Kua whai koe i tētahi colonoscopy? Kua rongo pea koe i tētahi mai i tō whānau, i ō hoa rānei. I ētahi wā i muri i tēnei whakamātautau, ka mea te tākuta, "He polyp kei roto i tō koroni." He mea noa kia mataku, kia ohorere rānei te tangata ina rongo i ēnei kupu. Engari me mataku rawa koe? He morearea, he mate pukupuku rānei ēnei polyp katoa? Kāo. I tēnei rā kei te kōrero tātou mō tētahi momo polyp motuhake e puta ana i roto i te koroni e kiia nei ko ngā polyp serrated .
Ki te kī ngāwari, he aha ngā polyp stinged?
Ko ngā polyp serrated he tipu iti o te kiko, arā, he polyp iti, e puta ana i te pakitara o roto o tō koroni. Ka kiia rātou he "serrated" nā te mea he rite te mata ki te niho kani ina tirohia i raro i te karuārai.
Ko te mea nui, ehara ēnei polyp i te mate pukupuku i te wā e tīmata ana te puta. He pai tonu te nuinga. Heoi, ka taea e ētahi polyp niho te huri hei mate pukupuku i roto i te wā. Koia te take ka tangohia e ngā tākuta ēnei polyp i te wā tonu e kitea ai. Mā tēnei ka ārai i te whanaketanga o te mate pukupuku koroni ā muri ake nei.
He rerekē te āhua o te whanaketanga o ēnei polyp niho-pūngoi i te āhua o te whanaketanga o ētahi atu polyp noa, e kiia nei ko ngā adenoma. Ā, he rerekē anō hoki te tukanga e huri ai rātou hei matepukupuku. Tata ki te 25% o ngā matepukupuku koroni ka puta mai i ēnei polyp niho-pūngoi. Engari ki te puta hei matepukupuku, ka tere ake te tipu i ētahi atu momo.
He aha ngā momo matua o ngā polyp stingray?
Kua wehea e te Whakahaere Hauora o te Ao (WHO) ngā polyp stricted kia whā ngā momo matua. Ka whakarōpūtia ēnei i runga i tō rātou āhua me te whanonga o ngā pūtau. Kāore ēnei momo katoa e huri hei mate pukupuku. Nō reira, he mea tino nui kia whakarōpūtia tikatia e tō tākuta, kia tautuhia hoki.
Anei tētahi whakamārama māmā mō aua momo e whā.
| Momo Polyp | Hei whakarāpopototanga... |
|---|---|
| Ngā polyp hyperplastic | Koinei te momo tino noa . Tata ki te 75% o ngā polyp stingrated he momo pēnei. Ko te rongo pai, ko ēneiKāore e kino, ā, e kore e huri hei matepukupuku. He āhuatanga noa tēnei e puta mai ana i te nui rawa o ngā pūtau. |
| Ngā whara niho tūroa (SSL) | Koinei te momo polyp serrated polyp tino kitea ka huri hei matepukupuku . Ko te tikanga o te kupu "Sessile" he "sessile" nā te mea he papatahi, he piri ki te pakitara. Koia te take he uaua ki te kimi i a rātou i te wā o te colonoscopy. E whakaaro ana ngā tākuta he mōrearea ēnei SSL katoa ki te matepukupuku. |
| Ngā adenoma serrated tuku iho | He tino onge ēnei. Ahakoa he rite ki ngā adenoma noa, he āhuatanga "ngoikore" anō hoki ō rātou, pērā i ngā niho kani. He momo matepukupuku anō hoki. |
| Ngā adenoma serrated kāore i whakarōpūtia | He momo polyp tēnei kāore i te tino hono ki tētahi o ngā momo e toru kua whakahuatia ake nei, engari he āhuatanga ranu. He onge hoki tēnei. Kei te haere tonu ngā rangahau a ngā tākuta mō ēnei. |
He pēhea te noa o ēnei pukupuku? He tohu kei reira?
Whakaarohia, ki te 100 ngā koroni e tirohia ana e koe, ka kitea tēnei momo poripi niho i roto i te 30 pea. Kaua e manukanuka, ko te nuinga o ēnei he poripi hyperplastic kāore he kino . Ko ngā momo pēnei i te SSL, he mōrearea ki te mate pukupuku, he iti noa iho te maha, tata ki te 10%.
Ko te mea nui, kāore tetahi o ēnei momo polyp e puta ai he tohu . Tērā pea kei roto i tō tinana ēnei tohu, me te kore e mōhio.
He tino onge, ki te tupu he pukupuku, tera pea ka kitea he toto iti i roto i tō tūtae, ka pupuhi rānei, ka mate puku rānei koe. Engari tera atu pea ētahi atu take mō ēnei tohu. Koia te take e taunaki ana ngā tākuta kia mahia he colonoscopy i te wā tamarikitanga, ahakoa kāore he tohu.
He aha te mate serrated polyposis (SPS)?
