colonoscopy-gu waa mid ka mid ah hababka ugu kalsoon ee lagu ogaan karo kansarka mindhicirka iyo xaaladaha kale ee caafimaadka dheefshiidka marxaladda hore. Dadka celcelis ahaan halista ugu jira, dhakhaatiirtu hadda waxay ku talinayaan in la bilaabo baarista walamadka markay da'doodu tahay 45. Kuwa taariikhda qoyska ama xaaladaha caafimaad qaba waxay u baahan karaan inay hore u bilaabaan. Fahmidda goorta la bilaabayo, inta jeer ee la soo celinayo, iyo taxaddarrada la qaadayo waxay hubinaysaa in bukaanku ay heli karaan faa'iidooyinka buuxa ee baaritaanka waqtiga.
Sannado badan, da'da lagu taliyey in la bilaabo baarista walamadka waxay ahayd 50. Cusbooneysii ugu dambeeyay, ururada caafimaadka ayaa hoos u dhigay da'da bilawga ilaa 45 sano. Isbeddelka waxa keenay kor u kaca dhacdooyinka kansarka mindhicirka ee dadka waaweyn ee da'da yar. Markay hoos u dhigaan da'da baadhista lagu taliyey, takhaatiirtu waxay hiigsanayaan inay ogaadaan oo ay daweeyaan burooyinka kansarka ka hor intaanay horumarin.
Tilmaamahani wuxuu khuseeyaa ragga iyo dumarka labadaba khatarta celceliska kansarka mindhicirka. Colonoscopy waxaa loo tixgeliyaa heerka dahabka sababtoo ah waxay u ogolaataa dhakhaatiirta ma aha oo kaliya inay eegaan xuubka gudaha ee xiidanka laakiin sidoo kale inay ka saaraan burooyinka inta lagu jiro isla nidaamka.
Halka 45 ay tahay da'da caadiga ah ee bilawga ah, dadka qaar waa in hore loo mariyo walamadka. Kooxaha khatarta sare leh waxaa ka mid ah kuwan soo socda:
Taariikhda qoyska: Qaraabo heerka koowaad ah oo qaba kansarka mindhicirka ama adenomas sare. Ka bilow 40, ama 10 sano ka hor da'da qaraabada wakhtiga cudurka.
Xanuunada hidda-socodka: Lynch syndrome ama qoyska adenomatous polyposis (FAP) waxa laga yaabaa inay u baahdaan baarista walamadka 20-ka ama ka hor.
Xaaladaha daba-dheeraada: Cudurka caabuqa bararka ee mindhicirka (Crohn's disease ama ulcerative colitis) waxay dammaanad qaadaysaa ilaalin hore oo joogto ah.
Waxyaalaha kale ee halista ah: Cayilka, sigaarka, isticmaalka khamriga culus, iyo cuntooyinka hilibka la warshadeeyey ku badan yahay waxay kordhin karaan khatarta.
Shaxda 1: Celcelis ahaan vs. Talooyinka baarista walamadka ee khatarta sare leh
Qaybta Khatarta | Bilowga Da'da | Soo-jeedinta Joogtada | Xusuusin |
---|---|---|---|
Celceliska Khatarta | 45 | 10kii sanoba mar haddii ay caadi tahay | Dadweynaha guud |
Taariikhda Qoyska | 40 ama 10 sano ka hor ogaanshaha qaraabada | 5 sano kasta ama sida lagu faray | Waxay kuxirantahay da'da qaraabada iyo natiijooyinka |
Xanuunada hidde-sideyaasha (Lynch, FAP) | 20-25 ama ka hor | 1-2 sano kasta | Aad u adag khatarta sare awgeed |
Cudurka bararka ee mindhicirka | Inta badan ka hor 40 | 1-3 sano kasta | Dhexdhexaadku waxay ku xiran tahay darnaanta cudurka iyo muddada |
Ka dib baarista walamadka ee ugu horreeya, muddada baarista mustaqbalka waxay ku salaysan tahay natiijooyinka iyo arrimaha khatarta shakhsi ahaaneed. Hadafka ayaa ah in la isku dheellitiro ka hortagga kansarka waxtarka leh iyo raaxada bukaanka iyo ilaha daryeelka caafimaadka.
10kii sanoba mar: lama arag burooyin ama kansar.
5-tii sanaba mar: burooyin yaryar oo halis yar ayaa la helay.
1-3 sano kasta: burooyin badan ama halis sare leh, ama taariikh qoys oo muhiim ah.
Muddada u dhexaysa qofka: xaaladaha bararka dabadheeraad ah ama cilladaha hidde-sideyaasha waxay raacaan jadwal adag.
