E noʻonoʻo ʻoe ua hele ʻoe e ʻike i ke kauka no kekahi pilikia ʻōpū ʻē aʻe, ʻo ia paha ka "gastritis" a kākou a pau. Ua hoʻolohe ke kauka i kāu mau hōʻailona a ʻōlelo maila, "E hoʻokomo kākou i kahi kāmela a nānā i loko o kou ʻōpū." Ua hana ʻo ia i kahi endoscopy. Ma hope o ka hoʻokolokolo ʻana, ua ʻōlelo ke kauka, "Aia kekahi mea e like me ka puʻupuʻu liʻiliʻi i loko o kou ʻōpū, ʻo ia hoʻi, ma ka paia o kou ʻōpū. Kāhea mākou i kēia mau polyps." He mea maʻamau loa ka makaʻu a me ka hopohopo ke lohe ʻoe i kahi mea e like me kēia. "He puʻupuʻu? ʻO ia hoʻi ke ʻano o ka maʻi ʻaʻai?" Manaʻo paha ʻoe. Akā, mai hopohopo. ʻO ka hapa nui o ka manawa, ʻaʻole kēia nā mea e makaʻu ai. I kēia lā, e kamaʻilio mākou e pili ana i nā polyps ʻōpū ma ke ʻano maʻalahi a maopopo.
I ka ʻōlelo maʻalahi, he aha nā polyps o ka ʻōpū?
ʻO nā polyps ʻōpū, a i ʻole nā polyps gastric, he mau ulu liʻiliʻi e hana ʻia ma ka ʻili o kou ʻōpū, e like me nā puʻupuʻu liʻiliʻi. I loko o ko kākou ʻōpū, aia kahi membrane lahilahi me kahi mea huna e like me ka mucus. Ulu kēia mau polyps mai kēia membrane. E noʻonoʻo i kekahi manawa loaʻa iā kākou nā moles liʻiliʻi ma ko kākou ʻili, ʻeā? He mea like kēia me ia, akā ulu ia i loko o ka ʻōpū.
ʻO ka hapa nui o kēia mau polyp he maʻi ʻaʻole ia he maʻi kanesa (benign) , ʻo ia hoʻi, ʻaʻohe mea ʻino.
He mea weliweli maoli anei kēia mau polyp? Pehea e pili ana i ka pilikia o ka maʻi kanesa?
ʻO kēia ka nīnau nui loa ma ka noʻonoʻo o kēlā me kēia kanaka. Eia kekahi mea e hoʻomanaʻo ai: ʻAʻole ka hapa nui o nā polyps o ka ʻōpū he maʻi kanesa. A he haʻahaʻa loa ka pilikia o ko lākou lilo ʻana i maʻi kanesa.
Eia nō naʻe, ua manaʻo ʻia kekahi ʻano polyps he "precancerous." ʻO ke ʻano kēia ʻaʻole lākou he maʻi kanesa ke loaʻa iā lākou e kāu kauka, akā inā ʻaʻole lākou e mālama ʻia no ka manawa lōʻihi, hiki iā lākou ke lilo i maʻi kanesa ma hope o kekahi mau makahiki.
Ua like ia me kahi ʻāpana lāʻau i ʻelemakule a hoʻomaka e pala. ʻAʻole ia i pala loa i kēlā manawa, akā inā ʻaʻole mākou e hoʻoponopono, hiki i kekahi lā ke pala loa. ʻO ia ke ʻano o kēia mau polyps precancerous.
ʻO ia ke kumu e hoʻoholo ai nā kauka e wehe i kēia mau polyp i ka wā e ʻike ai lākou iā lākou. ʻO ka hana ʻana pēlā hiki ke pale loa i nā pilikia e hiki mai ana.
He aha nā ʻano nui o nā polyp o ka ʻōpū?
Aia nā ʻano polyp ʻōpū like ʻole. E lawe ke kauka i kahi ʻāpana liʻiliʻi o kāu polyp a hoʻouna aku i ka lab ( kapa mākou i kēia he biopsy).ʻO (e ʻōlelo) ke ala wale nō e ʻike pono ai i ke ʻano. Hoʻoholo ʻia kona pilikia a me ka mālama ʻana e ke ʻano. E nānā maʻalahi kākou i kēia mau ʻano.
