Koj puas tau hnov txog ib yam dab tsi hu ua 'polyps'? Tej zaum koj tus kws kho mob tau kuaj koj thiab qhia rau koj tias koj muaj ib qho. Hais yooj yim xwb, cov no yog cov qog me me uas tsim rau ntawm phab ntsa sab hauv ntawm cov kabmob hauv peb lub cev (piv txwv li, cov hnyuv, lub tsev menyuam). Txawm hais tias feem ntau ntawm cov no tsis txaus ntshai, qee qhov tuaj yeem hloov mus ua mob qog noj ntshav raws sijhawm, yog li nws yog qhov zoo tshaj plaws kom tshem tawm lawv thiab kom lawv kuaj xyuas. Yog li hnub no peb yuav tham txog cov txheej txheem kho mob hu ua 'polypectomy', uas tshem tawm cov polyps no.
Qhov tseeb tiag yog dab tsi?
Kev phais tshem cov qog nqaij hlav (polypectomy) yog ib txoj kev kho mob uas tshem tawm cov qog nqaij hlav lossis cov qog uas tau tsim nyob hauv ib lub cev hauv koj lub cev. Cov qog nqaij hlav no tuaj yeem yog qog nqaij hlav (cancerous) lossis tsis yog qog nqaij hlav (benign).
Feem ntau, cov no yog cov tsis muaj teeb meem loj . Tab sis koj tus kws kho mob tsuas yog tuaj yeem qhia qhov tseeb tom qab tshem lawv thiab xa lawv mus rau chav kuaj mob kom kuaj. Qee cov polyps yog "precancerous." Qhov no txhais tau tias lawv tsis yog mob qog noj ntshav tam sim no, tab sis lawv muaj peev xwm dhau los ua mob qog noj ntshav yav tom ntej.
Vim li cas cov polyps no thiaj li yuav tsum tau muab tshem tawm?
Tej zaum yuav muaj ntau yam ua rau kom tshem tau cov polyp.
- Yog tias koj muaj cov tsos mob: Qee cov polyps tuaj yeem ua rau koj muaj ntau yam tsos mob, xws li mob plab, los ntshav, lossis hloov pauv hauv kev quav.
- Yog tias muaj kev pheej hmoo ntawm mob qog noj ntshav: Yog tias tus kws kho mob kuaj xyuas nws thiab xav tias nws yuav yog mob qog noj ntshav lossis muaj kev pheej hmoo ntawm mob qog noj ntshav.
- Yog koj xav kuaj mob: Yuav kom paub tseeb tias nws yog hom qog nqaij hlav dab tsi, koj yuav tsum tshem nws tawm thiab xa mus rau chav kuaj mob ("kev kuaj nqaij").
Ntau tus kws kho mob ntseeg tias txawm tias cov polyps tsis muaj tsos mob los xij, yuav tsum tau muab tshem tawm thaum ntxov kom tiv thaiv cov teeb meem yav tom ntej.
Qhov twg Polyps feem ntau tshwm sim thiab qhov tseem ceeb ntawm kev tshem tawm lawv
Cov polyps tuaj yeem tsim nyob rau hauv txhua lub cev khoob hauv peb lub cev. Cia peb nkag siab ntxiv txog nws los ntawm lub rooj hauv qab no.
| Qhov twg polyps tshwm sim | Qhov tseem ceeb ntawm kev tshem tawm (mob qog noj ntshav uas tiv thaiv tau) |
|---|---|
| Cov qog nqaij hlav hauv plab | Mob Cancer ntawm Txoj Hnyuv thiab Qhov Ncauj |
| Cov Polyps ntawm lub tsev menyuam | Mob qog nqaij hlav thiab mob qog nqaij hlav hauv tsev menyuam |
| Cov qog nqaij hlav hauv plab | Mob Cancer Hauv Plab |
| Cov qog ntawm lub zais zis | Mob qog nqaij hlav ntawm lub zais zis |
Qhov no puas yog kev phais loj? Puas yuav mob?
