Umguluko Wesibeletho? Izimpawu, Izimbangela, & Ukwelashwa

Umguluko wesibeletho uqala lapho amaseli esibelethweni ekhula ngokungaphatheki kahle futhi enza iziphumu. Isibeletho yingxenye yokugcina yesibindi sakho esikhulu, ehlanganisa ikholoni lakho ne-anus yakho.

Lolu hlobo lomdlavuza luqala kancane kancane njengezikhulu ezincane ezibizwa ngokuthi ama-polyps odongeni lwesibeletho. Nakuba ama-polyps amaningi ehlala engenangozi, amanye angashintsha kancane kancane abe yimdlavuza eminyakeni eminingi. Izindaba ezinhle ukuthi umdlavuza wesibeletho uyaphatheka kakhulu uma utholakala ngokushesha, futhi abantu abaningi bayaqhubeka bephila impilo egcwele, enempilo ngemuva kokwelashwa.

Ziyini izimpawu zomdlavuza wesibeletho?

Umguluko wesibeletho oqalayo awunazo izimpawu ezibonakalayo, kungakho ukuhlolwa okuvamile kubalulekile kangaka. Uma izimpawu zivele, zivame ukuvela kancane kancane futhi ngezinye izikhathi zingaphambukiswa njengezinye izimo ezivamile.

Nazi izimpawu ongase uzibone, futhi khumbula ukuthi ukuba nalezi zimpawu akusho ukuthi une-cancer:

• Ukushintsha kwemikhuba yomathumbu okuhlala isikhathi esingaphezu kwamalanga ambalwa, njengokweluka okungapheli noma ukuvimbela.
• Igazi emathunjini akho, elingase libonakale libomvu okhanyayo noma limnyama futhi liyinkuni.
• Ukuphuma kwegazi esibelethweni okungaphandle kokunyakaza kwamathumbu.
• Ukuqina okungapheli, igesi, noma ubuhlungu esiswini sakho.
• Ukuzizwa sengathi amathumbu akho awagcwalisi ngokuphelele ngemuva kokunyakaza.
• Ukulahlekelwa isisindo okungachazwanga ngaphandle kokuzimisela ukulahlekelwa isisindo.
• Ukukhathala noma ubuthakathaka obungaphuli ngokuphumula.
• Amathumbu amancane kunejwayelekile.

Abanye abantu nabo baye baba nezimpawu ezingavamile njengobhlungu emathunjini, ikakhulukazi ngesikhathi sokuhamba kwamathumbu, noma ukuzizwa njalo kokudinga ukuhamba kwamathumbu ngisho noma isibeletho singena lutho. Lezi zimpawu zingathinta kakhulu induduzo yakho yansuku zonke nekhwalithi yempilo.

Uma ubona noma yikuphi kwalokhu kushintsha okuphikelela ngaphezu kwamasonto ambalwa, kubalulekile ukukhuluma nodokotela wakho. Izimpawu eziningi zalezi zingabangelwa yizimo ezingathi sína, kodwa ukuzihlola kuzokunika ukuthula kwengqondo futhi kuqinisekise ukwelashwa kwasekuqaleni uma kudingeka.

Yini ebangela umdlavuza werectum?

Umdlavuza werectum uqala lapho amaseli avamile e-rectum ethola ukuguqulwa kwe-genetic okubenza bakhule ngokungaphatheki. Nakuba singazi kahle ukuthi kungani lokhu kwenzeka kwabanye abantu hhayi kwabanye, abacwaningi baye bathola izinto eziningi ezingandisa ingozi yakho.

Ukuthuthuka kuvame ukulandela leli phethini: amaseli ase-rectum aphilile athola ukulimala kwe-DNA yawo ngokuhamba kwesikhathi, okuvela emithonjeni ehlukahlukene njengokuguga, izinto zokuphila, noma ukuguqulwa kwe-genetic okuzuzwe.

