"Cishe eminyakeni emi-5 kuya kwengu-6 edlule, saqala ukubona ezinye iziguli ezisencane ezinomdlavuza obala, kufaka phakathi abanye abantu abaseminyakeni yama-20 noma engama-30, ababengakaze babonwe phambilini," kusho iSikhumbuzo se-Memorial Sloan Kettering Cancer Center (MSK) uDkt.Julio Garcia- Aguilar, umqondisi wephrojekthi ye-colorectal "."
Izingozi ezivamile zomdlavuza obala kakhulu
Umbiko wakamuva we-AICR ubonisa ukuthi izici zendlela yokuphila, ikakhulukazi ukudla nokusebenza ngokomzimba, zidlala indima ebalulekile ekubangeleni noma ekuvimbeleni umdlavuza we-colorectal. Kutholakale ukuthi okusanhlamvu okuphelele nokuzivocavoca kunciphisa ingozi, kuyilapho inyama egayiwe kanye nokukhuluphala kwandisa ingozi yomdlavuza.
Izici ezinciphisa ubungozi besifo somdlavuza
■ Dietary fiber: Previous evidence has shown that dietary fiber can reduce the risk of colorectal cancer, and this report is further supplemented by reporting that 90 grams of whole grains per day can reduce the risk of colorectal cancer by 17%.
■ Izinhlamvu eziphelele: Ngokokuqala ngqa, ucwaningo lwe-AICR / WCRF ngokuzimela luxhumanise okusanhlamvu okuphelele nomdlavuza obala umbala. Ukutholwa okusanhlamvu okuphelele kunganciphisa ingozi yomdlavuza obala ngokwebala.
■ Ukuzivocavoca umzimba: Ukuzivocavoca umzimba kunganciphisa amathuba okuba nomdlavuza wamathumbu (kodwa abukho ubufakazi bokuthi wehlise amathuba okuba nomdlavuza wesikhumba).
■ Okunye: Ubufakazi obulinganiselwe bubonisa ukuthi inhlanzi, ukudla okunovithamini C (amawolintshi, ama-strawberry, isipinashi, njll.), amavithamini amaningi, i-calcium, nemikhiqizo yobisi nakho kunganciphisa ingozi yomdlavuza wesikhumba.
Izici ezandisa ingozi yomdlavuza obala
■ Ukudla okukhulu (> 500g ngeviki) kwenyama ebomvu nenyama ecutshunguliwe, kufaka phakathi inyama yenkomo, ingulube, izinja ezishisayo, njll. Ngo-2015, i-International Agency for Research on Cancer (IARC), i-ejensi yomdlavuza yeWorld Health Organisation (WHO), yahlukanisa inyama ecutshungulwayo "njengento ebanga umdlavuza kubantu." Ngaphezu kwalokho, ucwaningo olwenziwe kwabesifazane abangaphambi kokuya esikhathini luye lwabonisa ukuthi ukudla kakhulu inyama ebomvu kungakhuphula ingozi yomdlavuza webele.
≥ Phuza ≥ 2 izinhlobo zotshwala (30g utshwala) nsuku zonke, njengewayini noma ubhiya.
Vegetables Imifino / izithelo ezingekho isitashi, ukudla okuqukethe i-heme iron: Uma ukudla kukuphansi, amathuba okuba nomdlavuza obala umbala kakhulu.
Other Ezinye izinto njengokukhuluphala ngokweqile, ukukhuluphala ngokweqile, nokuphakama nakho kungakhuphula ubungozi besifo somdlavuza obala ngokobulili.
I-colonoscopy inciphisa ingozi yokufa ngamaphesenti angama-72
Kusuka kuma-polyps amancane kuya kumdlavuza obulalayo we-colorectal, imvamisa kuthatha iminyaka eyi-10 kuye kwengu-15, enikeza iwindi lesikhathi elanele lokuvimbela nokwelashwa kusenesikhathi, futhi i-colonoscopy njengamanje iyindlela encanyelwayo yokuhlolela umdlavuza obala.
Kokubili lesi sifo singatholakala futhi singasuswa ngesikhathi. Umphumela we-colonoscopy ekutholeni kusenesikhathi umdlavuza obala ngokobala ubonwe ngokuphelele!
