I colon chhunga heng serrated polyps te hi i hria em? An chungchang hi a awlsam zawngin sawi ila!

`(Colonoscopy)` test i nei tawh em? A nih loh leh, mi pakhatin, ``Colon chhunga thing te te te an paih chhuak a,'' a tih i hre tawh mai thei. Chung zingah chuan `(Serrated Polyps) tih chi bik a awm a.`` A hming hi a hlauhawm deuhin a ri em? Ngaihtuah buai suh, i hriatthiam theih tur awlsam takin engkim kan sawi dawn a ni.

Heng `(Serrated Polyps)` te hi engte nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin, serrated polyps chu i colon chhungril bang-a lo awm, microscope hmanga saw-toothed growth ang maia lang a ni. A nihna takah chuan tumor an ni a, mahse benign an ni. Chumi awmzia chu an lo pian tirh khan cancer an nei lo tihna a ni. Mahse, serrated polyp thenkhat chu hun kal zelah cancer a ni thei . Chuvangin doctor-te chuan heng a lo thang lian te hi colon cancer venna atana an hmuh veleh an paih chhuak nghal a ni.

Heng `(Serrated Polyps)` te hi serrated appearance hi an siam dan nen a inzawm tlat a ni. An siam dan hi colon-a kan hmuh tlangpui polyp chi dang, `(Adenomas) nen chuan a danglam deuh hlek a ni. Tin, `(Serrated Polyps)` chu cancer-ah a chantir chuan `(Adenomas)` chu cancer-ah a chantir dan nen a danglam a ni. Colon cancer 25% vel chu heng `(Serrated Polyps)` atanga lo chhuak niin an sawi. Mahse, cancer-ah an lo chang ta a nih chuan chi dang aiin an thang chak deuh thei a ni .

`(Serrated Polyps)` 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 lan dan azirin an thliar hrang a, chu chu an taksa pianphung a zirin an thliar hrang a ni. Heng mizia te hian heng polyp te lo thang chakna tidanglamtu cellular process te hi a danglam zia a tilang a ni. Pawimawh tak chu, heng chi hrang hrangte hi precancerous an ni vek lo . Doctor-te chuan cancer-a an chan theihna tur an hriat theih nan an classified a ni.

Chu chi li chu hetiang hi a ni:

• `(Hyperplastic Polyps)` A rilru a buai em em a, a rilru a hah em em bawk a
• `(Sessile Serrated Lesions - SSLs)` A rilru a buai em em a, a rilru a hah em em bawk a
• Traditional Serrated Adenomas te hi a awm a
• Serrated Adenomas chi hrang hranga awm lo

`(Hyperplastic Polyps)` A rilru a buai em em a, a rilru a hah em em bawk a

Hengte hi serrated polyp chi hrang hrang zingah chuan a tam ber a, 75% vel a ni . Thu lawmawm tak chu heng hyperplastic polyp te hi a hlauhawm lo va , cancer an ni lo . "Hyperplastic" tih hian cell lian lutuk tihna mai a ni. Cell tam lutuk a lo thang khawm mai tihna a ni. Precancerous polyp tam tak chu "dysplastic" an lo ni ta a, chu chu cell-ah inthlak danglamna pangngai lo an nei tihna a ni. Heng cell-a inthlak danglamna te hian cancer a thlen thei a ni.

`(Sessile Serrated Lesions - SSLs)` A rilru a buai em em a, a rilru a hah em em bawk a

Serrated polyp 20% vel chu Sessile Serrated Lesions (SSLs) an tih subtype a ni. Hei hi serrated polyp chi khat cancer vei theihna sang ber a ni . "Sessile" tih hian an flat, disc ang, emaw, a sang deuh emaw tihna a ni. Mahse, he pianzia hi harmless hyperplastic polyp-ah pawh hmuh theih a ni. Chuvangin, an pahnih hi a lan dan a\anga thliar hran a harsa deuh. Mahse, specialist-te chuan an structure-ah hian danglamna engemaw zat an hre thei a ni.

Heng `(Sessile Serrated Lesions)` te hian hming engemaw zat an nei thin. Tunah chuan he hming thar hi a tul lo taka buaina tihziaawm nan hman a ni ta. Thil dang pakhat chu heng `(SSL)` thenkhat hian a hmaa kan sawi tawh `(Dysplasia)` (cell abnormalities) features an nei a, thenkhat erawh chuan an nei lo. Doctor-te chuan `(Dysplasia)` vei te chu "sessile serrated lesions with dysplasia" tiin an dah belh bawk. Mahse, `(SSL)` zawng zawng hi precancerous condition anga ngaih a ni .

Traditional Serrated Adenomas te hi a awm a

Hengte hi `(Serrated Polyps)` chi hrang hrang hmuh tur awm lo ber an ni a, mipui 1% aia tlem loah hmuh theih an ni . Hengte hi precancerous conditions an ni bawk . An hmel chu `(Adenomas)` pangngai nen a inang a, chu chu mushroom ang maia pianzia an nei a, `(Dysplasia)` hmel pangngai pawh an nei bawk. Mahse, saw kil ang maia `(Serrated)` features an nei bawk. Tun hma chuan hengte hi `(Adenomas)` pangngai anga ngaih sual an ni fo thin. Tun hnaiah chauh hian `(Serrated Polyp)` chi khat anga hriat an ni.

Serrated Adenomas chi hrang hranga awm lo

A chi hnuhnung ber chu a chunga kan sawi zawng zawng zingah hian a inmil lo polyp a ni. Flat, serrated appearance an nei thei a, mahse ``Dysplasia'' emaw ``Adenomas'' ang chi feature an nei thei bawk.An tlem hle nachungin, doctor-te chuan heng polyp chiang taka thliar hran theih lohte hi hriat chian a pawimawh an ti a, a chhan chu nakin lawka zirchiannaah chuan an chungchang hi a chiang zawk mai thei a ni. ``Serrated Polyps'' chungchang hi kan la zir zel a ni.

Serrated Polyps hi engtiang chiahin nge a awm?

Serrated polyps hi colonoscopy 30% vel ah hmuh a ni. A tam zawkah chuan hengte hi hyperplastic polyp hlauhawm lo tak an ni. Mahse, 10% vel chu cancer hmaa polyp, Sessile Serrated Lesions (SSLs) ang chi an ni. Colonoscopy an tih lai hian doctor chuan an pahnih inthlauhna hi a hre thei lo fo mai thei. Chuvangin rinhlelhna a awm chuan tissue chu lakchhuah a ni a, laboratory-ah thawn a ni a, microscope hmangin pathologist-in a enfiah thin.

`(Serrated Polyposis Syndrome - SPS)` tih hi eng nge ni?

Serrated Polyposis Syndrome (SPS) hi a awm ve lo. Hei hi a ni a, i...Serrated polyps hi colon pumpuiah hian a tam hle. Hei hi a hmain Hyperplastic Polyposis Syndrome an ti thin a. Polyp 20 aia tam i nei thei a, a tlangpui aia lian pawh a ni thei bawk. Precancerous an nih pawh a rinawm zawk bawk. Hetiang natna vei te hian cancer vei theihna chance 25% an nei a ni. Hetiang dinhmun hian mipui 0.4% vel a nghawng a ni.

Serrated polyps hian symptom a nei em?

A tam zawkah chuan colon chhunga polyp, serrated polyps te pawh hian symptoms a siam lo . A tlem hle a, polyp lian tak tak hian thisen a chhuah emaw, i rilru a tidanglam thei emaw a ni. Mi thenkhat chuan an ek chhungah thisen an hmu thei a, a nih loh leh sawifiah theih loh khawpa riltam emaw, chaw ei kham emaw an nei thei bawk. Mahse heng symptoms te hi thil dang vang pawh a ni thei. Polyps vei tam tak chuan an nei tih pawh an hre lo . Chuvangin doctor-te chuan colonoscopy exam neih fo an rawt a ni.

Eng thilin nge heng `(Serrated Polyps)` te hi a lo awm chhan?