Imikhakha eminingi ivela ekubeni ndawonye kwezinto kunokuba yimbangela eyodwa. Ubudala buwumsebenzi obalulekile, njengoba cishe u-90% wezimo zenzeka kubantu abadlula u-50. Umlando womndeni wakho nawo ubalulekile, ikakhulukazi uma izihlobo eziseduze zithole umdlavuza we-colorectal noma izimo ezithile ze-genetic.

Izinto zokuphila nezimo ezingqongile zingase futhi zifake isandla ekubeni i-DNA yaseli le-rectum ilimale. Lokhu kufaka izinto ezifana nokudla, amazinga wemisebenzi yomzimba, ukubhema, nokusetshenziswa kotshwala, esizoxoxa ngokuningiliziwe ngazo esigabeni sezinto ezingozi.

Ziyini izinto ezingozi zomdlavuza werectum?

Ukuqonda izinto ezingozi zakho kungakusiza ukwenza izinqumo ezinolwazi mayelana nokuhlola nokukhetha indlela yokuphila. Ezinye izinto awukwazi ukuzishintsha, kanti ezinye zilawulwa wena.

Nawa amaphuzu angase andise ingozi yakho, eqala ngezona ezinkulu kakhulu:

• Ubudala obungaphezu kweminyaka engama-50, kanti ingozi iyaqhubeka ikhula njengoba ukhula.
• Umbhalo womuntu siqu womdlavuza we-colorectal noma izinhlobo ezithile ze-polyps.
• Umbhalo womndeni womdlavuza we-colorectal, ikakhulukazi kubazali noma abazalwane.
• Izifo ze-genetic ezifuywe njenge-Lynch syndrome noma i-familial adenomatous polyposis.
• Izifo ezivuvukalayo ze-bowel njenge-Crohn's disease noma i-ulcerative colitis.
• Ukudla okunamafutha amaningi obomvu kanye nenyama eyenziwe.
• Ukudla okunefayibha encane okunemithombo yemifino nemifino embalwa.
• Isitayela sokuphila esingasisebenzi okungenaso ukuzivocavoca.
• Ukubhema imikhiqizo yebhakha.
• Ukusebenzisa utshwala kakhulu eminyakeni eminingi.
• Ukukhuluphala, ikakhulukazi isisindo esiningi esizungezile isisu.
• I-Type 2 diabetes.

Izici ezingavamile zengozi zihlanganisa ukwamukela ukwelashwa ngomgogodla esiswini noma e-pelvis ngenxa yomdlavuza omunye, kanye nokukhombisa okuthile emsebenzini kwezinto ezikhiqizwayo. Amanye ama-study aphakamisa ukuthi abantu abasebenza ebusuku iminyaka eminingi bangaba nengozi encane ephakeme, nakuba lobu buhlobo bucashile.

Ukuba nesisodwa noma ngaphezulu kwezici zengozi akusho ukuthi uzophumelela ngokuqinisekile umdlavuza we-rectal. Abantu abaningi abanezici zengozi abawutholi leyo gciwane, kanti abanye abangenazo izici zengozi ezaziwayo bayayithola. Ikhona ukwazi iphrofayili yakho yengozi yomuntu siqu ukuze ukwazi ukusebenzisana nodokotela wakho ngezindlela ezifanele zokuhlola nokuvimbela.

Nini kufanele ubona udokotela ngezimpawu zomdlavuza we-rectal?

Kufanele uxhumane nodokotela wakho uma uhlangabezana nanoma yiziphi izinguquko ezihlala njalo emikhweni yakho yokuya esikhumulweni noma uqaphela igazi esikhumulweni sakho. Nakuba lezi zimpawu zivame ukuba nezizathu ezilula, kuhlale kungcono ukuthi zihlolwe ngokushesha.

Funani ukunakekelwa kwezokwelapha phakathi nezinsuku ezimbalwa uma unegazi le-rectal, ikakhulu uma lihambisana nezinye izimpawu njengokuhlunguluka kwesisu noma ukuguquka kokulingana kwesikhumulo. Ngisho namanani amancane egazi akufanele anganakiwe, njengoba umdlavuza we-rectal ekuqaleni ungabangela ukopha okuncane okulula ukuwunaka.

