Koj puas paub txog cov polyps no hauv koj txoj hnyuv loj? Cia peb tham txog lawv yooj yim xwb!

Koj puas tau muaj kev kuaj mob "(Colonoscopy)" dua li? Los yog, tej zaum koj yuav tau hnov ​​​​​​ib tug neeg hais tias, "Lawv tau tshem tawm qee qhov me me hauv txoj hnyuv loj." Feem ntau, cov no yog qhov peb hu ua "(Colon Polyps)" lossis polyps uas loj hlob hauv txoj hnyuv loj. Ntawm lawv, muaj ib hom tshwj xeeb hu ua "(Serrated Polyps)." Lub npe puas zoo li txaus ntshai me ntsis? Tsis txhob txhawj, peb yuav tham txog txhua yam hauv txoj kev yooj yim uas koj tuaj yeem nkag siab.

Cov '(Serrated Polyps)' no yog dab tsi? Cia peb nkag siab yooj yim!

Hais yooj yim xwb, cov polyps uas muaj cov hniav ntse yog cov qog uas tsim rau ntawm phab ntsa sab hauv ntawm koj txoj hnyuv loj thiab zoo li cov qog uas muaj hniav ntse hauv qab lub tshuab kuaj mob. Lawv yog cov qog nqaij hlav, tab sis lawv tsis muaj teeb meem dab tsi. Qhov no txhais tau tias lawv tsis yog mob qog noj ntshav thaum lawv thawj zaug tsim. Txawm li cas los xij, qee cov polyps uas muaj cov hniav ntse tuaj yeem ua mob qog noj ntshav raws sijhawm. Yog vim li ntawd cov kws kho mob thiaj li tshem tawm cov qog no sai li sai tau thaum pom tias tiv thaiv tau mob qog noj ntshav hauv plab loj.

Qhov tsos ntawm cov '(Serrated Polyps)' no muaj feem cuam tshuam nrog txoj kev uas lawv tsim. Cov txheej txheem uas lawv tsim yog txawv me ntsis ntawm lwm hom polyps uas peb feem ntau pom hauv txoj hnyuv loj, '(Adenomas). Tsis tas li ntawd, yog tias '(Serrated Polyps)' hloov mus ua mob qog noj ntshav, cov txheej txheem no txawv ntawm cov txheej txheem uas '(Adenomas)' hloov mus ua mob qog noj ntshav. Nws tau hais tias kwv yees li 25% ntawm cov mob qog noj ntshav hauv txoj hnyuv loj tshwm sim los ntawm cov '(Serrated Polyps)' no. Txawm li cas los xij, yog tias lawv tsim mus ua mob qog noj ntshav, lawv tuaj yeem loj hlob sai dua li lwm hom.

Cov hom tseem ceeb ntawm '(Serrated Polyps)' 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, uas yog, lawv cov yam ntxwv lub cev. Cov yam ntxwv no qhia txog qhov sib txawv ntawm cov txheej txheem cellular uas cuam tshuam rau kev loj hlob ntawm cov polyps no. Qhov tseem ceeb, tsis yog txhua hom no yog precancerous . Cov kws kho mob faib lawv thaum lawv pom los txiav txim siab seb lawv yuav loj hlob mus ua mob qog noj ntshav npaum li cas.

Nov yog plaub hom no:

• `(Cov Polyps Uas Muaj Cov Yas Ntau)` Cov polyps uas muaj cov yas ntau
• `(Cov Pob Txha Uas Tsis Muaj Qhov - SSLs)` Cov Pob Txha Uas Tsis Muaj Qhov
• Cov kab mob serrated ib txwm muaj
• Cov Adenomas Serrated Tsis Muaj Kev Cais

`(Cov Polyps Uas Muaj Cov Yas Ntau)` Cov polyps uas muaj cov yas ntau

Cov no yog cov hom polyps uas muaj serrated feem ntau, suav txog li 75% ntawm cov neeg mob. Qhov xov xwm zoo yog tias cov polyps hyperplastic no tsis muaj teeb meem thiab tsis ua rau mob qog noj ntshav . "Hyperplastic" tsuas yog txhais tau tias muaj cov cell loj hlob ntau dhau. Nws txhais tau tias muaj ntau lub cell loj hlob ua ke. Ntau cov polyps precancerous dhau los ua "dysplastic," txhais tau tias lawv muaj kev hloov pauv tsis zoo hauv cov cell. Cov kev hloov pauv no hauv cov cell tuaj yeem ua rau mob qog noj ntshav.

