Ke ʻike nei ʻoe i nā ulu liʻiliʻi i loko o kou ʻōpū? E kamaʻilio kākou e pili ana i nā polyps o ka ʻōpū!

Ua loaʻa anei iā ʻoe kahi endoscopy no kahi pilikia ʻōpū a i ʻole kahi maʻi e like me ka gastritis? I kēlā manawa, ua haʻi aku paha ke kauka iā ʻoe, "He mau ulu liʻiliʻi kou i loko o kou ʻōpū, a mākou e kapa nei he polyps." He mea weliweli iki paha kēia, ʻeā? Akā, mai hopohopo. ʻO ka hapa nui o ka manawa, ʻaʻole kēia he mea weliweli. E aʻo hou kākou e pili ana i nā polyps ʻōpū i kēia lā.

He aha kēia mau polyp i loko o ka ʻōpū?

I ka ʻōlelo maʻalahi, ʻo Stomach Polyps he mau ulu liʻiliʻi a i ʻole nā ​​ulu e ulu ana ma ka ʻili o kou ʻōpū . Ua kapa ʻia lākou ʻo Gastric Polyps. E noʻonoʻo e pili ana, he ʻili mucous ko ko kākou ʻōpū, a ma laila e ulu ai kēia mau polyps. Ua like kēia me nā polyps e ulu ana ma nā wahi ʻē aʻe o ko kākou kino, no ka laʻana, ma ka ʻōpū nui.

ʻO ka mea nui, ʻo ka hapa nui o kēia mau polyp ʻōpū ʻaʻole ia he maʻi kanesa (benign) . ʻO ia hoʻi, ʻaʻole lākou e hōʻeha nui. Eia nō naʻe, aia kekahi mau ʻano e hiki ke lilo i maʻi kanesa i ka hala ʻana o ka manawa. ʻO ia ke kumu he mea nui e makaʻala i kēia mau mea.

He mea weliweli anei kēia mau polyp o ka ʻōpū?

He pilikia nui kēia no nā kānaka he nui. ʻO ka ʻoiaʻiʻo, ʻo ka pilikia o ka maʻi kanesa i ka hapa nui o nā ʻano polyp ʻōpū maʻamau he haʻahaʻa loa ia, i kekahi manawa ʻaʻole loa. ʻO kekahi mau ʻano he precancerous . Akā ʻo ia mau mea ʻaʻole ia he maʻi kanesa ke ʻike nā kauka iā lākou. He lōʻihi ka manawa e lilo ai ka polyp i kanesa. ʻO ia ke kumu e wehe ai nā kauka iā lākou i ka wā e loaʻa ai, i mea e pale ai i ka maʻi kanesa i ka wā e hiki mai ana.

Mea nui: Mai hopohopo inā ʻike ʻoe i kahi polyp. E hoʻolohe pono i ka ʻōlelo a kāu kauka. I ka hapa nui o ka manawa, hiki ke wehe maʻalahi ʻia kēia mau mea.

He aha kēia ʻano puʻupuʻu e hana ʻia ana i loko o ka ʻōpū?

Aia kekahi mau ʻano polyp i loko o ka ʻōpū. ʻO ka mea maʻamau, ʻo ia nā epithelial polyps . ʻO kēia nā mea e ulu ana mai ka papa luna o ka uhi (epithelium) o ka ʻōpū. Eia kekahi, aia kekahi mau ʻano e hoʻomaka ana mai kahi papa hohonu iki a puka mai, i kapa ʻia ʻo mesenchymal polyps . ʻAʻole maʻamau kēia.

Nā ʻano o nā Polyps Epithelial:

ʻO nā ʻano polyp i ʻike nui ʻia ma lalo o kēia māhele.