Hlela isikhathi sokuhlangana masinyane uma ubhekene nokuhlunguluka okungapheli esiswini, ukwehla kwesisindo okungachazeki, noma ukukhathala okuqhubekayo okungapheli ngisho noma ukhuluphuke. Lezi zimpawu zidinga ukuhlolwa ngisho noma zibonakala zingenamandla, njengoba ukutholakala kwangaphambi kwesikhathi kuwathuthukisa kakhulu imiphumela yokwelashwa.

Uma uneminyaka engaphezu kuka-45 noma unezingozi ezinjengomlando womndeni, xoxa ngezinketho zokuhlola nodokotela wakho ngisho noma ungenawo ama-symptom. Ukuhlola okuvamile kungabamba izinkinga ngaphambi kokuba zibangele izimpawu ezibonakalayo, lapho ukwelashwa kuphumelela kakhulu.

Ziyini izinhlanganisela ezingaba khona zomdlavuza werectal?

Umdlavuza werectal ungabangela izinhlanganisela eziningi, kokubili ezivela kumdlavuza ngokwawo futhi ngezinye izikhathi ezivela ekwelapheni. Ukuqonda lezi zinto ezingaba khona kukusiza ukwazi ukuthi yini okufanele uyilinde futhi nini kufanele ufunse ukunakekelwa kwezokwelapha okwengeziwe.

Izinhlanganisela eziqondile kakhulu zivame ukuphathelene nendawo nobukhulu bomdlavuza:

• Ukuvimbela kwamathumbu, lapho umdlavuza uvala indlela yokudlula kwezisu
• Ukuphuza igazi okukhulu okungabangela ukushoda kwegazi nobuthakathaka
• Ukuqhekeka odongeni lwerectal, okungabangela ukutheleleka okukhulu
• Ukubhebhetheka ezihlabathini eziseduze njengebhelebhele, i-prostate, noma izitho zokuzala
• Ukubhebhetheka ezihlabathini ezikude, ikakhulukazi isibindi nemiphunga

Umdlavuza werectal ophambili ungabangela futhi izinhlanganisela ezihlobene nokubhebhetheka kwawo emzimbeni wonke. Lezi zingafaka izinkinga zesibindi uma umdlavuza ubhebhetheka lapho, ubunzima bokuqeda uma ufinyelela emiphungeni, noma ubuhlungu emathanjeni uma uthinta ama-skeleton. Abanye abantu bangathuthukisa ama-blood clots ngenxa yemiphumela yomdlavuza kuma-blood clotting systems.

Izinhlanganisela ezihlobene nokwelashwa zingafaka izingozi zokuthunga njengokutheleleka noma ukuphuza igazi, imiphumela evela e-chemotherapy njengokuphefumula noma i-neuropathy, kanye nemiphumela ye-radiation therapy njengokucasuka kwesikhumba noma ukushintsha kwamathumbu. Noma kunjalo, iqembu lakho lezokwelapha lizohlala lisebenza nawe eduze ukuvimbela nokuphatha lezi zinkinga.

Izindaba ezinhle ukuthi izinkinga eziningi zingavikeleka noma ziphathwe kahle ngokunakekelwa komuntu okufanele. Ukutholakala kwangaphambi kwesikhathi nokuphathwa kunciphisa kakhulu ingozi yokuthi kube khona izinkinga ezinzima.

Ukutholakala kanjani umdlavuza wesibindini?

Ukutholakala komdlavuza wesibindini kuvame ukubandakanya izinyathelo eziningi, kuqale ngengxoxo mayelana nezimpawu zakho nembali yakho yezokwelapha. Udokotela wakho uzofuna ukuqonda izimpawu zakho ezithile, umlando womndeni, nanoma yiziphi izingozi onazo.

Ukuhlolwa komzimba kuvame ukubandakanya ukuhlolwa kwesibindini ngomunwe, lapho udokotela wakho efaka khona umunwe ogqokwe isigqoko esibindini sakho ukuze azwe ukukhula okungavamile noma izindawo ezinobuhlungu. Nakuba lokhu kungase kuzwakale kungekuhle, kufushane futhi kunikeza ulwazi olubalulekile ngengxenye engezansi yesibindini sakho.

