Kodi munamvapo za 'ma polyps a m'matumbo'? Mwina dokotala wanu watchulapo, kapena mwina munamvapo mawuwo kwina. Ndizachibadwa kukhala ndi nkhawa pang'ono mukamva izi, koma mwa kukhala ndi chidziwitso chokwanira, mutha kudziteteza ku mavuto azaumoyo akuluakulu mtsogolomu. Lero, tiyeni tikambirane za izi poyera komanso mosavuta ngati gawo la gulu la anthu a ku Nirogi Lanka.
Kodi ma Colon Polyps ndi chiyani kwenikweni?
Mwachidule, izi ndi tinthu tating'onoting'ono tomwe timamera mkati mwa matumbo anu (matumbo akulu). Ganizirani ngati chizindikiro cha khungu mkati mwa matumbo anu. Zambiri mwa izi sizowopsa. Komabe, mitundu ina ya ma polyps, ngati sichiritsidwa kwa nthawi yayitali, imatha kukula kukhala khansa ya m'matumbo.
Ndicho chifukwa chake madokotala amalimbikitsa kuchotsa zotupa izi akangozindikira.
Ndi zofala kwambiri; akuti akuluakulu 15% mpaka 40% akhoza kuyamba matendawa nthawi ina. Chiwopsezo chake ndi chachikulu pang'ono kwa amuna komanso kwa iwo omwe ali ndi zaka zoposa 50.
N’chifukwa chiyani amapangidwa? Ndani ali pachiwopsezo?
Nthawi zambiri, ma polyps amenewa amachitika chifukwa cha kusintha kwa majini m'maselo anu. Madokotala akufufuzabe zomwe zimayambitsa kusinthaku.
Ngakhale kuti aliyense angathe kudwala matendawa, pali zinthu zina zomwe zingakulitse chiopsezo chanu. Yang'anani ngati pali chilichonse mwa izi chomwe chikukukhudzani:
- Mbiri ya banja: Ngati wachibale wanu wakhala ndi ma polyps a m'matumbo kapena khansa ya m'matumbo .
- Zaka: Muli ndi zaka 50 kapena kuposerapo.
- Kulemera: Kukhala wonenepa kwambiri ( BMI yoposa 25) kapena wonenepa kwambiri (BMI yoposa 30).
- Kusuta fodya .
- Kumwa mowa (makamaka kumwa mowa kwambiri tsiku lililonse).
- Zakudya: Zakudya zokhala ndi mafuta ambiri komanso zopanda ulusi wambiri.
- Mbiri yaumwini ya khansa ya m'matumbo kapena polyps.
- Kukhala ndi matenda otupa m'matumbo monga `(Ulcerative Colitis )` kapena `(matenda a Crohn)`.
- Matenda a shuga a mtundu wa 2 osasamalidwa bwino.
- Moyo wokhala chete wopanda kuchita masewera olimbitsa thupi ambiri.
Kuphatikiza apo, matenda ena osowa kwambiri obadwa nawo monga `(Familial Adenomatous Polyposis – FAP)` kapena `(Lynch syndrome)` angakulitse kwambiri chiopsezo chanu. Ngati muli ndi mbiri ya banja lanu ya matenda amenewa, ndikofunikira kukambirana izi ndi dokotala wanu.
Kodi zakudya zimathandiza?
Inde, mpaka pamlingo winawake. Kafukufuku wasonyeza kuti kuchepetsa zotsatirazi kungathandize kuchepetsa chiopsezo chanu:
- Nyama yokonzedwa (monga soseji, nyama yankhumba).
- Nyama zofiira (monga ng'ombe, nkhumba).
- Zakudya zokhala ndi mafuta ambiri (monga zakudya zokazinga kwambiri).
Kodi pali mitundu yosiyanasiyana ya ma polyps?
