Created at:1/13/2025
I-Flexible sigmoidoscopy iyinqubo yezokwelapha evumela udokotela wakho ukuthi ahlolisise ingxenye engezansi yamathumbu akho amakhulu esebenzisa ithumbu elincanyana, eliguquguqukayo elinekhamera encane. Lolu hlobo lokuhlolwa lungasiza ekutholeni izinkinga ezinjengama-polyps, ukuvuvukala, noma izimpawu zakuqala zomdlavuza wamathumbu amakhulu e-sigmoid colon kanye ne-rectum.
Le nqubo ithatha imizuzu engaba ngu-10 kuya kwengama-20 futhi ayihlaseli kangako kuno-colonoscopy ephelele. Udokotela wakho angabona ngaphakathi kwamathumbu akho ngokucacile futhi athathe amasampula ezicubu uma kudingeka. Abantu abaningi bakuthola kukhululekile kakhulu kunalokho abebelindele, ikakhulukazi ngokulungiselela okufanele kanye nethimba lezokwelapha elinakekelayo.
I-Flexible sigmoidoscopy iyinqubo yokuxilonga ehlola i-rectum kanye nengxenye yesithathu engezansi yamathumbu akho amakhulu. Udokotela wakho usebenzisa i-sigmoidoscope, okuyithumbu eliguquguqukayo elingaba nobukhulu bomunwe wakho elinokukhanya nekhamera ekugcineni.
I-sigmoidoscope ingagoba futhi ihambe ngamajika amathumbu akho angezansi. Lokhu kuvumela udokotela wakho ukuthi abone ukugqama kwangaphakathi kwe-rectum yakho kanye ne-sigmoid colon, okuyingxenye emise okwe-S yamathumbu akho amakhulu. Le nqubo ihlanganisa cishe amasentimitha angu-20 okugcina amathumbu akho amakhulu.
Ngokungafani ne-colonoscopy ephelele, i-sigmoidoscopy ihlola kuphela ingxenye engezansi yamathumbu akho amakhulu. Lokhu kuyenza ibe yinqubo emfushane, engahlanganisi kangako evame ukudinga isikhathi esincane sokulungiselela. Kodwa-ke, ayikwazi ukuthola izinkinga ezingxenyeni ezingenhla zamathumbu akho amakhulu.
I-Flexible sigmoidoscopy isebenza njengethuluzi lokuhlola kanye nenqubo yokuxilonga yezimo ezihlukahlukene zamathumbu. Udokotela wakho angase ayincomise ukuhlola umdlavuza wamathumbu amakhulu, ikakhulukazi uma uneminyaka engaphezu kwengama-50 noma unezici eziyingozi zesifo.
Le nqubo ingasiza ukuhlonza izimo eziningana emathunjini akho amakhulu nangemuva. Udokotela wakho angabona ama-polyps, okuyizicubu ezincane ezingase zibe nomdlavuza ngokuhamba kwesikhathi. Bangathola futhi ukuvuvukala, imithombo yokopha, noma ezinye izinguquko ezingavamile emgqeni wamathumbu akho.
Ungase udinge lolu vivinyo uma unezimpawu ezinjengokopha ngemuva, izinguquko emikhubeni yamathumbu, noma ubuhlungu besisu obungachazeki. Ngezinye izikhathi odokotela bayalusebenzisa ukugada izimo ezaziwayo njengesifo samathumbu esivuvukalayo. Kungasiza futhi ekuphenyeni izimbangela zohudo olungapheli noma ukuqunjelwa.
Inqubo ye-sigmoidoscopy eguquguqukayo yenzeka ehhovisi likadokotela wakho noma emtholampilo ongaphumi kuwo. Uzoqala ngokuqamba ngohlangothi lwakho lwesobunxele etafuleni lokuhlolwa, futhi amadolo akho azodonswa ngase sifubeni sakho ukuze uthole ukufinyelela okungcono emuva lakho.
