Unoda kuziva zvakawanda nezvema polyps ako emudumbu? Usatya, ngatitaure!

Tose tinoda kuva neutano hwakanaka, handiti? Asi dzimwe nguva, zvinhu zvinogona kuitika mukati memiviri yedu isu tisingazive. Ura hwako, ura hukuru uko chikafu chatinodya chinogayiwa uye marara atinosiya, dzimwe nguva anogona kukura madiki mukati. Ndizvo zvinonzi navanachiremba `(Colon Polyps)`. Usatye paunonzwa zita iri, zvakanaka here? Nekuti akawanda emapolyps aya haana njodzi. Zvisinei, kune mamwe marudzi anogona kuchinja kuita kenza kana akasiyiwa asina kurapwa kwenguva yakareba. Ndosaka zvichikosha kuti isu tese tizive nezve aya `(Colon Polyps)`.

Saka ma polyps emudumbu chii?

Zvichitaurwa zviri nyore, aya ma "(Colon Polyps)" kukura kwemasero kusingawanzoitiki kunoumbwa pamadziro emukati meura wako mukuru, ndiko kuti, mucous lining. Akaita sebundu diki. Anogona kutanga semasero rimwe chete uye zvishoma nezvishoma anokura. Mapolyps aya anogonawo kuumbwa mune dzimwe nhengo dzemuviri wedu, semuenzaniso, mudumbu, mumhino, kana mudumbu remukadzi.

Chinhu chakakosha ndechekuti, kungova ne polyps idzi hazvirevi kuti ikenza. Zvisinei, kazhinji, kenza yemudumbu inotanga ne polyp yakadai. Ndosaka vanachiremba vachitsvaga polyps idzi panguva ye colonoscopy vodzibvisa kana dziripo.

Kune mhando dzakasiyana dzemapolyps here? Dzinosiyana sei?

Ehe, kune mhando dzakasiyana dzema polyps anoumbwa muura. Vanachiremba vanoaisa mumapoka zvichienderana nezvinhu zviviri zvikuru.

Chimwe chimiro chepolyp .

• Kune mamwe ma polyps anoita sehowa hudiki hwamera. Izvi zvinoreva kuti ane dzinde diki nemusoro pamusoro paro. Aya anonzi ma polyps e "Pedunculated".
• Rumwe rudzi ibundu rakati sandara, rakaita sebundu rakanamirwa pamadziro emudumbu risina dzinde. Idzi dzinonzi ``Sessile`` polyps.

Imwe nzira ndeyekushandisa ma polyps aya asingaonekwe zvakanaka . Kureva kuti, maitiro akaitwa masero aya. Ndiyo nzira iyo masero aya anokura nayo ndiyo inosarudza kana polyp inogona kushanduka kuita kenza kana kwete. Nokudaro, kugona kwekenza kwemhando yega yega ye polyp kwakasiyana.

Heano mamwe emhando huru dzema polyps anoonekwa:

• Adenomatous polyps (adenomas): Aya ndiwo anonyanya kuwanikwa. Kunewo marudzi akasiyana-siyana eaya:
• Tubular adenomas
• Villous adenomas
• Tubulovillous adenomas
• Mapolyps ane serrated: Kunewo mhando dzakasiyana dzeizvi.
• Mapolyps epurasitiki
• Maronda ane mvere dzakakora
• Adenomas dzechinyakare dzine serrated
• Hamartomas (ma polyps evechidiki): Izvi zvinowanzoonekwa muvechidiki.
• Mapolyps ekuzvimba (kana kuti pseudopolyps): Aya haasi mapolyps chaiwo, tichazotaura nezvazvo gare gare.

Kupatsanurwa kwema polyps zvichienderana nenjodzi yekenza: Neoplastic uye Non-neoplastic

Iyi ndiyo mhando inonyanya kukosha. ``Neoplastic`` polyps ndidzo mhando dzinogona kuita kenza. ``Non-neoplastic`` polyps ndidzo mhando dzisina (kana kuti dzine mukana mudiki) wekuita kenza.

