Ese hari udukoko duto mu nda yawe? Reka tuvuge kuri polyps zo mu nda!

Ese wigeze ukorerwa endoscope kubera ikibazo cy'igifu cyangwa indwara nka gastritis? Icyo gihe, muganga ashobora kuba yarakubwiye ati: "Ufite uduce duto mu nda yawe, twita polyps." Ibi bishobora kumvikana nk'aho biteye ubwoba gato, si byo se? Ariko ntugahangayike. Akenshi, ibi ntabwo ari akaga. Reka twige byinshi kuri polyps zo mu gifu uyu munsi.

Izi polyps zo mu nda ni izihe?

Mu magambo make, Polyps zo mu nda ni uduce duto cyangwa uduce duto dukura ku gice cy'inda yawe . Nanone twitwa Polyps zo mu nda. Tekereza nawe, igifu cyacu gifite agace k'umuyoboro w'amaraso, kandi niho izi polyps zikurira. Izi ni nk'uduce duto dukura mu bindi bice by'umubiri wacu, urugero, mu mara manini.

Igikuru ni uko inyinshi muri izi polyps zo mu gifu atari kanseri (zitari mbi) . Ibyo bivuze ko nta ngaruka nyinshi zigira. Ariko, hari ubwoko bumwe na bumwe bushobora guhinduka kanseri uko igihe kigenda gihita. Niyo mpamvu ari ngombwa kubimenya.

Ese izi polyps zo mu gifu ziteje akaga?

Iki ni ikibazo gikomeye ku bantu benshi. Mu by'ukuri, ibyago byo kurwara kanseri mu bwoko bwinshi bwa polyps zo mu gifu bikunze kugaragara ni bike cyane, rimwe na rimwe ntibibaho. Hari ubwoko butera kanseri mbere y'uko abaganga bayifata. Ariko n'ubwo akenshi ntabwo ari kanseri iyo abaganga bayibonye. Bifata igihe kirekire kugira ngo polyp ihinduke kanseri. Niyo mpamvu abaganga bayikuraho ako kanya ikimara kuboneka, kugira ngo hirindwe kanseri y'ejo hazaza.

Icy'ingenzi: Ntugatinye niba ubonye polyp. Umva witonze icyo muganga wawe akubwira. Akenshi, ibi bishobora gukurwaho byoroshye.

Ni ubuhe bwoko bw'ibibyimba biba mu gifu?

Hari ubwoko butandukanye bwa polyps mu gifu. Izikunze kugaragara cyane ni polyps zo mu gifu . Izi ni izikura mu gice cyo hejuru cy'uruti rw'igifu (epithelium). Byongeye kandi, hari n'ubwoko butangirira ku gice cyimbitse gato bukazamuka, ari byo byitwa polyps za mesenchymal . Izi ni zo zidakunze kugaragara cyane.

Ubwoko bwa Epithelial Polyps:

Ubwoko bwa polyps bukunze kugaragara buri muri iki cyiciro.

• Polyps zo mu nda zikunze kugaragara cyane: Izi ni zo polyps zo mu nda zikunze kugaragara cyane.Ibi bikunze kwibasira igice cyo hejuru cy'igifu (fundus). Iyo bivutse gusa, ibyago byo kurwara kanseri biba bike cyane, cyangwa se ntibibaho. Ariko, hamwe n'indwara zimwe na zimwe zidasanzwe za kanseri y'uruhererekane (urugero, `Familial Adenomatous Polyposis (FAP)` na `Gastric Adenocarcinoma na Proximal Polyposis of the Stomach (GAPPS)`) zishobora kugaragara kenshi. Muri ibyo bihe, zishobora kuba indwara itaravuka mbere yuko ziba kanseri.

• Polyps zitagira pulasitiki: Izi ni zo ndwara za kabiri zikunze kugaragara cyane. Izi nazo akenshi si kanseri. Zikunze kujyana na gastritis . Ariko, rimwe na rimwe zishobora kuba zirimo izindi kanseri, bityo zifatwa nk'ikimenyetso cy'umuburo. Iyo abaganga bazibonye, ​​basuzuma n'ingingo zikikije kugira ngo barebe niba hari uturemangingo twa kanseri.

