The Definitive Test for Colon Cancer
Chirwere chekoloni ndeyekuongorora kunongedza samples kubva mumakoroni ako. Chiremba ari kutsvaga maitiro asina kuchena, akadai semasero anorwara nekenza kana asati aita kenza . Ramba uchiyeuka kuti nekuda kwekuti chiremba wako akarayira bhiopsy hazvirevi kuti une kenza.
Overview
Chiremba wako akawana kusagadzikana mune rimwe remakoroni ako emakironi ekuongorora zvirwere . Nzira chete yekutsanangurira zvakasimba kana kusakosha kuri kenza ndeyekubudisa michina uye kuitarisa pasi pe microscope.
Kana kusagadzikana kwakawanika panguva ye sigimoidoscopy kana colonoscopy , chiremba angangodaro akabudisa matukisi panguva iyi. Kana kusagadzikana (tumarara, masasa, ropa muzvigaro ) zvakawanikwa pane imwe kuongorora kuongorora ( kaviri kusiyana bhazium enema kana fecal kuongorora ropa kweropa ), iwe ucharongwa kuti uve colonoscopy.
CT-Kutungamirirwa Nyaya Yokurwisana neColonoscopy
Kune nzira dzakasiyana-siyana dzeitiro ye biopsy iyo inotarisa pane kuti zvisizvo zvisingawaniki zvakawanikwa. Nzira yakakosha yekuwana biopsy yekoloni ndeyekolonoscopy. Zvisinei, kana chiremba wako akawana kusakosha pane computed tomography (CT) scan iyo yakanga isingawanikwi mumakoloni, iye anogona kuronga chirongwa chinotungamirirwa neCCT.
Bhuku rinotungamirirwa neCCT, rinonziwo nenyuchi kana CT-rinotungamirirwa nenziyo biopsy, rinopedzerwa muTV chipinda kuchipatara kana muchipatara. Izvi zvinowanzorayirwa apo masasa anowanikwa kunze kwekoloni, kusanganisira aya ari mumapapu, chiropa, kana pelvis.
Chiremba anoshandisa CT scanner kuti ataure nzvimbo isina kufanira, akaisa nhare muhuwandu huri mubvunzo, uye anotsanangura zviduku zviduku zvemuviri. Unogona kudzoka kuzoshanda musi iwoyo, haufaniri kutora sedation, uye iyo yose inotora inenge awa imwe chete.
Kana zvipembenene zvisina kukwana zviri mumakoloni ako, chiremba wako anorayira colonoscopy uye anotora biopsy panguva iyoyo.
Munguva ye colonoscopy, tsvina yakajeka, inonzi colonoscope , inoiswa kuburikidza ne rectum uye inokonzera mboni kuti inofungidzira zviri mukati. Iyi ipurogiramu inobvumirana nayo inobvumira kuenderera kwezviridzwa zvakasiyana-siyana zvinogona kuwana (clip) muenzaniso wezvisikwa kubva mumakoloni ako kwechipsy.
Kugadzirira
Iko- colonoscopy yekugadzirira inoda kubhadhara zvikwata zvakakwana kusati kwaitika. Chiremba wako anogona kuraira kusanganiswa kwezvinokonzera mvura, suppositories, kana enema kuti uchenese mukati memukironi yako.
Iyi nzira yekuchenesa inoita kuti bhandi rekoroni yako rionekwe nekudzinga fecal nyaya nemvura mumatumbo makuru . Taura nechiremba wako kana iwe une chirwere cheshuga kana kutora mishonga yemishonga , kunyanya kuonda ropa, sezvo chiremba wako angave ane mirairo yakakosha iwe iwe usati wapera.
Matambudziko uye Ngozi
Kungofanana nedzimwe nzira dzezvehutano, hutachiona hwekoloni hahuna ngozi. Zvisinei, kana kenza yekoloni iripo, nokukurumidza iwe unogona kutanga utano hwakanaka. Chiremba wako achakurukurirana nezvengozi uye zvibatsiro newe iwe usati watanga.
Iva nechokwadi chekuti mubvunze mibvunzo kana nzira yekuita zvinhu isiri pachena. Izvo zvinogona kukonzera njodzi yekoloni inosanganisira:
- Bleeding
- Kurwara
- Bowel perforation
- Hospitalization
- Postpolypectomy syndrome
- Yakakanika colonoscopy
- Matambudziko kubva pakusayirira kubva kune avo vanochera ropa vasati vaongororwa
- Matambudziko kubva kune anesthesia
Kana iwe uine nhoroondo yakaremba yezvokurapa kana kuti wakwegura, zviitiko zvako zvinowedzera zvinogona kuwedzera. Kurukurai chero chiremba chero chipi zvacho kana kupfuura-the-counter nemishonga nachiremba wenyu musati maitiro. Mukoti kana mushandi kubva kuchipatara kana kliniki angakudana iwe kuti uongorore mirayiridzo isati yasvika.