| ʻAno Polyp | Ka wehewehe a me ka pilikia |
|---|---|
| Nā polyp o ke kelepa fundic | ʻO kēia nā ʻano maʻamau. ʻO ka maʻamau, he haʻahaʻa loa ko lākou pilikia o ka maʻi kanesa. Hiki ke hana pinepine ʻia lākou e ka hoʻohana lōʻihi ʻana i kekahi mau lāʻau lapaʻau (PPI) no ka gastritis. |
| Nā polyps hyperplastic | ʻO ka lua o ke ʻano maʻamau. Hoʻopili ʻia kēia me ka mumū o ka ʻōpū (gastritis). He haʻahaʻa loa hoʻi ka pilikia o ka maʻi kanesa i loko o kēia mau mea. Eia nō naʻe, i kekahi manawa hiki iā lākou ke lilo i hōʻailona hōʻailona o kekahi ʻano maʻi kanesa ʻē aʻe, no laila ke nānā pū nei nā kauka i nā ʻiʻo a puni. |
| Nā polyp adenomatous (adenomas) | ʻO kēia nā ʻano polyps precancerous maʻamau. Loaʻa lākou ma kahi o 10% o nā hihia. Inā loaʻa kahi polyp o kēia ʻano, e wehe loa ke kauka iā ia. |
| Nā ʻano ʻokoʻa ʻē aʻe | Ma waho aʻe o kēia, aia kekahi mau ʻano kakaikahi ʻē aʻe e like me nā ʻōpū neuroendocrine Gastric , nā polyp Hamartomatous , a me nā ʻōpū stromal Gastrointestinal (GIST) . ʻOkoʻa nā pilikia a me nā lāʻau lapaʻau no kēia mau mea ma muli o ke ʻano. |
He aha nā hōʻailona o ka loaʻa ʻana o nā polyp i loko o ka ʻōpū?
ʻO ka mea kupaianaha ma ʻaneʻi, ʻaʻole hōʻike ka hapa nui o nā polyp o ka ʻōpū i kekahi mau hōʻailona.Ua ʻike ka poʻe he nui he polyps ko lākou i loko o ko lākou ʻōpū i ka wā o kahi endoscopy i hana ʻia no kekahi kumu ʻē aʻe. ʻO ka ʻoiaʻiʻo, he mau ʻike ulia wale kēia.
Eia nō naʻe, he mea kākaʻikahi loa, hiki i kekahi mau polyp ke hana i nā hōʻailona. ʻElua mau ala nui:
1. Ke kahe koko ʻana:
- Hiki i kekahi mau polyp ke kahe iki mai ka ʻili. ʻAʻole paha mākou e ʻike i kēia kahe ʻana o ke koko.
- Akā inā hoʻomau ʻoe i ke kahe ʻana o ke koko e like me kēia, hiki i ke koko ke puka mai me kou ʻōpala. Hiki i ke koko e puka mai ana mai ka ʻōpū ke hoʻolilo i kou ʻōpala i ʻeleʻele a pala .
- Ke kahe koko ʻoe e like me kēia no ka manawa lōʻihi, hiki i kou kino ke lilo i ke koko a lilo i anemia . A laila hiki iā ʻoe ke ʻano keʻokeʻo, luhi mau, a ʻike i nā hōʻailona e like me ka poniuniu ʻoiai ke piʻi ʻana i nā alapiʻi .
2. Ke ālai ʻia:
- He mea kākaʻikahi loa, inā lilo kahi polyp i mea nui loa, hiki iā ia ke ālai i ka paipu meaʻai i loko o ka ʻōpū.
- Inā hana kēia, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka nausea, ka luaʻi ʻana, ka ʻeha o ka ʻōpū, ka nalowale o ka makemake, a me ka pohō kaumaha .
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻaʻole ia he manaʻo he polyp kou. Eia nō naʻe, inā loaʻa iā ʻoe kēia mau hōʻailona, ʻoi aku ka maikaʻi o ka ʻike ʻana i kāu kauka i ka wā hikiwawe e ʻike ai i ke kumu.
No ke aha i hana ʻia ai kēia mau polyp? He aha nā kumu nui?
ʻOiai he paʻakikī ke kuhikuhi pololei i ke kumu o nā polyps o ka ʻōpū, ua ʻike nā kānaka noiʻi i kekahi mau kumu pilikia koʻikoʻi.
- ʻO ka gastritis mau loa: ʻO ka mumū lōʻihi o ka ʻōpū o ka ʻōpū hiki ke hoʻololi i nā cell a me ke kūkulu ʻia ʻana o nā polyps. ʻO ka gastritis, ʻoi aku ka mea i hoʻokumu ʻia e kahi maʻi bacteria i kapa ʻia ʻo H. pylori, ke kumu nui o kēia.
- Nā mea hoʻopaʻa i ka pamu proton (PPI): ʻO kēia nā lāʻau lapaʻau a mākou e hoʻohana pinepine ai no ka gastritis, e like me Omeprazole lāua ʻo Pantoprazole. Ke hoʻohana ʻia kēia mau lāʻau lapaʻau no ka manawa lōʻihi, kāohi lākou i ka hana ʻana o ka waikawa o ka ʻōpū, a ma ka pane ʻana, hiki i kekahi mau cell ke ulu nui a hana i nā polyps (pinepine nā polyps gland fundic ʻino ʻole). E kamaʻilio me kāu kauka e pili ana i kēia. ʻAʻole mākou e haʻi aku iā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, akā e hoʻololi ʻo ia i ka dosage inā pono.
