I-Cologuard Yokuhlolwa Komdlavuza: Okudingeka Ukwazi

-Delile

• Luyini uvivinyo lweCologuard?
• Isebenza kanjani iCologuard?
• Kubiza malini?
• Ngubani okufanele athole ukuhlolwa kweCologuard?
• Imiphumela yokuhlolwa kweCologuard
• Ukuhlolwa kweCologuard vs. colonoscopy
• Izinzuzo zokuhlolwa kweCologuard
• Izingqinamba zokuhlolwa kweCologuard
• Ukuthatha

Luyini uvivinyo lweCologuard?

I-Cologuard iyona kuphela ukuhlolwa kwe-stool-DNA yokuthola umdlavuza we-colon ovunyelwe yi-Food and Drug Administration (FDA).

I-Cologuard ibheka ushintsho ku-DNA yakho olungakhombisa ukuba khona komdlavuza wekoloni noma ama-polyps angaphambi kokuba abe khona kukholoni yakho.

I-Cologuard ithola ukuthandwa ngoba incane kakhulu, futhi ilula kakhulu, kunovivinyo lwendabuko lwe-colonoscopy.

Ngokuqinisekile kunezinzuzo ezithile ekuhlolweni kweCologuard yokuhlolwa umdlavuza, kepha kukhona okungahambi kahle, futhi, kufaka phakathi ukukhathazeka ngokunemba kwayo. Qhubeka ufunde ukuze uthole ukuthi ngabe kufanele ucabangele ukuhlolwa kweCologuard ukuhlola umdlavuza wamathumbu.

Isebenza kanjani iCologuard?

Umdlavuza wamakholoni ungowesithathu umdlavuza ovame kakhulu e-United States, kanti i-American Cancer Society (ACS) ilinganisela ukuthi kuzotholakala amacala amasha angaphezu kwezi-100,000 kulo nyaka.

Ngisho noma ungenazo izimpawu noma umlando womndeni womdlavuza obala ngokobuhlanga, okubeka engcupheni “emaphakathi”, odokotela ngokujwayelekile bakuphakamisa ukuthi uqale ukuhlola usuneminyaka engama-45 (isincomo se-ACS) noma isincomo esingu-50 (isincomo se-U.S Prestive Services Task Force [USPSTF]).

Ukuhlolwa komdlavuza we-colon Cologuard ngokuhlonza i-DNA engavamile kanye nemikhondo yegazi esitokisini engabangelwa ama-polyps anomdlavuza nomdlavuza wekoloni.

Udokotela wakho uzodinga ukukuhlolela isivivinyo ngaphambi kokuba ukwazi uku-oda ikhithi yeCologuard. Ungagcwalisa ifomu kuwebhusayithi yenkampani ekhiqiza ifomu le-oda elenziwe ngokwezifiso ongaletha kudokotela wakho.

Uma uthatha ukuhlolwa kweCologuard, nakhu ongakulindela.

1. Uzothola ikhithi efaka konke okudingayo ukuze uqoqe isampula yendle ngokuxhumana okuncane nesihlalo sakho. Ikhithi ifaka phakathi: ubakaki kanye nebhakede lokuqoqa, isethi yeshubhu nelebhu, isixazululo sokonga esizogcina isampula yakho ngesikhathi sokuthumela, kanye nelebuli yokuthumela ekhokhelwa ngaphambili yokuthumela ibhokisi ebhodini.
2. Usebenzisa ubakaki okhethekile nebhakede lokuqoqa eliza nekhithi, yiba nokunyakaza kwamathumbu endlini yangasese okuya ngqo esitsheni sokuqoqa.
3. Usebenzisa ipulasitiki eplastikhi eboshwe ngekiti, futhi uqoqe isampula yeswabi yokunyakaza kwakho kwamathumbu bese uyibeka kuthubhu ekhethekile yokuhlanzisisa.
4. Thela isixazululo sokonga esifakwe kukhithi kusampula yakho yendle bese ugoqa isivalo sayo esikhethekile uvalwe.
5. Gcwalisa ifomu elicela imininingwane yakho yangasese, kufaka phakathi usuku nesikhathi okuqoqwe ngaso isampula yakho.
6. Faka wonke amasampula nolwazi oluqoqiwe emuva ebhokisini le-Cologuard bese ulithumela emuva ebhodini kungakapheli amahora angama-24.