He āhuatanga motuhake, he āhuatanga onge tēnei. I roto i tēnei āhuatanga, ka puta he maha ngā polyp stricted (neke atu i te 20 i ētahi wā) puta noa i te koroni o te tangata. Ka nui ake ēnei i te mea noa, ā, he nui ake pea te mōrearea o te mate pukupuku. Ko te tangata whai i tēnei āhuatanga, SPS, he 25% te mōrearea ki te pāngia e te mate pukupuku.
He aha ngā take me ngā āhuatanga mōrearea mō ēnei?
Kāore he take kotahi mō ngā polyp o te koroni. Ka nui haere te kitea i a tātou e pakeke haere ana. E whakaarohia ana ko te take matua ko ngā whakarerekētanga ira e puta ana i te wā e wehea ana ō tātou pūtau, e hanga ana i ngā pūtau hou. Pērā i te mīhini tārua, ka mahi hapa iti i ētahi wā. Mā ēnei whakarerekētanga ira ka tipu haere ngā pūtau, ka puta he pukupuku.
He maha ngā āhuatanga e whakanui ake ai i te mōrearea o te whakawhanake i ēnei polyp:
- Neke atu i te 50 tau te pakeke
- Te momi hikareti
- Te inu nui rawa
- Te kai auau i te mīti whero (pērā i te mīti kau me te poaka)
- Te pikinga o te taumaha (momona)
- Kei a koe ngā mate mumura mau tonu o ngā whekau, pērā i te mate mumura o te whekau (IBD)
Me pēhea te kimi me te rongoā i ēnei?
Ko te huarahi pai rawa atu, ko te huarahi anake hoki hei kite i ngā polyp nerrated ko te whakamahi i te colonoscopy . Ka tirohia e tēnei whakamātautau tō koroni katoa mā te whakamahi i tētahi ngongo angiangi me tētahi kāmera e piri ana.
Engari i ētahi wā ka uaua te kimi i a rātou. Nā te mea he papatahi ngā momo pēnei i te SSL, he rite te tae ki te kiko e karapoti ana, ā, kāore i te mārama ngā taha. Koia te mea nui kia whakahaerehia tēnei whakamātautau e tētahi tākuta mohio, mātau mā te whakamahi i ngā kāmera hangarau teitei (ngā colonoscope teitei).
He aha te mea ka tupu i muri i te whakamātautau?
1. Te Kitenga: Ki te kite te tākuta i tētahi polyp i te wā o te colonoscopy, ā, ki te whakapae ia he momo mōrearea nui, ka tangohia tonutia e ia. Ka kiia tēnei tikanga he polypectomy .
2. Whakamātautau: Ka tukuna te polyp kua tangohia ki tētahi taiwhanga, ka tirotirohia e te tohunga mate i raro i te karuārai hei whakatau i te momo polyp, ā, ka tukuna he pūrongo.
3. Ngā mahere ā meake nei: I runga i taua pūrongo, ka whakatau tō tākuta i te wā e tika ana kia mahia tō colonoscopy e whai ake nei.
| Momo polyp i kitea | Te wā e taunakitia ana mō te colonoscopy e whai ake nei |
|---|---|
| He iti te mōrearea (hei tauira, he iti ngā polyp hyperplastic) | I roto i ngā tau 10 te tikanga |
| Mōrearea waenga (hei tauira, he maha ngā SSL) | I roto i te 5 tau pea |
| Ngā mōrearea nui (hei tauira, ngā SSL nui, ngā SSL maha rānei) | I roto i te 3 tau pea |
| Mena kei te wātea te tūnga SPS | Ia tau |
Tērā pea ka whakarerekētia e tō tākuta ēnei wā i runga i tō āhua, nō reira he mea nui kia whai koe i ana tohutohu.
Kaua e wareware, mā te tango i tētahi polyp e mōrearea ana ki te mate pukupuku, kua tino haumaru koe i tēnei wā. Kua whakakorea e mātou te tūponotanga o taua tipu hei mate pukupuku. Heoi, he mea nui kia tirohia anō i te wā tika, nā te mea ka hoki anō ēnei tipu.
Karere Tangohia ki te Kāinga
- Ko ngā polyp serrated he momo tipu ka puta i roto i te koroni. Ko te nuinga o ēnei kāore he kino .
- Heoi, ko ētahi momo, pērā i ngā SSL, ka huri hei matepukupuku i roto i te wā, nō reira he pai ake te tango atu i te wā tonu ka kitea.
- Kāore ēnei pukupuku e puta he tohu . Koia te mea nui kia whai colonoscopy i muri i te 45 tau te pakeke, e ai ki te taunakitanga a tō tākuta.
- Mena i kitea he mate pukupuku te polyp i kitea i tō whakamātautau, ā, i tangohia, kaua e manukanuka. Ko te tikanga i kite wawe tō tākuta i te mate, ā, i ārai i te whanaketanga hei mate pukupuku.
- Ko te mea nui kia mahia tō whakamātautau e whai ake nei i te wā tonu e kīia ana e te tākuta . Kaua e mahue.
- Ka taea e koe te whakaiti i te mōrearea o te whakawhanake i ēnei mā te karo i te momi hikareti, te inu nui i te waipiro, me te whai i tētahi momo noho hauora.
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