`(Cov Pob Txha Uas Tsis Muaj Qhov - SSLs)` Cov Pob Txha Uas Tsis Muaj Qhov

Kwv yees li ntawm 20% ntawm cov polyps serrated yog cov subtype hu ua Sessile Serrated Lesions (SSLs). Qhov no yog hom polyp serrated uas muaj feem yuav ua mob qog noj ntshav siab tshaj plaws . "Sessile" txhais tau tias lawv tiaj tus, zoo li disc, lossis tsa me ntsis. Txawm li cas los xij, cov duab no kuj tuaj yeem pom hauv cov hyperplastic polyps tsis muaj teeb meem. Yog li ntawd, nws nyuaj me ntsis los paub qhov txawv ntawm ob qho los ntawm qhov tsos. Txawm li cas los xij, cov kws tshwj xeeb tuaj yeem paub qee qhov sib txawv hauv lawv cov qauv.

Cov `(Sessile Serrated Lesions)` no tau siv los muaj ntau lub npe. Tam sim no lub npe tshiab no yog siv los txo qhov tsis meej pem tsis tsim nyog. Lwm yam yog tias qee qhov ntawm cov `(SSLs)` no muaj cov yam ntxwv `(Dysplasia)` (cell abnormalities) uas tau hais ua ntej, thaum lwm tus tsis muaj. Cov kws kho mob ntxiv cais cov uas muaj `(Dysplasia)` ua "sessile serrated lesions nrog dysplasia". Txawm li cas los xij, txhua `(SSLs)` raug suav hais tias yog cov mob precancerous .

Cov kab mob serrated ib txwm muaj

Cov no yog cov hom "(Serrated Polyps)" uas tsis tshua muaj, pom muaj tsawg dua 1% ntawm cov pej xeem . Cov no kuj yog cov mob ua ntej mob qog noj ntshav . Lawv cov tsos zoo ib yam li "(Adenomas)" ib txwm muaj, uas yog, lawv muaj cov duab zoo li nceb, thiab lawv kuj muaj cov yam ntxwv "(Dysplasia)" ib txwm muaj. Txawm li cas los xij, lawv kuj muaj cov yam ntxwv "(Serrated)" zoo li ntug ntawm lub tshuab txiav. Yav dhau los, cov no feem ntau raug yuam kev rau "(Adenomas)" ib txwm muaj. Lawv nyuam qhuav raug lees paub tias yog ib hom "(Serrated Polyp)" xwb.

Cov Adenomas Serrated Tsis Muaj Kev Cais

Hom kawg yog cov polyps uas tsis haum rau ib qho ntawm cov pawg saum toj no. Lawv yuav muaj lub ntsej muag tiaj tus, serrated, tab sis lawv kuj tuaj yeem muaj cov yam ntxwv zoo ib yam li "Dysplasia" lossis "Adenomas." Txawm hais tias lawv tsis tshua muaj, cov kws kho mob ntseeg tias nws yog ib qho tseem ceeb kom paub txog cov polyps no uas tsis tuaj yeem cais tawm meej, vim tias kev tshawb fawb yav tom ntej yuav qhia ntau ntxiv txog lawv. Peb tseem tab tom kawm txog "Serrated Polyps."

Cov Serrated Polyps feem ntau tshwm sim li cas?

Cov polyps uas muaj cov hniav ntse pom muaj nyob rau hauv kwv yees li 30% ntawm cov colonoscopies. Feem ntau, cov no yog cov hyperplastic polyps uas tsis muaj teeb meem. Txawm li cas los xij, kwv yees li 10% yog cov precancerous polyps, xws li Sessile Serrated Lesions (SSLs). Thaum lub sijhawm colonoscopy, tus kws kho mob yuav tsis tuaj yeem qhia qhov txawv ntawm ob qho tib si. Yog vim li ntawd, yog tias muaj kev tsis ntseeg, cov ntaub so ntswg raug tshem tawm, xa mus rau chav kuaj mob, thiab kuaj xyuas hauv qab lub tshuab microscope los ntawm tus kws kho mob pathologist.

Kab mob Serrated Polyposis Syndrome - SPS yog dab tsi?

