Ua ʻike anei ʻoe i kēia mau polyp serrated i loko o kou colon? E kamaʻilio kākou e pili ana iā lākou ma nā ʻōlelo maʻalahi!

Ua loaʻa anei iā ʻoe kahi hoʻāʻo `(Colonoscopy)`? A i ʻole, ua lohe paha ʻoe i kekahi e ʻōlelo ana, ``Ua wehe lākou i kekahi mau ulu liʻiliʻi ma ka kolona.'' ʻO ka hapa nui o ka manawa, ʻo ia ka mea a mākou e kapa nei he `(Colon Polyps)`` a i ʻole nā ​​​​polyps e ulu ana ma ka kolona. I waena o lākou, aia kekahi ʻano kūikawā i kapa ʻia ʻo `(Serrated Polyps).`` He mea weliweli iki anei ka inoa? Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.

He aha kēia mau `(Serrated Polyps)`? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo nā polyp serrated he mau ulu e kū mai ana ma ka paia o loko o kou kolona a like me nā ulu niho ʻokiʻoki ma lalo o ka microscope. He mau puʻupuʻu maoli nō lākou, akā he maikaʻi ʻole lākou. ʻO ke ʻano kēia, ʻaʻole lākou he maʻi kanesa i ka wā e kū mua ai. Eia nō naʻe, hiki i kekahi mau polyp serrated ke lilo i maʻi kanesa i ka hala ʻana o ka manawa. ʻO ia ke kumu e wehe ai nā kauka i kēia mau ulu i ka wā e ʻike ʻia ai he pale i ka maʻi kanesa kolona.

ʻO ke ʻano serrated o kēia mau `(Serrated Polyps)` e pili ana i ke ʻano o ko lākou hana ʻana. He ʻokoʻa iki ke kaʻina hana e hana ai lākou mai nā ʻano polyps ʻē aʻe a mākou e ʻike pinepine ai i loko o ka colon, ʻo `(Adenomas). Eia kekahi, inā lilo `(Serrated Polyps)` i ka maʻi kanesa, ʻokoʻa ke kaʻina hana mai ke kaʻina hana e lilo ai `(Adenomas)` i ka maʻi kanesa. Ua ʻōlelo ʻia ma kahi o 25% o nā maʻi kanesa colon e kū mai ana mai kēia mau `(Serrated Polyps)`. Eia naʻe, inā ulu lākou i ka maʻi kanesa, hiki iā lākou ke ulu wikiwiki iki ma mua o nā ʻano ʻē aʻe.

He aha nā ʻano nui o nā `(Serrated Polyps)`?

Ua hoʻokaʻawale ka World Health Organization (WHO) i nā polyps serrated i ʻehā mau ʻano nui. Ua hoʻokaʻawale ʻia kēia mau mea e like me ko lākou helehelena, ʻo ia hoʻi, ko lākou ʻano kino. Hōʻike kēia mau ʻano i ke ʻano o ka ʻokoʻa o nā kaʻina hana cellular e hoʻohuli ai i ka ulu ʻana o kēia mau polyps. ʻO ka mea nui, ʻaʻole kēia mau ʻano āpau he precancerous . Hoʻokaʻawale nā ​​​​kauka iā lākou i ka wā e ʻike ʻia ai e hoʻoholo i ka nui o ko lākou ulu ʻana i ka maʻi kanesa.

Eia kēlā mau ʻano ʻehā:

• Nā Polyps Hyperplastic
• `(Nā ʻEha ʻUmiʻumi Sessile - SSLs)` Nā ʻEha ʻUmiʻumi Sessile
• Nā Adenoma Serrated Kuʻuna
• Nā Adenoma Serrated i Hoʻokaʻawale ʻole ʻia

Nā Polyps Hyperplastic

ʻO kēia ke ʻano maʻamau o nā polyp serrated, e helu ana ma kahi o 75% o nā hihia. ʻO ka nūhou maikaʻi, ʻaʻohe mea ʻino kēia mau polyp hyperplastic a ʻaʻole e lilo i maʻi kanesa . ʻO "Hyperplastic" ke ʻano o ka ulu nui ʻana o nā cell. ʻO ia hoʻi, he nui loa nā cell e ulu pū ana. He nui nā polyp precancerous e lilo i "dysplastic," ʻo ia hoʻi, he mau loli maʻamau ʻole i loko o nā cell. Hiki i kēia mau loli i loko o nā cell ke alakaʻi i ka maʻi kanesa.

