Ese uzi izi polyps zifite urusenda mu mara yawe? Reka tubiganireho mu magambo make!

Ese wigeze ukorerwa ikizamini cya `(Colonoscopy)`? Cyangwa, ushobora kuba warumvise umuntu avuga ati `Bakuyeho uduce duto mu mara.'' Akenshi, izi nizo twita `(Colon Polyps)`` cyangwa polyps zikurira mu mara. Muri zo, harimo ubwoko bwihariye bwitwa `(Serrated Polyps).`` Ese izina risa n'aho riteye ubwoba gato? Ntugahangayike, tuzaganira kuri byose mu buryo bworoshye ushobora kumva.

Izi `(Serrated Polyps)` ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Muri make, polyps zifite serrated ni ibyimbi bikura ku rukuta rw'imbere rw'amara yawe kandi bigasa n'ibibyimbi byaciwe n'amenyo ukoresheje mikorosikopi. Mu by'ukuri ni ibibyimbi, ariko ntibigira ingaruka mbi. Ibi bivuze ko atari kanseri iyo bivutse bwa mbere. Ariko, zimwe muri polyps zifite serrated zishobora guhinduka kanseri uko igihe kigenda gihita. Niyo mpamvu abaganga bakuraho ibi bibyimbi bikimara kugaragara ko birinda kanseri y'amara.

Isura y’izi `(Serrated Polyps)` ifite isura ifitanye isano n’uburyo zibaho. Uburyo zibaho butandukanye gato n’ubundi bwoko bwa polyps dukunze kubona mu mara, `(Adenomas). Nanone, niba `(Serrated Polyps)` ihinduka kanseri, inzira itandukanye n’uburyo `(Adenomas)` ihinduka kanseri. Bivugwa ko hafi 25% bya kanseri y’amara ikomoka kuri izi `(Serrated Polyps)`. Ariko, iyo zibaye kanseri, zishobora gukura vuba kurusha ubundi bwoko.

Ni ubuhe bwoko bw'ingenzi bwa `(Serrated Polyps)`?

Ishami ry’Umuryango w’Abibumbye ryita ku Buzima (OMS) ryagabanyijemo ubwoko bune bw’ingenzi bwa polyps. Izi nyuguti zishyirwa mu byiciro hakurikijwe uko zisa, ni ukuvuga imiterere yazo. Izi nyuguti zigaragaza uburyo imikorere y’uturemangingo igira ingaruka ku mikurire y’izi polyps itandukanye. Icy’ingenzi ni uko atari ko ubwoko bwose butera kanseri . Abaganga bazishyira mu byiciro iyo basanze kugira ngo bamenye niba zishobora kumera kanseri.

Dore ubwo bwoko bune:

• `(Polyps zikomoka kuri hyperplastic)` Polyps zikomoka kuri hyperplastic
• `(Ibisebe Bifite Ingufu Zitose - SSLs)` Ibisebe Bifite Ingufu Zitose
• `(Adenomas gakondo zo mu bwoko bwa Serrated Adenomas)` Adenomas gakondo zo mu bwoko bwa Serrated Adenomas
• Adenoma zidafite isura

`(Polyps zikomoka kuri hyperplastic)` Polyps zikomoka kuri hyperplastic

Izi ni zo polyps zikunze kugaragara cyane, zigize hafi 75% by'abanduye. Inkuru nziza ni uko izi polyps zitagira ingaruka mbi kandi ntizihinduka kanseri . "Hyperplastic" bivuze gusa gukura cyane kw'uturemangingo. Bivuze ko hari uturemangingo twinshi cyane dukura hamwe. Polyps nyinshi zibanziriza kanseri ziba "dysplastic," bivuze ko zigira impinduka zidasanzwe mu turemangingo. Izi mpinduka mu turemangingo zishobora gutera kanseri.

`(Ibisebe Bifite Ingufu Zitose - SSLs)` Ibisebe Bifite Ingufu Zitose

Hafi 20% bya polyps zifite serrated ni izo mu bwoko bwitwa Sessile Serrated Lesions (SSLs). Ubu ni ubwoko bwa polyps zifite serrated zifite ibyago byinshi byo kurwara kanseri . "Sessile" bivuga ko ziba zirambuye, zisa na disiki, cyangwa zizamutse gato. Ariko, iyi miterere ishobora no kugaragara muri polyps zifite hyperplastic zitagize ingaruka mbi. Kubwibyo, biragoye gutandukanya izo ebyiri ukurikije uko zigaragara. Ariko, abahanga bashobora kumenya itandukaniro mu miterere yazo.