Uma imiphumela yokuqala isikisela ukuthi kuyadingeka ukuhlolwa okuqhubekayo, udokotela wakho cishe uzokuncoma ukuhlolwa okuqhubekayo:

• Ukuhlolwa kwe-Colonoscopy, okuvumela ukubona ngqo ikholoni lonke nesibindini
• Ukuhlolwa kwe-Flexible sigmoidoscopy, okuqondene nengxenye engezansi yekholoni nesibindini
• Ukuhlolwa kwe-CT scan yesisu ne-pelvis ukuhlola ukusabalala komdlavuza
• Ukuhlolwa kwe-MRI kwe-pelvis ukuze uthole izithombe eziningi zesibindini
• Izivivinyo zegazi kufaka phakathi amazinga e-CEA (carcinoembryonic antigen)
• Ukuthatha isampula yethishu ukuqinisekisa ukuxilongwa nokuthola uhlobo lomdlavuza

Uma kudalulwa umdlavuza, ukuhlolwa okuqhubekayo kokuqala kungabandakanya ukuhlolwa kwe-PET scans, izithombe ze-X-ray sesifuba, noma izinhlelo ezikhethekile ze-MRI ukuze kuqondwe ukuthi umdlavuza usabalale kangakanani. Lolu lwazi lubalulekile ekucwaningeni indlela yokwelapha ephumelelayo kakhulu.

Lonke inqubo yokuxilongwa ivame ukuthatha amasonto ambalwa ukuze iqede. Nakuba ukulinda imiphumela kungase kuzwakale kukukhathaza, khumbula ukuthi ukuhlolwa okuphelele kuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nesiqondiso sokwelapha esifanele.

Iyini indlela yokwelapha umdlavuza wesibindini?

Ukwelashwa komdlavuza wesibindini kuncike ezintweni eziningi ezihlanganisa isigaba somdlavuza, indawo yawo, nokuhle kwezempilo yakho jikelele. Isizathu sihlala siwukususa ngokuphelele umdlavuza ngenkathi kulondolozwa umsebenzi ojwayelekile ngangokunokwenzeka.

Ekhasini lokuqala lomdlavuza wesibindini, ukwelashwa kungase kuhilele ukucutshungulwa kuphela. Izinhlungu ezincane ezingasabalalanga ngokujulile odongeni lwesibindini ngezinye izikhathi zingasuswa ngezinqubo ezincane ezigcina isibindini nomsebenzi ojwayelekile wesisu.

Iziqephu eziphambili ngokuvamile zidinga indlela ehlangene:

• Ukwelashwa okuqala (ukwelashwa ngamakhemikhali nokukhanya ngaphambi kokucutshungulwa) ukunciphisa ihlungu
• Ukususwa kokucutshungulwa kwehlungu kanye nezinye izicubu
• Ukwelashwa ngamakhemikhali ngemuva kokucutshungulwa ukususa noma iyiphi iiseli zomdlavuza ezisele
• Izindlela eziqondiswe ngqo ezinguqukweni ezithile ze-genetic
• Ukwelashwa ngokukhululeka kwemithi yomdlavuza oluthile lomdlavuza wesibindini

Izinketho zokucutshungulwa zihluka kusukela ekususweni kwendawo yezifo ezincane kakhulu kuya ezinqubweni ezinkulu njengokucutshungulwa okuncane kwangaphambili noma ukucutshungulwa kwe-abdominoperineal yezinhlungu ezinkulu. Udokotela wakho uzoxoxa ngendlela engcono kakhulu yesimo sakho, kuhlanganise nokuthi ingabe i-colostomy yesikhashana noma ehlala njalo ingadingeka.

Ukwelashwa ngokukhanya kuvame ukusetshenziswa ekwelapheni komdlavuza wesibindini, ngaphambi kokucutshungulwa ukunciphisa izinhlungu noma ngemuva kokucutshungulwa ukunciphisa ingozi yokubuyela. Izinqubo zanamuhla zokukhanya zinembile kakhulu kunangaphambili, zinciphisa imiphumela emibi ngenkathi kulondolozwa ukusebenza kahle.

