I-Cologuard

I-Cologuard ukuhlolwa kokuhlolwa komdlavuza we-colon kanye ne-rectal.

Ikholoni likhipha amaseli kusuka ulwelwesi lwayo nsuku zonke. Lawa maseli adlula ngendle ngokusebenzisa ikholoni. Amaseli womdlavuza angaba nezinguquko ze-DNA kuzakhi zofuzo ezithile. UCologuard uthola i-DNA eguquliwe. Ukuba khona kwamaseli angajwayelekile noma igazi esitokisini kungakhombisa umdlavuza noma izicubu ze-precancer.

Ikhithi yokuhlola i-Cologuard yomdlavuza wekoloni nowe-rectal kumele i-odolwe ngumhlinzeki wakho wezokunakekelwa kwempilo. Izothunyelwa ngeposi ekhelini lakho. Uqoqa isampula ekhaya bese ulithumela emuva ebhodini ukuze lihlolwe.

Ikhithi yokuhlola yeCologuard izoqukatha isitsha sesampula, ithubhu, okugcina uketshezi, amalebula nemiyalo yokuthi ungasilanda kanjani isampula. Lapho usukulungele ukuba nokunyakaza kwamathumbu, sebenzisa ikhithi yokuhlola yeCologuard ukuqoqa isampula yakho yendle.

Funda imiyalo eza nekhithi yokuhlola ngokucophelela. Linda uze ulungele ukuba nokuhamba kwamathumbu. Qoqa isampula kuphela lapho kungenzeka khona ukuthi ulithumele kungakapheli amahora angama-24. Isampula kufanele lifinyelele elebhu emahoreni angama-72 (izinsuku ezi-3).

UNGALANDI isampula uma:

• Unesifo sohudo.
• Usesikhathini.
• Unegazi elivela emaceleni ngenxa yama-hemorrhoids.

Landela lezi zinyathelo ukuqoqa isampula:

• Funda yonke imiyalelo eza nekithi.
• Sebenzisa amabakaki ahlinzekwe ngekithi yokuhlola ukulungisa isitsha sesampula esihlalweni sakho sendlu yangasese.
• Sebenzisa indlu yangasese njengenjwayelo ukunyakaza kwakho amathumbu.
• Zama ukungavumeli umchamo ungene esitsheni sesampula.
• Ungafaki iphepha langasese esitsheni sesampula.
• Lapho ukuhamba kwakho kwamathumbu sekuphelile, susa isitsha sesampula kubakaki bese usibeka endaweni eyisicaba.
• Landela imiyalo ukuqoqa isampula elincane kuthubhu elinikezwe ikhithi yokuhlola.
• Thela uketshezi olulondolozayo esitsheni sesampula bese uvale isivalo ngokuqinile.
• Faka ilebula amashubhu kanye nesitsha sesampula ngokusho kwemiyalelo, bese ukubeka ebhokisini.
• Gcina ibhokisi ekamelweni lokushisa, kude nelanga eliqondile nokushisa.
• Thumela ibhokisi kungakapheli amahora angama-24 kulebhu usebenzisa ilebula enikeziwe.

Imiphumela yokuhlolwa izothunyelwa kumhlinzeki wakho emasontweni amabili.

Ukuhlolwa kweCologuard akudingi ukulungiswa. Awudingi ukushintsha indlela odla ngayo noma imithi ngaphambi kokuhlolwa.

Ukuhlolwa kudinga ukuthi ube nokunyakaza kwamathumbu okujwayelekile. Ngeke uzizwe wehlukile kokunyakaza kwakho okuvamile kwamathumbu. Ungalanda isampula ekhaya lakho ngasese.

Ukuhlolwa kwenziwa ukuze kuhlolwe umdlavuza wekoloni nowesikhumba kanye nokukhula okungajwayelekile (ama-polyps) kukholoni noma i-rectum.

