Izifo Ezihlukahlukeneko Ngeke Zihlale Zidinga Ukuthola Ukuxilongwa
Ezimweni eziningi, izifo ze-diverticular azikho izimpawu. Lapho izifo ze-diverticular zingekho izimpawu, asikho isizathu sokuhamba noma ukusibheka. Kodwa-ke, kungase kutholakale njengalokho odokotela abakuzobhekisela "ekutholeni" kokuthola ikholonoscopy yokuhlola.
I-Diverticula ivame kakhulu kubantu abangaphezu kweminyaka engama-40. Kusukela eneminyaka engama-50 ubudala, kunconywa ukuthi abantu abasengozini enkulu yokuthuthukisa umdlavuza wekolon nomgogodla bane- colonoscopy yokuhlola .
Leyo colonoscopy yenziwa ukufuna ama-polyps , okuyiwona oyandulela umdlavuza wekoloni. Noma yikuphi ama-polyps atholakalayo phakathi ne-colonoscopy asuswe, okubavimbela ngokuphumelelayo ukuba athuthuke ekubeni amangqamuzana anomdlavuza.
Phakathi ne-colonoscopy yokuhlola okunjalo, udokotela oqeda ukuhlolwa uzophinde abheke noma yikuphi okunye okutholakala ngaphakathi kwikholoni. Kwezinye izimo, lokhu kungase kusho ukuthola ukuhlukahluka okwamanje okungabangela izimpawu.
Uma kunezibonakaliso ezisolakala ukuthi zivela e-diverticula ezivuthayo futhi zenza isimo esibizwa nge-diverticulitis, ukuhlolwa okukodwa noma ngaphezulu kungenziwa ukuze kuqinisekiswe. Izivivinyo ezingase zenziwe ukuxilonga izifo ze-diverticular yi-colonoscopy noma iskena se-computed tomography (CT) esiswini.
I-Colonoscopy
I-colonoscopy wuhlolo olwenziwe ukubuka ngaphakathi emathunjini amakhulu. I-colon yilapho amanzi ehlanganiswa khona futhi ukudla okungakaze kuphulwe ngokugcwele kusetshenziselwa okuqhubekayo.
Ngemuva kokwenza indlela eya ekupheleni kololoni, isitoreji sigcinwa e-rectum, lapho ekugcineni iphuma khona emgodini wamanzi kanye ne-sphincter njengendlela yokunyakaza kwamathumbu.
Ukulungiselela ukuhlolwa
Phakathi ne-colonoscopy, i-colonoscope, okuyinto ithanga elide elinokukhanya nekhamera ekugcineni, lifakwe ngaphakathi kwe-anus.
Ukuze uqedele lokhu kuhlolwa, futhi ube nokukhululeka ngangokunokwenzeka kweziguli, ezinye izinyathelo zithathwa ezinsukwini zangaphambili.
Kubalulekile ukuthi ikholoni ikwazi ukucaca noma yisiphi isikhala ukuze udokotela aqedele ukuhlolwa angaba nokubukeka okungaqondakali odongeni lekhaloni. Lokhu kubizwa ngokuthi ukulungiswa kwe-colonoscopy , noma ukulungiselela, futhi ngokuvamile kubhekwa njengengxenye eyinselele yenkambiso yonke.
Udokotela oqedela i-colonoscopy uzobeka inqubo yokulungiselela ngokusuka ekuthandweni kwabo futhi ethatha noma yikuphi ukucabangela ngesiguli (njengezinye izimo zempilo noma izintandokazi) ezibhekwayo.
Amalungiselelo avame ukuwenziwa ngokusebenzisa izidakamizwa ezinamandla ezinganikezwa ngefomu eliketshezi noma lephilisi, futhi ngezinye izikhathi inhlanganisela. Kwezinye izimo, i- enema ingasetshenziswa futhi. Ukuzila ukudla ngaphambi kokuba kuvivinywe kuyadingeka, ngakho-ke ukudla kweziphuzo ezicacile kunqunywe ngokuvamile ntambama ngaphambi kokuhlolwa futhi akukho lutho lokudla noma ukuphuza emva kwamabili ebusuku ngaphambi kokuhlolwa.
I-IV izoqala ngaphambi kwe-colonoscopy, ukuze ihlinzeke ngamanzi nokuphuza imithi . Ngemva kokunikezwa izidakamizwa, udokotela uzoqedela ukuhlolwa. Uma kuvivinywa sekuphelile, lezi zinhlobo zokumisa zizovalwa futhi iziguli zizovuka futhi zihlolwe isikhathi esifushane.
