Umdlavuza wamakholoni: uyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani

Umdlavuza wekoloni, obizwa nangokuthi umdlavuza wamathumbu amakhulu noma umdlavuza obala ngokwebala, uma uthinta i-rectum, okuyingxenye yokugcina yekoloni, kwenzeka lapho amaseli ama-polyps ngaphakathi koloni eqala ukuphindaphindeka ngendlela ehlukile kweyodwa ezinye, ziphindwe kabili ngosayizi futhi ziyavuvukala, zibangele izimpawu ezinjengokuqunjelwa, ubuhlungu besisu negazi ezilindweni ezimeni eziphambili.

Lapho kukhona ukusola kwalesi sifo, kubalulekile ukuthi lowo muntu afune udokotela wesisu ukuze ukutholakala kwakhe kwenziwe ngokuhlolwa okufana ne-colonoscopy, isibonelo, okuzokhombisa ukuthi siphi isifo nesigaba saso. Ngemuva kwalokho, kuzoqalwa ukwelashwa okufanele kakhulu, okungaba ukuhlinzwa, i-radiotherapy, i-chemotherapy kanye ne-immunotherapy kwezinye izimo.

Izimpawu eziyinhloko

Umdlavuza wamakholoni uvame kakhulu kubantu ngemuva kweminyaka engama-50 noma kulabo abasemaqenjini engcupheni njengalabo abanomlando womndeni we-ulcerative colitis, i-colorectal polyps enkulu, isifo sikaCrohn, ababhemayo nabantu abakhuluphele. Uma lesi sifo kusolwa, khetha izimpawu ezingaba khona ngezansi:

1. 1. Uhudo noma ukuqunjelwa njalo?
2. 2. Isihlalo esimnyama ngombala noma esinegazi?
3. 3. Amagesi namajaqamba esiswini?
4. 4. Igazi endunu noma elibonakala ephepheni lasendlini yangasese lapho kuhlanzwa?
5. 5. Ukuzwa isisindo noma ubuhlungu endaweni eyindunu, noma ngabe ususukile?
6. 6. Ukukhathala njalo?
7. 7. Ukuhlolelwa igazi kwegazi?
8. 8. Ukwehla kwesisindo ngaphandle kwesizathu?

Ngaphezu kwalokho, izimpawu ezifana nezitulo ezincane, isicanucanu noma ukuhlanza nazo zingaba khona. Ngakho-ke, uma unezimpawu ezi-4 noma ngaphezulu, kunconywa ukuthi ubonane nodokotela ojwayelekile noma i-gastroenterologist ukuze ukuxilongwa kuqinisekiswe bese kuqala ukwelashwa okufanele.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa komdlavuza wekoloni kungenziwa ngezivivinyo ezifana ne-colonoscopy, i-biopsy, ukuhlolwa kwe-CEA kanye negazi lemilingo esitokisini. Lezi zivivinyo ziqukethe ukubheka izindawo ezithintekile ngumdlavuza, kufaka phakathi ukuthi sinzima kangakanani isifo, esingenzeka ngezigaba ezi-4, nokuthola izimpawu zamangqamuzana omdlavuza emzimbeni. Ukuqonda kangcono ukuthi kutholakala kanjani umdlavuza wekoloni.

Yelashwa kanjani

Umdlavuza wamakholoni unezinketho zokwelashwa eziningana futhi uma utholwa kusaqalwa, unamathuba amahle okwelashwa.

Inketho yokwelashwa esetshenziswa kakhulu ukuhlinza, okususa ingxenye yekoloni ethintwe ngumdlavuza. Kodwa-ke, lapho kunokusola ukuthi kungenzeka ukuthi amangqamuzana omdlavuza afudukele kwezinye izingxenye zamathumbu, noma akukwazanga ukususa ingxenye ethintekile ngokuphelele, kungadingeka futhi kukhonjiswe ukusebenzisa i-chemotherapy ngokuhlangana noma cha nge-radiotherapy, ngenhloso yokuqinisekisa ukuthi amangqamuzana omdlavuza asusiwe. Bona ukuthi kwenziwa kanjani i-chemotherapy nokuthi iyini imiphumela emibi.

Isikhathi nempumelelo yokwelashwa kuncike ngqo lapho umdlavuza utholakala khona kukholoni, ungakanani usayizi, noma ngabe ujulile ezicutshini zamathumbu noma cha noma ngabe awusabalalanga yini kwezinye izitho. Lapho lezi zinto zikhona, amathuba okuphulukiswa angancishiswa.

Ekupheleni kokwelashwa, umuntu uyalelwa ukuthi ashintshe indlela yakhe yokuphila, asebenzise ukudla okunomsoco, ukuzivocavoca umzimba kanye namasu okuphumula. Ngaphezu kokuhlala ngaphansi kokubhekwa ngudokotela, ngokuvakashelwa njalo iminyaka embalwa, ukuqinisekisa ukuthi umdlavuza ngeke ubuye.