Ngisho nangokwamukelwa kokuhlolwa komdlavuza wekoloni, abantu abaningi batholakala kuphela ngemva kokuba umdlavuza usesikhathini esilandelayo, kunzima kakhulu ukuphatha izifo zalesi sifo. Njengesizathu sesithathu esiholela ekufeni okuhlobene nomdlavuza kumadoda nabesifazane e-United States, kuyacaca ukuthi sinendlela yokuhamba. Ukuba nokuqonda izimpawu nezimpawu zomdlavuza wekoloni kungasiza abantu ukuba bafune usizo lwezokwelapha ngokushesha ngangokunokwenzeka, lapho umdlavuza usezinyathelweni ezitholakalayo kakhulu.
Ziyini izimpawu zomdlavuza wekolon okufanele ubukele, futhi kungani lezi zenzeka?
Anatomy kanye Nomsebenzi we-Colon
Ukuze uqonde ukuthi izimpawu zomdlavuza wekoloni zingase uzizwe kanjani, kusiza ukubuyekezwa kabili kokubili ukuma nokusebenza kwekoloni. Ubuhlungu endaweni yomzimba wakho eduze kwekholoni yakho kungase kukuxwayise inkinga, njengoba kungenzeka izimpawu ezibonisa ukuthi isilonda sakho asisebenzi ngendlela efanele.
I-colon yenza iningi lomathumbu omkhulu , cishe ubude obuyizingalo eziyisithupha. Amasentimitha angu-6 okugcina noma emathunjini amakhulu yi-rectum ne-canal anal. Abantu abaningi bacabanga ukuthi amathumbu amancane abe "phezulu" kanti amathumbu amakhulu "abe phansi ngezansi," kepha empeleni kunamafutha, futhi amathumbu amakhulu amaningi aphezu kwamathumbu amancane. I-colon ihlotshaniswa neyomile, nekoloni ekhuphukayo ehamba ngakwesokudla kwesisu sakho, ikholoni ehamba phambili ehamba ngokuzungezile ngaphesheya kwesisu sakho esingaphezulu, futhi ukwehla koloni ukusuka ngaphansi kwezimbambo zakho ngakwesobunxele, kuze kube i-rectum ne-anus.
I-colon idlala indima ebalulekile ohlelweni lokugaya, futhi sifunde ukuthi indima yayo ingaphezu nje kokungcolisa imfucuza ukuze ikwazi ukudluliswa emzimbeni. Ngaphezu kokudlala indima ekulawuleni uketshezi, ikholoni ithatha izakhi namaminerali. Sifunda ukuthi "ukugoma amabhaktheriya" akugcini nje ukuba negalelo lesitokisi, kodwa kungaba nengxenye ezimweni eziningi zezokwelapha ngisho nemimoya.
Izimpawu zeCaron Cancer
Umdlavuza weColon ungaba nezimpawu eziningi. Kodwa-ke, ezinkathini zokuqala, abantu abanomdlavuza wekoloni ngokuvamile abanalo izimpawu nhlobo. Yingakho ukuhlolwa okujwayelekile kuqale ngo-50 (nangaphambili kwalabo abanezici ezinobungozi) kubalulekile ukutshalwa kwezimali esikhathini esizayo.
Izimpawu zomdlavuza weColon ziza ezinhlobonhlobo ezimbili ezijwayelekile:
- Endaweni: Izimpawu zendawo yilezo ezenzeka ngenxa yendawo yesikhumba emgqonyeni.
- Isistimu: Izimpawu zesistimu zivame ukubonakala uma umdlavuza wekoloni uphuthukisiwe, futhi ikakhulukazi uma usakaze ngaphezu kolononi. Lezi zimpawu zingase zihlobene nokugaya umzimba, noma ngenxa yokusabalalisa (i-metastasis) ye-tumor kwezinye izitho.
