Kodi pali zotupa zazing'ono m'mimba mwanu? Tiyeni tikambirane za ma polyps am'mimba!

Kodi munayamba mwachitidwapo opaleshoni ya m'mimba chifukwa cha vuto la m'mimba kapena matenda monga gastritis? Panthawiyo, dokotala mwina anakuuzani kuti, "Muli ndi zotupa zazing'ono m'mimba mwanu, zomwe timazitcha kuti ma polyps." Izi zingamveke zoopsa pang'ono, eti? Koma musadandaule. Nthawi zambiri, izi sizowopsa. Tiyeni tiphunzire zambiri za ma polyps am'mimba lero.

Kodi ma polyps awa m'mimba ndi chiyani?

Mwachidule, Ma Polyps a m'mimba ndi tinthu tating'onoting'ono tomwe timamera pamimba panu . Amatchedwanso Ma Polyps a m'mimba. Taganizirani izi, m'mimba mwathu muli ndi mucous nembanemba, ndipo ndi komwe ma polyps amenewa amamera. Izi zili ngati ma polyps omwe amamera m'mbali zina za thupi lathu, mwachitsanzo, m'matumbo akulu.

Chofunika kwambiri ndichakuti ma polyp ambiri am'mimba awa si a khansa (osavulaza) . Izi zikutanthauza kuti sayambitsa mavuto ambiri. Komabe, pali mitundu ina yomwe imatha kusanduka khansa pakapita nthawi. Ndicho chifukwa chake ndikofunikira kudziwa izi.

Kodi ma polyps am'mimba awa ndi owopsa?

Ili ndi vuto lalikulu kwa anthu ambiri. Ndipotu, chiopsezo cha khansa mwa mitundu yambiri ya ma polyp am'mimba ndi chochepa kwambiri, nthawi zina sichipezeka. Mitundu ina imakhala yoopsa kwambiri . Koma ngakhale imeneyo nthawi zambiri si khansa madokotala akaipeza. Zimatenga nthawi yayitali kuti polyp isanduke khansa. Ndicho chifukwa chake madokotala amachotsa ma polyp akangopezeka, kuti apewe khansa yamtsogolo.

Chofunika: Musachite mantha ngati muwona polyp. Mvetserani mosamala zomwe dokotala wanu akunena. Nthawi zambiri, izi zimatha kuchotsedwa mosavuta.

Kodi mitundu iyi ya zotupa zomwe zimapangidwa m'mimba ndi iti?

Pali mitundu ingapo ya ma polyp m'mimba. Odziwika kwambiri ndi ma epithelial polyps . Awa ndi omwe amakula kuchokera pamwamba pa membrane (epithelium) ya m'mimba. Kuphatikiza apo, palinso mitundu yomwe imayamba kuchokera pansi pang'ono ndikutuluka, yomwe imatchedwa mesenchymal polyps . Izi sizimafala kwambiri.

Mitundu ya epithelial polyps:

Mitundu ya ma polyps yomwe imapezeka kwambiri imagwera m'gululi.

• Ma polyps a fundic gland: Awa ndi mitundu yodziwika kwambiri ya ma polyps a m'mimba.Izi nthawi zambiri zimapangika kumtunda kwa m'mimba (fundus). Ngati zangopangidwa kumene, chiopsezo cha khansa chimakhala chochepa kwambiri, ngati sichipezeka. Komabe, ndi matenda ena osowa a khansa yobadwa nawo (monga `Familial Adenomatous Polyposis (FAP)` ndi `Gastric Adenocarcinoma ndi Proximal Polyposis of the Stomach (GAPPS)`) amatha kukulirakulira. M'zochitika zotere, zimatha kukhala vuto la khansa lisanafike nthawi yobereka.

• Ma polyps Osapanga Thupi: Awa ndi mtundu wachiwiri wofala kwambiri. Awa nthawi zambiri samakhala khansa. Nthawi zambiri amagwirizanitsidwa ndi gastritis . Komabe, nthawi zina amatha kupezeka ndi khansa zina, kotero amaonedwanso ngati chizindikiro chochenjeza. Madokotala akawapeza, amafufuzanso minofu yozungulira kuti awone ngati pali maselo a khansa.

