Xav txog tias koj mus ntsib kws kho mob rau qee yam teeb meem plab, tej zaum yog "gastritis" uas peb txhua tus muaj. Tus kws kho mob tau mloog koj cov tsos mob thiab hais tias, "Cia peb muab lub koob yees duab tso rau hauv thiab saib sab hauv koj lub plab." Nws tau ua qhov endoscopy. Tom qab kuaj xyuas, tus kws kho mob hais tias, "Muaj ib yam dab tsi zoo li ib lub qog me me hauv koj lub plab, uas yog, ntawm phab ntsa ntawm koj lub plab. Peb hu cov polyps no." Nws yog ib qho ib txwm muaj los ntshai thiab ntxhov siab thaum koj hnov ib yam dab tsi zoo li no. "Ib lub qog? Qhov ntawd puas txhais tau tias mob qog noj ntshav?" Tej zaum koj yuav xav. Tab sis tsis txhob txhawj. Feem ntau, cov no tsis yog yam uas yuav tsum ntshai. Hnub no, peb yuav tham txog cov polyps hauv plab hauv txoj kev yooj yim thiab meej.
Hais yooj yim xwb, cov polyps hauv plab yog dab tsi?
Cov polyps hauv plab, lossis cov polyps hauv plab, yog cov me me uas tsim rau ntawm daim ntaub ntawm koj lub plab, zoo li cov qog me me. Hauv peb lub plab, muaj ib daim nyias nyias uas muaj cov kua qaub zoo li cov hnoos qeev. Cov polyps no loj hlob los ntawm daim nyias nyias no. Xav txog tias qee zaum peb tau txais cov moles me me ntawm peb daim tawv nqaij, puas yog? Qhov no yog ib yam dab tsi zoo li ntawd, tab sis nws loj hlob hauv lub plab.
Feem ntau ntawm cov polyps no tsis yog mob qog noj ntshav (benign) , txhais tau tias lawv tsis muaj teeb meem dab tsi.
Cov polyps no puas txaus ntshai tiag? Ua li cas txog qhov kev pheej hmoo ntawm mob qog noj ntshav?
Qhov no yog lo lus nug loj tshaj plaws uas txhua tus neeg xav txog. Nov yog qee yam uas yuav tsum nco ntsoov: Feem ntau ntawm cov polyps hauv plab tsis yog mob qog noj ntshav. Thiab qhov kev pheej hmoo ntawm lawv yuav loj hlob mus ua mob qog noj ntshav yog qis heev.
Txawm li cas los xij, qee hom polyps raug suav hais tias yog "precancerous." Qhov no txhais tau tias lawv tsis yog mob qog noj ntshav thaum koj tus kws kho mob pom lawv, tab sis yog tias lawv tsis kho rau lub sijhawm ntev, lawv yuav dhau los ua mob qog noj ntshav tom qab ob peb xyoos.
Zoo li ib daim ntoo uas qub thiab pib lwj. Nws tseem tsis tau lwj tag rau lub sijhawm ntawd, tab sis yog tias peb tsis kho nws, nws yuav lwj tag ib hnub. Yog li ntawd cov polyps ua ntej mob qog noj ntshav yog.
Qhov no yog vim li cas cov kws kho mob thiaj li txiav txim siab tshem cov polyps no sai li sai tau thaum lawv pom lawv. Ua li ntawd tuaj yeem tiv thaiv tau tag nrho cov kev pheej hmoo yav tom ntej.
Cov hom polyps hauv plab tseem ceeb yog dab tsi?
Muaj ntau hom polyps hauv plab sib txawv. Tus kws kho mob yuav muab ib daim me me ntawm koj cov polyp thiab xa mus rau chav kuaj mob (peb hu qhov no ua biopsy).(hais) yog tib txoj kev los paub tseeb tias nws yog hom twg. Nws qhov kev pheej hmoo thiab kev kho mob yog txiav txim siab los ntawm hom. Cia peb saib cov hom no yooj yim.