Udokotela wakho uzoqala enze ukuhlolwa kwangemuva ngomunwe onamagilavu nogcotshisiwe. Bese bazofaka ngobumnene i-sigmoidoscope ngendunu yakho nangemuva lakho. I-scope ihamba kancane emathunjini akho amakhulu ngenkathi udokotela wakho ebuka izithombe esikrinini.
Ngesikhathi senqubo, udokotela wakho angase agcwalise umoya omncane emathunjini akho amakhulu ukuze awavule ukuze abonakale kangcono. Lokhu kungabangela ukugcwala okuthile noma ukucindezela, okujwayelekile. Uma udokotela wakho ebona noma yimaphi ama-polyps noma izindawo ezisolisayo, bangathatha amasampula ezicubu nge-scope.
Yonke inqubo ngokuvamile ithatha imizuzu eyi-10 kuya kwengama-20. Uzoqaphela ngesikhathi sokuhlolwa, nakuba abanye odokotela bengase banikeze ukuthuliswa okuncane uma ukhathazekile kakhulu. Abantu abaningi bayayibekezelela kahle inqubo ngokuphatheka kabi okuncane.
Ukulungiselela i-sigmoidoscopy eguquguqukayo kuhilela ukuhlanza amathumbu akho amakhulu ukuze udokotela wakho abone kahle. Ukulungiselela kwakho kuzoba ngaphansi kakhulu kunokwenza i-colonoscopy ephelele, kodwa kusabalulekile ukulandela yonke imiyalelo ngokucophelela.
Kuzodingeka ukulandela ukudla okucacile okungamanzi amahora angu-24 ngaphambi kwenqubo yakho. Lokhu kusho ukuthi ungafaka ama-broths acacile, i-gelatin elula, amajusi acacile ngaphandle kwe-pulp, namanzi amaningi. Gwema ukudla okuqinile, imikhiqizo yobisi, nanoma yini enombala wokwenziwa.
Udokotela wakho uzoqoka i-enema noma i-laxative ukuze ahlanzekise amathumbu akho aphansi. Ungase udinge ukusebenzisa i-enema eyodwa noma ezimbili ekuseni kwenqubo yakho, noma uthathe ama-laxatives ngomlomo ngobusuku obandulelayo. Landela imiyalelo yesikhathi ngqo njengoba udokotela wakho ekunikeza yona.
Yazisa udokotela wakho ngayo yonke imithi oyithathayo, ikakhulu ama-blood thinners noma imithi yesifo sikashukela. Eminye imithi ingase idinge ukulungiswa ngaphambi kwenqubo. Futhi shaya indiva noma yikuphi ukungezwani komzimba noma izimo zezokwelapha ezingathinta ukuhlolwa.
Imiphumela yakho ye-flexible sigmoidoscopy izokhombisa ukuthi udokotela wakho uthole ini emathunjini akho aphansi kanye nase-rectum. Imiphumela ejwayelekile isho ukuthi udokotela wakho akabonanga noma yimaphi ama-polyps, ukuvuvukala, ukopha, noma ezinye izinguquko ezikhathazayo endaweni ehloliwe.
Uma ama-polyps atholakele, udokotela wakho uzochaza usayizi wawo, indawo yawo, nokubukeka kwawo. Ama-polyps amancane angase asuswe ngesikhathi senqubo, kuyilapho amakhulu angase adinge i-colonoscopy ephelele ukuze asuswe ngokuphepha. Udokotela wakho uzochaza ukuthi ama-polyps abonakala enobuntu noma adinga ukuhlolwa okuqhubekayo.
Imiphumela engavamile ingase ihlanganise izimpawu zokuvuvukala, imithombo yokopha, noma izindawo ezisolisayo ezidinga i-biopsy. Uma amasampula ezicubu athathiwe, kuzodingeka ulinde imiphumela ye-pathology, evame ukuthatha izinsuku ezimbalwa. Udokotela wakho uzokuthinta ngale miphumela futhi axoxe ngezinyathelo ezilandelayo.
