Tose tinoda kuramba tiine hutano hwakanaka, handiti? Zvisinei, dzimwe nguva zvinhu zvinogona kuitika mukati memiviri yedu isu tisingatombozvizivi. Muura hwako hukuru—chikamu chemudumbu mako umo tsvina inopfuura nepakati—dzimwe nguva matumbu madiki anogona kukura pamukati memukati. Aya ndiwo anonzi navanachiremba (Colon Polyps) . Ndapota musavhundutswa nezita racho! Mazhinji emapolyps aya haana njodzi. Zvisinei, mamwe marudzi anogona kukura kuita kenza kana akasarapwa nekufamba kwenguva. Ndosaka zvichikosha kuti tose tizive zvakawanda nezve (Colon Polyps) .
Saka, chii chaizvo chinonzi Colon Polyps?
Zvichitaurwa zviri nyore, (Colon Polyps) kukura kusingawanzoitika kwemasero anokura pamukati memukati meura wako mukuru. Anotaridzika semapundu madiki kana mapundu. Anowanzo tanga ari boka diki remasero uye anogona kukura nekufamba kwenguva. Mapundu akafanana anogonawo kuitika mune dzimwe nhengo dzemuviri, dzakadai sedumbu, mhino, kana nzira yekubereka yevakadzi.
Chinhu chakakosha kurangarira ndechekuti kuva nepolyp hazvirevi kuti une kenza. Zvisinei, kenza zhinji dzemudumbu dzinobva mumhando idzi dzepolyps. Ndosaka, panguva yekuongorora (Colonoscopy) , vanachiremba vanotsvaga nekungwarira mapundu aya voabvisa kana akawanikwa.
Kune mhando dzakasiyana dzemapolyps here? Dzinosiyana sei?
Ehe, mapolyps emudumbu akasiyana, uye vanachiremba vanoaisa mumapoka zvichienderana nezvinhu zviviri zvikuru.
Chimwe chimiro chepolyp :
- Mamwe anotaridzika sehowa hudiki, hune dzinde diki nemusoro pamusoro. Aya anonzi mapolyps (Pedunculated) .
- Rumwe rudzi rwakati sandara, rwakarara pamadziro emudumbu rusina dzinde. Idzi dzinonzi (Sessile) polyps.
Chinhu chechipiri ndechekuti anoonekwa sei uchishandisa maikorosikopu (zvinhu zve microscopic). Kukura kwemasero aya kunoratidza kana polyp iine mukana wekushanduka kuita kenza. Nekuda kweizvozvo, mukana wekenza unosiyana zvakanyanya zvichienderana nerudzi rwayo.
Mhando dzakajairika dzema polyps dzinosanganisira:
- Adenomatous polyps (kana kuti adenomas): Aya ndiwo anonyanya kuwanikwa. Anewo ma sub-types:
- Tubular adenomas
- Villous adenomas
- Tubulovillous adenomas
- Mapolyps ane serrated: Aya anouyawo mumhando dzakasiyana-siyana:
- Mapolyps epurasitiki
- Maronda ane serrated
- Adenomas dzechinyakare dzine serrated
- Hamartomas (kana kuti juvenile polyps): Izvi zvinowanzoonekwa muvanhu vadiki.
- Mapolyps ekuzvimba (kana kuti pseudopolyps): Aya haasi mapolyps echokwadi; tichazokurukura nezveaya gare gare.
Kupatsanurwa nenjodzi yekenza: Neoplastic uye Non-neoplastic
Uku ndiko kupatsanurwa kwakakosha zvikuru. (Neoplastic) polyps ndiwo anogona kuchinja kuita kenza, nepo (Non-neoplastic polyps) ari iwo asingagoni (kana kuti ane mukana mudiki kwazvo wekuita izvozvo).
- (Neoplastic) polyps ( njodzi yekenza iripo):
- Mapolyps ese eAdenomatous (Adenomas)
- Maronda ane serrated
- Adenomas dzechinyakare dzine serrated
- (Non-neoplastic) polyps (njodzi yakaderera/isina kenza):
- Mapolyps epurasitiki
- Maporipu evana (Hamartomas)
- Ma pseudopolyps ekuzvimba
Mapolyps emudumbu akajairika zvakadii?
