Ukuqina Kwe-Ischemic Colitis? Izimpawu, Izimbangela, Nokwelapha

I-Ischemic colitis kwenzeka lapho ukugeleza kwegazi ingxenye yomthambo wakho omkhulu (ikholoni) kunciphisa noma kuvinjelwe. Ukungabikho kokugeleza kwegazi kungalimaza insimbi yekholoni, okuholela ekubeni khona kokuvuvukala futhi ngezinye izikhathi ezinye izinkinga ezingathi sína.

Cabanga ngakho njengengxenye yomzimba wakho edinga ukugeleza kwegazi okuzinzile ukuze ihlale iphilile. Uma ikholoni lakho lingatholi igazi elinokulinganisela loketshezi, lingavuvukala futhi libuhlungu. Izindaba ezinhle ukuthi izinye zezimo ziyamila futhi ziphulukana ngokunakekelwa okufanele.

Ziyini izimpawu ze-ischemic colitis?

Uphawu oluvamile kakhulu ubuhlungu obukhulu besisu, ngokuvamile ngakwesobunxele, okulandela ukukhipha okunegazi emahoreni angama-24. Lezi zimpawu zingazizwa zikhathaza, kodwa ukuzazi kusenesikhathi kuzokusiza uthole ukwelashwa okufanele.

Nawa ama-symptom aphambili ongawabona:

• Ubuhlungu obukhulu noma ubuhlungu esiswini, ngokuvamile ngakwesobunxele
• Ukukhipha okunegazi noma izisu ezimnyama
• Isidingo esiphuthumayo sokukhipha
• Ukuphefumula kabi futhi ngezinye izikhathi ukugabha
• Ukuthuthumela okuncane (ngokuvamile ngaphansi kuka-100°F)
• Ukuzizwa ungaphili kahle noma ubuthakathaka

Abantu abaningi baphawula ukuthi lezi zimpawu zivele ngokushesha, ngokuvamile emahoreni ambalwa. Ubuhlungu bungazizwa njengokukhipha okukhulu okuza nokuhamba, kufana nezinye izinkinga zokugaya ukudla kodwa ngokuvamile kunzima kakhulu.

Ezimeni ezingavamile, ungase ube nezimpawu ezinzima kakhulu njengokuthuthumela okuphezulu, ubuhlungu besisu obukhulu, noma izimpawu zokulahlekelwa amanzi emzimbeni. Lokhu kungabonisa izinkinga ezidinga ukunakekelwa ngokushesha kwezokwelapha.

Ziyini izinhlobo ze-ischemic colitis?

Odokotela ngokuvamile bahlukanisa i-ischemic colitis zibe izinhlobo ezimbili eziphambili ngokusekelwe ekuthini isimo sibukhulu kangakanani. Ukuqonda lezi zinhlobo kusiza ekuchazeni ukuthi yini okulindelekile ngesikhathi sokwelashwa nokubuyela esimweni esijwayelekile.

I-ischemic colitis engagwegwesi yilona uhlobo oluvamile, oluthinta cishe u-80-85% wezimo. Kulolu hlobo, insimbi yekholoni yonakele kodwa isaphila futhi ingaphuka ngokwelashwa okufanele. Abantu abaningi abalolu hlobo baphulukana ngokuphelele ezinsukwini ezimbalwa kuya emavikini.

I-ischemic colitis egwegwesi inzima kakhulu kodwa ngenhlanhla ayivamile. Lapha, ukungabikho kokugeleza kwegazi kubulala insimbi yekholoni. Lolu hlobo ngokuvamile ludinga ukuhlinzwa futhi lungaletha izinkinga ezinzima uma lungelashwa ngokushesha.

Udokotela wakho ngokuvamile angakwazi ukutshela ukuthi yiluphi uhlobo olulokhu unalo ngokuhlola nokuthi uphendula kanjani ekwelapheni okuqala. Iningi labantu linolu hlobo oluthambile, olungagwegwesi oluphulukana kahle ngokunakekelwa okuqondile.

Yini ebangela i-ischemic colitis?

I-Ischemic colitis kwenzeka lapho okuthile kunciphisa ukugeleza kwegazi ekholoni lakho. Ezimeni eziningi, odokotela abakwazi ukubona imbangela ethile, ikakhulu kubantu abadala lapho kungase kuvele khona ngenxa yezinto eziningi.