• Adenomas (Adenomas): Pafupifupi 10% ya ma polyps onse am'mimba ndi amtunduwu. Awa ndi mitundu yofala kwambiri ya ma polyps omwe amakhala ndi chiopsezo chachikulu chokhala ndi khansa . Nthawi zambiri amapezeka payekhapayekha. Komabe, amathanso kuchitika kawirikawiri mwa anthu omwe ali ndi matenda obadwa nawo monga Familyal Adenomatous Polyposis (FAP). Madokotala amachotsa ma polyps awa akangopezeka ndikuwayesa ngati ali ndi khansa.

• Ziphuphu za m'mimba (zomwe zimadziwikanso kuti Carcinoid Tumors): Izi zimachokera ku maselo a neuroendocrine omwe ali m'mimba. Zimakhala pafupifupi 1% ya zotupa zonse m'mimba. Zitha kukhala khansa kapena zosavulaza. Pali mitundu inayi yosiyana, iliyonse ili ndi chiyembekezo chosiyana pang'ono. Madokotala amazindikira chiopsezo cha khansa pozindikira mtundu wake.

• Ma polyps a m'mimba otchedwa Hamartomatous Polyps (kapena Hamartomas): Awa ndi ochepa, pafupifupi 1% ya ma polyps am'mimba. Amatha kuchitika mwangozi, kapena akhoza kugwirizanitsidwa ndi matenda osowa obadwa nawo monga `Peutz-Jeghers syndrome`, `Juvenile Polyposis Syndrome`, `PTEN Hamartoma Tumor Syndrome`. Akachitika mwangozi, nthawi zambiri amakhala chotupa chosavulaza chomwe chimakula chokha. Komabe, akachitika ndi matenda obadwa nawo omwe atchulidwa pamwambapa, amakula kwambiri ndipo amakhala pachiwopsezo cha khansa.

Mitundu ya Mesenchymal Polyps:

Izi ndi mitundu yosowa kwambiri ya ma polyps omwe amachokera ku zigawo zozama pang'ono.

• Ma Fibroid Polyps Otupa: Awa ndi mitundu yosowa kwambiri komanso yosaopsa ya kukula. Njira yeniyeni yopangira mapangidwe awo siidziwikabe. Nthawi zina awa amatchedwa ma granuloma.Amatchedwanso polyp. Ndi gulu la maselo oteteza thupi omwe amasonkhana panthawi yotupa. Nthawi zambiri amapangidwa okha, ang'onoang'ono. Koma akakula, angayambitse mavuto. Ngati lalikulu lipangika m'mimba, limatha kutseka khomo lolowera m'mimba (pylorus).

• Matenda a m'mimba otchedwa Gastromal Stromal Tumors (GIST): Izi ndi zotupa zomwe sizipezeka kawirikawiri, zomwe zingayambitse khansa. Zimayambira mkati mwa chigawo chakuya cha m'mimba (muscularis propria). Madokotala amachotsa akapezeka. Angafunike njira ina (Endoscopic Mucosal Resection (EMR) kapena Endoscopic Submucosal Dissection (ESD)) kuti achotsedwe.

• Ma Leiomyomas: Awa ndi matenda osowa komanso osalala a minofu. Amapangidwa mu gawo lotchedwa `Muscularis Propria` ndipo amatha kuoneka ngati ziphuphu pakhoma lamkati la m'mimba. Nthawi zina izi zimatha kukhala khansa (Leiomyosarcomas). Njira ina ingafunike kuchotsa matendawa.

Kodi ma polyps am'mimba amapezeka bwanji?

Ndipotu, ma polyps am'mimba si ofala kwambiri. Mwa ma endoscopy 100 apamwamba, amapezeka pafupifupi 4 mwa iwo. Pafupifupi theka la ma polyps awa ndi `Fundic Gland Polyps` omwe atchulidwa kale. Pafupifupi 30% ndi `Hyperplastic Polyps`, 10% ndi `Adenomatous Polyps`. 10% yotsalayo ndi mitundu ina yosowa.

Kodi ma polyps am'mimba ali ndi zizindikiro?

