Kodi Zikutanthauzanji Ngati Muli ndi Colon Yachiwawa?
Mwachidule
Pazinthu zambiri zaumoyo zomwe zingamunamizire munthu, palibe zambiri zomwe mwatsoka zimatchedwa "ziphuphu zamtundu." Mwachidule ichi, mudzaphunzira zonse za izi ndizosawerengeka ndipo mwachidziwitso chidziwitso chimenechi chidzaika nkhawa zanu pa gawo la "tortuous".
Kodi ndi Colon Yotani?
Ng'ombe yanu, yomwe imadziwikanso ngati matumbo anu aakulu, ndilo lalitali, lalitali lomwe lili pafupi mamita asanu.
Chimodzi chokoma ndi chimodzimodzi kuposa chachizolowezi. Kuti tizilombo toyipiringizi tigwirizane ndi mimba yanu, phulusa limathera ndi zina zowonjezera.
Nthawi yamtunduwu imatchedwa kuti colonic colon. Ena amachititsa kuti pakhale kusiyana kochepa kwambiri komwe kumakhala kosavuta kwambiri, komabe kachilombo kamene kali ndi makoswe ochulukirapo.
Ngakhale kuti vutoli likuwoneka bwino, zovuta, nthawi zambiri si vuto lalikulu la thanzi. Ndipo mukhoza kumasulidwa podziwa kuti sizikuwonjezera chiopsezo chanu chopeza khansa yamtundu .
Zizindikiro
Nthaŵi zambiri chiwopsezo chimakhalabe ndi zizindikiro ndipo chimangodziwika ndi mayesero owonetsa. Komabe, nthawi zina, zimathandiza kuti zizindikiro zotsatirazi zichitike:
- Kupweteka m'mimba
- Mitsempha ya m'mimba
- Mimba imasokonezeka
- Kutseka
- Kutsekedwa
- Kutaya kwambiri mafuta
- Fecal impaction
Chosavuta, koma vuto lalikulu lomwe limagwirizanitsidwa ndi khungu lamtunduwu ndi pamene zipsinjo zamtunduwu zimapotoza kwambiri moti zimapanga chidziwitso chodziletsa kapena chiwonongeko cha colonic volvulus.
Zizindikilo zotsutsana ndi chithunzithunzi ndizo:
- Kupweteka kwambiri kwa m'mimba
- Mimba yovuta
- Kutupa kwambiri kwa m'mimba
- Nausea
- Palibe kayendetsedwe ka matumbo kwautali kuposa masiku atatu
- Kupita chophimba chomwe chiri ndi ntchentche kapena magazi
- Kuthamanga
Ngati muli ndi zizindikiro zili pamwambazi muyenera kupeza chithandizo chamankhwala mwamsanga.
Zimayambitsa
Pali zifukwa zosiyanasiyana zomwe zingatheke kuti munthu akhale ndi phokoso lopweteka.
Anthu ena amabadwa nawo ndipo pangakhale pangakhale chikhalidwe cha chibadwa cha chikhalidwe. Nthawi zina, chifukwa chake sichidziwika. Koma mbeuyi imatha kupangidwanso ndipo imapotoka chifukwa cha zakudya zomwe zimadya zakudya zamtundu, zakudya zowonongeka, nthawi zambiri zowonongeka komanso zochotsa.
Chithandizo
Chithandizo Chodzikonda
Ngati khungu lanu lopotoka kapena lopotoka silikupangitsani zizindikiro, ndiye kuti nokha mukusamala kuti mukhale ndi zizoloŵezi zabwino za thanzi m'moyo mwanu, kuphatikizapo kudya zakudya zabwino, zamtundu wapatali ndikuyankha mofulumira kuti mukhale ndi matumbo kuyenda.
Ngati mukukumana ndi zizindikiro za mpweya, kupweteka, kupweteka m'mimba kapena kudzimbidwa, mutha kuganizira momwe mungayankhire zizindikirozi. Kudya chakudya chokwanira kwambiri ndi kumwa madzi ambiri kumathandiza kuchepetsa kudzimbidwa , ndipo ngakhale palibe kafukufuku wokhudzana ndi mphamvu yake yamtundu wambiri, chakudya chochepa cha FODMAP chingathandize kuchepetsa zizindikiro za mpweya ndi kuphulika. Kupuma kwa m'mimba , mungathe kugwiritsa ntchito penti yotentha kapena botolo la madzi otentha pamimba mwanu momwe ululu umayambira.
Kuchiza
Palibe ndondomeko yeniyeni yothandizira ya colon.
Dokotala wanu angagwire ntchito ndi inu kuti mukhale ndi dongosolo la kasamalidwe ka zizindikiro zam'thupi zomwe zimakhala zovuta zomwe mukukumana nazo, ndipo izi zingaphatikizepo kugwiritsa ntchito mankhwala ochiritsira kapena mankhwala owonjezera. Zosankha zikuphatikizapo:
- Mankhwala a Antispasmodic
- Zida zamagetsi
- Zamadzimadzi
- Mankhwala okumbidwa
- Kudetsa nkhawa (pofuna kupweteka)
Ndipo ngakhale chitetezo chamatumbo chochokera kumtunda wamatenda ndi chochitika chosavuta kwambiri, chikhoza kukhala chowopsya ndipo chimafuna kuchitidwa opaleshoni.
Coloni Yopweteka vs. IBS
Zambiri mwa zizindikiro za coloni zowawa zimakhala zofanana ndi za matenda a m'mimba (IBS).
