Kodi munachitapo opaleshoni ya colonoscopy? Kapena mwina munamvapo za imodzi kuchokera kwa achibale anu kapena anzanu. Nthawi zina pambuyo pa mayeso awa, dokotala amati, "Muli ndi polyp m'matumbo anu." Ndizachilendo kuti aliyense amve mantha pang'ono kapena kudabwa akamva mawu awa. Koma kodi muyeneradi kuchita mantha? Kodi polyp zonsezi ndi zoopsa komanso za khansa? Ayi. Lero tikulankhula za mtundu wapadera wa polyp womwe umapanga m'matumbo otchedwa serrated polyps .
Mwachidule, kodi ma polyp okhala ndi serrated ndi chiyani?
Ma polyps okhala ndi serrated ndi tinthu tating'onoting'ono tomwe timamera m'thupi, kapena kuti ma polyps ang'onoang'ono, omwe amapangika pakhoma lamkati la m'matumbo anu. Amatchedwa "serrated" chifukwa pamwamba pake pamaoneka ngati mano odulidwa akamawonedwa pogwiritsa ntchito maikulosikopu.
Chofunika kwambiri ndichakuti ma polyp awa si khansa akangoyamba kupangika. Nthawi zambiri amakhala abwinobwino. Komabe, ma polyp ena okhala ndi serrated amatha kusanduka khansa pakapita nthawi. Ichi ndichifukwa chake madokotala amachotsa ma polyp awa akangowonekera. Izi zimathandiza kupewa khansa ya m'matumbo kuti isakule mtsogolo.
Mmene ma polyp okhala ndi serrated awa amakulira n'zosiyana pang'ono ndi momwe ma polyp ena odziwika bwino, otchedwa adenomas, amakulira. Ndipo njira yomwe amasanduka khansa nayonso ndi yosiyana. Pafupifupi 25% ya khansa ya m'matumbo imayamba kuchokera ku ma polyp okhala ndi serrated awa. Koma ngati atakula n'kukhala khansa, amatha kukula mofulumira kuposa mitundu ina.
Kodi mitundu ikuluikulu ya ma polyps otsekeka ndi iti?
Bungwe la World Health Organization (WHO) lagawa ma polyps okhala ndi serrated m'magulu anayi akuluakulu. Ma polyps amenewa amagawidwa m'magulu kutengera mawonekedwe awo komanso momwe maselo amachitira zinthu. Si mitundu yonseyi yomwe imasanduka khansa. Chifukwa chake, ndikofunikira kwambiri kuti dokotala wanu awagawire molondola ndikuzindikira.
Apa pali kufotokozera kosavuta kwa mitundu inayi imeneyo.
| Mtundu wa Polyp | Mwachidule... |
|---|---|
| Ma polyps opangidwa ndi pulasitiki wambiri | Uwu ndi mtundu wofala kwambiri . Pafupifupi 75% ya ma polyps okhala ndi serrated ndi amtunduwu. Nkhani yabwino ndi yakuti, awaSizowopsa, ndipo sizingasanduke khansa. Ndi vuto lachibadwa lomwe limayamba chifukwa cha kuchuluka kwa maselo. |
| Zilonda zotupa za sessile (SSLs) | Uwu ndi mtundu wofala kwambiri wa ma polyp okhala ndi serrated omwe nthawi zambiri amakhala khansa . "Sessile" amatanthauza "sessile" chifukwa ndi athyathyathya ndipo amamatira kukhoma. Ichi ndichifukwa chake nthawi zina zimakhala zovuta kupeza panthawi ya colonoscopy. Madokotala amaona kuti ma SSL onsewa ali pachiwopsezo cha khansa. |
| Matenda achikhalidwe otchedwa serrated adenomas | Izi sizichitika kawirikawiri . Ngakhale kuti zimawoneka ngati adenoma wamba, zimakhalanso ndi mawonekedwe "okhala ndi mano ozungulira", monga mano odulidwa. Ndi mtundu wina wa khansa . |
| Ma adenomas osasankhidwa | Uwu ndi mtundu wa polyp womwe suli m'gulu lililonse mwa mitundu itatu yomwe yatchulidwa pamwambapa, koma uli ndi mawonekedwe osakanizidwa. Izi ndizosowanso. Madokotala akupitiliza kufufuza izi. |
Kodi zotupa zimenezi n’zofala bwanji? Kodi pali zizindikiro zilizonse?
Tangoganizirani, ngati muchita ma colonoscopy 100, mutha kuwona mtundu uwu wa ma polyp okhala ndi serrated m'ma 30 mwa iwo. Koma musadandaule, ambiri mwa omwe amapezeka ndi ma polyp opanda vuto . Mitundu ngati ma SSL, omwe ali pachiwopsezo cha khansa, amapezeka pang'ono, pafupifupi 10%.
Chofunika kwambiri ndichakuti palibe mtundu uliwonse wa ma polyps omwe umayambitsa zizindikiro zilizonse . Mutha kukhala nawo m'thupi lanu osazindikira.
Kawirikawiri, ngati chotupa chikukulirakulira, mungamve magazi pang'ono m'chimbudzi chanu, kapena mungamve kutupa kapena kudzimbidwa. Koma pali zifukwa zina zomwe zimayambitsa zizindikirozi. Ichi ndichifukwa chake madokotala amalimbikitsa kuti mupite ku colonoscopy muli aang'ono, ngakhale mutakhala kuti mulibe zizindikiro zilizonse.