Khumbula ukuthi i-sigmoidoscopy ihlola kuphela ingxenye yesithathu engezansi yamathumbu akho amakhulu. Noma ngemiphumela ejwayelekile, udokotela wakho angase asakwazi ukuncoma i-colonoscopy ephelele ukuze ahlolisise wonke amathumbu amakhulu, ikakhulukazi uma unezici eziyingozi zomdlavuza wamathumbu.
Ubudala buyisici esikhulu esiyingozi sokudinga ukuhlolwa kwe-sigmoidoscopy eguquguqukayo. Odokotela abaningi batusa ukuhlolwa komdlavuza wamathumbu kusukela eminyakeni engama-45 kuya kwengama-50, ngisho noma ungenazo izimpawu noma umlando womndeni wesifo.
Izici eziningana zingakhuphula ingozi yakho futhi zikwenze kube nokwenzeka ukuthi i-sigmoidoscopy ituswe. Lokhu kufaka phakathi ukuba nomlando womndeni womdlavuza wamathumbu noma ama-polyps, ikakhulukazi ezihlotsheni zokuqala njengabazali noma izingane zakubo. Umlando womuntu siqu wesifo samathumbu esivuvukalayo nawo uyakhuphula ingozi yakho.
Izici zokuphila nazo zidlala indima engozini yakho yomdlavuza wamathumbu. Nazi ezinye izici ezingase zibangele udokotela wakho ukuthi atuse ukuhlolwa:
Lezi zici eziyingozi zisiza udokotela wakho ukuthi anqume ukuthi kufanele uqale nini ukuhlolwa nokuthi ukudinga kangaki. Abantu abanengozi enkulu bangase badinge ukuhlolwa okuvamile noma izinsuku zokuqala zangaphambili.
I-sigmoidoscopy eguquguqukayo ngokuvamile iphephile kakhulu, kodwa njenganoma iyiphi inqubo yezokwelapha, ithwala ezinye izingozi ezincane. Izinkinga ezinzima azivamile, zenzeka ngaphansi kwenqubo engu-1 kwangu-1,000.
Imiphumela emibi evame kakhulu imnene futhi yesikhashana. Ungase uzwe ukugcwala, ukuqunjelwa, noma igesi ngemva kwenqubo evela emoyeni owafakwa emathunjini akho. Le mizwa ivame ukunyamalala emahoreni ambalwa njengoba umoya umuncwa noma udlula.
Izinkinga ezingathi sína zingenzeka kodwa azivamile. Nazi izingozi eziyinhloko okufanele uziqaphele:
Lezi zinkinga zidinga ukunakekelwa kwezempilo ngokushesha. Udokotela wakho uzokunika imiyalelo ethile mayelana nezimpawu zokuxwayisa okufanele uziqaphele nokuthi kufanele ushayele nini ukuze uthole usizo.
Kufanele uxoxe nge-sigmoidoscopy eguquguqukayo nodokotela wakho uma usondela eminyakeni yokuhlolwa enconyiwe, evame ukuba iminyaka engama-45 kuya kwengama-50 ubudala. Ngisho nangaphandle kwezimpawu, ukuhlolwa njalo kungabamba izinkinga zisasekuqaleni lapho ziselashwa kalula.
Ezinye izimpawu zidinga ukuhlolwa ngokushesha futhi zingaholela ekunconyweni kwe-sigmoidoscopy. Xhumana nodokotela wakho uma uhlangabezana nokuphuma kwegazi okuqhubekayo ngemuva, izinguquko ezinkulu emikhubeni yakho yamathumbu, noma ubuhlungu besisu obungachazeki obuhlala izinsuku ezingaphezu kwezimbili.
Ezinye izimpawu ezingase zishukumise udokotela wakho ukuthi ancome i-sigmoidoscopy zihlanganisa isifo sohudo esingapheli noma ukuqunjelwa, izitulo ezincane, noma ukuzwa sengathi amathumbu akho awazikhiphi ngokuphelele. Ukuncipha kwesisindo ngaphandle kokuzama kungaba futhi yisimpawu esikhathazayo esidinga uphenyo.