Izimbangela ezivamile zihlanganisa:

• Ukuphansi kwegazi okuvela ekuswelekeni amanzi, ukulahlekelwa igazi, noma ukushokeka
• Ama-blood clots avimba imithambo eya ekholoni
• Ukuboshwa okukhulu ngokucindezela
• Imithi ethile efana nemithi yezinhliziyo noma ukwelashwa kwe-migraine
• Ukuhlinzwa okuthinta ukugeleza kwegazi esiswini
• Ukuzivocavoca okukhulu, ikakhulukazi ukugijima ibanga elide
• Izidakamizwa ezingamthetho njenge-cocaine noma i-methamphetamines

Ngezinye izikhathi isimo sivela lapho umzimba wakho uqondisa ukugeleza kwegazi kude nekholoni ngesikhathi sokucindezeleka, ukugula, noma izinqubo zezokwelapha. Lena indlela yomzimba wakho yokuvimbela izitho ezibalulekile, kodwa inganciphisa isikhashana igazi elikholoni.

Ezimeni ezingavamile, izimo eziyisisekelo njengezifo zemithambo yegazi, izifo ezivuvukalayo, noma izinkinga zokugandeleka ezifuywe zingandisa ingozi yakho. Noma kunjalo, izinye zezimo zenzeka ngaphandle kwanoma yiluphi ubuhlungu obucacile obubonakalayo.

Nini okumele ubona udokotela nge-ischemic colitis?

Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma uthola ubuhlungu besisu obukhulu ngokukhipha okunegazi. Nakuba lezi zimpawu zingaba nezinye izimbangela, zidinga ukuhlolwa ngokushesha ukuvimbela izimo ezinzima.

Shaya udokotela wakho ngokushesha uma uthola ubuhlungu besisu obukhulu ngokushesha, ikakhulukazi uma buhambisana nokukhipha okunegazi noma izisu ezimnyama. Ngisho noma ubuhlungu bungelona obunzima, ukuhlanganiswa kobunzima besisu negazi esiswini kufanele kuhlolwe ngudokotela.

Hamba e-emergency room ngokushesha uma unezimpawu zezinkinga ezinzima njengokuthuthumela okuphezulu ngaphezu kuka-101°F, ukusweleka okukhulu kwamanzi emzimbeni, noma ubuhlungu besisu obukhulu obukhulu. Lokhu kungabonisa ukuthi isimo sibukhulu futhi sidinga ukwelashwa ngokushesha.

Ungalindi ukubona ukuthi izimpawu ziphulukana yini zodwa. Ukuxilongwa nokwelashwa kusenesikhathi kungavimbela izinkinga futhi kukusize uzizwe ukhulu ngokushesha.

Ziyini izinto ezingandisa ingozi ye-ischemic colitis?

Ubudala yilona izingozi enkulu, ngezinye zezimo ezenzeka kubantu abadala abangaphezu kweminyaka engama-60. Njengoba siqhubeka sikhulile, imithambo yethu yegazi iba yingxube-xube, futhi kungenzeka kakhulu ukuthi sibe nezimo ezithinta ukugeleza kwegazi.

Izimo eziningi zempilo zingandisa ingozi yakho:

• Isifo senhliziyo noma izinhlobo ezingavamile zezinhliziyo
• I-Diabetes ethinta imithambo yegazi
• Ukuphuma kwegazi okuphezulu noma i-cholesterol ephezulu
• Ama-blood clots adlule noma izinkinga zokugandeleka
• Isifo sezinso esidinga i-dialysis
• Izimo ze-autoimmune njenge-lupus
• Umbhalo wokuhlinzwa kwesisu

Izinto zokuphila nazo zidlalela indima. Ukubhema kulimaza imithambo yegazi kulo lonke umzimba wakho, kufaka phakathi lezo eziphethe ikholoni lakho. Ukungasebenzi ngokomzimba, ikakhulukazi uma kuhlanganiswa nezinye izingozi, kungandisa amathuba akho.

Imithi ethile ingandisa ingozi yakho, ikakhulukazi eminye imithi yegazi, imithi ye-migraine, nokwelashwa kwe-hormonal. Uma uthatha noma yikuphi kwalokhu, ungayeki ngaphandle kokukhuluma nodokotela wakho kuqala.