Nthawi zambiri, ma polyp am'mimba samayambitsa zizindikiro zilizonse. Nthawi zambiri amapezeka mwangozi panthawi yoyezetsa yomwe mukuchita pazifukwa zina. Komabe, mitundu ina ya ma polyp imatha kutuluka magazi . Nthawi zambiri, mitundu ina imatha kukula mokwanira kuti ichititse kutsekeka . Nazi zizindikiro zina zomwe mungakumane nazo:

• Kutuluka magazi: Simungamve kutuluka magazi m'mimba mwanu. Koma ngati magazi akutuluka kwambiri, mungazindikire zizindikiro za magazi m'chimbudzi chanu. (Magazi akatuluka kuchokera kumtunda kwa mimba yanu , chimbudzicho chidzakhala chakuda, chochedwa, osati chofiira.) Pakapita nthawi, kutaya magazi kungayambitse kuchepa kwa magazi m'thupi . Izi zingayambitse zizindikiro monga kufiira, kufooka, ndi kutopa.

• Kutsekeka: Ngati polyp ndi yayikulu mokwanira kutsekereza njira yanu yogayira chakudya, mutha kuwona zizindikiro monga nseru, kudzimbidwa, ndi kupweteka m'mimba . M'mimba mwanu mungamvenso kupweteka mukayikakamiza. Ngati polyp yatsekadi khomo lolowera m'mimba mwanu, mutha kumva kusanza, kusowa chilakolako cha chakudya, komanso kuchepa thupi .

Kodi ma polyps awa amawoneka bwanji?

Mitundu yosiyanasiyana ya ma polyp am'mimba imatha kuwoneka mosiyana. Ena amakula, ngati chotupa, pomwe ena ndi athyathyathya. Madokotala amatcha ma polyp omwe ndi otakata, okwera pang'ono "sessile," ndipo ma polyp omwe ali ndi mutu wofanana ndi phesi "opindika." Mitundu ina ingakhale ndi zilonda pamwamba ndipo imatha kutuluka magazi.

Ma polyps amatha kukula kuyambira milimita imodzi mpaka masentimita angapo. Ambiri ndi ang'onoang'ono, chifukwa amakula pang'onopang'ono. Ma polyps akuluakulu amatha kukhala ndi khansa, chifukwa ndi achikulire. Koma n'zovuta kwa madokotala kunena motsimikiza ngati ali ndi khansa kapena ayi popanda kuwayang'ana pansi pa maikulosikopu.

Kodi n’chiyani chimayambitsa matenda a m’mimba?

Ma polyps am'mimba omwe amakula mogwirizana ndi matenda obadwa nawo ndi majini. Komabe, ma polyps osakhazikika amakhudzidwa ndi zifukwa za majini komanso zinthu zina. Izi zikutanthauza kuti, mitundu yosiyanasiyana ya ma polyps imayamba chifukwa cha kusintha kwa majini osiyanasiyana, koma zikuwoneka kuti zinthu zina zimakhudzidwanso pakuyambitsa kusinthaku.

Nazi zina mwa zifukwa zomwe ofufuza apeza:

• Matenda a Gastritis Osatha: Matenda a Gastritis ndi kutupa kwa chiberekero cha m'mimba. Akhoza kukokoloka kapena kusakokoloka. Matenda a gastritis owononga ndi omwe amapezeka kwambiri. Amayambitsidwa ndi kukokoloka kwa mankhwala kapena matenda osatha monga H. pylori. Matenda a gastritis osakokoloka angayambitse chiberekero cha m'mimba kukhala choonda (atrophic gastritis), zomwe zimayambitsa kusintha kwa maselo osiyanasiyana. Mitundu yonse iwiri ingayambitse mitundu yosiyanasiyana ya zotupa, makamaka ma polyps a hyperplastic, adenomas, inflammatory fibroids, ndi zotupa za neuroendocrine.