`(Nā ʻEha ʻUmiʻumi Sessile - SSLs)` Nā ʻEha ʻUmiʻumi Sessile

Ma kahi o 20% o nā polyp serrated no ke ʻano i kapa ʻia ʻo Sessile Serrated Lesions (SSLs). ʻO kēia ke ʻano o ka polyp serrated i loaʻa ka pilikia kiʻekiʻe loa o ka lilo ʻana i maʻi kanesa . ʻO "Sessile" e pili ana i ka ʻoiaʻiʻo he pālahalaha lākou, like me ka disc, a i ʻole i hāpai iki ʻia. Eia nō naʻe, hiki ke ʻike ʻia kēia ʻano i loko o nā polyp hyperplastic ʻino ʻole. No laila, he mea paʻakikī iki ke hoʻokaʻawale i nā mea ʻelua ma ke ʻano. Eia nō naʻe, hiki i nā loea ke ʻike i kekahi mau ʻokoʻa i ko lākou ʻano.

He nui nā inoa o kēia mau `(Sessile Serrated Lesions)` ma mua. I kēia manawa, hoʻohana ʻia kēia inoa hou e hōʻemi i ka huikau pono ʻole. ʻO kekahi mea ʻē aʻe, ʻo ia kekahi o kēia mau `(SSLs)` i loaʻa nā hiʻohiʻona `(Dysplasia)` (nā ʻano ʻē o ke kelepona) i ʻōlelo mua ʻia, a ʻo kekahi ʻaʻole. Hoʻokaʻawale hou nā kauka i nā mea me `(Dysplasia)` ma ke ʻano he "sesile serrated lesions me ka dysplasia". Eia naʻe, ua manaʻo ʻia nā `(SSLs)` āpau he mau kūlana precancerous .

Nā Adenoma Serrated Kuʻuna

ʻO kēia ke ʻano kakaikahi loa o nā `(Serrated Polyps)`, i ʻike ʻia ma lalo o 1% o ka heluna kanaka . He mau kūlana precancerous nō hoʻi kēia. Ua like ko lākou helehelena me nā `(Adenomas)` maʻamau, ʻo ia hoʻi, he ʻano like me ka mushroom ko lākou, a he mau hiʻohiʻona `(Dysplasia)` maʻamau ko lākou. Eia naʻe, loaʻa iā lākou nā hiʻohiʻona `(Serrated)` e like me nā lihi o kahi ʻoki. I ka wā ma mua, ua kuhihewa pinepine ʻia kēia mau mea no nā `(Adenomas)` maʻamau. Ua ʻike wale ʻia lākou i kēia manawa he ʻano `(Serrated Polyp)`.

Nā Adenoma Serrated i Hoʻokaʻawale ʻole ʻia

ʻO ke ʻano hope loa, ʻo ia nā polyps i kūpono ʻole i kekahi o nā māhele i luna. Loaʻa paha iā lākou kahi helehelena pālahalaha a serrated, akā hiki iā lākou ke loaʻa nā hiʻohiʻona e like me "Dysplasia" a i ʻole "Adenomas." ʻOiai he mea kakaikahi lākou, manaʻo nā kauka he mea nui e ʻike i kēia mau polyps i hiki ʻole ke hoʻokaʻawale maopopo ʻia, no ka mea, e hōʻike paha nā noiʻi e hiki mai ana i nā mea hou aʻe e pili ana iā lākou. Ke aʻo nei mākou e pili ana i nā "Serrated Polyps."

Pehea ka maʻamau o nā Serrated Polyps?

Loaʻa nā polyp serrated ma kahi o 30% o nā colonoscopies. ʻO ka hapa nui o ka manawa, he mau polyp hyperplastic ʻino ʻole kēia. Eia nō naʻe, ma kahi o 10% he mau polyp precancerous, e like me Sessile Serrated Lesions (SSLs). I ka wā o ka colonoscopy, ʻaʻole hiki i ke kauka ke ʻike i ka ʻokoʻa ma waena o nā mea ʻelua. ʻO ia ke kumu, inā he kānalua, wehe ʻia ka ʻiʻo, hoʻouna ʻia i kahi keʻena hoʻokolohua, a nānā ʻia ma lalo o kahi microscope e kahi pathologist.