Ithimba lokucwaninga lase-Indiana University kanye ne-American Veterans Medical Center ngokuhlanganyela lenze ucwaningo lokulawulwa kwamacala, kukhethwa amasosha acishe abe ngu-5,000 20,000 anomdlavuza nokufanisa iqembu elilawulayo elicishe libe yiminyaka engama-1 4 elinezici ezifanayo ngokuya ngesilinganiso se-XNUMX: XNUMX Ukuthola umthelela ye-colonoscopy ngokufa komdlavuza obala obala.
Ukuhlaziywa kubonise ukuthi kuphela ama-13.5% kuphela ama-veteran eqenjini lamacala athola i-enteroscopy ngaphambi kokutholakala ukuthi unomdlavuza, uma kuqhathaniswa ne-26.4% eqenjini lokulawula, futhi imvamisa ehlobene neqembu lamacala kwakungu-39% kuphela, okuphinde kwafakazela ukusebenza ye-enteroscopy ekutholeni umdlavuza kusenesikhathi; Uma kuqhathaniswa neziguli ezingenayo i-colonoscopy, ingozi enkulu yokufa kweziguli ezine-colonoscopy yehle ngo-61%, ikakhulukazi isigamu sesobunxele seziguli ezinomdlavuza we-colon ezinokuvezwa okuningi kwe-colonoscopy, ingozi yokufa yehle ngo-72%!
I-Enteroscopy iyadingeka kulezi zimpawu
Ngaphezu kwalokho, uma kuvela izimpawu ezifana nomdlavuza obomvu, kubalulekile futhi ukuthola imbangela ngokushesha okukhulu! Ezimweni eziningi, lezi zimpawu ezifana nomdlavuza obala ngokobala zingabangelwa ama-hemorrhoids, i-irritable bowel syndrome, noma isifo sokuvuvukala kwamathumbu. Kepha uma unesifo esisodwa noma eziningi, kungcono ukuya esibhedlela ukuthola imbangela.
(1) Labo abanezimpawu ezifana nezitulo ezinegazi kanye nezindle ezimnyama, noma ukuhlolwa kwegazi lokusebenzisa imilingo okuhlala isikhathi eside.
(2) Labo abanamafinyila nobomvu esitofini.
(3) Labo abanesibalo esikhulu sezitulo, abakheki, noma abahuda.
(4) Labo abanenkinga yokuhamba kwamathumbu noma ukunyakaza kwamathumbu okungajwayelekile muva nje.
(5) Labo indle yabo iba mncane futhi ikhubazeke.
(6) Labo abanezinhlungu zesikhathi eside esiswini nokuqunjelwa.
(7) Ukuncipha kwesisindo nokuchazwa kwesisindo okungachazeki.
(8) I-anemia yesizathu esingaziwa.
(9) Izidumbu zesisu sezizathu ezingaziwa zidinga ukutholakala.
(10) Labo abane-CEA ephakeme (carcinoembryonic antigen) yesizathu esingaziwa.
(11) Ukuqunjelwa okungapheli okuhlala isikhathi eside, okungalapheki isikhathi eside.
(12) I-colitis engapheli, imithi yesikhathi eside, kanye nokwelashwa kwesikhathi eside.
(13) Suspected colon cancer, but negative in barium enema X-ray examination.
(14) Abdominal CT or other examinations found thickening of the intestinal wall, and those with colorectal cancer should be excluded.
(15) Izilonda zokopha zingatholakala emgodini ophansi wamathumbu wokunquma imbangela yokopha, futhi i-heestasis ingenziwa ngaphansi kwesibonakhulu uma kunesidingo.
(16) Iziguli ezine-schistosomiasis, ulcerative colitis nezinye izifo.
(17) Umdlavuza ocacile udinga ukubuyekezwa okuvamile kwe-colonoscopy ngemuva kokuhlinzwa. Iziguli ezenziwa ukuhlinzwa komdlavuza ombaxa ngokuvamile zidinga i-colonoscopy njalo ezinyangeni eziyisithupha kuya onyakeni owodwa.
- Uma i-colonoscopy yehluleka ukuhlola lonke ikholoni ngenxa yokuvinjelwa kwe-colonic ngaphambi kokuhlinzwa, i-colonoscopy kufanele yenziwe izinyanga ezintathu ngemuva kokuhlinzwa ukuthola ukuthi kukhona yini ama-colonic polyps noma umdlavuza wekoloni kwezinye izingxenye.
(18) Labo abatholwe benama-polyp polyps futhi badinga ukususwa ngaphansi kwe-colonoscopy.
