Colonoscopy

Colonoscopy bvunzo inoona mukati mekoloni (ura hombe) uye rectum, uchishandisa chishandiso chinonzi colonoscope.

Iyo colonoscope ine kamera diki yakasungirirwa kune inochinjika chubhu iyo inogona kusvika pakureba kwekoloni.

Colonoscopy inoitwa kazhinji mukamuri yekuitira muhofisi yechiremba wako. Izvo zvinogona zvakare kuitwa mune vekunze dhipatimendi rechipatara kana chekurapa nzvimbo.

• Iwe unozokumbirwa kuti uchinje kunze kwembatya dzako dzemumugwagwa uye upfeke hanzu yechipatara yemaitiro.
• Iwe unozogona kupihwa mushonga mune mutsinga (IV) kuti ikubatsire kuzorora. Iwe haufanire kunzwa chero kurwadziwa. Unogona kunge wakamuka panguva yekuyedzwa uye ungatokwanisa kutaura. Iwe pamwe haucharangarira chero chinhu.
• Iwe unorara nerutivi rwako rweruboshwe nemabvi ako akaswededzwa kuchipfuva chako.
• Iyo chiyero inoiswa zvinyoro nyoro kuburikidza neiyo anus. Inonyatsotamisirwa mukutanga kweiyo huru ura. Chiyero chinofambira mberi zvishoma nezvishoma kusvika kuchikamu chakaderera chemuura mudiki.
• Mhepo inoiswa kuburikidza neyero kuti ipe maonero ari nani. Kubvisa kunogona kushandiswa kubvisa mvura kana chigaro.
• Chiremba anowana maonero ari nani sezvo chiyero chakadzoserwa kunze kunze. Nekudaro, bvunzo yakanyanya kuchenjera inoitwa apo chiyero chiri kudhonzwa kumashure.
• Tissue sampuli (biopsy) kana polyps inogona kubviswa uchishandisa tudiki maturusi akaiswa kuburikidza chiyero Mifananidzo inogona kutorwa uchishandisa kamera pamagumo enzvimbo. Kana zvichidikanwa, maitiro, akadai se laser therapy, anoitwawo.

Ura hwako hunofanirwa kunge husina chinhu uye hwakachena bvunzo. Dambudziko mumatumbo ako makuru rinoda kurapwa rinogona kushaikwa kana ura hwako husina kucheneswa.

Anokuchengetedza hutano anokupa matanho ekuchenesa ura hwako. Izvi zvinonzi kugadzirira ura. Matanho anogona kusanganisira:

• Uchishandisa enemas
• Kusadya kudya kwakasimba kwemazuva 1 kusvika matatu muedzo usati waitwa
• Kutora laxatives

Unofanirwa kunwa zvinwiwa zvakawanda zvakajeka kwemazuva 1 kusvika ku3 usati waedzwa. Mienzaniso yezvinwiwa zvakajeka ndeiyi:

• Bvisa kofi kana tii
• Bouillon isina mafuta kana muto
• Gelatin
• Zvinwiwa zvemitambo zvisina kuwedzerwa ruvara
• Yakaomeswa michero majusi
• Mvura

Iwe unogona kunge uchiudzwa kuti usiye kutora aspirin, ibuprofen, naproxen, kana mimwe mishonga yekucheresa ropa kwemazuva mazhinji pamberi pekuyedzwa. Ramba uchitora mimwe yako mishonga kutoti chiremba wako akakuudza neimwe nzira.

Iwe unozofanirwa kumira kutora mapiritsi esimbi kana zvinwiwa mazuva mashoma pamberi pekuedzwa, kunze kwekunge mupi wako akakuudza kuti zvakanaka kuti uenderere mberi. Simbi inogona kuita kuti chigaro chako chisvike nhema. Izvi zvinoita kuti zviomere chiremba kuti aone mukati memukati mako.

Iyo mishonga inokuita iwe uve nehope kuitira kuti iwe usazonzwa chero kunetseka kana kuve nechero ndangariro yemuyedzo.

Unogona kunzwa kumanikidzwa sezvo chiyero chinopinda mukati. Iwe unogona kunzwa kupwanyika kupfupi uye kurwadziwa nemweya sezvo mweya uchipinzwa kana chiyero chinofambira mberi. Kupfuudza gasi kwakakosha uye kunofanirwa kutarisirwa.

Mushure bvunzo, iwe unogona kunge uine hunyoro hwepamuviri kupomba uye kupfuudza yakawanda gasi. Iwe unogona zvakare kunzwa kufufutirwa uye kurwara kudumbu rako. Aya manzwiro achakurumidza kuenda.