Kubiza malini?

ICologuard imbozwe yizinkampani eziningi zomshuwalense wezempilo, kufaka phakathi iMedicare.

Uma ufanelekile (phakathi kweminyaka yobudala engama-50 nengama-75) yokuhlolwa umdlavuza wamakholoni, ungakwazi ukuthola iCologuard ngaphandle kwezindleko ezingaphandle.

Uma ungenawo umshwalense, noma uma umshwalense wakho ungeke uwukhokhele, izindleko eziphezulu zeCologuard ngu- $ 649.

Ngubani okufanele athole ukuhlolwa kweCologuard?

Abantu ababhekiwe ekuhlolweni kweCologuard ngabantu abanobungozi obumaphakathi futhi kufanele bahlolwe umdlavuza wamathumbu njalo.

I-USPSTF incoma ukuthi abantu abadala e-United States abaphakathi kweminyaka engama-50 nengama-75 ubudala bahlolelwe umdlavuza wamathumbu njalo. Isincomo se-ACS ukuqala ukuhlola eminyakeni engama-45 ubudala.

Uma usengozini eyandisiwe yomdlavuza wekoloni ngenxa yomlando womndeni wakho, noma yikuphi ukuguqulwa okuzuzwe njengefa, ubuhlanga, noma ezinye izinto eziyingozi, khuluma nodokotela wakho ngokuqala ukuhlolwa ngisho nangaphambi kwalokho.

Imiphumela yokuhlolwa kweCologuard

Ngemuva kokuthi ilebhu ihlole isampula yakho yendle, imiphumela yokuhlolwa kweCologuard ithunyelwa kudokotela wakho. Udokotela wakho uzokubhekela imiphumela futhi abhekane nanoma yiziphi izinyathelo ezilandelayo zokuqhubeka nokuhlolwa uma uyidinga.

Imiphumela yokuhlolwa kwe-Cologuard ivele ikhombise okuthi “negative” noma “positive.” Imiphumela yokuhlolwa engemihle ikhombisa ukuthi bekungekho i-DNA noma i-hemoglobin biomarkers engajwayelekile etholwe kusampula yakho yendle.

NgesiNgisi esicacile, lokho kusho nje ukuthi ukuhlolwa akuzange kuthole noma yisiphi isibonakaliso somdlavuza wekoloni noma ama-polyps angaphambi kwesikhathi asekholoni yakho.

Uma uthola umphumela omuhle we-Cologuard, kusho ukuthi ukuhlolwa kutholwe izimpawu zomdlavuza wekoloni noma ama-polyps angaphambi kwesikhathi.

Izinzuzo zamanga nezimbi ezingamanga ziyenzeka ekuhlolweni kweCologuard. Ngokusho kocwaningo lomtholampilo lwango-2014, cishe imiphumela engu-13% evela eCologuard yayiyizinto ezingamanga ezinhle kanti u-8% kwakungamaphutha amabi.

Uma unomphumela omuhle, udokotela wakho uzoncoma ukulandela ukuhlolwa kwe-colonoscopy.

Ukuhlolwa kweCologuard vs. colonoscopy

Ngenkathi iCologuard ne-colonoscopy kungasetshenziswa zombili njengokuhlolwa kokuhlolwa, bathatha izindlela ezimbili ezihlukile futhi banikeze imininingwane ehlukile.

Ukuhlolwa kweCologuard ngezimpawu zomdlavuza wamathumbu nama-polyps. Lapho udokotela wakho enza i-colonoscopy, bazama ukuthola ama-polyps uqobo.

IColonoscopy ithwala ubungozi obuphansi bezinkinga, njengokuphendula kokuthomalalisayo noma ukubhoboza amathumbu akho. ICologuard ayinazo izingozi ezinjalo.