Iqembu lakho lokwelashwa lizoqala nawe ukwakha uhlelo oluqondene nendlela yokwelapha ehambisana nokwelashwa komdlavuza kanye nezincazelo zokuphila. Abantu abaningi abane-cancer yesibindini bayaqhubeka bephila impilo evamile, esebenzayo ngemuva kokwelashwa.

Ungayilawula kanjani izimpawu ekhaya ngesikhathi sokwelashwa komdlavuza wesibindini?

Ukuphatha izimpawu nemiphumela emibi ekhaya kudlala indima ebalulekile ekuhlangenwe nakho kwakho kokwelashwa. Ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo ngenkathi unakekela wena ekhaya kungakusiza uzizwe ukhululekile futhi ugcine amandla akho phakathi nokwelashwa.

Ngezimpawu zokugaya, ukudla ukudla okuncane, okuvamile kuvame ukusiza ekuthambiseni isicanucanu futhi kwenze kube lula emzimbeni wakho ukumunca izondlo. Gxila ekudleni okulula, okulula ukukugaya uma ungazizwa kahle, futhi uhlale uthambile ngokuncela amanzi noma ama-broths acacile usuku lonke.

Nawa amanye amasu asebenzayo abantu abaningi abawatholayo awusizo:

• Gcina idayari yezimpawu ukuze uqaphele ukuthi yini esiza futhi yini engasizi
• Sebenzisa ibhafu lesitz ukuze ududuze uma unethumbu elibuhlungu
• Faka ama-moisturizers abuthakathaka, angenamoya ekhulwini elithintekile yigciwane
• Phumula uma udinga, kodwa zama ukuhlala usebenza ngangokunokwenzeka
• Zama amasu okuphumula njengokuphefumula okujulile noma ukucamngca
• Cela usizo emindenini nabangane ngemisebenzi yansuku zonke uma kudingeka

Ukuqeda amandla kuyinto evamile ngesikhathi sokwelashwa, ngakho-ke lalela umzimba wakho uphumule uma kudingeka. Ukuzivocavoca okulula njengokuhamba okufushane kungasiza ekuqaliseni amazinga akho amandla nokwenza isimo sakho sengqondo sibe ngcono, kodwa qiniseka ukhulume nodokotela wakho ngaphambi kokuqala noma yiluphi uhlelo lokuzivocavoca.

Ungangabazi ukuthintana neqembu lakho lokunakekelwa kwezempilo uma izimpawu ziqala ukuba zimbi noma uma uthola ukukhathazeka okusha. Bavame ukuncoma amasu engeziwe noma balungise uhlelo lwakho lokwelashwa ukuze ukhululeke kakhulu.

Kungenzeka kanjani ukuvimbela umdlavuza we-rectal?

Nakuba ungakwazi ukuvimbela zonke izimo zomdlavuza we-rectal, unganciphisa kakhulu ingozi yakho ngokukhetha indlela yokuphila nokukhethwa njalo. Iqhinga eliphumelela kakhulu lokuvimbela lihlanganisa ukuphila impilo enempilo ngokuhlolwa kwezokwelapha okufanele ngokweminyaka yakho nezici zengozi.

Ukuhlolwa njalo kuyithuluzi lakho elikhulu kunawo wonke lokuvimbela. I-Colonoscopy ingathola futhi isuse ama-polyps angaphambi komdlavuza ngaphambi kokuba abe yimdlavuza, ngokuphumelelayo ukuvimbela ukukhula kwalesi sifo. Abantu abaningi kufanele baqale ukuhlolwa beseneminyaka engu-45, noma ngaphambi kwalokho uma benama-risk factors.