• Proton-Pump Inhibitors (PPIs): Awa ndi mankhwala omwe timamwa nthawi zonse a gastritis, kutentha pamtima, ndi acid reflux, monga Omeprazole. Izi zikagwiritsidwa ntchito kwa nthawi yayitali komanso pafupipafupi, zimatha kusintha momwe matumbo am'mimba amagwirira ntchito. Mankhwalawa akaletsa maselo ena kupanga asidi, maselo ena amayamba kupanga asidi wochulukirapo kuposa momwe amafunikira kuti akwaniritse kusowa kwake. Ichi ndi chifukwa chofala cha 'Fundic Gland Polyps' yopanda vuto. Nthawi zina, izi zingakhudzenso kukula kwa 'Gastric Neuroendocrine Tumors'.

Kodi ma polyps amapezeka bwanji (amapezeka bwanji)?

Ma polyps ambiri m'mimba amapezeka panthawi ya upper endoscopy (EGD) . Dokotala wa gastroenterologist kapena dokotala wa opaleshoni amene amachita mayesowa amatenga chidutswa chaching'ono cha minofu (biopsy) kuchokera ku polyp, kapena kuchotsa polyp kwathunthu (polypectomy). Kenako zitsanzo za minofu zimatumizidwa kuti zikayesedwenso. Katswiri wa matenda amawayang'ana pansi pa maikulosikopu kuti adziwe mtundu wa polyp womwe uli nawo komanso ngati ndi khansa.

Kodi zikutanthauza chiyani ngati muli ndi ma polyp m'mimba mwanu?

Mitundu yosiyanasiyana ya ma polyp ingatanthauze zinthu zosiyanasiyana. Kutengera mtundu wa ma polyp omwe apezeka, dokotala wanu angakupatseni mayeso ena kuti awone matenda ena omwe angakhale nawo. Mwachitsanzo, angakupatseni mayeso kuti awone ngati muli ndi matenda a H. pylori kapena matenda ena otupa nthawi yayitali.

Chiwerengero cha ma polyp omwe muli nawo komanso kukula kwawo n'kofunika kwambiri. Ngati muli ndi ma polyp ambiri, dokotala wanu angakulangizeni kuti muyesedwe majini kuti muwone ngati muli ndi matenda obadwa nawo. Ngati zatsimikizika kuti muli ndi matenda obadwa nawo otere, muyenera kuyang'ana ma polyp m'mbali zina za thupi lanu. Ngati ma polyp omwe angayambitse khansa apezeka, mungafunike kuchitidwa endoscopy ina posachedwa.

Kodi mankhwala a ma polyps am'mimba ndi ati?

Chithandizo chimadalira mtundu wa ma polyps omwe muli nawo komanso momwe alili. Kutengera izi, chithandizo chotsatirachi chingakulimbikitseni:

• Kuchotsa Ma polyp m'mimba: Dokotala wanu mwina anachotsa ma polyp panthawi ya endoscopy (polypectomy). Komabe, nthawi zina ma polyp ambiri amafunika kupezeka kapena kuchotsedwa. Ma polyp ena ovuta komanso ozama angafunike njira zapadera (`EMR`, `ESD`) kapena, kawirikawiri, opaleshoni.

• Kuyezanso Ma polyp Ena: Ngati dokotala wanu apeza ndikuchotsa ma polyp omwe ali ndi khansa kapena omwe angakhale khansa, muyenera kuyesedwanso posachedwa kuti muwone ngati atsopano ayamba. Dokotala wanu adzakuuzani kangati kuti muyezedwenso, kutengera mtundu ndi mtundu wa ma polyp omwe apezeka. Angafunenso kuyang'anira momwe thupi lanu likuyankhira chithandizo.

• Chithandizo cha Matenda Ena Ofanana: Nthawi zina, mungayambe mwapezeka ndi matenda ochiritsika, monga gastritis, chifukwa cha ma polyps am'mimba awa. Dokotala wanu angathandize ma polyps komanso kuchiza vuto lomwe limayambitsa matendawa. Ma polyps omwe amagwirizana mwachindunji ndi matenda a H. pylori kapena kugwiritsa ntchito proton pump inhibitors (PPIs) amatha kutha matendawo akachiritsidwa.

Kodi mungapewe kupangika kwa ma polyps am'mimba?