Izimpawu Zomdlavuza Wamakoloni Wendawo
Izimpawu zomdlavuza zamakoloni zendawo zithinta imikhuba yakho yokugezela kanye nekoloni ngokwayo. Ezinye zezimpawu ezivamile zendawo zomdlavuza wekoloni zihlanganisa:
- Izinguquko emikhondweni yakho yezinyosi . Noma yikuphi ukuguqulwa okuphawulekayo emikhondweni yakho yezinyosi kufanele kube nengxoxo nodokotela wakho. Lokhu kungabandakanya ukunyakaza kwamathumbu okuba okuvamile noma okuncane kunokuvamile. Abantu abahlukene banemikhuba ehlukene yemilenze. Into ebalulekile okufanele uqaphele yikuphi ukuguqulwa kwiphethini yakho evamile yokuhamba kwemathumba.
- Ukuqokwa . Nakuba kungesiyona imbangela evame kakhulu, umdlavuza wekoloni ungomunye wemibandela engabangela ukuqothulwa. Uma unenkinga yokuba nokunyakaza, noma ukucindezela, khuluma nodokotela wakho.
- Uhudo . Izitshalo ezilahlayo namanzi nazo zingaba uphawu lomdlavuza wekoloni, nakuba futhi, kunezimbangela eziningi. Ngaphandle kokuba une incazelo yehudo yakho, futhi ixazulula isikhathi esilinganiselwe, khuluma nodokotela wakho.
- Ukuqothula (ukushintshanisa) ukudliwa nokuhuda. Kuyinto engavamile ukuba umdlavuza wekoloni ubangele izimpawu zokushintsha uhudo nokuqothulwa. Lokhu kungenzeka uma kunesithiyo esinqunyiwe (ngenxa yesisu) emathunjini. Ukuqokwa kungase kwenzeke ngenxa yobunzima besitobhini esidlulisa isithiyo, kulandelwa yisifo sohudo lapho okuqukethwe okusekelwe khona kudluliswa.
- Igazi elibomvu elibomvu noma elibomvu ezitheni zakho . Ukukhipha igazi emgqeni ngenxa yomdlavuza wekolon ngokuvamile kubangela igazi elibomvu noma elibomvu elibomvu ezindaweni. Uma umdlavuza wekolon uphakama phezulu kwikholoni, njengekoloni elungile, igazi lingase libonakale limnyama noma "lilinde" livule izihlalo.
- Izitshalo ezincane kunezivamile . "Amapensela" angase abe uphawu lomdlavuza wekoloni, futhi ngokuvamile ahlotshaniswa nokuvinjelwa okubangelwa isisu, okuholela ezitheni ezincane.
- Umzwelo wokungakwazi ukuphuma ngokuphelele amathambo akho. Uma uzizwa sengathi usadingeka ukuya endlini yokugezela noma ngabe uke wahamba nokuhamba, kufanele ukhulume nodokotela wakho.
- Ukuhlukunyezwa kwesisu (midsection), ukubhubhisa, ubuhlungu obukhulu besigesi, noma izinhlungu. Ubuhlungu besisu noma ukuchotshozwa kungenzeka ngezizathu eziningana kulabo abanomdlavuza wekoloni. Lezi zimpawu zingase ziqale phakathi futhi zixoshwe njengendlela yokudla emvelweni.
- Umqondo jikelele wokuthi kukhona okungalungile. Kuvamile ukuba abantu babe nomuzwa wokuthi into ethile emzimbeni wabo, ngisho noma bengenayo izimpawu ezithile zokuvuselela lowo mzwa. Thembela intuition yakho. Uma ukhathazekile ngokuthi kukhona okungalungile, kungenzeka. Yenza i-aphoyintimenti bese ukhuluma nodokotela wakho.
Uma uhlangabezana nanoma yikuphi kulawa amasonto amabili noma ngaphezulu (noma uma unegazi esitokisini sakho ngisho kanye kuphela), shayela udokotela wakho ngokushesha ukuze uxoxe ngokukhathazeka kwakho futhi uhlele ukuhlolwa ukuze ufike ezansi zezimpawu zakho.