Ngakolunye uhlangothi, uCologuard:

• kwesinye isikhathi ingaphuthelwa ama-polyps angaphambi kwesikhathi ekuhlolweni kwayo, okubizwa nge-negative negative
• ungaphuthelwa ukuthola ubukhona bama-polyps amakhulu
• futhi kunengozi enkulu yezimanga zamanga, i-colonoscopy engenayo

I-Cologuard ne-colonoscopy ingasetshenziswa ndawonye ukuhlola umdlavuza wekoloni. I-Cologuard isebenza njengesivivinyo somugqa wokuqala kubantu abangenangozi yokuthola umdlavuza wamathumbu.

Imiphumela emihle evela eCologuard ikhombisa ukuthi kudingeka ukuhlolwa okwengeziwe, kuyilapho abantu abanemiphumela emibi yokuhlolwa bangaba nenketho yokugwema i-colonoscopy ngokususelwa eselulekweni sikadokotela wabo.

Izinzuzo zokuhlolwa kweCologuard

Ukuhlolwa kweCologuard kunezinzuzo ezimbalwa ezisobala kunezinye izinhlobo zokuhlolwa.

Kungenziwa ekhaya, okusika emuva ngesikhathi emakamelweni okulinda noma esibhedlela ukuhlolwa.

Abanye abantu bayanqikaza ngenqubo ye-colonoscopy ngoba ngokuvamile idinga ukuthambeka okuthile.

I-Cologuard ikuvumela ukuthi uhlolwe ngaphandle kokuthanjiswa noma ukubulawa izinzwa. Kodwa-ke, uma ukuhlolwa kwakho kweCologuard kungavamile, kufanele kulandelwe nge-colonoscopy.

I-Cologuard nayo ayidingi ukulungiswa. Awudingi ukuyeka ukuthatha imishanguzo noma ukushesha ngaphambi kokuthi uthathe ukuhlolwa kweCologuard.

Izingqinamba zokuhlolwa kweCologuard

Kunezithiyo ezithile esivivinyweni saseCologuard, ikakhulu ezibandakanya ukunemba kwaso.

Ukuhlolwa kwesampula ye-Stool kufana ne-colonoscopy uma kukhulunywa ngokuthola ama-polyps anezilonda nezilonda.

Izinzuzo zamanga zingadala ukucindezeleka okungadingekile nokukhathazeka ngenkathi ulinde ukuhlolwa kokulandelela. Izinga eliphakeme lezinto ezingamanga ezihambisana neCologuard lenza abanye odokotela ukuthi baqaphele isivivinyo.

Izinkinga zamanga - noma ukuphuthelwa ukuba khona komdlavuza wekoloni noma ama-polyps - kungenzeka. Izinga elingelona iqiniso liphakeme kuma-polyps amakhulu.

Njengoba ukuhlolwa kweCologuard kukusha ngandlela thile, akukho okutholakalayo mayelana nokuthi le ndlela yokuhlola izothinta kanjani umbono wakho wesikhathi eside uma ugcina unomdlavuza wekoloni.

Izindleko zeCologuard ziyisithiyo impela uma ungenayo imishwalense efaka lolu hlobo lokuhlola.

Ukuthatha

Umdlavuza wekoloni uyelapheka, kepha ukutholwa kusenesikhathi kuyingxenye ebalulekile yamazinga okusinda kubantu abanakho. Umdlavuza wamakholoni obonwe kusenesikhathi unezinga lokusinda elingamaphesenti angama-90 eminyakeni emihlanu ngemuva kokuxilongwa.

Lapho umdlavuza wekoloni usuthuthuke waya ezigabeni zakamuva, imiphumela emihle yehla kakhulu. Ngalezi zizathu, i-CDC incoma ukuhlolwa kokuhlolwa njalo eminyakeni emithathu kubantu abangaphezu kweminyaka engama-50.

Ungahle uthande ukubhekana nokukhathazeka, ukwesaba, nemibuzo onayo mayelana nezindlela zokuhlola i-colonoscopy kanye ne-Cologuard ekuvakasheni kwakho okujwayelekile okuvamile.

Ungabi namahloni uma kukhulunywa ngokukhuluma ngokuvikela umdlavuza wekoloni nokuhlolwa.

Qala ingxoxo ngokubuza ngengozi yakho yonke yomdlavuza wekoloni ngokuya ngomlando wakho wezempilo noma ngokubuza ngqo udokotela wakho mayelana neCologuard nokunemba kwayo.