• (Neoplastic) polyps ( njodzi yekenza ):
• Ma polyps ese ane adenomatous (Adenomas)
• Maronda ane mvere dzakakora
• Adenomas dzechinyakare dzine serrated

• (Non-neoplastic) polyps (njodzi shoma/isina yekenza):
• Mapolyps epurasitiki
• Maporipu evana (Hamartomas)
• Ma pseudopolyps ekuzvimba

Ma polyps emudumbu aya akajairika zvakadii?

Ichi chirwere chinowanzoitika kupfuura zvaungafunga, kunyanya sezvaunokura. Paavhareji, vanhu vakuru vanosvika 20%, kana kuti mumwe chete pavashanu, vanogona kunge vaine ma polyps aya. Muvanhu vane makore anopfuura 50, vanenge 40%, kana kuti vana pagumi, vanogona kunge vaine chirwere ichi. Musashamisika, vamwe vana vanovawanawo, vanosvika 6% vavo. Munhu wese, pasinei nerudzi, chitendero, kana kuti murume kana mukadzi, ari panjodzi yekuva nema polyps aya nekenza yemudumbu. Chirwere ichi chakajairika zvishoma munyika dzekuMadokero.

Mangani ma polyps emudumbu anova kenza?

Hezvino zvaunofanira kunzwisisa. Mhando dzakawanda dzemapolyps dzinogona kuita kenza. Ndosaka vanachiremba vachiabvisa panguva ye colonoscopy. Zvisinei, nhamba diki chete ndiyo inova kenza. Zvakare, zvinotora nguva yakareba kuti polyp ive kenza. Ndosaka zvichikosha kuti ugare uchiongororwa colonoscopy uye kubvisa mapolyps aya asati ava kenza.

Zvichitaurwa zviri nyore, inenge 75% yekenza yemuura inotanga sema polyps e adenomatous. Zvakare, inenge 80% yema polyps ese anowanikwa i adenomas. Zvisinei, inenge 5% chete yema adenomas aya anova kenza. Zvinofungidzirwa kuti polyp yakajairika ine njodzi ye8% yekuva kenza mumakore gumi uye njodzi ye24% mumakore makumi maviri.

Ndezvipi zviratidzo zvema polyps emudumbu?

Apa ndipo panotanga kuvhiringa. Kazhinji, mapolyps aya haaratidzi zviratidzo, kunyangwe aripo.Gomarara remudumbu rinogona kusaratidza zviratidzo pakutanga. Ndosaka kuongororwa kwemuviri kuchikosha zvikuru. Kazhinji, panguva inoonekwa zviratidzo, polyp inogona kunge yatove kenza.

Zvisinei, kashoma, zviratidzo zvinotevera zvinogona kuitika:

• Ropa mutsvina kana zvimwe zviratidzo: Kana polyp iri kubuda ropa, unogona kuona ropa mutsvina yako kana kuti uine ropa papepa rako rechimbuzi. Dzimwe nguva kubuda ropa kunonoka zvekuti ungasatombozviona. Asi nekufamba kwenguva, muviri wako unotanga kuzviona. Unogona kutanga kuva neanemia yekushomeka kwesimbi , iyo inogona kukonzera zviratidzo zvakaita sekuneta kwakanyanya uye kushaya simba.
• Kuchinja kusingatsananguriki mumaitiro emudumbu: Kashoma, vamwe vanhu vanogona kungoerekana vatanga manyoka kana kuvimbiwa nguva dzose. Kana kuti vanogona kuwedzera huwandu hwemvura yakaita semanyoka inobuda netsvina yavo. Kune zvimwe zvikonzero zvakawanda zvezviratidzo izvi kupfuura mapolyps. Zvisinei, zvakanaka kuona chiremba, kunyanya kana usingakwanise kuziva chiri kukonzera shanduko iyi.

Chinhu chinonyanya kukosha: Kuchenjera kutaura nachiremba woongororwa se colonoscopy mushure memakore 45-50 (kana kuti apfuura kana mumwe munhu mumhuri mako akambova nechirwere ichi) pane kumirira kuti zviratidzo zvionekwe.

Sei tichiwana ma polyps aya emudumbu?

Kazhinji, mapolyps aya anokura zvishoma nezvishoma. Kureva kuti, pasina chikonzero chaicho. Zvisinei, vamwe vanhu vanogona kukura mapolyps aya nekuda kwezvirwere zvenhaka. Muzviitiko zvakadaro, pane mukana wekuti mapolyps akawanda abude uye mukana wekuwedzera wekenza.

