Wakambonzwa nezve 'colon polyps' here? Pamwe chiremba wako akataura nezvazvo, kana kuti ungave wakanzwa izwi iri kune imwe nzvimbo. Zvingori zvechisikigo kunzwa kunetseka zvishoma paunonzwa izvi, asi nekuva neruzivo rwakanaka, unogona kuzvidzivirira kubva kumatambudziko makuru ehutano munguva inotevera. Nhasi, ngatitaurei nezvazvo pachena uye sechikamu chenharaunda yeNirogi Lanka.
Chii chinonzi Colon Polyps?
Zvichitaurwa zviri nyore, aya matumbu madiki anokura pamukati meura wako (ura hukuru). Funga nezvawo seganda diki riri mukati menzira yako yekugaya. Mazhinji acho haana njodzi. Zvisinei, mamwe marudzi emapolyps, kana akasiyiwa asina kurapwa kwenguva yakareba, anogona kukura kuita kenza yeura.
Ndosaka vanachiremba vachikurudzira kubvisa mabundu aya nekukurumidza kana aonekwa.
Zvinowanzoitika; zvinofungidzirwa kuti 15% kusvika 40% yevanhu vakuru vanogona kuzvibata pane imwe nguva. Njodzi yacho yakakwira zvishoma kuvarume uye kune avo vane makore anopfuura makumi mashanu.
Sei vachiumba? Ndiani ari panjodzi?
Kazhinji, ma polyps aya anokonzerwa nekuchinja kwemajini mumasero ako. Vanachiremba vachiri kutsvaga zvikonzero chaizvo zvinokonzera shanduko idzi.
Kunyange hazvo chero ani zvake achigona kuzviwana, pane zvimwe zvinhu zvinogona kuwedzera njodzi yako. Tarisa kana chimwe chezvinotevera chichishanda kwauri:
- Nhoroondo yemhuri: Kana nhengo yemhuri yakambova nemapolyps emuura kana kenza yemuura .
- Zera: Une makore makumi mashanu zvichikwira.
- Kurema: Kuva nemuviri wakafuta ( BMI pamusoro pe25) kana kuti wakafuta (BMI pamusoro pe30).
- Kusvuta .
- Kunwa doro zvakanyanya (kunyanya kushandiswa zvakanyanya zuva nezuva).
- Kudya: Kudya kwakawanda mafuta uye kusina faibha.
- Nhoroondo yemunhu wekare ane polyps kana kenza yemuura.
- Kuva nechirwere chemudumbu chinozvimba chakadai se `(Ulcerative Colitis )` kana `(Crohn's disease)`.
- Chirwere cheshuga cherudzi rwechipiri hachina kurapwa zvakanaka.
- Mararamiro ekugara pasi asina kunyanya kuita zvemuviri.
Pamusoro pezvo, zvimwe zvirwere zvisingawanzoitiki zvenhaka zvakaita se `(Familial Adenomatous Polyposis - FAP)` kana `(Lynch syndrome)` zvinogona kuwedzera njodzi yako zvakanyanya. Kana uine nhoroondo yemhuri yezvirwere izvi, zvakakosha kukurukura izvi nachiremba wako.
Kudya zvine basa here?
Ehe, kusvika pamwero wakati. Ongororo dzakaratidza kuti kuderedza zvinotevera kunogona kubatsira kuderedza njodzi yako:
- Nyama dzakagadzirwa (semuenzaniso, masoseji, bhekoni).
- Nyama tsvuku (semuenzaniso, nyama yemombe, nyama yenguruve).
- Zvikafu zvine mafuta akawanda (semuenzaniso, zvinhu zvakakangwa zvakadzika).
Kune mhando dzakasiyana dzemapolyps here?
Ehe, haasi ese mapolyps akafanana, uye haasi ese ane kenza. Vanachiremba vanoaisa mumapoka mushure mekuaongorora vachishandisa maikorosikopu. Ngatitarisei mhando huru:
| Rudzi rwePolyp | Tsananguro uye Kukosha |
|---|---|
| Mapuropiti eAdenomatous | Rudzi urwu ndirwo rwakanyanya kuwanda (inenge 70%). Magomarara mazhinji emuura anotanga serudzi urwu, kunyange zvazvo kazhinji zvinotora makore akati wandei kuti ave gomarara. |
| Mapolyps ane serrated | Dzakatumidzwa zita iri nekuda kwechitarisiko chadzo chakaita sechekugeda. Dzimwe dzadzo dzinoonekwa sedzisina kenza uye dzinogona kushanduka kuita kenza. |
| Mapolyps epurasitiki | Izvi zvinowanzova zvidiki uye zvine njodzi shoma yekuva nekenza. Kazhinji hazvikonzeri kunetseka kukuru. |
| Mapolyps ekuzvimba | Aya haasi mabundu chaiwo asi mhinduro yekurwara kwenguva refu muura. Haashanduki kuita kenza. |
Vakaita sei?
Vanachiremba vanoongorora kuoma kwadzo zvichienderana nehukuru uye chimiro:
- Saizi: Kazhinji, kana polyp yakakura, njodzi yekubatwa nekenza inowedzera.
- Chimiro: Mamwe akati sandara pamadziro eura (`(Sessile)`), nepo mamwe achikura padzinde sehowa (`(Pedunculated)`). Mapolyps akachekwa anowanzo nyore kubvisa.
Zviratidzo zvacho ndezvipi?
Ichi ndicho chinhu chinonyanya kukosha: Kazhinji, mapolyps emudumbu haakonzeri zviratidzo zvachose! Ungasatomboziva kuti unawo kusvika aonekwa panguva yekuongororwa nguva dzose.
