Indwara ya colonoskopi ni bumwe mu buryo bwizewe bwo kumenya kanseri y'urura runini hamwe n’ubuzima bw’igifu hakiri kare. Ku bantu bafite ibyago ugereranije, abaganga ubu barasaba gutangira kwipimisha colonoskopi bafite imyaka 45. Abafite amateka yumuryango cyangwa ubuvuzi barashobora gukenera gutangira kare. Gusobanukirwa igihe cyo gutangirira, inshuro zisubiramo, nuburyo bwo kwirinda ugomba kwemeza ko abarwayi bashobora kubona inyungu zuzuye zo kwipimisha ku gihe.
Mu myaka myinshi, imyaka isabwa yo gutangira kwipimisha colonoscopi yari 50. Mu makuru agezweho, amashyirahamwe akomeye yubuvuzi yagabanije imyaka yo gutangira kugeza ku myaka 45. Ihinduka ryatewe no kwiyongera kwa kanseri yibara ku bakuze bato. Mugabanye imyaka isabwa yo kwisuzumisha, abaganga bagamije kumenya no kuvura polyps mbere yo gutera imbere.
Aya mabwiriza akurikizwa ku bagabo no ku bagore bafite ibyago byo kurwara kanseri yibara. Colonoscopy ifatwa nkigipimo cya zahabu kuko ituma abaganga batareba gusa imbere imbere yimbere ariko banakuraho polyps mugihe kimwe.
Mugihe 45 aribwo buryo busanzwe bwo gutangira, abantu bamwe bagomba gukorerwa colonoskopi hakiri kare. Amatsinda afite ibyago byinshi arimo ibi bikurikira:
Amateka yumuryango: Umuvandimwe wo murwego rwa mbere ufite kanseri yibara cyangwa adenoma yateye imbere. Tangira kuri 40, cyangwa imyaka 10 mbere yimyaka ya mwene wabo mugupima.
Syndromes genetique: Syndrome ya Lynch cyangwa familial adenomatous polypose (FAP) irashobora gusaba colonoskopi mumyaka 20 cyangwa mbere yaho.
Indwara zidakira: Indwara yo mu mara (Indwara ya Crohn cyangwa ulcerative colitis) iremeza hakiri kare kandi kenshi.
Ibindi bintu bishobora guteza ingaruka: Umubyibuho ukabije, kunywa itabi, kunywa inzoga nyinshi, hamwe nimirire yuzuye inyama zitunganijwe birashobora kongera ibyago.
Imbonerahamwe 1: Impuzandengo na Byinshi-Ibyifuzo bya Colonoscopy Ibyifuzo
Icyiciro cy'ingaruka | Imyaka yo Gutangira | Icyifuzo cya Frequency | Inyandiko |
---|---|---|---|
Impuzandengo | 45 | Buri myaka 10 niba ari ibisanzwe | Abaturage muri rusange |
Amateka Yumuryango | Imyaka 40 cyangwa 10 mbere yo kwisuzumisha kwa mwene wabo | Buri myaka 5 cyangwa nkuko byateganijwe | Biterwa n'imyaka ya mwene wabo n'ibisubizo |
Indwara ya genetike (Lynch, FAP) | 20-25 cyangwa mbere yaho | Buri myaka 1-2 | Byinshi birakomeye kubera ibyago byinshi |
Indwara yo munda | Akenshi mbere ya 40 | Buri myaka 1-3 | Intera iterwa n'uburemere bw'indwara n'igihe bimara |
Nyuma ya colonoskopi yambere, intera yo gusuzuma izaza ishingiye kubisubizo hamwe nimpamvu zishobora gutera ingaruka. Intego ni ukuringaniza neza kwirinda kanseri hamwe no guhumuriza abarwayi hamwe nubuzima.
Buri myaka 10: nta polyps cyangwa kanseri byagaragaye.
Buri myaka 5: polyps ntoya, ifite ibyago bike.
Buri myaka 1-3: polyps nyinshi cyangwa ibyago byinshi, cyangwa amateka yumuryango.
Intera yihariye: ibihe byigihe kirekire cyangwa syndromes genetique ikurikiza gahunda ihamye.