Izimpawu zesifo seCaron Symptoms
Izimpawu zesifo somdlavuza we-colon yizo ezithinta umzimba wakho wonke, njengokusindiswa kwesisindo, futhi zifaka:
- Ukulahlekelwa kwesisindo okungenalutho . Uma ulahlekelwa isisindo ngaphandle kokuzama, ungase, ekuqaleni, ujabule. Kodwa ukulahlekelwa kwesisindo okungenasisekelo kuyimpawu ebalulekile okufanele inganakwa. Kuchazwe njengokulahlekelwa ngamaphesenti angu-5 noma ngaphezulu kwesisindo somzimba esikhathini esiyizinyanga ezingu-6 kuya kwezingu-12. Isibonelo, uma owesifazane oyisigidi esingu-150 elahlekelwa amakhilogremu angu-7.5 ngesizathu esicacile, kufanele axhumane nodokotela wakhe. Umdlavuza weColon ungomunye wezimo eziningana ezimbalwa ezingaqala ukuziveza ngokwawo ngokulahlekelwa kwesisindo esingalindelekile.
- Ukulahlekelwa kwesifiso. Ukulahlekelwa kwesifiso kuyisibonakaliso esibalulekile. Kuvame ukuvela kancelisi ephakeme, kodwa kuye kwaphawulwa kwabanye abantu abanomdlavuza wekoloni wokuqala. Khuluma nodokotela wakho uma ukudla sekulahlekelwe indima yakho empilweni yakho.
- Ukukhathala okungaqondakali. Ukukhathala ngokweqile kuyisibonakaliso esingenasici, kodwa sivame kakhulu kubantu abane-cancer ephakeme kakhulu. Ukukhathala komdlavuza kuhluke ekukhathaleni "okujwayelekile" ngoba ngokuvamile akukhululekile ukuphumula futhi akuphikiswanga indebe encane yekhofi.
- Ukudabuka noma ukuhlanza. I-nausea nokuhlanza kungenzeka kunoma yisiphi isigaba somdlavuza wekoloni, kodwa kuvame kakhulu ngezifo eziphambili.
- I-anemia (inani elibomvu lesisindo segazi). I-anemia ingase ibe khona njengesibonakaliso sokuqala somdlavuza wekoloni, ngenxa yokuphuma kwe-microscopic kusuka kwesisu. Kubuye kuvame kakhulu namanqamu aphezulu kakhulu. Ukubalwa kwesibalo segazi obomvu kuphinde kuhlotshaniswe nesimo sokuhlunga esincane.
- I-Jaundice. I-jaundice, isimo lapho isikhumba nabamhlophe bamehlo baqala ukubukeka okuphuzi, kungaba uphawu lomdlavuza wekoloni. I-jaundice ingenzeka uma umdlavuza wekoloni usakazela esibindi, isayithi elivamile le-metastasis yamakhansela ekoloni. Kungenzeka futhi ngenxa yomshoshaphansi womdlavuza wekoloni ezakhiweni ezibalulekile ezihlobene nesibindi.
Uma uhlangabezana nanoma yikuphi kwalokhu kunoma yisiphi isikhathi eside, ngisho nezinsuku ezimbalwa, shayela udokotela wakho ngokushesha ukuze uxoxisane nokukhathazeka kwakho bese uhlela ukuhlolwa ukuze ufike ezansi zezimpawu zakho.
Ukwenza Ukuqokwa Ukuxoxa Ngezibonakaliso Zakho
Shayela udokotela wakho ukuze akwazi ukusetha i-aphoyintimenti ukukubona. Ngesikhathi sokuqokwa, udokotela wakho uzothatha umlando wezokwelapha, enze ukuhlolwa ngokomzimba, aqoqe amasampula egazi ukuze ahlolwe, futhi akuhlele ukuthi uhlolwe ngokulandelela uma kudingeka.
Abantu abaningi besaba ukuhlolwa komdlavuza wekoloni. Bakhathazeka ngokuthi kuzolimaza nokuthi kuyamahloni. Udokotela wakho nomhlengikazi baye benza amakhulu futhi kwezinye izimo ngisho nezinkulungwane zalezi zinqubo. Akukho lutho oluzokwenza ube namahloni ngalokhu futhi ukhumbule: Ngisho noma udokotela wakho nomhlengikazi bahlangabezana nalezi zivivinyo ezifanayo ukuze banakekele impilo yabo.