Inde, si ma polyps onse omwe ali ofanana, ndipo si onse omwe ali ndi khansa. Madokotala amawagawa m'magulu atatha kuwayang'ana pogwiritsa ntchito maikulosikopu. Tiyeni tiwone mitundu ikuluikulu:
| Mtundu wa Polyp | Kufotokozera ndi Kufunika Kwake |
|---|---|
| Ma polyps a Adenomatous | Uwu ndi mtundu wofala kwambiri (pafupifupi 70%). Khansa zambiri za m'matumbo zimayamba ngati mtundu uwu, ngakhale kuti nthawi zambiri zimatenga zaka zingapo kuti zikhale khansa. |
| Ma polyps opangidwa ndi serrated | Dzinali limatchedwa chifukwa cha mawonekedwe awo ofanana ndi a sawtooth. Zina mwa izi zimaonedwa kuti sizimayambitsa khansa ndipo zimatha kusanduka khansa. |
| Ma polyps opangidwa ndi pulasitiki wambiri | Kawirikawiri izi zimakhala zazing'ono ndipo zimakhala ndi chiopsezo chochepa kwambiri chokhala ndi khansa. Nthawi zambiri sizimakhala chifukwa chodera nkhawa kwambiri. |
| Ma polyps otupa | Izi si mafinya enieni koma ndi yankho la kutupa kosatha m'matumbo. Sizisintha kukhala khansa. |
Kodi amaoneka bwanji?
Madokotala amawunika kuopsa kwawo kutengera kukula ndi mawonekedwe:
- Kukula: Kawirikawiri, polyp ikakhala yayikulu, chiopsezo cha khansa chimawonjezeka.
- Mawonekedwe: Ena ndi athyathyathya pafupi ndi khoma la matumbo (`(Sessile)`), pomwe ena amamera pa phesi ngati bowa (`(Pedunculated)`). Ma polyps odulidwa nthawi zambiri amakhala osavuta kuchotsa.
Kodi zizindikiro zake ndi ziti?
Ichi ndi gawo lofunika kwambiri: Nthawi zambiri, ma polyp a m'matumbo samayambitsa zizindikiro konse! Mwina simungadziwe kuti muli nawo mpaka atapezeka panthawi yowunika matenda nthawi zonse.
Komabe, anthu ena angakumane ndi zotsatirazi:
- Kutuluka magazi m'matumbo: Kuona magazi m'chimbudzi kapena papepala la minofu kungasonyeze kutuluka magazi m'matumbo.
- Kusintha kwa mtundu wa ndowe: Zoweta zooneka zakuda kapena zokhala ndi mizere yofiira zingasonyeze kuti pali magazi.
- Kusintha kwa machitidwe a m'mimba: Kudzimbidwa kapena kutsegula m'mimba komwe kumatenga nthawi yoposa sabata imodzi.
- Kupweteka m'mimba kapena kupweteka m'mimba.
- Kutopa kapena kupuma movutikira: Kutuluka magazi pang'ono komanso kosalekeza chifukwa cha ma polyps kungayambitse kusowa kwa chitsulo komanso kuchepa kwa magazi m'thupi.
Ngati muwona chimodzi mwa zizindikiro izi, chonde funsani dokotala mwamsanga. Ngati mukumva kupweteka kwambiri kapena kutuluka magazi kwambiri m'matumbo, funsani ogwira ntchito zadzidzidzi kapena pitani ku dipatimenti yadzidzidzi yapafupi nthawi yomweyo.
Chofunika: Ngati mukukumana ndi zizindikiro izi, sizikutanthauza kuti muli ndi chotupa cha m'matumbo. Matenda ena osavuta, monga ma hemorrhoids, nawonso angayambitse. Komabe, ndikofunikira kuti mufunsane ndi dokotala nthawi yomweyo kuti mudziwe chomwe chimayambitsa. Chonde musazengereze kufunsa upangiri wa dokotala.
Kodi izi zimapezeka bwanji ndikuchiritsidwa bwanji?