• Fundic Gland Polyps: ʻO kēia nā ʻano polyps gastric maʻamau.. Hoʻokumu pinepine ʻia kēia mau mea ma ka ʻaoʻao o luna o ka ʻōpū (fundus). Inā hoʻokumu wale ʻia lākou, haʻahaʻa loa ka pilikia o ka maʻi kanesa, inā ʻaʻole ʻaʻole loa. Eia nō naʻe, me kekahi mau maʻi kanesa hoʻoilina kakaikahi (no ka laʻana, 'Familial Adenomatous Polyposis (FAP)' a me 'Gastric Adenocarcinoma and Proximal Polyposis of the Stomach (GAPPS)') hiki iā lākou ke ulu pinepine. I ia mau hihia, hiki iā lākou ke lilo i kūlana precancerous ma mua o ko lākou lilo ʻana i cancerous.

• ʻO nā Polyps Hyperplastic: ʻO kēia ka lua o ke ʻano maʻamau. ʻAʻole hoʻi kēia he maʻi kanesa. Hoʻopili pinepine ʻia lākou me ka gastritis . Eia nō naʻe, hiki iā lākou ke loaʻa i kekahi manawa me nā maʻi kanesa ʻē aʻe, no laila ua manaʻo ʻia hoʻi he hōʻailona hōʻailona. Ke ʻike nā kauka iā lākou, nānā pū lākou i nā ʻiʻo a puni e ʻike inā he mau hunaola kanesa.

• ʻO nā Adenomatous Polyps (Adenomas): Ma kahi o 10% o nā polyps ʻōpū āpau o kēia ʻano. ʻO kēia ke ʻano maʻamau o nā polyps precancerous i loaʻa ka pilikia kiʻekiʻe loa o ka lilo ʻana i maʻi kanesa . Loaʻa pinepine lākou i hoʻokahi. Eia nō naʻe, hiki iā lākou ke loaʻa pinepine i nā poʻe me nā kūlana hoʻoilina e like me Familial Adenomatous Polyposis (FAP). Wehe nā kauka i kēia mau polyps i ka wā e loaʻa ai a hoʻāʻo iā lākou no nā ulu ʻana o ka maʻi kanesa.

• ʻO nā Tumors Neuroendocrine Gastric (i ʻike ʻia hoʻi ʻo Carcinoid Tumors): Kū mai kēia mau mea mai nā pūnaewele neuroendocrine i loko o ka ʻōpū. He 1% o nā tumors āpau i loko o ka ʻōpū ko lākou. Hiki iā lākou ke maʻi kanesa a i ʻole benign. ʻEhā ʻano like ʻole, kēlā me kēia me kahi prognosis ʻokoʻa iki. Hoʻoholo nā kauka i ka pilikia o ka maʻi kanesa ma ka ʻike ʻana i ke ʻano.

• ʻO Hamartomatous Polyps (a i ʻole Hamartomas): He helu liʻiliʻi kēia, ma kahi o 1% o nā polyps gastric. Hiki iā lākou ke kū koke mai, a i ʻole hiki ke pili pū me nā maʻi hoʻoilina kakaikahi e like me ka `Peutz-Jeghers syndrome`, `Juvenile Polyposis Syndrome`, `PTEN Hamartoma Tumor Syndrome`. Ke kū koke mai lākou, he ʻōpū maʻamau lākou e ulu hoʻokahi ana. Eia nō naʻe, ke kū pū lākou me nā maʻi hoʻoilina i ʻōlelo ʻia ma luna, ulu nui lākou a aia ka pilikia o ka maʻi kanesa.

Nā ʻano o nā Polyps Mesenchymal:

He mau ʻano polyp kakaikahi kēia e puka mai ana mai nā papa hohonu iki.

• ʻO nā Polyps Fibroid mumū: He ʻano ulu laha ʻole kēia, he ʻano maikaʻi ʻole. ʻAʻole ʻike ʻia ke ʻano kikoʻī o ko lākou hoʻokumu ʻia ʻana. I kekahi manawa ua kapa ʻia kēia mau mea he granulomas.Ua kapa ʻia hoʻi ia he polyp. He hōʻiliʻili ia o nā pūnaewele pale e hōʻiliʻili i ka wā o kahi maʻi mumū. Hoʻokumu pinepine kēia mau mea iā lākou iho, he liʻiliʻi. Akā inā nui lākou, hiki iā lākou ke hana i nā pilikia. Inā hoʻokumu ʻia kahi mea nui i loko o ka ʻōpū, hiki iā ia ke ālai i ke komo ʻana i ka ʻōpū (pylorus).