Chii chinonyanya kukonzera polyps?

Chikonzero chikuru ndechekuchinja kwemajini . Zvichitaurwa zviri nyore, kana masero edu akapatsanuka ogadzira masero matsva, zvikanganiso zvidiki zvinoitika mukodhi yemajini emasero iwayo. Nekuti masero eganda, kusanganisira ura, anogara achizvivandudza, zvikanganiso izvi zvinowanzoitika. Kana majini aya achichinja, kukura uye maitiro emasero anochinja.

Mamwe majini anopfuudzwa kubva kumhuri kuenda kumhuri (hereditary syndromes). Mamwe anoita seanoitika zvisina tsarukano, asi pane zvikonzero zvakawanda zvinogona kuitika. Vaongorori vanotenda kuti ma polyps asina tsarukano anokonzerwawo nemajini, pamwe nezvinhu zvinokonzera njodzi munharaunda.

Ndezvipi zvimwe zvinokonzera polyps?

1. Majini:

Kana nhengo yemhuri yepedyo (mubereki, mukoma kana munun'una, mwana) yakambova nemapolyps, une mukana mukuru wekuva nawo. Zvakare, mamwe mamiriro ezvinhu emumajini anogona kukonzera polyps. Mimwe mienzaniso ndeiyi:

• Familyal Adenomatous Polyposis (FAP)
• Chirwere chePeutz-Jeghers
• Polyposis inobatanidzwa neMUTYH
• Gardner syndrome
• PTEN hamartoma bundu chirwere
• Turcot syndrome
• Serrated polyposis syndrome
• chirwere cheJuvenile polyposis

2. Zvinhu Zvinokonzera Mararamiro Uye Zvakatipoteredza:

Izvi zvinoreva zvinhu zvakaita senzvimbo yatinogara, mararamiro edu, nezvimwewo. Izvi zvinogonawo kukanganisa kukura kwemapolyps.

• Kukwegura: Njodzi inowedzera nekukura.
• Kusvuta.
• Kunwa doro zvakanyanya.
• Kudya zvine mafuta akawanda uye zvisina fiber yakawanda: Kudya nyama tsvuku yakawanda, nyama dzakagadzirwa, uye michero nemiriwo mishoma.
• Kusaita maekisesaizi.
• Kufuta zvakanyanya.
• Chirwere cheshuga.
• Chirwere cheInflammatory Uwel (IBD): Zvirwere zvakaita seCrohn's disease kana ulcerative colitis.

Nyaya yakakosha: Pseudopolyps dzinozvimba

Sezvambotaurwa, aya haasi ma "polyps" chaiwo anokonzerwa nekuchinja kwemajini. Anokonzerwa nekuporeswa kwemaronda muura, ayo anosiya mavanga akafanana nemapundu eganda. Kuzvimba kwenguva refu kweura (kana colitis) ndicho chikonzero chikuru chemaronda aya. Anowanzobatanidzwa nematambudziko akadai sechirwere chemudumbu chinoputika (IBD). Haashanduki kuita kenza.

Vanachiremba vanowana sei ma polyps aya?

Nzira yakanakisisa uye yakarurama yekuwana ma polyps muura ndeye colonoscopy. Muizvi, chubhu inochinjika ine kamera diki nechiedza (colonoscope) inopinzwa kuburikidza neanus uye ura hwese hunoongororwa. Kunyangwe dzimwe "miyedzo yekufungidzira" ichigona kuwana ma polyps, mukana we "colonoscopy" ndewekuti inogona kuwana ma polyps, kuabvisa panguva imwe chete, uye kutora zvidimbu zvidiki kuti zviongororwe (biopsy).

Masampuro enyama anotorwa nenzira iyi anotumirwa kurabhoritari uye anoongororwa nemaikorosikopu nenyanzvi yezvirwere. Ndipo chete patinozoziva kuti rudzii rwepolyp uye kana ine masero ekenza.

