Wakambonzwa nezvechinhu chinonzi 'polyps' here? Pamwe chiremba wako akakuongorora akakuudza kuti une imwe. Zvichitaurwa zviri nyore, idzi inhumbu diki dzinoumba pamadziro emukati menhengo dziri mukati memiviri yedu (semuenzaniso, ura, chibereko). Kunyangwe dzakawanda dzadzo dzisiri njodzi, dzimwe dzinogona kuchinja kuita kenza nekufamba kwenguva, saka zvakanaka kudzibvisa dzoongororwa. Saka nhasi tichataura nezvenzira yekurapa inonzi 'polypectomy', iyo inobvisa polyps idzi.
Chii chinonzi polypectomy chaiyo?
Kuvhiyiwa kwepolypectomy inzira yekurapa inobvisa polyp kana kukura kwakaumbwa mukati menhengo yemuviri wako. Polyps idzi dzinogona kuva nekenza (kenza) kana kuti dzisiri dzekenza (dzisina kuipa).
Kazhinji, idzi hadzina njodzi . Asi chiremba wako anogona kuzviziva chete mushure mekudzibvisa nekudzitumira kurabhoritari kuti dziongororwe. Mamwe mapolyps "haasati aita kenza." Izvi zvinoreva kuti haasi kenza parizvino, asi ane mukana wekuva kenza mune ramangwana.
Sei ma polyps aya achifanira kubviswa?
Panogona kunge paine zvikonzero zvakasiyana-siyana zvekubvisa polyp.
- Kana uine zviratidzo: Mamwe ma polyps anogona kukonzera zviratidzo zvakasiyana-siyana, zvakaita sekurwadziwa mudumbu, kubuda ropa, kana kuchinja maitiro emudumbu.
- Kana paine njodzi yekubatwa nekenza: Kana chiremba akaiongorora ofunga kuti ingave kenza kana kuti achifunga kuti ingave kenza.
- Kana uchida kuongororwa: Kuti uzive kuti ibundu rerudzii, unofanira kuribvisa woritumira kurabhoritari ("biopsy").
Vanachiremba vazhinji vanotenda kuti kunyangwe mapolyps asina zviratidzo uye asina njodzi anofanira kubviswa nekukurumidza kudzivirira matambudziko mune ramangwana.
MaPolyps Anonyanya Kuitika Uye Kukosha Kwekubviswa Kwawo
Mapolyps anogona kuumbwa mune chero nhengo ine buri mumuviri wedu. Ngatinzwisisei zvakawanda nezvazvo kubva patafura iri pazasi.
| Nzvimbo dzinoitika ma polyps | Kukosha kwekubvisa (kenza inodzivirirwa) |
|---|---|
| Mapundu emudumbu | Kenza yeColoral Ectopic |
| Mapundu emuchibereko | Kenza yemumuromo wechibereko nekenza yemudumbu |
| Mapundu emudumbu | Kenza yeDumbu |
| Mapundu eDundira | Kenza yeDundira |
Uku kuvhiyiwa kukuru here? Kucharwadza here?
Uyu mubvunzo unowanzo bvunzwa nevanhu vazhinji. Kwete, kuvhiyiwa kwepolypectomy kunowanzova kuvhiyiwa kudiki. Inzira "isingapindi zvakanyanya". Izvi zvinoreva kuti inoitwa pasina kucheka zvakanyanya.
Mapolyps aya anowanzo bviswa panguva ye colonoscopy kana endoscopy. Izvi zvinosanganisira kuisa chubhu refu, inochinjika ine kamera nepaburi remuviri wako (semuenzaniso, rectum, muromo) uye kupinza zvishandiso zvidiki nepairi kubvisa polyp.
Uyewo, chinhu chinotyiwa nevanhu vazhinji kurwadziwa. Hauzonzwi kurwadziwa panguva iyi. Chiremba achakupa mushonga weanesthesia nemarwadzo ekurwadziwa kuti ave nechokwadi chekuti wakasununguka. Unogona kupihwa mushonga weanesthesia (rudzi rweanesthesia) kana uchida. Kana kuti unogona kupiwa mushonga weanesthesia (rudzi rwemushonga unokupa hope). Unogona kunzwa kumanikidzwa kudiki kana polyp yabviswa, asi hairwadzi.
Chii chinoitika usati wavhiyiwa uye panguva yekuvhiyiwa?
Kugadzirira usati wavhiyiwa
- Kuchenesa ura: Kunyanya kuti colonoscopy ibvise ma polyps muura hukuru, ura hwako hunofanira kunge husina chinhu uye hwakachena zvachose. Kuti izvi zviitike, chiremba wako achakupa mvura yakakosha (`(mushonga wekugadzirira ura)`) yekunwa. Uchafanirawo kutevedzera kudya kwakakosha kwemazuva mashoma.