• ʻO nā Tumors Stromal Gastrointestinal (GIST): He ʻano maʻi kanesa kakaikahi kēia. Hoʻomaka lākou ma ka papa hohonu loa o ka uhi ʻōpū (ka muscularis propria). Wehe nā kauka iā lākou ke loaʻa. Pono paha lākou i kahi hana kaʻawale (Endoscopic Mucosal Resection (EMR) a i ʻole Endoscopic Submucosal Dissection (ESD)) e wehe iā lākou.

• Leiomyomas: He mau puʻupuʻu ʻiʻo laumania kēia, kakaikahi. Hoʻokumu ʻia lākou ma ka papa i kapa ʻia ʻo 'Muscularis Propria' a hiki ke ʻike ʻia he mau puʻupuʻu ma ka paia o loko o ka ʻōpū. I kekahi manawa hiki i kēia ke lilo i maʻi ʻaʻai (Leiomyosarcomas). Pono paha kahi hana ʻokoʻa e wehe ai i kēia mau puʻupuʻu.

Pehea ka maʻamau o nā polyps o ka ʻōpū?

ʻO kaʻoiaʻiʻo, ma ke ʻano holoʻokoʻa, ʻaʻole maʻamau nā polyps ʻōpū. Ma waena o 100 mau hoʻokolohua endoscopy luna, loaʻa lākou ma kahi o 4 o lākou. Ma kahi o ka hapalua o kēia mau polyps ʻo ia nā 'Fundic Gland Polyps' i ʻōlelo mua ʻia. Ma kahi o 30% he 'Hyperplastic Polyps', 10% he 'Adenomatous Polyps'. ʻO ke koena 10% he mau ʻano kakaikahi ʻē aʻe.

Loaʻa nā hōʻailona o nā polyps o ka ʻōpū?

ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike nā polyps ʻōpū i kekahi mau hōʻailona. ʻIke pinepine ʻia lākou i ka wā o kahi hoʻāʻo āu e hana nei no kekahi kumu ʻē aʻe. Eia nō naʻe, hiki i kekahi mau ʻano polyps ke kahe ke koko . He mea kākaʻikahi loa, hiki i kekahi mau ʻano ke ulu nui a hiki ke hana i kahi ālai . Eia kekahi mau hōʻailona āu e ʻike ai:

• Ke kahe ʻana o ke koko: ʻAʻole paha ʻoe e ʻike i ke kahe ʻana o ke koko i loko o kou ʻōpū. Akā inā he nui ke kahe ʻana o ke koko, e ʻike paha ʻoe i nā hōʻailona o ke koko i loko o kou ʻōpū. (Ke puka mai ke kahe ʻana mai ka ʻaoʻao o luna o kou ʻōpū , e ʻeleʻele ka ʻōpū, ʻeleʻele, ma mua o ka ʻulaʻula.) I ka hala ʻana o ka manawa, hiki i ke kahe ʻana o ke koko ke alakaʻi i ka anemia . Hiki i kēia ke hana i nā hōʻailona e like me ka maeʻele, ka nāwaliwali, a me ka luhi.

• Ka Paʻa ʻana: Inā nui ka polyp e ālai i kou ala ʻai, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka nausea, ka pehu ʻana, a me ka ʻeha o ka ʻōpū . Hiki nō hoʻi ke ʻeha kou ʻōpū ke kaomi ʻoe iā ia. Inā ālai maoli ka polyp i ke komo ʻana i kou ʻōpū, hiki iā ʻoe ke luaʻi, nalowale ka makemake, a me ka pohō kaumaha .

Pehea ke ʻano o kēia mau polyp?

Hiki ke ʻokoʻa ke ʻano o nā ʻano polyp ʻōpū like ʻole. Ua piʻi aʻe kekahi, e like me ka puʻupuʻu, aʻo kekahi he pālahalaha. Ua kapa nā kauka i nā polyp ākea, piʻi iki aʻe he "sessile," a me nā polyp me ke poʻo e like me ke kumu he "pedunculated." Loaʻa paha i kekahi mau ʻano nā ʻōpū ma ka ʻili a hiki ke kahe ke koko.