Kuongororwa kwecolonoscopy kunoda kugadzirira kwakakosha kuchenesa ura zuva risati rasvika bvunzo, uye bvunzo iyi inoitwa pasi peanesthesia, izvo zvinogona kusafadza vamwe vanhu. Saka, dzimwe nguva vanachiremba vanogona kutanga vaita bvunzo dziri nyore dzekuongorora. Zvisinei, kana mapolyps akawanikwa mune imwe bvunzo, colonoscopy inodiwa kuti ibviswe.

Kune mimwe miedzo yakawanda inogona kuitwa kana paine zvinofungidzirwa kuti polyps:

• Kuongororwa kweropa: Kuongororwa kweropa rose (CBC) kunogona kuona anemia inokonzerwa nekubuda ropa kwenguva refu. Basic metabolic panel inogona kuona kusarongeka kwema electrolyte mumuviri. Kana mumwe munhu mumhuri yako aine hereditary polyposis syndrome, unogona zvakare kuongororwa majini kuti uone kana uine gene mutation.
• Kuongororwa kwetsvina: Kuongororwa kweropa re "fecal occult blood (FOBT)" kunoongorora ropa diki riri mutsvina iro riri diki zvekuti harionekwe nemaziso. Dzimwe bvunzo dzinoongorora "DNA" riri mutsvina kuti dzione kana paine shanduko dzekenza.
• Kuongororwa kwemifananidzo: Senzira yekutsiva colonoscopy yenguva dzose, virtual colonoscopy (rudzi rweCT scan) uye capsule endoscopy (kapisi diki kaunomedza kuti utarise ura hwako) zvinogona kuitwa. Barium enema inogonawo dzimwe nguva kuratidza mapolyps.

Mangani ma polyps anowanikwa panguva ye colonoscopy yenguva dzose?

Zviri nani kusave nemapolyps zvachose. Zvisinei, zvakajairika kuva nemapolyps rimwe chete kana maviri, kana kutoti mamwe mashoma. Vanachiremba vanoongorora huwandu hwemapolyps aunawo, saizi yawo, nzvimbo yawo, uye rudzi rwawo. Nekuti mapolyps anokura zvishoma nezvishoma, kuva nemapolyps mashoma zvinoreva kuti uchiri panjodzi shoma yekubatwa nekenza yemuura.

Zvisinei, unogona kufungidzirwa kuti uri panjodzi yakakura yekubatwa nekenza muzviitiko zvinotevera:

• Kana paine ma polyps anopfuura matatu.
• Kana ma polyps akakura kupfuura 10 millimeters (1 centimeter).
• Kana ma polyps ari kurudyi rwemuura mukuru (semuenzaniso, sigmoid colon kana transverse colon).
• Kana uine ma polyps erudzi rwe `(Villous)` kana `(Tubulovillous adenomas)`.
• Kana uine ma polyps erudzi rwe "Sessile serrated lesions" kana kuti "Serrated adenomas".
• Kana uine chirwere che polyposis syndrome chinogara nhaka.

Mapolyps aya emudumbu anorapwa sei?

Kurapa kwakajairika kubvisa ma polyps muura.Zvisinei, kana uine ma polyp asiri epurasitiki chete, asiri panjodzi yekubatwa nekenza, ungasakwanisa kuabvisa. Zvisinei, kazhinji, hazvigoneke kuziva zvechokwadi kana polyp iri neoplastic kana kuti isiri neoplastic kusvika yaongororwa nemaikorosikopu. Zvinogona kutora vhiki imwe kana maviri kuti mhedzisiro ye biopsy yako idzoke.

Nekubvisa mapopu epurasitiki, unogona kuderedza njodzi yako yekubatwa nekenza yemuura ne80%! Zvisinei, kana wangova nemapopu, anogona kudzoka. Chiremba wako achatarisa mhando yemapopu awakava nawo uye achaongorora njodzi yako yekubatwa nemapopu mune ramangwana. Colonoscopy inotevera icharongwa zvichienderana nenjodzi iyoyo.

Kubviswa kweColon Polyp

Chiremba anoita colonoscopy - kazhinji chiremba wezvekudya kana chiremba wemazino - anogona kubvisa mapolyps akawanda panguva yekuvhiyiwa kwako. Maitiro aya ari nyore anonzi polypectomy. Zvisinei, kana uine mapolyps makuru kana akaoma kubvisa, maitiro chaiwo (endoscopic mucosal resection kana endoscopic submucosal dissection) anogona kushandiswa kubvisa.

