Fecal Occult Blood Test (FOBT)
Kodi Fecal Occult Blood Test ndi chiyani?
Mayeso amagazi amatsenga (FOBT) amayang'ana chitsanzo cha ndowe (poop) kuti awone ngati magazi. Magazi amatsenga amatanthauza kuti sungathe kuwawona ndi maso. Ndipo ndowe zikutanthauza kuti ili m'chimbudzi chanu.

Magazi mu chopondapo amatanthauza kuti pali magazi m'mimba. Kutaya magazi kungayambitsidwe ndi zinthu zosiyanasiyana, kuphatikizapo:

Ma polyps, kukula kwapang'onopang'ono pamatumbo am'matumbo kapena rectum
Zotupa, mitsempha yotupa mu anus kapena rectum
Diverticulosis, chikhalidwe chokhala ndi timatumba tating'ono mkati mwa khoma la m'matumbo
Zilonda, zilonda mu akalowa m`mimba thirakiti
Colitis, mtundu wa matenda otupa a m'mimba
Khansara ya colorectal, mtundu wa khansa yomwe imayambira m'matumbo kapena rectum
Khansara ya colorectal ndi imodzi mwa mitundu yofala kwambiri ya khansa ku United States. Kuyezetsa magazi kwamatsenga kumatha kuyang'ana khansa yapakhungu kuti athe kupeza matendawa msanga ngati chithandizo chingakhale chothandiza kwambiri.

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

Kodi chimagwiritsidwa ntchito chiyani?
Kuyezetsa magazi kwamatsenga nthawi zambiri kumagwiritsidwa ntchito ngati kuyesa kuti mupeze khansa yapakhungu musanakhale ndi zizindikiro. Mayeso amakhalanso ndi ntchito zina. Zitha kuchitika pamene pali nkhawa za kutaya magazi m'mimba kuchokera kuzinthu zina.

Nthawi zina, mayesowa amagwiritsidwa ntchito kuti apeze chomwe chimayambitsa kuchepa kwa magazi m'thupi. Ndipo zingathandize kuzindikira kusiyana pakati pa matenda opweteka a m'mimba (IBS), omwe nthawi zambiri samayambitsa magazi, ndi matenda a m'mimba (IBD), omwe amatha kuyambitsa magazi.

Koma kuyezetsa magazi kochita zamatsenga pakokha sikungazindikire vuto lililonse. Ngati zotsatira za kuyezetsa zikuwonetsa magazi mu chopondapo chanu, mungafunike kuyezetsanso zina kuti mudziwe chomwe chimayambitsa.

Chifukwa chiyani ndikufunika kuyezetsa magazi amatsenga?
Wothandizira zaumoyo wanu akhoza kuyitanitsa kuyezetsa magazi kwamatsenga ngati muli ndi zizindikiro za matenda omwe angaphatikizepo kutuluka magazi m'matumbo anu. Kapena mutha kuyezetsa kuti muwone khansa yapakhungu pomwe mulibe zizindikiro.

Magulu azachipatala akadaulo amalangiza mwamphamvu kuti anthu aziyezetsa pafupipafupi ngati ali ndi khansa ya colorectal. Magulu ambiri azachipatala amalimbikitsa kuti muyambe kuyezetsa muzaka 45 kapena 50 ngati muli ndi chiopsezo chotenga khansa yapakhungu. Amalimbikitsa kuyezetsa magazi pafupipafupi mpaka zaka 75. Lankhulani ndi wothandizira wanu za chiopsezo chanu chokhala ndi khansa ya m'mimba komanso nthawi yomwe muyenera kuyezetsa.

