Khansara ya Colon ndi njira yowopsa ya khansa, ndipo matenda opatsirana (IBD) angathe kuonjezera chiopsezo cha moyo wa khansa ya coloni. Zizindikiro za khansa ya coloni ndi IBD zingakhale zofanana. Choncho, nkofunika kuti nthawi zonse mukhale ndi kusintha kwa zizindikiro zamagulu kapena zizindikiro zina zatsopano kapena zachilendo zomwe apeza ndi dokotala.
Zizindikiro
Nthaŵi zina, panthawi yomwe zizindikiro kapena zizindikiro za khansara zowona zimakhala zoonekeratu, khansara yakula.
Ngakhale anthu omwe ali ndi chiopsezo chachikulu cha khansa yoyipa ayenera kukhala ndi zizindikiro zotsatirazi zomwe anaziwona ndi dokotala.
Zizindikiro za khansa yaikulu ndi izi:
- Sinthani zizolowezi zamagazi
- Kutsekula m'mimba, kudzimbidwa, kapena kumverera kuti chifuwacho sichitha
- Mkaka wofiira kapena wamdima wambiri mu mpando
- Zithunzi zosalala
- Kupweteka kwa gasi, kuphulika, chidzalo, ndi zoponda
- Kutaya kosawerengeka kosadziwika
- Kutopa kwanthawi yaitali
- Kuthamanga
Mayeso oyeza
Mayeso angapo angagwiritsidwe ntchito kuti apeze khansa yoyipa. Kuphatikiza pa kuunika kwa thupi (komwe kungaphatikizepo kuyeza kwa digito ) ndi kuunika kwa mbiri yakale ya zamankhwala, mayesero ena angapo angayesedwe.
Sigmoidoscopy . Chizindikiro chotchedwa sigmoidoscopy ndi njira yoti dokotala ayese gawo limodzi mwa magawo atatu a matumbo akuluakulu, omwe amaphatikizapo kachilomboka ndi sigimoid. Phukusi loyang'ana bwino lomwe lili ndi lenti komanso lochokera kumapeto, lotchedwa sigmoidoscope, imagwiritsidwa ntchito. Poyang'anitsitsa chojambula cha diso kumapeto ena a chiwerengero, dokotala akhoza kuona mkati mwa colon.
Pachiyeso ichi, dokotala akhoza kufufuza khansa, kukula kosawerengeka (mapuloteni) ndi zilonda zam'mimba . Kawirikawiri imachitidwa ku ofesi ya dokotala ndipo imatha kutenga mphindi 15-30. Kuyambira ali ndi zaka 50, sigmoidoscopy imachitika zaka zitatu kapena zisanu zirizonse kuti isindikize khansa yapaderayo. Kwa anthu omwe ali pachiopsezo chachikulu cha khansa yoyipa chifukwa cha ulcerative colitis, mbiri ya banja ya khansa yoyipa, kapena a polyposis, banja likhoza kukulimbikitsidwa kuyambira pa zaka 35.
Colonoscopy . Colonoscopy ndiyeso kuyesa mkatikati mwa colon, yomwe ikhoza kupitirira pambali pa sigmoidoscopy yomwe ingafike. Mayesowa amagwiritsa ntchito kolonoscope, yomwe imakhala ndi tiyi yambiri yokhala ndi mapulogalamu, kamera kakang'ono ka TV ndi kuwala kumapeto. Kupyolera mu luso lamakono opanga makina ndi makompyuta chip chipangizo, colonoscope ikhoza kuyang'ana mkati mwa coloni ndikusuntha zithunzi ku kanema kanema. Chidindilo kumapeto kwa colonoscope chingagwiritsidwe ntchito kutenga kachilombo ka minofu m'koloni. Ngati pulopenti ikupezeka, ikhoza kuchotsedwa pogwiritsira ntchito chipangizo chosungira chingwe pa colonoscope. Zonse ziwiri ndi ma polyps zidzatumizidwa ku labotale kuti apitirize kuyesedwa. Ndondomeko ya colonoscopy ikhoza kutenga maola 1/2 ndipo imachitidwa kuchipatala ngati njira yochiritsira matenda. Kuwonetsa kansa ya colon, colonoscopy ikulimbikitsidwa zaka khumi ndi chimodzi mutatha zaka 50 kuti anthu asakhale pangozi yaikulu.
Barium Enema A barium enema (yotchedwanso m'mimba m'munsi) ndi mtundu wapadera wa X-ray umene umagwiritsira ntchito sulfate ya bariamu ndi mpweya kuti ufotokozere chophimba cha rectum ndi colon. Barium sulphate ndi mankhwala osakanikirana omwe amaoneka ngati oyera pa filimu X-ray. The barium imaperekedwa mu enema, yomwe 'imagwira' mkati mwa colon pamene X-ray amatengedwa.
Zovuta za m'mimba zingathe kuoneka ngati zakuda kapena maonekedwe amkati pamatumbo atagona pa X-ray. Mpweya ukhoza kuponyedwa mu coloni kuti muthe kuwongolera ndondomeko ya khoma la m'mimba. Enema ya barium ikhoza kuchitidwa ngati chithandizo chamagulu, ndipo nthawi zambiri amatenga pafupifupi mphindi 45. Enema ikhoza kukhala yosasangalatsa, koma X-rays ndi yopweteka kwambiri. Enema ya barium imagwiritsidwa ntchito pofufuza ma polyps (kukula kosalekeza m'mimba), diverticulosis, zotupa, kapena zina zolakwika. Kuyambira ali ndi zaka 50, enema ya barium ikhoza kukonzedwa kamodzi pa zaka zisanu kapena zisanu zokha m'malo mwa colonoscopy kwa anthu omwe sali pachiopsezo chachikulu.
Chimake . Chiwopsezo ndi chitsanzo cha minofu kapena maselo ang'onoang'ono omwe adzafufuzidwa mu labotale. Pa colonoscopy, biopsies angapo (iliyonse pa malo osiyana mu colon ndi rectum) angatengedwe. Amagwiritsidwa ntchito kuti azindikire khansa kapena kulingalira momwe khansa yafalikira. Chiwopsezo chimagwiritsidwa ntchito kupeza mitsempha ya minofu kuti ifufuzidwe mu labotale kuti zizindikiro za khansara kapena matenda ena. Chitsulo choyambira chimayambitsidwa ndi kuyang'aniridwa pansi pa makina oonera masikitola mu labu. Kufufuza mwatcheru kungathandize katswiri wa labotale kudziwa ngati chitsanzocho ndi chachilendo, mbali ya chilakolako chosakhala ndi khansa (choipa), kapena chotupa cha khansa (choipa).
Tsogolo la Kuwunika
Kwa iwo omwe amanyengerera pa lingaliro la colonoscopy, pali chiyembekezo pamapeto. Mayesero atsopano akukambidwa, koma musagwiritse ntchito izo ngati chifukwa chodziwira dokotala. Sungani maudindo awo a colonoscopy! Ndi njira yabwino kwambiri yothetsera khansa ya coloni kumayambiriro. Kutenga khansa yoyambirira, yachangu imachiritsidwa.