Qhov no yog ib lo lus nug uas ntau tus neeg muaj. Tsis yog, polypectomy feem ntau yog ib qho kev phais me me. Nws yog "kev phais mob me me". Qhov ntawd txhais tau tias nws ua tiav yam tsis muaj kev txiav loj.
Cov polyps no feem ntau raug tshem tawm thaum lub sijhawm kuaj mob plab hnyuv lossis endoscopy. Qhov no suav nrog kev ntxig ib lub raj ntev, yoog tau nrog lub koob yees duab los ntawm qhov qhib ntuj hauv koj lub cev (piv txwv li, qhov quav, qhov ncauj) thiab siv cov cuab yeej me me los ntawm nws kom tshem tawm cov polyp.
Tsis tas li ntawd xwb, qhov uas ntau tus neeg ntshai yog qhov mob. Koj yuav tsis hnov mob thaum lub sijhawm ua qhov no. Tus kws kho mob yuav muab tshuaj loog rau koj thiab tshuaj tua kab mob kom paub tseeb tias koj xis nyob. Koj yuav tau muab tshuaj loog dav dav (ib hom tshuaj loog) yog tias koj xav tau. Lossis koj yuav tau muab tshuaj loog (ib hom tshuaj uas ua rau koj tsaug zog). Koj yuav hnov me ntsis kev nyem thaum lub polyp raug tshem tawm, tab sis nws tsis mob.
Muaj dab tsi tshwm sim ua ntej thiab thaum lub sijhawm phais?
Kev npaj ua ntej phais
- Kev ntxuav plab hnyuv: Tshwj xeeb tshaj yog rau kev kuaj plab hnyuv kom tshem tawm cov polyps hauv plab hnyuv loj, koj plab hnyuv yuav tsum khoob tag thiab huv si. Rau qhov no, koj tus kws kho mob yuav muab cov kua tshwj xeeb rau koj haus (`(formula npaj plab hnyuv)`) koj yuav tsum ua raws li kev noj zaub mov tshwj xeeb rau ob peb hnub.
- Cov tshuaj kho mob:Tus kws kho mob siv tshuaj loog yuav nrog koj tham ua ntej txog hom tshuaj loog uas koj yuav tau txais. Nws kuj tseem yuav hais kom koj tsum tsis txhob noj qee yam tshuaj (xws li cov tshuaj ua kom ntshav nyias) rau hnub phais.
Thaum lub sijhawm phais
Ib qho kev phais polypectomy yooj yim yog ua los ntawm kev siv lub endoscope, uas yog ib lub raj nrog lub koob yees duab txuas nrog.
1. Tus kws kho mob yuav muab lub raj no ntxig rau hauv koj lub cev thiab mus rau qhov chaw uas muaj cov polyp.
2. Tom qab ntawd, muab me ntsis roj carbon dioxide txhaj rau hauv lub cev kom nws ua pa kom pom sab hauv ntawm lub cev kom meej meej.
3. Tom qab ntawd, siv ib lub cuab yeej me me (xws li ib khub forceps lossis ib lub voj hlau) uas raug hla lub raj, thawj zaug txiav lub polyp thiab tshem tawm.
4. Tom qab tshem cov polyp tawm lawm, thaj chaw ntawd yuav raug cauterized ib ntus (electrocautery) kom tsis txhob los ntshav thiab tshem tawm cov nqaij uas tseem tshuav. Qhov no kuj tiv thaiv cov polyp kom tsis txhob loj hlob rov qab.
Yuav tshem tawm qee cov polyps nyuaj li cas?