Hiki i nā polyps ke ʻokoʻa ka nui mai kahi milimita a i kekahi mau kenimika. He liʻiliʻi ka hapa nui, no ka mea, lohi loa ko lākou ulu ʻana. ʻOi aku ka nui o nā polyps nui i ka maʻi kanesa, no ka mea, ua ʻelemakule lākou. Akā, he paʻakikī i nā kauka ke ʻōlelo maopopo inā he maʻi kanesa lākou a ʻaʻole paha me ka nānā ʻole ʻana iā lākou ma lalo o kahi microscope.

He aha ke kumu o nā polyps o ka ʻōpū?

ʻO nā polyps ʻōpū e ulu ana ma muli o nā kūlana hoʻoilina he genetic. Eia nō naʻe, ua hoʻopili ʻia nā polyps sporadic e nā kumu genetic a me nā kumu ʻē aʻe. ʻO ia hoʻi, ulu nā ʻano polyps like ʻole ma muli o nā mutations genetic like ʻole, akā me he mea lā aia kekahi mau kumu ʻē aʻe i pili i ke kumu o kēia mau mutations.

Eia kekahi o nā kumu i ʻike ʻia e nā mea noiʻi:

• ʻO ka Gastritis Mau Loa: ʻO ka Gastritis kahi mumū o ka uhi ʻōpū. Hiki ke erosive a nonerosive paha. ʻO ka gastritis erosive ka mea maʻamau. Hoʻokumu ʻia ia e ka erosion kemika a i ʻole kahi maʻi maʻi e like me H. pylori. Hiki i ka gastritis nonerosive ke hoʻolilo i ka uhi ʻōpū i lahilahi (atrophic gastritis), ka mea e hoʻoulu ai i nā loli cellular like ʻole. Hiki i nā ʻano ʻelua ke alakaʻi i ka ulu ʻana o nā ʻano tumors like ʻole, ʻoiai nā polyps hyperplastic, adenomas, fibroids inflammatory, a me nā tumors neuroendocrine.

• Nā mea pale i ka puʻu Proton (PPI): ʻO kēia nā lāʻau lapaʻau a mākou e lawe mau ai no ka gastritis, ka ʻeha puʻuwai, a me ka reflux acid, e like me Omeprazole. Ke hoʻohana pinepine ʻia kēia mau mea no ka manawa lōʻihi, hiki iā lākou ke hoʻopilikia i ke ʻano o ka hana ʻana o ka ʻōpū. Ke hoʻōki kēia mau lāʻau lapaʻau i kekahi mau cell mai ka hana ʻana i ka waikawa, hoʻomaka nā cell ʻē aʻe e hana i ka waikawa ma mua o ka mea e pono ai e hoʻopiha no ka hemahema. He kumu maʻamau kēia o kēlā mau 'Fundic Gland Polyps' hala ʻole. I kekahi manawa, hiki i kēia ke hoʻopilikia i ka ulu ʻana o nā 'Gastric Neuroendocrine Tumors'.

Pehea e loaʻa ai (ʻike ʻia ai) nā polyp?

Loaʻa ka hapa nui o nā polyp ʻōpū i ka wā o kahi endoscopy luna (EGD) . Lawe ka gastroenterologist a i ʻole ke kauka lapaʻau e hana i kēia hoʻāʻo i kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) mai ka polyp, a wehe loa paha i ka polyp (polypectomy). A laila hoʻouna ʻia nā laʻana ʻiʻo no ka hoʻāʻo hou aku. Nānā kahi pathologist iā lākou ma lalo o kahi microscope e hoʻoholo ai i ke ʻano o ka polyp a inā he maʻi kanesa.

He aha ka manaʻo inā he polyps i loko o kou ʻōpū?