Ichi chirwere chinowanzoitika kupfuura zvaungafunga, kunyanya sezvaunokura. Kazhinji, vanhu vakuru vanosvika 20%—kureva mumwe chete pavanhu vashanu—vanogona kunge vaine ma polyps aya. Pakati pevaya vane makore anopfuura 50, kuwanda kwawo kunogona kukwira kusvika 40%. Zvinoshamisa kuti anogona kutoitika muvana vanosvika 6%. Pasinei nerudzi, chitendero, kana kuti murume kana mukadzi, munhu wese ane njodzi yekuva nema polyps muura uye kenza yemudumbu. Kuwanda kwezvirwere izvi kwakakwira munyika dzekuMadokero.
Mangani ma polyps anoshanduka kuita kenza?
Ndokumbirawo munzwisise izvi zvakajeka: Mhando dzakawanda dzemapolyps dzinogona kuita kenza. Ndicho chikonzero nei vanachiremba vachidzibvisa panguva yekuongorora (Colonoscopy) . Zvisinei, chikamu chidiki chete ndicho chinoshanduka kuita kenza, uye zvinotora nguva yakareba kuti polyp ive kenza. Ndosaka kuongororwa nguva dzose (Colonoscopy) panguva dzakakurudzirwa kuchikosha kuti zvibatwe uye zvibviswe zvisati zvave nengozi.
Zvichitaurwa zviri pachena, inenge 75% yekenza yemudumbu inotanga seadenomatous polyps, uye inenge 80% yepolyps dzese dzinowanikwa dzine rudzi rweadenoma. Zvisinei, inenge 5% chete yeadenomas idzi inova inokuvadza . Zvinofungidzirwa kuti polyp yakajairika ine njodzi ye8% yekuva nekenza mukati memakore gumi uye inenge 24% mukati memakore makumi maviri.
Ndezvipi zviratidzo zvema polyps emudumbu?
Apa ndipo pakaoma. Kazhinji, mapolyps haaratidzi zviratidzo zvachose. Kunyangwe kenza yemudumbu inotanga kubuda inogona kusava nezviratidzo, ndosaka kuongororwa kwezvirwere kuchikosha zvikuru. Panosvika nguva apo zviratidzo zvinoonekwa, polyp inogona kunge yatove kenza.
Zvisinei, mune zvisingawanzoitiki, unogona kusangana ne:
- Kubuda ropa mutsvina kana zviratidzo zvine chekuita nazvo: Unogona kuona ropa mutsvina yako kana papepa rechimbuzi. Dzimwe nguva kubuda ropa kudiki-diki zvekuti hakuoneki, asi nekufamba kwenguva, kunogona kukonzera (kushomeka kwesimbi mumuviri) , zvichikonzera kuneta kwakanyanya uye kushaya simba.
- Kuchinja kusingatsananguriki mumaitiro emudumbu: Kashoma, vamwe vanhu vanogona kuramba vachirwara (manyoka) kana (kuzvimba) , kana kuona kuwedzera kwekubuda kwemvura mumanyoka. Kunyange zvazvo paine zvimwe zvikonzero zvakawanda zvezviratidzo izvi, kana ukaona shanduko isina kutsanangurwa, zvakanaka kubvunza chiremba wako.
Chinhu chikuru: Usamirire zviratidzo. Kana wangopfuura makore 45-50 (kana kuti apfuura kana uine nhoroondo yemhuri), kuchenjera kutaura nachiremba wako woronga kuongororwa (Colonoscopy) .
Sei tichiita ma polyps mumatumbo makuru?
Kazhinji, mapolyps aya anoitika nguva nenguva, zvichireva kuti anokura pasina chikonzero chakajeka uye chinozivikanwa. Zvisinei, kune vamwe vanhu, zvirwere zvenhaka zvinogona kutungamira mukukura kwavo. Muzviitiko zvakadaro, panogona kuva nemukana wakakura wekuva nemapolyps akawanda, izvo zvinogona kuwedzera njodzi yekenza yemudumbu.