• Adenomas (Adenomas): Hafi 10% by'udukoko two mu nda twose ni utwo. Utu ni two dukoko dukunze kugaragara cyane mbere y'uko turwara kanseri, tukaba dufite ibyago byinshi byo kurwara kanseri . Akenshi tuba turi twonyine. Ariko kandi, dushobora no kugaragara cyane ku bantu bafite indwara zo mu muryango nka Familyal Adenomatous Polyposis (FAP). Abaganga bahita bakuraho utu dukoko bakimara kuboneka, bakabapima niba nta kanseri ifite.

• Ibibyimba byo mu nda (bizwi kandi nka Carcinoid Tumors): Ibi bikomoka ku turemangingo tw’ingirabuzimafatizo mu nda. Bifite hafi 1% by’ibibyimba byose mu nda. Bishobora kuba kanseri cyangwa se indwara zitari mbi. Hari ubwoko bune butandukanye, buri bumwe bufite uburyo butandukanye gato. Abaganga bagena ibyago byo kurwara kanseri bagaragaza ubwoko bwayo.

• Hamartomatous Polyps (cyangwa Hamartomas): Izi ni umubare muto, hafi 1% bya polyps zo mu gifu. Zishobora kubaho mu buryo butunguranye, cyangwa zishobora no kujyana n'indwara zidasanzwe zo mu bwoko bwa `Peutz-Jeghers syndrome`, `Juvenile Polyposis Syndrome`, `PTEN Hamartoma Tumor Syndrome`. Iyo zibayeho mu buryo butunguranye, akenshi ziba ari ikibyimba kitagira ingaruka mbi gikura cyonyine. Ariko, iyo zibayeho hamwe n'izindi ndwara zo mu bwoko bwa `hereditary diseases` zavuzwe haruguru, ziyongera cyane kandi hakabaho ibyago byo kurwara kanseri.

Ubwoko bwa Mesenchymal Polyps:

Izi ni ubwoko budasanzwe bwa polyps buturuka mu bice by'umubiri byimbitse gato.

• Udukoko two mu bwoko bwa Fibroid two mu bwoko bwa Inflammatory Polyps: Izi ni ubwoko bw'imikurire idakunze kugaragara kandi idapfa kwibasira. Uburyo nyabwo bwo kubaho kwazo ntiburamenyekana. Hari igihe izitwa granulomas.Nanone yitwa polyp. Ni uruhurirane rw'uturemangingo tw'ubudahangarwa bw'umubiri twiyongera mu gihe cy'indwara yo kubyimba. Izi akenshi ziba ntoya, ariko iyo zikuze, zishobora guteza ibibazo. Iyo nini ivutse mu gifu, ishobora kuziba inzira y'igifu (pylorus).

• Ibibyimba byo mu nda (GIST): Ibi ni ibibyimba bidakunze kugaragara, bitaratera kanseri bishobora kuba kanseri. Bitangirira mu gice cyo hasi cyane cy'igifu (muscularis propria). Abaganga babikuraho iyo bibonetse. Bashobora gukenera uburyo butandukanye bwo kubikuramo (Endoscopic Mucosal Resection (EMR) cyangwa Endoscopic Submucosal Dissection (ESD)).

• Leiomyoma: Izi ni ibibyimba by'imitsi bidakunze kugaragara kandi byoroshye. Biba mu gice cyitwa `Muscularis Propria` kandi bishobora kugaragara nk'ibibyimba ku rukuta rw'imbere rw'igifu. Hari igihe ibi bishobora kuba kanseri (Leiomyosarcomas). Ubundi buryo bushobora kuba ngombwa kugira ngo ukureho ibi bibyimba.

Polyps zo mu gifu zikunze kugaragara gute?

Mu by’ukuri, muri rusange, polyps zo mu gifu ntizikunze kugaragara cyane. Mu bipimo 100 byo hejuru bya endoscopy, biboneka muri 4 muri byo. Kimwe cya kabiri cy’izi polyps ni `Fundic Gland Polyps` zavuzwe mbere. Hafi 30% ni `Hyperplastic Polyps`, 10% ni `Adenomatous Polyps`. 10% bisigaye ni ubundi bwoko budasanzwe.

