Lingaliro Lenizeni la Kansa ya Colon
Chidziwitso cha koloni ndi kafukufuku omwe amayesa zitsanzo za minofu kuchokera ku colon. Dokotala akuyang'ana matenda osalimba, monga maselo a khansa kapena asanatengere khansa . Kumbukirani kuti chifukwa chakuti dokotala wanu adalamula kuti pakhale chiwopsezo sichikutanthauza kuti muli ndi khansa.
Mwachidule
Dokotala wanu adapeza zosayenerera mu umodzi wa mayeso anu owonetsetsa khansa. Njira yokhayo yotsimikizirika kunena ngati vutoli ndi losautsa khansa ndi kuchotsa minofu ndikuyang'ana pansi pa microscope.
Ngati zovuta zinapezeka pa sigmoidoscopy kapena colonoscopy , adokotala mwinamwake anatenga ziphuphu panthawi yomweyi. Ngati zopanda pake (zotupa, masses, magazi mu chotupa ) zinapezeka panthawi yoyezetsa kachilombo ( kawiri kawiri ya barium enema kapena kuyesedwa kwa magazi ), mudzakonzekera colonoscopy.
Kuthandizidwa ndi CT-Kulimbana ndi Colonoscopy
Pali njira zosiyana za njira ya biopsy yomwe imadalira kumene matenda osagwiritsidwa ntchito amapezeka. Njira yowonjezera yopezera biopsy ya coloni ndi kudzera mu colonoscopy. Komabe, ngati dokotala wanu akupeza zosavuta pa kanema ka computed tomography (CT) yomwe siinali yodziwika bwino pamtunda, iye akhoza kuitanitsa chithunzi chotsogoleredwa ndi CT.
Chida chotsogoleredwa ndi CT, chomwe chimatchedwanso singano kapena chingwe chotsogoleredwa ndi CT, chatsirizidwa m'chipinda cha CT kuchipatala kapena kuchipatala. Kawirikawiri mtunduwu umatumizidwa pamene masulu amapezeka kunja kwa coloni, kuphatikizapo m'mapapo, chiwindi, kapena m'mimba.
Dokotala amagwiritsira ntchito CT scanner kuti azindikire malo osalongosoka, amaika singano m'kati mwake, ndikuchotsa zitsanzo zazing'ono. Mukhoza kubwerera kuntchito tsiku lomwelo, simukusowa kukhala pansi, ndipo ndondomeko yonse imatenga pafupifupi ola limodzi.
Ngati minofu yosayenerera ili pamtundu wanu, dokotala wanu adzalamula colonoscopy ndi kutenga chotsatira panthawiyi.
Pakati pa colonoscopy, kafukufuku wobisika, wotchedwa colonoscope , amalowetsedwa kudzera mumtengowu ndipo amamveketsa chinyama kuti aone momwe mkatimo. Pulojekitiyi imathandizanso kuti zipangizo zamakono zitha kuzilandira (zojambula) zitsanzo za minofu yanu yamtunduwu.
Kukonzekera
Kukonzekera kwa colonoscopy kumafuna kukonzekera mwathunthu musanachitike. Dokotala wanu akhoza kulamula kuphatikiza mankhwala osokoneza bongo, suppositories, kapena enema kuti azitsuka mkati mwa coloni yanu.
Ndondomeko yoyeretsa imapangitsa kuti pakhomo lanu liwonongeke ndi kutuluka m'madzi ambiri . Lankhulani ndi dokotala wanu ngati mukudwala matenda a shuga kapena kumwa mankhwala opatsirana , makamaka ochepa magazi, monga dokotala wanu angakhale ndi malamulo apadera kwa inu musanayambe kuyeza.
Zovuta ndi Zoopsa
Monga njira iliyonse yachipatala, chiwonongeko cha colon sizowopsa. Komabe, ngati khansa ya coloni ilipo, mwamsanga mukhoza kuyamba mankhwala bwino. Dokotala wanu adzakambirana za ubwino ndi zopindulitsa zanu musanayambe ndondomekoyi.
Onetsetsani kuti mufunse mafunso ngati ndondomekoyi isanamveke. Zowopsa zowonongeka kwa koloni zikuphatikizapo:
- Kusuta
- Kutenga
- Zomwe zimapangidwira
- Kuchipatala
- Postpolypectomy syndrome
- Sanamalize colonoscopy
- Zowonongeka kuchokera ku kuyeretsa kuchokera kwa ochepa magazi asanayambe kukayezetsa
- Mavuto ochokera ku anesthesia
Ngati muli ndi mbiri yakale ya zamankhwala kapena ndinu okalamba, zifukwa zanu zoopsa zingakulire. Kambiranani ndi mankhwala anu ndi mankhwala anu nthawi zonse. Namwino kapena wogwira ntchito ku chipatala kapena kuchipatala angakuitaneni kuti muwerenge malemba musanayambe.