Ukuba nokunye noma ngaphezulu kwezingozi akusho ukuthi uzokuthola i-ischemic colitis. Abantu abaningi abanezingozi eziningi abazitholi, kanti abanye abanezingozi ezimbalwa bayazithola.

Ziyini izinkinga ezingase zenzeke nge-ischemic colitis?

Abantu abaningi abane-ischemic colitis baphulukana ngokuphelele ngaphandle kwezinkinga ezihlala njalo. Noma kunjalo, kubalulekile ukuqonda izinkinga ezingase zenzeke ukuze wazi izimpawu okumele uzibheke ngesikhathi sokubuyela esimweni esijwayelekile.

Izinkinga ezivamile zihlanganisa:

• Ukunciphisa (ukunciphisa) ikholoni okungabangela izinkinga zokugaya ukudla eziqhubekayo
• Ukuvuvukala okuqhubekayo okungaphuli ngokuphelele
• Ukuqhekeka (umgodi) odongeni lwekholoni, okuyinto enzima kodwa ayivamile
• Ukuphuma kwegazi okuqhubekayo okudingayo ukwelashwa okwengeziwe
• Isidingo sokuhlinzwa ukususa izingxenye ezonakele zekholoni

Izinkinga ezinzima azivamile, ezenzeka kubantu abangaphansi kuka-20% wezimo. Uma zenzeka, zivame kakhulu kubantu ababekhona uhlobo olukhulu noma labo abanezinkinga eziningi zempilo.

Izimpawu zokuthi izinkinga zingase zivele zihlanganisa ubuhlungu obukhulu ngemuva kokuthuthuka okuqala, ukuphuma kwegazi okuqhubekayo, ukuthuthumela, noma izimpawu ezintsha njengokuboshwa okukhulu. Udokotela wakho uzokunakekela ngokucophelela ukuthola noma yiziphi izinkinga kusenesikhathi.

Ngokwelashwa okufanele nokunakekelwa okulandelayo, abantu abaningi bayagwema izinkinga ezinzima ngokuphelele. Ngisho noma izinkinga zenzeka, ngokuvamile zingaphathwa ngempumelelo ngokunakekelwa kwezokwelapha okufanele.

I-ischemic colitis ingavikeleka kanjani?

Nakuba ungakwazi ukuvimbela zonke izimo ze-ischemic colitis, ungathatha izinyathelo zokunciphisa ingozi yakho ngokuhlala unempilo enhle jikelele nokuphatha izimo ezithinta ukugeleza kwegazi kwakho.

Ukuhlala unamanzi emzimbeni kuyinto ebaluleke kakhulu ongayenza. Ukusweleka kwamanzi emzimbeni kunganciphisa igazi lakho futhi kunciphisa ukugeleza kwegazi ekholoni lakho, ikakhulukazi ngesikhathi sokugula, ukuzivocavoca, noma isimo sezulu esishisayo.

Ukuphatha izimo zempilo eziyisisekelo kusiza ekuvikeleni imithambo yakho yegazi. Lokhu kusho ukuhlala ugcine igazi lakho, i-diabetes, ne-cholesterol kuqondene kahle ngosizo luka-dokotela wakho. Ukuthatha imithi ebekiwe njengoba kuqondiswe nokuya ekuhlolweni okujwayelekile kwenza umehluko wangempela.

Uma uzivocavoca ngamandla, ikakhulukazi ukugijima ibanga elide, qiniseka ukuthi uhlala unamanzi emzimbeni futhi ulalele umzimba wakho. Nakuba ukuzivocavoca ngokuvamile kuvikelekile, ukuzivocavoca okukhulu kakhulu ngezinye izikhathi kungase kubangele i-ischemic colitis kubantu abathintekayo.

Khuluma nodokotela wakho mayelana nanoma iyiphi imithi oyithatha engase ithonye ukugeleza kwegazi. Ngezinye izikhathi imithi ehlukile ingasetshenziswa uma ungengozi enkulu, kodwa ungalokothi uyeke imithi ebekiwe ngaphandle kwesiqondiso sezokwelapha.

I-ischemic colitis ixilongwa kanjani?

Odokotela baxilonga i-ischemic colitis ngokuhlanganisa izimpawu zakho, umlando wezokwelapha, nokuhlola okuthile. Inqubo ngokuvamile iqala e-emergency room noma ehhovisi lika-dokotela wakho uma ubika ubuhlungu besisu nokukhipha okunegazi.

