Chiyeso cha guaiac chopondapo

Chiyeso cha guaiac choyang'ana chimayang'ana magazi obisika (zamatsenga) munthawi ya chopondapo. Itha kupeza magazi ngakhale simukuziwona nokha. Ndiwo mtundu wofala kwambiri wamayeso amwazi wamatsenga (FOBT).

Guaiac ndi chinthu chochokera ku chomera chomwe chimagwiritsidwa ntchito kuphimba makhadi oyeserera a FOBT.

Nthawi zambiri mumatenga zinyumba zochepa kunyumba. Nthawi zina, adokotala amatha kutolera pang'ono chopondapo mukamayesedwa.

Ngati mayeso achitika kunyumba, mumagwiritsa ntchito chida choyesera. Tsatirani ndalamazo ndendende. Izi zimatsimikizira zotsatira zolondola. Mwachidule:

• Mumasonkhanitsa chopondapo kuchokera kumatumbo atatu osiyanasiyana.
• Paulendo uliwonse wamatumbo, mumapaka chopondapo pang'ono pakhadi lomwe lili mchikwama.
• Mumatumiza khadi ku labotale kuti ikayesedwe.

MUSATenge zitsanzo zampando m'madzi am'chimbudzi. Izi zitha kuyambitsa zolakwika.

Kwa makanda ndi ana aang'ono ovala matewera, mutha kuyika thewera ndi kukulunga pulasitiki. Ikani zokutira pulasitiki kuti zizisunga chopondapo mkodzo uliwonse. Kusakaniza mkodzo ndi chopondapo kumatha kuwononga chitsanzocho.

Zakudya zina zimatha kukhudza zotsatira za mayeso. Tsatirani malangizo oti musadye zakudya zina musanayezetse. Izi zingaphatikizepo:

• Nyama yofiira
• Kantalupu
• Broccoli wosaphika
• Tipu
• Radishi
• Zowonongera

Mankhwala ena amatha kusokoneza mayeso. Izi zimaphatikizapo vitamini C, aspirin, ndi NSAID monga ibuprofen ndi naproxen. Funsani wothandizira zaumoyo wanu ngati mukufuna kusiya kumwa izi musanayesedwe. Osayima kapena kusintha mankhwala anu musanalankhule ndi omwe akukuthandizani.

Kuyesedwa kwapakhomo kumakhudza kuyenda kwamatumbo. Palibe kusapeza.

Mutha kukhala osasangalala ngati chopondapo chimasonkhanitsidwa panthawi yoyezetsa magazi.

Kuyesaku kumazindikira magazi m'mimba. Zitha kuchitika ngati:

• Mukuyesedwa kapena kuyesedwa ndi khansa ya m'matumbo.
• Muli ndi ululu m'mimba, kusintha matumbo, kapena kuchepa thupi.
• Muli ndi kuchepa kwa magazi m'thupi (magazi ochepa).
• Mukuti muli ndi magazi pachitetezo kapena chakuda, zotayirira.

Zotsatira zoyipa zoyeserera zikutanthauza kuti mulibe magazi mu chopondapo.

Zotsatira zachilendo zitha kukhala chifukwa cha zovuta zomwe zimayambitsa magazi m'mimba kapena m'matumbo, kuphatikiza:

• Khansa ya m'matumbo kapena zotupa zina za m'mimba (GI)
• Colon polyps
• Mitsempha yotulutsa magazi m'mimba kapena m'mimba (zotupa zam'mimba ndi zipata zowopsa kwambiri)
• Kutupa kwa khosi (esophagitis)
• Kutupa kwa m'mimba (gastritis) kuchokera kumatenda a GI
• Minyewa
• Matenda a Crohn kapena ulcerative colitis
• Chilonda chachikulu

Zina mwazomwe zimayesa mayeso atha kukhala:

• Kutuluka magazi
• Kutsokomola magazi kenako ndikumeza

Ngati zotulukapo za guaiac zibwereranso zabwino pamwazi, dokotala wanu atha kuyitanitsa mayeso ena, nthawi zambiri kuphatikiza colonoscopy.

Kuyesera kwa guaiac sikutanthauza khansa. Kuyezetsa magazi monga colonoscopy kumatha kuzindikira khansa. Kuyesa kwa guaiac ndi zina zowunikira zitha kutenga khansa yam'matumbo koyambirira, pomwe kuli kosavuta kuchiza.

Pakhoza kukhala zotsatira zabodza komanso zabodza.

Zolakwa zimachepetsedwa mukamatsatira malangizo mukamasonkhanitsa ndikupewa zakudya ndi mankhwala.

Khansa ya m'matumbo - mayeso a guaiac; Khansa yoyipa - mayeso a guaiac; gFOBT; Mayeso a guaiac smear; Fecal kukhulupirira magazi zamatsenga - guaiac chopaka; Kuyesa kwamatsenga kwamatsenga - guaiac smear

• Mayeso amatsenga amatsenga

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 pa khansa yoyipa. Ndine J Gastroenterol. 2017; 112 (7): 1016-1030. (Adasankhidwa) PMID: 28555630 www.ncbi.nlm.nih.gov/pubmed/28555630.

Amasunga TJ, Jensen DM. Kutuluka m'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 20.

Gulu Lankhondo Laku US Lodzitchinjiriza, Bibbins-Domingo K, Grossman DC, et al. Kuwunika kwa khansa yoyipa: Ndemanga ya US Preventive Services Task Force. JAMA. 2016; 315 (23): 2564-2575. PMID: 27304597 www.ncbi.nlm.nih.gov/pubmed/27304597. (Adasankhidwa)