Serrated polyps hi natna tlanglawn tak a ni a, kan tar chhoh zel chuan a lo awm tlangpui. Engvangin nge an lo insiam tih chiang takin kan hre lo. Mahse genetic mutations a inrawlh tih kan hria . Genetic mutations hi i cell te inthen darh a, cell thar an siam huna coding-a tihsual a ni. Heng tihsualte hian cell tharte chu an than dan tur aia danglamin a tipung a ni. Serrated polyp hi polyp chi dang aiin genetic mutation danglam tak avanga lo awm a ni.

`(Serrated Polyps)` lo awm theihna tur risk factors te chu engte nge ni?

Serrated polyps lo awm theihna tur risk factors hi large intestine-a polyp lo awm theihna tur risk factors nen a inang hle. Anni chu:

• Kum 50 aia upa a nih.
• Meizial zuk.
• Zu in tam lutuk.
• Sa sen (bawngsa, kêl sa ang chi) ei tam lutuk.
• Thau lutuk.
• Inflammatory Bowel Disease ang chi natna nei.

Engtin nge `(Serrated Polyps)` kan hriat theih ang?

Serrated polyps hmuh theihna kawng tha ber chu colonoscopy hmangin a ni . Mahse, a chang chuan, an tlachham thei. Hei hi a chhan chu serrated polyp chi hnih, hyperplastic polyps leh sessile serrated lesions (SSLs) te hi a langsar vak lo vang. A tlangpuiin an te (5 mm vel) , an flat emaw, an sang deuh emaw a, an chhehvel tissue nen an rawng inang a, ramri chiang tak an nei lo.

Paint rawng inang, bang-a bawlhhlawh te tak te, hmuh theih loh tak tak zawng ang maiin han ngaihtuah teh. Chu chu thil awlsam a ni lo maw?

Thar,Colonoscope, resolution leh magnification sang tak nei te hian instrument hlui aiin serrated polyp an hmu thei zawk a ni. Bowel inbuatsaihna leh Doctor inzirtirna pawh a pawimawh hle. Doctor-te chuan serrated polyps hmuhchhuah dan tur kaihhruaina thar ber berte an hriat a ngai a ni. Colonoscopy method thenkhat chu a dang aiin a thawk tha zawk tih hmuhchhuah a ni a, polyp hmel pawh a tidanglam thei bawk.

I colonoscopy neih chhung hian i doctor chuan Sessile Serrated Lesion emaw Serrated Polyp emaw a ringhlel thei a, chu chu cancer chi khat a ni a, polyp-ah a chang thei a ni. Ringhlelna a awm chuan a tih lai hian a paih chhuak ang (Polypectomy) . Chumi hnuah polyp chu laboratory-ah Pathologist-in a enfiah turin thawn a ni ang. Chutiang a nih chauh chuan doctor chuan eng polyp chi nge a nih tih chiang takin a hre thei ang a, a tawp berah chuan a diagnosis a siam thei ang.

Mahse, Serrated Polyposis Syndrome (SPS) i neih chuan i doctor chuan colonoscopy hmangin a hre thei mai thei. SPS hriat dan chu serrated polyp hmuhchhuah zat, an lian leh te, leh colon chhunga an awmna hmun te en hi a ni. Statistically chuan serrated polyp pangngai aia lian emaw, colon-a hmun danglam bik emawa awmte chu ngun taka enfiah chuan precancerous an ni thei zawk.

`(Colonoscopy)` neih laiin `(Serrated Polyps)` hmuh a nih chuan eng nge thleng ang?

Hyperplastic polyps hi a awm fo a, ngaihtuahawm tur a awm lo . Mahse, i doctor-in serrated polyp i neih a rinhlelh chuan lak chhuah tur a ni . Hei hi eng chi chiah nge a nih tih hriat chian nan leh cancer a nih loh nan a ni. Precancerous polyp a ni tak zet tih finfiah a nih chuan, i doctor chuan i colonoscopy lo awm tur chu a schedule thuai ang , chutiang chuan a thar eng emaw zat check out i neih ngei theih nan.

Serrated polyp vangin eng chen nge colonoscopy ka neih thuai ang?

Doctor-te chuan serrated polyp an hmuh chi hrang hrang a zirin colorectal cancer vei theihna chu a hniam, a hniam emaw, a sang emaw tiin an dah a ni. Chu risk chu engtikah nge colonoscopy tih tur tih hriat nan hman a ni. Tuna inkaihhruaina dan ang chuan, .

