I pum chhungah hian thil te te te a lo thang lian em? Stomach polyps chungchang hi han sawi ila!

Pum lam harsatna emaw, gastritis ang chi natna emaw avanga endoscopy i nei tawh em? Chutih lai chuan doctor chuan, "I pum chhungah hian thil te te te i nei a, chu chu polyp kan ti a ni," a ti che a ni mai thei. Hei hi a hlauhawm deuhin a lang mai thei, a dik em? Mahse, lungngai suh. A tam zawkah chuan hengte hi a hlauhawm lo. Vawiin hian stomach polyps chungchang hi i zir belh leh ang u.

Heng polyp te hi eng nge ni?

A awlsam zawngin, Stomach Polyps hi i pum chhunga lining-a lo thang lian lo emaw, lo thang lian lo emaw a ni . Gastric Polyps an ti bawk. Ngaihtuah teh, kan pum hian mucous lining a nei a, chutah chuan heng polyp te hi an lo thang lian thin. Hengte hi kan taksa peng dang, entirnan, intestine lian lama polyp lo awm ang chiah a ni.

A pawimawh ber chu heng stomach polyp tam zawk hi cancer (benign) an ni lo . Chumi awmzia chu chhiatna nasa tak an thlen lo tihna a ni. Mahse, hun kal zelah cancer-ah a chang thei chi thenkhat a awm. Chuvang chuan hengte hi fimkhur a pawimawh hle.

Heng stomach polyps te hi a hlauhawm em?

Hei hi mi tam tak tan chuan harsatna lian tak a ni. Dik tak chuan, pum chhunga polyp chi hrang hrang tam zawkah chuan cancer vei theihna hi a tlem hle a, a chang chuan a awm lo pawh a ni thei. A chi thenkhat chu precancerous an ni . Mahse chutiang pawh chu doctor-te’n an hmuh chuan cancer an ni lo tlangpui. Polyp chu cancer-ah a chantir theih nan hun rei tak a ngai a ni. Chuvang chuan doctor ten an hmuh veleh an paih chhuak nghal a, nakin lawka cancer laka inven nan.

Pawimawh: Polyp i hmuh chuan hlauthawng suh. I doctor thusawi chu ngun takin ngaithla rawh. A tam zawkah chuan hengte hi awlsam taka paih theih a ni.

Heng tumor chi hrang hrang, pum chhunga lo awm thinte hi engte nge ni?

Pum chhungah hian polyp chi hrang hrang a awm a. A tam ber chu epithelial polyps an ni . Chungte chu pum chhunga lining (epithelium) chunglam layer atanga lo piang chhuakte an ni. Chu bakah, layer thuk deuh atanga tan a, lo chhuak chi hrang hrang a awm bawk a, chu chu mesenchymal polyps an ti a ni. Hengte hi a tlem deuh deuh a ni.

Epithelial Polyps chi hrang hrang: 1.1.

Polyp chi hrang hrang hmuh tam berte chu he category-ah hian an tel a ni.

• Fundic Gland Polyps: Hengte hi gastric polyp chi hrang hrang zingah chuan a tam ber a ni.. Chungte chu pum chunglam (fundus)-ah a lo awm tlangpui. An siam chhuah chauh a nih chuan cancer vei theihna a tlem hle a, awm lo pawh ni se. Mahse, hereditary cancer natna hmuh tur awm lo thenkhat (entir nan, `Familial Adenomatous Polyposis (FAP)` leh `Gastric Adenocarcinoma and Proximal Polyposis of the Stomach (GAPPS)`) te nen chuan an lo awm fo thei a ni. Chutiang hunah chuan cancer an nih hmaa precancerous condition an ni thei.

• Hyperplastic Polyps: Hei hi a tam ber pahnihna a ni. Hengte pawh hi cancer natna a ni tlangpui lo. Gastritis nen an inzawm fo thin . Mahse, a chang chuan cancer dang nen an awm thei a, chuvangin vaukhânna chhinchhiahna anga ngaih an ni bawk. Doctor ten an hmuh chuan a chhehvel tissue te pawh an enfiah a, cancer cell a awm leh awm loh an enfiah bawk.

• Adenomatous Polyps (Adenomas): Pum polyp zawng zawng zinga 10% vel chu hetiang chi hi a ni. Hengte hi precancerous polyp chi hrang hrang zingah cancer vei theihna sang ber an ni . A tlangpuiin pakhat chauhvin an thleng thin. Mahse, Familial Adenomatous Polyposis (FAP) ang chi thlahtute zingah pawh an awm tam zawk thei bawk. Doctor-te chuan heng polyp te hi an hmuh veleh an paih chhuak nghal a, cancer natna a awm leh awm loh an test thin.