Izi `(Sessile Serrated Lesions)` zari zifite amazina menshi. Ubu iri zina rishya rikoreshwa mu kugabanya urujijo rudakenewe. Ikindi kintu ni uko zimwe muri izi `(SSLs)` zifite `(Dysplasia)` yavuzwe haruguru (uturemangingo tudafite ubuziranenge), mu gihe izindi zitabifite. Abaganga bakomeza gushyira `(Dysplasia)` mu byiciro bya "sessile serrated lesions hamwe na dysplasia". Ariko, `(SSLs)` zose zifatwa nk'indwara zibanziriza kanseri .

Adenoma gakondo iterwa n'ibinure

Izi ni zo ndwara zidasanzwe za `(Serrated Polyps)`, ziboneka mu bantu bari munsi ya 1% . Izi nazo ni indwara zibanziriza kanseri . Isura yazo isa n'iy'ibihumyo, ni ukuvuga ko zifite imiterere isa n'ibihumyo, kandi zifite imiterere isanzwe ya `(Dysplasia)`. Ariko, zifite imiterere ya `(Serrated)` nk'impande z'urukero. Mu gihe cyashize, izi ndwara zakunze kwitiranywa na `(Serrated Polyp)` isanzwe. Ziherutse kumenyekana nk'ubwoko bwa `(Serrated Polyp)`.

Adenoma zidafite isura

Ubwoko bwa nyuma ni polyps zidahuye neza n'ibindi byiciro byavuzwe haruguru. Zishobora kuba zifite ishusho y'urubara, zifite imiterere isa na "Dysplasia" cyangwa "Adenomas." Nubwo zidakunze kugaragara, abaganga bemera ko ari ngombwa kumenya izi polyps zidashobora gushyirwa mu byiciro neza, kuko ubushakashatsi bw'ejo hazaza bushobora kuzahishura byinshi kuri zo. Turacyari kwiga kuri "Serrated Polyps."

Ese ubwivumbure bwa Serrated Polyps bukunze kugaragara gute?

Polyps zifite serrated ziboneka muri 30% by'ibipimo bya colonoscopy. Akenshi, izi polyps ni hyperplastic polyps zitagize ingaruka mbi. Ariko, hafi 10% ni polyps zibanza kurwara kanseri, nka Sessile Serrated Lesions (SSLs). Mu gihe cyo gupima colonoscopy, muganga ashobora kutamenya itandukaniro riri hagati y'ibyo byombi. Niyo mpamvu, iyo hari gushidikanya, umubiri urakurwaho, woherezwa muri laboratwari, hanyuma ugasuzumwa hakoreshejwe mikorosikopi n'umuganga w'indwara.

`(Serrated Polyposis Syndrome - SPS)` ni iki?

Indwara ya Serrated Polyposis Syndrome (SPS) ni indwara idakunze kugaragara. Ibi ni byo bibaho iyoPolyps ziterwa n'ibisebe ziba nyinshi mu mara yose. Iyi yari isanzwe yitwa Hyperplastic Polyposis Syndrome. Ushobora kuba ufite polyps zirenga 20, cyangwa zikaba nini kuruta uko bisanzwe. Zishobora kandi kuba zitera kanseri mbere y'uko zibaho. Abantu bafite iyi ndwara bafite amahirwe angana na 25% yo kurwara kanseri. Iyi ndwara igira ingaruka ku bantu bagera kuri 0.4% .

Ese polyps zifite serrated zitera ibimenyetso?

Akenshi, polyps mu mara, harimo na polyps zifite imisemburo, ntabwo zitera ibimenyetso . Ni gake cyane, polyps nini zishobora gutera kuva amaraso cyangwa impinduka mu mikorere y'amara yawe. Hari abantu bashobora kubona amaraso mu myanya yabo y'imboro, cyangwa bakagira impiswi cyangwa impatwe bitazwi. Ariko ibi bimenyetso bishobora no guterwa n'ibindi bintu. Abantu benshi bafite polyps ntibazi ko bazifite . Niyo mpamvu abaganga basaba ko bakorerwa isuzuma rya colonoscopy buri gihe.

Ni iki gituma izi `(Serrated Polyps)` zibaho?

Polyps ziterwa n'imisemburo ni indwara ikunze kugaragara uko tugenda dusaza. Ntituzi neza impamvu zitera. Ariko tuzi ko hari impinduka mu miterere y'uturemangingo. Impinduka mu miterere y'uturemangingo ni amakosa mu mikorere y'uturemangingo twawe iyo twigabanyijemo ibice tugakora uturemangingo dushya. Ayo makosa atuma uturemangingo dushya dukura mu buryo butandukanye n'uko bikwiye. Polyps ziterwa n'impinduka mu miterere y'uturemangingo itandukanye n'ubundi bwoko bwa polyps.