Akuphephile ukushayela ngenxa yezidakamizwa, ngakho-ke umngane noma ilunga lomndeni kuzodinga ukushayela ekhaya. Ngemuva kokuphumula nokuthatha isikhathi esiningi usuku lonke, abantu abaningi bangabuyela esimweni sabo esijwayelekile ngosuku olulandelayo.
Ukuthola Imiphumela
Kwezinye iziguli, ukuqokwa okulandela ukulandelana nodokotela noma omunye ochwepheshe wezezempilo ukukhuluma ngemiphumela yokuhlolwa kungadingeka. Kwezinye izimo, ama-polyps angasuswa noma ama- biopsies angathathwa ngesikhathi se-colonoscopy.
Kuzoba nokuhlolwa okwenziwa kulawo mathambo kanti udokotela uzothola imiphumela. Uma kutholakala i-diverticula, lokho kuzophinde kuxoxwe, futhi uma lokho kunomthelela ekudleni noma endleleni yokuphila.
I-CT yesisu ye-Abdominal
Izifo ezihlukahlukene zingaphinde zitholwe nge- CT scan . Lolu luhlolo luhlobo lwe-x ray olukhethekile ukuze ubone izitho nezakhiwo ngaphakathi kwesisu. Lokhu kuhlolwa kungase kusetshenziselwe ukuxilonga izifo ze-diverticular, ikakhulukazi uma kukhona izimpawu zamathumbu njengamanje (njengokubuhlungu noma ukuphuma kwegazi) futhi i-colonoscopy ayikwazi.
I-scan ye-CT iyilingo olungenabuhlungu futhi olungenasidingo. Okukhiphayo kungumfanekiso we-elekthronikhi ongabonwa futhi uhanjiswe kalula. Ukulungiselela kuphela ukuzila ukudla amahora ambalwa ngaphambi kokuhlolwa.
Okufanele Ukulindele
Uzocelwa ukuba ususe noma yikuphi ubucwebe bensimbi noma ezinye izinto zensimbi njengezibuko. Umshini we-CT ukhulu, netafula elifaka umshini emshinini. Uzolala etafuleni futhi uma uvivinyo luqala, itafula lizohambisa emshinini kuze kube yilapho usesikhundleni esifanele. Umshini uzosebenzisa i-x ray ukuze athathe izithombe. Uchwepheshe owenza uvivinyo uzonikeza noma yiziphi iziyalezo ngoba kubalulekile ukuhlala uphinde ubambe umoya ngamaphuzu athile. Isivivinyo sivame ukuthatha imizuzu engaba ngu-30, kuye ngokuthi zingaki izithombe ezidingekayo.
Idayi yokungafani isetshenziswa ukuze ezinye izakhiwo zomzimba zibonise kangcono emifanekisweni yokugcina. Ngomfanekiso wekolon idayi izonikezwa kokubili njengesiphuzo, futhi ku-IV. Isiphuzo sizokwenziwa ngaphambi kokuqala kokuhlolwa.
Ukuthola Imiphumela
Ngemuva kokuhlola kwe-CT, noma yikuphi ukulandelwa okudingekayo kuzoba ngabanye ngokusekelwe imiphumela yokuhlolwa kanye nempilo yesiguli. Kwezinye izimo, ukuhlolwa okwenziwe akukona nje kuphela ukuthi kungenzeka ukuhlukana, kodwa futhi nokuhlola ukuthi kungenzeka yini ezinye izimo ezingase zidale izimpawu. Uma i-diverticulitis itholakale, uhlelo lokuphulukiswa luzodingeka ngokushesha ngoba ngenxa yemvelo enzima yalesi simo. Uma kukhona ukungafani okutholakala kukholoni kodwa kungabonakali izimpawu, kungenzeka noma kungabi nesidingo sokwenza izinguquko ekudleni nasekuphileni.
> Imithombo:
> I-American Society of Colon kanye ne-Rectal Surgeons. "Izifo Ezihlukahlukene." FASCRS.com 2018.
> I-Harvard Men's Health Watch. "Izifo ezihlukahlukene ze-colon." I-Harvard Health Publishing. 5 Dec 2015.
> Tursi A, Papa A, Danese S. "Isihloko sokubukeza: i-pathophysiology kanye nokuphathwa kwezokwelapha ze-diverticulosis nezifo ezihlukahlukene zekoloni . & Rdquo Aliment Pharmacol Ther 2015; 42: 664-684.