Chii chinonyanya kukonzera polyps?
Chikonzero chikuru ndechekuchinja kwemajini . Zvichitaurwa zviri nyore, kana masero edu akapatsanuka kuti agadzire matsva, zvikanganiso zvidiki zvinogona kuitika mumajini avo. Nekuti masero ari mukati meura anogara achichinja, anowanzo kanganiswa nezvikanganiso izvi. Kana shanduko idzi dzemajini dzikaitika, dzinochinja kukura uye maitiro emasero.
Kumwe kuchinja kwemajini kunopfuudzwa kuburikidza nemhuri (hereditary syndromes), nepo kumwe kuchiita sekunge kunoitika zvisina tsarukano, kunyangwe izvi zvingasanganisira musanganiswa wezvinhu zvinokonzera njodzi yemajini uye zvakatipoteredza.
Ndezvipi zvimwe zvinhu zvinobatsira pakukura kwema polyp?
1. Zvinhu Zvinokonzera Majini:
Kana nhengo yemhuri yepedyo (vabereki, vanun'una, kana vana) yakambova nemapolyps, njodzi yako iri pamusoro. Pamusoro pezvo, zvimwe zvirwere zvenhaka zvinogona kukonzera kuti uve nemapolyps, akadai se:
- 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:
Nzvimbo yaunogara uye maitiro ako ezuva nezuva zvinokanganisa hutano hwako zvakanyanya uye zvinogona kubatsira mukukura kwemapolyps:
- Kukwegura: Njodzi yako inowedzera sezvaunokura.
- Kusvuta.
- Kunwa doro zvakanyanya.
- Kudya kune mafuta akawanda uye kusina faibha yakawanda: Kudya kune nyama tsvuku kana dzakagadzirwa uye kune michero nemiriwo mishoma.
- Kusaita maekisesaizi.
- Kufuta.
- Chirwere cheshuga.
- Chirwere cheInflammatory Uwel (IBD): Zvirwere zvakaita seCrohn's disease kana ulcerative colitis.
Nyaya Yakakosha: Pseudopolyps Inozvimba
Sezvambotaurwa, aya haasi ma "polyps" echokwadi anokonzerwa nekuchinja kwemajini. Chaizvoizvo mavanga akawanda anoumbwa nekuda kwekupora kwemaronda muura. Kuzvimba kusingaperi, kunowanzobatanidzwa neIBD, ndiko kunonyanya kukonzera maronda aya. Chinonyanya kukosha ndechekuti, aya haashanduki kuita kenza.
Vanachiremba vanoongorora sei polyps?
Nzira yakanakisisa yekuona mapolyps emudumbu ndeye colonoscopy. Munguva iyi, chubhu inochinjika, ine chiedza (colonoscope) ine kamera diki inoiswa mu rectum kuti iongorore ura hwese. Kunyange zvazvo mimwe miedzo yekufungidzira ichigona kuona mapolyps, mukana mukuru wecolonoscopy ndewekuti chiremba wako anogona kuwana nekubvisa mapolyps, kana kutora sampuli dzenyama (biopsy) kuti aongororwe panguva imwe chete.
Samples idzi dze biopsy dzinotumirwa kurabhoritari uko nyanzvi yezvirwere inodziongorora pasi pemaikorosikopu kuti ione rudzi rwe polyp uye kana paine masero ekenza aripo.
Kugadzirira colonoscopy kunoda kuchenesa ura usati watanga, uye nekuda kwekuti uchanwa mushonga wekuzorora, vamwe varwere vanogona kuona maitiro acho achinetsa. Nokudaro, dzimwe nguva vanachiremba vanogona kutanga nekuongororwa kuri nyore. Zvisinei, kana paine imwe bvunzo inoratidza kuvapo kwemapolyps, colonoscopy inotevera ichave yakakosha kuti ibviswe.
Mimwe miedzo inoshandiswa kuferefeta ma polyps anofungidzirwa inosanganisira:
- Kuongororwa kweropa: Kuongororwa kweropa kwakazara (CBC) kunogona kuona anemia inokonzerwa nekubuda ropa kwenguva refu, nepo metabolic panel yekutanga ichiratidza kusawirirana kwema electrolyte. Kana uine nhoroondo yemhuri ye polyposis yenhaka, kuongororwa kwemajini kunogona kuona kana uine shanduko dzemajini chaiwo.
- Kuongororwa kwetsvina: Kuongororwa kweropa reFecal Occult Blood Test (FOBT) kunoongorora huwandu hweropa husingaonekwe nemaziso. Dzimwe bvunzo dzinogona kuongorora DNA iri musampuli dzetsvina kuti dzione zviratidzo zvegomarara.
- Miedzo yekufungidzira: Dzimwe nzira dzinoshandiswa panzvimbo pe colonoscopy yakajairika dzinosanganisira virtual colonoscopy (rudzi rweCT scan) uye capsule endoscopy (kwaunomedza capsule diki ine kamera). X-ray ye barium enema inogonawo kuratidza ma polyps.
Mangani ma polyps anoonekwa se "akajairika" panguva ye colonoscopy?
Zvakanaka kuti usave ne polyps. Zvisinei, kuva nerimwe kana maviri, kana dzimwe nguva kudarika zvishoma, kunogona kuitika kakawanda. Chiremba wako achaongorora huwandu, saizi, nzvimbo, uye rudzi rwe polyps dzinowanikwa. Nekuti polyps dzinokura zvishoma nezvishoma, polyps diki shoma dzinowanzoreva kuti njodzi yako yekenza yemuura inoramba yakaderera.
Zvisinei, unogona kufungidzirwa kuti uri panjodzi huru kana:
- Une ma polyps anopfuura matatu.
- Polyp yakakura kupfuura 10 millimeters (1 centimeter).
- Mapolyps anowanikwa munzvimbo dzakati wandei dzemuura mukuru (semuenzaniso, sigmoid kana transverse colon).
- Ndedzerudzi rwevillous kana tubulovillous adenoma.
- Izvi zvironda zvine serrated kana kuti serrated adenomas.
- Une chirwere che polyposis syndrome chiri muropa rako.
Mapolyps emudumbu anorapwa sei?
Kurapa kwakajairika kubvisa mapolyps. Kana uine mapolyps asina kupararira (asiri ekenza), chiremba wako angasarudza kusaabvisa; zvisinei, nekuti kazhinji hazvigoneke kusiyanisa pakati pemapolyps ane kupararira uye asina kupararira pasina kuongorora nemaikorosikopu, kubviswa kwacho kazhinji ndiyo nzira yakachengeteka. Mhedzisiro ye biopsy inowanzo tora vhiki imwe kana maviri.
Kubvisa mapopu epurasitiki kunogona kuderedza njodzi yako yekubatwa nekenza yemudumbu ne80%! Zvisinei, kana wangove nemapopu, pane njodzi yekuti adzoke zvakare. Chiremba wako achaongorora njodzi yako yepopu dzemudumbu mune ramangwana zvichienderana nehunhu hweatobviswa uye achasarudza nguva yecolonoscopy yako inotevera zvichibva pakuongorora ikoko.
Kubviswa kweColon Polyp
Munguva ye colonoscopy yako, chiremba wako—kazhinji chiremba wezvekudya kana chiremba wemazino —anowanzo bvisa ma polyps akawanda panguva yekuvhiyiwa pachawo. Maitiro aya ari nyore anozivikanwa se polypectomy . Zvisinei, kana uine ma polyps akakura kana akaomarara, chiremba wako angangoda kushandisa nzira dzakanyanya dzakadai se EMR (Endoscopic Mucosal Resection) kana ESD (Endoscopic Submucosal Dissection) kuti ave nechokwadi chekuti abviswa zvakachengeteka.
Kuongorora Colonoscopy
Kana colonoscopy yako ikaratidza kuti hapana mapopu epurasitiki , ungasada kuongororwazve kwemakore angangoita gumi. Zvisinei, kana mapopu epurasitiki akabviswa, purogiramu yako yekutevera ichagadziriswa. Zvichienderana nezvikonzero zvako zvengozi, chiremba wako anogona kukurudzira kuti uongororwezve mugore rimwe, matatu, mashanu, kana manomwe.
Unogona kudzivirira ma polyps emudumbu here?
Kunyange zvazvo usingakwanise kudzivirira kushanduka kwemajini kunokonzera mamwe ma polyps, unogona kuderedza zvakanyanya njodzi yako nekuisa hutano hwako hwese pakutanga:
- Idya zviyo zvakakwana, michero, nemiriwo.
- Deredza mafuta emhuka (kunyanya nyama tsvuku neyakagadziriswa).
- Ramba uchirovedza muviri nguva dzose.
- Dzivisa kusvuta uye deredza kunwa doro zvakanyanya.
Maitiro aya anoitawo basa guru mukudzivirira gomarara remuura.
Mapolyps emudumbu akakomba zvakadini?
Mapolyps emudumbu anotorwa zvakakomba nekuti mamwe ane mukana wekukura kuita kenza. Zvisinei, yeuka kuti akawanda mapolyps haasi kenza kana akawanikwa. Mamwe anogona kuva kenza nekufamba kwenguva kana akasarapwa, ndosaka vanachiremba vachiabvisa nekukurumidza kana aonekwa.
Chii chandinofanira kubvunza chiremba wangu nezvema polyps angu emudumbu?
Funga kubvunza chiremba wako mibvunzo inotevera:
- Ndine mhando dzipi dzema polyps muura ?
- Mapolyps angu ane maronda here (angangove asina kenza) kana kuti haasi maronda here ?
- Njodzi yangu yekubatwa nekenza yemuura yakaderera here, pakati nepakati, kana kuti yakakwira?
- Ndinofanira kuongororwa majini here kuti ndione kana ndine here chirwere chepolyposis syndromes chinoberekwa nevabereki vangu ?
- Ma polyps aya anogona kudzokazve sei mushure mekubviswa?
- Ndinofanira kuronga rini chirongwa changu chinotevera che colonoscopy ?
Vanhu vazhinji vanonetseka nezve colonoscopy yavo yakarongwa uye vanogona kuedzwa kuti vambomira. Ungazvibvunza kuti, "Zvese izvi zvinobatsira here kungosimbisa kuti handina polyps?" Mhinduro ndeyekuti hongu. Kana uine polyps, colonoscopy ndiyo nzira yakanakisisa yekuziva nekurapa nekukurumidza, kazhinji usati watomboona zviratidzo.
Zvingori zvechisikigo kunetseka kana ukaudzwa kuti une mapolyp emudumbu, asi ziva kuti izvi zvinowanzoitika, uye kune vanhu vazhinji, izvi hazvimboiti kenza. Kana polyp yaonekwa uye yabviswa, haichave njodzi. Danho rakakosha kubata mapuroteni aya nekukurumidza.
Mharidzo Yekuenda Nayo Kumba
Pari zvino, wava kunzwisisa zvakawanda nezvema polyps emudumbu . Hapana chikonzero chekuvhunduka.
Chinhu chinonyanya kukosha ndechekubvunza chiremba wako—kunyanya mushure memakore 45-50—uye kuongororwa se colonoscopy kana zvichikurudzirwa. Izvi zvinobvumira vanachiremba kuona nekubvisa ma polyps zviri nyore uye zvakachengeteka, nguva refu vasati vakura kuita kenza.
Kuchengetedza mararamiro ane hutano ndiyo nzira yakanakisisa yekudzivirira. Kudya zvine mwero, kurovedza muviri nguva dzose, uye kurega fodya nedoro rakawandisa zvinobatsira hutano hweura hwako uye hutano hwako hwese.
Kana muine mimwe mibvunzo, musazeza kutaura nachiremba wenyu wehutano hwepamusoro kana chiremba wezvekudya kuNirogi Lanka kana kuchipatara chemunharaunda yenyu. Kana mukasangana nedambudziko rekukurumidza, ndapota fonerai 911 kana masevhisi ekukurumidzira emunharaunda yenyu nekukasika. Rambai muine hutano hwakanaka!