| Hom Polyp | Kev piav qhia thiab kev pheej hmoo |
|---|---|
| Cov polyps ntawm cov qog nqaij hlav | Cov no yog cov hom mob uas feem ntau tshwm sim. Feem ntau lawv muaj feem yuav mob qog noj ntshav tsawg heev . Feem ntau lawv tuaj yeem tshwm sim los ntawm kev siv tshuaj kho mob plab hnyuv (PPIs) mus sij hawm ntev. |
| Cov polyps hyperplastic | Hom thib ob uas neeg feem ntau pom. Cov no yog txuam nrog kev o ntawm lub plab (gastritis). Qhov kev pheej hmoo ntawm kev mob qog noj ntshav hauv cov no kuj tsawg heev . Txawm li cas los xij, qee zaum lawv tuaj yeem yog ib qho cim ceeb toom ntawm lwm hom mob qog noj ntshav, yog li cov kws kho mob kuj kuaj xyuas cov nqaij nyob ib puag ncig. |
| Cov qog nqaij hlav ntawm cov qog nqaij hlav (adenomas) | Cov no yog cov hom polyps uas feem ntau tshwm sim ua ntej muaj mob qog noj ntshav . Lawv tshwm sim li ntawm 10% ntawm cov neeg mob. Yog tias pom ib hom polyp no, tus kws kho mob yuav tshem nws tawm tag nrho. |
| Lwm hom tsiaj tsis tshua muaj | Ntxiv rau cov no, muaj lwm hom mob tsis tshua muaj xws li Gastric neuroendocrine tumors , Hamartomatous polyps , thiab Gastrointestinal stromal tumors (GIST) . Cov kev pheej hmoo thiab kev kho rau cov no sib txawv nyob ntawm hom mob. |
Cov tsos mob ntawm kev muaj polyps hauv plab yog dab tsi?
Qhov xav tsis thoob ntawm no yog tias feem ntau cov polyps hauv plab tsis ua rau muaj tsos mob.Muaj ntau tus neeg pom tias lawv muaj cov polyps hauv lawv lub plab thaum lub sijhawm endoscopy ua rau lwm yam laj thawj. Hais qhov tseeb, cov no tsuas yog cov kev tshawb pom tsis tau npaj tseg xwb.
Txawm li cas los xij, tsis tshua muaj qee cov polyps tuaj yeem ua rau muaj tsos mob. Muaj ob txoj hauv kev tseem ceeb:
1. Los ntshav:
- Qee cov polyps yuav los ntshav me ntsis ntawm qhov chaw. Peb yuav tsis hnov qhov kev los ntshav no.
- Tiamsis yog koj pheej los ntshav li no, cov ntshav yuav tawm nrog koj cov quav. Cov ntshav uas tawm hauv plab tuaj yeem ua rau koj cov quav dub thiab nplaum .
- Thaum koj los ntshav li no ntev heev, koj lub cev yuav poob ntshav thiab ua rau koj lub cev tsis muaj zog . Tom qab ntawd koj yuav xav tias koj lub ntsej muag daj ntseg, nkees txhua lub sijhawm, thiab muaj cov tsos mob xws li kiv taub hau txawm tias thaum nce ntaiv .
2. Kev thaiv:
- Tsis tshua muaj, yog tias polyp loj heev, nws tuaj yeem thaiv cov kav dej zaub mov hauv plab.
- Yog qhov no tshwm sim, koj yuav muaj cov tsos mob xws li xeev siab, ntuav, mob plab, tsis xav noj mov, thiab poob phaus .
Yog koj muaj cov tsos mob no, nws tsis tas txhais tau tias koj muaj polyp. Txawm li cas los xij, yog tias koj muaj cov tsos mob no, nws yog qhov zoo tshaj plaws mus ntsib koj tus kws kho mob sai li sai tau kom paub qhov ua rau.
Vim li cas cov polyps no thiaj tsim? Cov laj thawj tseem ceeb yog dab tsi?
Txawm hais tias nws nyuaj rau txheeb xyuas qhov tseeb ua rau muaj polyps hauv plab, cov kws tshawb fawb tau txheeb xyuas ntau yam tseem ceeb uas ua rau muaj kev pheej hmoo.
- Mob plab hnyuv ntev ntev: Kev mob plab ntev ntev tuaj yeem ua rau muaj kev hloov pauv hauv cov hlwb thiab tsim cov polyps. Mob plab hnyuv, tshwj xeeb tshaj yog los ntawm kev kis kab mob hu ua H. pylori, yog ib qho ua rau muaj qhov no.
- Cov tshuaj Proton-pump inhibitors (PPIs): Cov no yog cov tshuaj uas peb feem ntau siv rau mob gastritis, xws li Omeprazole thiab Pantoprazole. Thaum cov tshuaj no siv ntev, lawv tswj kev tsim cov kua qaub hauv plab, thiab ua rau, qee cov cell tuaj yeem loj hlob ntau dhau thiab tsim cov polyps (feem ntau tsis muaj teeb meem fundic gland polyps). Tham nrog koj tus kws kho mob txog qhov no. Peb tsis tau hais kom koj tsum tsis txhob noj cov tshuaj, tab sis nws yuav hloov cov tshuaj yog tias tsim nyog.
