
I-National Cancer Institute. (Meyi 2011). I-Chemotherapy Side Effects: Izinguquko zokudla.
Lange, V. (2009). Yiba ngumsindisi. Umhlahlandlela wokuLawula umdlavuza weColorectal . (4th ed.). I-Los Angeles: I-Lange Productions.
Levin, TR, Zhao, W., Conell, C., et al. Izinkinga zeColonoscopy ohlelweni oludidiyelwe lokuNakekelwa Kwezempilo. Ama-Annal of Medicine yangaphakathi; 145.