Ukuhlolwa kwe-stool guaiac

Isivivinyo se-stool guaiac sibheka igazi elifihlekile (lemilingo) kusampula yendle. Ingathola igazi noma ngabe awukwazi ukulibona wena. Luhlobo oluvame kakhulu lokuhlolwa kwegazi lemilingo (FOBT).

I-Guaiac yinto evela esitshalweni esisetshenziselwa ukugqoka amakhadi wokuhlola we-FOBT.

Imvamisa uqoqa isampula encane yendle ekhaya. Kwesinye isikhathi, udokotela angaqoqa inani elincane lesitulo kuwe ngesikhathi sokuhlolwa kwamakholomu.

Uma isivivinyo senziwa ekhaya, usebenzisa ikhithi yokuhlola. Landela imiyalo yekithi ngqo. Lokhu kuqinisekisa imiphumela enembile. Ngamafuphi:

• Uqoqa isampula lendle kusuka ekuhambeni kwamathumbu ahlukene ama-3.
• Ukunyakaza ngakunye kwamathumbu, ugcoba inani elincane lesitokisi ekhadini elinikezwe kukhithi.
• Uthumela ikhadi elabhorethri ukuze lihlolwe.

UNGAThathi amasampula endle emanzini endishi yangasese. Lokhu kungadala amaphutha.

Ezinsaneni nezingane ezincane ezigqoke amanabukeni, ungagcoba inabukeni ngokugoqa ipulasitiki. Beka ukugoqa kwepulasitiki ukuze kugcine isitulo siqhele kunoma yimuphi umchamo. Ukuxuba umchamo kanye nendle kungonakalisa isampula.

Okunye ukudla kungathinta imiphumela yokuhlolwa. Landela imiyalelo mayelana nokungadli ukudla okuthile ngaphambi kokuhlolwa. Lokhu kungafaka:

• inyama ebomvu
• Ikhathalophu
• I-broccoli engaphekiwe
• Itheniphu
• Isithombo
• Horseradish

Eminye imithi ingaphazamisa ukuhlolwa. Lokhu kufaka phakathi i-vitamin C, i-aspirin, nama-NSAID afana ne-ibuprofen ne-naproxen. Buza umhlinzeki wakho wezokunakekelwa kwempilo uma udinga ukuyeka ukuthatha lokhu ngaphambi kokuhlolwa. Ungalokothi ume noma ushintshe umuthi wakho ngaphandle kokuqala ukhulume nomhlinzeki wakho.

Ukuhlolwa kwasekhaya kuhilela ukunyakaza kwamathumbu okujwayelekile. Akukho ukungakhululeki.

Ungaba nokungakhululeki uma isitokisi siqoqwa ngesikhathi sokuhlolwa kwamakholomu.

Lokhu kuhlola kuthola igazi emgudwini wokugaya ukudla. Kungenziwa uma:

• Uyahlolwa noma uhlolelwe umdlavuza wamathumbu.
• Unobuhlungu besisu, ushintsho ekuhambeni kwamathumbu, noma ekunciphiseni isisindo.
• Une-anemia (ukubalwa kwegazi okuphansi).
• Uthi unegazi esitokisini noma emnyama, esitulweni sokulinda.

Umphumela wokuhlolwa ongemuhle usho ukuthi alikho igazi esitokisini.

Imiphumela engajwayelekile ingabangelwa yizinkinga ezidala ukopha esiswini noma emgodini wamathumbu, kufaka phakathi:

• Umdlavuza wamakholoni noma ezinye izicubu zesisu (GI)
• Ama-polyp polyps
• Imithambo yegazi egazini noma esiswini (ama-esophageal varices kanye ne-portal hypertensive gastropathy)
• Ukuvuvukala kwe-esophagus (esophagitis)
• Ukuvuvukala kwesisu (i-gastritis) kusuka kwizifo ze-GI
• Ama-hemorrhoids
• Isifo seCrohn noma i-ulcerative colitis
• Isilonda se-Peptic

Ezinye izimbangela zokuhlolwa okuhle zingabandakanya:

• Wakhala igazi
• Ukukhwehlela igazi bese uligwinya

Uma imiphumela ye-stool guaiac ibuya ilungele igazi esitokisini, udokotela wakho kungenzeka a-oda ezinye izivivinyo, imvamisa kufaka ne-colonoscopy.

Ukuhlolwa kwe-stool guaiac akuwutholi umdlavuza. Ukuhlolwa kokuhlolwa okunjenge-colonoscopy kungasiza ukuthola umdlavuza. Ukuhlolwa kwe-stool guaiac nokunye ukuhlolwa kungabamba umdlavuza wamathumbu kusenesikhathi, lapho kulula ukuselapha.

Kungaba nemiphumela engeyinhle nemiphumela engeyamanga.

Amaphutha ayancipha uma ulandela imiyalo ngesikhathi uqoqa futhi ugwema ukudla okuthile nemithi.

Umdlavuza wekoloni - ukuhlolwa kwe-guaiac; Umdlavuza we-Colorectal - ukuhlolwa kwe-guaiac; gFOBT; Ukuhlolwa kwe-guaiac smear; Ukuhlolwa kwegazi lokulingwa kwe-fecal - i-guaiac smear; Ukuhlolwa kwegazi lokulingwa kwendle - i-guaiac smear

• Ukuhlolwa kwegazi lomlingo we-Fecal

URex DK, uBoland CR, uDominitz JA, et al. Ukuhlolwa komdlavuza we-Colorectal: izincomo zodokotela neziguli ezivela e-U.S. Multi-Society Task Force ngomdlavuza obala ngokwezifo. NginguJ Gastroenterol. 2017; 112 (7): 1016-1030. I-PMID: 28555630 www.ncbi.nlm.nih.gov/pubmed/28555630.

Igcina iTJ, Jensen DM. Ukopha emathunjini. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 20.

I-US Preventive Services Task Force, ama-Bibbins-Domingo K, uGrossman DC, et al. Ukuhlolisiswa umdlavuza obala: Isitatimende sezincomo se-US Preventive Services Task Force. JAMA. 2016; 315 (23): 2564-2575. I-PMID: 27304597 www.ncbi.nlm.nih.gov/pubmed/27304597.