Serrated Polyposis Syndrome (SPS) yog ib qho mob tsis tshua muaj. Qhov no yog qhov tshwm sim thaum kojCov polyps uas muaj cov serrated tsim ntau heev thoob plaws hauv txoj hnyuv loj. Qhov no yav dhau los hu ua Hyperplastic Polyposis Syndrome. Tej zaum koj yuav muaj ntau tshaj 20 polyps, lossis lawv yuav loj dua li qub. Lawv kuj muaj feem ntau dua yuav yog precancerous. Cov neeg uas muaj tus mob no muaj 25% feem pua ​​​​​​ntawm kev mob qog noj ntshav. Tus mob no cuam tshuam rau kwv yees li 0.4% ntawm cov pej xeem.

Cov polyps serrated puas ua rau muaj cov tsos mob?

Feem ntau, cov polyps hauv txoj hnyuv loj, suav nrog cov polyps serrated, tsis ua rau muaj tsos mob . Tsis tshua muaj, cov polyps loj tuaj yeem ua rau los ntshav lossis hloov pauv hauv koj txoj kev quav. Ib txhia neeg yuav pom ntshav hauv lawv cov quav, lossis muaj raws plab lossis cem quav tsis paub meej. Tab sis cov tsos mob no kuj tuaj yeem tshwm sim los ntawm lwm yam. Ntau tus neeg uas muaj polyps tsis paub tias lawv muaj lawv . Yog vim li cas cov kws kho mob thiaj li pom zoo kom kuaj mob plab loj tsis tu ncua.

Dab tsi ua rau cov '(Serrated Polyps)' no tsim?

Cov polyps serrated yog ib qho mob uas feem ntau tshwm sim thaum peb laus zuj zus. Peb tsis paub meej tias vim li cas lawv thiaj tsim. Tab sis peb paub tias muaj kev hloov pauv caj ces . Kev hloov pauv caj ces yog qhov yuam kev hauv kev sau cov lej ntawm koj cov cell thaum lawv faib thiab ua cov cell tshiab. Cov yuam kev no ua rau cov cell tshiab loj hlob txawv ntawm qhov lawv yuav tsum tau ua. Cov polyps serrated yog tshwm sim los ntawm kev hloov pauv caj ces txawv ntawm lwm hom polyps.

Cov yam ua rau muaj kev pheej hmoo ntawm kev tsim cov '(Serrated Polyps)' yog dab tsi?

Cov yam ua rau muaj kev pheej hmoo ntawm kev tsim cov polyps serrated zoo ib yam li cov uas ua rau muaj cov polyps hauv txoj hnyuv loj. Lawv yog:

• Muaj hnub nyoog tshaj 50 xyoo.
• Haus luam yeeb.
• Haus dej cawv ntau dhau.
• Noj nqaij liab ntau dhau (xws li nqaij nyuj, nqaij tshis).
• Kev rog dhau.
• Muaj tej yam mob xws li mob plab hnyuv.

Yuav ua li cas thiaj paub qhov txawv ntawm "(Serrated Polyps)"?

Txoj kev zoo tshaj plaws los nrhiav cov polyps uas muaj serrated yog los ntawm kev kuaj mob plab hnyuv . Txawm li cas los xij, qee zaum, lawv tuaj yeem tsis pom. Qhov no yog vim tias ob hom polyps uas muaj serrated feem ntau, hyperplastic polyps thiab sessile serrated lesions (SSLs), tsis pom tseeb heev. Lawv feem ntau me me (kwv yees li 5 hli) , tiaj tus lossis tsa me ntsis, thiab muaj tib xim li cov ntaub so ntswg ib puag ncig, tsis muaj ciam teb meej.

Xav txog nws zoo li nrhiav ib qho me me, tsis pom tseeb ntawm phab ntsa uas muaj tib xim li cov xim pleev. Qhov ntawd tsis yooj yim, puas yog?

Tshiab,Cov cuab yeej siv Colonoscopes, uas muaj qhov pom tseeb thiab loj dua, zoo dua rau kev kuaj pom cov polyps uas muaj serrated dua li cov cuab yeej qub. Kev npaj plab hnyuv thiab kev cob qhia ntawm tus kws kho mob kuj tseem ceeb. Cov kws kho mob yuav tsum paub txog cov lus qhia tshiab rau kev kuaj pom cov polyps uas muaj serrated. Qee txoj kev siv colonoscopy tau pom tias ua haujlwm zoo dua li lwm txoj thiab tej zaum yuav hloov qhov tsos ntawm cov polyps.