- Mishonga:Chiremba weanotindivadza achakurukura newe pachine nguva nezverudzi rweanesthesia yauchapihwa. Anogonawo kukukumbira kuti urege kushandisa mimwe mishonga (yakadai semishonga inobvisa ropa) pazuva rekuvhiyiwa.
Panguva yekuvhiyiwa
Kuvhiyiwa kwepolypectomy kuri nyore kunoitwa uchishandisa endoscope, inova chubhu ine kamera yakabatana.
1. Chiremba achaisa chubhu iyi mumuviri wako oenda kune iyo polyp.
2. Zvadaro, gasi diki recarbon dioxide rinopinzwa munhengo kuti rizvimbe kuitira kuti mukati menhengo muonekwe zvakajeka.
3. Zvadaro, uchishandisa mudziyo mudiki (sepeya ye forceps kana waya loop) inopfuudzwa nemuchubhu, polyp inotanga yachekwa yobviswa.
4. Mushure mekunge polyp yabviswa, nzvimbo yacho inocheneswa kwenguva pfupi (electrocautery) kuti ropa risabude uye kuti nyama yasara isabude. Izvi zvinodzivirirawo polyp kuti isakure zvakare.
Mamwe mapolyps akaomarara anobviswa sei?
Mamwe mapolyps anogona kuoma kubvisa nenzira dziri nyore nekuti akakura, akati sandara, kana kuti ari munzvimbo inoita kuti aome kubvisa. Muzviitiko zvakadaro, dzimwe nzira dzinoshandiswa.
| Maitiro | Zvichitaurwa zviri nyore... |
|---|---|
| Kuvhiyiwa kweLaparoscopic | Kuita macheko madiki-diki akawanda mudumbu, kuisa kamera nezvinhu zvekubvisa polyp. |
| Kubviswa kwemucosal mucosal ne endoscopic (EMR) | Isa mushonga wesaline mu membrane iri pasi pe polyp, zvichiita kuti polyp ibviswe zviri nyore kana yakwira. |
| Kubviswa kwemudumbu mudumbu (ESD) | Mapolyps makuru kana kuti ane kenza anobviswa muchikamu chimwe chete, pamwe chete neganda rakadzika riri pasi. |
Chii chinoitika mushure mekuvhiyiwa uye pane njodzi here?
Mushure mekuvhiyiwa
Unogona kuenda kumba zuva rimwe chete iroro. Zvisinei, sezvo usingazokwanisi kutyaira nekuda kwemishonga inopedza simba, zvakakosha kuva nemumwe munhu anokufambisa. Unganzwa kusagadzikana kwemazuva mashoma nekuda kwemhepo yakavharirwa mudumbu mako. Polyp yakabviswa ichatumirwa kurabhoritari, uye mushumo uchawanikwa mukati mevhiki imwe kusvika mbiri.
Njodzi nematambudziko
Matambudziko haawanzoitiki, asi zvakakosha kuti uzvizive.
- Kubuda ropa (`(Kubuda ropa)`)
- Utachiona (`(Utachiona)`)
- Kuboorwa kwenhengo (`(Kuboorwa)`)
- Kutsva kunokonzerwa nemidziyo yemagetsi
Chimwe chirwere chisingawanzoitiki chinonzi Postpolypectomy Coagulation Syndrome (PPCS) . Apa ndipo panopisa kupisa kwemuviri uri pasi, zvichikonzera zviratidzo zvakaita sekurwadziwa mudumbu nefivha. Izvi hazvina kuipa sekuboorwa kwedumbu. Kazhinji zvinopera nemishonga mukati memazuva mashoma. Zvisinei, kana ukaona chimwe chezviratidzo izvi mukati memazuva mashoma ekuvhiyiwa, taurira chiremba wako nekukasika.
Kazhinji unopora zvachose mukati memazuva mashoma. Uchafanira kunwa mishonga inoderedza marwadzo kwezuva rimwe kana maviri. Ropa diki rinogona kupfuura nemutsvina yako kana weti, izvo zvakajairika. Zvisinei, kana kubuda ropa kwacho kwakanyanya kana kukaramba kuripo, iva nechokwadi chekutaura nachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwepolypectomy inzira iri nyore uye yakachengeteka yekurapa inobvisa polyps, rudzi rwekukura kunoumbwa mumuviri.
- Kunyangwe akawanda emapolyps asina njodzi, zvakakosha kubvisa nekuaongorora nekuda kwenjodzi yekuti angave kenza.
- Maitiro aya haarwadzi, uye nzira dzekushandisa mushonga weanesthesia dzinoderedza kusagadzikana kwako.
- Nguva yekupora ipfupi kwazvo, kazhinji mazuva mashoma chete.
- Kana ukaona zviratidzo zvisingawanzoitiki (kurwadziwa kwakanyanya, fivha, kubuda ropa rakawanda) mushure mekuvhiyiwa, zivisa chiremba wako nekukasika.
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