Kodi serrated polyposis syndrome (SPS) ndi chiyani?
Uwu ndi mkhalidwe wapadera komanso wosowa kwambiri. Pa vutoli, munthu amakhala ndi ma polyp ambiri okhala ndi serrated (nthawi zina opitirira 20) m'matumbo mwake. Izi zitha kukhala zazikulu kuposa zachizolowezi ndipo zitha kukhala ndi chiopsezo chachikulu cha khansa. Munthu amene ali ndi vutoli, SPS, ali ndi chiopsezo cha 25% chotenga khansa.
Kodi zifukwa ndi zoopsa zake ndi ziti?
Palibe chifukwa chimodzi chokha chomwe chimayambitsa ma polyp a m'matumbo. Amafala kwambiri tikamakalamba. Chifukwa chachikulu chimaganiziridwa kuti ndi kusintha kwa majini komwe kumachitika pamene maselo athu amagawanika ndikupanga maselo atsopano. Monga momwe makina okopera nthawi zina amapangira zolakwika zazing'ono. Kusintha kwa majini kumeneku kumapangitsa maselo kukula mosalamulirika ndikupanga zotupa.
Pali zinthu zingapo zomwe zimawonjezera chiopsezo cha ma polyps awa:
- Kukhala ndi zaka zoposa 50
- Kusuta
- Kumwa mowa kwambiri
- Kudya nyama yofiira nthawi zonse (monga ng'ombe ndi nkhumba)
- Kunenepa kwambiri (kunenepa kwambiri)
- Kukhala ndi matenda otupa m'matumbo nthawi yayitali, monga matenda otupa m'matumbo (IBD)
Kodi izi zimapezeka bwanji ndikuchiritsidwa bwanji?
Njira yabwino komanso yokhayo yodziwira ma polyps okhala ndi serrated ndi colonoscopy . Mayesowa amafufuza m'mimba mwanu wonse pogwiritsa ntchito chubu chopyapyala chokhala ndi kamera yolumikizidwa.
Koma nthawi zina zimakhala zovuta kuzipeza. Chifukwa mitundu ngati ma SSL ndi athyathyathya, amtundu wofanana ndi minofu yozungulira, ndipo malire ake sakumveka bwino. Ndicho chifukwa chake ndikofunikira kukhala ndi dokotala waluso komanso wodziwa bwino ntchito yoyesa iyi pogwiritsa ntchito makamera apamwamba (ma colonoscopes apamwamba kwambiri).
Kodi chimachitika ndi chiyani pambuyo pa mayeso?
1. Kuzindikira: Ngati dokotala awona polyp panthawi ya colonoscopy ndipo akuganiza kuti ndi mtundu woopsa kwambiri, adzachotsa nthawi yomweyo. Njirayi imatchedwa polypectomy .
2. Kuyesa: Polyp yochotsedwayo imatumizidwa ku labu, komwe katswiri wa matenda amaiyang'ana pansi pa maikulosikopu kuti adziwe mtundu weniweni wa polypyo ndikupereka lipoti.
3. Mapulani amtsogolo: Kutengera ndi lipotilo, dokotala wanu adzasankha nthawi yomwe muyenera kuchita colonoscopy yanu yotsatira.
| Mtundu wa polyp wapezeka | Nthawi yovomerezeka ya colonoscopy yotsatira |
|---|---|
| Chiwopsezo chochepa (monga ma polyps ang'onoang'ono opangidwa ndi ma hyperplastic) | Kawirikawiri m'zaka 10 |
| Chiwopsezo chapakati (monga ma SSL angapo) | Pakatha zaka pafupifupi 5 |
| Zoopsa zazikulu (monga ma SSL akuluakulu kapena angapo) | Pakatha zaka pafupifupi zitatu |
| Ngati muli ndi SPS | Chaka chilichonse |
Dokotala wanu angasinthe nthawi izi kutengera matenda anu, choncho ndikofunikira kutsatira malangizo ake.
Musaiwale, kuchotsa polyp yomwe ili pachiwopsezo cha khansa kumatanthauza kuti muli otetezeka kwathunthu pakadali pano. Tachotsa kuthekera kwa kukulako kukhala khansa. Komabe, ndikofunikira kukayezetsanso nthawi yoyenera, chifukwa kukulaku kumatha kubwereranso.
Uthenga Wopita Nawo Kunyumba
- Ma polyps okhala ndi serrated ndi mtundu wa kukula komwe kumachitika m'matumbo. Ambiri mwa awa ndi osavulaza .
- Komabe, mitundu ina, monga ma SSL, imatha kusanduka khansa pakapita nthawi, choncho ndi bwino kuichotsa mukangoiwona.
- Zotupa izi sizimayambitsa zizindikiro zilizonse . Ndicho chifukwa chake ndikofunikira kuchita colonoscopy mukakwanitsa zaka 45, monga momwe dokotala wanu akulangizira.
- Ngati polyp yomwe idapezeka panthawi yoyezetsa yanu yapezeka kuti ndi khansa ndipo yachotsedwa, musadandaule. Izi zikutanthauza kuti dokotala wanu adaiwona nthawi yake ndipo adailetsa kuti isakule kukhala khansa.
- Chofunika kwambiri ndikuchita mayeso anu otsatira nthawi yeniyeni yomwe dokotala wakuuzani . Musaphonye.
- Mukhoza kuchepetsa chiopsezo chotenga matendawa mwa kupewa kusuta fodya, kumwa mowa mopitirira muyeso, komanso kukhala ndi moyo wathanzi.
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