E mōhio ana koe ki ēnei polyp niho i roto i tō koroni? Me kōrero māmā noa iho tātou mō ēnei!

Kua whakamātauhia koe i mua i te whakamātautau `(Colonoscopy)`? Tērā pea kua rongo koe i tētahi e kī ana, ``I tangohia e rātou ētahi tipu iti i roto i te koroni.'' I te nuinga o te wā, koinei ngā mea e kiia nei e mātou ko `(Colon Polyps)``, ko ngā polyps rānei e tipu ana i roto i te koroni. I roto i ēnei, kei reira tētahi momo motuhake e kiia nei ko `(Serrated Polyps).`` He ahua whakamataku te ingoa? Kaua e manukanuka, ka kōrerohia e mātou ngā mea katoa i roto i te huarahi māmā ka taea e koe te mārama.

He aha ēnei `(Sterrated Polyps)`? Kia mārama tātou!

He whakarāpopototanga noa iho, ko ngā polyp stricted he tipu e puta mai ana i te pakitara o roto o tō koroni, ā, he rite ki ngā tipu niho-kanohi i raro i te karuārai. He pukupuku tūturu ēnei, engari he pai. Ko te tikanga, ehara i te mate pukupuku i te wā tuatahi e puta mai ana. Heoi, ka taea e ētahi polyp stricted te huri hei mate pukupuku i roto i te wā. Koia te take ka tangohia e ngā tākuta ēnei tipu i te wā tonu ka kitea he ārai i te mate pukupuku koroni.

Ko te āhua taratara o ēnei `(Serrated Polyps)` e pā ana ki te āhua o tō rātou hanganga. He rerekē te tukanga e hangaia ai rātou i tētahi atu momo polyps e kitea ana i roto i te koroni, arā, ko `(Adenomas). Waihoki, ki te huri ngā `(Serrated Polyps)` hei matepukupuku, he rerekē te tukanga i te tukanga e huri ai ngā `(Adenomas)` hei matepukupuku. E kiia ana ko te 25% o ngā matepukupuku koroni ka puta mai i ēnei `(Serrated Polyps)`. Heoi, ki te whanake hei matepukupuku, ka tere ake te tipu i ētahi atu momo.

He aha ngā momo matua o ngā `(Sterrated Polyps)`?

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, arā, ō rātou āhuatanga tinana. E whakaatu ana ēnei āhuatanga i te rerekētanga o ngā tukanga pūtau e awe ana i te tipu o ēnei polyp. He mea nui, ehara i te mea he mate pukupuku mua ēnei momo katoa . Ka whakarōpūtia e ngā tākuta ina kitea hei whakatau i te tūponotanga ka whanake hei mate pukupuku.

Anei aua momo e whā:

• `(Ngā Polyps Hyperplastic)` Ngā polyps hyperplastic
• `(Ngā Whara Tūmomo - SSL)` Ngā Whara Tūmomo
• Ngā Adenoma Niho Tuku Iho
• Ngā Adenoma Tūtae Kore-Whakarōpūtia

`(Ngā Polyps Hyperplastic)` Ngā polyps hyperplastic

Koinei ngā momo polyp serrated e tino kitea ana, e 75% pea o ngā take. Ko te rongo pai, kāore he kino o ēnei polyp hyperplastic, ā, kāore e matepukupuku . Ko te tikanga o te "Hyperplastic" he tipu nui rawa o ngā pūtau. Ko te tikanga he nui rawa ngā pūtau e tipu tahi ana. He maha ngā polyp precancerous ka "dysplastic," arā, he rerekē ngā huringa o roto i ngā pūtau. Ka taea e ēnei huringa o roto i ngā pūtau te arahi ki te matepukupuku.

`(Ngā Whara Tūmomo - SSL)` Ngā Whara Tūmomo

Tata ki te 20% o ngā polyp serrated he momo e kiia nei ko ngā Sessile Serrated Lesions (SSLs). Koinei te momo polyp serrated he nui te tūponotanga kia noho hei mate pukupuku . Ko te "Sessile" e pā ana ki te mea he papatahi, he rite ki te kōpae, he paku teitei rānei. Heoi, ka kitea anō hoki tēnei āhua i roto i ngā polyp hyperplastic kāore he kino. Nō reira, he uaua ki te wehewehe i te rua mā te āhua. Heoi, ka taea e ngā tohunga te kite i ētahi rerekētanga i roto i ō rātou hanganga.