Umhlinzeki wakho angaphakamisa ukuhlolwa kweCologuard kanye njalo eminyakeni emithathu ngemuva kweminyaka yobudala engama-50. Ukuhlolwa kuyanconywa uma uneminyaka ephakathi kuka-50 kuya kwengu-75 ubudala futhi unengozi emaphakathi yomdlavuza wamathumbu. Lokhu kusho ukuthi awunayo:

• Umlando womuntu siqu wama-colon polyps nomdlavuza wekoloni
• Umlando womndeni womdlavuza wamathumbu
• Isifo samathumbu esivuthayo (Isifo seCrohn, isifo sezilonda)

Umphumela ojwayelekile (umphumela ongemuhle) uzokhombisa ukuthi:

• Ukuhlolwa akuwatholanga amaseli egazi noma kushintshe i-DNA esitulweni sakho.
• Awudingi ukuhlolwa okuqhubekayo komdlavuza wekoloni uma unengozi emaphakathi yomdlavuza wekoloni noma we-rectal.

Umphumela ongajwayelekile (umphumela omuhle) uphakamisa ukuthi ukuhlolwa kutholakale amaseli wangaphambi komdlavuza noma umdlavuza kusampula yakho yendle. Kodwa-ke, ukuhlolwa kweCologuard akuwutholi umdlavuza. Uzodinga ezinye izivivinyo ukuze uthole ukuthi unomdlavuza yini. Umhlinzeki wakho kungenzeka aphakamise i-colonoscopy.

Ayikho ingozi ebandakanyekayo ekuthatheni isampula yokuhlolwa kweCologuard.

Ukuhlolwa kokuhlwaya kunengozi encane yoku:

• Izinzuzo zamanga (imiphumela yakho yokuhlolwa ayijwayelekile, kepha awunawo umdlavuza wekoloni noma ama-polyps abulalayo ngaphambili)
• Okungelona iqiniso (ukuhlolwa kwakho kuvamile noma ngabe unomdlavuza wekoloni)

Akukacaci okwamanje ukuthi ukusetshenziswa kweCologuard kuzoholela emiphumeleni engcono uma kuqhathaniswa nezinye izindlela ezisetshenziselwa ukuhlola umdlavuza we-colon kanye ne-rectal.

I-Cologuard; Ukuhlolwa komdlavuza wamakholoni - iCologuard; Ukuhlolwa kwe-Stool DNA - iCologuard; Ukuhlolwa kwesihlalo se-FIT-DNA; Ukuhlolwa kwesikhumba seColon - Cologuard

• Amathumbu amakhulu (ikholoni)

ICotter TG, iBurger KN, iDevens ME, et al. Ukulandelwa kwesikhathi eside kweziguli ezinokuhlolwa okungekho emthethweni kwe-multitarget stool DNA ngemuva kokuhlolwa okungalungile kwe-colonoscopy: isifundo seqembu le-LONG-HAUL. I-Cancer Epidemiol Biomarkers Okudlule. 2017; 26 (4): 614-621. I-PMID: 27999144 www.ncbi.nlm.nih.gov/pubmed/27999144

UJohnson DH, uKisiel JB, uBurger KN, et al. Ukuhlolwa kwe-multitarget stool DNA: ukusebenza komtholampilo kanye nomthelela ekukhiqizeni kanye nekhwalithi ye-colonoscopy yokuhlolwa komdlavuza obala. Isisu Endosc. 2017; 85 (3): 657-665.e1. I-PMID: 27884518 www.ncbi.nlm.nih.gov/pubmed/27884518.

Iwebhusayithi ye-National Comprehensive Cancer Network (NCCN). Imihlahlandlela yokusebenza komtholampilo ku-oncology (Izinkombandlela ze-NCCN) Ukuhlolwa komdlavuza we-Colorectal. Inguqulo 1.2018. www.nccn.org/professionals/physician_gls/pdf/colorectal_screening.pdf. Kubuyekezwe ngoMashi 26, 2018. Kufinyelelwe kuDisemba 1, 2018.

UPrince M, Lester L, Chiniwala R, Berger B. Multitarget estool DNA test kwandisa ukuhlolwa komdlavuza obala phakathi kweziguli ebezikade zingathobeli iMedicare. Umhlaba J Gastroenterol. 2017; 23 (3): 464-471. PMID: 28210082. www.ncbi.nlm.nih.gov/pubmed/28210082.

Iwebhusayithi ye-US Preventive Services Task Force. Isitatimende sokugcina sezincomo: umdlavuza obala: ukuhlolwa. Juni 2017. www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/colorectal-cancer-screening2.