Kuyeza magazi amatsenga ndi njira imodzi kapena zingapo zoyezetsa ma colorectal. Mayeso ena ndi awa:

Kuyeza kwa DNA kwa chopondapo. Mayesowa amawunika chopondapo chanu magazi ndi ma cell omwe ali ndi kusintha kwa majini komwe kungakhale chizindikiro cha khansa.
Colonoscopy kapena sigmoidoscopy. Mayesero onsewa amagwiritsa ntchito chubu chopyapyala chokhala ndi kamera kuyang'ana mkati mwa colon yanu. Colonoscopy imalola wothandizira wanu kuwona colon yanu yonse. Sigmoidoscopy imawonetsa gawo lapansi la colon yanu.
CT colonography, yomwe imatchedwanso "virtual colonoscopy." Pakuyezetsa kumeneku, nthawi zambiri mumamwa utoto musanayesedwe ndi CT scan yomwe imagwiritsa ntchito ma x-ray kuti mutenge mwatsatanetsatane zithunzi za 3-dimensional za colon ndi rectum yanu yonse.
Pali zabwino ndi zoyipa za mtundu uliwonse wa mayeso. Wothandizira wanu angakuthandizeni kudziwa kuti ndi mayeso ati omwe ali oyenera kwa inu.

Kodi chimachitika ndi chiyani poyezetsa magazi amatsenga?
Nthawi zambiri, wothandizira wanu amakupatsani zida kuti mutenge zitsanzo za chimbudzi chanu kunyumba. Chidacho chikhala ndi malangizo amomwe mungayesere.

Pali mitundu iwiri ikuluikulu yoyezetsa magazi amatsenga:

The guaiac fecal occult blood test (gFOBT) amagwiritsa ntchito mankhwala (guaiac) kuti apeze magazi m'chimbudzi. Pamafunika zitsanzo zachimbudzi kuchokera kumayendedwe awiri kapena atatu osiyana.
Mayeso a fecal immunochemical (iFOBT kapena FIT) amagwiritsa ntchito ma antibodies kuti apeze magazi m'chimbudzi. Kafukufuku akuwonetsa kuti kuyezetsa kwa FIT kuli bwino kupeza khansa yapakhungu kuposa kuyesa kwa gFOBT. Kuyeza kwa FIT kumafuna zitsanzo za chimbudzi kuchokera kumayendedwe amodzi kapena atatu osiyana, kutengera mtundu wa mayesowo.
Ndikofunika kwambiri kutsatira malangizo omwe amabwera ndi zida zanu zoyeserera. Njira yodziwika yosonkhanitsira zitsanzo za mipando nthawi zambiri imakhala ndi izi:

Kusonkhanitsa matumbo. Zida zanu zingaphatikizepo pepala lapadera kuti muyike pamwamba pa chimbudzi chanu kuti mugwire matumbo anu. Kapena mungagwiritse ntchito zokutira pulasitiki kapena chidebe choyera, chowuma. Ngati mukuyesa guaiac, samalani kuti musalole mkodzo kusakanikirana ndi chopondapo chanu.
Kutenga chitsanzo cha chimbudzi kuchokera m'matumbo. Chida chanu chikhala ndi ndodo yamatabwa kapena burashi yoti muchotse chimbudzi kuchokera m'matumbo anu. Tsatirani malangizo a komwe mungasonkhanitsire chitsanzo kuchokera pa chopondapo.
Kukonzekera chitsanzo cha chopondapo. Mupaka chopondapo pa khadi loyezetsa lapadera kapena kuyika chopaka ndi chitsanzo cha ndodo mu chubu chomwe chinabwera ndi zida zanu.
Kulemba ndi kusindikiza chitsanzo monga mwauzira.
Kubwereza mayeso pakuyenda kwanu kotsatira matumbo monga momwe mwalangizira ngati pakufunika zitsanzo zingapo.
Kutumiza zitsanzo monga mwauzira.
Kodi ndiyenera kuchita chilichonse kuti ndikonzekere mayeso?
Fecal immunochemical test (FIT) sikutanthauza kukonzekera kulikonse, koma kuyesa kwa magazi kwa guaiac fecal occult blood (gFOBT). Musanayezetse gFOBT, wothandizira wanu angakufunseni kuti mupewe zakudya zina ndi mankhwala omwe angakhudze zotsatira za kuyezetsa.