(19) Ama-polyps amakhemikhali adinga ukubuyekezwa okuvamile kwe-colonoscopy ngemuva kokuhlinzwa.
- Ama-polyps amakhemikhali angavela emuva kokuhlinzwa futhi kufanele abuyekezwe njalo.
- I-Villous adenoma, i-serrated adenoma, kanye ne-high-grade epithelial polyps kuthanda ukubuyela emuva nasemdlavuza. Kunconywa ukuthi ubuyekeze i-colonoscopy njalo ezinyangeni ezi-3-6.
- Amanye ama-polyps anconywa ukuthi abuyekezwe kanye ezinyangeni eziyi-12.
- Uma ukukhishwa kabusha kwe-colonoscopy kunegethivu, kuhlole kabusha eminyakeni emi-3 kamuva.
(20) Iziguli ezinomlando womndeni womdlavuza obomvu kufanele zenze i-colonoscopy.
- Uma umuntu oyedwa emndenini enomdlavuza omhlophe, amalungu omndeni wakhe (abazali, izingane, izingane zakubo) kufanele ahlolwe ngokomzimba i-colonoscopy, noma ngabe azikho izimpawu noma ukungaphatheki kahle.
- Inani elikhulu lezifundo likhombisile ukuthi uma umuntu enomdlavuza obala ngokwebala, amalungu omndeni wakhe asondele (abazali, izingane, izingane zakini) angamathuba ama-2-3 okuthola umdlavuza ogqamile kunabantu abajwayelekile.
(21) Abantu abanomlando womndeni wama-polyps amakhemikhali adinga ne-colonoscopy.
(22) Abantu abangaphezu kweminyaka yobudala be-40, ikakhulukazi ukudla okunamafutha amaningi isikhathi eside kanye nezidakwa zesikhathi eside, kungcono ukwenza i-colonoscopy yokuhlolwa komzimba okujwayelekile ukuze kutholakale umdlavuza wokuqala we-colorectal asymptomatic ngokushesha ngangokunokwenzeka .
Kufanele yenziwe kuphi i-colonoscopy?
Gastroscopy and enteroscopy have always been relatively contradictory tests for Chinese patients, but they are also the most effective way to detect gastric and intestinal cancer early. In Japan, the professionalism of the medical staff, the degree of tenderness and patience, and the comfort of the visiting environment have greatly reduced the discomfort of stomach and colonoscopy. At the same time, the very early discovery will cure the disease without causing any pain to the patient. And to achieve ultra-early discovery, you need to rely on “diagnostic doctors” who are familiar with the latest inspection methods.
Umhlaba udumile
udokotela "onamehlo kaNkulunkulu" -Kudo Jinying
UKudo Jinying ungudokotela owaziwa umhlaba wonke ekwelapheni umdlavuza obala ngokwebala. Waziwa ngokuba "Namehlo kaNkulunkulu" kanye "ne-Endoscopic God Hands". Kuthatha imizuzu emihlanu kuphela ukuqeda i-endoscopy ngaphandle kobuhlungu. UDkt. Kudo wathola umdlavuza wokuqala wokuqala ongavamile obala umbala obizwa ngokuthi "umdlavuza we-phantom." Akunandaba ukuthi hlobo luni lomdlavuza wesisu nomdlavuza omnyama ongeke weqe emehlweni akhe, ungaphulukisa ngempela i-5% yomdlavuza wokuqala wesisu kanye nomdlavuza obala esigabeni sokufufusa. Cishe amacala angama-100 we-endoscopy yamathumbu aqediwe kuze kube manje, okuyi-master esezingeni lomhlaba lomdlavuza wamathumbu colonoscopy.
Inkinga yomdlavuza obala ngokwezibalo yilowo obizwa ngokuthi “umdlavuza”. "Lesi sifo somdlavuza sisesimweni esibucayi futhi ngeke sixhumane ngqo nendle, ngakho-ke ngeke sibonise izimpawu zokuqala zomdlavuza obala," isihlalo segazi ". Ngakho-ke, kunzima ukuhlolwa kwesitokisi segazi elibomvu okujwayelekile, i-barium enema X-ray, kanye nokuhlolwa kwamathumbu amakhulu kwe-CT Yenza isinqumo. Futhi umdlavuza onjalo uyawohloka ngokuphindwe kabili kunomdlavuza ojwayelekile obala imibala, kuthi ngokuhamba kwesikhathi uthole izingozi ezihambisana nawo, kulokhu kuya ngokwanda.
