Kuyesa Magazi a Zamatsenga a Chimbudzi (FOBT)
Kodi Kuyesa Magazi a Fecal Occult ndi Chiyani?
Kuyezetsa magazi m'chimbudzi (FOBT) kumayang'ana chitsanzo cha ndowe yanu kuti muwone ngati ili ndi magazi. Magazi amatsenga amatanthauza kuti simungathe kuwaona ndi maso. Ndipo ndowe zimatanthauza kuti zili m'chimbudzi chanu.

Magazi mu ndowe yanu amatanthauza kuti muli kutuluka magazi m'mimba. Kutuluka magazi kungayambitsidwe ndi matenda osiyanasiyana, kuphatikizapo:

Ma polyps, kukula kosazolowereka pa khoma la m'matumbo kapena rectum
Ma hemorrhoids, mitsempha yotupa mu anus kapena rectum yanu
Diverticulosis, matenda omwe ali ndi matumba ang'onoang'ono mkati mwa khoma la m'matumbo
Zilonda, zilonda zomwe zili mkati mwa matumbo
Colitis, mtundu wa matenda otupa m'matumbo
Khansa ya m'matumbo, mtundu wa khansa yomwe imayambira m'matumbo kapena m'matumbo
Khansa ya m'matumbo ndi imodzi mwa mitundu yofala kwambiri ya khansa ku United States. Kuyezetsa magazi m'chimbudzi kungathandize kupeza khansa ya m'matumbo mwamsanga pamene chithandizo chingakhale chothandiza kwambiri.

Mayina ena: FOBT, magazi obisika a ndowe, mayeso a magazi obisika, mayeso a Hemoccult, mayeso a guaiac smear, gFOBT, immunochemical FOBT, iFOBT; FIT

Kodi imagwiritsidwa ntchito pa chiyani?
Kuyezetsa magazi m'chimbudzi nthawi zambiri kumagwiritsidwa ntchito ngati mayeso owunikira khansa ya m'matumbo musanayambe zizindikiro. Kuyezetsaku kumagwiranso ntchito zina. Kungachitike ngati pali nkhawa yokhudza kutuluka magazi m'mimba chifukwa cha matenda ena.

Nthawi zina, mayesowa amagwiritsidwa ntchito pothandiza kupeza chomwe chimayambitsa kuchepa kwa magazi m'thupi. Ndipo angathandize kusiyanitsa pakati pa irritable bowel syndrome (IBS), yomwe nthawi zambiri simayambitsa kutuluka magazi, ndi inflammatory bowel disease (IBD), yomwe ingayambitse kutuluka magazi.

Koma kuyezetsa magazi m'chimbudzi chokha sikungathe kuzindikira vuto lililonse. Ngati zotsatira za mayeso anu zikuwonetsa magazi m'chimbudzi chanu, mwina mungafunike mayeso ena kuti mudziwe chomwe chimayambitsa vutoli.

Nchifukwa chiyani ndikufunika kuyezetsa magazi m'chimbudzi?
Dokotala wanu angakupatseni mayeso a magazi obisika ngati muli ndi zizindikiro za vuto lomwe lingayambitse kutuluka magazi m'mimba mwanu. Kapena mungapite kukayezetsa khansa ya m'matumbo pamene mulibe zizindikiro zilizonse.

Magulu azachipatala odziwa bwino ntchito yawo amalimbikitsa kwambiri kuti anthu aziyezetsa khansa ya m'matumbo nthawi zonse. Magulu ambiri azachipatala amalimbikitsa kuti muyambe kuyezetsa khansa ya m'matumbo muli ndi zaka 45 kapena 50 ngati muli ndi chiopsezo chachikulu chotenga khansa ya m'matumbo. Amalimbikitsa kuyezetsa khansa nthawi zonse mpaka zaka 75. Lankhulani ndi dokotala wanu za chiopsezo chanu chotenga khansa ya m'matumbo komanso nthawi yomwe muyenera kuyezetsa khansa.

