Koj puas muaj tej yam me me uas loj hlob hauv koj lub plab? Cia peb tham txog cov polyps hauv plab!

Koj puas tau mus kuaj mob plab los yog mob plab hnyuv (gastritis) dua li? Lub sijhawm ntawd, tus kws kho mob yuav hais rau koj tias, "Koj muaj qee cov qog me me hauv koj lub plab, uas peb hu ua polyps." Qhov no yuav zoo li txaus ntshai me ntsis, puas yog? Tab sis tsis txhob txhawj. Feem ntau, cov no tsis txaus ntshai. Cia peb kawm ntxiv txog cov polyps hauv plab hnub no.

Cov polyps no hauv plab yog dab tsi?

Hais yooj yim xwb, cov qog hauv plab yog cov qog me me lossis cov qog uas loj hlob ntawm daim ntaub ntawm koj lub plab . Lawv kuj hu ua Gastric Polyps. Xav txog nws, peb lub plab muaj ib daim ntaub ntawm cov kua qaub ncaug, thiab qhov ntawd yog qhov uas cov qog no loj hlob. Cov no zoo li cov qog uas loj hlob hauv lwm qhov ntawm peb lub cev, piv txwv li, hauv txoj hnyuv loj.

Qhov tseem ceeb yog tias feem ntau ntawm cov polyps hauv plab no tsis yog mob qog noj ntshav (benign) . Qhov ntawd txhais tau tias lawv tsis ua rau muaj kev phom sij ntau. Txawm li cas los xij, muaj qee hom uas tuaj yeem hloov mus ua mob qog noj ntshav raws sijhawm. Yog vim li ntawd nws thiaj li tseem ceeb kom paub txog cov no.

Cov polyps hauv plab no puas txaus ntshai?

Qhov no yog ib qho teeb meem loj rau ntau tus neeg. Qhov tseeb, qhov kev pheej hmoo ntawm mob qog noj ntshav hauv feem ntau ntawm cov hom polyps hauv plab feem ntau yog qis heev, qee zaum txawm tias tsis muaj. Qee hom yog precancerous . Tab sis txawm tias cov no feem ntau tsis yog mob qog noj ntshav thaum cov kws kho mob pom lawv. Nws siv sijhawm ntev rau polyp hloov mus ua mob qog noj ntshav. Yog vim li cas cov kws kho mob thiaj li tshem tawm lawv sai li sai tau thaum lawv pom, kom tiv thaiv mob qog noj ntshav yav tom ntej.

Tseem Ceeb: Tsis txhob ntshai yog tias koj pom ib lub polyp. Mloog zoo rau yam koj tus kws kho mob hais. Feem ntau, cov no tuaj yeem raug tshem tawm yooj yim.

Cov qog no yog dab tsi uas tsim nyob rau hauv lub plab?

Muaj ntau hom polyps hauv lub plab. Feem ntau yog epithelial polyps . Cov no yog cov uas loj hlob los ntawm txheej sab saud ntawm lub plab (epithelium) ntawm lub plab. Tsis tas li ntawd xwb, kuj muaj cov hom uas pib los ntawm txheej tob dua me ntsis thiab tawm los, uas hu ua mesenchymal polyps . Cov no tsis tshua muaj ntau.

Cov Hom Polyps Epithelial:

Cov hom polyps uas pom ntau tshaj plaws poob rau hauv pawg no.

• Fundic Gland Polyps: Cov no yog cov hom polyps hauv plab uas feem ntau pom.. Cov no feem ntau tsim nyob rau sab saud ntawm lub plab (fundus). Yog tias lawv nyuam qhuav tsim, qhov kev pheej hmoo ntawm mob qog noj ntshav yog qis heev, yog tias tsis yog tsis muaj. Txawm li cas los xij, nrog rau qee qhov mob qog noj ntshav uas tsis tshua muaj los ntawm noob caj noob ces (piv txwv li, 'Familial Adenomatous Polyposis (FAP)' thiab 'Gastric Adenocarcinoma thiab Proximal Polyposis of the Stomach (GAPPS)') lawv tuaj yeem tshwm sim ntau zaus. Hauv cov xwm txheej zoo li no, lawv yuav yog qhov mob ua ntej mob qog noj ntshav ua ntej lawv dhau los ua mob qog noj ntshav.

