Koj puas tau mus kuaj mob plab hnyuv (colonoscopy) dua li? Los yog tej zaum koj tau hnov txog ib qho los ntawm koj tsev neeg lossis cov phooj ywg. Qee zaum tom qab kuaj no, tus kws kho mob hais tias, "Koj muaj ib lub polyp hauv koj lub plab hnyuv." Nws yog ib qho ib txwm muaj rau txhua tus neeg uas yuav ntshai me ntsis lossis xav tsis thoob thaum lawv hnov cov lus no. Tab sis koj puas yuav tsum ntshai tiag? Tag nrho cov polyps no puas txaus ntshai thiab mob qog noj ntshav? Tsis yog. Hnub no peb tab tom tham txog ib hom polyp tshwj xeeb uas tsim nyob rau hauv lub plab hnyuv hu ua serrated polyps .
Hauv lwm lo lus, cov polyps serrated yog dab tsi?
Cov pob me me uas muaj cov hniav ntse yog cov pob me me uas loj hlob ntawm cov nqaij, lossis cov pob me me uas loj hlob ntawm phab ntsa sab hauv ntawm koj txoj hnyuv loj. Lawv hu ua "serrated" vim tias lawv qhov chaw zoo li cov hniav ntse thaum saib hauv qab lub tshuab microscope.
Qhov tseem ceeb yog tias cov polyps no tsis yog mob qog noj ntshav thaum lawv pib tsim. Feem ntau lawv tsis muaj teeb meem dab tsi. Txawm li cas los xij, qee cov polyps serrated tuaj yeem hloov mus ua mob qog noj ntshav raws sijhawm. Yog vim li ntawd cov kws kho mob thiaj li tshem tawm cov polyps no sai li sai tau thaum lawv pom. Qhov no pab tiv thaiv kom tsis txhob muaj mob qog noj ntshav hauv plab hnyuv yav tom ntej.
Txoj kev uas cov polyps serrated no loj hlob txawv me ntsis ntawm txoj kev uas lwm cov polyps, hu ua adenomas, loj hlob. Thiab cov txheej txheem uas lawv hloov mus ua mob qog noj ntshav kuj txawv. Kwv yees li 25% ntawm cov mob qog noj ntshav hauv plab hnyuv loj hlob los ntawm cov polyps serrated no. Tab sis yog tias lawv loj hlob mus ua mob qog noj ntshav, lawv tuaj yeem loj hlob sai dua li lwm hom.
Cov hom polyps serrated tseem ceeb yog dab tsi?
Lub Koom Haum Kev Noj Qab Haus Huv Ntiaj Teb (WHO) tau faib cov polyps serrated ua plaub hom tseem ceeb. Cov no raug faib ua pawg raws li lawv qhov tsos thiab txoj kev uas cov cell ua. Tsis yog txhua hom no hloov mus ua mob qog noj ntshav. Yog li ntawd, nws yog ib qho tseem ceeb heev rau koj tus kws kho mob kom cais thiab txheeb xyuas lawv kom raug.
Nov yog ib qho lus piav qhia yooj yim txog plaub hom ntawd.
| Hom Polyp | Hais yooj yim xwb... |
|---|---|
| Cov polyps hyperplastic | Qhov no yog hom uas feem ntau pom . Kwv yees li ntawm 75% ntawm cov polyps serrated yog hom no. Qhov xov xwm zoo yog, cov noNws tsis ua rau muaj kev phom sij, thiab nws yuav tsis hloov mus ua mob qog noj ntshav. Nws yog ib qho mob ib txwm muaj los ntawm ntau lub cell dhau lawm. |
| Cov qhov txhab uas tsis muaj qhov txhab (SSLs) | Qhov no yog hom polyp serrated uas feem ntau yuav hloov mus ua mob qog noj ntshav . "Sessile" txhais tau tias "sessile" vim tias lawv tiaj tus thiab txuas rau ntawm phab ntsa. Qhov no yog vim li cas qee zaum lawv nyuaj nrhiav thaum lub sijhawm kuaj mob plab hnyuv. Cov kws kho mob xav tias tag nrho cov SSLs no muaj feem yuav mob qog noj ntshav. |
| Cov kab mob serrated ib txwm muaj | Cov no tsis tshua muaj . Txawm hais tias lawv zoo li cov adenomas ib txwm muaj, lawv kuj muaj cov yam ntxwv "serrated", zoo li cov hniav pom. Lawv kuj yog ib hom mob qog noj ntshav . |
| Cov adenomas serrated tsis raug cais tawm | Qhov no yog ib hom polyp uas tsis yog ib hom ntawm peb hom uas tau hais los saum toj no, tab sis muaj cov yam ntxwv sib xyaw. Qhov no kuj tsis tshua muaj. Cov kws kho mob tseem tab tom tshawb nrhiav cov no. |
Cov qog no feem ntau tshwm sim li cas? Puas muaj tsos mob dab tsi?
