Ki te kī atu te tākuta he "pūpū" tōu i tētahi wāhi o tō tinana, kāore ianei tō tinana katoa e mātao? Ko te mea tuatahi ka puta ake ki te hinengaro ko te wehi "He mate pukupuku tēnei?" Engari ehara i te mea he mate pukupuku ngā pūpū katoa. I tēnei rā ka kōrero tātou mō tētahi momo pūpū ehara i te mate pukupuku, engari me aro atu. Ko te adenoma tēnā.
He aha tonu te adenoma?
He māmā noa iho, he pukupuku kore-matepukupuku (pai) te adenoma. Ka puta mai i te kiko epithelial, e kapi ana i ngā whekau me ngā repe o tō tātou tinana. He maha ngā wā ka tipu haere ēnei pukupuku i roto i ngā tautau. Ki te tirohia pai, he rite ki ngā harore iti me te kakau iti.
He momo tipu te adenoma e kiia nei he polyp. I ētahi wā ka kiia e ngā tākuta he polyp adenomatous .
Ko te mea nui, ehara ngā adenoma i te mate pukupuku. Heoi, i ētahi wā, inā koa ngā adenoma nunui, ka huri hei mate pukupuku i roto i te wā. Koia te mea nui kia tirotirohia ēnei e te tākuta.
He aha ngā momo adenomas?
Ko te nuinga o ngā adenoma ka puta i roto i ngā repe o te tinana. Ka whakaputa, ka tuku hoki ngā repe i ngā matū e kiia nei ko ngā homoni , he mea nui mō te mahi a te tinana. Nō reira, he maha ngā momo adenoma. Kia tirohia tātou he aha ngā momo matua.
| Momo Adenoma | Te wāhi i tupu ai me te whakamārama poto |
|---|---|
| Ngā adenoma adrenal | Ka hangaia ēnei i roto i ngā repe adrenal kei runga ake i ō tātou whatukuhu. |
| Ngā adenoma koroni | He momo polyp ēnei e puta mai ana i roto i te arai o te koroni. Ko ngā mea he nui ake i te 10 mm te rahi, ā, he rite ki te kāpeti kōpura, ka kiia ko ngā 'adenoma matatau'. |
| Ngā adenoma parathyroid | Ka puta ēnei i roto i ngā repe parathyroid, e tata ana ki te repe thyroid. Ka nui rawa te hanga o te homoni parathyroid i tēnei. |
| Ngā adenoma pituitary | Ka puta ēnei i roto i te repe pituitary i roto i te roro. Ko ngā mea iti iho i te 1 cm ka kiia he microadenomas, ā, ko ngā mea nui atu i te 1 cm ka kiia he macroadenomas. |
| Ngā adenoma pleomorphic | Ka hangaia ēnei i roto i ō tātou repe huware. |
| Ngā adenoma hinu (ngā adenoma o ngā repe hinu) | Ka puta ēnei i roto i ngā repe whakaputa hinu i te mata o te kiri. |
Hei tāpiritanga, ka taea e ngā adenoma te "mahi" te "kore mahi" rānei. He nui ake ngā homoni ka puta mai i te adenoma mahi i te mea e hiahiatia ana. Kāore he homoni ka puta mai i te adenoma kore mahi. Nō reira, ki te mea he adenoma kore mahi tāu, tērā pea kāore he tohu e pā mai ki a koe.
Ka whakarōpūtia hoki ēnei hua i runga i te āhua o tō rātou tipu.
Ka whakarōpūhia hoki ēnei adenoma e ngā tākuta mā te tirotiro i raro i te karuārai, me te whakarōpū i runga i te tauira hanganga pūtau. He mea nui tēnei hei whakatau i te maimoatanga.
| Tauira tipu | Āhua me ngā āhuatanga |
|---|---|
| Ngongo | Ka tipu hei porowhita, hei porowhita rānei te āhua. Ko te nuinga o te wā ka kitea i roto i ngā adenoma iti iho i te 0.5 inihi te rahi. |
| Villous | Ka tipu haere rātou i roto i te āhua piupiu, pōrearea, pērā i te pua kāpeti. He mea noa tēnei āhua i roto i ngā adenoma nunui. |
| Tubulovillous | He ranunga o ngā tauira e rua o runga ake nei. |
| Noho noa | Ka tupu, kāore he kakau, he papatahi te āhua, he nui te pūtake. |
| He niho-whakairo | Ina tirohia i raro i te karu hiko, ka kitea he tauira e rite ana ki ngā niho o te kani. |
He aha ngā tohu o te adenoma?
Ka whakawhirinaki ngā tohu ki te wāhi me te rahi o te adenoma. Tērā pea kāore he tohu e puta mai i ētahi adenoma iti. Heoi, kei reira ētahi tohu noa ka kitea:
- Mamae puku
- Te ngenge nui o te tinana
- Ānini
- Te mate toto ngoikore-rino
- ngoikore o te uaua
- Whakapairuaki, ruaki rānei
- Te toto o te rectum
He aha tātou ka pāngia ai e ngā adenomas?