• Cov Polyps Loj Hlob: Cov no yog hom thib ob uas pom ntau tshaj plaws. Cov no feem ntau tsis yog mob qog noj ntshav. Lawv feem ntau cuam tshuam nrog mob gastritis . Txawm li cas los xij, qee zaum lawv tuaj yeem muaj nrog lwm yam mob qog noj ntshav, yog li lawv kuj suav tias yog ib qho cim ceeb toom. Thaum cov kws kho mob pom lawv, lawv kuj kuaj xyuas cov ntaub so ntswg ib puag ncig kom pom tias puas muaj cov hlwb qog noj ntshav.

• Cov qog nqaij hlav adenomatous (Adenomas): Kwv yees li 10% ntawm tag nrho cov qog nqaij hlav hauv plab yog hom no. Cov no yog hom qog nqaij hlav ua ntej mob qog noj ntshav uas muaj feem yuav mob qog noj ntshav ntau tshaj plaws . Feem ntau lawv tshwm sim ib leeg xwb. Txawm li cas los xij, lawv kuj tuaj yeem tshwm sim ntau dua rau cov neeg uas muaj mob caj ces xws li Familial Adenomatous Polyposis (FAP). Cov kws kho mob tshem tawm cov qog nqaij hlav no sai li sai tau thaum pom lawv thiab kuaj xyuas seb puas muaj qog nqaij hlav loj hlob.

• Cov Qog Mob Hlwb Hauv Paus (tseem hu ua Cov Qog Mob Hlwb Carcinoid): Cov no tshwm sim los ntawm cov hlwb neuroendocrine hauv daim ntaub ntawm lub plab. Lawv suav txog li 1% ntawm tag nrho cov qog mob hauv lub plab. Lawv tuaj yeem yog mob qog noj ntshav lossis mob tsis muaj teeb meem. Muaj plaub hom sib txawv, txhua hom muaj qhov kev kwv yees sib txawv me ntsis. Cov kws kho mob txiav txim siab qhov kev pheej hmoo ntawm mob qog noj ntshav los ntawm kev txheeb xyuas hom.

• Hamartomatous Polyps (lossis Hamartomas): Cov no yog cov lej me me, kwv yees li 1% ntawm cov polyps hauv plab. Lawv tuaj yeem tshwm sim yam tsis tau npaj tseg, lossis lawv tuaj yeem cuam tshuam nrog cov kab mob tsis tshua muaj los ntawm noob caj noob ces xws li 'Peutz-Jeghers syndrome', 'Juvenile Polyposis Syndrome', 'PTEN Hamartoma Tumor Syndrome'. Thaum lawv tshwm sim yam tsis tau npaj tseg, lawv feem ntau yog cov qog nqaij hlav uas tsis muaj teeb meem uas loj hlob ib leeg. Txawm li cas los xij, thaum lawv tshwm sim nrog cov kab mob los ntawm noob caj noob ces uas tau hais los saum toj no, lawv loj hlob ntau dua thiab muaj kev pheej hmoo ntawm mob qog noj ntshav.

Cov Hom Mesenchymal Polyps:

Cov no yog cov hom polyps uas tsis tshua muaj neeg pom thiab los ntawm cov khaubncaws sab nraud tob dua me ntsis.

• Cov Polyps Fibroid Inflammatory: Cov no yog ib hom kev loj hlob tsis tshua muaj, tsis muaj teeb meem. Txoj kev tsim lawv tseem tsis tau paub meej. Qee zaum cov no hu ua granulomas.Nws kuj hu ua polyp. Nws yog ib pawg ntawm cov hlwb tiv thaiv kab mob uas sib sau ua ke thaum muaj mob o. Cov no feem ntau tsim lawv tus kheej, me me. Tab sis yog tias lawv loj dua, lawv tuaj yeem ua teeb meem. Yog tias loj dua tsim nyob rau hauv lub plab, nws tuaj yeem thaiv qhov nkag mus rau hauv lub plab (pylorus).