Ese polyps zo mu gifu zifite ibimenyetso?

Akenshi, polyps zo mu gifu ntizigaragaza ibimenyetso. Akenshi ziboneka ku buryo bw’impanuka mu gihe cyo gupima uri gukora ku yindi mpamvu. Ariko, hari ubwoko bwa polyps bushobora kuva amaraso . Ni gake cyane, bumwe mu bwoko bushobora gukura bihagije ku buryo butera imbogamizi . Dore bimwe mu bimenyetso ushobora kubona:

• Kuva amaraso: Ushobora kutumva amaraso mu nda yawe. Ariko niba hari amaraso menshi ava, ushobora kubona ibimenyetso by'amaraso mu muyoboro wawe. (Iyo kuva amaraso biturutse mu gice cyo hejuru cy'igifu cyawe , umuyoboro uba umukara, utembera, aho kuba umutuku.) Uko igihe kigenda gihita, kubura amaraso bishobora gutera kubura amaraso . Ibi bishobora gutera ibimenyetso nko kutagira uburibwe, gucika intege, no kunanirwa.

• Kuziba: Niba polyp ari nini bihagije ku buryo ishobora kuziba inzira y'igogora ryawe, ushobora kugira ibimenyetso nko kugira isesemi, kubyimba, no kubabara mu gifu . Igifu cyawe gishobora no kubabara iyo uyikandagiyeho. Niba polyp ifunze neza urwinjiriro rw'igifu cyawe, ushobora kugira kuruka, kubura ubushake bwo kurya, no kugabanya ibiro .

Izi polyps zisa zite?

Ubwoko butandukanye bwa polyps zo mu nda bushobora kugaragara butandukanye. Zimwe zirererwa, zimwe zimeze nk'ikibyimba, mu gihe izindi ziba zirambuye. Abaganga bita polyps nini, zirererwa gato "sessile", naho polyps zifite umutwe usa n'igishishwa "pedunculated." Hari ubwoko bushobora kugira ibisebe hejuru kandi bushobora kuva amaraso.

Polyps zishobora kuba ingano kuva kuri milimetero imwe kugeza kuri santimetero nyinshi. Inyinshi muri zo ni nto, kuko zikura buhoro cyane. Polyps nini zishobora kuba kanseri, kuko ziba zishaje. Ariko biragoye ku baganga kumenya neza niba ari kanseri cyangwa atari yo batazirebye bakoresheje mikorosikopi.

Ni iki gitera polyps zo mu gifu?

Polyps zo mu nda zikura bitewe n’imiterere y’umubiri ziba mu maraso. Ariko, polyps zikunze kugaragara ziterwa n’impamvu za genetiki ndetse n’izindi mpamvu. Ni ukuvuga ko ubwoko butandukanye bwa polyps bukura bitewe n’impinduka zitandukanye za genetiki, ariko bigaragara ko hari n’izindi mpamvu zibigiramo uruhare mu gutera izi mpinduka.

Dore zimwe mu mpamvu abashakashatsi bavumbuye:

• Indwara ya Gastrite idakira: Indwara ya Gastrite ni ukubyimba kw'igifu. Ishobora kwangirika cyangwa kudahinduka. Indwara ya Gastrite ikunze kwangirika. Iterwa n'isuri ya shimi cyangwa indwara idakira nka H. pylori. Indwara ya Gastrite idahinduka ishobora gutuma igifu kiba gito (atrophic gastritis), bigatuma habaho impinduka zitandukanye mu turemangingo. Ubwo bwoko bwombi bushobora gutuma habaho ubwoko butandukanye bwa kanseri, cyane cyane polyps za hyperplastic, adenomas, inflammatory fibroids, na neuroendocrine tumors.