Xav txog seb, yog koj ua 100 lub colonoscopies, koj tuaj yeem pom hom polyp serrated no hauv kwv yees li 30 ntawm lawv. Tab sis tsis txhob txhawj, feem ntau ntawm cov uas pom yog cov hyperplastic polyps tsis muaj teeb meem . Cov hom zoo li SSLs, uas muaj feem yuav mob qog noj ntshav, pom muaj tsawg, kwv yees li 10%.
Qhov tseem ceeb yog tias cov hom polyps no feem ntau tsis ua rau muaj tsos mob . Koj tuaj yeem muaj lawv hauv koj lub cev yam tsis paub txog.
Tsis tshua muaj, yog tias lub qog loj hlob tuaj, koj yuav pom me ntsis ntshav hauv koj cov quav, lossis koj yuav o lossis cem quav. Tab sis muaj lwm yam ua rau cov tsos mob no. Yog vim li cas cov kws kho mob thiaj li pom zoo kom mus kuaj plab hnyuv thaum tseem hluas, txawm tias koj tsis muaj tsos mob dab tsi los xij.
Kab mob serrated polyposis (SPS) yog dab tsi?
Qhov no yog ib qho mob tshwj xeeb, tsis tshua muaj. Hauv qhov mob no, ib tug neeg yuav muaj ntau lub polyps serrated (qee zaum ntau dua 20) thoob plaws hauv lawv txoj hnyuv loj. Cov no tuaj yeem loj dua li qub thiab tej zaum yuav muaj hom mob qog noj ntshav uas muaj feem ntau dua. Ib tug neeg uas muaj tus mob no, SPS, muaj 25% feem pua ntawm kev mob qog noj ntshav.
Cov ua rau muaj tej yam no thiab tej yam uas ua rau muaj kev pheej hmoo yog dab tsi?
Tsis muaj ib qho ua rau muaj cov polyps hauv plab hnyuv. Lawv feem ntau tshwm sim thaum peb laus zuj zus. Qhov ua rau tseem ceeb yog kev hloov pauv caj ces uas tshwm sim thaum peb cov cell faib thiab tsim cov cell tshiab. Ib yam li lub tshuab theej qee zaum ua yuam kev me me. Cov kev hloov pauv caj ces no ua rau cov cell loj hlob tsis tswj tau thiab tsim cov qog.
Muaj ntau yam ua rau muaj kev pheej hmoo ntawm kev tsim cov polyps no:
- Muaj hnub nyoog tshaj 50 xyoo
- Haus luam yeeb
- Haus dej cawv ntau dhau
- Kev noj nqaij liab tsis tu ncua (xws li nqaij nyuj thiab nqaij npuas)
- Qhov hnyav nce (rog dhau)
- Muaj cov mob o ntawm txoj hnyuv, xws li mob plab hnyuv (IBD)
Yuav kuaj pom thiab kho cov no li cas?
Txoj kev zoo tshaj plaws thiab tib txoj kev los nrhiav cov polyps uas muaj serrated yog siv colonoscopy . Qhov kev kuaj no kuaj koj tag nrho cov hnyuv loj siv ib lub raj nyias nyias uas muaj lub koob yees duab txuas nrog.