Tej cov polyps yuav nyuaj rau tshem tawm nrog cov txheej txheem yooj yim vim tias lawv loj, tiaj tus, lossis nyob rau hauv txoj kev uas ua rau lawv nyuaj rau tshem tawm. Hauv cov xwm txheej zoo li no, lwm txoj kev siv tau.
| Kev Kawm Txuj Ci | Hais yooj yim xwb... |
|---|---|
| Kev Phais Mob Laparoscopic | Ua ob peb qhov txiav me me hauv plab, ntxig lub koob yees duab thiab cov cuab yeej los tshem tawm cov polyp. |
| Kev phais mob ntawm cov qog nqaij hlav endoscopic (EMR) | Txhaj tshuaj saline rau hauv daim nyias nyias hauv qab lub polyp, kom yooj yim tshem tawm thaum nws nce siab. |
| Kev phais mob endoscopic submucosal (ESD) | Cov polyps loj lossis mob qog nqaij hlav raug tshem tawm ua ib daim, nrog rau cov membrane hauv qab tob dua. |
Tom qab phais tas, muaj dab tsi tshwm sim thiab puas muaj kev pheej hmoo dab tsi?
Tom qab phais
Feem ntau koj tuaj yeem mus tsev tib hnub ntawd. Txawm li cas los xij, vim tias koj yuav tsis tuaj yeem tsav tsheb vim yog cov teebmeem ntawm cov tshuaj loog, nws yog ib qho tseem ceeb uas yuav tsum muaj ib tus neeg tsav tsheb rau koj. Koj yuav hnov qee qhov tsis xis nyob rau ob peb hnub vim yog cua nkag hauv koj lub plab. Cov polyp uas raug tshem tawm yuav raug xa mus rau chav kuaj mob, thiab daim ntawv qhia yuav muaj nyob rau hauv ib mus rau ob lub lis piam.
Kev pheej hmoo thiab teeb meem
Cov teeb meem tsis tshua muaj, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog lawv.
- Ntshav (`(Ntshav)`)
- Kev kis kab mob (`(Kev kis kab mob)`)
- Kev tho qhov ntawm lub cev ('(Perforation)')
- Kev kub hnyiab los ntawm cov khoom siv hluav taws xob
Lwm yam mob uas tsis tshua muaj yog Postpolypectomy Coagulation Syndrome (PPCS) . Qhov no yog thaum cua sov los ntawm polyp hlawv cov ntaub so ntswg hauv qab, ua rau muaj cov tsos mob xws li mob plab thiab kub taub hau. Qhov no tsis loj npaum li qhov tho qhov. Feem ntau nws yuav ploj mus nrog kev siv tshuaj hauv ob peb hnub. Txawm li cas los xij, yog tias koj muaj cov tsos mob no hauv ob peb hnub tom qab phais, qhia rau koj tus kws kho mob tam sim ntawd.
Feem ntau koj yuav zoo tag nrho hauv ob peb hnub. Koj yuav tsum tau noj tshuaj tua kab mob rau ib lossis ob hnub. Tej zaum yuav muaj ntshav me me ntws los ntawm koj cov quav lossis zis, uas yog ib txwm muaj. Txawm li cas los xij, yog tias cov ntshav ntau lossis tseem ntws mus ntxiv, nco ntsoov nrog koj tus kws kho mob tham.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais tshem cov qog nqaij hlav (polypectomy) yog ib txoj kev kho mob yooj yim thiab muaj kev nyab xeeb uas tshem tawm cov qog nqaij hlav, ib hom kev loj hlob uas tsim nyob rau hauv lub cev.
- Txawm hais tias feem ntau cov polyps tsis txaus ntshai los xij, nws yog ib qho tseem ceeb uas yuav tsum tshem tawm thiab kuaj xyuas lawv vim muaj kev pheej hmoo ntawm lawv hloov mus ua mob qog noj ntshav.
- Cov txheej txheem no tsis mob, thiab cov txheej txheem siv tshuaj loog txo koj qhov tsis xis nyob.
- Lub sijhawm rov zoo yog luv heev, feem ntau tsuas yog ob peb hnub xwb.
- Yog tias koj muaj tej yam tsos mob txawv txawv (mob heev, kub taub hau, los ntshav ntau) tom qab phais, qhia rau koj tus kws kho mob tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus