Kodi munamvapo za chinthu chotchedwa 'polyps'? Mwina dokotala wanu wakufufuzani ndipo anakuuzani kuti muli nacho. Mwachidule, izi ndi zotupa zazing'ono zomwe zimapangidwa pakhoma lamkati mwa ziwalo mkati mwa matupi athu (monga matumbo, chiberekero). Ngakhale zambiri mwa izi sizowopsa, zina zimatha kusanduka khansa pakapita nthawi, choncho ndi bwino kuzichotsa ndikuzifufuza. Chifukwa chake lero tikambirana za njira yachipatala yotchedwa 'polypectomy', yomwe imachotsa polyps izi.
Kodi opaleshoni ya polypectomy ndi chiyani kwenikweni?
Kuchotsa ma polyp kapena chotupa chomwe chapangika mkati mwa chiwalo m'thupi lanu. Ma polyp awa akhoza kukhala khansa (khansa) kapena osakhala khansa (osavulaza).
Nthawi zambiri, izi sizimayambitsa khansa . Koma dokotala wanu amatha kudziwa bwinobwino akangochotsa ndikuwatumiza ku labu kuti akayesedwe. Ma polyps ena ndi "osayambitsa khansa." Izi zikutanthauza kuti si khansa tsopano, koma ali ndi kuthekera kokhala khansa mtsogolo.
N’chifukwa chiyani ma polyp amenewa amafunika kuchotsedwa?
Pakhoza kukhala zifukwa zingapo zochotsera polyp.
- Ngati muli ndi zizindikiro: Ma polyps ena angayambitse zizindikiro zosiyanasiyana, monga kupweteka m'mimba, kutuluka magazi, kapena kusintha kwa matumbo.
- Ngati pali chiopsezo cha khansa: Ngati dokotala akuyang'ana ndipo akuganiza kuti mwina ndi khansa kapena ali ndi chiopsezo cha khansa.
- Ngati mukufuna kuyezetsa: Kuti mudziwe mtundu weniweni wa chotupacho, muyenera kuchichotsa ndikuchitumiza ku labu ('biopsy').
Madokotala ambiri amakhulupirira kuti ngakhale ma polyp osavulaza komanso opanda zizindikiro ayenera kuchotsedwa msanga kuti apewe mavuto amtsogolo.
Kumene Ma Polyps Amapezeka Kawirikawiri ndi Kufunika Kowachotsa
Ma polyps amatha kupangika m'chiwalo chilichonse chopanda kanthu m'thupi lathu. Tiyeni timvetse zambiri za izi kuchokera patebulo lomwe lili pansipa.
| Kumene ma polyps amapezeka | Kufunika kochotsa (khansa yopewedwa) |
|---|---|
| Ma polyps a m'matumbo | Khansa ya m'matumbo |
| Ma polyps a m'chiberekero | Khansa ya pachibelekero ndi khansa ya pachibelekero |
| Matenda a m'mimba | Khansa ya M'mimba |
| Ma polyps a ndulu | Khansa ya ndulu |
Kodi opaleshoni yaikulu iyi? Kodi ipweteka?
Funso limene anthu ambiri ali nalo ndi ili. Ayi, opaleshoni ya polypectomy nthawi zambiri ndi opaleshoni yaying'ono. Ndi "njira yochepetsera kuvulala pang'ono". Izi zikutanthauza kuti imachitika popanda kudula kwakukulu.
Ma polyps amenewa nthawi zambiri amachotsedwa panthawi ya colonoscopy kapena endoscopy. Izi zimaphatikizapo kulowetsa chubu chachitali komanso chosinthasintha chokhala ndi kamera kudzera m'malo otseguka m'thupi lanu (monga rectum, pakamwa) ndikulowetsa zida zazing'ono kuti muchotse polyp.
Komanso, chinthu chomwe anthu ambiri amaopa ndi ululu. Simudzamva kupweteka kulikonse panthawiyi. Dokotala adzakupatsani mankhwala oletsa ululu ndi opha ululu kuti atsimikizire kuti muli bwino. Mungapatsidwe mankhwala oletsa ululu (mtundu wa mankhwala oletsa ululu) ngati mukufuna. Kapena mungapatsidwe mankhwala oletsa ululu (mtundu wa mankhwala omwe amakugonetsani). Mungamve kupanikizika pang'ono pamene polyp yachotsedwa, koma si yopweteka.
Kodi chimachitika n’chiyani opaleshoni isanachitike komanso ikachitika?
Kukonzekera musanachite opaleshoni
- Kuyeretsa matumbo: Makamaka kuti colonoscopy ichotse ma polyps m'matumbo akulu, matumbo anu ayenera kukhala opanda kanthu komanso oyera. Pachifukwa ichi, dokotala wanu adzakupatsani madzi apadera (`(njira yokonzekera matumbo)`) kuti mumwe. Muyeneranso kutsatira zakudya zapadera kwa masiku angapo.
- Mankhwala:Dokotala wogonetsa anthu ogonetsa adzakambirana nanu pasadakhale mtundu wa mankhwala ogonetsa omwe mudzapatsidwe. Angakufunseninso kuti musiye kumwa mankhwala ena (monga mankhwala ochepetsa magazi) patsiku la opaleshoni.