Zvisinei, vamwe vanhu vanogona kusangana nezviitiko zvinotevera:
- Kubuda ropa mudumbu: Kuona ropa muchimbuzi kana papepa remachira kunogona kuratidza kubuda ropa muura.
- Kuchinja kweruvara rwetsvina: Tsvina inoratidzika seyakasviba kana ine mitsetse mitsvuku inogona kuratidza kuvapo kweropa.
- Kuchinja kwemaitiro emudumbu: Kuzvimba kana manyoka zvinotora nguva inopfuura vhiki.
- Kurwadziwa kwemudumbu kana kurwadziwa kwemudumbu.
- Kuneta kana kufema zvishoma: Kubuda ropa kudiki kwenguva refu kunokonzerwa nepolyps kunogona kukonzera kushomeka kwesimbi uye anemia.
Kana ukaona chimwe chezviratidzo izvi, ndapota bvunza chiremba nekukasika. Kana uchinzwa kurwadziwa kwakanyanya kana kubuda ropa zvakanyanya mudumbu, taura nevanopa rubatsiro rwekukurumidzira kana kuenda kudhipatimendi rekukurumidzira riri pedyo nekukasika.
Zvakakosha: Kana ukaona zviratidzo izvi, hazvirevi kuti une bundu remudumbu. Zvimwe zvirwere zviri nyore, zvakaita semahemorrhoids, zvinogonawo kuva chikonzero. Zvisinei, zvakakosha kuti ubvunze chiremba wako nekukasika kuti uone chikonzero chaicho. Ndapota usanonoka kutsvaga rubatsiro rwechiremba.
Izvi zvinoonekwa uye zvinorapwa sei?
Kuonekwa kwegomarara remudumbu nekukurumidza ndiyo nzira inoshanda zvikuru yekudzivirira gomarara remudumbu. Kune nzira dzakasiyana-siyana dzekuongorora gomarara iri.
| Bvunzo | Zvazvinosanganisira |
|---|---|
| Colonoscopy | Iyi ndiyo "Gold Standard." Paunenge uchinwa mushonga wekurapa, chubhu yakatetepa, inochinjika ine kamera inoshandiswa kuongorora ura hwako hwese. Kana ma polyps akawanikwa, anogona kubviswa panguva imwe chete. Nyama yacho inozotumirwa kunoongororwa kuti ionekwe kana masero ekenza aripo. |
| Colonoscopy yepamhepo (CT Colonography) | Izvi zvinoshandisa tekinoroji yeCT scan. Hapana chubhu inopinzwa mumuviri. Zvisinei, mapolyps haagone kubviswa panguva yekuyedzwa uku; kana akawanikwa, uchada colonoscopy yekutevera kuti ubviswe. |
| Sigmoidoscopy inochinjika | Zvakafanana ne colonoscopy, asi izvi zvinonyanya kutarisa pakuongorora chikamu chezasi che colon. |
| Kuedzwa kwetsvina | Kuongororwa kwakadai seFIT FIT/FOBT kunoongorora ropa riri mutsvina risingaonekwe zvakanaka. Kana bvunzo idzi dzikaonekwa kuti dzakanaka, zvechokwadi uchafanira kuongororwazve colonoscopy. |
Kurapa kunosanganisira kubviswa kwebundu, rinozivikanwa Polypectomy . Kazhinji, izvi zvinoitwa pasina kurwadziwa panguva ye colonoscopy. Kana polyp yabviswa zvachose, njodzi yekudzokororwa kwayo inenge yakaderera. Zvisinei, nekuti ungangove uri nyore kuita polyps itsva, zvakakosha kuti udzoke kuzoongororwazve sezvinokurudzirwa nachiremba wako (semuenzaniso, makore matatu kusvika mashanu ega ega).
Ungazvidzivirira sei?
Kunyange zvazvo usingakwanise kudzora zvinhu zvinokonzerwa nemajini, kurarama hupenyu hune hutano kunogona kuderedza zvakanyanya njodzi yako.
- Idya chikafu chine michero yakawanda, miriwo, uye fiber (senge bhinzi, nyemba, uye nyemba).
- Kana wakafuta, edza kuchengetedza huremu hwakanaka.
- Deredza kudya nyama tsvuku, nyama dzakagadzirwa, uye chikafu chine mafuta akawanda.
- Ita maekisesaizi emuviri nguva dzose.
- Dzivisa kusvuta uye kunwa doro zvakanyanya.
- Taura nachiremba wako kuti uve nechokwadi chekuti uri kuwana calcium yakakwana neVitamin D.
- Kana uine makore anopfuura makumi mashanu, kana kuti une nhoroondo yemhuri, bvunza chiremba wako nezvehurongwa hwakakodzera hwekuongororwa.
Mharidzo Yekuenda Nayo Kumba
- Mapolyps emudumbu akajairika uye anorapika, asi haafanire kuregeredzwa.
- Mapolyps haawanzo kukonzera zviratidzo, ndosaka kuongororwa nguva nenguva sezvaunokura kuchikosha.
- Kuongororwa kwecolonoscopy kunobvumira kuonekwa nekubviswa kwemapolyps nekukurumidza.
- Kugadzirisa mararamiro ako zviri nyore kunogona kubatsira kuderedza njodzi yauri kusangana nayo.
- Kana ukaona zviratidzo zvakaita seropa mutsvina yako, usavhunduke, asi usamirira —ona chiremba wako nekukasika.
Nirogi Lanka: Mapundu emudumbu, colonoscopy, ropa mutsvina, kurwadziwa mudumbu, kenza yemudumbu