Kuzindikira msanga ndiyo njira yothandiza kwambiri yopewera khansa ya m'matumbo. Pali njira zingapo zoyezera matendawa zomwe zingagwiritsidwe ntchito pa izi.
| Mayeso | Zimene zimaphatikizapo |
|---|---|
| Colonoscopy | Iyi ndi "Gold Standard." Mukapatsidwa mankhwala oletsa kutupa, chubu chopyapyala komanso chosinthasintha chokhala ndi kamera chimagwiritsidwa ntchito poyesa m'mimba mwanu wonse. Ngati ma polyps apezeka, nthawi zambiri amatha kuchotsedwa panthawi yomweyi. Kenako minofuyo imatumizidwa kuti ikafufuzidwe kuti ione ngati pali maselo a khansa. |
| Colonoscopy Yodziwikiratu (CT Colonography) | Izi zimagwiritsa ntchito ukadaulo wa CT scan. Palibe chubu chomwe chimayikidwa m'thupi. Komabe, ma polyps sangachotsedwe panthawi yoyezetsa iyi; ngati apezeka, mudzafunika colonoscopy yotsatira kuti muchotsedwe. |
| Sigmoidoscopy Yosinthasintha | Mofanana ndi colonoscopy, koma izi zimayang'ana kwambiri pakuwunika gawo la pansi la m'matumbo. |
| Mayeso a Chidendene | Mayeso monga FIT/FOBT amafufuza magazi osawoneka bwino m'chimbudzi. Ngati mayesowa ali ndi zotsatira zabwino, mudzafunika kuchitidwa colonoscopy yotsatira. |
Chithandizo chimaphatikizapo kuchotsa chotupacho, chomwe chimadziwika kuti Polypectomy . Nthawi zambiri, izi zimachitika popanda kupweteka panthawi ya colonoscopy. Chipolopolocho chikachotsedwa kwathunthu, chiopsezo chobwereranso chimakhala chochepa. Komabe, chifukwa mungakhale ndi ma polyp atsopano, ndikofunikira kuti mubwererenso kuti mukayezedwenso monga momwe dokotala wanu akulangizira (monga, zaka 3-5 zilizonse).
Kodi mungawapewe bwanji?
Ngakhale simungathe kuwongolera majini, kukhala ndi moyo wathanzi kungachepetse kwambiri chiopsezo chanu.
- Idyani zakudya zokhala ndi zipatso, ndiwo zamasamba, ndi ulusi wambiri (monga nyemba, mphodza, ndi nandolo).
- Ngati muli ndi kunenepa kwambiri, yesetsani kukhala ndi kulemera koyenera.
- Chepetsani kudya nyama yofiira, nyama yokonzedwa, ndi zakudya zokhala ndi mafuta ambiri.
- Chitani masewera olimbitsa thupi nthawi zonse.
- Pewani kusuta fodya komanso kumwa mowa mopitirira muyeso.
- Lankhulani ndi dokotala wanu kuti muwonetsetse kuti mukupeza calcium ndi Vitamini D okwanira.
- Ngati muli ndi zaka zoposa 50, kapena muli ndi mbiri ya banja lanu, funsani dokotala wanu za nthawi yoyenera yoyezetsera matenda.
Uthenga Wopita Nawo Kunyumba
- Ma polyps a m'matumbo ndi ofala ndipo amatha kuchiritsidwa, koma sayenera kunyalanyazidwa.
- Ma polyps nthawi zambiri samayambitsa zizindikiro, ndichifukwa chake kuyezetsa magazi nthawi zonse mukakula ndikofunikira.
- Colonoscopy imalola kuzindikira ndi kuchotsa ma polyps nthawi yomweyo.
- Kusintha moyo wanu mosavuta kungakuthandizeni kuchepetsa chiopsezo chanu.
- Ngati muwona zizindikiro zilizonse zokhudzana ndi magazi m'chimbudzi chanu, musachite mantha, koma musadikire —onanani ndi dokotala nthawi yomweyo.
Nirogi Lanka: Ma polyps a m'matumbo, colonoscopy, magazi mu ndowe, kupweteka m'mimba, khansa ya m'matumbo