He maha ngā ingoa o ēnei `(Sessile Serrated Lesions)` i mua. Ināianei ka whakamahia tēnei ingoa hou hei whakaiti i te pōhēhētanga koretake. Ko tētahi atu mea, ko ētahi o ēnei `(SSLs)` he āhuatanga `(Dysplasia)` (ngā āhuatanga rerekē o te pūtau) kua whakahuatia i mua, ko ētahi kāore. Ka whakarōpūhia anō e ngā tākuta te hunga he `(Dysplasia)` hei "sessile serrated lesions with dysplasia". Heoi, ko ngā `(SSLs)` katoa e kiia ana he mate pukupuku .

Ngā Adenoma Niho Tuku Iho

Koinei te momo tino onge o ngā `(Serrated Polyps)`, e kitea ana i roto i te iti iho i te 1% o te taupori . He āhuatanga precancerous anō hoki ēnei. He rite tō rātou āhua ki ngā `(Adenomas)` noa, arā, he āhua rite ki te harore, ā, he āhuatanga noa anō hoki ō rātou `(Dysplasia)`. Heoi anō, he āhuatanga anō ō rātou `(Serrated)` pērā i ngā taha o te kani. I ngā wā o mua, i pohehetia ēnei mō ngā `(Adenomas)` noa. Nō nā tata nei noa nei i mōhiotia ai he momo `(Serrated Polyp)`.

Ngā Adenoma Tūtae Kore-Whakarōpūtia

Ko te momo whakamutunga ko ngā polyp kāore e tino uru ki tētahi o ngā kāwai o runga ake nei. Tērā pea he āhua papatahi, he taratara te āhua, engari tera pea he āhuatanga rite ki te "Dysplasia" me te "Adenoma". Ahakoa he onge, e whakapono ana ngā tākuta he mea nui kia mōhio ki ēnei polyp kāore e taea te whakarōpū mārama, nā te mea tera pea ka kitea e ngā rangahau ā muri ake nei ētahi atu kōrero mō rātou. Kei te ako tonu mātou mō ngā "Polyp Taratara".

He pēhea te noa o ngā Polyps Serrated?

E kitea ana ngā polyp serrated i roto i te 30% o ngā colonoscopie. I te nuinga o te wā, he polyp hyperplastic kore kino ēnei. Heoi, e 10% he polyp precancerous, pērā i te Sessile Serrated Lesions (SSLs). I te wā o te colonoscopy, kāore pea e taea e te tākuta te wehewehe i waenga i ngā mea e rua. Koia te take, ki te mea he ruarua, ka tangohia te kiko, ka tukuna ki te taiwhanga, ka tirotirohia i raro i te karuārai e te tohunga mate pukupuku.

He aha te `(Serrated Polyposis Syndrome - SPS)`?

He mate onge te mate Serrated Polyposis Syndrome (SPS). Koinei te mea ka tupu inaHe nui ngā polyp stricted ka puta puta noa i te koroni. I mua ko te Hyperplastic Polyposis Syndrome tēnei. Tērā pea neke atu i te 20 ō polyp, he nui ake rānei i te mea noa. He nui ake hoki te tūponotanga ka pāngia rātou e te mate pukupuku. E 25% te tūponotanga ka pāngia te hunga whai mate pukupuku e tēnei mate. E pāngia ana e tēnei mate te 0.4% o te taupori.

Ka puta ngā tohu i ngā polyp stingrated?

I te nuinga o te wā, kāore he tohu e puta mai i ngā polyp i roto i te koroni, tae atu ki ngā polyp niho. He tino onge, ka taea e ngā polyp nui te whakaheke toto, te whakarerekē rānei i ō tikanga puku. Tērā pea ka kite ētahi tāngata i te toto i roto i ā rātou tūtae, i te korere, i te kōroke rānei kāore i te whakamāramatia. Engari ka taea hoki te puta mai i ēnei tohu i ētahi atu mea. He maha ngā tāngata whai polyp kāore e mōhio kei a rātou . Koia te take e taunaki ana ngā tākuta kia tirohia te koroni i ia wā.

He aha te take e puta ai ēnei `(Sterrated Polyps)`?

He mate noa ngā polyp serrated e puta ake ana i a tātou e pakeke haere ana. Kāore tātou i te tino mōhio he aha i puta ai. Engari e mōhio ana tātou kei roto ngā whakarerekētanga ira . Ko ngā whakarerekētanga ira he hapa i roto i te waehere o ō pūtau i te wā e wehea ana, e hanga ana i ngā pūtau hou. Mā ēnei hapa ka rerekē te tipu o ngā pūtau hou i te huarahi e tika ana. Ko ngā polyp serrated ka puta mai i tētahi whakarerekētanga ira rerekē i ērā atu momo polyp.