Ukushintsha kwesitayela sokuphila okungasiza ekuthuthukiseni ingozi yakho kuhlanganisa:

• Ukudla ukudla okunama-fruits amaningi, imifino, nama-grains aphelele
• Ukulinganisela inyama ebomvu nokugwema inyama eyenziwe
• Ukugcina isisindo esinempilo ngokudla okulinganiselwe nokuzivocavoca njalo
• Ukuzivocavoca njalo, uqonde okungenani imizuzu engu-150 yomsebenzi ophakathi nsuku zonke
• Ukugwema imikhiqizo yotshwala ngokuphelele
• Ukulinganisela ukusetshenziswa kotshwala kungaphezu kwesinye isiphuzo ngosuku kwabesifazane, ezimbili kwabesilisa
• Ukuphatha isifo sikashukela ngokuphumelelayo uma unaso

Ezinye izifundo ziqondisa ukuthi ezinye izithasiselo ezifana ne-calcium ne-vitamin D zingaba nemiphumela evikela, kodwa kungcono ukuthola lezi zondlo emithonjeni yokudla uma kungenzeka. Njalo xoxa ngezithasiselo nodokotela wakho ngaphambi kokuba uqale.

Uma unalesifo se-inflammatory bowel, sebenzisana eduze nodokotela wakho we-gastroenterologist ukuze uphathe isimo sakho ngokuphumelelayo. I-IBD elawulwayo kahle inganciphisa ingozi yakho yomdlavuza uma iqhathaniswa nesifo esingalawulwa kahle.

Kufanele ulungiselele kanjani ukubona udokotela wakho?

Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho nodokotela nokuthi konke ukukhathazeka kwakho kuqondwe. Ukuthatha imizuzu embalwa ukuhlela imicabango yakho ngaphambi kwesikhathi kungenza ukuvakasha kube nomphumela futhi kungabi nomthwalo.

Bhala phansi wonke ama-symptoms akho, kufaka phakathi ukuthi aqale nini, ukuthi avele kangaki, nokuthi yini eyenza kube ngcono noma kubi. Yiba uchwepheshe ngokushintsha kwemikhuba yakho yomathumbu, noma yikuphi ukuphuza igazi oyikubonile, nokuthi ama-symptoms akho akuphazamisa kanjani impilo yakho yansuku zonke.

Letha ulwazi olubalulekile nawe:

• Uhlu lwamithi, izithasiselo, namavithamini onke owawasebenzisa
• Umbukiso womndeni womdlavuza, ikakhulukazi umdlavuza wekoloni
• Umbukiso wakho wezokwelapha, kuhlanganise nanoma yiziphi izikhumba noma izinkinga zethumbu ezazibukhona ngaphambili
• Amakhadi yomshuwalense kanye nokuhlonza
• Umngane othembekile noma ilungu lomndeni lokusekela uma ufuna

Lungisa imibuzo yokubuza udokotela wakho, njengokuthi yiziphi izivivinyo ongadinga, ukuthi imiphumela ingasho ukuthini, kanye nezinketho zokwelapha ezitholakalayo. Ungakhathazeki ngokubuza imibuzo eminingi kakhulu - udokotela wakho ufuna ukukusiza uqonde isimo sakho ngokuphelele.

Uma ukhathazekile ngokuqokwa, lokho kuyinto evamile ngokuphelele. Cabanga ngokuletha incwadi yokubhala phansi ulwazi olubalulekile, njengoba kungaba nzima ukukhumbula konke okuxoxwe uma uzizwa ukhathazekile.

Iyini into ebalulekile mayelana nomdlavuza we-rectal?

Into ebaluleke kakhulu okufanele uyikhumbule ngomdlavuza we-rectal ukuthi ukutholwa kwasekuqaleni kusindisa impilo. Uma kubanjwe ngokushesha, umdlavuza we-rectal uyaphatheka kakhulu, abantu abaningi beqhubeka bephila impilo egcwele, enempilo ngemuva kokwelashwa.

Ungawunaki ushintsho oluqhubekayo emikhwenyoni yakho yethumbu noma ezinye izimpawu ezinkulu. Nakuba lezi zimpawu zivame ukuba nezizathu ezingalimi, ukuzihlola ngokushesha kuqinisekisa ukuthi uma kukhona umdlavuza, ungaphathwa ngokushesha ngangokunokwenzeka lapho ukwelashwa kuphumelela kakhulu.