Ngemuva kwenqubo yakho, kufanele uthinte udokotela wakho ngokushesha uma uba nobuhlungu obukhulu besisu, ukuphuma kwegazi okukhulu, umkhuhlane, noma izimpawu zokutheleleka. Lokhu kungabonisa izinkinga ezidinga ukwelashwa ngokushesha.
I-sigmoidoscopy eguquguqukayo iyasebenza ekutholeni umdlavuza we-colorectal kanye nama-polyps engxenyeni engezansi yesithathu yekholoni yakho. Ucwaningo lubonisa ukuthi lunganciphisa ukufa ngenxa yomdlavuza we-colorectal ngokuthola izinkinga zisasekuqaleni ezindaweni ezizihlolayo.
Kodwa-ke, i-sigmoidoscopy ibona cishe ingxenye eyodwa kwezintathu yekholoni yakho yonke. Ayikwazi ukuthola izinkinga ezingxenyeni ezingenhla zamathumbu akho amakhulu. Ukuze uthole ukuhlolwa okuphelele komdlavuza we-colorectal, odokotela abaningi bakhetha i-colonoscopy ephelele, ehlola yonke ikholoni.
Abantu abaningi bazizwa bengakhululekile kancane ngesikhathi se-flexible sigmoidoscopy. Ungase uzwe ingcindezi, ukuqaqamba, noma isifiso sokukhipha indle njengoba i-scope idlula emathunjini akho amakhulu. Umoya ofakwe ukuvula amathumbu akho amakhulu ungadala ukuqunjelwa kwesikhashana.
Inqubo ngokuvamile ayikhululekile kakhulu kune-colonoscopy ephelele ngoba imfushane futhi ihlola indawo encane. Udokotela wakho angashintsha inqubo uma uzwa ukungakhululeki okukhulu, futhi ukuthulisa okuncane kuyatholakala uma kudingeka.
Uma imiphumela yakho ye-sigmoidoscopy ijwayelekile, odokotela abaningi batusa ukuphinda ukuhlolwa njalo eminyakeni emi-5. Lesi sikhathi silinganisa ukuhlolwa okuphumelelayo nokuphazamiseka kanye nezingozi ezincane zenqubo.
Udokotela wakho angase atuse ukuhlolwa okuvame kakhulu uma unezici eziyingozi njomlando womndeni womdlavuza we-colorectal, isifo samathumbu esivuvukalayo, noma uma kutholakala ama-polyps ngesikhathi sokuhlolwa kwangaphambilini. Abantu abanengozi enkulu bangase badinge ukuhlolwa njalo eminyakeni emi-3 noma ngisho njalo ngonyaka.
Ngokuvamile ungaqala kabusha ukudla kwakho okuvamile ngemva kwe-flexible sigmoidoscopy. Njengoba inqubo ingadingi ukuthuliswa ezimweni eziningi, azikho izithiyo ekudleni noma ekuphuzeni ngemva kwalokho.
Ungase uzwe igesi ethile noma ukuqunjelwa amahora ambalwa ngemva kwenqubo. Ukudla okulula kungase kube lula ekuqaleni, kodwa ungadla noma yini ongayidla ngokujwayelekile. Uma amasampula ezicubu athathwe, udokotela wakho uzokwazisa uma kukhona izincomo ezikhethekile zokudla.
Umehluko omkhulu ukuthi iyiphi ingxenye yamathumbu akho amakhulu inqubo ngayinye eyihlolayo. I-Sigmoidoscopy ibheka kuphela ingxenye yesithathu engezansi yamathumbu akho amakhulu, kuyilapho i-colonoscopy ihlola lonke ithumbu elikhulu kusukela emgodini kuya e-cecum.
I-Sigmoidoscopy imfishane, idinga ukulungiswa okuncane, futhi ngokuvamile ayidingi ukuthuliswa. I-Colonoscopy ithatha isikhathi eside, idinga ukulungiswa kwamathumbu okwengeziwe, futhi ngokuvamile isebenzisa ukuthuliswa ukuze kube lula. Kodwa-ke, i-colonoscopy inikeza ukuhlolwa okuphelele kakhulu kwalo lonke ikholoni lakho.