Kwipimisha Amaraso ya Fecal (FOBT)
Kwipimisha Amaraso ya Fecal Niki?
Isuzuma ryamaraso ya fecal (FOBT) ireba icyitegererezo cyintebe yawe (poop) kugirango umenye amaraso. Amaraso ya Occult bivuze ko udashobora kuyibona n'amaso. Kandi fecal bivuze ko iri mu ntebe yawe.
Amaraso mu ntebe yawe bivuze ko hari amaraso ava mu nzira yigifu. Amaraso ashobora guterwa nuburyo butandukanye, harimo:
Polyps, imikurire idasanzwe kumurongo wa colon cyangwa rectum
Hemorroide, imitsi yabyimbye muri anus cyangwa urukiramende
Diverticulose, imiterere hamwe nudufuka duto murukuta rwimbere rwimbere
Ibisebe, ibisebe biri mu murongo wigifu
Colitis, ubwoko bwindwara yumura
Kanseri yibara, ubwoko bwa kanseri itangirira mu mara cyangwa mu mura
Kanseri y'amara ni bumwe mu bwoko bwa kanseri bukunze kugaragara muri Amerika. Kwipimisha amaraso ya fecal birashobora gusuzuma kanseri yibara kugirango ifashe kubona indwara hakiri kare mugihe ubuvuzi bushobora kuba bwiza.
Andi mazina: FOBT, amaraso yubusa, gupima amaraso, gupima Hemoccult, guaiac smear test, gFOBT, immunochemical FOBT, iFOBT; FIT
Ikoreshwa iki?
Ikizamini cyamaraso ya fecal gikunze gukoreshwa nkikizamini cyo gusuzuma kugirango gifashe kubona kanseri yibara mbere yuko ugira ibimenyetso. Ikizamini kandi gifite ubundi buryo bukoreshwa. Irashobora gukorwa mugihe hari impungenge zo kuva amaraso mumitsi yigifu kuva mubindi bihe.
Rimwe na rimwe, ikizamini gikoreshwa mu gufasha kumenya icyateye amaraso make. Kandi irashobora gufasha kumenya gutandukanya syndrome de munda (IBS), ubusanzwe idatera kuva amaraso, nindwara zifata umura (IBD), zishobora gutera kuva amaraso.
Ariko isuzuma ryamaraso ya fecal yonyine ntishobora gusuzuma indwara iyo ari yo yose. Niba ibisubizo byawe byipimishije byerekana amaraso mumyanya yawe, birashoboka ko uzakenera ibindi bizamini kugirango umenye impamvu nyayo.
Kuki nkeneye kwipimisha amaraso ya fecal?
Umuganga wawe yita kubuzima arashobora gutegeka kwipimisha amaraso ya fecal niba ufite ibimenyetso byindwara ishobora kuva amaraso mumitsi yawe. Cyangwa urashobora kugira ikizamini cyo gusuzuma kanseri yibara mugihe udafite ibimenyetso.
Amatsinda yubuvuzi yinzobere arasaba cyane ko abantu bapimisha buri gihe kanseri yibara. Amatsinda menshi yubuvuzi aragusaba ko watangira kwipimisha ufite imyaka 45 cyangwa 50 niba ufite impuzandengo yo kurwara kanseri yibara. Basaba kwipimisha buri gihe kugeza byibuze imyaka 75. Vugana nuwaguhaye amakuru kubyerekeye ibyago byo kurwara kanseri yu mura nigihe ugomba kwipimisha.
Kwipimisha amaraso ya fecal ni bumwe cyangwa butandukanye bwo gupima amabara. Ibindi bizamini birimo:
Ikizamini cya ADN. Iki kizamini kigenzura intebe yawe yamaraso na selile hamwe nimpinduka zishingiye ku ngirabuzima fatizo zishobora kuba ikimenyetso cya kanseri.
Colonoscopy cyangwa sigmoidoscopy. Ibizamini byombi ukoresha umuyoboro muto ufite kamera kugirango urebe imbere muri colon yawe. Colonoscopy yemerera uwaguhaye kubona colon yawe yose. Sigmoidoscopy yerekana igice cyo hepfo ya colon yawe gusa.
CT colonografiya, nayo yitwa "virtual colonoscopy." Kuri iki kizamini, mubisanzwe unywa irangi mbere yo kugira CT scan ikoresha x-imirasire kugirango ufate amashusho arambuye 3-yerekana amashusho ya colon yawe yose hamwe na rectum.
Hano hari ibyiza nibibi bya buri bwoko bwikizamini. Utanga ibintu arashobora kugufasha kumenya ikizamini kibereye.
Bigenda bite mugihe cyo gupima amaraso ya fecal?
Mubisanzwe, uwaguhaye isoko azaguha ibikoresho byo gukusanya ingero zintebe yawe (poop) murugo. Igikoresho kizaba kirimo amabwiriza yuburyo bwo gukora ikizamini.
Hariho ubwoko bubiri bwingenzi bwo gupima amaraso ya fecal:
Kwipimisha amaraso ya guaiac fecal (gFOBT) ikoresha imiti (guaiac) kugirango ibone amaraso mubitereko. Mubisanzwe bisaba ingero zintebe kuva kumyanya ibiri cyangwa itatu itandukanye.
Ikizamini cya immunochemical fecal (iFOBT cyangwa FIT) ikoresha antibodies kugirango ibone amaraso mubitereko. Ubushakashatsi bwerekana ko kwipimisha FIT ari byiza mugushakisha kanseri yibara kuruta kwipimisha gFOBT. Ikizamini cya FIT gisaba ingero zintebe kuva kumurongo umwe kugeza kuri eshatu zitandukanye, bitewe nikirango cyikizamini.