Udokotela wakho uzobuza kuqala ngezimpawu zakho, lapho zaqala khona, nanoma iyiphi imithi oyithathayo. Uzohlola isisu sakho ukuhlola ukubuthakathaka nokulalela imisindo yomthambo ojwayelekile.

Izivivinyo zegazi zisiza ekuvimbeleni ezinye izimo nokubheka izimpawu zokutheleleka noma i-anemia evela ekuphumeni kwegazi. Nakuba akukho ukuhlolwa olulodwa kwegazi oluxilonga i-ischemic colitis, le miphumela inikeza izinkomba ezibalulekile mayelana nokuthi kwenzekani emzimbeni wakho.

I-CT scan yesisu yakho ngokuvamile iyona izivivinyo zokuthwebula izithombe zokuqala. Ingabonisa ukukhuluphala kodonga lwekholoni futhi ivinjele ezinye izimo ezinzima njengokuvimba komthambo noma ukuqhekeka. I-scan ishesha futhi ayibuhlungu, nakuba ungase udinge ukuphuza into ebonakalayo.

I-Colonoscopy ngokuvamile iyona izivivinyo eziqinisekile kakhulu. Ngalesi senqubo, udokotela wakho usebenzisa i-tube eguquguqukayo enekhamera ukubuka ngqo insimbi yekholoni lakho. Bangabona izindawo zokuvuvukala, ukuphuma kwegazi, noma ukonakala kwensimbi okuqinisekisa ukuxilongwa.

Ezimweni ezithile, udokotela wakho angase a-ode izilingo ezengeziwe njenge-scans ezikhethekile ukubuka ukugeleza kwegazi noma ukuvimbela ezinye izimo. Izivivinyo ezithile ozidingayo ziyahlukahluka ngezimpawu zakho nokuthi ukuxilongwa kuqinisekile kangakanani ekuhlolweni okuqala.

Ukuphathwa kwe-ischemic colitis kuyini?

Ukuphathwa kwe-ischemic colitis kugxile ekusekeleni ukwelashwa kwemvelo komzimba wakho ngenkathi kuvimbela izinkinga. Abantu abaningi bayathuthuka ngokwelashwa okuqondile okungadingi ukuhlinzwa.

Isinyathelo sokuqala ngokuvamile ukuphumula komthambo, okusho ukuthi cishe uzothola amanzi nge-IV ngenkathi ugwema ukudla ngomlomo usuku noma amabili. Lokhu kunika ikholoni lakho isikhathi sokuphulukana ngaphandle kokucindezeleka kokugaya ukudla.

Iqembu lakho lezokwelapha lizokunakekela eduze esibhedlela, lihlola izimpawu zakho ezibalulekile, ukubala kwegazi, nezimpawu. Imithi yokuhlanza ubuhlungu ikusiza uhlale ukhululekile, kanti amanzi e-IV avimbela ukusweleka kwamanzi emzimbeni futhi asekele ukugeleza kwegazi kwakho.

Ama-antibiotics angase abekiwe uma kukhona ukukhathazeka ngokutheleleka, nakuba angadingeki kuzo zonke izimo. Udokotela wakho uzothatha lesi sinqumo ngokusekelwe esimweni sakho esithile nemiphumela yokuhlola.

Uma unohlobo olukhulu olukhulu, noma uma izinkinga zivele, ukuhlinzwa kungase kudingeke. Lokhu kungase kuhilele ukususa ingxenye eyonakele yekholoni, kodwa lokhu kudingeka kubantu abangaphansi kuka-20% wezimo.

Abantu abaningi baqala ukuzizwa bekhulu ezinsukwini ezingu-2-3 futhi bangabuya ngokuqhubekayo ekudleni. Ukubuyela esimweni esijwayelekile ngokuvamile kuthatha amaviki angu-1-2 ezimweni ezilula, nakuba abanye abantu bedinga isikhathi eside kuye ngokuthi ukonakala kukhulu kangakanani.

Indlela yokuphatha ukwelashwa ekhaya ngesikhathi sokubuyela esimweni esijwayelekile se-ischemic colitis

Uma usulungele ukuya ekhaya, ukulandela imiyalo yodokotela wakho ngokucophelela kusiza ekuqinisekiseni ukwelashwa okufanele nokugwema izinkinga. Abantu abaningi bangaphatha ukubuyela kwabo esimweni esijwayelekile ekhaya ngezinye izinyathelo ezibalulekile.