• Inhibitors za Proton-Pump (PPI): Iyi ni imiti dufata buri gihe ivura indwara ya gastritis, kuribwa mu gifu, no kurwara aside reflux, nka Omeprazole. Iyo iyi miti ikoreshejwe igihe kirekire kandi kenshi, ishobora kugira ingaruka ku buryo igifu gikora. Iyo iyi miti ibujije uturemangingo tumwe na tumwe gukora aside, utundi turemangingo dutangira gukora aside nyinshi kuruta uko bikenewe kugira ngo tubashe kwishyura iyo mfu. Iyi ni yo mpamvu ikunze gutera izo "Fundic Gland Polyps" zitarimo ingaruka. Rimwe na rimwe, ibi bishobora no kugira ingaruka ku iterambere rya "Gastric Neuroendocrine Tumors".

Ni gute polyps ziboneka (zipimwa)?

Udukoko twinshi two mu nda tuboneka mu gihe cyo gupima igice cyo hejuru cya endoscopy (EGD) . Umuganga w’indwara z’igifu cyangwa umuganga ukora iki kizamini afata agace gato k’urugingo (biopsy) muri polyp, cyangwa agakuramo polyp burundu (polypectomy). Hanyuma ingero z’utugingo zoherezwa kugira ngo zikorerwe ibindi bipimo. Umuganga w’indwara azisuzuma akoresheje mikorosikopi kugira ngo amenye ubwoko bwa polyp n’uko yaba ari kanseri.

Bisobanura iki niba ufite polyps mu nda yawe?

Ubwoko butandukanye bwa polyps bushobora gusobanura ibintu bitandukanye. Bitewe n'ubwoko bwa polyp yabonetse, muganga wawe ashobora gutegeka ibindi bipimo kugira ngo arebe izindi ndwara zishobora kuba zirimo. Urugero, bashobora gutegeka ibipimo kugira ngo barebe ko hari ubwandu bwa H. pylori cyangwa izindi ndwara zidakira zo kubyimba.

Umubare wa polyps ufite n'ingano yazo nabyo ni ingenzi. Niba ufite polyps nyinshi, muganga wawe ashobora kukugira inama yo gupima imiterere y'uturemangingo kugira ngo arebe niba hari indwara z'uruhererekane. Niba byemejwe ko ufite iyo ndwara y'uruhererekane, uzakenera gusuzuma polyps mu bindi bice by'umubiri wawe. Niba habonetse polyps zibanziriza kanseri, ushobora gukenera kongera gupimwa mu buryo bwa endoscope vuba.

Ni ubuhe buryo bwo kuvura polyps zo mu gifu?

Uburyo bwo kuvura buterwa n'ubwoko bwa polyps ufite n'uko zimeze. Bitewe n'ibi, uburyo bukurikira bushobora kugirwa inama:

• Gukuraho Polyp yo mu Gifu: Muganga wawe ashobora kuba yarakuye polyp mu gihe cyo gukorerwa endoscope (polypectomy). Ariko, rimwe na rimwe polyp nyinshi zishobora gukenerwa kuboneka cyangwa gukurwaho. Polyp zimwe na zimwe zigoye kandi zimbitse zishobora gukenera uburyo bwihariye (`EMR`, `ESD`) cyangwa, gake cyane, kubagwa.

• Izindi ndwara zo gupima polyp: Niba muganga wawe abonye polyp zifite kanseri cyangwa zishobora kuba kanseri, ugomba kongera gupimwa vuba kugira ngo urebe niba nshya zavutse. Muganga wawe azakubwira inshuro ugomba kongera gupimwa, bitewe n'ubwoko n'imiterere ya polyp zabonetse. Bashobora kandi gushaka gukurikirana uko umubiri wawe witabira kuvurwa.

• Uburyo bwo kuvura indwara zifitanye isano: Hari igihe ushobora kubanza kuvurwa indwara ishobora kuvurwa, nka gastritis, bitewe n’izi ndwara zo mu gifu. Muganga wawe ashobora kuvura izi ndwara mu gihe anavura iyi ndwara. Izi ndwara zifitanye isano itaziguye n’ubwandu bwa H. pylori cyangwa ikoreshwa rya proton pump inhibitors (PPIs) zishobora kugenda iyo izo ndwara zivuwe.

Ese ushobora gukumira ikorwa rya polyps zo mu gifu?