• Gastric Neuroendocrine Tumors (Carcinoid Tumors tia hriat bawk): Hengte hi chaw kawng chhunga neuroendocrine cells atanga lo chhuak a ni. Anni hian pum chhunga tumor awm zawng zawng zinga 1% vel an ni. Cancer emaw benign emaw pawh an ni thei. Chi hrang hrang pali a awm a, an prognosis pawh a inang lo deuh vek a ni. Doctor-te chuan cancer chi hrang hrang hriatchhuahna hmangin cancer vei theihna an hre thei a ni.

• Hamartomatous Polyps (or Hamartomas): Hengte hi a tlem hle a, gastric polyps 1% vel an ni. Amah chauhin an lo awm thei a, a nih loh leh thlahtu natna hmuh tur awm lo, `Peutz-Jeghers syndrome`, `Juvenile Polyposis Syndrome`, `PTEN Hamartoma Tumor Syndrome` te nen pawh an inzawm thei bawk. Anmahni ngeia an lo awm chuan a tlangpuiin innocuous tumor, a mah chauhva lo thang lian an ni. Mahse, a chunga kan sawi tak thlahtu natna nena an lo awm chuan an pung nasa zawk a, cancer vei theihna a awm bawk.

Mesenchymal Polyps chi hrang hrang: 1.1.

Hengte hi polyp chi hrang hrang, layer thuk deuh atanga lo chhuak an ni.

• Inflammatory Fibroid Polyps: Hengte hi a tlem hle a, a tha lo hle. An lo pian dan dik tak hi hriat a la ni lo. A chang chuan hengte hi granulomas an ti bawk.Polyp an ti bawk. Inflammatory condition laiin immune cells awmkhawm a ni. Chungte chu anmahni chauhin an lo piang tlangpui a, a te te. Mahse an lian deuh chuan harsatna an thlen thei a ni. Pum chhunga lian tak a lo awm chuan pum chhunga luhna (pylorus) a tikhawlo thei a ni.

• Gastrointestinal Stromal Tumors (GIST): Hengte hi cancer hmaa natna awm lo, cancer hmaa awm thei a ni. A bul tanna chu stomach lining layer thuk ber (the muscularis propria) atanga tan a ni. Doctor ten an hmuh veleh an paih chhuak thin. An lakchhuah nan hian procedure hran (Endoscopic Mucosal Resection (EMR) emaw Endoscopic Submucosal Dissection (ESD)) an mamawh mai thei.

• Leiomyomas: Hei hi a awm lo va, taksa ruh hring (smooth muscle tumor) a ni. `Muscularis Propria` an tih layer-ah an lo piang a, pum chhung bang-ah lump angin an lang thei bawk. A chang chuan hengte hi cancer (Leiomyosarcomas) a ni thei bawk. Heng tumor te hi paih chhuah nan hian procedure hran a ngai mai thei.

Engtiang chiahin nge stomach polyps hi a awm?

Dik tak chuan a pum puiah chuan stomach polyps hi chutiang chuan a awm lo. Upper endoscopy exam 100 zinga 4 vel ah hmuh a ni. Heng polyp zinga a chanve vel hi a hmaa kan sawi tawh `Fundic Gland Polyps` te hi an ni. 30% vel chu `Hyperplastic Polyps` an ni a, 10% chu `Adenomatous Polyps` an ni. A bak 10% chu chi dang hmuh tur awm lo an ni.

Stomach polyps hian symptom a nei em?

A tam zawkah chuan stomach polyp hian symptom a nei lo. Test i tih laiin chhan dang vangin accident-in an hmuchhuak tlangpui. Mahse, polyp chi thenkhat chu thisen a chhuak thei . A tlem hle a, chi thenkhat chu a lian tawk a, a tibuaitu a awm thei . I hriat theih tur symptom thenkhat chu hetiang hi a ni:

• Thisen chhuak: I pum chhunga thisen chhuak chu i hre lo mai thei. Mahse thisen chhuak tam tak a awm chuan i ek chhungah thisen awm chhinchhiahna i hmu thei. (I pum chunglam atanga thisen a lo chhuah chuan , ek chu a dum a, a tarry ang a, a sen lo vang.) Hun a kal zel a, thisen tlakchhamna chuan thisen tlakchhamna a thlen thei a ni. Hei hian symptoms, paleness, chak lohna, leh hahna te a thlen thei a ni.

• Blockage: Polyp chu i chaw ei kawng tikhawlo thei khawpa lian a nih chuan, natna lan chhuahna, rilru hahna, leh pum na ang chi i nei thei a ni . I press chuan i pum a na thei bawk. Polyp hian i pum luhna a tikhawlo tak tak a nih chuan, i luak chhuak thei a, ei duh lohna i nei thei a, i taksa rihna pawh i tlahniam thei bawk .

Heng polyp te hi eng ang nge an nih?