Kuyezetsa magazi m'chimbudzi ndi mtundu umodzi kapena ingapo wa mayeso oyezetsa magazi m'matumbo. Mayeso ena ndi awa:

Kuyezetsa DNA ya ndowe. Kuyezetsa kumeneku kumayesa ndowe yanu kuti muwone ngati pali magazi ndi maselo omwe ali ndi kusintha kwa majini komwe kungakhale chizindikiro cha khansa.
Colonoscopy kapena sigmoidoscopy. Mayeso onsewa amagwiritsa ntchito chubu chopyapyala chokhala ndi kamera kuti chiyang'ane mkati mwa m'mimba mwanu. Colonoscopy imalola dokotala wanu kuwona m'mimba mwanu wonse. Sigmoidoscopy imangowonetsa gawo lotsika la m'mimba mwanu.
CT colonography, yomwe imatchedwanso "virtual colonoscopy." Pa mayesowa, nthawi zambiri mumamwa utoto musanachite CT scan yomwe imagwiritsa ntchito x-rays kuti mujambule zithunzi zamitundu itatu za m'matumbo anu onse ndi rectum.
Pali zabwino ndi zoyipa za mtundu uliwonse wa mayeso. Wopereka chithandizo chanu angakuthandizeni kudziwa mayeso oyenera kwa inu.

Kodi chimachitika ndi chiyani poyesa magazi m'chimbudzi?
Kawirikawiri, dokotala wanu amakupatsirani zida zoti mutengere zitsanzo za ndowe zanu kunyumba. Zidazo zikuphatikizapo malangizo a momwe mungachitire mayesowo.

Pali mitundu iwiri ikuluikulu ya mayeso a magazi amatsenga m'chimbudzi:

Kuyesa magazi kwa ntchentche ya guaiac (gFOBT) kumagwiritsa ntchito mankhwala (guaiac) kuti apeze magazi mu ndowe. Nthawi zambiri kumafuna zitsanzo za ndowe kuchokera m'matumbo awiri kapena atatu osiyana.
Kuyesa kwa chitetezo chamthupi m'chimbudzi (iFOBT kapena FIT) kumagwiritsa ntchito ma antibodies kuti apeze magazi mu ndowe. Kafukufuku akusonyeza kuti kuyesa kwa FIT ndi bwino kupeza khansa ya m'matumbo kuposa kuyesa kwa gFOBT. Kuyesa kwa FIT kumafuna zitsanzo za ndowe kuchokera ku matumbo amodzi kapena atatu osiyana, kutengera mtundu wa mayesowo.
Ndikofunikira kwambiri kutsatira malangizo omwe amabwera ndi zida zanu zoyesera. Njira yodziwika bwino yosonkhanitsira ndowe nthawi zambiri imaphatikizapo izi:

Kusonkhanitsa njira yoyeretsera m'mimba. Chikwama chanu chingakhale ndi pepala lapadera loti muyike pachimbudzi chanu kuti mugwire njira yoyeretsera m'mimba. Kapena mungagwiritse ntchito pulasitiki kapena chidebe choyera komanso chouma. Ngati mukuchita mayeso a guaiac, samalani kuti mkodzo uliwonse usakanizikane ndi ndowe zanu.
Kutenga chitsanzo cha ndowe kuchokera mu chimbudzi. Chida chanu chidzakhala ndi ndodo yamatabwa kapena burashi yogwiritsira ntchito pokanda chitsanzo cha ndowe kuchokera mu chimbudzi chanu. Tsatirani malangizo a komwe mungasonkhanitsire chitsanzocho kuchokera mu chimbudzi.
Kukonzekera chitsanzo cha ndowe. Mudzapaka ndowe pa khadi lapadera loyesera kapena kuyika chogwiritsira ntchito pamodzi ndi chitsanzo cha ndowe mu chubu chomwe chinabwera ndi zida zanu.
Kulemba ndi kutseka chitsanzocho monga momwe zalangizidwira.
Kubwereza mayeso pa chimbudzi chanu chotsatira monga momwe mwalangizidwira ngati pakufunika zitsanzo zoposa chimodzi.
Kutumiza zitsanzo monga momwe zalangizidwira.
Kodi ndiyenera kuchita chilichonse kuti ndikonzekere mayeso?
Kuyesa kwa fecal immunochemical (FIT) sikufuna kukonzekera kulikonse, koma kuyesa kwa magazi a guaiac fecal occult blood (gFOBT) kumafunikira. Musanayesedwe ndi gFOBT, dokotala wanu angakupempheni kuti mupewe zakudya ndi mankhwala ena omwe angakhudze zotsatira za mayesowo.