Post-Procedure Tsvaga
Pamwe pese, iwe unenge uchitarirwa kuti uwane colonoscopy uye biopsy; saka, iwe haufaniri kunzwa chimwe chinhu. Kutevera nzira, iwe uchaendeswa kunzvimbo yekudzorera, uko vashandi vachakuongorora kusvikira iwe wakamuka uye wakangwarira.
Nokuda kwe sedation, haungabvumirwi kutyaira kumba, kunyange kana iwe uchinzwa. Kutonga kwako kunofungidzirwa kusina kukodzera kwemaawa makumi maviri nemasere ekutsvaga sedation (usaisa chero zvinyorwa zvemutemo kana).
Uyewo, mhepo inoiswa mukati mako mumutambo, iyo inogona kukonzera imwe gasi rinoputika uye rinopfuura . Usanonoka kuonana nechiremba wako kana iwe uchitanga fivhiri, kuzununguka, chills, kurwadziwa kwepamuviri , mutsiva, kana kuona zveropa mumakamuri ako achitevera biopsy.
Kuwana Migumisiro
Pakarepo uchitevera bhizimusi yako, sampu yechipfupa inotumirwa kune chiremba. Mumwe chiremba chiremba chaiye anoongorora tisuru neropa pasi pekroscope.
Iye achange aida nguva yekuongorora shanduro yako yezvinyorwa zvakakwana uye achazogadzira mushumo wezvirwere. Mushumo unotsanangura kana zviputi zvakagadzirwa zvaive zvipenyu kana zvekenza uye zvichabatsira chiremba wako kuti aone kushambadzira uye chikamu chekenza yako.
Unofadza pamberi pekuita (sezvausingayeuki shure), bvunza chiremba wako apo unogona kutarisira mhinduro. Iye achakwanisa kukupa chikwata chebhoppark uye anokukurudzira kuita sarudzo yekuzotevera.
Kamwe kana chiremba wako achiwana rubatsiro rwako rwebiopsy kubva kuchiremba, iye achakushevedza. Kana iwe usati uine musangano wekukurukurirana mhinduro idzi, imwe ichagadzirirwa iwe panguva ino.
Chiremba achada kukurukura zviwanikwa zvako mumunhu, kwete pamusoro pefoni kana ne email. Kunyange zvazvo kumirira kunogona kuunza kushungurudzika kwakanyanya, zviri nani kugara pasi uye kutaura nachiremba wako pamusoro pemigumisiro chiso nechiso.
The Pathology Report
Chiremba wako ane ruzivo rwekurapa uye kurovedza kutsanangura rondedzero yako yehutano kwauri. Mushumo wevhuporigist uchasanganisira:
- Ikoko chironda (s) chaive chiri mukati mekoni
- Histology, kana rudzi rwemasero akawanikwa, akadai seasingaoneki (ane hanya) kana akaipa (kenza). Kana yakaipa, iyo mharidzo icharatidza chirwere chekenza (adenocarcinoma ndiyo yakanyanya kufanana nekenza yemukenza ).
- Bhuku, iro rinotsanangura kuti zvakagadzirisa sei mishonga iyi (inongova yakafanana neyese yekoni, asi isingazivikanwe zvachose, kana imwe gira iri pakati) uye inoshandiswa kuparisa kenza yako.
- Kukoka, kunoshandiswa kune zvisikwa zvakatorwa panguva yekuvhiyiwa kwekenza yekoloni uye kunobatsira kuziva kuti kure gare kenza inopararira sei mumatumbu ane utano.
Usanonoka kubvunza chiremba uye vanaamai mibvunzo pane imwe nzira munzira. Vashandi vezvokurapa varipo kuti vakubatsire.
Sources:
American Cancer Society. American Cancer Society's Complete Guide kuColorectal Cancer . Clifton Fields, NE: American Cancer Society.
American Society for Gastrointestinal Endoscopy. (2012). Colonoscopy.
National Cancer Institute. (May 2011). Chemotherapy Side Effects: Appetite Changes.
Lange, V. (2009). Iva Wakapukunyuka. Colorectal Cancer Treatment Guide . (4th ed.). Los Angeles: Lange Productions.
Levin, TR, Zhao, W., Conell, C., et al. Matambudziko eColonoscopy muHurongwa Hwakagadzikana Utano Hwakagadzirirwa. Annals of Internal Medicine; 145.