结肠镜检查是通过将狭窄的可弯曲的管用末端发送窄,可弯曲的管,进入下部肠道,以寻找结肠或大肠的异常。
这是测试的主要方法colorectal cancer。该程序也可用于去除小块组织to send to a lab for analysis. This is done in case your doctor suspects that tissue is diseased or cancerous.
谁需要A.结肠镜检查, when should you start getting them, and how often do you need to get a colonoscopy based on your health? We cover that in this article.
到50岁,您应该每10年开始进行结肠镜检查,无论您的性别或整体健康状况如何。
随着年龄的增长,你发展的风险息肉和肠癌增加。获取常规结肠镜检查帮助您的医生早期发现异常,这样就可以快速处理。
如果您有肠癌的家族史,或者,如果您有任何影响您的消化道的病症,则应考虑在生命中获得结肠镜检查。
You may also consider getting a colonoscopy more than once a year if your risk for bowel conditions is especially high, or you have consistent symptoms that cause your bowels to get irritated or inflamed.
建议您在50岁时在50岁时获得第一个结肠镜检查,如果您处于良好的整体健康状态,并且您没有排便疾病的家族史。
This recommendation may be lowered to 40 or below with thenew setof U.S. Preventive Services Task Force (USPSTF) guidelines being drafted by experts.
如果您有像肠道状况的诊断Crohn’s disease要么溃疡性结肠炎。这有助于确保您的肠道保持健康,并发症尽快进行处理。
询问你的医生在结肠镜检查one of your physical exams if you’re over age 50 or have a bowel condition.
This allows your doctor to check your colon health at the same time that you get your overall health assessed.
如果您的家人有肠癌历史,那么对结肠镜检查的情况也没有如此早期。
The
You may need to start earlier if you’re at high risk, or if you have a previous bowel cancer diagnosis. Anecdotally, some doctors recommend getting screened as young as 35 if a parent was previously diagnosed with colorectal cancer.
重要说明:没有癌症诊断,一些保险公司可以限制您如何筛选的频率。如果您在35处筛选,您可能不会覆盖另一种筛选,直到您40或45.研究自己的覆盖范围。
Who’s at risk of colorectal cancer?
Some conditions or family health histories can put you at a higher risk of
以下是考虑早期或更频繁的结肠镜检查的因素,因为癌症较高的风险更高:
- 你的家人有历史colorectal cancer要么cancerous polyps
- 您有克罗恩病或溃疡性结肠炎等条件的历史
- 您的家族带来一种基因,这些基因会增加您的特定肠癌的风险,例如家族性腺瘤息肉(FAP)要么Lynch syndrome
- 你已经暴露在腹部或盆腔区域周围的辐射
- 你有手术to remove part of your colon
Polyps are tiny growths of excess tissue in your colon. Most are harmless and can be removed easily. Polyps known as adenomas are more likely to become cancerous and should be removed.
Polyp removal surgery is calledpolypectomy.。This procedure can be done during your colonoscopy if your doctor finds one.
大多数医生建议在果切除术后至少5年内进行结肠镜检查。如果您对Adenomas的风险很高,您可能需要另外2年。
如果您有溃疡性结肠炎,您的医生可能会建议您每2至5年都有结肠镜检查。
您的癌症风险增加about 8 to 10 years after diagnosis, so regular colonoscopies are key.
如果您遵循特殊的话,您可能会更少需要它们diet for ulcerative colitis。
大多数人应该在50岁后每10年至少获得一次结肠镜检查一次。如果您的癌症风险增加,您可能需要每5年一次。
转到75(或80个,在某些情况下),医生可能会建议您不再获得结肠镜检查。随着年龄的增长,并发症的风险可能超过了这个例行检查的好处。
结肠镜检查主要被认为是安全的和非侵入性。
还有一些风险。大多数情况下,风险被识别和治疗癌症或其他肠疾病的益处。
以下是一些风险和副作用:
- 腹部剧烈疼痛
- internal bleeding from an area where tissue or a polyp was removed
- 撕裂,穿孔或伤害结肠或直肠(这是非常罕见的,发生在
小于0.002%的结肠镜检查 ) - 对麻醉的负面反应要么sedative used to keep you asleep or relaxed
- heart failure in reaction to substances used
- blood infection that needs to be treated with medications
- 修复任何受损的组织需要应急手术
- 死亡(也非常罕见)
您的doctor may recommend a虚拟结肠镜检查如果您处于高风险的情况下,这些并发症的风险很高。这涉及使用CONON的3D图像并检查计算机上的图像。
If your health is generally good, you’ll only need a colonoscopy once every 10 years after you turn 50. The frequency increases with various factors.
Talk to a doctor about getting a colonoscopy earlier than 50 if you have a family history of bowel conditions, are at higher risk for developing colon cancer, or have previously had polyps or colon cancer.