Poyezetsa magazi, mayeso ena achinsinsi komanso owoneka ngati ovuta nthawi zambiri amadumphidwa, monga kuyezetsa magazi amatsenga.(FOBT).

Anthu ambiri, akayang'anizana ndi chidebecho ndi ndodo yotolera ndodo, amazipewa chifukwa cha "kuopa dothi," "manyazi," kapena "kuganiza kuti ndizovuta." Komabe, “mayeso a chimbudzi” amene amanyozedwa kaŵirikaŵiri atha kukhala opulumutsa moyo panthaŵi zovuta.

Mayi Wu, azaka 59, adapita kuchipatala atakumana ndi chimbudzi chamagazi kwa sabata. Sanayembekezere kuti kuyezetsa komwe adalumpha kwa zaka zitatu zotsatizana, kwa nthawi yoyamba, kuwonetsetsa kuti ali ndi kachilomboka kudzera mu njira ya immunochemical, zomwe zimatsogolera kuti azindikire khansa yapakhosi kudzera m'matumbo. Atachotsedwa opaleshoni, moyo wake wazaka zisanu unadutsa 90%.

Mosiyana ndi zimenezi, mnansi wawo, Bambo Zhang, amene anali atanyalanyaza kwa nthawi yaitali "njira yovutayi" pa fomu yake yowunika zachipatala, adapezeka kuti ali ndi khansa yapakhungu pambuyo pomva ululu wa m'mimba ndi chimbudzi chamagazi, kuchepetsa moyo wake kukhala wosakwana 10%.

Chifukwa chiyani simuyenera kudumphakuyezetsa magazi kochitidwa ndi ndowe zamatsenga?
Mtengo wapakati waFOBTyagona pakuzindikira (micro-bleeding) m'matumbo am'mimba. Pakatuluka magazi ang'onoang'ono (tsiku ndi tsiku kokha 2-5ml), maselo ofiira amagazi adagayidwa kale ndikuphwanyidwa, zomwe zimapangitsa kuti chopondapo chiwoneke bwino popanda magazi owoneka komanso osadziwika pansi pa maikulosikopu. Komabe, kuwonongeka kwa maselo ofiira a m'magazi kumatulutsa hemoglobini, yomwe imatha kuzindikirika pogwiritsa ntchito mankhwala kapena njira za immunochemical.

Kutuluka magazi pang'ono kumeneku kungakhale chizindikiro choyambirira cha zotupa zam'mimba (monga khansa ya m'mimba kapena m'mimba). Kafukufuku wapeza kuti 87% ya odwala omwe ali ndi zotupa zam'mimba amakhala ndi mayeso abwino amagazi amatsenga. Popeza kuti chotupacho chimatulutsa magazi pang'onopang'ono, kuyezetsa kamodzi kungaphonye kuzindikira. Komabe, kuyezetsa pafupipafupi pachaka kumatha kuwongolera kwambiri kuchuluka kwa zotupa. Malinga ndi ziwerengero zosakwanira, kuyezetsa kosasinthasintha kwa FOBT kumatha kuchepetsa kufa kwa khansa yapakhungu ndi 10% -30%. Pakadali pano, malangizo ambiri opewera amalimbikitsa kwambiri ngati chinthu chowunikira.

Kuyesa Kophatikiza Kumawonjezera Kulondola

Kafukufuku akuwonetsa kuti nthawi imodzi kuyesa hemoglobin (Hb) ndi transferrin (Tf)imatha kufotokoza zambiri za kukhetsa magazi ndikuwongolera kuzindikira bwino.

Transferrinimakhala yokhazikika pachopondapo kuposa hemoglobini, kotero kuyesa zonse ziwiri kumatha kuchepetsa zoyipa zabodza zomwe zimayambitsidwa ndi kutha kwa hemoglobin antigenicity. Kuyesa kophatikiza kumapereka zabwino izi: kutsimikizika kwamphamvu, kukhudzika kwakukulu, kugwira ntchito kosavuta, kutsiriza gawo limodzi, komanso kutanthauzira kosavuta kwa zotsatira.

Ndani Ayenera Kuyesedwa Ameneyu?

Anthu azaka zapakati pa 40 ndi kupitilira apo ayenera kukayezetsa magazi amatsenga ndi ndowe kamodzi pachaka.

Ngati muli ndi zina mwa izi, muyenera kuonjezera kuchuluka kwa kuyezetsa magazi amatsenga a ndowe:

A. Mbiri ya banja la khansa ya m'mimba kapena matumbo.

B. Mbiri ya khansa ya m'mimba, colorectal adenoma, kapena post-polypectomy.

C. Mbiri ya colitis.

D. Mbiri ya matenda achikazi ndi radiotherapy m'chiuno.

E. Zaka zoposa 10 pambuyo pa cholecystectomy.

F. Kuperewera kwa magazi kowopsa kobwerezabwereza.

G. Chronic atrophic gastritis, zilonda zam'mimba, zotupa zam'mimba, kapena mbiri ya opaleshoni yam'mimba.

H. Amuna olemera 20-25 kg kapena amasuta.

I. Helicobacter pylori matenda: kumawonjezera chiopsezo cha khansa ya m'mimba ndi 2-3 nthawi.

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