• Cov Qog Mob Hlwb Plab (GIST): Cov no yog cov qog mob uas tsis tshua muaj, ua ntej yuav mob qog noj ntshav. Lawv pib nyob rau hauv txheej tob tshaj plaws ntawm daim ntaub plab (muscularis propria). Cov kws kho mob yuav tshem lawv tawm thaum pom lawv. Tej zaum lawv yuav xav tau kev phais sib cais (Endoscopic Mucosal Resection (EMR) lossis Endoscopic Submucosal Dissection (ESD)) kom tshem lawv tawm.

• Leiomyomas: Cov no yog cov qog nqaij ntshiv uas tsis tshua muaj. Lawv tsim nyob rau hauv txheej hu ua 'Muscularis Propria' thiab tuaj yeem tshwm sim ua cov pob ntawm phab ntsa sab hauv ntawm lub plab. Qee zaum cov no tuaj yeem yog mob qog noj ntshav (Leiomyosarcomas). Tej zaum yuav xav tau kev kho mob sib cais kom tshem tawm cov qog no.

Cov polyps hauv plab feem ntau tshwm sim li cas?

Qhov tseeb, feem ntau, cov polyps hauv plab tsis yog ib yam uas pom ntau. Ntawm 100 qhov kev kuaj mob endoscopy sab saud, lawv pom muaj li ntawm 4 ntawm lawv. Kwv yees li ib nrab ntawm cov polyps no yog cov 'Fundic Gland Polyps' uas tau hais ua ntej. Kwv yees li 30% yog 'Hyperplastic Polyps', 10% yog 'Adenomatous Polyps'. Cov seem 10% yog lwm hom tsis tshua muaj.

Cov polyps hauv plab puas muaj cov tsos mob?

Feem ntau, cov polyps hauv plab tsis ua rau muaj tsos mob. Feem ntau lawv pom thaum lub sijhawm kuaj koj ua rau lwm qhov laj thawj. Txawm li cas los xij, qee hom polyps tuaj yeem los ntshav . Tsis tshua muaj, qee hom tuaj yeem loj txaus los ua rau muaj kev thaiv . Nov yog qee cov tsos mob uas koj yuav ntsib:

• Los ntshav: Tej zaum koj yuav tsis hnov ​​​​​​cov ntshav hauv koj lub plab. Tab sis yog tias muaj ntshav ntau, koj yuav pom cov cim ntawm cov ntshav hauv koj cov quav. (Thaum cov ntshav los ntawm sab saud ntawm koj lub plab , cov quav yuav dub, tarry, es tsis yog liab.) Raws sijhawm, qhov poob ntshav tuaj yeem ua rau muaj ntshav tsis txaus . Qhov no tuaj yeem ua rau muaj cov tsos mob xws li daj ntseg, tsis muaj zog, thiab qaug zog.

• Kev Txhaws: Yog tias ib lub polyp loj txaus los thaiv koj txoj hnyuv, koj yuav muaj cov tsos mob xws li xeev siab, o, thiab mob plab . Koj lub plab kuj tseem yuav mob thaum koj nias rau nws. Yog tias ib lub polyp thaiv qhov nkag mus rau hauv koj lub plab, koj yuav ntuav, tsis xav noj mov, thiab poob phaus .

Cov polyps no zoo li cas?

Cov polyps hauv plab sib txawv muaj peev xwm zoo li txawv. Qee qhov yog tsa, zoo li ib lub qog, thaum lwm tus yog tiaj tus. Cov kws kho mob hu cov polyps uas dav, tsa me ntsis "sessile," thiab cov polyps uas muaj lub taub hau zoo li tus ceg "pedunculated." Qee hom yuav muaj cov qhov txhab rau ntawm qhov chaw thiab yuav los ntshav.