Stomach polyp chi hrang hrang hi a lan dan a inang lo thei. Ṭhenkhat chu an sang a, tumor ang deuhin an awm a, ṭhenkhat erawh chu an flat deuh thung. Doctor-te chuan polyp zau, sang deuh deuh chu "sessile" an ti a, polyp lu zung ang maia nei chu "pedunculated" an ti bawk. A chi thenkhat chuan a chung lamah ulcer an nei thei a, thisen a chhuak thei bawk.

Polyps hi millimeter khat atanga centimetre engemaw zat thlenga lian thei a ni. A tam zawk chu an te a, a chhan chu an thang zawi hle a ni. Polyp lian tak takte hi cancer an nih a rinawm zawk, a chhan chu an upa tawh vang a ni. Mahse doctor-te tan chuan microscope hmanga en lovin cancer an vei em tih chiang taka sawi a harsa hle.

Eng thilin nge stomach polyps hi a thlen?

Stomach polyp hi hereditary condition nena inzawm a lo awm thin hi genetic a ni. Mahse, sporadic polyps hi genetic cause bakah thil dangin a nghawng a ni. Chu chu, genetic mutation hrang hrang avang hian polyp chi hrang hrang a lo awm tihna a ni a, mahse heng mutations thlentuah hian thil dang pawh a inrawlh niin a lang.

Zirchiangtute’n an hmuhchhuah chhan thenkhat chu hetiang hi a ni:

• Chronic Gastritis: Gastritis hi pum chhunga natna awm a ni. Erosive emaw nonerosive emaw pawh a ni thei. Erosive gastritis hi a tam ber a ni. Chemical erosion emaw H. pylori ang chi infection rei tak avanga lo awm a ni. Nonerosive gastritis hian pum chhung a ti thim thei (atrophic gastritis), chu chuan cellular change hrang hrang a thlen thei a ni. Heng chi hnih hian tumor chi hrang hrang, a bik takin hyperplastic polyps, adenomas, inflammatory fibroids, leh neuroendocrine tumor te a thlen thei a ni.

• Proton-Pump Inhibitors (PPIs): Hengte hi gastritis, heartburn, leh acid reflux damdawi kan ei fo thin, Omeprazole ang chi te an ni. Hengte hi hun rei tak leh hman fo a nih chuan pum chhunga hnathawh dan a nghawng thei a ni. Heng damdawi te hian cell thenkhat acid siam chhuah a tihtawp chuan cell dangte chuan an tlakchhamna phuhruk nan a tul aia tam acid an siam tan thin. Hei hi chutiang sual nei lo `Fundic Gland Polyps` te chhan tlangpui a ni. A chang chuan, hei hian `Gastric Neuroendocrine Tumors` lo awm dan pawh a nghawng thei bawk.

Engtin nge polyp hi hmuh (diagnose) a nih?

Stomach polyp tam zawk hi upper endoscopy (EGD) neih laiin hmuh a ni . He test titu gastroenterologist emaw surgeon emaw chuan polyp atang hian tissue te tak te (biopsy) a la a, a nih loh leh polyp chu a la chhuak vek (polypectomy). Chumi hnuah tissue sample te chu test belh turin an thawn leh thin. Pathologist chuan microscope hmangin eng polyp nge a nih tih leh cancer a nih leh nih loh a enfiah thin.

I pum chhungah polyp i neih chuan eng nge a awmzia?

Polyp chi hrang hrang hian awmzia hrang hrang a nei thei. Polyp hmuh chhuah chi hrang hrang a zirin i doctor chuan test dang neih belh turin a ti thei a, chu chuan natna dang a kaihhnawih theih dan a enfiah thei a ni. Entirnan, H. pylori infection emaw, chronic inflammatory condition dang emaw enfiah turin test an ti thei.

Polyp i neih zat leh a lian leh te pawh a pawimawh hle. Polyp tam tak i neih chuan i doctor chuan genetic test neih a rawt thei a, hei hian hereditary conditions a zawng thei ang. Chutiang hereditary condition i nei tih finfiah a nih chuan i taksa hmun dangah polyp a awm leh awm loh i enfiah a ngai dawn a ni. Precancerous polyps hmuhchhuah a nih chuan endoscopy dang neih leh vat a ngai mai thei.

Stomach polyps hi eng enkawlna nge ni?

Enkawlna chu polyp i neih chi hrang hrang leh an dinhmun a zirin a ni. Chumi azirin a hnuaia enkawlna te hi hman theih a ni:

• Stomach Polyp lakchhuah: I doctor hian endoscopy (polypectomy) neih laiin polyp a paih chhuak mai thei. Mahse, a chang chuan polyp tam zawk hmuh emaw, lakchhuah emaw a ngai mai thei. Polyp harsa tak tak, thuk tak tak thenkhat chu tih dan bik (`EMR`, `ESD`) emaw, a tlem berah chuan operation tih emaw a ngai thei bawk.