Pa nthawi ya opaleshoni
Kuchotsa ziwalo za m'mimba mwa njira yosavuta kumachitika pogwiritsa ntchito endoscope, yomwe ndi chubu chokhala ndi kamera yolumikizidwa.
1. Dokotala adzalowetsa chubu ichi m'thupi lanu ndikupita komwe kuli polyp.
2. Kenako, mpweya wochepa wa carbon dioxide umalowetsedwa m'chiwalo kuti chizifufume kuti mkati mwa chiwalocho muwoneke bwino.
3. Kenako, pogwiritsa ntchito chida chaching'ono (monga forceps kapena waya wozungulira) chomwe chimadutsa mu chubu, polyp imadulidwa kaye ndikuchotsedwa.
4. Pambuyo poti polyp yachotsedwa, malowo amatenthedwa pang'ono (electrocautery) kuti asiye kutuluka magazi ndikuchotsa minofu yotsala. Izi zimalepheretsanso polyp kukulanso.
Kodi ma polyps ena ovuta amachotsedwa bwanji?
Ma polyps ena angakhale ovuta kuwachotsa pogwiritsa ntchito njira zosavuta chifukwa ndi akuluakulu, athyathyathya, kapena ali m'njira yomwe imapangitsa kuti zikhale zovuta kuwachotsa. Pazochitika zotere, njira zina zimagwiritsidwa ntchito.
| Njira | Mwachidule... |
|---|---|
| Opaleshoni ya Laparoscopic | Kudula pang'ono kwambiri m'mimba, kuyika kamera ndi zida zochotsera polyp. |
| Kuchotsa mucosal ya endoscopic (EMR) | Ikani mankhwala a saline mu nembanemba yomwe ili pansi pa polyp, zomwe zingathandize kuti polyp ichotsedwe mosavuta ikadzuka. |
| Kuduladula kwa submucosal ya Endoscopic (ESD) | Ma polyps akuluakulu kapena a khansa amachotsedwa m'chidutswa chimodzi, pamodzi ndi nembanemba yozama yomwe ili pansi pake. |
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni ndipo kodi pali zoopsa zilizonse?
Pambuyo pa opaleshoni
Nthawi zambiri mukhoza kupita kunyumba tsiku lomwelo. Komabe, popeza simudzatha kuyendetsa galimoto chifukwa cha mankhwala oletsa ululu, ndikofunikira kukhala ndi munthu woti akuyendetseni. Mungamve kusasangalala kwa masiku angapo chifukwa cha mpweya wotsekeka m'mimba mwanu. Polyp yochotsedwayo idzatumizidwa ku labotale, ndipo lipotilo lidzapezeka pakatha sabata imodzi kapena ziwiri.
Zoopsa ndi zovuta
Mavuto ndi osowa kwambiri, koma ndikofunikira kuwadziwa.
- Kutuluka magazi (`(Kutuluka magazi)`)
- Matenda (`(Matenda)`)
- Kuboola kwa chiwalo (`(Kuboola)`)
- Kupsa chifukwa cha zipangizo zamagetsi
Vuto lina losowa kwambiri ndi Postpolypectomy Coagulation Syndrome (PPCS) . Apa ndi pamene kutentha kwa polyp kumawotcha minofu yomwe ili pansi pake, zomwe zimayambitsa zizindikiro monga kupweteka m'mimba ndi malungo. Izi sizowopsa ngati kubowoka. Nthawi zambiri zimatha ndi mankhwala mkati mwa masiku ochepa. Komabe, ngati mukumana ndi zizindikiro izi mkati mwa masiku ochepa kuchokera pamene opaleshoni yachitika, uzani dokotala wanu nthawi yomweyo.
Nthawi zambiri mumachira kwathunthu pasanathe masiku angapo. Muyenera kumwa mankhwala ochepetsa ululu kwa tsiku limodzi kapena awiri. Magazi ochepa angadutse m'chimbudzi kapena mkodzo wanu, zomwe ndi zachilendo. Komabe, ngati magazi akutuluka kwambiri kapena akupitirira, onetsetsani kuti mwalankhula ndi dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa ma polypectomy ndi njira yosavuta komanso yotetezeka yachipatala yomwe imachotsa ma polyp, mtundu wa chotupa chomwe chimapangika mkati mwa thupi.
- Ngakhale kuti ma polyps ambiri si owopsa, ndikofunikira kuwachotsa ndikuwayang'ana chifukwa cha chiopsezo choti angasanduke khansa.
- Njirayi siipweteka, ndipo njira zochepetsera ululu zimachepetsa kusasangalala kwanu.
- Nthawi yochira ndi yochepa kwambiri, nthawi zambiri imangokhala masiku ochepa chabe.
- Ngati mukukumana ndi zizindikiro zachilendo (kupweteka kwambiri, kutentha thupi, kutuluka magazi ambiri) mutachita opaleshoni, dziwitsani dokotala wanu nthawi yomweyo.
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