Ni ibihe bintu bishobora gutera `(Serrated Polyps)`?

Ibintu bishobora gutera indwara ya polyps ifite serrated bisa cyane n'ibyo gutera polyps mu mara manini. Ni:

• Kuba afite imyaka irenga 50.
• Kunywa itabi.
• Kunywa inzoga nyinshi.
• Kurya inyama zitukura cyane (nk'inyama z'inka, inyama z'ihene).
• Umubyibuho ukabije.
• Kugira indwara nk'indwara y'amara iterwa no kubyimba.

Ni gute wamenya `(Serrated Polyps)`?

Uburyo bwiza bwo kubona polyps zifite serrated ni ugukoresha colonoscopy . Ariko, rimwe na rimwe, zishobora kubura. Ibi biterwa nuko ubwoko bubiri bukunze kugaragara bwa polyps zifite serrated, hyperplastic polyps na sessile serrated lesions (SSLs), zidagaragara cyane. Akenshi ziba ari nto (hafi mm 5) , zirambuye cyangwa zizamutse gato, kandi zifite ibara rimwe n'iry'ingingo ziyikikije, nta mipaka igaragara.

Tekereza nko gushaka akantu gato katagaragara neza ku rukuta gafite ibara nk'iry'irangi. Ibyo ntabwo byoroshye, si byo se?

Gishya,Imashini zo mu bwoko bwa Colonoscopy, zifite ubushobozi bwo gupima no gukura neza, ni zo zibasha gutahura polyps zifite utunyangingo kurusha ibikoresho bishaje. Gutegura amara n'amahugurwa ya muganga nabyo ni ingenzi. Abaganga bagomba kumenya amabwiriza agezweho yo gutahura polyps zifite utunyangingo. Uburyo bumwe bwa colonoscopy bwagaragaye ko bukora neza kurusha ubundi kandi bushobora guhindura imiterere ya polyps.

Mu gihe cyo gupima colonoscopy, muganga wawe ashobora gukeka ko afite Sessile Serrated Lesion cyangwa Serrated Polyp, ari yo kanseri ishobora kuvamo polyp. Niba hari gushidikanya, azayikuraho mu gihe cyo kuyibaga (Polypectomy) . Hanyuma polyp izoherezwa muri laboratwari kugira ngo isuzumwe n'umuganga w'indwara. Icyo gihe ni bwo muganga azabasha kumenya neza ubwoko bwa polyp no gusuzuma burundu.

Ariko, niba ufite Serrated Polyposis Syndrome (SPS), muganga wawe ashobora kuyimenya mugihe cyo gupima colonoscopy. Uburyo bwo gusuzuma SPS ni ukureba umubare wa polyps zifite serrated zabonetse, ingano yazo, n'aho ziherereye mu mara. Imibare igaragaza ko polyps zifite serrated nini kuruta izisanzwe cyangwa ahantu hadasanzwe mu mara zishobora kuba zitarafatwa na kanseri iyo zisuzumwe neza.

Bigenda bite iyo `(Serrated Polyps)` ibonetse muri `(Colonoscopy)`?

Polyps zifata ingirabuzimafatizo zikunze kugaragara kandi nta mpungenge zikwiye guterwa. Ariko, niba muganga wawe akeka ko ufite polyp ifite ingirabuzimafatizo, agomba kuyikuraho . Ibi ni ukugira ngo amenye neza ubwoko bwayo no kuyikumira kugira ngo idatera kanseri. Niba byemejwe ko ari polyp itera kanseri, muganga wawe azaguteganyiriza gahunda y’isuzuma ry’uturemangingo tw’imbere mu maraso vuba , kugira ngo ubashe kwisuzumisha izindi nshya.

Ni ryari nkwiye gukora isuzuma ry’uturemangingo tw’imbere mu mubiri kubera ko nafashwe na polyp ifite ibisebe?

Abaganga bashyira ibyago byo kurwara kanseri y'inkondo y'umura mu byiciro biri hasi, hagati, cyangwa hejuru, bitewe n'ubwoko bwa polyps zifite ibisebe basanze. Ibyo byago bikoreshwa mu kumenya igihe ikizamini gikurikira cya colonoscopy kigomba gukorerwa. Dukurikije amabwiriza ariho ubu,

• Niba hari ibyago biri hagati , rimwe mu myaka itanu .
• Iyo hari ibyago byinshi, buri myaka itatu .
• Niba ufite `(SPS)`, ni byiza kwipimisha rimwe mu mwaka .
• "Polyps zo mu bwoko bwa Hyperplastic" zifite ibyago bike ntizisaba igenzura ryihariye.