Kuchiza matenda a gastritis osatha ndi zomwe zimayambitsa kungathandize kupewa mitundu ina ya ma polyps am'mimba. Komanso, kuchepetsa kugwiritsa ntchito mankhwala otchedwa `Proton Pump Inhibitors (PPIs)` kungathandize kuchepetsa kupangika kwa mitundu ina ya ma polyps. Komabe, ma polyps ambiri omwe amakula limodzi ndi `PPIs` ndi abwino. Chifukwa chake palibe lamulo loti muyenera kusiya kumwa mankhwalawo kuti mupewe matendawa. Ndi bwino kukambirana ndi dokotala wanu za izi.

Kodi chimachitika ndi chiyani mukakhala ndi ma polyp m'mimba mwanu?

Ngati dokotala wanu apeza ma polyps m'mimba mwanu, adzakuyesani kuti adziwe mtundu wawo komanso tanthauzo lake.Nthawi zambiri, sizikhala zoopsa kwenikweni. Mwayi wopeza polyp yomwe imasanduka khansa ya m'mimba ndi wochepera 2%. Mutha kupezeka ndi vuto lina lomwe lingachiritsidwe.

Kodi ndiyenera kusintha zakudya zanga nditachotsa ma polyps?

Zakudya zopatsa thanzi zimathandiza m'mimba kuchira pambuyo poti ma polyps achotsedwa kudzera mu endoscopy. Komanso, zakudya zabwino ndizofunikira kuti mupewe gastritis, yomwe ndi chifukwa chachikulu cha ma polyps m'mimba. Madokotala amalangiza kutsatira zakudya zotsutsana ndi kutupa . Izi zikutanthauza kuti, m'malo mwa zakudya zopangira, shuga wochuluka, ndi mafuta okhuta, zakudya zachilengedwe zokhala ndi tirigu wathunthu, mapuloteni opanda mafuta, ndi mafuta osakhuta ziyenera kuyikidwa patsogolo.

Kodi ndiyenera kupita kwa dokotala liti?

Pambuyo poti ma polyps achotsedwa , ndikofunikira kwambiri kubwerera kukayezetsa monga momwe dokotala wanu wanenera. Adzakuuzani kangati kuti mubwerenso. Komanso, ngati muli ndi zizindikiro zachilendo, monga kupweteka m'mimba kapena kusintha kwa ndowe yanu, muyeneranso kudziwitsa dokotala wanu. Kenako angakuuzeni ngati ndi zachilendo kapena ngati zikufunika kuyesedwa.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Mungathe kufunsa mafunso monga awa:

• Ndi mtundu wanji wa ma polyps omwe ndili nawo?
• Kodi ma polyps anga ali pachiwopsezo chokhala ndi khansa?
• Kodi ndili pachiopsezo chachikulu kapena chochepera cha khansa ya m'mimba?
• Kodi chimayambitsa matenda a m'mimba mwanga ndi chiyani?
• Ndi kusintha kotani komwe ndiyenera kuchita kuti ndipewe matenda a m'mimba kuti asakule mtsogolo?
• Kodi ndiyenera kuchita liti endoscopy yanga yotsatira?

Pomaliza, kumbukirani izi (Uthenga Wopita Nawo Kunyumba)

Kupeza ma polyps m'mimba mwanu nthawi zambiri kumakhala ngozi, mukayesedwa ndi dokotala chifukwa cha china chake. Zingakhale zosokoneza pang'ono. Koma kumbukirani kuti ma polyps ambiri m'mimba si khansa, ndipo ali ndi chiopsezo chochepa chokhala khansa. Nthawi zambiri, ndi chizindikiro china cha vuto lomwe linakubweretsani kwa dokotala.

Kutengera mtundu wa ma polyps am'mimba omwe muli nawo, dokotala wanu adzakhala ndi zambiri zofunika zokhudza thanzi lanu la m'mimba. Iye adzadziwa zomwe angachite kuti achiritse vuto lanu ndikuchepetsa chiopsezo chanu cha khansa ya m'mimba. Ngati pali chiopsezo, nthawi zonse ndibwino kudziwa msanga, sichoncho? Choncho musachite mantha, mverani zomwe dokotala wanu akunena, ndipo pezani chithandizo choyenera.

Ma polyps am'mimba, zotupa zam'mimba, gastritis, endoscopy, khansa yam'mimba, mavuto am'mimba, mitundu ya ma polyps