Ni ngombwa cyane gukurikiza amabwiriza azana nibikoresho byawe. Inzira isanzwe yo gukusanya icyitegererezo cyintebe mubisanzwe ikubiyemo izi ntambwe rusange:
Gukusanya amara. Ibikoresho byawe birashobora gushiramo impapuro zidasanzwe kugirango ushyire hejuru yumusarani wawe kugirango ufate amara. Cyangwa urashobora gukoresha igikoresho cya pulasitike cyangwa ikintu gisukuye, cyumye. Niba ukora ikizamini cya guaiac, witondere kutareka inkari zose zivanga nintebe yawe.
Gufata icyitegererezo cy'intebe uhereye kumara. Igikoresho cyawe kizaba kirimo inkoni yimbaho cyangwa usaba guswera kugirango ukureho intebe yintebe kuva amara yawe. Kurikiza amabwiriza yaho wakusanyiriza icyitegererezo kuva kuntebe.
Gutegura icyitegererezo cy'intebe. Uzasiga intebe ku ikarita idasanzwe yikizamini cyangwa ushiremo uwasabye hamwe nicyitegererezo cyintebe mumitiba yazanwe nibikoresho byawe.
Kuranga no gufunga icyitegererezo nkuko byateganijwe.
Gusubiramo ikizamini kumitsi ikurikiraho nkuko byerekanwa niba hakenewe icyitegererezo kirenze kimwe.
Kohereza ibyitegererezo nkuko byateganijwe.
Nzakenera gukora ikintu cyose kugirango nitegure ikizamini?
Ikizamini cya immunochemical fecal (FIT) ntigisaba kwitegura, ariko isuzuma ryamaraso ya guaiac fecal (gFOBT) irabikora. Mbere yo gukora ikizamini cya gFOBT, uwaguhaye serivisi arashobora kugusaba kwirinda ibiryo n'imiti bimwe na bimwe bishobora kugira ingaruka kubisubizo.
Iminsi irindwi mbere yikizamini, ushobora kwirinda:
Imiti idahwitse, imiti igabanya ubukana (NSAIDs), nka ibuprofen, naproxen, na aspirine. Niba ufashe aspirine kubibazo byumutima, vugana nuwaguhaye mbere yo guhagarika imiti. Urashobora gufata acetaminofeni muriki gihe ariko ugenzure nuwaguhaye mbere yo kuyifata.
Vitamine C iri hejuru ya mg 250 kumunsi. Ibi birimo vitamine C ivuye mu byongeweho, imitobe yimbuto, cyangwa imbuto.
Iminsi itatu mbere yikizamini, ushobora kwirinda:
Inyama zitukura, nk'inka, intama, n'ingurube. Ibimenyetso by'amaraso biva muri izo nyama birashobora kugaragara mu ntebe yawe.
Hoba hari ingorane ziterwa n'ikizamini?
Nta ngaruka zizwi zo kwipimisha amaraso ya fecal.
Ibisubizo bivuze iki?
Niba ibisubizo byawe bivuye mu gupima amaraso ya fecal byerekana ko ufite amaraso mu ntebe yawe, bivuze ko ushobora kuba ufite amaraso ahantu runaka mu nzira yawe. Ariko ibyo ntibisobanura ko urwaye kanseri. Ibindi bintu bishobora gutera amaraso mu ntebe yawe harimo ibisebe, hemorroide, polyps, n'ibibyimba byiza (ntabwo ari kanseri).
Niba ufite amaraso mu ntebe yawe, uwaguhaye serivisi arashobora kuguha inama nyinshi kugirango amenye neza nimpamvu itera kuva amaraso. Ikizamini gikunze gukurikiranwa ni colonoskopi. Niba ufite ibibazo bijyanye n'ibisubizo byawe, vugana nuwaguhaye.
Wige byinshi kubyerekeye ibizamini bya laboratoire, urutonde, hamwe n'ibisubizo.
Hari ikindi kintu nkeneye kumenya kubijyanye no gupima amaraso ya fecal?
Kwipimisha kanseri yibara buri gihe, nko gupima amaraso ya fecal, nigikoresho cyingenzi mukurwanya kanseri. Ubushakashatsi bwerekana ko kwipimisha bishobora gufasha kanseri hakiri kare kandi bishobora kugabanya impfu ziterwa n'indwara.
Niba uhisemo gukoresha ibizamini byamaraso ya fecal kugirango usuzume kanseri yibara, uzakenera gukora ikizamini buri mwaka.
Urashobora kugura ibikoresho bya gFOBT na FIT byo gukusanya intebe utabigenewe. Byinshi muribi bizamini bigusaba kohereza icyitegererezo cyintebe yawe muri laboratoire. Ariko ibizamini bimwe birashobora gukorwa rwose murugo kubisubizo byihuse. Niba utekereza kugura ikizamini cyawe, baza uwaguhaye icyakubera cyiza.
Erekana ibyerekezo
Ingingo zijyanye n'ubuzima
Kanseri yibara
Amaraso ya Gastrointestinal
Ibizamini bijyanye n'ubuvuzi
Anoscopy
Ibizamini byo kwa Muganga
Ibizamini byo gusuzuma kanseri yibara
Nigute ushobora guhangana n'amaganya yo kwipimisha
Nigute Wokwitegura Ikizamini cya Laboratoire
Nigute ushobora gusobanukirwa ibisubizo bya laboratoire
Ibizamini bya Osmolality
Akagari k'amaraso yera (WBC) mu ntebe
Ibisobanuro kururu rubuga ntibigomba gukoreshwa nkibisimbuza ubuvuzi bwumwuga cyangwa inama. Menyesha abashinzwe ubuzima niba ufite ibibazo byubuzima bwawe.
Igihe cyo kohereza: Nzeri-06-2022