Hiki i nā ʻano polyp like ʻole ke ʻano o nā mea like ʻole. Ma muli o ke ʻano o ka polyp i loaʻa, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aʻe e nānā i nā kūlana ʻē aʻe e pili ana. No ka laʻana, hiki iā lākou ke kauoha i nā hoʻokolohua e nānā i kahi maʻi H. pylori a i ʻole nā ​​​​maʻi mumū mau ʻē aʻe.

He mea nui nō hoʻi ka helu o nā polyps āu a me ko lākou nui. Inā he nui kou mau polyps, hiki i kāu kauka ke ʻōlelo aku i ka hoʻāʻo ʻana i ka genetic e nānā i nā kūlana hoʻoilina. Inā ua hōʻoia ʻia he ʻano hoʻoilina kou, pono ʻoe e nānā i nā polyps ma nā wahi ʻē aʻe o kou kino. Inā loaʻa nā polyps precancerous, pono paha ʻoe e hana hou i kahi endoscopy koke.

He aha nā lāʻau lapaʻau no nā polyps o ka ʻōpū?

Aia ka lāʻau lapaʻau i ke ʻano o nā polyp āu e loaʻa ai a me ko lākou kūlana. Ma muli o kēia, hiki ke ʻōlelo ʻia nā lāʻau lapaʻau aʻe:

• Ka Wehe ʻana i ka Polyp o ka ʻōpū: Ua wehe paha kāu kauka i nā polyps i ka wā o ka endoscopy (polypectomy). Eia nō naʻe, i kekahi manawa pono e loaʻa a wehe ʻia paha nā polyps hou aʻe. Pono paha kekahi mau polyps paʻakikī a hohonu i nā kaʻina hana kūikawā (`EMR`, `ESD`) a i ʻole, i ka hapa pinepine, ke ʻoki kino.

• Nā Nānā Polyp ʻē aʻe: Inā ʻike kāu kauka a wehe i nā polyp he maʻi kanesa a he maʻi kanesa paha, pono ʻoe e nānā hou ʻia e ʻike inā loaʻa nā mea hou. E haʻi aku kāu kauka iā ʻoe i ka pinepine o ka nānā hou ʻia ʻana, ma muli o ke ʻano a me ke ʻano o nā polyp i loaʻa. Makemake paha lākou e nānā i ke ʻano o ka pane ʻana o kou kino i ka lāʻau lapaʻau.

• Lapaʻau no nā Kūlana Pili: I kekahi manawa, hiki ke ʻike mua ʻia ʻoe me kahi kūlana hiki ke mālama ʻia, e like me ka gastritis, ma muli o kēia mau polyps ʻōpū. Hiki i kāu kauka ke mālama i nā polyps me ka mālama ʻana i ke kūlana kumu. ʻO nā polyps e pili pono ana i ka maʻi H. pylori a i ʻole ka hoʻohana ʻana i nā mea hoʻopaʻa proton pump (PPIs) e nalowale paha ke mālama ʻia kēlā mau kūlana.

Hiki ke pale i ke kūkulu ʻia ʻana o nā polyps o ka ʻōpū?

ʻO ka mālama ʻana i ka gastritis mau loa a me kona mau kumu e hiki ke kōkua i ka pale ʻana i kekahi ʻano polyps ʻōpū. Eia kekahi, ʻo ka hōʻemi ʻana i ka hoʻohana ʻana i nā lāʻau lapaʻau i kapa ʻia ʻo 'Proton Pump Inhibitors (PPIs)' hiki ke kōkua i ka hōʻemi ʻana i ka hoʻokumu ʻia ʻana o kekahi ʻano polyps. Eia nō naʻe, ʻo ka hapa nui o nā polyps e ulu pū ana me nā 'PPIs' he benign. No laila, ʻaʻohe kānāwai e pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau e pale aku iā lākou. ʻOi aku ka maikaʻi o ke kūkākūkā ʻana i kēia me kāu kauka.

He aha ka mea e hana ai inā he polyps i loko o kou ʻōpū?