He aha ka `(Serrated Polyposis Syndrome - SPS)`?

He maʻi laha ʻole ka Serrated Polyposis Syndrome (SPS). ʻO kēia ka mea e hana ʻia ke loaʻa kāuHoʻokumu ʻia nā polyps serrated i nā helu nui ma loko o ka colon. Ua kapa ʻia kēia ma mua ʻo Hyperplastic Polyposis Syndrome. Loaʻa paha iā ʻoe ma mua o 20 mau polyps, a i ʻole he nui aʻe paha lākou ma mua o ka maʻamau. ʻOi aku ka nui o ko lākou hiki ke precancerous. Loaʻa i ka poʻe me kēia maʻi he 25% ka manawa e loaʻa ai ka maʻi kanesa. Hoʻopilikia kēia maʻi ma kahi o 0.4% o ka heluna kanaka.

Hoʻokumu anei nā polyps serrated i nā hōʻailona?

ʻO ka hapa nui o ka manawa, ʻaʻole nā ​​polyps i loko o ka colon, me nā polyps serrated, e hana i kekahi mau hōʻailona . He mea kākaʻikahi loa, hiki i nā polyps nui ke hoʻoulu i ke kahe koko a i ʻole kahi loli i kou mau ʻano ʻōpū. Hiki i kekahi poʻe ke ʻike i ke koko i loko o ko lākou mau ʻōpala, a i ʻole he maʻi diarrhea a constipation paha i wehewehe ʻole ʻia. Akā hiki ke hana ʻia kēia mau hōʻailona e nā mea ʻē aʻe. Nui ka poʻe me nā polyps ʻaʻole lākou i ʻike he loaʻa iā lākou . ʻO ia ke kumu e paipai ai nā kauka i nā hoʻokolohua colonoscopy maʻamau.

He aha ke kumu o kēia mau `(Serrated Polyps)`?

He maʻi maʻamau nā polyps serrated e ulu pinepine ana i ko kākou ʻelemakule ʻana. ʻAʻole maopopo iā mākou ke kumu o ko lākou hoʻokumu ʻia ʻana. Akā, ʻike mākou he pili nā hoʻololi genetic . ʻO nā hoʻololi genetic he mau hewa i ke code ʻana o kāu mau cell i ka wā e māhele ai lākou a hana i nā cell hou. ʻO kēia mau hewa ke kumu o ka ulu ʻana o nā cell hou ma ke ʻano ʻokoʻa ma mua o ka mea e pono ai. Hoʻokumu ʻia nā polyps serrated e kahi hoʻololi genetic ʻokoʻa ma mua o nā ʻano polyps ʻē aʻe.

He aha nā kumu pilikia no ka hoʻomohala ʻana i nā `(Serrated Polyps)`?

ʻO nā kumu pilikia no ka ulu ʻana o nā polyps serrated ua like loa ia me nā mea no ka ulu ʻana o nā polyps i loko o ka ʻōpū nui. ʻO lākou kēia:

• ʻOiai ma luna o 50 mau makahiki.
• Puhi paka.
• Ka inu nui ʻana i ka waiʻona.
• Ka ʻai nui ʻana i ka ʻiʻo ʻulaʻula (e like me ka pipi, ka ʻiʻo kao).
• Ka momona.
• Loaʻa nā kūlana e like me ka maʻi ʻōpū mumū.

Pehea e ʻike ai i nā `(Serrated Polyps)`?

ʻO ke ala maikaʻi loa e ʻike ai i nā polyps serrated ma o ka colonoscopy . Eia nō naʻe, i kekahi manawa, hiki ke nalo lākou. ʻO kēia no ka mea ʻaʻole maopopo loa nā ʻano polyps serrated ʻelua maʻamau, nā polyps hyperplastic a me nā lesions sessile serrated (SSLs). He liʻiliʻi lākou (ma kahi o 5 mm) , pālahalaha a i ʻole i hāpai iki ʻia, a he like ke kala me nā ʻiʻo a puni, me nā palena maopopo ʻole.

E noʻonoʻo e like me ka ʻimi ʻana i kahi ʻili liʻiliʻi a ʻike iki ʻia ma ka paia e like ke kala me ka pena. ʻAʻole ia he mea maʻalahi, ʻeā?

