Abantu abaningi empilweni bacabanga ukuthi umswakama unzima kakhulu lapho bebona indle yabo ingami kahle…ngenxa ye ukwakheka kwesigaxa emathunjini isikhathi eside!
Indle yesikhathi eside engalungile, ukuyicabanga's ngenxa yomswakama obunzima
Ungokulindelekile uhlushwa ama-polyps amaningi wekholoni
UMnu. Jiang (igama elingelona iqiniso), oneminyaka engu-58 ubudala kulo nyaka, usecindezelwe “indle engakalungiswa” isikhathi eside, futhi izimpawu zendle engashintshiwe sezithathe iminyaka engu-6. UMnu. Jiang wayehlale ecabanga ukuthi kwakungenxa yokuba manzi kakhulu, ngakho wathatha imithi eminingi yamaShayina ukuze alawule, kodwa izimpawu zakhe azizange zibe ngcono. Akatholanga lutho olungalungile ekuhlolweni kwesibhedlela sendawo futhi akazange abe ngcono ngemva kokuthola ukwelashwa ngemithi. Muva nje, hhayi kuphelaizimpawu zaba zimbi kakhulu, kodwa futhiubuhlungu besisu besikhashana buye kwenzeka. Umndeni wazizwa ungakhululekile futhi waphelezela uMnu. Jiang waya esibhedlela i-Xi'an Weitai Digestive Disease ukuze ayokwelashwa.
UMnu. Jiang welashwa u-Chi Shengqun, umqondisi womnyango weziguli ezingalaliswa esibhedlela i-Xi'an Weitai Digestive Disease Hospital. Ngemva kokulalela incazelo yezimpawu zikaMnu. Xu, u-Chi Shengqun wancoma ukuthi adlulei-colonoscopyukuze uqhubeke nokuhlonza imbangela.
Esikhungweni sokugaya ukudla, iPhini likaMqondisi uXu Mingliang wenzai-colonoscopykaMnu. Jiang. Ngaphansi kwe-microscope, watholaI-9 enkulu nencane ye-Yamada yohlobo 2, thayipha 3 bese uthayipha ama-polyps amathumbu emathunjini angu-4 abonakala ku-colon kanye ne-rectum. Iencane yayingaba ngu-0.5 * 0.7cm, kanyeamakhulu kunawo wonke alinganiselwa ku-2.8 * 3.6cm,acishe avale amathumbu.Amathuba okuthi lesi simila esikhulu siphenduke sibe umdlavuza maningi kakhulu.
Udokotela wenza ei-ndoscopic mucosal resection (EMR)ukususa ngokusheshaama-polyps amaningi amathumbu
Uzwile ukuthi uMnu. Xu unama-polyp amaningi akhula emathunjini akhe, ne-polyp enkulu kunazo zonke edlula u-2.5cm, umndeni wakhe ukhathazeke kakhulu. Umqondisi uXu Mingliang waduduza ngesineke futhi watshela umndeni kaMnu. Xu, “Ungakhathazeki, lolu hlobo lwe-polypingaxazululwangaphansicolonoscopyfuthiuyalulama ngokushesha." Lapho umndeni kaMnu. Jiang uphefumula uphawu lokukhululeka lapho uzwa lezi zindaba futhi wavuma ukuhlinzwa i-EMR.
Ngemva kokunquma indlela yokwelapha, uMqondisi u-Xu Mingliang wabeka kahle, wajova, futhi wasebenzisa isicupho ukuze asike ama-polyp ngogesi. Isinyathelo ngesinyathelo, ama-polyp angu-9 amathumbu akhishwa ngokuphelele, futhi iziqeshana zezicubu zasetshenziswa ukuvala inxeba. Ukuhlinzwa kwaba yimpumelelo. Ngemuva kokuhlinzwa, izicubu ze-polyps ezi-4 zangemva kokuhlinzwa zithunyelwe ukuhlolwa kwe-pathological, okuyintowabonisa i-adenoma ye-tubular embileyoethambekele ekuguqukeni okubi. Ngenhlanhla,ukususwa ngesikhathikwenziwa,ukuvimbela ngempumelelo ukuvela komdlavuza wekoloni.
“Bengicabanga ukuthi ngizohlinzwa kakhulu, kodwa bengingalindele ukuthi kuzoxazululekacolonoscopy!" Kusho uMnu. Jiang ngenjabulo. Ebuyela egunjini labagula kakhulu, uMnu. Jiangwabuye waqala ukudla ngosuku lwesibilifuthi kwabaaphume esibhedlela ngosuku lwesithuphay. Ngaphambi kokukhishwa, uMqondisi uXu Mingliang wayala uMnu. Jiang ukubabayohlolwa kokulandelela ezinyangeni eziyisithupha.
I-Colonoscopyiyindinganiso eyigolide yokuhlola izifo zamathumbu
Umqondisi uXu Mingliang ukusho lokhocolonoscopyakubuhlungu njengamahemuhemu noma izimangalo ze-inthanethi. Ngokuthuthuka kobuchwepheshe, ama-endoscopes aneziya ngokuya zithambe futhi zibe mncane, kanye nesikhathi esidingekayocolonoscopyfuthi mfushane kakhulu,ngokuvamile cishe imizuzu engu-15-20.Kunconywa ukuthi wonke umuntudlula acolonoscopy ngemva kweminyaka engu-40.
Abantu abasengozini enkulu abangenawo umlando womndeni wama-polyps amathumbu kanye nezihlobo zokuqala ezinomdlavuzazizobhekanacolonoscopy njalo emva kweminyaka emi-5.Abantungama-polyps amathumbu kanye nomlando womndenikudingekathuthukisa isikhathi sokuqala sokuhlolwa cishe iminyaka eyi-10futhibhekanacolonoscopyeminyakeni engu-25 kuya ku-35. Uma emathunjiniama-polyps atholakala ngemuvacolonoscopy, imvamisa yokuhlolwa kufanelekube kaningi. Okweiminyaka emithathu ezayo, colonoscopykufanele kubeeyenziwa minyaka yonkeukunquma imvamisa yokuhlolwa okulandelayo ngokusekelwe ekukhuleni kwe-polyp.
Isikhathi sokuthumela: May-09-2024