Wakamboenda kuna chiremba here, pamwe kuti upinzwe endoscopy (nzira iyo kamera inoiswa mudumbu rako) nekuda kwedambudziko remudumbu, uye chiremba akati chimwe chinhu chakadai? "Pane bundu diki mukati meura/dumbu rako. Ticharibvisa." Zvakajairika kuti unzwe kutya kana ukanzwa chimwe chinhu chakadai. Asi usatya. Mabundu madiki aya ndiwo atinodaidza kuti ``Polyps''. Maitiro ari nyore ekubvisa anonzi ``Polypectomy.'' Saka nhasi, tichataura nezvezvinhu zvese nenzira iri nyore.
Chii chinonzi 'polyp'? Sei zvichifanira kubviswa?
Zvichitaurwa zviri nyore, polyp iganda diki risingadiwe rinokura pamadziro emukati menhengo mumuviri wedu, kunyanya nhengo ine mhango mukati (semuenzaniso, ura, chibereko, dumbu). Funga nezvazvo semapundu ari kukura mumuviri.
Kune mhando dzakasiyana dzema "polyps" aya:
- Zvakanaka: Aya mabundu akajairika. Haakuvadzi.
- Gomarara: Dzimwe nguva mabundu aya anogona kushanduka kuita masero egomarara.
- Precancer: Aya mabundu asiri kenza parizvino, asi ane mukana mukuru wekuva kenza mune ramangwana.
Dambudziko nderekuti, zvakaoma kuti chiremba azive zvizere kuti rudzii rwepolyp nekungoitarisa kubva kunze. Nzira yakanakisisa yekuziva ndeyekuibvisa woitumira kurabhoritari kuti iongororwe (a ``(Biopsy)``).
Vanachiremba vanowanzo kurudzira kuti zvakachengeteka kubvisa polyp nekukurumidza paunoiona, pane kumirira kuti ive dambudziko gare gare.
| Zvikonzero zvikuru zvekubvisa polyp | |
|---|---|
| Chikonzero | Tsananguro |
| Kuonekwa kwezviratidzo | Semuenzaniso, zvinhu zvakaita sekurwadziwa mudumbu, kubuda ropa, uye kuchinja maitiro emudumbu. |
| Njodzi yekenza | Kana polyp ichiita sekenza kana kuti inofungidzirwa kuti imhando yekenza, inogona kunge iri kenza. |
| Kuongorora chirwere zvachose | Kuiedza murabhoritari kuti ndione kuti ibundu rerudzii chairo. |
Kuvhiyiwa kwepolypectomy kuvhiyiwa kukuru here? Kunorwadza here?
Kwete zvachose! Usatya kunzwa izvi. `Polypectomy` kazhinji kuvhiyiwa kuri nyore, kudiki. Mukurapa, tinokudana kuti `(Minimally invasive procedure)`. Izvi zvinoreva kuti, chinhu chinoitwa nenzira diki, pasina kuchekwa kukuru.
Mapolyps mazhinji anobviswa panguva yekuongororwa kunonzi colonoscopy (kuongororwa kweura nekamera) kana endoscopy (kuongororwa kwedumbu nekamera). Chiremba paanoisa chubhu yekamera, anopinza midziyo midiki nepachubhu obvisa polyp. Hauzomboinzwi.
Zvisinei, dzimwe nguva, kana polyp isingawanikwe nyore, kana yakakura zvakakwana, chiremba angafanira kuita laparoscopy, iyo inosanganisira kugadzira gomba diki rekiyi mudumbu. Izvi zvakajairikawo mazuva ano.
Kana ari marwadzo, hauzonzwi marwadzo. Izvi zvinodaro nekuti uchapihwa mushonga wekurwadziwa usati waitwa oparesheni. Dzimwe nguva, ucharadzikwa (`(General Anesthesia)`). Kana kuti, uchapihwa mushonga unozoita kuti urarare zvishoma (`(Sedation)`). Saka, kunyangwe uchizonzwa kumanikidzwa zvishoma, hauzonzwi marwadzo zvachose.
Chii chinoitika usati wavhiyiwa uye panguva yekuvhiyiwa?
Kugadzirira usati wavhiyiwa
Kazhinji, hapana gadziriro yakakosha inodiwa. Zvisinei, kana uri kuitwa ``Colonoscopy`` pamwe chete ne``Polypectomy``, ura hwako hunofanira kuchena zvakakwana. Kuti uite izvi, uchafanira kunwa mushonga wemvura wakakosha (``(mushonga wekugadzirira ura)``) wauchapihwa nachiremba wako. Pamwe chete neizvi, uchakurudzirwa kudzora kudya kwako kwemazuva mashoma. Zvakare, kana uri kutora mimwe mishonga, zvakakosha kutaura nachiremba wako nezvekuti unofanira kuimisa here pazuva rekuvhiyiwa.