Ni iki wakwitega niba ufite ``Serrated Polyps'' itarafata kanseri?

Niba muganga wawe yarakuyeho polyps ziterwa na kanseri mu gihe cyo gupima colonoscopy, ubu uri mu mutekano . Kuzikuraho bizagabanya ibyago byo kurwara kanseri. Ariko, muganga wawe azashaka gukurikiranira hafi amara yawe kubera impamvu zitandukanye. Impamvu imwe ni uko izi polyps ziterwa na kanseri zishobora kugorana kuzikuraho burundu hakoreshejwe polypectomy kubera imiterere yazo igororotse n'impande zazo zidafite ishusho.

Tekereza nko gutoragura agace k'umugati kaguye hasi. Hari igihe hasigara uduce duto, sibyo? Uko ni ko bimeze.

Iyo uduce duto tw’uturemangingo twasigaye inyuma iyo twakuweho, cyangwa niba hari utunyangingo twabuze mu gihe cyo gupimwa mu maraso mbere kandi tutagaragara neza, dushobora gukomeza gukura tukagera mu bihe bitaravuka kanseri. Dushobora kandi gukura vuba kurusha utunyangingo dushya. Byongeye kandi, utunyangingo dufite imisemburo duto dushobora kuba kanseri kurusha ubundi bwoko. Nanone dushobora gukura tukagera mu bihe birenze kimwe icyarimwe .

Ni ryari nkwiye kujya kwa muganga ku bijyanye n'indwara zo mu mara?

Niba uri mu kaga gasanzwe, abaganga bakugira inama yo kwipimisha colonoscopy buri myaka 10, guhera ku myaka 45. Niba hari umuntu wo mu muryango wawe warwaye kanseri y'amara cyangwa polyps (uruhererekane rw'uturemangingo), cyangwa niba ufite ikibazo cy'ubuzima byongera ibyago byo kurwara polyps, nk'indwara yo kubyimba amara, ushobora gukenera kwipimisha colonoscopy hakiri kare. Baza muganga wawe igihe kigeze cyo kwipimisha colonoscopy isanzwe.

Kimwe n’izindi polyps zo mu mara, polyps zifite serrated zirakunze kugaragara kandi akenshi ntizigira ingaruka mbi . Zimwe muri zo zifite ibyago bike byo kwangiza uko igihe kigenda gihita. Niyo mpamvu tugira colonoscopy. Igihe cyose tuzisuzumye kandi tuzikuraho iyo zibonetse, polyps zifite serrated ntabwo zigira amahirwe yo kwandura kanseri. Turacyari kwiga kuri polyps zifite serrated n'uko zitwara, ariko ubu tuzi bihagije kugira ngo dutange ubuvuzi bwo kuzirinda .

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, reka turebe bimwe mu bintu by'ingenzi tugomba kuzirikana mu byo twavuzeho:

• Polyps ziterwa n'imisemburo ni ubwoko bw'inyama zikura mu mara manini kandi zisa n'inkombe z'umukero.
• Amwe mu moko ya polyps ziterwa n'imisemburo, cyane cyane sessile serrated lesions (SSLs), ashobora guhinduka kanseri uko igihe kigenda gihita.
• Akenshi, ibi ntibigaragaza ibimenyetso , bityo rero ni ngombwa cyane ko habaho ibizamini bya colonoscopy buri gihe.
• Mu kumenya no gukuraho ibi mu gihe cyo gusuzuma kanseri y'inkondo y'umura, kanseri ishobora kwirindwa .
• Niba urwaye `(Serrated Polyps)` kurikiza amabwiriza ya muganga wawe neza. Ni ngombwa kujya kwisuzumisha buri gihe.
• Ntutinye , icy'ingenzi ni ukubimenya no kubimenya hakiri kare.

Niba ufite ibindi bibazo kuri ibi, ntutindiganye kuvugana na muganga wawe. Ashobora kukugira inama mu buryo bukwiye.

` Polyps ziterwa n'ibisebe, Polyps zo mu mara, Colonoscopy, Kanseri y'amara, Polyps ziterwa n'ibisebe byo mu mara, Ibisebe byo mu mara, indwara y'igifu