Ese wigeze ukorerwa isuzuma rya colonoscopy? Cyangwa wenda wigeze wumva iryavuzwe n'umuryango wawe cyangwa inshuti zawe. Hari igihe nyuma y'iki kizamini, muganga aravuga ati: "Ufite polyp mu mara yawe." Ni ibisanzwe ko umuntu yumva afite ubwoba cyangwa agatungurwa iyo yumvise aya magambo. Ariko se koko wagombye kugira ubwoba? Ese izi polyp zose ni mbi kandi ni kanseri? Oya. Uyu munsi turimo kuvuga ku bwoko bwihariye bwa polyp bugaragara mu mara yitwa polyps zikozwe mu mara.
Mu magambo make, polyps zikozwe mu ruhu ni iki?
Polyps ziterwa n'imisemburo ni utunyangingo duto, cyangwa se polyps nto, dutera ku rukuta rw'imbere rw'amara yawe. Bitwa "serrated" kuko ubuso bwabyo busa n'aho bwakozweho imyenge iyo urebye ukoresheje mikorosikopi.
Igikuru ni uko izi polyps zitarwara kanseri iyo zimaze kugaragara bwa mbere. Akenshi ziba zitarwaye. Ariko, zimwe muri polyps zifite udukoko dushobora guhinduka kanseri uko igihe kigenda gihita. Niyo mpamvu abaganga bakuraho izi polyps ako kanya zikigaragara. Ibi bifasha gukumira kanseri y'amara mu gihe kizaza.
Uburyo izi polyps zifite serrated zikura bitandukanye gato n'uburyo izindi polyps zisanzwe, zitwa adenomas, zikura. Kandi inzira zihindukamo kanseri nayo iratandukanye. Hafi 25% bya kanseri y'amara ikura iturutse kuri izi polyps zifite serrated. Ariko iyo zibaye kanseri, zishobora gukura vuba kurusha izindi.
Ni ubuhe bwoko bw'ingenzi bwa polyps ziterwa n'imisemburo?
Ishami ry’Umuryango w’Abibumbye ryita ku Buzima (OMS) ryagabanyijemo ubwoko bune bw’ingenzi bwa polyps. Izi ndwara zishyirwa mu byiciro bitewe n’uko zisa n’uko zitwara. Ntabwo ubwo bwoko bwose buhinduka kanseri. Kubwibyo, ni ngombwa cyane ko muganga wawe azishyira mu byiciro neza kandi akazimenya.
Dore ibisobanuro byoroshye by'ubwo bwoko bune.
| Ubwoko bwa polipe | Mu magambo make ... |
|---|---|
| Polyps zitagira pulasitiki nyinshi | Ubu ni bwo bwoko bukunze kugaragara cyane . Hafi 75% bya polyps zifite serrated ni ubwo bwoko. Inkuru nziza ni uko iziNtabwo ari bibi, kandi ntabwo bizahinduka kanseri. Ni indwara isanzwe iterwa no kuba uturemangingo twinshi cyane. |
| Ibisebe by'imisemburo (SSLs) | Ubu ni bwo bwoko bwa polyp ikunze kugaragara cyane ishobora guhinduka kanseri . "Sessile" bivuga "sessile" kuko iba iringaniye kandi ifatanye n'urukuta. Niyo mpamvu rimwe na rimwe bigorana kuyibona mu gihe cyo gupima colonoscopy. Abaganga babona ko izi SSL zose zishobora kurwara kanseri. |
| Adenoma gakondo iterwa n'ibisebe | Ibi ni gake cyane. Nubwo bisa nka adenoma zisanzwe, bifite n'imiterere "ifite ibara ry'amenyo", nk'amenyo yaciwe. Ni ubwoko bwa kanseri . |
| Adenoma zidafite serrated zigaragara mu byiciro | Ubu ni ubwoko bwa polyp butari ubwa bumwe mu bwoko butatu bwavuzwe haruguru, ariko bufite imiterere ivanze. Ibi nabyo ni gake cyane. Abaganga bakomeje kubisesengura. |
Ese ibi bibyimba bikunze kugaragara gute? Ese hari ibimenyetso?
Tekereza, uramutse ukoze colonoscopy 100, ushobora kubona ubwoko bw'ubu bwoko bwa polyp buterwa n'imisemburo muri 30 muri zo. Ariko ntugahangayike, inyinshi muri zo ziboneka ni polyp zitagira ingaruka mbi . Ubwoko nka SSLs, zishobora kurwara kanseri, ziboneka mu mubare muto, hafi 10%.
Igikuru ni uko nta na kimwe muri ubu bwoko bwa polyps gikunze gutera ibimenyetso . Ushobora kubibona mu mubiri wawe utabizi.
Ni gake cyane, iyo ikibyimba kimaze gukura, ushobora kugira amaraso make mu mwanda wawe, cyangwa ukaba wabyimba cyangwa ukagira impatwe. Ariko hari izindi mpamvu zishobora gutera ibi bimenyetso. Niyo mpamvu abaganga bakugira inama yo kwisuzumisha mu gihe ukiri muto, nubwo waba udafite ibimenyetso.
Ese indwara ya serrated polyposis syndrome (SPS) ni iki?