Iwe unofanirwa kukwanisa kuenda kumba rinenge awa rimwe mushure mekuedzwa. Iwe unofanirwa kuronga kuti mumwe munhu akuendese kumba mushure mekuyedzwa, nekuti unenge uine woozy uye usingakwanise kutyaira. Vanokupa havazokubvumiri kuti uende kudzamara mumwe munhu auya kuzokubatsira.

Paunenge uri kumba, tevedzera rairo pakupora kubva munzira. Izvi zvinogona kusanganisira:

• Inwa zvinwiwa zvakawanda. Idya chikafu chine hutano kudzoreredza simba rako.
• Iwe unofanirwa kukwanisa kudzokera kumabasa ako enguva dzose zuva rinotevera.
• Dzivisa kutyaira, kushandisa michina, kunwa doro, uye kuita sarudzo dzakakosha kwemaawa makumi maviri nemana mushure mekuedzwa.

Colonoscopy inogona kuitwa nekuda kwezvikonzero zvinotevera:

• Kutambudzika kwepamuviri, shanduko mukufamba kwematumbu, kana kuonda
• Shanduko dzisina kujairika (polyps) dzinowanikwa pane sigmoidoscopy kana x-ray bvunzo (CT scan kana barium enema)
• Anemia nekuda kwesimbi yakaderera (kazhinji kana pasina chimwe chikonzero chawanikwa)
• Ropa mune zvigaro, kana nhema, zvigaro zvekugara
• Kutevera kweakawanikwa apfuura, senge polyps kana kenza yekoloni
• Chirwere chinoputira chirwere (ulcerative colitis uye chirwere cheCrohn)
• Kuongorora kenza yakajeka

Zvakajairika zviwanikwa zvine hutano hutumbu matumbu.

Zviitiko zvisina kujairika zvekuyedza zvinogona kureva chero cheanotevera:

• Mabhegi asina kujairika pamadziro ematumbo, anonzi diverticulosis
• Nzvimbo dzekubuda ropa
• Kenza mukoloni kana rectum
• Colitis (yakazvimba uye yakazvimba ura) nekuda kwechirwere cheCrohn, ulcerative colitis, hutachiona, kana kushomeka kweropa kuyerera.
• Kukura kudiki kunodaidzwa kunzi polyp pamucheto wekoloni yako (iyo inogona kubviswa kuburikidza nekolonoscope panguva yekuongorora)

Njodzi dzecolonoscopy dzinogona kusanganisira chero yeanotevera:

• Ropa rinorema kana rinoenderera kubva kubiopsy kana kubviswa kwepolyps
• Hosi kana kubvarura pamadziro ekoloni inoda kuvhiyiwa kuti igadzirise
• Utachiona hunoda mishonga inorwisa mabhakitiriya (isingawanzoitika)
• Reaction kumushonga iwe waunopihwa kuzorora, zvichikonzera matambudziko ekufema kana kuderera kweropa

Kenza yekoloni - colonoscopy; Kenza yakajeka - colonoscopy; Colonoscopy - kuongorora; Colon polyps - colonoscopy; Ulcerative colitis - colonoscopy; Chirwere cheCrohn - colonoscopy; Diverticulitis - colonoscopy; Dhairrhea - colonoscopy; Kupererwa neropa - colonoscopy; Ropa muzvigaro - colonoscopy

• Colonoscopy
• Colonoscopy

Itzkowitz SH, Potack J. Colonic polyps uye polyposis syndromes. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 126.

Gweta M, Johnson B, Van Schaeybroeck S, et al. Kenza yakajeka. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 74.

Rex DK, Boland CR, Dominitz JA, et al. Kuongorora kenza yakajeka: kurudziro yevanachiremba nevarwere vanobva kuU.S. Multi-Society Task Force paColorectal Cancer. Ndiri J Gastroenterol. 2017; 112 (7): 1016-1030. PMID: 28555630 www.ncbi.nlm.nih.gov/pubmed/28555630.

Mhumhi AMD, Fontham ETH, Chechi TR, et al. Colorectal cancer yekuongorora yeavhareji-vane njodzi vanhu vakuru: 2018 nhungamiro yekuvandudza kubva kuAmerican Cancer Society. CA Kanzera J Clin. 2018; 68 (4): 250-281. PMID: 29846947 www.ncbi.nlm.nih.gov/pubmed/29846947.