- Nā maʻi hoʻoilina: He mea kākaʻikahi loa, hiki i kekahi mau maʻi hoʻoilina (no ka laʻana, Familial Adenomatous Polyposis - FAP) ke hana i kahi nui o nā polyps e hana i loko o ka ʻōpū a me nā ʻōpū.
Pehea lā e mālama ai nā kauka i kēia?
Ke loaʻa kahi polyp, pili ka lāʻau lapaʻau i kona ʻano, ka nui, a me ka helu.
1.Ka wehe ʻana i ka polyp (Polipectomy):
- I ka hapanui o nā hihia, inā ʻike ke kauka i kahi polyp i ka wā o ka endoscopy, e hoʻohana ʻo ia i kahi mea hana kūikawā e ʻoki loa a wehe iā ia. Ua kapa ʻia kēia he polypectomy . ʻAʻole ʻoe e ʻeha i ka wā o kēia kaʻina hana.
- Pono paha kekahi mau polyp hohonu a nui paha e wehe i nā kaʻina hana kūikawā e like me EMR a i ʻole ESD. I nā hihia kakaikahi, pono paha ke ʻoki kino.
2. Nā Nānā Hoʻomau:
- Inā he polyp precancerous kou, e haʻi aku paha kāu kauka iā ʻoe e hoʻi no kahi endoscopy ma kahi lā ma hope e nānā i nā polyps hou.
- He mea nui loa ʻaʻole e hōʻalo i nā hoʻokolohua e like me ka papa kuhikuhi a kāu kauka i hāʻawi ai iā ʻoe.
3. Ke mālama ʻana i ke kumu kumu:
- Inā loaʻa nā polyps i ka maʻi H. pylori, e kuhikuhi kāu kauka i nā lāʻau antibiotic. Hiki i kekahi mau ʻano polyps ke nalowale iā lākou iho ke hoʻōla ʻia ka maʻi.
- Inā manaʻo ʻia ke kumu he lāʻau PPI, hiki i kāu kauka ke hoʻoholo e hoʻololi i ka lāʻau a hōʻemi paha i ka nui. Mai ho'ōki i ka lawe ʻana i kahi lāʻau a kāu kauka i kuhikuhi ai iā ʻoe iho.
ʻAʻole ia he mea e makaʻu ai ka loaʻa ʻana o kahi polyp. Ua like ia me kahi hōʻailona liʻiliʻi mai kou kino mai. Ke haʻi aku nei kou kino iā ʻoe, "Ke hana nei kekahi mea i loko o koʻu ʻōpū, e hoʻolohe pono iā ia." ʻO ka mea nui loa, ʻo ia ka hoʻolohe ʻana i kēlā hōʻailona a hahai i nā ʻōlelo a kāu kauka.
He aha kaʻu e nīnau aku ai i kaʻu kauka?
Ke ʻike ʻoe he polyp kou, he mea maʻamau ka loaʻa ʻana o nā nīnau he nui. Mai kānalua e nīnau i kēia mau nīnau ke hele ʻoe e ʻike i kāu kauka.
- "E ke kauka, he aha ke ʻano o ka polyp i loaʻa iaʻu?"
- "Aia kekahi pilikia o kēia ke kumu o ka maʻi kanesa?"
- "Aia anei iaʻu ka pilikia o ka loaʻa ʻana o ka maʻi ʻōpū i ka wā e hiki mai ana ma mua o nā poʻe ʻē aʻe?"
- "He aha ke kumu o kēia mau polyps?"
- "He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona a me kaʻu meaʻai e pale aku ai i nā mea e like me kēia mai ka hana ʻana i ka wā e hiki mai ana?"
- "Āhea ka manawa e pono ai iaʻu e hana i kaʻu endoscopy aʻe?"
E kōkua nā pane i kēia mau nīnau iā ʻoe e loaʻa kahi ʻike maopopo o kou kūlana.
Leka Lawe-Home
- ʻO nā polyps o ka ʻōpū he mau ulu liʻiliʻi e kū mai ana ma ka paia o loko o ka ʻōpū. ʻO ka hapa nui o kēia mau mea ʻaʻole ia he maʻi kanesa.ʻAʻole ia he mea ʻino.
- ʻO ka hapa nui o ka manawa, ʻike ʻia kēia mau mea ma kahi manawa kūpono, no ka mea, ʻaʻole lākou e hōʻike pinepine i nā hōʻailona .
- ʻO ka loaʻa ʻana o kahi polyp e hāʻawi i kāu kauka i ka ʻike koʻikoʻi e pili ana i ke olakino o kou ʻōpū, hiki ke kōkua i ka mālama ʻana i nā maʻi ʻē aʻe, e like me ka gastritis.
- Inā loaʻa kahi ʻano maʻi kanesa, hiki i ka wehe ʻana iā ia i ka wā mua ke pale loa i ka pilikia i ka wā e hiki mai ana.
- Mai hōʻole i nā manawa i koho ʻia e kāu kauka, ʻoiai hoʻi nā manawa nānā kino . He mea nui loa ia no kou olakino lōʻihi.
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