Thaum koj lub sijhawm kuaj plab hnyuv loj (colonoscopy), koj tus kws kho mob yuav xav tias muaj Sessile Serrated Lesion lossis Serrated Polyp, uas yog ib hom mob qog nqaij hlav uas tuaj yeem loj hlob mus ua polyp. Yog tias muaj kev tsis ntseeg, nws yuav tshem nws tawm thaum lub sijhawm ua haujlwm (Polypectomy) . Tom qab ntawd cov polyp yuav raug xa mus rau chav kuaj mob kom tus kws kho mob kuaj xyuas. Tsuas yog tom qab ntawd tus kws kho mob thiaj li yuav txiav txim siab tau tias nws yog hom polyp twg thiab ua qhov kev kuaj mob zaum kawg.

Txawm li cas los xij, yog tias koj muaj Serrated Polyposis Syndrome (SPS), koj tus kws kho mob yuav tuaj yeem txheeb xyuas nws thaum lub sijhawm kuaj mob plab hnyuv. Txoj hauv kev los kuaj mob SPS yog saib seb muaj pes tsawg tus serrated polyps pom, lawv qhov loj me, thiab qhov chaw lawv nyob hauv plab hnyuv. Raws li kev suav lej, serrated polyps uas loj dua li qub lossis nyob rau hauv qhov chaw txawv txawv hauv plab hnyuv yuav muaj feem ntau dua li precancerous thaum kuaj xyuas ze.

Yog tias pom muaj cov "Serrated Polyps" thaum lub sijhawm "Colonoscopy" yuav ua li cas?

Cov polyps uas loj hlob ntau dhau yog ib yam uas pom ntau thiab tsis muaj dab tsi yuav tsum txhawj txog. Txawm li cas los xij, yog tias koj tus kws kho mob xav tias koj muaj cov polyp uas muaj cov hniav ntse, lawv yuav tsum raug tshem tawm . Qhov no yog kom paub tseeb tias nws yog hom twg thiab kom tiv thaiv nws kom tsis txhob ua mob qog noj ntshav. Yog tias nws tau lees paub tias nws yog cov polyp ua ntej mob qog noj ntshav, koj tus kws kho mob yuav teem sijhawm rau koj qhov kev kuaj mob plab hnyuv tom ntej sai sai no , yog li koj tuaj yeem paub tseeb tias yuav tau kuaj xyuas cov tshiab.

Kuv yuav tsum tau kuaj lub plab hnyuv sai npaum li cas vim yog muaj cov polyp serrated?

Cov kws kho mob faib cov kev pheej hmoo ntawm kev mob qog nqaij hlav plab hnyuv raws li qis, nruab nrab, lossis siab, nyob ntawm seb lawv pom hom polyps serrated. Qhov kev pheej hmoo ntawd yog siv los txiav txim siab thaum twg yuav tsum tau ua qhov kev kuaj mob plab hnyuv tom ntej. Raws li cov lus qhia tam sim no,

• Yog tias muaj kev pheej hmoo nruab nrab , ib zaug txhua tsib xyoos .
• Yog tias muaj kev pheej hmoo siab, txhua peb xyoos .
• Yog koj muaj '(SPS'), nws raug nquahu kom mus kuaj ib xyoos ib zaug .
• Cov "Hyperplastic Polyps" uas muaj kev pheej hmoo tsawg tsis tas yuav tsum tau saib xyuas tshwj xeeb.

Yog tias koj muaj cov "Serrated Polyps" ua ntej muaj mob qog noj ntshav, yuav tsum xav li cas?

Yog tias koj tus kws kho mob tau tshem tawm cov polyps uas muaj cov hniav ntse ua ntej mob qog noj ntshav thaum koj lub sijhawm kuaj mob plab hnyuv, koj muaj kev nyab xeeb rau tam sim no . Kev tshem tawm lawv yuav txo qhov kev pheej hmoo ntawm lawv los ua mob qog noj ntshav. Txawm li cas los xij, koj tus kws kho mob yuav xav saib xyuas koj txoj hnyuv ze rau ntau yam. Ib qho laj thawj yog tias cov polyps uas muaj cov hniav ntse no tuaj yeem nyuaj rau tshem tawm tag nrho nrog kev phais polypectomy vim lawv cov duab tiaj tus thiab cov npoo tsis meej.