Ukulungiselela Izivivinyo Ze-Cancer
Uma ukhathazekile ngokulungiselela izivivinyo zakho zomdlavuza we-colon , cela udokotela wakho ukuthi lungcono kanjani ukulungele noma iyiphi inqubo. Kunemithi ehlukene yokusula ikholoni yakho yesitoreji ukuqinisekisa ukuhlolwa okuhle. Asikho isizathu sokuhlupheka ngokuthula.
Ukuhlola Ingozi Yakho Yomdlavuza WeColon
Kungasiza ekunqumeni ukuthi unengozi eyengeziwe yokwenza umdlavuza wekolon , njengoba ungase ufise ukuhlolwa kuqala kunemihlahlandlela yokuncoma. Lokho kusho, noma ubani angakha umdlavuza wekoloni. Uma unamakholoni, ungahlakulela umdlavuza wekoloni. Kuyaphawuleka nokuthi, nakuba ukuhlolwa kuphakanyiswa eminyakeni engu-50 ubudala, abantu abangenazo izinkinga ezingakwenza futhi ngezinye izikhathi bangathola umdlavuza wekoloni ngaphambi kweminyaka engama-50.
Izwi Elivela Emibhalweni Yengculaza Yamakholoni
Ngenkathi abantu abaningi bezwile ukuthi ukuba negazi ezihlalweni zabo kungaba isibonakaliso somdlavuza wekoloni, cishe noma yikuphi ukuguquka emikhondweni yakho yezinyosi kufanelekile ukuhlola. Wonke umuntu uhlukile, futhi lokho okujwayelekile komunye umuntu kungase kungavamile kuwe. Qinisekisa ukuthi ukhuluma nodokotela wakho uma kukhona izinguquko. Okuphawulayo, yilokho izimpawu ezifana nokushintsha phakathi kokuqothulwa nokuhuda, futhi ngisho nomuzwa wokuthi awukhiphi ngokuphelele amathumbu akho, kufanele uphenywe.
Ngaphandle kwezimpawu zendawo, izimpawu zesistimu ezifana nokukhathala, ukulahlekelwa kwesisindo okungenhloso, ukulahlekelwa kwesidlo, noma i-anemia nakho kubalulekile izimpawu zomdlavuza wekoloni.
Ngenhlanhla, manje sinezivivinyo zokuhlola njenge-colonoscopy ezitholakale ukunciphisa ingozi yokufa ngumdlavuza wekoloni. Ukuhlolwa komdlavuza weColon kuyingqayizivele ngoba akusho nje ukuholela ekutholeni kokuqala komdlavuza (futhi umdlavuza wekolon uphephe kakhulu ezinyathelweni zokuqala), kodwa ungavimbela umdlavuza wekoloni ekuqaleni, uma i-polyp eqondile itholakele futhi isusiwe.
Kubalulekile ukuba ngummeli wakho siqu ukunakekela impilo yakho. Uma ungatholi izimpendulo, qhubeka ubuza imibuzo. Uma ungakatholi izimpendulo, cabanga ukuthola umbono wesibili. Ukuba isondo elimangalisa uma kuziwa ekunakekelweni kwezempilo ngeke kukusize nje ukunakekelwa okudingayo, kepha kungathinta impilo yakho yesikhathi eside, ngisho nokuphila, futhi.
> Imithombo:
> Del Giudice, M., Vella, E., Hey, A. et al. Ukubuyekezwa Okuhlelekile Kwezinto Zemitholampilo Ye-Cancer Colorectal Ebhekene Nokwelashwa Okuyinhloko. I-Canadian Family Physician . 2014. 60 (8): e405-15.
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
> National Cancer Institute. I-Colon Cancer Treatment (PDQ) -Health Professional Version. Kubuyekezwe 02/18/28. https://www.cancer.gov/types/colorectal/hp/colon-treatment-pdq