Kodi muli ndi ma polyp m'thupi lanu? Tiyeni tiphunzire za 'Polypectomy'!

Kodi munapitapo kwa dokotala, mwina kuti mukachite endoscopy (njira yomwe kamera imayikidwa m'mimba mwanu) chifukwa cha vuto la m'mimba, ndipo dokotalayo anati china chake chonga ichi? "Pali chotupa chaching'ono mkati mwa m'mimba/m'mimba mwanu. Tikuchotsa." Ndizachilendo kumva mantha pang'ono mukamva china chake chonga ichi. Koma musachite mantha. Zotupa zazing'onozi ndi zomwe timazitcha azachipatala kuti ``Polyps.'' Njira yosavuta yozichotsa imatchedwa ``Polypectomy.'' Chifukwa chake lero, tikambirana chilichonse m'njira yosavuta.

Kodi 'polyp' ndi chiyani? Nchifukwa chiyani amafunika kuchotsedwa?

Mwachidule, polyp ndi kukula kochepa kosafunikira kwa minofu komwe kumapangika pakhoma lamkati la chiwalo m'thupi lathu, makamaka chiwalo chokhala ndi dzenje mkati (monga m'matumbo, chiberekero, m'mimba). Taganizirani ngati chiphuphu chomwe chikukula mkati mwa thupi.

Pali mitundu ingapo ya ma polyps awa:

• Zabwino: Izi ndi zotupa wamba. Sizimayambitsa vuto lililonse.
• Khansa: Nthawi zina zotupa zimenezi zimatha kusanduka maselo a khansa.
• Khansa: Izi ndi zotupa zomwe sizili khansa pakadali pano, koma zili ndi mwayi waukulu wokhala khansa mtsogolo.

Vuto ndilakuti, n'kovuta kuti dokotala adziwitse 100% mtundu wa polyp pongoyang'ana kuchokera kunja. Njira yabwino yodziwira bwino ndikuchotsa ndikutumiza ku labu kuti akayesedwe (``(Biopsy)``).

Madokotala nthawi zambiri amalangiza kuti ndi bwino kuchotsa polyp mukangoiwona, m'malo moyembekezera kuti ikule.

Kodi opaleshoni ya polypectomy ndi opaleshoni yaikulu? Kodi imapweteka?

Ayi ndithu! Musachite mantha kumva izi. `Polypectomy` nthawi zambiri ndi opaleshoni yosavuta komanso yaying'ono. Mu zamankhwala, timatcha iyi `(Njira yocheperako yovulaza)`. Izi zikutanthauza kuti, ndi chinthu chomwe chimachitika pang'onopang'ono, popanda kudula kwakukulu.

Ma polyp ambiri amachotsedwa panthawi yoyezetsa yotchedwa colonoscopy (kuyezetsa kwa m'mimba motsogozedwa ndi kamera) kapena endoscopy (kuyezetsa m'mimba motsogozedwa ndi kamera). Dokotala akamalowetsa chubu cha kamera, amadutsa zida zazing'ono kudzera mu chubucho ndikuchotsa polyp. Simudzamva ngakhale.

Ponena za ululu, simudzamva ululu uliwonse. Izi zili choncho chifukwa mudzapatsidwa mankhwala oletsa ululu musanachite opaleshoni. Nthawi zina, mudzagonekedwa (`(General Anesthesia)`). Kapena, mudzapatsidwa mankhwala omwe angakupatseni tulo tochepa (`(Sedation)`). Chifukwa chake, ngakhale mudzamva kupsinjika pang'ono, simudzamva ululu uliwonse.

Kodi chimachitika n’chiyani opaleshoni isanachitike komanso ikachitika?

