Kuwonetsetsa kwa khansa ya m'matumbo

Kuwonetsetsa kwa khansa ya m'matumbo kumatha kuzindikira ma polyps ndi khansa yoyambirira m'matumbo akulu. Kuwunika kotereku kumatha kupeza zovuta zomwe zitha kuchiritsidwa khansa isanayambike kapena kufalikira.Kuwonetsetsa pafupipafupi kumachepetsa chiopsezo chakufa komanso zovuta zomwe zimadza chifukwa cha khansa yoyipa.

KUYESA KWAMBIRI

Pali njira zingapo zowunikira khansa ya m'matumbo.

Chopondapo mayeso:

• Ma polyps m'matumbo ndi khansa yaying'ono imatha kuyambitsa magazi pang'ono omwe sangathe kuwoneka ndi maso. Koma magazi amatha kupezeka mu chopondapo.
• Njirayi imayang'ana chopondapo chanu magazi.
• Chiyeso chofala kwambiri chomwe chimagwiritsidwa ntchito ndimayeso amwazi wamatsenga (FOBT). Mayeso ena awiri amatchedwa fecal immunochemical test (FIT) ndi chopondapo DNA test (sDNA).

Sigmoidoscopy:

• Kuyesaku kumagwiritsa ntchito gawo lochepa kuti muwone m'munsi mwa colon yanu. Chifukwa mayeso amangoyang'ana gawo limodzi mwa magawo atatu amatumbo akulu (colon), atha kuphonya khansa zina zomwe zili m'matumbo akulu.
• Sigmoidoscopy ndi mayeso oyesa zitha kugwiritsidwa ntchito limodzi.

Zojambulajambula:

• Colonoscopy ndiyofanana ndi sigmoidoscopy, koma colon yonse imatha kuwonedwa.
• Wothandizira zaumoyo wanu adzakupatsani njira zoyeretsera matumbo anu. Izi zimatchedwa kukonzekera matumbo.
• Pakati pa colonoscopy, mumalandira mankhwala kuti mukhale omasuka komanso ogona.
• Nthawi zina, ma scan a CT amagwiritsidwa ntchito m'malo mwa colonoscopy yanthawi zonse. Izi zimatchedwa colonoscopy.

Mayeso ena:

• Capsule endoscopy imaphatikizapo kumeza kamera yaying'ono, yamapiritsi yomwe imatenga kanema wamkati mwanu. Njirayi ikuwerengedwa, motero sikoyenera kuwunika nthawi zonse.

KUYANG'ANIRA ANTHU OWEREKA PAKATI

Palibe umboni wokwanira wonena kuti njira yowunikira ndiyabwino kwambiri. Koma, colonoscopy ndiyabwino kwambiri. Lankhulani ndi omwe akukuthandizani za mayeso omwe ali oyenera kwa inu.

Amuna ndi akazi onse ayenera kukhala ndi mayeso owunika khansa yam'mimba kuyambira azaka 50. Ena othandizira amalimbikitsa kuti anthu aku Africa aku America ayambe kuwunika ali ndi zaka 45.

Ndi kuwonjezeka kwaposachedwa kwa khansa ya m'matumbo mwa anthu azaka za m'ma 40, American Cancer Society ikulimbikitsa kuti abambo ndi amai athanzi ayambe kuwunika ali ndi zaka 45. Lankhulani ndi omwe amakuthandizani ngati muli ndi nkhawa.

Zosankha zowunika kwa anthu omwe ali ndi chiopsezo chotenga khansa ya m'matumbo:

• Colonoscopy zaka khumi zilizonse kuyambira ali ndi zaka 45 kapena 50
• FOBT kapena FIT chaka chilichonse (colonoscopy imafunika ngati zotsatira zili zabwino)
• sDNA zaka 1 kapena 3 zilizonse (colonoscopy imafunika ngati zotsatira zili zabwino)
• Kusintha kwa sigmoidoscopy zaka 5 mpaka 10 zilizonse, nthawi zambiri ndimayeso am'manja FOBT imachita zaka 1 kapena 3 zilizonse
• Ma colonoscopy pafupifupi zaka zisanu zilizonse

KUYANG'ANIRA ANTHU Oopsa

Anthu omwe ali ndi zifukwa zina zoopsa za khansa ya m'matumbo angafunike kale (asanakwanitse zaka 50) kapena kuyesedwa pafupipafupi.

Zowopsa zambiri ndi izi:

• Mbiri yabanja yamatenda am'mimba amtundu wamatenda obadwa nawo, monga banja adenomatous polyposis (FAP) kapena cholowa cha nonpolyposis colorectal cancer (HNPCC).
• Mbiri yolimba ya banja la khansa yoyera yamtundu kapena polyps. Izi nthawi zambiri zimatanthauza abale apafupi (kholo, m'bale, kapena mwana) omwe adayamba izi ali ochepera zaka 60.
• Mbiri yakale ya khansa yoyipa kapena ma polyps.
• Mbiri yanthawi yayitali yamatenda otupa (mwachitsanzo, ulcerative colitis kapena matenda a Crohn).

Kuwunika kwa maguluwa kumachitika mosavuta pogwiritsa ntchito colonoscopy.

Kuunika khansa yamatumbo; Colonoscopy - kuwunika; Sigmoidoscopy - kuwunika; Ma colonoscopy - kuwunika; Fecal immunochemical mayeso; Chopondapo DNA mayeso; Mayeso a sDNA; Khansa yoyipa - kuwunika; Khansa yapadera - kuwunika

• Anam`peza matenda am`matumbo - kumaliseche

• Zojambulajambula
• Matumbo akulu amkati
• Khansa ya Sigmoid colon - x-ray
• Mayeso amatsenga amatsenga

Garber JJ, Chung DC. Colonic polyps ndi polyposis syndromes. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 126.

Tsamba la National Cancer Institute. Kuyezetsa magazi mosiyanasiyana (PDQ) - mtundu wa akatswiri azaumoyo. www.cancer.gov/types/colorectal/hp/colorectal-screening-pdq. Idasinthidwa pa Marichi 17, 2020. Idapezeka Novembala 13, 2020.

Rex DK, Boland CR, Dominitz JA, et al. (Adasankhidwa) Kuwonetsetsa kwa khansa yoyipa: Malangizo kwa asing'anga ndi odwala ochokera ku US Multi-Society Task Force on Colorectal Cancer. Ndine J Gastroenterol. 2017; 112 (7): 1016-1030. (Adasankhidwa) PMID: 28555630 pubed.ncbi.nlm.nih.gov/28555630/.

Tsamba la US Preventive Services Task Force. Ndemanga yomaliza. Kuwonetsetsa kwa khansa yoyipa. www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening. Idasindikizidwa pa June 15, 2016. Idapezeka pa Epulo 18, 2020.

Wolf AMD, Fontham ETH, Mpingo TR, et al. Kuwonetsetsa kwa khansa yoyipa kwa achikulire omwe ali pachiwopsezo: Zosintha za 2018 kuchokera ku American Cancer Society. CA Khansa J Clin. 2018; 68 (4): 250-281. PMID: 29846947 adatulutsidwa.ncbi.nlm.nih.gov/29846947/.