Kwa masiku asanu ndi awiri musanayambe mayeso, mungafunike kupewa:

Mankhwala osapweteka a steroid, oletsa kutupa (NSAIDs), monga ibuprofen, naproxen, ndi aspirin. Ngati mukumwa aspirin chifukwa cha matenda a mtima, lankhulani ndi dokotala wanu musanasiye kumwa mankhwala anu. Mutha kumwa acetaminophen panthawiyi koma funsani dokotala wanu musanamwe.
Vitamini C mu kuchuluka kopitilira 250 mg patsiku. Izi zikuphatikizapo vitamini C yochokera ku zowonjezera zakudya, madzi a zipatso, kapena zipatso.
Kwa masiku atatu musanayese mayeso, mungafunike kupewa:

Nyama yofiira, monga ng'ombe, nkhosa, ndi nkhumba. Magazi ochokera ku nyama zimenezi angaonekere m'chimbudzi chanu.
Kodi pali zoopsa zilizonse pa mayesowa?
Palibe chiopsezo chodziwika bwino choyezetsa magazi m'chimbudzi.

Kodi zotsatira zake zikutanthauza chiyani?
Ngati zotsatira zanu kuchokera ku mayeso a magazi obisika m'chimbudzi zikusonyeza kuti muli ndi magazi m'chimbudzi chanu, zikutanthauza kuti mwina muli ndi magazi kwinakwake m'mimba mwanu. Koma sizitanthauza kuti nthawi zonse muli ndi khansa. Matenda ena omwe angayambitse magazi m'chimbudzi chanu ndi monga zilonda zam'mimba, ma hemorrhoids, ma polyps, ndi zotupa zosaopsa (osati khansa).

Ngati muli ndi magazi m'chimbudzi chanu, dokotala wanu angakulangizeni mayeso ena kuti mudziwe komwe magazi anu ali komanso chifukwa chake. Mayeso otsatira omwe amapezeka kwambiri ndi colonoscopy. Ngati muli ndi mafunso okhudza zotsatira za mayeso anu, lankhulani ndi dokotala wanu.

Dziwani zambiri zokhudza mayeso a labotale, mitundu yosiyanasiyana ya maumboni, komanso kumvetsetsa zotsatira zake.

Kodi pali china chilichonse chomwe ndikufunika kudziwa chokhudza kuyezetsa magazi m'chimbudzi?
Kuyezetsa khansa ya m'matumbo nthawi zonse, monga kuyezetsa magazi m'chimbudzi, ndi chida chofunikira kwambiri polimbana ndi khansa. Kafukufuku akusonyeza kuti kuyezetsa khansa kungathandize kupeza khansa msanga ndipo kungachepetse imfa chifukwa cha matendawa.

Ngati mwasankha kugwiritsa ntchito njira yoyezera magazi m'chimbudzi poyezetsa khansa ya m'matumbo, muyenera kuchita mayesowo chaka chilichonse.

Mukhoza kugula zida zosonkhanitsira ndowe za gFOBT ndi FIT popanda mankhwala. Mayeso ambiriwa amafuna kuti mutumize chitsanzo cha ndowe yanu ku labu. Koma mayeso ena amatha kuchitika kunyumba kokha kuti mupeze zotsatira mwachangu. Ngati mukuganiza zogula mayeso anu, funsani dokotala wanu kuti ndi ati omwe ali abwino kwa inu.

Onetsani maumboni
Nkhani Zokhudzana ndi Zaumoyo
Khansa ya m'matumbo
Kutuluka Magazi M'mimba
Mayeso Okhudzana ndi Zachipatala
Anoscopy
Mayeso a Zachipatala Kunyumba
Mayeso Oyesera Khansa ya M'mimba
Momwe Mungathanirane ndi Nkhawa Yoyesedwa Zachipatala
Momwe Mungakonzekerere Mayeso a Lab
Momwe Mungamvetsetsere Zotsatira Zanu za Lab
Mayeso a Osmolality
Maselo Oyera a Magazi (WBC) mu Chimbudzi
Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri wa akatswiri. Lumikizanani ndi dokotala ngati muli ndi mafunso okhudza thanzi lanu.