Colonoscopy i nei tawh em? A nih loh leh i chhungte emaw, i thiante emaw hnen atangin pakhat i hre tawh mai thei bawk. A chang chuan he test zawh hian doctor chuan, "I colon-ah polyp i nei a ni," a ti thin. Heng thu an hriat hian tu pawhin tlem an hlauhthawn emaw, an mangang deuh emaw hi thil pangngai tak a ni. Mahse, i hlau tak tak tur em ni? Heng polyp zawng zawng hi hlauhawm leh cancer vei an ni em? No. Vawiin hian polyp chi khat bik, colon-a lo awm, serrated polyps tih kan sawi dawn a ni.
A awlsam zawngin, serrated polyps tih hi eng nge ni?
Serrated polyps chu tissue lian lo tak tak, a nih loh leh polyp te tak te, i colon chhung lam bang chunga lo awm a ni. Microscope hmanga en chuan an chunglam chu saw-toothed ang maia a lan avangin "serrated" an ti a ni.
A pawimawh ber chu heng polyp te hi an lo pian tirh hian cancer an ni lo. An benign tlangpui. Mahse, serrated polyp thenkhat chu hun kal zelah cancer ah a chang thei. Chuvang chuan doctor ten heng polyp te hi an hmuh veleh an paih chhuak nghal a ni. Hei hian nakin lawkah colon cancer a lo awm loh nan a pui a ni.
Heng serrated polyp te lo awm dan hi polyp pangngai dang, adenomas tia koh te lo awm dan nen hian a danglam deuh hlek a ni. Tin, cancer-a an chantir dan pawh a danglam hle bawk. Colon cancer 25% vel chu heng serrated polyps atang hian a lo awm thin. Mahse cancer-ah an lo chang ta a nih chuan chi dang aiin an thang chak deuh thei a ni.
Serrated polyp chi hrang hrangte chu engte nge ni?
World Health Organization (WHO) chuan serrated polyp hi chi li-ah a ṭhen a. Chungte chu an hmel leh cell awm dan a zirin an thliar hrang a ni. Heng chi hrang hrangte hi cancer-ah an chang vek lo. Chuvangin i doctor hian dik taka classified leh identify a pawimawh hle.
Chu chi palite sawifiahna awlsam tak chu hetiang hi a ni.
| Polyp chi hrang hrang | A awlsam zawngin... |
|---|---|
| Hyperplastic polyp hmanga siam a ni | Hei hi a tam ber chi a ni. Serrated polyp 75% vel chu hetiang chi hi an ni. Thu lawmawm tak chu, hengte hi a niA pawi lo a, cancer-ah a chang dawn lo bawk. Cell tlem lutuk avanga lo awm thin dinhmun pangngai a ni. |
| Sessile serrated lesions (SSLs) te hi a awm thei lo. | Hei hi serrated polyp chi khat cancer ah a chantir tam ber a ni . "Sessile" tih awmzia chu "sessile" tihna a ni a, a chhan chu an flat a, wall-ah an inzawm tlat a ni. Hei vang hian colonoscopy an tih lai hian hmuh a harsa fo thin. Doctor-te chuan heng SSL zawng zawng hi cancer hlauhawm takah an ngai a ni. |
| Traditional serrated adenomas a awm thin | Hengte hi a tlem hle . Adenomas pangngai ang deuh ni mahse, "serrated" features an nei bawk a, saw teeth ang chi te pawh an nei bawk. Cancer chi khat an ni bawk . |
| Serrated adenomas chi hrang hranga awm lo | Hei hi polyp chi khat a ni a, a chunga kan sawi tak chi thum zingah hian a tel chiah lo a, mahse hybrid characteristic a nei a ni. Hei pawh hi a tlem hle. Doctor ten hengte hi an zirchiang chhunzawm zel a ni. |
Heng tumor te hi engtiang chiahin nge an awm? Symptoms a awm em?
Ngaihtuah teh, colonoscopy 100 i tih chuan heng zinga 30 vel ah hian he serrated polyp chi hi i hmu thei ang. Mahse, lungngai suh, hmuhchhuah tam zawk hi chu harmless hyperplastic polyps an ni . SSL ang chi, cancer vei theihna tur chi hrang hrang hi a tlem berah hmuh tur a awm a, 10% vel a ni.
A pawimawh ber chu heng polyp chi hrang hrang zingah hian engmah hian symptom a nei lo tlangpui . I taksa chhungah pawh hriat lohvin i nei thei.
A tlem hle a, tumor a lo sei chuan i ek chhungah thisen tlemte i awm thei a, a nih loh leh i taksaah thisen a chhuak emaw, i chaw ei kham emaw i nei thei bawk. Mahse heng symptoms te hi chhan dang a awm a rinawm zawk. Chuvangin doctor-te chuan naupan lai atanga colonoscopy tih hi an rawt a, symptoms nei lo mah la.
