Kodi mukudziwa za ma polyps otupa m'matumbo mwanu? Tiyeni tikambirane za iwo mwachidule!

Kodi munayamba mwayesedwapo `(Colonoscopy)`? Kapena, mwina munamvapo wina akunena kuti, `Achotsa zotupa zazing'ono m'matumbo.'' Nthawi zambiri, izi ndi zomwe timazitcha `(Colon Polyps)`` kapena ma polyps omwe amamera m'matumbo. Pakati pawo, pali mtundu wapadera wotchedwa `(Serrated Polyps).`` Kodi dzinalo likumveka loopsa pang'ono? Musadandaule, tidzakambirana chilichonse m'njira yosavuta yomwe mungamvetse.

Kodi ma `(Serrated Polyps)` awa ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, ma polyp okhala ndi serrated ndi zotupa zomwe zimapangika pakhoma lamkati la m'matumbo anu ndipo zimawoneka ngati zotupa zodulidwa ndi maso pansi pa maikulosikopu. Ndi zotupa kwenikweni, koma sizabwino. Izi zikutanthauza kuti sizili khansa zikayamba kupangika. Komabe, ma polyp ena okhala ndi serrated amatha kukhala khansa pakapita nthawi. Ichi ndichifukwa chake madokotala amachotsa zotupazi akangopezeka kuti aletsa khansa ya m'matumbo.

Maonekedwe a `(Serrated Polyps)` awa ali ndi serrated akugwirizana ndi momwe amapangikira. Njira yomwe amapangikira ndi yosiyana pang'ono ndi mitundu ina ya ma polyps omwe nthawi zambiri timawaona m'matumbo, `(Adenomas). Komanso, ngati `(Serrated Polyps)` asandulika khansa, njirayo ndi yosiyana ndi njira yomwe `(Adenomas)` imasandulika khansa. Akuti pafupifupi 25% ya khansa ya m'matumbo imachokera ku `(Serrated Polyps)` awa. Komabe, ngati asandulika khansa, amatha kukula mofulumira kuposa mitundu ina.

Kodi mitundu ikuluikulu ya `(Serrated Polyps)` ndi iti?

Bungwe la World Health Organization (WHO) lagawa ma polyps okhala ndi serrated m'magulu anayi akuluakulu. Ma polyps awa amagawidwa malinga ndi mawonekedwe awo, kutanthauza, mawonekedwe awo akuthupi. Makhalidwe awa akusonyeza kusiyana kwa njira zamaselo zomwe zimakhudza kukula kwa ma polyps awa. Chofunika kwambiri, si mitundu yonseyi yomwe ili ndi khansa . Madokotala amawagawa akapezeka kuti adziwe momwe angapangire khansa.

Nazi mitundu inayi:

• `(Ma polyps a Hyperplastic)` Ma polyps a Hyperplastic
• `(Zilonda Zokhala ndi Sessile Serrated - SSLs)` Zilonda Zokhala ndi Sessile Serrated
• Adenomas Yachikhalidwe Yokhala ndi Serrated
• Adenomas Yosasankhidwa

`(Ma polyps a Hyperplastic)` Ma polyps a Hyperplastic

Izi ndi mitundu yofala kwambiri ya ma polyp okhala ndi serrated, zomwe zimapangitsa kuti pakhale pafupifupi 75% ya milandu. Nkhani yabwino ndi yakuti ma polyp amenewa ndi osavulaza ndipo samakhala khansa . "Hyperplastic" imangotanthauza kukula kwa maselo. Zimatanthauza kuti pali maselo ambiri omwe amakulira limodzi. Ma polyp ambiri omwe asanafike khansa amakhala "dysplastic," kutanthauza kuti amakhala ndi kusintha kosazolowereka m'maselo. Kusintha kumeneku m'maselo kungayambitse khansa.

`(Zilonda Zokhala ndi Sessile Serrated - SSLs)` Zilonda Zokhala ndi Sessile Serrated

Pafupifupi 20% ya ma polyp okhala ndi serrated ndi a mtundu wotchedwa Sessile Serrated Lesions (SSLs). Uwu ndi mtundu wa ma polyp okhala ndi serrated omwe ali ndi chiopsezo chachikulu chokhala ndi khansa . "Sessile" amatanthauza kuti ndi athyathyathya, ofanana ndi disc, kapena okwera pang'ono. Komabe, mawonekedwe awa amathanso kuwoneka mu ma polyp osavulaza a hyperplastic. Chifukwa chake, zimakhala zovuta pang'ono kusiyanitsa awiriwa ndi mawonekedwe. Komabe, akatswiri amatha kuzindikira kusiyana kwina m'mapangidwe awo.