Hou,ʻOi aku ka maikaʻi o nā Colonoscopes, nona ka hoʻonā kiʻekiʻe a me ka hoʻonui ʻana, i ka ʻike ʻana i nā polyps serrated ma mua o nā mea hana kahiko. He mea nui nō hoʻi ka hoʻomākaukau ʻana o ka ʻōpū a me ke aʻo ʻana o ke kauka. Pono nā kauka e ʻike i nā alakaʻi hou loa no ka ʻike ʻana i nā polyps serrated. Ua ʻike ʻia kekahi mau ʻano colonoscopy e hana maikaʻi ma mua o nā mea ʻē aʻe a hiki ke hoʻololi i ke ʻano o nā polyps.

I ka wā o kāu colonoscopy, hiki i kāu kauka ke kānalua i kahi Sessile Serrated Lesion a i ʻole Serrated Polyp, ʻo ia ke ʻano maʻi kanesa e hiki ke ulu a lilo i polyp. Inā he kānalua, e wehe ʻo ia iā ia i ka wā o ke kaʻina hana (Polypectomy) . A laila e hoʻouna ʻia ka polyp i kahi keʻena hoʻokolohua no ka hoʻokolokolo ʻana e kahi Pathologist. A laila wale nō e hiki ai i ke kauka ke hoʻoholo pololei i ke ʻano o ka polyp a hana i kahi hōʻailona hope loa.

Eia nō naʻe, inā loaʻa iā ʻoe ka Serrated Polyposis Syndrome (SPS), hiki paha i kāu kauka ke ʻike iā ia i ka wā o ka colonoscopy. ʻO ke ala e ʻike ai i ka SPS, ʻo ia ke nānā ʻana i ka helu o nā polyp serrated i loaʻa, ko lākou nui, a me ko lākou wahi i loko o ka colon. Ma ke ʻano helu, ʻoi aku ka nui o nā polyp serrated i ʻoi aku ka nui ma mua o ka maʻamau a i ʻole ma nā wahi ʻē i loko o ka colon i ka wā e nānā pono ʻia ai.

He aha ka mea e hana ai inā loaʻa nā `(Serrated Polyps)` i ka wā o ka `(Colonoscopy)`?

He mea maʻamau nā polyp hyperplastic a ʻaʻohe mea e hopohopo ai. Eia nō naʻe, inā kānalua kāu kauka he polyp serrated kou, pono e wehe ʻia . ʻO kēia ke ʻike pono i ke ʻano o ia mea a e pale aku iā ia mai ka lilo ʻana i maʻi kanesa. Inā ua hōʻoia ʻia he polyp precancerous maoli nō ia, e hoʻonohonoho kāu kauka i kāu colonoscopy aʻe i ka wā koke , i hiki iā ʻoe ke maopopo e loaʻa nā mea hou e nānā ʻia.

Pehea ka wikiwiki e pono ai iaʻu e hana i kahi colonoscopy ma muli o kahi polyp serrated?

Hoʻokaʻawale nā ​​kauka i ka pilikia o ka loaʻa ʻana o ke kanesa colorectal ma ke ʻano he haʻahaʻa, waena, a kiʻekiʻe paha, ma muli o ke ʻano o nā polyp serrated a lākou e ʻike ai. Hoʻohana ʻia kēlā pilikia e hoʻoholo ai i ka wā e hana ʻia ai ka colonoscopy aʻe. Wahi a nā alakaʻi o kēia manawa,

• Inā he pilikia waena , hoʻokahi manawa i kēlā me kēia ʻelima makahiki .
• Inā he nui ka pilikia, i kēlā me kēia ʻekolu makahiki .
• Inā loaʻa iā ʻoe ka `(SPS)`, ua ʻōlelo ʻia e hoʻāʻo ʻia i hoʻokahi manawa i ka makahiki .
• ʻAʻole pono ka nānā kūikawā ʻana i nā "Hyperplastic Polyps" haʻahaʻa pilikia.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe nā "Serrated Polyps" precancerous?