Cov pob qog nqaij hlav tuaj yeem loj li ntawm ib millimeter mus txog ob peb centimeters. Feem ntau yog me me, vim lawv loj qeeb heev. Cov pob qog nqaij hlav loj yuav muaj feem ua mob qog noj ntshav ntau dua, vim lawv laus dua. Tab sis nws nyuaj rau cov kws kho mob hais kom meej tias lawv puas yog mob qog noj ntshav lossis tsis yog yam tsis tau saib lawv hauv lub tshuab microscope.

Dab tsi ua rau muaj polyps hauv plab?

Cov polyps hauv plab uas tshwm sim los ntawm cov mob uas tau txais los ntawm noob caj ces yog los ntawm noob caj ces. Txawm li cas los xij, cov polyps uas tshwm sim tsis tu ncua yog cuam tshuam los ntawm cov laj thawj ntawm noob caj ces thiab lwm yam. Uas yog, ntau hom polyps tshwm sim los ntawm kev hloov pauv noob caj ces sib txawv, tab sis zoo li muaj lwm yam tseem ceeb uas ua rau muaj kev hloov pauv no.

Nov yog qee qhov laj thawj uas cov kws tshawb fawb tau pom:

• Mob Plab Hnyuv Ntev: Mob plab Hnyuv yog ib qho mob o ntawm daim ntaub hauv plab. Nws tuaj yeem yog qhov tawg lossis tsis tawg. Mob plab Hnyuv uas tawg yog qhov feem ntau. Nws yog tshwm sim los ntawm kev tawg tshuaj lossis kev kis kab mob ntev xws li H. pylori. Mob plab Hnyuv uas tsis tawg tuaj yeem ua rau daim ntaub hauv plab nyias (mob plab atrophic), uas ua rau muaj ntau yam kev hloov pauv ntawm tes. Ob hom no tuaj yeem ua rau muaj ntau hom qog nqaij hlav, tshwj xeeb tshaj yog cov qog nqaij hlav hyperplastic, adenomas, inflammatory fibroids, thiab qog nqaij hlav neuroendocrine.

• Cov Tshuaj Proton-Pump Inhibitors (PPIs): Cov no yog cov tshuaj uas peb noj tas li rau mob gastritis, mob plab, thiab mob acid reflux, zoo li Omeprazole. Thaum siv cov no ntev thiab ntau zaus, lawv tuaj yeem cuam tshuam rau txoj kev ua haujlwm ntawm lub plab. Thaum cov tshuaj no txwv qee cov cell tsis pub tsim cov kua qaub, lwm cov cell pib tsim cov kua qaub ntau dua li qhov tsim nyog los ua kom tiav qhov tsis txaus. Qhov no yog ib qho ua rau muaj cov 'Fundic Gland Polyps' uas tsis muaj kev txhaum. Qee zaum, qhov no kuj tuaj yeem cuam tshuam rau kev loj hlob ntawm 'Gastric Neuroendocrine Tumors'.

Yuav kuaj pom cov polyps li cas (kuaj mob)?

Feem ntau cov polyps hauv plab pom thaum lub sijhawm endoscopy sab saud (EGD) . Tus kws kho mob plab lossis kws phais uas ua qhov kev kuaj no yuav muab ib daim nqaij me me (biopsy) ntawm cov polyp, lossis tshem tawm cov polyp tag nrho (polypectomy). Cov qauv nqaij ces raug xa mus rau kev kuaj ntxiv. Tus kws kho mob pathologist kuaj xyuas lawv hauv qab lub tshuab microscope kom paub seb nws yog hom polyp twg thiab seb nws puas yog mob qog noj ntshav.

Nws txhais li cas yog tias koj muaj polyps hauv koj lub plab?

Cov polyps sib txawv muaj ntau yam txhais tau tias txawv. Nyob ntawm seb hom polyp twg pom, koj tus kws kho mob yuav xaj kom kuaj ntxiv kom paub seb puas muaj lwm yam mob uas yuav cuam tshuam. Piv txwv li, lawv yuav xaj kom kuaj seb puas muaj tus kab mob H. pylori lossis lwm yam mob o ntev.