Qala ngamanzi acacile bese uqhubekela ngokuqhubekayo ekudleni okulula, okulula ukukugaya njengoba udokotela wakho ekuphakamisa. Gwema ukudla okunefayibha eningi, izitsha ezishisayo, nanoma yini engase icasule ikholoni lakho eliphulukayo emavikini ambalwa okuqala.

Hlala unamanzi emzimbeni ngokuphuza amanzi amaningi usuku lonke. Ikholoni lakho lidinga amanzi anele ukuze liphulukane kahle, futhi ukusweleka kwamanzi emzimbeni kungalimaza isimo sakho noma kunciphisa ukubuyela esimweni esijwayelekile.

Thatha noma iyiphi imithi ebekiwe ngokuqondile njengoba kuqondiswe, kufaka phakathi imithi yokuhlanza ubuhlungu noma ama-antibiotics. Ungayeki ama-antibiotics ngokushesha ngisho noma uzizwa ukhulu, njengoba lokhu kungase kuholele ekwelapheni okungaphelele.

Bheka izimpawu zezixwayiso ezidinga ukunakekelwa kwezokwelapha ngokushesha: ubuhlungu besisu obukhulu, ukuthuthumela ngaphezu kuka-100.4°F, ukuphuma kwegazi okukhulu, noma ukungakwazi ukugcina amanzi phansi. Lokhu kungase kubonise izinkinga ezidinga ukwelashwa ngokushesha.

Gwema imisebenzi enzima emavikini ambalwa ngenkathi ikholoni lakho liphulukana. Ukuhamba okulula ngokuvamile kulungile futhi kungasiza ngisho nokubuyela esimweni esijwayelekile, kodwa hlola nodokotela wakho mayelana nokuthi nini kuphephile ukubuyela emisebenzini evamile.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukuba ulungile nge-appointment yakho kusiza udokotela wakho ukwenze ukuxilongwa okuchane kanye nokwenza uhlelo lokwelapha oluhle kakhulu. Buthana ulwazi olubalulekile ngaphambi kokuba uhambe ukuze uthole okuningi ekuhambeleni kwakho.

Bhala zonke izimpawu zakho, kufaka phakathi lapho zaqala khona, ukuthi zinkulu kangakanani, nokuthi yini ezenza zibe ngcono noma zibe zimbi. Qaphela noma yiziphi izinguquko ekukhipheni kwakho, kufaka phakathi umbala, ubukhulu, kanye nokuvamile.

Letha uhlu oluphelele lwazo zonke imithi oyithathayo, kufaka phakathi imithi yokwelapha, imithi yokuthengwa ngaphandle kokubhalwa, izithasiselo, namavithamini. Faka imithamo nokuthi uthathe isikhathi esingakanani ngayinye.

Lungisa isifinyezo somlando wakho wezokwelapha, kufaka phakathi noma yiziphi izinkinga zesisu ezedlule, ukuhlinzwa, izimo zenhliziyo, noma izinkinga zokugandeleka kwegazi. Lolu lwazi oluyisisekelo lusiza udokotela wakho ukuqonda izingozi zakho.

Bhala imibuzo ofuna ukuyibuza, njengokuthi yiziphi izivivinyo ongazidinga, isikhathi esingakanani sokubuyela esimweni esijwayelekile, noma yimiphi imisebenzi okumele uyigweme. Ukuba nalokhu kubhaliwe kuqinisekisa ukuthi awukhohlwa ukukhathazeka okubalulekile ngesikhathi se-appointment.

Uma kungenzeka, letha ilungu lomndeni noma umngani ongakusiza ukukhumbula ulwazi nokukunikeza ukwesekwa. I-appointments zezokwelapha ingaba ukucindezeleka, futhi ukuba nomuntu nawe kungasiza.

Yini eyinhloko mayelana ne-ischemic colitis?

I-Ischemic colitis yisimo lapho ukugeleza kwegazi okunciphisiwe kulimaza ikholoni lakho, kodwa ukubukeka ngokuvamile kuhle kakhulu ngokwelashwa okufanele. Abantu abaningi baphulukana ngokuphelele emavikini ambalwa ngaphandle kwezinkinga ezihlala njalo.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ubuhlungu besisu obukhulu ngokukhipha okunegazi kudinga ukunakekelwa kwezokwelapha ngokushesha. Ukuxilongwa nokwelashwa kusenesikhathi kuvimbela izinkinga futhi kukusiza uzizwe ukhulu ngokushesha.