Inā ua wehe kāu kauka i nā polyps serrated precancerous i ka wā o kāu colonoscopy, ua palekana ʻoe i kēia manawa . ʻO ka wehe ʻana iā lākou e hōʻemi i ka pilikia o ko lākou lilo ʻana i maʻi kanesa. Eia nō naʻe, makemake kāu kauka e nānā pono i kāu colon no kekahi mau kumu. ʻO kekahi kumu, he paʻakikī ke wehe loa i kēia mau polyps serrated sessile me ka polypectomy ma muli o ko lākou ʻano pālahalaha a me nā ʻaoʻao fuzzy.

E noʻonoʻo e like me ka ʻohi ʻana i kahi ʻāpana jelly i hāʻule ma ka papahele. I kekahi manawa aia nā ʻāpana liʻiliʻi i koe, ʻeā? Pēlā nō ia.

Inā waiho ʻia nā ʻāpana liʻiliʻi o nā cell i ka wā e wehe ʻia ai, a inā he mau polyp i ʻike ʻole ʻia i ka wā o ka colonoscopy ma mua a ʻaʻole i ʻike nui ʻia, hiki iā lākou ke hoʻomau i ka ulu ʻana i nā kūlana precancerous. Hiki iā lākou ke ulu wikiwiki ma mua o ka polyp hou. Eia kekahi, ʻoi aku ka nui o nā polyps serrated e lilo i cancerous ma mua o nā ʻano ʻē aʻe. ʻOi aku ka nui o ko lākou ulu ʻana i ka maʻi kanesa ma mua o hoʻokahi wahi i ka manawa like .

Āhea wau e ʻike ai i ke kauka e pili ana i nā polyps intestinal?

Inā ʻoe ma ka awelika o ka pilikia, ʻōlelo nā kauka e hana ʻoe i kahi colonoscopy i kēlā me kēia 10 mau makahiki, e hoʻomaka ana i ka makahiki 45. Inā ua loaʻa i kekahi o kou ʻohana ka maʻi ʻaʻai colon a i ʻole polyps (he loulou genetic), a inā he maʻi olakino kou e hoʻonui ai i kou pilikia o ka loaʻa ʻana o nā polyps, e like me ka maʻi ʻōpū mumū, pono paha ʻoe e hana i kahi colonoscopy ma mua. E nīnau i kāu kauka i ka manawa e hana ai i kāu colonoscopy maʻamau.

E like me ka hapa nui o nā polyp colon, he mea maʻamau nā polyp serrated a pinepine ʻaʻole ia he mea ʻino . Loaʻa i kekahi o lākou kahi pilikia liʻiliʻi e lilo i mea ʻino i ka hala ʻana o ka manawa. ʻO ia ke kumu e loaʻa ai iā mākou nā colonoscopies. Inā mākou e nānā iā lākou a wehe iā lākou inā loaʻa, ʻaʻohe manawa kūpono o nā polyp serrated e lilo i maʻi kanesa. Ke aʻo nei mākou e pili ana i nā polyp serrated a pehea lākou e hana ai, akā ua lawa kā mākou ʻike i kēia manawa e hāʻawi i ka lāʻau pale .

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, e nānā kākou i kekahi o nā mea nui e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• ʻO nā polyp serrated kahi ʻano ulu ʻiʻo e hana ʻia i loko o ka ʻōpū nui a ke nānā aku nei e like me nā lihi o kahi ʻoki.
• Hiki i kekahi ʻano polyps serrated, ʻoiai nā sessile serrated lesions (SSLs), ke lilo i maʻi kanesa i ka hala ʻana o ka manawa.
• ʻO ka hapa nui o ka manawa, he asymptomatic kēia mau mea, no laila he mea nui loa ka hana ʻana i nā hoʻokolohua colonoscopy maʻamau.
• Ma ka ʻike ʻana a me ka wehe ʻana i kēia mau mea i ka wā o ka colonoscopy, hiki ke pale ʻia ke kanesa .
• Inā ua ʻike ʻia ʻoe me ka `(Serrated Polyps),` e hahai pololei i nā ʻōlelo a kāu kauka. He mea nui e hele no nā hoʻokolohua hahai ma nā manawa maʻamau.
• Mai makaʻu , ʻo ka mea nui ka ʻike ʻana i kēia mau mea a ʻike iā lākou i ka wā mua.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka. Hiki iā ia ke aʻo iā ʻoe ma ke ala kūpono loa.

ʻO nā Polyps Serrated, Colon Polyps, Colonoscopy, Colon Cancer, Hyperplastic Polyps, Sessile Serrated Lesions, Gastroenterology