Tus naj npawb ntawm cov polyps uas koj muaj thiab lawv qhov loj kuj tseem ceeb. Yog tias koj muaj ntau cov polyps, koj tus kws kho mob yuav pom zoo kom kuaj cov noob caj noob ces kom nrhiav tau cov mob uas tau los ntawm noob caj noob ces. Yog tias nws tau lees paub tias koj muaj cov mob uas tau los ntawm noob caj noob ces zoo li no, koj yuav tsum tau kuaj xyuas cov polyps hauv lwm qhov ntawm koj lub cev. Yog tias pom cov polyps ua ntej muaj mob qog noj ntshav, koj yuav tsum tau kuaj xyuas dua lwm qhov endoscopy sai sai no.

Cov kev kho mob rau cov polyps hauv plab yog dab tsi?

Kev kho mob nyob ntawm seb koj muaj hom polyps thiab lawv qhov mob. Nyob ntawm qhov no, cov kev kho mob hauv qab no yuav raug pom zoo:

• Tshem Tawm Cov Pob Qij Txha Hauv Plab: Tej zaum koj tus kws kho mob yuav tau tshem tawm cov pob qij txha thaum lub sijhawm endoscopy (polypectomy). Txawm li cas los xij, qee zaum yuav tsum nrhiav lossis tshem tawm ntau cov pob qij txha. Qee cov pob qij txha nyuaj, tob yuav xav tau cov txheej txheem tshwj xeeb (`EMR`, `ESD`) lossis, tsis tshua muaj, phais.

• Kev Kuaj Mob Polyp Ntxiv: Yog tias koj tus kws kho mob pom thiab tshem tawm cov polyps uas yog mob qog noj ntshav lossis tej zaum yuav yog mob qog noj ntshav, koj yuav tsum tau rov kuaj dua sai sai no kom pom tias puas muaj cov tshiab tshwm sim. Koj tus kws kho mob yuav qhia koj tias yuav tsum tau rov kuaj dua ntau npaum li cas, nyob ntawm hom thiab qhov xwm txheej ntawm cov polyps uas pom. Lawv kuj tseem yuav xav saib xyuas seb koj lub cev teb li cas rau kev kho mob.

• Kev Kho Mob Rau Cov Mob Sib Xws: Qee zaum, koj yuav raug kuaj pom tias muaj mob uas kho tau, xws li mob plab zom mov tsis zoo, vim yog cov polyps hauv plab no. Koj tus kws kho mob yuav kho cov polyps thaum tseem kho qhov mob tseem ceeb. Cov polyps uas cuam tshuam ncaj qha rau tus kab mob H. pylori lossis siv cov tshuaj proton pump inhibitors (PPIs) yuav ploj mus thaum cov mob ntawd raug kho.

Koj puas tuaj yeem tiv thaiv kev tsim cov polyps hauv plab?

Kev kho mob gastritis ntev thiab nws cov ua rau tuaj yeem pab tiv thaiv qee hom polyps hauv plab. Tsis tas li ntawd, txo kev siv cov tshuaj hu ua 'Proton Pump Inhibitors (PPIs)' tuaj yeem pab txo qhov kev tsim ntawm qee hom polyps. Txawm li cas los xij, feem ntau cov polyps uas tsim los ntawm 'PPIs' yog benign. Yog li tsis muaj txoj cai tias koj yuav tsum tsis txhob noj tshuaj kom tiv thaiv lawv. Nws yog qhov zoo tshaj plaws los tham txog qhov no nrog koj tus kws kho mob.

Yuav ua li cas thaum koj muaj polyps hauv koj lub plab?

Yog koj tus kws kho mob pom cov polyps hauv koj lub plab, lawv yuav ua qhov kev kuaj mob kom paub seb lawv yog hom twg thiab lawv txhais li cas.Feem ntau, lawv tsis loj heev. Lub caij nyoog uas yuav pom ib lub polyp uas hloov mus ua mob qog noj ntshav hauv plab yog tsawg dua 2%. Tej zaum koj yuav raug kuaj pom tias muaj lwm yam mob uas tuaj yeem kho tau.