Serrated polyposis syndrome (SPS) tih hi eng nge ni?
Hei hi thil danglam deuh, thil awm lo tak a ni. Hetiang dinhmunah hian mi pakhat chuan an colon pumpuiah serrated polyp tam tak (a chang chuan 20 aia tam) a nei a. Hengte hi a tlangpui aia lian zawk an ni thei a, cancer chi hrang hrang risk sang zawk an ni thei bawk. Hetiang natna vei, SPS hian cancer vei theihna chance 25% a nei a ni.
Hengte hi engte nge a chhan leh a hlauhawmna?
Colon polyps awm chhan pakhat chauh a awm lo. Kan tar chhoh zel chuan an tam zawk. A chhan ber chu kan cell te inthen darh a, cell thar an siam hian genetic mutations a awm niin an ngai. Copy machine hian a chang chuan tihsual tenau te a ti thin ang bawkin. Heng genetic mutations te hian cell te chu control theih lohvin a tipung a, tumor a siam thin.
Heng polyp te hi a vei theihna tipungtu thil engemaw zat a awm a:
- Kum 50 chunglam a ni
- Meizial zuk
- Zu in tam lutuk
- Sa sen (bawngsa leh vawk sa ang chi) ei fo .
- Thau lutuk (thau lutuk) .
- Intestine-a natna khirh tak tak nei, inflammatory bowel disease (IBD) ang chi .
Engtin nge hengte hi an hmuhchhuah a, enkawl an nih?
Serrated polyps hriat theihna kawng tha ber leh awmchhun chu colonoscopy hi a ni . He test hian i colon pumpui chu camera dahna tube te tak te hmangin a enfiah thin.
Mahse, a chang chuan hmuh chu a harsa deuh thei. A chhan chu SSL ang chi hi a flat a, a chhehvel tissue nen a rawng inang a, a ramri pawh a chiang lo. Chuvangin doctor thiam, tawnhriat ngah tak, high-tech camera (high resolution colonoscope) hmanga he test hi tih a pawimawh hle.
Test zawhah eng nge thleng?
1. Detection: Doctor in colonoscopy an tih laiin polyp a hmu a, high-risk type a nih a rinhlelh chuan a la chhuak nghal mai ang. Hetiang tih dan hi polypectomy an ti a .
2. Testing: Polyp lakchhuah chu lab-ah thawn a ni a, chutah chuan pathologist chuan microscope hmangin eng polyp chi nge a nih tih chiang takin a enfiah a, report a pe thin.
3. Nakin hun atana ruahmanna: Chu report atang chuan i doctor chuan i colonoscopy neih leh tur chu eng chen nge i tih thuai tur tih a rel ang.
| Polyp chi hrang hrang hmuhchhuah | Colonoscopy neih leh hun tur ruahman |
|---|---|
| Risk a tlem (e.g. hyperplastic polyp te tak te) . | A tlangpuiin kum 10 hnuah |
| Risk hniam tak (e.g. SSL tam tak) . | Kum 5 vel chhungin |
| Risk sang tak (e.g. SSL lian emaw, tam tak emaw) . | Kum 3 vel chhungin |
| SPS status a awm chuan | Kum tin |
I doctor hian i dinhmun a zirin heng hun hi a thlak danglam thei a, chuvangin a thupek zawm a pawimawh hle.
I theihnghilh suh, cancer hlauhawmna polyp lakchhuah hian tunah chuan i him vek tawh tihna a ni. Chu thanlenna chu cancer-a a lo chan theihna tur chu kan ti bo ta a ni. Mahse, a hun takah check leh a pawimawh a, heng growth te hi a lo awm leh thei a ni.
Take-Home Thuchah a ni
- Serrated polyps hi colon chhunga lo piang chhuak chi khat a ni. Chung zinga a tam zawk chu hlauhawm lo tak an ni .
- Mahse, chi thenkhat, SSL ang chi te hi hun kal zelah cancer-ah a chang thei a , chuvangin i hmuh veleh paih chhuah a tha ber.
- Heng tumor te hian symptom a nei lo . Chuvangin kum 45 hnuah colonoscopy neih a pawimawh a, doctor-in a rawt angin.
- I exam laia polyp hmuhchhuah chu cancer a nih thu leh lakchhuah a nih chuan lungngai suh. I doctor chuan a hun takah a hmu a, cancer a nih loh nan a veng tihna a ni.
- A pawimawh ber chu doctor in a hrilh hun takah i test leh tur chu tih a ni . Hmang suh.
- Meizial zuk loh te, zu in tam lutuk te, leh nunphung hrisel tak zawm te hian hengte hi i vei theihna tur a ti tlem thei a ni.
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