`(Sessile Serrated Lesions)` awa anali ndi mayina angapo. Tsopano dzina latsopanoli likugwiritsidwa ntchito kuchepetsa chisokonezo chosafunikira. Chinthu china n'chakuti ena mwa `(SSLs)` awa ali ndi zizindikiro za `(Dysplasia)` (maselo osakhazikika) zomwe zatchulidwa kale, pomwe ena alibe. Madokotala amaikanso omwe ali ndi `(Dysplasia)` m'gulu la "sessile serrated lesions ndi dysplasia". Komabe, `(SSLs)` zonse zimaonedwa kuti ndi matenda omwe asanafike khansa .

Adenomas Yachikhalidwe Yokhala ndi Serrated

Izi ndi mitundu yosowa kwambiri ya `(Serrated Polyps)`, yomwe imapezeka mwa anthu osakwana 1% . Izi ndi matenda omwe angayambitse khansa . Mawonekedwe awo amafanana ndi `(Adenomas)` wamba, kutanthauza kuti, ali ndi mawonekedwe ofanana ndi bowa, ndipo alinso ndi mawonekedwe a `(Dysplasia)` wamba. Komabe, alinso ndi mawonekedwe a `(Serrated)` monga m'mphepete mwa soka. Kale, nthawi zambiri izi zinkasokonezedwa ndi `(Adenomas)` wamba. Amadziwika posachedwapa ngati mtundu wa `(Serrated Polyp)`.

Adenomas Yosasankhidwa

Mtundu womaliza ndi ma polyps omwe sagwirizana bwino ndi magulu aliwonse omwe ali pamwambapa. Akhoza kukhala ndi mawonekedwe osalala, okhala ndi serrated, koma amathanso kukhala ndi mawonekedwe ofanana ndi ``Dysplasia'' kapena ``Adenomas.'' Ngakhale kuti ndi osowa, madokotala amakhulupirira kuti ndikofunikira kuzindikira ma polyps awa omwe sangagawidwe m'magulu momveka bwino, chifukwa kafukufuku wamtsogolo angavumbule zambiri za iwo. Tikuphunzirabe za ``Serrated Polyps.''

Kodi ma polyps a Serrated ndi ofala bwanji?

Ma polyp opangidwa ndi serrated amapezeka mu colonoscopy pafupifupi 30% . Nthawi zambiri, awa ndi ma polyp osavulaza omwe ali ndi hyperplastic polyps. Komabe, pafupifupi 10% ndi ma polyp omwe ali ndi precancerous polyps, monga Sessile Serrated Lesions (SSLs). Pa colonoscopy, dokotala nthawi zina sangadziwe kusiyana pakati pa awiriwa. Ichi ndichifukwa chake, ngati pali kukayikira kulikonse, minofuyo imachotsedwa, kutumizidwa ku labotale, ndikuwunikidwa pansi pa maikulosikopu ndi katswiri wa matenda.

Kodi `(Serrated Polyposis Syndrome - SPS)` ndi chiyani?

Matenda a Serrated Polyposis Syndrome (SPS) ndi matenda osowa kwambiri. Izi ndi zomwe zimachitika munthu akadwalaMa polyps otsekeka amapangika ambiri m'matumbo onse. Izi kale zinkatchedwa Hyperplastic Polyposis Syndrome. Mutha kukhala ndi ma polyps opitilira 20, kapena akhoza kukhala akuluakulu kuposa masiku onse. Alinso ndi mwayi waukulu wokhala ndi khansa. Anthu omwe ali ndi vutoli ali ndi mwayi wa 25% wokhala ndi khansa. Matendawa amakhudza pafupifupi 0.4% ya anthu.

Kodi ma polyps okhala ndi serrated amayambitsa zizindikiro?

Nthawi zambiri, ma polyp m'matumbo, kuphatikizapo ma polyp okhala ndi serrated, samayambitsa zizindikiro zilizonse . Nthawi zambiri, ma polyp akuluakulu angayambitse kutuluka magazi kapena kusintha kwa matumbo anu. Anthu ena amatha kuwona magazi m'chimbudzi chawo, kapena kukhala ndi kutsegula m'mimba kosazolowereka kapena kudzimbidwa. Koma zizindikirozi zimathanso kuyambitsidwa ndi zinthu zina. Anthu ambiri omwe ali ndi ma polyp sadziwa kuti ali nawo . Ndicho chifukwa chake madokotala amalimbikitsa kuti azipimidwa nthawi zonse ndi colonoscopy.

Kodi n’chiyani chimayambitsa `(Serrated Polyps)` izi?

Ma polyps okhala ndi serrated ndi vuto lofala lomwe nthawi zambiri limayamba tikamakalamba. Sitikudziwa chifukwa chake amapangika. Koma tikudziwa kuti kusintha kwa majini kumakhudzidwa . Kusintha kwa majini ndi zolakwika pakulemba maselo anu akamagawikana ndikupanga maselo atsopano. Zolakwika izi zimapangitsa maselo atsopano kukula mosiyana ndi momwe ayenera kukhalira. Ma polyps okhala ndi serrated amayamba chifukwa cha kusintha kwa majini kosiyana ndi mitundu ina ya ma polyps.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a `(Serrated Polyps)`?