Ukuhlolwa okuvamile yilona luvivinyo lwakho oluhle kakhulu lokuvikela umdlavuza we-rectal. Uma uneminyaka engu-45 noma ngaphezulu, noma uma unezingozi ezifana nomlando womndeni, xoxa nodokotela wakho ngezinketho zokuhlola. Ukuhlola kungavimbela umdlavuza ngokuthola nokususa izikhumba ezingaphambi komdlavuza ngaphambi kokuba zibe zimbi.

Khumbula ukuthi ukuba nezingozi akusho ukuthi uzophuthuma umdlavuza we-rectal, futhi izici eziningi zengozi yakho zilawulwa ngokukhetha impilo enempilo. Gxila kulokho ongalulawula ngenkathi uhlala usesikhathini sokuhlolwa okusikisela.

Imibuzo evamile ebuzwa ngomdlavuza we-rectal

Ingabe umdlavuza wesibindini uyafana nomdlavuza wesisu?

Umdlavuza wesibindini nomdlavuza wesisu kuhlobene eduze kodwa awufani ngokuphelele. Bobabili bangamaqembu omdlavuza we-colorectal, kodwa umdlavuza wesibindini uba khona ngokukhethekile e-intshi ezi-6 zokugcina zesisu esikhulu. Nakuba bahlanganyela izinto eziningi ezifanayo ezikwenzeni nasezingozini, umdlavuza wesibindini udinga izindlela zokwelapha ezihlukile ngenxa yendawo yawo eduze kwesikhumba nese-pelvis.

Umdlavuza wesibindini usakazeka ngokushesha kangakanani?

Umdlavuza wesibindini ukhula kancane kancane eminyakeni eminingi, ngokuvamile uqala njenge-polyps encane eguquka kancane kancane ibe yimdlavuza. Noma kunjalo, izinga lokukhula lingahluka kakhulu phakathi kwabantu nohlobo lomdlavuza. Ezinye izinhlobo ezinamandla zingasakazeka ngokushesha, kungakho ukubhekwa ngokushesha kwezimpawu nokukhangwa okuvamile kubaluleke kakhulu.

Ingabe abantu abasebasha bangathola umdlavuza wesibindini?

Nakuba umdlavuza wesibindini uvame kakhulu kubantu abadlula u-50, ungaba khona kubantu abadala abasebasha. Izimo zabantu abaneminyaka engaphansi kuka-50 ziye zandisa eminyakeni yamuva, yize izizathu zingaziwa ngokuphelele. Uma usencane futhi uhlangabezana nezimpawu ezikhathazayo, ungacabangi ukuthi usencane kakhulu ngomdlavuza - xoxa ngezimpawu zakho nodokotela wakho.

Iyini izinga lokuphila komdlavuza wesibindini?

Izinga lokuphila komdlavuza wesibindini lixhomeke kakhulu esigabeni sokutholakala. Uma kubanjwe ngokushesha futhi kuvalwe esibindini, izinga lokuphila kweminyaka emi-5 lingaphezu kuka-90%. Ngisho noma umdlavuza usakazeke kuma-lymph nodes aseduze, abantu abaningi basaphila kahle ngokwelashwa okufanele. Isibikezelo sakho siqu sixhomeke ezintweni eziningi udokotela wakho angaxoxa nawe ngazo.

Ngizodinga isikhwama se-colostomy uma nginodlavuza wesibindini?

Akuwona wonke umuntu onomdlavuza we-rectal odinga i-colostomy eqinile. Abantu abaningi bangaba nokuhlinzwa okuvikela umsebenzi ojwayelekile wesisu. Ngezinye izikhathi i-colostomy yesikhashana iyadingeka ukuvumela ukuphulukisa ngemuva kokuhlinzwa, kodwa lokhu kuvame ukuguqulwa kamuva. Udokotela wakho wezokwelapha uzoxoxa uma i-colostomy idingeka ngokusekelwe endaweni ethile yomdlavuza wakho kanye nelenani lokwelapha.