Kuv puas yuav tsum tau hloov kuv cov zaub mov tom qab tshem cov polyps?

Kev noj zaub mov zoo pab kom lub plab zoo tom qab cov polyps raug tshem tawm los ntawm kev siv lub tshuab endoscopy. Tsis tas li ntawd, kev noj zaub mov zoo yog qhov tseem ceeb los tiv thaiv kab mob gastritis, uas yog ib qho ua rau mob plab polyps. Cov kws kho mob qhia kom ua raws li kev noj zaub mov tiv thaiv kev o . Yog li ntawd, es tsis txhob noj cov zaub mov cuav, qab zib ntau dhau, thiab cov rog saturated, cov zaub mov ntuj uas muaj cov nplej tag nrho, cov protein tsis muaj roj, thiab cov rog unsaturated yuav tsum tau muab tso ua ntej.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Tom qab tshem cov polyps tawm lawm , nws yog ib qho tseem ceeb heev uas yuav tsum rov qab mus ntsib kws kho mob raws li koj tus kws kho mob qhia rau koj. Nws yuav qhia koj tias yuav tsum rov qab los ntau zaus npaum li cas. Tsis tas li ntawd, yog tias koj muaj cov tsos mob txawv txawv, xws li mob plab lossis hloov pauv hauv koj cov quav, koj yuav tsum qhia rau koj tus kws kho mob paub. Tom qab ntawd nws tuaj yeem qhia koj tias nws yog qhov ib txwm muaj lossis yog tias nws yuav tsum tau kuaj xyuas.

Kuv yuav tsum nug tus kws kho mob li cas?

Koj tuaj yeem nug cov lus nug zoo li no:

• Kuv muaj hom polyps twg?
• Kuv cov polyps puas muaj feem yuav ua mob qog noj ntshav?
• Kuv puas muaj feem yuav mob qog noj ntshav hauv plab ntau dua lossis tsawg dua?
• Dab tsi yog qhov ua rau kuv cov polyps hauv plab feem ntau?
• Kuv yuav tsum hloov dab tsi kom tiv thaiv kom tsis txhob muaj cov polyps hauv plab yav tom ntej?
• Thaum twg kuv yuav tsum tau mus kuaj endoscopy tom ntej?

Thaum kawg, nco ntsoov qhov no (Cov Lus Coj Mus Tsev)

Feem ntau, kev nrhiav pom cov polyps hauv koj lub plab yog ib qho xwm txheej tsis zoo, thaum koj tab tom kuaj mob rau lwm yam. Nws tuaj yeem ua rau koj ntxhov siab me ntsis. Tab sis nco ntsoov, feem ntau cov polyps hauv plab tsis yog mob qog noj ntshav, thiab lawv muaj kev pheej hmoo tsawg los ua mob qog noj ntshav. Feem ntau, lawv tsuas yog lwm yam tsos mob ntawm tus mob uas coj koj mus rau kws kho mob.

Nyob ntawm seb koj muaj hom polyps hauv plab li cas, koj tus kws kho mob yuav muaj ntau cov ntaub ntawv tseem ceeb txog koj txoj kev noj qab haus huv ntawm txoj hnyuv. Nws yuav paub tias yuav ua li cas los kho koj tus mob thiab tswj koj qhov kev pheej hmoo ntawm mob qog noj ntshav hauv plab. Yog tias muaj kev pheej hmoo, nws yeej ib txwm zoo dua kom paub sai dua li tom qab, puas yog? Yog li ntawd tsis txhob ntshai, mloog koj tus kws kho mob hais, thiab tau txais kev kho mob kom raug.

` Cov qog nqaij hlav hauv plab, cov qog nqaij hlav hauv plab, mob plab zom mov tsis zoo, kev soj ntsuam los ntawm kev siv lub tshuab tsom iav, mob qog nqaij hlav hauv plab, teeb meem hauv plab, hom qog nqaij hlav