Zinthu zomwe zimayambitsa matenda a polyps okhala ndi serrated ndi zofanana kwambiri ndi zomwe zimayambitsa matenda a polyps m'matumbo akulu.

• Kukhala ndi zaka zoposa 50.
• Kusuta fodya.
• Kumwa mowa mopitirira muyeso.
• Kudya nyama yofiira kwambiri (monga ng'ombe, nyama ya mbuzi).
• Kunenepa kwambiri.
• Kukhala ndi matenda monga matenda a kutupa m'matumbo.

Kodi mungazindikire bwanji `(Serrated Polyps)`?

Njira yabwino yopezera ma polyp okhala ndi serrated ndi kudzera mu colonoscopy . Komabe, nthawi zina, amatha kuphonya. Izi zili choncho chifukwa mitundu iwiri yodziwika bwino ya ma polyp okhala ndi serrated, ma polyp okhala ndi hyperplastic ndi ma sessile serrated lesions (SSLs), siiwonekera bwino. Nthawi zambiri amakhala ang'onoang'ono (pafupifupi 5 mm) , athyathyathya kapena okwera pang'ono, ndipo ali ndi mtundu wofanana ndi minofu yozungulira, opanda malire omveka bwino.

Taganizirani ngati kufunafuna banga laling'ono, losaoneka bwino pakhoma lomwe lili ndi mtundu wofanana ndi utoto. Sizophweka zimenezo, eti?

Chatsopano,Ma Colonoscope, omwe ali ndi mawonekedwe abwino komanso kukula kwakukulu, ndi abwino kwambiri pozindikira ma polyp okhala ndi serrated kuposa zida zakale. Kukonzekera matumbo ndi maphunziro a dokotala ndizofunikiranso. Madokotala ayenera kudziwa malangizo aposachedwa odziwira ma polyp okhala ndi serrated. Njira zina za colonoscopy zapezeka kuti zimagwira ntchito bwino kuposa zina ndipo zitha kusintha mawonekedwe a ma polyp.

Pa nthawi ya colonoscopy yanu, dokotala wanu angaganize kuti muli ndi Sessile Serrated Lesion kapena Serrated Polyp, yomwe ndi mtundu wa khansa yomwe imatha kukhala polyp. Ngati pali kukayikira kulikonse, adzaichotsa panthawi ya opaleshoni (Polypectomy) . Kenako polyp idzatumizidwa ku labotale kuti ikawunikidwe ndi Pathologist. Pokhapokha dokotalayo adzatha kudziwa mtundu weniweni wa polyp ndikupeza matenda omaliza.

Komabe, ngati muli ndi Serrated Polyposis Syndrome (SPS), dokotala wanu akhoza kuizindikira panthawi ya colonoscopy. Njira yodziwira matenda a SPS ndikuyang'ana kuchuluka kwa ma polyps okhala ndi serrated omwe apezeka, kukula kwawo, ndi komwe ali m'matumbo. Malinga ndi ziwerengero, ma polyps okhala ndi serrated omwe ndi akuluakulu kuposa abwinobwino kapena m'malo osazolowereka m'matumbo amakhala ndi mwayi woti asakhale ndi khansa akafufuzidwa mosamala.

Kodi chimachitika ndi chiyani ngati `(Serrated Polyps)` apezeka panthawi ya `(Colonoscopy)`?

Ma polyp otupa kwambiri ndi ofala ndipo palibe chodetsa nkhawa nacho. Komabe, ngati dokotala wanu akukayikira kuti muli ndi polyp yokhala ndi serrated, ayenera kuchotsedwa . Izi ndichifukwa choti mudziwe mtundu wake weniweni ndikuletsa kuti isayambe khansa. Ngati zatsimikizika kuti ndi polyp yomwe imayambitsa khansa, dokotala wanu adzakonza nthawi yanu yotsatira ya colonoscopy posachedwa , kuti mutsimikizire kuti mwapeza ena atsopano.

Kodi ndiyenera kuchita colonoscopy nthawi yayitali bwanji chifukwa cha polyp yokhala ndi serrated?

Madokotala amaika chiopsezo chotenga khansa ya m'matumbo m'magulu monga chotsika, chapakati, kapena chapamwamba, kutengera mtundu wa ma polyps omwe ali ndi serrated omwe amapeza. Chiwopsezo chimenecho chimagwiritsidwa ntchito kudziwa nthawi yomwe colonoscopy yotsatira iyenera kuchitidwa. Malinga ndi malangizo omwe alipo,

• Ngati pali chiopsezo chapakati , kamodzi pa zaka zisanu zilizonse .
• Ngati pali chiopsezo chachikulu, zaka zitatu zilizonse .
• Ngati muli ndi `(SPS)`, ndi bwino kukayezetsa kamodzi pachaka .
• ``(Hyperplastic Polyps)'' yoopsa kwambiri siifunikira kuyang'aniridwa mwapadera.