• Polyp Screening dang: I doctor-in polyp cancer nei emaw, cancer nei thei emaw a hmuh a, a paih chhuah chuan, a thar a lo awm leh awm loh en turin i screen leh vat tur a ni. I doctor chuan eng chen nge rescreening neih tur tih a hrilh ang che, chu chu polyp hmuhchhuah chi leh chi hrang hrang a zirin a ni. I taksain enkawlna a dawn dan pawh an enfiah duh mai thei bawk.

• A kaihhnawih natna enkawlna: A châng chuan, heng pum polyp te avang hian enkawl theih natna, gastritis ang chi i nei tih hriat hmasak theih a ni. I doctor chuan polyps te chu a enkawl thei a, chutih rualin a hnuaia awm chu a enkawl thei bawk. H. pylori infection emaw proton pump inhibitor (PPIs) hmanna nena inzawm tlat polyp te chu chutiang dinhmunte chu enkawl a nih chuan a bo thei a ni.

Stomach polyps lo awm tur hi i veng thei ang em?

Chronic gastritis leh a chhan enkawl hian stomach polyp chi thenkhat a veng thei a ni. Tin, `Proton Pump Inhibitors (PPIs)` tih damdawi hman tlem hian polyp chi thenkhat siam tlem nan a pui thei bawk. Mahse, `PPIs` nena inzawm polyp lo awm tam zawk hi chu benign an ni. Chuvangin an ven nan damdawi ei kha i chawlhsan a ngai tih dan a awm lo. Hei hi doctor nen sawiho a tha ber.

I pum chhungah polyp i neih chuan eng nge thleng?

I doctor-in i pum chhungah polyp a hmuh chuan eng chi nge a nih a, eng nge a awmzia tih hriat tumin test an nei ang.A tam zawkah chuan an serious lo. Polyp, pum cancer-a inthlak thei hmuh theihna chance chu 2% aia tlem a ni. Enkawl theih tur natna dang i nei tih hmuhchhuah a ni thei bawk.

Polyps lakchhuah hnuah ka ei leh in hi ka thlak a ngai em?

Endoscopy hmanga polyp lakchhuah hnuah chaw tha tak ei hian pum a tidam thei a ni. Tin, chaw ei tha hi gastritis laka inven nan a pawimawh a, hei hi stomach polyps thlentu lian ber a ni. Doctor-te chuan anti-inflammatory diet zawm turin an fuih . Chu chu, artificial foods, sugar tam lutuk, leh saturated fats ai chuan natural foods , whole grains, lean proteins, leh unsaturated fats awmna te chu dah pawimawh zawk tur a ni.

Engtikah nge Doctor ka hmuh ang?

After the polyps are removed , i doctor-in a hrilh angin screening appointment nei tura kir leh a pawimawh hle. Engzat nge lo haw tur tih a hrilh ang che. Tin, natna lan chhuah dan danglam tak tak, pum na emaw, i bawlhhlawh inthlak danglam emaw i neih chuan doctor pawh i hriattir tur a ni. Chumi hnuah chuan a pangngai em tih emaw, enfiah a ngai em tih emaw a hrilh thei ang che.

Doctor hnenah eng zawhna nge ka zawh ang?

Heng zawhnate hi i zawt thei ang:

• Eng chi polyp nge ka neih?
• Ka polyps te hi cancer vei theihna hlauhawmah an awm em?
• Ka pum cancer vei theihna chance a sang zawk em, a hniam zawk em?
• Ka pum polyps awm chhan ber chu eng nge ni?
• Nakin lawkah stomach polyps a lo awm loh nan eng inthlak danglamna nge ka tih ang?
• Engtikah nge ka endoscopy neih leh tur?

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

I pum chhunga polyp hmuh hi accident a ni tlangpui a, thil dang avanga medical exam i neih lai hian. Tlem chuan a buaithlak thei hle. Mahse, stomach polyp tam zawk hi chu cancer a ni lo tih hre reng ang che, cancer vei theihna chance pawh a tlem hle. A tam zawkah chuan doctor hnena hruai thlengtu dinhmun chhinchhiahna dang mai an ni.

Stomach polyp i neih chi hrang hrang a zirin i doctor hian i gastrointestinal health chungchangah thu pawimawh tak tak a nei ang. I dinhmun enkawlna tur leh i pum cancer vei theihna tur a enkawl dan tur a hre ang. Risk a awm chuan a tlai ai chuan hriat hmasak a tha zawk fo thin, a dik em? Chuvangin hlau suh la, i doctor thusawi chu ngaithla la, enkawl dan dik tak hmu rawh.

` Pum polyp, pum nau, gastritis, endoscopy, pum cancer, pum harsatna, polyp chi hrang hrang