Xav txog nws zoo li khaws ib daim jelly uas poob rau hauv pem teb. Qee zaum muaj tej daim me me seem, puas yog? Nws yog li ntawd.

Yog tias cov qe me me tseem tshuav thaum raug tshem tawm, lossis yog tias muaj cov polyps uas tsis pom thaum lub sijhawm kuaj mob plab hnyuv yav dhau los thiab tsis pom tseeb, lawv tuaj yeem txuas ntxiv loj hlob mus rau hauv cov mob precancerous. Lawv kuj tseem tuaj yeem loj hlob sai dua li cov polyp tshiab. Tsis tas li ntawd, cov polyps serrated muaj feem yuav ua mob qog noj ntshav ntau dua li lwm hom. Lawv kuj muaj feem yuav ua mob qog noj ntshav ntau dua li ntau qhov chaw tib lub sijhawm .

Thaum twg kuv yuav tsum mus ntsib kws kho mob txog cov polyps hauv txoj hnyuv?

Yog tias koj muaj feem yuav mob hnyav nruab nrab, cov kws kho mob pom zoo kom koj mus kuaj plab hnyuv txhua 10 xyoo, pib thaum muaj hnub nyoog 45 xyoos. Yog tias ib tug neeg hauv koj tsev neeg tau mob qog nqaij hlav plab hnyuv lossis polyps (qhov txuas ntawm caj ces), lossis yog tias koj muaj mob uas ua rau koj muaj feem yuav mob polyps, xws li mob plab hnyuv, tej zaum koj yuav tsum tau mus kuaj plab hnyuv ua ntej. Nug koj tus kws kho mob thaum twg yog lub sijhawm mus kuaj plab hnyuv tas li.

Ib yam li feem ntau cov polyps hauv plab hnyuv loj, cov polyps uas muaj cov hniav ntse yog cov uas pom ntau thiab feem ntau tsis ua teeb meem . Qee qhov ntawm lawv muaj kev pheej hmoo me me uas yuav ua rau muaj kev phom sij raws sijhawm. Yog vim li ntawd peb thiaj muaj kev kuaj mob plab hnyuv loj. Tsuav yog peb kuaj xyuas lawv thiab tshem tawm lawv yog tias pom lawv, cov polyps uas muaj cov hniav ntse yuav tsis muaj feem yuav ua mob qog noj ntshav. Peb tseem tab tom kawm txog cov polyps uas muaj cov hniav ntse thiab lawv tus cwj pwm li cas, tab sis tam sim no peb paub txaus los muab kev kho mob tiv thaiv .

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, cia peb saib qee yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• Cov polyps serrated yog ib hom kev loj hlob ntawm cov nqaij uas tsim nyob rau hauv txoj hnyuv loj thiab zoo li ntug ntawm lub tshuab txiav.
• Qee hom polyps serrated, tshwj xeeb tshaj yog sessile serrated lesions (SSLs), tuaj yeem ua mob qog noj ntshav raws sijhawm.
• Feem ntau, cov no tsis muaj tsos mob , yog li nws tseem ceeb heev uas yuav tsum tau kuaj mob plab hnyuv tsis tu ncua.
• Los ntawm kev txheeb xyuas thiab tshem tawm cov no thaum lub sijhawm kuaj mob plab hnyuv, mob qog noj ntshav tuaj yeem tiv thaiv tau .
• Yog koj raug kuaj pom tias muaj '(Serrated Polyps),' ua raws li koj tus kws kho mob cov lus qhia kom meej. Nws yog ib qho tseem ceeb uas yuav tsum mus kuaj mob ntxiv tsis tu ncua.
• Tsis txhob ntshai , qhov tseem ceeb tshaj plaws yog kom paub txog cov no thiab txheeb xyuas lawv thaum ntxov.

Yog koj muaj lus nug ntxiv txog qhov no, tsis txhob yig nrog koj tus kws kho mob tham. Nws tuaj yeem qhia koj raws li txoj kev zoo tshaj plaws.

Cov Polyps uas muaj cov kab mob sib kis, Cov Polyps hauv plab hnyuv loj, Kev kuaj mob plab hnyuv loj, Mob qog nqaij hlav hauv plab loj, Cov Polyps uas muaj cov kab mob sib kis ntau, Cov kab mob uas muaj cov kab mob sib kis, Kev kuaj mob plab hnyuv loj