Kodi mungayembekezere chiyani ngati muli ndi ``Serrated Polyps'' yomwe isanafike khansa?

Ngati dokotala wanu wachotsa ma polyp omwe ali ndi serrated precancerous panthawi ya colonoscopy yanu, muli otetezeka pakadali pano . Kuwachotsa kudzachepetsa chiopsezo choti akhale ndi khansa. Komabe, dokotala wanu adzafuna kuyang'anitsitsa m'matumbo anu pazifukwa zingapo. Chifukwa chimodzi ndichakuti ma polyp omwe ali ndi serrated serrated awa akhoza kukhala ovuta kuwachotsa kwathunthu ndi polypectomy chifukwa cha mawonekedwe awo athyathyathya komanso m'mbali mwake mopanda mawonekedwe.

Taganizirani ngati kutola chidutswa cha jelly chomwe chagwera pansi. Nthawi zina pamakhala zidutswa zazing'ono zotsala, eti? Ndi momwe zilili.

Ngati tinthu tating'onoting'ono ta maselo tatsala pambuyo pochotsedwa, kapena ngati pali ma polyp omwe sanawonekere panthawi ya colonoscopy yapitayi ndipo sanali oonekera bwino, amatha kupitiriza kukula kukhala matenda a khansa. Angakulanso mofulumira kuposa ma polyp atsopano. Kuphatikiza apo, ma polyp okhala ndi serrated ali ndi mwayi waukulu wokhala khansa kuposa mitundu ina. Alinso ndi mwayi waukulu woti adwale khansa m'malo angapo nthawi imodzi .

Kodi ndiyenera kupita liti kwa dokotala pankhani ya ma polyps a m'matumbo?

Ngati muli pachiopsezo chachikulu, madokotala amalangiza kuti muzichita colonoscopy zaka 10 zilizonse, kuyambira muli ndi zaka 45. Ngati wina m'banja mwanu wakhala ndi khansa ya m'matumbo kapena ma polyps (majini), kapena ngati muli ndi vuto la thanzi lomwe limawonjezera chiopsezo chanu chokhala ndi ma polyps, monga matenda otupa m'matumbo, mungafunike kuchitidwa colonoscopy msanga. Funsani dokotala wanu nthawi yoti muchite colonoscopy yanu yanthawi zonse.

Monga ma polyps ambiri a m'matumbo, ma polyps okhala ndi serrated ndi ofala ndipo nthawi zambiri amakhala osavulaza . Ena mwa iwo ali ndi chiopsezo chochepa chokhala ndi vuto pakapita nthawi. Ndicho chifukwa chake tili ndi ma colonoscopy. Bola ngati tiwayeza ndikuwachotsa ngati atapezeka, ma polyps okhala ndi serrated alibe mwayi wokhala khansa. Tikuphunzirabe za ma polyps okhala ndi serrated ndi momwe amachitira zinthu, koma tsopano tikudziwa zokwanira kuti tipereke chithandizo chodzitetezera .

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tiwone zina mwa zinthu zofunika kwambiri zomwe tiyenera kukumbukira kuchokera pa zomwe takambirana:

• Ma polyps opangidwa ndi serrated ndi mtundu wa minofu yomwe imamera m'matumbo akulu ndipo imaoneka ngati m'mphepete mwa sosi.
• Mitundu ina ya ma polyps okhala ndi serrated, makamaka sessile serrated lesions (SSLs), imatha kukhala khansa pakapita nthawi.
• Nthawi zambiri, izi siziwonetsa zizindikiro , choncho ndikofunikira kwambiri kuyesedwa colonoscopy nthawi zonse.
• Mwa kuzindikira ndi kuchotsa izi panthawi ya colonoscopy, khansa imatha kupewedwa .
• Ngati mwapezeka ndi `(Serrated Polyps),` tsatirani malangizo a dokotala wanu molondola. Ndikofunikira kupita kukayezetsa magazi nthawi ndi nthawi.
• Musachite mantha , chofunika kwambiri ndikudziwa izi ndikuzizindikira msanga.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kulankhula ndi dokotala wanu. Iye akhoza kukupatsani malangizo m'njira yoyenera.

Ma polyps Okhala ndi Serrated, Ma polyps a m'matumbo, Colonoscopy, Khansa ya m'matumbo, Ma polyps Okhala ndi Hyperplastic, Zilonda Zokhala ndi Serrated, Gastroenterology