Inā ʻike kāu kauka i nā polyps i loko o kou ʻōpū, e hana lākou i nā hoʻokolohua e ʻike ai i ke ʻano o lākou a me ko lākou manaʻo.ʻO ka hapa nui o ka manawa, ʻaʻole lākou he koʻikoʻi. ʻO ka manawa kūpono e loaʻa ai kahi polyp e lilo i ka maʻi ʻōpū ma lalo o 2%. Hiki ke ʻike ʻia ʻoe me kekahi maʻi ʻē aʻe e hiki ke mālama ʻia.

Pono anei au e hoʻololi i kaʻu papaʻai ma hope o ka wehe ʻana i nā polyp?

Kōkua ka ʻai momona i ka ho'ōla ʻana o ka ʻōpū ma hope o ka wehe ʻia ʻana o nā polyps ma o ka endoscopy. Eia kekahi, he mea nui ka ʻai maikaʻi e pale aku ai i ka gastritis, ʻo ia ke kumu nui o nā polyps o ka ʻōpū. Paipai nā kauka e hahai i ka ʻai anti-inflammatory . ʻO ia hoʻi, ma kahi o nā meaʻai artificial, ke kō keu, a me nā momona saturated, pono e hoʻokau mua ʻia nā meaʻai kūlohelohe i loaʻa nā palaoa piha, nā protein lean, a me nā momona unsaturated .

Āhea wau e ʻike ai i ke kauka?

Ma hope o ka wehe ʻia ʻana o nā polyps , he mea nui loa ia e hoʻi hou no nā manawa hoʻokolokolo e like me ka ʻōlelo a kāu kauka iā ʻoe. E haʻi ʻo ia iā ʻoe i ka pinepine o ka hoʻi ʻana mai. Eia kekahi, inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e like me ka ʻeha o ka ʻōpū a i ʻole nā ​​​​loli i loko o kou ʻōpala, pono ʻoe e hoʻomaopopo i kāu kauka. A laila hiki iā ia ke haʻi iā ʻoe inā he mea maʻamau a inā pono e nānā ʻia.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• He aha ke ʻano o nā polyp i loaʻa iaʻu?
• Aia anei koʻu mau polyps i ka pilikia o ka lilo ʻana i maʻi kanesa?
• Aia koʻu pilikia i ka loaʻa ʻana o ka maʻi ʻōpū kiʻekiʻe a i ʻole haʻahaʻa?
• He aha ke kumu kūpono loa o nā polyps o koʻu ʻōpū?
• He aha nā hoʻololi e pono iaʻu e hana ai e pale aku i ka ulu ʻana o nā polyp o ka ʻōpū i ka wā e hiki mai ana?
• Āhea wau e hana ai i kaʻu endoscopy aʻe?

ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)

ʻO ka loaʻa ʻana o nā polyps i loko o kou ʻōpū he mea ia e ulia ai, ke loaʻa nei iā ʻoe kahi hoʻokolohua lapaʻau no kekahi mea ʻē aʻe. Hiki ke lilo i mea hopohopo iki. Akā e hoʻomanaʻo, ʻo ka hapa nui o nā polyps o ka ʻōpū ʻaʻole ia he maʻi kanesa, a he haʻahaʻa ko lākou pilikia e lilo i maʻi kanesa. I ka hapanui o nā hihia, he hōʻailona wale nō ia o ke kūlana i lawe mai iā ʻoe i ke kauka.

Ma muli o ke ʻano o nā polyps ʻōpū āu e loaʻa ai, e loaʻa i kāu kauka ka nui o ka ʻike koʻikoʻi e pili ana i kou olakino gastrointestinal. E ʻike ʻo ia i ka mea e hana ai e mālama i kou kūlana a hoʻokele i kou pilikia o ka maʻi ʻōpū. Inā he pilikia, ʻoi aku ka maikaʻi o ka ʻike koke ʻana ma mua o ka wā ma hope, ʻeā? No laila, mai makaʻu, e hoʻolohe i ka ʻōlelo a kāu kauka, a e loaʻa i ka lāʻau kūpono.

Nā polyps ʻōpū, nā puʻupuʻu ʻōpū, gastritis, endoscopy, ka maʻi ʻōpū, nā pilikia ʻōpū, nā ʻano polyps