Kuvura indwara ya gastritis idakira n'impamvu zayo bishobora gufasha mu gukumira ubwoko bumwe na bumwe bwa polyps zo mu gifu. Nanone, kugabanya ikoreshwa ry'imiti yitwa `Proton Pump Inhibitors (PPIs)` bishobora gufasha mu kugabanya ivuka rya zimwe mu ndwara za polyps. Ariko, polyps nyinshi zikura hamwe na `PPIs` ni nziza. Rero nta tegeko rivuga ko ugomba guhagarika gufata imiti kugira ngo uyirinde. Ni byiza kubiganiraho na muganga wawe.

Bigenda bite iyo ufite polyps mu nda yawe?

Muganga wawe nasangamo polyps mu nda yawe, azakora ibizamini kugira ngo amenye ubwoko bwazo n'icyo zisobanura.Akenshi, ntabwo ari ikibazo gikomeye. Amahirwe yo kubona polyp ihinduka kanseri yo mu gifu ni munsi ya 2%. Ushobora gusanga ufite indi ndwara ishobora kuvurwa.

Ese ngomba guhindura indyo nyuma yo gukurwaho polyps?

Indyo yuzuye ifasha igifu gukira nyuma yuko polyps zikuweho binyuze muri endoscope. Nanone, indyo nziza ni ingenzi mu kwirinda indwara ya gastritis, ari nayo mpamvu ikomeye itera polyps zo mu gifu. Abaganga bagira inama yo gukurikiza indyo irwanya ububyimbirwe . Ni ukuvuga ko aho gukoresha ibiryo by'ubukorano, isukari nyinshi, n'ibinure byuzuye, ibiryo karemano birimo ibinyampeke byuzuye, poroteyine zitarimo ibinure byinshi, n'ibinure bidafite ibinure byinshi bigomba gushyirwa imbere.

Ni ryari ngomba kujya kwa muganga?

Nyuma yo gukuraho ibisebe , ni ngombwa cyane gusubirayo kugira ngo urebe ko wagaruka nk'uko muganga wawe abikubwira. Azakubwira inshuro ugomba kugaruka. Nanone, niba ufite ibimenyetso bidasanzwe, nko kubabara mu gifu cyangwa impinduka mu mwanda wawe, ugomba no kubimenyesha muganga wawe. Hanyuma ashobora kukubwira niba ari ibisanzwe cyangwa niba bikenewe ko bisuzumwa.

Ni ibihe bibazo ngomba kubaza muganga?

Ushobora kubaza ibibazo nk'ibi:

• Ni ubuhe bwoko bwa polyps mfite?
• Ese polyps zanjye zishobora kuba kanseri?
• Ese mfite ibyago byinshi cyangwa bike byo kurwara kanseri y'igifu?
• Ni iyihe mpamvu ishobora kuba itera polyps zo mu gifu cyanjye?
• Ni izihe mpinduka ngomba gukora kugira ngo wirinde ko indwara zo mu gifu zitangira kugaragara mu gihe kizaza?
• Ni ryari nkwiye gukora endoscopiya yanjye itaha?

Amaherezo, ibuka ibi (Ubutumwa bwo kujyana mu rugo)

Kubona polyps mu nda yawe akenshi ni impanuka, iyo urimo gupimwa kwa muganga ku kindi kintu. Bishobora kugutera ikibazo. Ariko ibuka ko polyps nyinshi zo mu nda atari kanseri, kandi zifite ibyago bike byo kurwara kanseri. Kenshi na kenshi, ni ikindi kimenyetso cy'indwara yakuzanye kwa muganga.

Bitewe n'ubwoko bwa polyps zo mu gifu ufite, umuganga wawe azaba afite amakuru menshi y'ingenzi ku buzima bwawe bw'igifu. Azamenya icyo gukora kugira ngo avure ikibazo cyawe kandi acunge ibyago byawe byo kurwara kanseri y'igifu. Niba hari ibyago, ni byiza kubimenya vuba, sibyo? Ntutinye rero, tega amatwi icyo umuganga wawe akubwira, kandi ubone ubuvuzi bukwiye.

` Polyps zo mu gifu, ibibyimba byo mu gifu, gastritis, endoscopy, kanseri yo mu gifu, ibibazo byo mu gifu, ubwoko bwa polyps