He aha ngā āhuatanga mōrearea e pā ana ki te whanaketanga o ngā `(Serrated Polyps)`?

He tino rite ngā āhuatanga mōrearea mō te whanaketanga o ngā polyp serrated ki ērā mō te whanaketanga o ngā polyp i roto i te whekau nui. Ko ēnei:

• Neke atu i te 50 tau te pakeke.
• Te momi hikareti.
• Te inu nui rawa o te waipiro.
• Te kai nui rawa i te mīti whero (pērā i te mīti kau, te mīti koati).
• Te momonatanga.
• Kei a koe ngā āhuatanga pēnei i te mate mumura o te puku.

Me pēhea te tautuhi i ngā `(Sterrated Polyps)`?

Ko te huarahi pai ki te kimi i ngā polyp serrated ko te whakamahi i te colonoscopy . Heoi, i ētahi wā, ka ngaro pea. Nā te mea kāore i te tino kitea ngā momo polyp serrated e rua e tino kitea ana, arā, ngā polyp hyperplastic me ngā lesions serrated sessile (SSL). He iti noa iho (tata ki te 5 mm) , he papatahi, he paku teitei rānei, ā, he rite te tae ki te kiko e karapoti ana, kāore he rohe mārama.

Whakaarohia he rite ki te rapu i tētahi paru iti, kāore e kitea i runga i te pakitara he rite te tae ki te peita. Ehara i te mea ngāwari, āe?

Hou,He pai ake ngā colonoscopy, he teitei te taumira me te whakanui, ki te kite i ngā polyps niho-ngoi i ngā taputapu tawhito. He mea nui anō hoki te whakarite i te puku me te whakangungu a te tākuta. Me mōhio ngā tākuta ki ngā aratohu hou mō te kite i ngā polyps niho-ngoi. Kua kitea he pai ake te mahi a ētahi tikanga colonoscopy i ētahi atu, ā, ka rerekē pea te āhua o ngā polyps.

I a koe e tango ana i te koroni, ka whakapae pea tō tākuta kei a koe he Sessile Serrated Lesion, he Serrated Polyp rānei, he momo mate pukupuku ka taea te whanake hei polyp. Mena he ruarua, ka tangohia e ia i te wā o te tikanga (Polypectomy) . Kātahi ka tukuna te polyp ki tētahi taiwhanga hei tirotiro mā te Tohunga Mate. Ko reira anake ka taea e te tākuta te whakatau tika i te momo polyp me te whakatau i te tātaritanga whakamutunga.

Heoi, ki te mea kei a koe te Serrated Polyposis Syndrome (SPS), tera pea ka taea e tō tākuta te tautuhi i te wā o te colonoscopy. Ko te huarahi ki te tautuhi i te SPS ko te titiro ki te maha o ngā polyp serrated i kitea, tō rātou rahi, me te wāhi kei roto i te koroni. E ai ki ngā tatauranga, ko ngā polyp serrated he nui ake i te mea noa, kei ngā wāhi rerekē rānei i roto i te koroni, he nui ake te tūponotanga ka noho hei mate pukupuku i mua i te tirotiro tata.

He aha te mea ka tupu mēnā ka kitea he `(Sterrated Polyps)` i te wā o te `(Colonoscopy)`?

He mea noa ngā polyp hyperplastic, kāore he mea hei manukanuka . Heoi, ki te whakapae tō tākuta he polyp serrated tōu, me tango atu . Hei kimi i te momo, hei ārai hoki i te mate pukupuku. Ki te whakaūtia he polyp precancerous tūturu, ka whakaritea e tō tākuta tō colonoscopy e whai ake nei i roto i te wā poto , kia taea ai e koe te tirotiro i ngā mea hou.

Kia pēhea te roa me whai colonoscopy ahau nā te mea he polyp serrated?

Ka whakarōpūhia e ngā tākuta te mōrearea o te whakawhanake i te mate pukupuku koroni ki te iti, ki te whakaōrite, ki te teitei rānei, i runga i te momo polyp nerated ka kitea e rātou. Ka whakamahia taua mōrearea hei whakatau i te wā e tika ai te colonoscopy e whai ake nei. E ai ki ngā aratohu o nāianei,

• Mena he mōrearea waenga , kia kotahi i roto i ngā tau e rima .
• Mena he nui te mōrearea, ia toru tau .
• Mena kei a koe te `(SPS)`, me whakamātau koe i te tau kotahi .
• Kāore e hiahiatia he aroturukitanga motuhake mō ngā "(Hyperplastic Polyps)" iti-morearea.