Nakuba isimo sizwakala sinzima, izinye zezimo ziyamila futhi ziphulukana kahle ngokunakekelwa okusekayo. Ukuhlinzwa akudingeki ngokuvamile, futhi abantu abaningi babuyela emisebenzini yabo evamile emavikini ambalwa.

Gxilisa ukugcina impilo enhle jikelele ukuze unciphise ingozi yakho, uhlale unamanzi emzimbeni, futhi uphathe noma yiziphi izimo ezihlala njalo ozinayo. Uma uthola i-ischemic colitis, ukulandela uhlelo lokwelapha luka-dokotela wakho ngokucophelela kukunika ithuba elihle kakhulu lokubuyela esimweni esijwayelekile ngokuphelele.

Imibuzo evamile ebuzwa mayelana ne-ischemic colitis

Q1: Ingabe i-ischemic colitis izobuyela ngemuva kokuba ngiphulukile?

Abantu abaningi abaphulukana ne-ischemic colitis abayitholi futhi. Ukubuyela akuvamile, kwenzeka kubantu abangaphansi kuka-10% wezimo. Noma kunjalo, uma unezingozi eziqhubekayo njengesihlalo senhliziyo noma uthatha imithi ethile, udokotela wakho angase akhulume ngezindlela zokunciphisa amathuba okuthi kwenzeke futhi.

Q2: Kuthatha isikhathi esingakanani ukubuyela esimweni esijwayelekile ngokuphelele nge-ischemic colitis?

Isikhathi sokubuyela esimweni esijwayelekile sihlukahluka kuye ngokuthi isimo sakho sibukhulu kangakanani. Abantu abaningi abane-ischemic colitis elula bazizwa bekhulu kakhulu ezinsukwini ezingu-2-3 futhi baphulukana ngokuphelele emavikini angu-1-2. Izimo ezinzima kakhulu zingase zithathe amaviki ambalwa kuya ezinyangeni, ikakhulukazi uma izinkinga zivele noma kudingeka ukuhlinzwa.

Q3: Ngingazivocavoca njengoba nje ngijwayele ngemuva kokubuyela esimweni esijwayelekile se-ischemic colitis?

Ukuzivocavoca okujwayelekile ngokuvamile ungabuya kuwo uma udokotela wakho ekukhulula, ngokuvamile emavikini ambalwa ukubuyela esimweni esijwayelekile. Qala kancane uhlale unamanzi emzimbeni, ikakhulukazi ngesikhathi semisebenzi enzima. Uma ungumgibeli ibanga elide noma wenza ukuzivocavoca okukhulu kakhulu, xoxa ngezinyathelo zokuphepha nodokotela wakho njengoba le misebenzi ngezinye izikhathi ibingela i-ischemic colitis kubantu abathintekayo.

Q4: Ingabe kukhona ukudla okumele ngikugweme ngemuva kokuba ngithole i-ischemic colitis?

Ngesikhathi sokubuyela esimweni esijwayelekile, uzodinga ukugwema ukudla okunefayibha eningi, okushisayo, noma okulula ukukugaya isikhashana. Uma usuphelile, ngokuvamile ungabuya ekudleni okujwayelekile. Abanye abantu bathola ukuthi ukudla okunefayibha eningi noma okuke kwabangela ukugaya ukudla okungathandeki kufanele kudliwe ngokulinganisela, kodwa izinqamuleli eziningi zokudla ziyizikhashana.

Q5: Kufanele ngikhathazeke ngomdlavuza wekholoni ngemuva kwe-ischemic colitis?

I-Ischemic colitis ayikhuphuli ingozi yakho yokuthola umdlavuza wekholoni. Noma kunjalo, udokotela wakho angase aphakamise ukulandelela i-colonoscopies ukuqinisekisa ukuthi ikholoni lakho liphulukile kahle futhi ukuhlola ezinye izimo ngokusekelwe emiqondweni evamile yeqembu lakho lobudala. Lokhu kuyinakekelwa yokuvimbela evamile, hhayi ngenxa yengozi enkulu yomdlavuza.