Shaxda 2: Inta jeer ee baarista walamadka oo ku saleysan natiijooyinka
Natiijada baarista walamadka | Dhex-dhexaadinta Dabagalka | Sharaxaad |
---|---|---|
Caadi ah (boolis la'aan) | 10kii sanoba mar | Khatar yar, talada caadiga ah |
1-2 burooyin yaryar oo halis yar leh | 5 sano kasta | Khatar dhexdhexaad ah, muddo gaaban |
Burooyin badan ama halis sare leh | 1-3 sano kasta | Fursad sare oo soo noqosho ama kansar |
Xaaladaha daba-dheeraada (IBD, genetics) | 1-2 sano kasta | Ilaalin adag ayaa loo baahan yahay |
Colonoscopy waa mid joogto ah oo guud ahaan badbaado leh, laakiin taxaddarrada qaarkood ayaa sare u qaadaya badbaadada iyo saxnaanta. Kala hadal taariikhdaada caafimaad, daawooyinkaaga, iyo xasaasiyadda dhakhtarkaaga. Dhibaatooyinka ay ka midka yihiin dhiig-baxa, caabuqa, ama daloolintu waa naadir, waxaana laga yaabaa in maaraynta daawada loo baahdo kuwa dhiiga khafiifiya, wakiilada antiplatelet, ama daawooyinka sonkorowga. Had iyo jeer raac talada caafimaadka intii aad iska joojin lahayd daawooyinka.
Habka laftiisa ayaa caadi ahaan qaata 30-60 daqiiqo. Oo ay ku jiraan diyaarinta, suuxinta, iyo soo kabashada, qorshee 2-3 saacadood xarunta.
Qaado xalalka saxarada lagu nadiifiyo ee laguu qoray maalin ka hor nidaamka.
Raac cunto dareere ah oo cad ( maraq, shaah, casiirka tufaaxa, jelatin) maalin ka hor.
Cab biyo badan si aad uga hortagto fuuqbaxa.
Raac tilmaamaha si sax ah si aad uga fogaato in dib loo dhigo jadwalka sababtoo ah u diyaargarowga liita.
Ka fogow cuntooyinka faybarku ku badan yahay sida lawska, miraha, galleyda, iyo badarka oo dhan.
Iska ilaali miraha iyo khudaarta ceeriin ee maqaarka leh.
Iska ilaali cuntooyinka iyo cabitaannada cas ama guduudan ee wasakhayn kara xuubka mindhicirka.
Isticmaal cunto hadhaaga yar oo leh cunto fudud oo la dheefshiido.
Filo 1-2 saacadood oo soo kabasho ah marka suuxintu dhammaato.
Dibbiro ku meel gaar ah ama gaas ayaa caan ku ah hawada la isticmaalay inta lagu jiro imtixaanka.
Diyaarso raacitaanka guriga; ka fogow baabuur wadista inta maalinta ka hadhay.
Ku soo noqo hawlihii caadiga ahaa maalinta xigta ilaa si kale lagula taliyo.
U sheeg dhakhtarka xanuunka caloosha oo daran ama dhiigbax joogto ah.
Waxaa jirta dhibic marka khatartu ay ka miisaan badnaan karto faa'iidooyinka. Tilmaamaha intooda badani waxay soo jeedinayaan go'aanno gaar ah oo u dhexeeya da'da 76-85 oo ku salaysan caafimaadka, rajada nolosha, iyo natiijooyin hore. Kuwa ka weyn 85, baarista joogtada ah guud ahaan laguma talinayo.
Ogaanshaha hore ee burooyinka kansarka ka horreeya.
Kahortagga kansarka mindhicirka iyada oo la saarayo burooyinkeeda.
Badbaadada oo hagaagtay marka kansarrada lagu helo marxaladaha hore.
Nabadda maskaxda ee shakhsiyaadka leh arrimaha khatarta ah ama taariikhda qoyska.
Bilawga baarista walamadka ee da'da saxda ah, ka dib waqtiyada ku salaysan khatarta, iyo ilaalinta taxadarka saxda ah, shakhsiyaadka ayaa iska ilaalin kara kansarka aadka looga hortagi karo iyaga oo hagaajinaya badbaadada iyo raaxada inta lagu jiro habka.
Tilmaamaha hadda jira waxay ku talinayaan in laga bilaabo da'da 45 ee dadka waaweyn ee aan lahayn arrimo khatar gaar ah. Isbeddelkan laga bilaabo 50 ilaa 45 wuxuu ka tarjumayaa kor u kaca kansarka mindhicirka ee dadka da'da yar.
Bukaannada khatarta ah ee celceliska ah ee leh natiijooyin caadi ah, 10kii sanoba mar ayaa ku filan. Haddii burooyin halis yar la helo, 5tii sanoba mar ayaa lagu talinayaa, halka natiijooyinka khatarta sare ay u baahan karaan dabagal 1-3 sano kasta.
Shakhsiyaadka leh taariikhda qoyska, cilladaha hidde-sideyaasha sida Lynch syndrome, ama xaaladaha daba-dheeraada sida colitis-ka waa in ay bilaabaan baarista walamadka goor hore, inta badan da'da 40 ama ka yar, oo leh muddooyin baaris gaaban.
Bukaan-socodka waa in ay raacaan tilmaamaha u-diyaargarowga mindhicirka oo adag, ka fogaadaan cuntooyinka qaarkood shan maalmood ka hor, oo ay ku wargeliyaan dhakhaatiirtooda daawooyinka sida kuwa dhiigga khafiifiya ama daawaynta sonkorowga si looga hortago dhibaatooyinka.
Ogaanshaha hore ee burooyinka, ka hortagga horumarka kansarka mindhicirka, hoos u dhaca heerka dhimashada, iyo xasilloonida maskaxda ee bukaanka halista ku jira ayaa ah faa'iidooyinka ugu muhiimsan ee baadhista wakhtiga.
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