He aha ngā mea hei tumanakohia mēnā kei a koe ngā "Serrated Polyps" o mua i te matepukupuku?

Mena i tangohia e tō tākuta ngā polyp niho i mua i te mate pukupuku i te wā o tō colonoscopy, kei te haumaru koe i tēnei wā . Mā te tango i ēnei ka whakaiti i te tūponotanga o te mate pukupuku. Heoi, me aroturuki tonu tō tākuta i tō koroni mō ētahi take. Ko tētahi take he uaua ki te tango katoa i ēnei polyp niho noho pūmau mā te polypectomy nā te mea he papatahi, he pōuriuri hoki ngā taha.

Whakaarohia he rite ki te kohi i tētahi maramara tiēre kua taka ki te papa. I ētahi wā he toenga noa iho ngā maramara ririki, tika? Koinā te āhua.

Mena ka mahue ngā wahi iti o ngā pūtau i te wā e tangohia ana, mehemea rānei he polyp i ngaro i te wā o te colonoscopy o mua, ā, kāore i tino kitea, ka taea tonu e rātou te tipu hei āhuatanga o mua i te mate pukupuku. Tērā pea ka tere ake te tipu i te polyp hou. Hei tāpiri, he nui ake te tūponotanga o ngā polyp stricted ki te noho hei mate pukupuku i ētahi atu momo. He nui ake hoki te tūponotanga ka whanake hei mate pukupuku i ngā wāhi maha i te wā kotahi .

Āhea ahau me toro atu ki te tākuta mō ngā polyp o te puku?

Mena he mōrearea noa iho tōu, ka tūtohu ngā tākuta kia tirohia koe i ia tau 10, ka tīmata i te 45 tau. Mena kua pāngia tētahi o tō whānau e te mate pukupuku koroni, e ngā polyp rānei (he hononga ira), he mate hauora rānei tōu e whakanui ake ai i te mōrearea o te whakawhanake i ngā polyp, pērā i te mate mumura o te puku, me tirotiro wawe koe i te koroni. Pātai atu ki tō tākuta mō te wā tika hei tirotiro i tō koroni auau.

Pērā i te nuinga o ngā polyp o te koroni, he mea noa ngā polyp stricted, ā, he maha ngā wā kāore he kino . Ko ētahi o ēnei he iti noa te mōrearea ka kino haere i roto i te wā. Koia mātou e whai ana i ngā colonoscopie. I a mātou e tirotiro ana i a rātou, ā, mēnā ka kitea, kāore he tūponotanga o ngā polyp stricted kia noho hei mate pukupuku. Kei te ako tonu mātou mō ngā polyp stricted me ō rātou whanonga, engari kua nui ā mātou mōhiotanga inaianei hei tuku maimoatanga ārai .

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, kia tirohia ētahi o ngā mea tino nui hei maumahara mā tātou i roto i ngā mea kua kōrerohia e tātou:

• Ko ngā polyp serrated he momo tupu kikokiko e puta ana i roto i te whekau nui, ā, he rite te āhua ki ngā taha o te kani.
• Ka taea e ētahi momo polyp serrated, inā koa ko ngā sessile serrated lesions (SSLs), te huri hei matepukupuku i roto i te wā.
• I te nuinga o te wā, kāore ēnei e tohu i ngā tohu , nō reira he mea tino nui kia whai whakamātautau colonoscopy auau.
• Mā te tautuhi me te tango i ēnei i te wā o te colonoscopy, ka taea te ārai i te mate pukupuku .
• Mena kua tohua koe kei te pāngia e te `(Serrated Polyps),' me whai i ngā tohutohu a tō tākuta. He mea nui kia haere tonu koe ki ngā whakamātautau ā-tinana i ia wā, i ia wā.
• Kaua e wehi , ko te mea nui ko te mōhio ki ēnei mea me te tautuhi wawe.

Mena he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki tō tākuta. Ka taea e ia te tuku tohutohu tika ki a koe.

` Ngā Polyps Niho, Ngā Polyps Koroni, Colonoscopy, Matepukupuku Koroni, Ngā Polyps Hyperplastic, Ngā Wāhanga Niho Noho, Gastroenterology