- Cov tsos mob uas los ntawm noob caj noob ces: Tsis tshua muaj, qee yam mob uas los ntawm noob caj noob ces (piv txwv li, Familial Adenomatous Polyposis - FAP) tuaj yeem ua rau muaj ntau cov polyps hauv plab thiab txoj hnyuv.
Cov kws kho mob kho qhov no li cas?
Thaum pom ib lub polyp, kev kho mob nyob ntawm nws hom, qhov loj, thiab tus lej.
1.Tshem tawm cov polyp (Polypectomy):
- Feem ntau, yog tias tus kws kho mob pom ib lub polyp thaum lub sijhawm endoscopy, nws yuav siv ib lub cuab yeej tshwj xeeb los txiav nws tawm tag nrho thiab tshem tawm. Qhov no hu ua polypectomy . Koj yuav tsis hnov mob thaum lub sijhawm ua qhov no.
- Tej zaum yuav xav tau cov txheej txheem tshwj xeeb xws li EMR lossis ESD kom tshem tawm. Muaj tej zaum yuav tsum tau phais.
2. Kev Tshuaj Xyuas Tom Qab:
- Yog tias koj muaj ib qho polyp ua ntej muaj mob qog noj ntshav, koj tus kws kho mob yuav qhia koj kom rov qab mus rau endoscopy tom qab kom kuaj xyuas cov polyps tshiab.
- Nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob hla dhau qhov kev kuaj mob raws li lub sijhawm teem tseg uas koj tus kws kho mob muab rau koj.
3. Kho qhov ua rau muaj teeb meem:
- Yog tias cov polyps yog los ntawm kev kis tus kab mob H. pylori, koj tus kws kho mob yuav sau ntawv kom muab tshuaj tua kab mob. Qee hom polyps yuav ploj mus thaum tus kab mob kho tau zoo lawm.
- Yog tias qhov ua rau mob yog vim tshuaj PPI, koj tus kws kho mob yuav txiav txim siab hloov cov tshuaj lossis txo qhov ntau npaum li cas. Tsis txhob tsum noj cov tshuaj uas koj tus kws kho mob tau sau rau koj tus kheej.
Kev nrhiav pom ib lub polyp tsis yog ib yam dab tsi uas yuav tsum ntshai. Nws zoo li ib lub cim me me los ntawm koj lub cev. Koj lub cev tab tom qhia koj tias, "Muaj ib yam dab tsi tshwm sim hauv kuv lub plab, ua tib zoo mloog nws." Qhov tseem ceeb tshaj plaws yog mloog lub cim ntawd thiab ua raws li koj tus kws kho mob cov lus qhia.
Kuv yuav tsum nug kuv tus kws kho mob li cas?
Thaum koj pom tias koj muaj ib lub polyp, nws yog ib qho ib txwm muaj ntau cov lus nug. Tsis txhob yig nug cov lus nug no thaum koj mus ntsib koj tus kws kho mob.
- "Kws kho mob, kuv muaj hom polyp twg?"
- "Puas muaj kev pheej hmoo ntawm qhov no ua rau mob qog noj ntshav?"
- "Kuv puas muaj feem yuav mob qog noj ntshav hauv plab yav tom ntej ntau dua li lwm tus?"
- Dab tsi ua rau cov polyps no?
- Kuv yuav tsum hloov dab tsi rau kuv txoj kev ua neej thiab kev noj haus kom tiv thaiv tej yam zoo li no kom tsis txhob tshwm sim yav tom ntej?
- "Kuv yuav tsum tau mus kuaj endoscopy tom ntej thaum twg?"
Cov lus teb rau cov lus nug no yuav pab koj nkag siab meej txog koj qhov xwm txheej.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov polyps hauv plab yog cov qog me me uas tsim rau ntawm phab ntsa sab hauv ntawm lub plab. Feem ntau ntawm cov no tsis yog mob qog noj ntshav kiag li.Thiab nws tsis ua teeb meem.
- Feem ntau, cov no raug tshawb pom los ntawm txoj hmoo, vim tias lawv feem ntau tsis ua rau muaj tsos mob .
- Kev nrhiav pom ib qho polyp muab cov ntaub ntawv tseem ceeb rau koj tus kws kho mob txog koj txoj kev noj qab haus huv ntawm lub plab, uas tuaj yeem pab kho lwm yam mob, xws li gastritis.
- Yog pom ib hom mob qog noj ntshav, kev tshem tawm thaum ntxov tuaj yeem tiv thaiv tau tag nrho cov kev pheej hmoo yav tom ntej.
- Tsis txhob hla dhau qhov teem caij mus ntsib kws kho mob, tshwj xeeb tshaj yog teem caij mus kuaj mob . Nws tseem ceeb heev rau koj txoj kev noj qab haus huv mus sij hawm ntev.











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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