Kutsata Kutsata Njira
Mwinamwake, mudzasungidwa kuti mukhale colonoscopy ndi biopsy; Choncho, musamamve kanthu. Potsatira ndondomekoyi, mudzatengedwera kumalo osungirako, kumene antchito adzakuyang'anirani mpaka mutadzuka ndi kuchenjeza.
Chifukwa cha sedation, simudzaloledwa kuyendetsa galimoto kwanu, ngakhale mutakhala nawo. Chiweruziro chanu chimaonedwa kuti n'chovuta kwa maola makumi awiri ndi awiri (24) pambuyo pa sedation (musati musayambe zolemba zina).
Ndiponso, mpweya umalowetsedwa m'kati mwa ndondomeko yanu, yomwe ingayambitse mpweya wambiri . Musazengereze kuonana ndi dokotala ngati mutakhala ndi malungo, kugwedezeka, kuzizira, kupweteka m'mimba , chizungulire, kapena kuzindikira magazi mu malo anu omwe akutsatira.
Kupeza Zotsatira
Pambuyo potsatira chitetezo chanu, mankhwalawa amatumizidwa kwa odwala matendawa. Katswiri wa zachipatala ndi dokotala wapadera yemwe amafufuza tizilombo ndi magazi pogwiritsa ntchito microscope.
Adzafunika nthawi kuti awonetse bwinobwino zitsanzo zanu ndiyeno adzakhazikitsa lipoti la matenda. Lipotili likufotokoza ngati ziphuphuzo zimapezeka ndi zachibadwa kapena khansa ndipo zidzakuthandizani dokotala kuti adziwe ngati mukudwala khansa yanu.
Makamaka musanayambe ndondomeko (monga simukumbukira pambuyo pake), funsani dokotala wanu ngati mutha kuyembekezera zotsatira. Adzatha kukupatsani chiwerengero cha ballpark ndikukulimbikitsani kuti mupange chidziwitso chotsatira.
Dokotala wanu atalandira zotsatira zanu zapadera kuchokera kwa wodwalayo , iye adzakuitanani. Ngati simukukhala ndi nthawi yoti mukambirane zotsatirazi, wina adzakonzedweratu nthawi ino.
Dokotala akufuna kuti akambirane zotsatira zanu mwayekha, osati pa foni kapena imelo. Ngakhale kuti kuyembekezera kungabweretse nkhawa kwambiri, ndi bwino kukhala pansi ndi kukambirana ndi dokotala za zotsatira za maso ndi maso.
Report of Pathology
Dokotala wanu ali ndi mbiri ya zamankhwala ndi maphunziro kuti afotokoze lipoti lanu la matenda. Lipoti lachiromboli lidzaphatikizapo:
- Pamene zilondazo zinalipo mkati mwa colon
- Nthano yake, kapena mtundu wa maselo omwe amapezeka, monga achibadwa (oopsa) kapena oopsa (khansa). Ngati zovutazo, lipoti lidzasonyeza mtundu wa khansara (adenocarcinoma ndi mtundu wambiri wa khansa ).
- Kalasi, yomwe imalongosola momwe zimasinthira minofuyi (ndizofanana ndi zida zowonongeka, zomwe sizikudziŵika konse, kapena kalasi yapakati) ndipo zimagwiritsidwa ntchito kukhazikitsa khansa yanu.
- Kuwombera, komwe kumagwiritsidwa ntchito ku minofu yomwe imatengedwa pa opaleshoni ya khansara yamtunduwu imathandizira kudziwa momwe khansara imafalikira mu matenda abwino.
Musazengereze kufunsa dokotala wanu ndi anamwino mafunso nthawi iliyonse panjira. Ogwira ntchito zamankhwala ali kumeneko kuti akuthandizeni.
Zotsatira:
American Cancer Society. Buku Lopatulika la American Cancer Society Loyamba kwa Khansa Yoyamba . Clifton Fields, NE: American Cancer Society.
American Society for Masitolo Endoscopy. (2012). Colonoscopy.
National Cancer Institute. (May 2011). Chemotherapy Zotsatira Zake: Kusintha kwa Kulakalaka.
Lange, V. (2009). Khala Wopulumuka. Buku Lopereka Chithandizo cha Khansa Yoyamba . (4th ed.). Los Angeles: Lange Productions.
Levin, TR, Zhao, W., Conell, C., et al. Zovuta za Colonoscopy mu Njira Yophatikiza Ntchito Yothandizira Zaumoyo. Annals of Internal Medicine; 145.