Munguva yekuvhiyiwa...
Iyi inzira iri nyore kwazvo.
1. Anesthesia: Kutanga, uchapihwa mushonga wekunyaradza kuburikidza ne IV (intravenous drip) mutsinga iri muruoko rwako. Mushure mechinguva, uchanzwa wakasununguka kana kurara.
2. Kuisa endoscope:Chiremba anobva aisa chubhu refu, inochinjika (endoscope) ine kamera yakasungirirwa nepaburi remuviri wako (semuenzaniso, kuburikidza neanus kuti uone polyp muura, kana kuburikidza nemuromo kuti uone polyp mudumbu).
3. Kubvisa Polyp: Mifananidzo iri kubva pakamera inoonekwa pamonitor kuti ionekwe polyp. Zvadaro, polyp inobatwa yobviswa uchishandisa chinhu chidiki, chakadai seforceps kana wire snare, chinopfuudzwa nemuchubhu.
4. Kumisa kubuda ropa: Kuti kumise kubuda ropa kubva panzvimbo yakabviswa polyp uye kubvisa zvachose chero nyama yasara, nzvimbo yacho inocheneswa zvishoma nechinhu chinoshandisa magetsi (electrocautery device). Izvi zvinonzi cauterization.
Chii chinoitika mushure mekuvhiyiwa? Pane njodzi here?
Uchakwanisa kudzokera kumba nguva pfupi mushure mekuvhiyiwa. Zvisinei, unganzwa dzungu zvishoma nekuda kwekushandiswa kweanesthesia, saka zvakanaka kuva nemumwe munhu. Unganzwa kusagadzikana uye kuzvimba kwemazuva mashoma. Izvi zvakajairika.
Polyp yakabviswa inotumirwa kurabhoritari. Zvinotora vhiki imwe kana maviri kuti iwane mushumo. Kazhinji, idzi dzinonzi hadzina kenza (dzisina njodzi). Kana masero ekenza akawanikwa, chiremba wako achakupa mazano ekuwedzera kuongororwa uye kurapwa.
Kuvhiyiwa kwepolypectomy inzira yakachengeteka zvikuru. Zvisinei, sezvinoitwa chero nzira ipi zvayo yekurapa, kune dzimwe njodzi diki dzinogona kuitika kashoma.
- Kubuda ropa.
- Kuvapo kwechirwere chinotapukira.
- Buri kana kubvaruka pamadziro enhengo. (`(Kuboorwa)`)
- Kutsva kudiki kwenyama kunokonzerwa nechishandiso che `electrocautery`.
Zvinhu izvi hazviwanzoitika. Kune rimwe dambudziko risingawanzoitiki rinonzi `Postpolypectomy coagulation syndrome (PPCS). Uku kuzvimba kudiki kwenyama iri pasi pe`Polyp` payakapiswa. Izvi hazvina kuipa, uye zvinopora mumazuva mashoma nemishonga. Zvisinei, kana ukasangana nechimwe chinhu mushure mekuvhiyiwa, senge kurwadziwa mudumbu kusingatsungiririki, fivha, kana kubuda ropa rakawanda , unofanira kutaura nachiremba wako nekukasika.
Zvinongotora mazuva mashoma kuti upore. Uchakwanisa kudzokera kumabasa ako ezuva nezuva mushure mezuva rimwe chete kana maviri.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwepolypectomy inzira iri nyore uye yakachengeteka yekubvisa matumbu madiki (polyps) anokura mumuviri.
- Kazhinji izvi hazvisi zvegomarara, asi kuti uzive zvechokwadi kana zviri zvegomarara kana kwete, zvinofanira kubviswa zvoongororwa.
- Kuvhiyiwa uku hakuwanzo kuva kunorwadza. Hauzonzwi kusagadzikana nekuti uchapihwa mushonga wekutindivadza.
- Kana ukaona zviratidzo zvisingawanzoitiki (kurwadziwa mudumbu, fivha, kubuda ropa rakawanda) mushure mekuvhiyiwa, zivisa chiremba wako nekukasika.
- Usatya kuita izvi nekuti idanho rakakosha rekudzivirira chirwere chakakomba mune ramangwana. Kurukura chero zvinokunetsa nachiremba wako.
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