Mwachindunji, IBS imapezeka ngati palibe chinthu chachilendo (kapena kutukudzika kapena kuvulala) ndipo motero IBS ndi ziphuphu zimaganiziridwa kuti ndizosiyana. N'zotheka kuti phokoso lopweteka limatha kudziwika ngati mukuyesa kuyesedwa kwa IBS. N'kuthekanso kuti dokotala wanu akhoza kupatsa matenda anu mu ambulera yomweyo. Ngakhale palibe kufufuza kozama pa nkhaniyo, zikutheka kuti kukhala ndi ubongo kwambiri-IBS (IBS-C) kungakulepheretseni kukhala ndi nthendayi (kukumbukira kuti chifuwa chachikulu ndi chosowapo).
Kudziwa
Monga momwe mukudziwira, mayeso a colonoscopy ndi mayesero ofunika kuwonetsetsa khansa ya coloni. Mkhalidwe wabwino ndi pamene phokoso la endoscope, lalitali, lowala bwino lomwe likugwiritsidwa ntchito panthawiyi, likhoza kulowetsedwa mpaka lonse kufika pamtunda, komwe kumatenda pang'ono ndi matumbo. Pa njirayi dokotala akhoza kuona thanzi la matumbo anu akulu ndikuchotsani minofu yosasintha, monga mapuloteni. Matendawa amatha kuyesedwa kuti akhalepo ndi maselo a khansa. Kawirikawiri, mumakhala ndi colonoscopy yanu yoyamba ali ndi zaka 50 ndikubwereza ndondomeko iliyonse zaka 10. Ngati muli pa chiopsezo chachikulu cha khansara yamtundu chifukwa cha mbiri ya banja kapena kukhala ndi polyps yapitayi, mungafunikire kuti yesero liyambe mwamsanga kusiyana ndi zaka 50 ndi nthawi zambiri.
Nthenda yamtunduwu ikhoza kukhala yovutitsa kwa dokotala wanu monga zopotoka, malupu ndi / kapena angles akuthwa zimapangitsa kuti zikhale zovuta kupeza endoscope kudutsa lonse limba. Mwachizoloŵezi, madokotala agwiritsira ntchito njira zotsatirazi:
Dera la barium enema (DCBE) losiyana: M'mbuyomu, ichi chinali mayesero omwe amagwiritsidwa ntchito mobwerezabwereza monga njira yowonjezereka kwa colonoscopy yachikhalidwe kwa colonous colon. Mwa njirayi, chiwonetsero cha madzi chomwe chili ndi barium chimaikidwa mu rectum ngati chojambulira chosiyana ndiyeno mndandanda wa X-ray umachotsedwa m'mimba mwathu. Kenaka, barium imaloledwa kuchotsedwa ndipo mpweya umaponyedwa mu coloni yanu kudzera muzithunzi zanu ndipo zowonjezereka zithunzi zimatengedwa. Chimodzi mwa zifukwa zomwe DCBE sichikondwera nacho ndi chakuti kafukufuku wasonyeza kuti si bwino kuzindikira kuti pali matupi osalimba mkati mwa matumbo akuluakulu.
Colonoscopy yeniyeni : Kaconoscopy, yomwe imadziwikanso kuti computed tomography colonography (CTC) imaperekanso njira ina ku colonoscopy yachikhalidwe kwa mtundu wamtundu. Mwa njirayi, muyenera kukhalabe ndi chithunzithunzi chomwe chikufunika kuti chikhale choyambirira pa tsiku la mayesero. Pogwiritsa ntchito njirayi, mudzafunsidwa kumwa madzi omwe ali ndi dye yosiyana. Thupi laling'ono, lopopera lidzalowetsedwa lomwe lidzaponyera mpweya mu khola lanu. Mudzapeza mndandanda wa X-ray. Monga DCBE, njirayi ili ndi malire otha kupeza kachilombo kochepa. Ndipo ngati pali umboni wa kupezeka kwa mapuloteni, mudzafunikirabe kutsatira chikhalidwe chotsatira cha colonoscopy.
Komabe, kafukufuku watsopano akusonyeza kuti pangakhale kupambana kwakukulu kokwanira, kolonoscopy yokwanira ndi kuyesanso. Kupambana kumeneku kungakhalepo pamene kukula kosiyana kwa endoscope kugwiritsidwa ntchito, monga kamene kamapangidwa kwa ana.
Mawu Ochokera
Monga tafotokozera pamwambapa, njoka yamtunduwu ndi mwatsoka yotchedwa chikhalidwe. Kawirikawiri, izi zimakhala zovuta kwambiri zomwe zimayambitsa mavuto ndipo nthawi zambiri zimayambitsa matenda aakulu. Ngati muli ndi zizindikiro zosasamalidwa zakusamalidwa zokhudzana ndi kukhala ndi phokoso lopweteka, onetsetsani kuti mukugwira ntchito ndi dokotala wanu pa dongosolo lotsogolera zizindikiro. Ndipo musalole kuti phokoso lopweteka lifike m'njira yanu kuti liwonetsetse mokwanira kukhalapo kwa khansa yamtunda.
> Zotsatira:
> Gawron AJ, Veerappan, Keswani RN. "Mapulotoscopy obwerezabwereza opambana omwe ali ndi mapulogalamu osungirako makoswe ovomerezeka odwala omwe amatchulidwa kuti" Canadian Journal of Gastroenterology 26, 589-592 ".
> Brahmania M, Park J, Svarta S, Tong J, Kwok R, Enns R. "Colonoscopy yosadziwika: Kuwonjezera kuchuluka kwa ma gastroenterologists" BMC Gastroenterology 2014; 14: 56.