Kukonzekera musanachite opaleshoni

Nthawi zambiri, sipafunika kukonzekera kwapadera. Komabe, ngati mukuchitidwa opaleshoni ya matumbo (Colonoscopy) pamodzi ndi opaleshoni ya matumbo (Polypectomy), matumbo anu ayenera kukhala oyera kwathunthu. Pachifukwa ichi, muyenera kumwa mankhwala apadera amadzimadzi (``(njira yokonzekera matumbo)``) omwe dokotala wanu adzakupatsani. Kuphatikiza apo, mudzalangizidwa kuti muyang'anire zakudya zanu kwa masiku angapo. Komanso, ngati mukumwa mankhwala ena aliwonse, ndikofunikira kulankhula ndi dokotala wanu ngati muyenera kuwaletsa tsiku la opaleshoni.

Pa nthawi ya opaleshoni...

Iyi ndi njira yosavuta kwambiri.

1. Mankhwala oletsa ululu: Choyamba, mudzapatsidwa mankhwala ochepetsa ululu kudzera mu IV (intravenous drip) kulowa mumtsempha womwe uli m'dzanja lanu. Patapita kanthawi, mudzamva kupumula kapena kugona.

2. Kuyika endoscope:Kenako dokotalayo amaika chubu chachitali komanso chosinthasintha (endoscope) chokhala ndi kamera yolumikizidwa kudzera m'malo otseguka m'thupi lanu (mwachitsanzo, kudzera mu anus kuti muwone ngati pali polyp m'matumbo, kapena kudzera pakamwa kuti muwone ngati pali polyp m'mimba).

3. Kuchotsa Polyp: Zithunzi kuchokera ku kamera zimawonedwa pa chowunikira kuti zipeze polyp. Kenako, polyp imagwidwa ndikuchotsedwa pogwiritsa ntchito chida chaching'ono, monga forceps kapena waya, chomwe chimadutsa mu chubu.

4. Kuletsa kutuluka magazi: Kuti aletse kutuluka magazi kulikonse kuchokera pamalo omwe polyp idachotsedwa ndikuchotsa kwathunthu minofu yotsala, malowo amatenthedwa pang'ono ndi chipangizo chamagetsi (chipangizo chamagetsi). Izi zimatchedwa cauterization.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Kodi pali zoopsa zilizonse?

Mudzatha kupita kunyumba nthawi yochepa opaleshoni itatha. Komabe, mungamve chizungulire pang'ono chifukwa cha mankhwala oletsa ululu, choncho ndi bwino kukhala ndi munthu wina. Mungamve kusamasuka komanso kutupa kwa masiku angapo. Izi ndi zachilendo.

Chipolopolo chochotsedwacho chimatumizidwa ku labotale. Zimatenga pafupifupi sabata imodzi kapena ziwiri kuti lipotilo lipezeke. Nthawi zambiri, izi zimanenedwa kuti si khansa (zoipa). Ngati maselo a khansa apezeka, dokotala wanu adzakulangizani za mayeso ena ndi chithandizo.

• Kutuluka magazi.
• Kupezeka kwa matenda opatsirana.
• Bowo kapena kung'ambika kwa khoma la chiwalo. (`(Kubowoka)`)
• Kupsa pang'ono kwa minofu komwe kumachitika chifukwa cha chipangizo cha `electrocautery`.

Zinthu izi zimachitika kawirikawiri. Palinso vuto lina losowa kwambiri lotchedwa `Postpolypectomy coagulation syndrome (PPCS). Uku ndi kutupa pang'ono kwa minofu yomwe ili pansi pa `Polyp' komwe idapsa. Izi sizowopsa, ndipo zidzachira patatha masiku ochepa ndi mankhwala. Komabe, ngati mukukumana ndi chilichonse pambuyo pa opaleshoni, monga kupweteka m'mimba kosapiririka, kutentha thupi, kapena kutuluka magazi ambiri , muyenera kulankhula ndi dokotala wanu nthawi yomweyo.

Zimatenga masiku ochepa kuti muchiritse. Mudzatha kubwerera ku zochita zanu zachizolowezi patatha tsiku limodzi kapena awiri.