Imbonerahamwe 2: Inshuro ya Colonoscopi ishingiye kubisubizo
Igisubizo cya Colonoscopy | Gukurikirana Intera | Ibisobanuro |
---|---|---|
Ibisanzwe (nta polyps) | Buri myaka 10 | Ibyago bike, ibyifuzo bisanzwe |
1-2 ntoya ntoya ifite ibyago bike | Buri myaka 5 | Ikigereranyo giciriritse, intera ngufi |
Polipi nyinshi cyangwa ibyago byinshi | Buri myaka 1-3 | Amahirwe menshi yo kwisubiramo cyangwa kanseri |
Ibihe bidakira (IBD, genetics) | Buri myaka 1-2 | Igenzurwa rikomeye rirakenewe |
Colonoscopy ni ibintu bisanzwe kandi muri rusange bifite umutekano, ariko ingamba zimwe na zimwe zigabanya umutekano nukuri. Muganire ku mateka yawe y'ubuvuzi, imiti, na allergie kwa muganga wawe. Ingorane nko kuva amaraso, kwandura, cyangwa gutobora ni gake, kandi imiti irashobora gukenerwa kubangiza amaraso, imiti igabanya ubukana, cyangwa imiti ya diyabete. Buri gihe ukurikize inama zubuvuzi aho guhagarika imiti wenyine.
Inzira ubwayo ifata iminota 30-60. Harimo kwitegura, kwikinisha, no gukira, teganya amasaha 2-33 mukigo.
Fata ibisubizo byateganijwe byoza amara umunsi ubanziriza inzira.
Kurikiza indyo yuzuye isukuye (umufa, icyayi, umutobe wa pome, gelatine) ejobundi.
Kunywa amazi menshi kugirango wirinde umwuma.
Kurikiza amabwiriza neza kugirango wirinde kwimurwa kubera kwitegura nabi.
Irinde ibiryo birimo fibre nyinshi nk'imbuto, imbuto, ibigori, n'ibinyampeke.
Irinde imbuto mbisi n'imboga hamwe nimpu.
Irinde ibiryo bitukura cyangwa ibara ry'umuyugubwe n'ibinyobwa bishobora kwanduza umurongo.
Koresha indyo isigaye hamwe nibiryo byoroshye-gusya.
Tegereza amasaha 1-2 yo gukira mugihe sedation irangiye.
Kubyimba by'agateganyo cyangwa gaze birasanzwe kubera umwuka ukoreshwa mugihe cy'ikizamini.
Tegura urugendo murugo; irinde gutwara imodoka umunsi wose.
Garuka mubikorwa bisanzwe bukeye keretse ugiriwe inama ukundi.
Menyesha muganga ububabare bukabije bwo munda cyangwa kuva amaraso bikomeje kwa muganga.
Hari igihe ingaruka zishobora kurenza inyungu. Ubuyobozi bwinshi bwerekana kugena ibyemezo hagati yimyaka 76-85 ukurikije ubuzima, icyizere cyo kubaho, nibisubizo byabanje. Kubarengeje 85, isuzuma risanzwe ntabwo risabwa.
Kumenya hakiri kare polyps.
Kwirinda kanseri yibara binyuze mu gukuraho polyp.
Kubaho neza iyo kanseri ibonetse mubyiciro byambere.
Amahoro yo mumutima kubantu bafite ingaruka cyangwa amateka yumuryango.
Mugutangira colonoskopi mugihe gikwiye, gukurikiza intera ishingiye ku ngaruka, no kubahiriza ingamba zikwiye, abantu barashobora kwirinda kanseri ishobora kwirindwa cyane mugihe bahisemo umutekano no guhumurizwa mugihe cyose.
Amabwiriza agezweho arasaba guhera kumyaka 45 kubantu bakuze nta mpamvu zihariye zishobora gutera. Iri hinduka kuva kuri 50 kugeza kuri 45 ryerekana ubwiyongere bwa kanseri yibara mu rubyiruko.
Ku barwayi bafite ibyago-bafite ibisubizo bisanzwe, buri myaka 10 irahagije. Niba habonetse polyps nkeya, buri myaka 5 irasabwa, mugihe ibyagaragaye cyane bishobora gukurikiranwa buri myaka 1-3.
Abantu bafite amateka yumuryango, syndromes genetike nka syndrome ya Lynch, cyangwa indwara zidakira nka colitis ulcerative colitis bagomba gutangira colonoskopi kare, akenshi bafite imyaka 40 cyangwa irenga, hamwe nigihe gito cyo gusuzuma.
Abarwayi bagomba gukurikiza amabwiriza akomeye yo gutegura amara, bakirinda ibiryo bimwe na bimwe iminsi itanu mbere, kandi bakamenyesha abaganga babo imiti nko kunanura amaraso cyangwa kuvura diyabete kugirango birinde ingorane.
Kumenya hakiri kare polyps, gukumira kanseri yibara, kugabanuka kw'imfu, n'amahoro yo mumutima kubarwayi bafite ibyago ninyungu zingenzi zo kwisuzumisha mugihe.
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