• Risk medium a awm chuan kum nga danah vawi khat .
• Risk sang tak a awm chuan kum thum danah .
• `(SPS)` i neih chuan kum khatah vawi khat test neih a tha .
• Risk hniam tak ``(Hyperplastic Polyps)'' te hi enkawlna bik a ngai lo.

Precancerous ``Serrated Polyps'' i neih chuan eng nge beisei tur?

I doctor chuan i colonoscopy neih laiin precancerous serrated polyps a paih chhuak a nih chuan tunah chuan i him tawh . An paih chhuah chuan cancer an nih theihna a ti tlem ang. Mahse, i doctor chuan i colon chu chhan hrang hrang avangin uluk taka en reng a duh ang . A chhan pakhat chu heng sessile serrated polyps te hi an flat shape leh fuzzy edges avang hian polypectomy hmanga lak chhuah vek a harsa thei a ni .

Jelly chi khat leia tla chu lak chhuah ang maiin han ngaihtuah teh. A châng chuan a tê tê a la awm ṭhin a ni lawm ni? Chutiang chu a ni.

Cell te te chu lakchhuah a nih chuan a hnutchhiah a nih chuan, emaw, a hmaa colonoscopy neih lai khan polyp hmuh loh leh chutiang taka lang lo a awm a nih chuan, precancerous condition-ah an lo thang zel thei a ni. Polyp thar aiin an thang chak zawk thei bawk. Tin, serrated polyp hi chi dang aiin cancer a nih theihna a sang zawk bawk . Tin , hmun khat aia tam ah a rualin cancer an ni thei bawk .

Engtikah nge intestinal polyps chungchangah doctor ka hmuh ang?

Average risk-a i awm chuan doctor-te chuan kum 10 danah colonoscopy neih tir thin turin an rawt a, kum 45 atanga tan tur a ni a, i chhungte zinga mi tu emaw chuan colon cancer emaw polyps (genetic link) emaw a vei tawh a nih chuan, emaw, hriselna lama harsatna i neih chuan polyps, inflammatory bowel disease ang chi vei theihna a tipung a nih chuan, colonoscopy hi tih hmasak a ngai mai thei. I colonoscopy pangngai neih hun a nih chuan doctor zawt rawh.

Colon polyp tam zawk ang bawkin serrated polyp hi a awm fo a, a hlauhawm lo fo bawk . Ṭhenkhat chuan hun kal zelah chhiatna thlen theihna chance tlemte an nei. Chuvang chuan colonoscopy kan nei ta a ni. Kan screen a, kan hmuh chuan kan paih chhuah chhung chuan serrated polyps hian cancer a nih theihna chance a nei lo. Serrated polyps chungchang leh an awm dan kan la zir chhunzawm zel a, mahse tunah chuan preventive treatment pe thei tur khawpin kan hre tawh a ni .

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin kan sawi tawh atanga kan hriat reng tur pawimawh tak tak thenkhat han thlir ila:

• Serrated polyps hi sa chi khat a ni a, intestine lian takah a lo awm a, saw kil ang mai a ni.
• Serrated polyp chi thenkhat, a bik takin sessile serrated lesions (SSLs) te hi hun kal zelah cancer a ni thei.
• A tam zawkah chuan hengte hi asymptomatic , chuvangin colonoscopy test neih fo a pawimawh hle.
• Colonoscopy neih laiin hengte hi hriatchhuah a, paih chhuah a nih chuan cancer hi ven theih a ni .
• `(Serrated Polyps),` i vei tih hmuhchhuah a nih chuan i doctor thupek dik takin zawm rawh. Follow-up examination neih a pawimawh hle.
• Hlau suh , a pawimawh ber chu hengte hi hriat chian a, hriat hmasak hi a ni.

Hemi chungchanga zawhna dang i neih chuan doctor nen inbiakna neih hreh suh. A remchan dan angin thurawn a pe thei che a ni.

` Serrated Polyps, Colon Polyps, Colonoscopy, Colon Cancer, Hyperplastic Polyps, Sessile Serrated Lesions, Gastroenterology te hi a ni