Kwa masiku asanu ndi awiri musanayesedwe, mungafunike kupewa:

Nonsteroidal, anti-inflammatory drugs (NSAIDs), monga ibuprofen, naproxen, ndi aspirin. Ngati mumamwa aspirin pamavuto a mtima, lankhulani ndi dokotala musanayimitse mankhwala anu. Mutha kumwa acetaminophen panthawiyi koma funsani wopereka wanu musanamwe.
Vitamini C mu kuchuluka kwa 250 mg patsiku. Izi zimaphatikizapo vitamini C kuchokera ku zowonjezera, timadziti ta zipatso, kapena zipatso.
Kwa masiku atatu musanayesedwe, mungafunike kupewa:

Nyama yofiira, monga ng’ombe, nkhosa, ndi nkhumba. Magazi ochokera ku nyama izi akhoza kuwonekera pachimbudzi chanu.
Kodi pali zoopsa zilizonse pakuyesedwa?
Palibe chiwopsezo chodziwika choyezetsa magazi amatsenga.

Kodi zotsatira zimatanthauza chiyani?
Ngati zotsatira zanu kuchokera pakuyezetsa magazi kwamatsenga zikuwonetsa kuti muli ndi magazi mu chopondapo chanu, zikutanthauza kuti mukutuluka magazi kwinakwake m'matumbo anu. Koma zimenezi sizikutanthauza kuti muli ndi khansa. Zina zomwe zingayambitse magazi mu chopondapo chanu ndi monga zilonda, zotupa, ma polyps, ndi zotupa za benign (osati khansa).

Ngati muli ndi magazi mu chopondapo chanu, wothandizira wanu angakulimbikitseni mayesero ambiri kuti adziwe malo enieni komanso chifukwa cha magazi anu. Kuyesa kotsatira kofala kwambiri ndi colonoscopy. Ngati muli ndi mafunso okhudza zotsatira za mayeso anu, lankhulani ndi wothandizira wanu.

Phunzirani zambiri za kuyezetsa kwa labotale, magawo ofotokozera, ndi zotsatira zomvetsetsa.

Kodi pali chinanso chimene ndikufunika kudziwa ponena za kuyezetsa magazi kwa ndowe zamatsenga?
Kupimidwa pafupipafupi kwa khansa yapakhungu, monga kuyezetsa magazi amatsenga ndi ndowe, ndi chida chofunikira polimbana ndi khansa. Kafukufuku akuwonetsa kuti kuyezetsa kungathandize kupeza khansa msanga komanso kuchepetsa imfa za matendawa.

Ngati mwasankha kugwiritsa ntchito kuyezetsa magazi kwamatsenga poyezetsa khansa yapakhungu, muyenera kuyezetsa chaka chilichonse.

Mutha kugula zida zosonkhanitsira za gFOBT ndi FIT popanda kulembedwa ndi dotolo. Ambiri mwa mayesowa amafuna kuti mutumize chitsanzo cha chopondapo chanu ku labu. Koma mayeso ena amatha kuchitidwa kwathunthu kunyumba kuti apeze zotsatira zachangu. Ngati mukuganiza kugula mayeso anu, funsani wopereka wanu kuti ndi iti yomwe ili yabwino kwa inu.

Onetsani maumboni
Nkhani Zaumoyo Zogwirizana
Kansa ya Colorectal
Kutuluka kwa M'mimba
Mayeso Okhudzana ndi Zachipatala
Anoscopy
Kuyeza Kwachipatala Kunyumba
Mayeso a Colorectal Cancer Screening
Mmene Mungalimbanire Nkhawa Zoyezetsa Zamankhwala
Momwe Mungakonzekerere Mayeso a Labu
Momwe Mungamvetsetse Zotsatira Za Labu Lanu
Mayeso a Osmolality
Maselo Oyera a Magazi (WBC) mu Stool
Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala cha akatswiri kapena upangiri. Lumikizanani ndi achipatala ngati muli ndi mafunso okhudza thanzi lanu.