Kuongorora Colonoscopy

Kana colonoscopy yako ikasawana mapopu ekenza, ungangoda kuongororwa kunotevera mumakore angangoita gumi. Zvisinei, kana mapopu ekenza yako akabviswa, nguva yekuongororwa kunotevera inogona kusiyana. Chiremba wako anogona kukurudzira kuongororwazve mugore rimwe, matatu, mashanu, kana manomwe, zvichienderana nezvinhu zvinokuvadza muviri wako.

Ma polyps emudumbu anogona kudzivirirwa here?

Hapana nzira yekudzivirira kushanduka kwemajini kunokonzera polyps. Zvisinei, kuchengetedza hutano hwako zvakanaka kunogona kubatsira kuderedza njodzi yako yekubatwa nepolyps kusvika pamwero wakati.

• Kudya zviyo zvakawanda, miriwo, nemichero.
• Kuderedza mafuta emhuka (kunyanya nyama tsvuku, nyama yakagadzirwa).
• Kurovedza muviri nguva dzose.
• Dzivisa kunwa doro zvakanyanya uye kusvuta fodya.

Zvinhu izvi zvinobatsirawo kudzivirira gomarara remudumbu.

Saka ma polyps aya emudumbu akakomba zvakadii?

Mapolyps emudumbu anogona kuva akakomba nekuti anogona kushanduka kuita kenza. Asi yeuka, mapolyps mazhinji haasi kenza kana akawanikwa. Mamwe anogona kuva kenza nekufamba kwenguva kana akasarapwa. Ndosaka vanachiremba vachiabvisa kana akawanikwa.

Chii chandinofanira kubvunza chiremba wangu nezvema polyps angu emudumbu?

Unogona kubvunza chiremba mibvunzo yakaita seiyi:

• Ndine mhando ipi ye `(Colon Polyps)`?
• Mapolyps angu "ane njodzi yekenza" here (ane njodzi yekenza) kana kuti "asina njodzi yekenza" (asina njodzi yekenza)?
• Njodzi yangu yekubatwa nekenza yemuura yakaderera here, yakajairika, kana kuti yakakwira?
• Ndinofanira kuongororwa majini here kuti ndione kana ndine here chirwere chepolyposis syndromes chinoberekwa nevabereki vangu?
• Mapolyps anogona kukura zvakare kwenguva yakareba sei mushure mekubviswa?
• Ndirini pandinofanira kuita colonoscopy yangu inotevera?

Vanhu vazhinji vanotya colonoscopy yavo yakarongwa uye vanoshamisika kana vachigona kuimisa. "Sei uchifanira kungoita zvese izvi kuti uve nechokwadi chekuti handina polyps?" ungazvibvunza. Asi kana uine polyps, colonoscopy ndiyo nzira yakanakisisa yekuona nekurapa usati watombozviziva.

Kuziva kuti une mapolyp emudumbu kunogona kutyisa. Zvisinei, vanhu vazhinji vanawo, uye vazhinji havamboiti kenza. Haufanire kunetseka nezve polyp yakawanikwa ikabviswa. Chinhu chakakosha ndechekuiwana woibvisa nekukurumidza, isati yava kenza.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Saka, ikozvino wava kuziva zvakawanda nezvema polyps emudumbu, handiti? Izvi hazvina chekutyiwa.

Chinhu chinonyanya kukosha kutaura nachiremba panguva yakakodzera, kunyanya mushure memakore 45-50, uye kuongororwa se colonoscopy kana zvichidikanwa. Zvadaro ma polyps aya anogona kuonekwa uye kungobviswa asati ava kenza.

Kuramba uine mararamiro ane hutano kunogonawo kubatsira kuderedza njodzi iyi. Zvinhu zvakaita sekudya zvine mwero, kurovedza muviri, uye kusaputa fodya uye kunwa doro zvakanyanya zvakanaka pahutano hwemudumbu wako, pamwe nemuviri wako wese.

Kana muine mimwe mibvunzo nezveizvi, musazeza kubvunza chiremba wemhuri yenyu kana chiremba wezvekudya. Rambai muine hutano hwakanaka!