Nā te mea ka tīmata te tipu me te wehewehe o ngā pūtau o roto i tō tātou tinana, kāore e taea te whakahaere. I te nuinga o te wā, ka kīia ngā pūtau o roto i tō tātou tinana kia mate i tētahi wā kua whakaritea. Ka kiia tēnei ko te mate pūtau kua whakaritea . Ina hē tēnei tukanga, ka huihui ngā pūtau ka hanga pukupuku. Ka whanake hoki ngā pūtau matepukupuku i tēnei ara. Heoi, kāore ngā adenomas i te kaha rawa atu i ngā pūtau matepukupuku, ā, he puhoi ake te tipu.
Ngā āhuatanga e whakanui ake ai i te mōrearea
Ka piki ake pea te mōrearea o te whakawhanake i te adenoma i ētahi āhuatanga.
- Tau: Ko te hunga kei roto i ō rātou tau 30 me te 40 he nui ake te tūponotanga ka pāngia e ngā adenomas pituitary.
- Ngā huringa ira: Ka taea e ētahi āhuatanga ira, pērā i te Multiple Endocrine Neoplasia momo 1 (MEN1), te whakaputa i ngā adenomas. He mea tuku iho ēnei.
- Mate ira: Familial Adenomatous Polyposis (FAP)Ko ētahi mate, pērā i ngā mate e pāngia ana e te whānau, ka piki ake te mōrearea o te adenoma.
- Ira Tangata: E rua ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e te parathyroid adenomas i ngā tāne.
Me pēhea te mōhio o te tākuta ki tēnei?
Ka tirohia koe e tō tākuta i te tuatahi, ka pātai atu mō tō hītori hauora. Kātahi ka tonoa pea e rātou ētahi whakamātautau hei whakaū i tēnei.
- Ngā matawai CT
- Ngā matawai MRI
- Ngā matawai PET
Ko te whakamātautau tino nui ko te koiora . Ko te tango i tētahi wahi kiko iti mai i te puku ka tukuna ki te taiwhanga hei whakatau mēnā he adenoma, he mea kē atu rānei.
He aha ngā maimoatanga?
Ka rerekē te maimoatanga i runga i te momo, te rahi, me te taunga o te adenoma.
- Rongoā: Mena kei te adenoma te take o ngā raruraru homoni, ka tohua e te tākuta he rongoā hei whakahaere i taua raruraru.
- Pokanga: Ko ngā adenoma nunui he nui ake te tūponotanga ka huri hei matepukupuku. Nō reira, ko ngā mea pēnei i ngā polyp e nui ake ana i te 5 mm ka tangohia mā te pokanga. Waihoki, ka tūtohutia pea te pokanga mēnā kei te puta mai ētahi atu raruraru hauora i te pukupuku.
- Aroturuki kaha: Mena he iti rawa te adenoma, ā, kāore he raruraru hauora e pā mai ana, ka whai pea tō tākuta i te huarahi "mātakitaki-me-tāria". Ko te tikanga o tēnei, kaua e rongoātia, engari me aroturuki tonu i te pukupuku kia kite ai mēnā ka rerekē.
Ka taea te ārai i ēnei mea kei puta?
Nā te mea kāore e taea e tātou te whakahaere i ngā āhuatanga ira e whai wāhi ana ki te whanaketanga o ngā adenomas, kāore e taea e tātou te ārai i a rātou 100%. Heoi, ko te mea pai rawa atu ka taea e tātou ko te tirotiro i te mate pukupuku i ia wā. Pātai atu ki tō tākuta kia hia te auau o ēnei whakamātautau, inā koa mēnā kei te mōrearea koe ki te whakawhanake i ngā adenomas.
Hei tāpiritanga, ka āwhina ēnei mea ki te pupuri i te hauora whānui:
- Te karo i te momi hikareti
- Te kai i tētahi kai e nui ana i ngā hua, huawhenua, me ngā witi katoa
- Te whakanui ake i te korikori tinana
- Te whakawhāiti i te inu waipiro
Karere Tangohia ki te Kāinga
- Ehara te adenoma i te pukupuku matepukupuku, engari ko ētahi momo, inā koa ko ngā mea nunui, ka taea te huri hei pukupuku.
- Kāore e puta tonu ngā tohu, nō reira he mea tino nui ngā whakamātautau hauora i te tau e tika ana, pērā i te colonoscopy.
- Kaua e mataku mēnā ka kitea he pukupuku tōu. Kōrerohia mārire ki tō tākuta he aha te mate me te aha te mahi hei whakatika.
- He pai te whakahaere i te adenoma mēnā ka tika te maimoatanga me te aroturukitanga.
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