Tiam sis qee zaum nws yuav nyuaj me ntsis nrhiav lawv. Vim tias cov hom zoo li SSLs yog tiaj tus, tib xim li cov nqaij nyob ib puag ncig, thiab cov ciam teb tsis meej. Yog vim li cas nws thiaj li tseem ceeb kom muaj tus kws kho mob txawj thiab muaj kev paub dhau los ua qhov kev xeem no siv cov koob yees duab siab heev (cov koob yees duab colonoscopes siab).
Tom qab kuaj tas lawm, yuav muaj dab tsi tshwm sim?
1. Kev Tshawb Pom: Yog tias tus kws kho mob pom ib lub polyp thaum lub sijhawm kuaj mob plab hnyuv thiab xav tias nws yog hom kev pheej hmoo siab, nws yuav tshem nws tawm tam sim ntawd. Cov txheej txheem no hu ua polypectomy .
2. Kev Kuaj: Cov polyp uas raug tshem tawm yuav raug xa mus rau chav kuaj mob, qhov chaw uas tus kws kho mob kuaj xyuas nws hauv qab lub tshuab microscope kom paub meej tias nws yog hom polyp twg thiab muab daim ntawv qhia.
3. Cov phiaj xwm yav tom ntej: Raws li daim ntawv qhia ntawd, koj tus kws kho mob yuav txiav txim siab sai npaum li cas koj yuav tsum tau kuaj koj txoj hnyuv tom ntej.
| Hom polyp uas pom | Lub sijhawm pom zoo rau kev kuaj mob plab hnyuv tom ntej |
|---|---|
| Kev pheej hmoo tsawg (piv txwv li cov polyps me me hyperplastic) | Feem ntau hauv 10 xyoo |
| Muaj kev pheej hmoo nruab nrab (piv txwv li ntau SSLs) | Hauv li ntawm 5 xyoos |
| Muaj kev pheej hmoo siab (piv txwv li SSLs loj lossis ntau qhov) | Hauv li ntawm 3 xyoos |
| Yog tias SPS muaj xwm txheej | Txhua xyoo |
Koj tus kws kho mob yuav hloov lub sijhawm no nyob ntawm koj tus mob, yog li nws yog ib qho tseem ceeb uas yuav tsum ua raws li nws cov lus qhia.
Tsis txhob hnov qab, kev tshem tawm cov polyp uas muaj feem yuav mob qog noj ntshav txhais tau tias koj muaj kev nyab xeeb tag nrho rau lub sijhawm no. Peb tau tshem tawm qhov ua tau tias qhov kev loj hlob ntawd yuav loj hlob mus ua mob qog noj ntshav. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj xyuas dua thaum lub sijhawm tsim nyog, vim tias cov kev loj hlob no tuaj yeem rov tshwm sim dua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov polyps uas muaj cov kab serrated yog ib hom kev loj hlob uas tsim nyob rau hauv cov hnyuv loj. Feem ntau ntawm cov no tsis muaj teeb meem dab tsi .
- Txawm li cas los xij, qee hom, xws li SSLs, tuaj yeem hloov mus ua mob qog noj ntshav raws sijhawm, yog li nws yog qhov zoo tshaj plaws kom tshem tawm lawv sai li sai tau thaum koj pom lawv.
- Cov qog no tsis ua rau muaj tsos mob . Yog vim li ntawd nws thiaj li tseem ceeb uas yuav tsum tau kuaj mob plab tom qab hnub nyoog 45 xyoos, raws li koj tus kws kho mob pom zoo.
- Yog tias pom ib lub polyp thaum koj kuaj mob thiab pom tias yog mob qog noj ntshav thiab raug tshem tawm, tsis txhob txhawj. Qhov ntawd txhais tau tias koj tus kws kho mob tau pom nws raws sijhawm thiab tiv thaiv nws kom tsis txhob loj hlob mus ua mob qog noj ntshav.
- Qhov tseem ceeb tshaj plaws yog koj yuav tsum mus kuaj mob tom ntej raws li lub sijhawm uas tus kws kho mob qhia rau koj . Tsis txhob ncua sijhawm.
- Koj tuaj yeem txo qhov kev pheej hmoo ntawm kev muaj cov no los ntawm kev tsis haus luam yeeb, haus cawv ntau dhau, thiab ua raws li kev noj qab haus huv.
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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