Iyi ni indwara idasanzwe kandi idakunze kugaragara. Muri iyi ndwara, umuntu agira polyps nyinshi zifite serrated (rimwe na rimwe zirenga 20) mu mara ye yose. Izi zishobora kuba nini kuruta izisanzwe kandi zishobora kuba zifite ibyago byinshi byo kurwara kanseri. Umuntu ufite iyi ndwara, SPS, afite ibyago 25% byo kurwara kanseri.
Ni izihe mpamvu n'ibintu bishobora gutera ibi?
Nta mpamvu imwe ibaho itera polyps zo mu mara. Zikunze kugaragara uko tugenda dusaza. Impamvu nyamukuru ikekwa ko ari impinduka mu miterere y’uturemangingo ziba iyo uturemangingo twacu twigabanyijemo ibice tugakora uturemangingo dushya. Nk’uko imashini ikora kopi rimwe na rimwe ikora amakosa mato. Izi mpinduka mu miterere y’uturemangingo zituma uturemangingo dukura nabi kandi tugakora ibibyimba.
Hari ibintu byinshi byongera ibyago byo kurwara izi polyps:
- Kuba ufite imyaka irenga 50
- Kunywa itabi
- Kunywa inzoga nyinshi
- Kurya inyama zitukura buri gihe (nk'inka n'ingurube)
- Kwiyongera ibiro (umubyibuho ukabije)
- Kugira indwara zidakira zo mu mara, urugero nk'indwara yo kubyimba amara (IBD)
Ibi bivurwa bite kandi bikavurwa bite?
Uburyo bwiza kandi bwonyine bwo kumenya polyps zifite serrated ni ugukoresha colonoscopy . Iki kizamini gisuzuma amara yawe yose hakoreshejwe umuyoboro muto ufite kamera.
Ariko rimwe na rimwe bishobora kugorana kubibona. Kubera ko ubwoko nka SSLs ari burambuye, bufite ibara rimwe n'iry'ingingo ziyikikije, kandi imbibi zazo ntizisobanutse neza. Niyo mpamvu ari ngombwa kugira umuganga w'inzobere kandi w'inararibonye ukora iki kizamini akoresheje kamera zigezweho (colonoscopes).
Bigenda bite nyuma y'ikizamini?
1. Gusuzuma: Iyo muganga abonye polyp mu gihe cyo gupima colonoscopy maze agakeka ko ari ubwoko bw'akaga gakomeye, azahita ayikuraho. Ubu buryo bwitwa polypectomy .
2. Gupima: Polyp yakuweho yoherezwa muri laboratwari, aho umuhanga mu by’indwara ayisuzuma akoresheje mikorosikopi kugira ngo amenye neza ubwoko bwa polyp kandi atange raporo.
3. Gahunda z'ejo hazaza: Hashingiwe kuri iyo raporo, umuganga wawe azagena igihe ugomba gukora isuzuma ry'imitsi ikurikira.
| Ubwoko bwa polyp bwabonetse | Igihe gisabwa cyo gukora isuzuma ry'imitsi rikurikira |
|---|---|
| Ingaruka nke (urugero: polyps ntoya ziterwa na hyperplastic) | Ubusanzwe mu myaka 10 |
| Ingaruka ziciriritse (urugero: SSL nyinshi) | Mu myaka igera kuri 5 |
| Ingaruka zikomeye (urugero: SSL nini cyangwa nyinshi) | Mu myaka igera kuri 3 |
| Niba imiterere ya SPS ihari | Buri mwaka |
Muganga wawe ashobora guhindura ibihe bitewe n'uburwayi bwawe, bityo ni ngombwa gukurikiza amabwiriza ye.
Ntiwibagirwe ko gukuraho polyp ishobora kurwara kanseri bivuze ko uri mu mutekano nta kabuza muri iki gihe. Twakuyeho amahirwe y'uko iyo kanseri ikura. Ariko, ni ngombwa kongera kwisuzumisha mu gihe gikwiye, kuko iyo ndwara ishobora kongera kugaruka.
Ubutumwa bwo kujyana mu rugo
- Polyps ziterwa n'ibinure ni ubwoko bw'imikurire ivuka mu mara. Inyinshi muri zo nta kibazo zifite .
- Ariko, ubwoko bumwe na bumwe, nka SSL, bushobora guhinduka kanseri uko igihe kigenda gihita, bityo ni byiza kubukuraho ukimara kubibona.
- Ibi bibyimba nta bimenyetso bitera . Niyo mpamvu ari ngombwa gukora isuzuma ry’imitsi nyuma y’imyaka 45, nk’uko muganga yabigusabye.
- Niba polyp yabonetse mu gihe cyo gusuzuma yagaragaye ko ari kanseri hanyuma ikakurwamo, ntugire ikibazo. Bivuze ko muganga wawe yayibonye ku gihe kandi yayibujije kuyikuramo kanseri.
- Igikuru ni ugukora ikizamini gikurikiraho mu gihe muganga azakubwira . Ntucikwe.
- Ushobora kugabanya ibyago byo kurwara ibi wirinda kunywa itabi, kunywa inzoga nyinshi, no kugira ubuzima bwiza.
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