Wakamboitwa colonoscopy here? Kana kuti pamwe wakambonzwa nezvayo kubva kumhuri yako kana kushamwari. Dzimwe nguva mushure mekuongororwa uku, chiremba anoti, "Une polyp muura hwako." Zvakajairika kuti chero munhu anzwe kutya kana kushamisika paanonzwa mazwi aya. Asi unofanira kutya zvechokwadi here? Polyps idzi dzese dzine njodzi uye dzine kenza here? Kwete. Nhasi tiri kutaura nezvemhando yakasarudzika yepolyp inoumbwa muura inonzi serrated polyps .
Zvichitaurwa zviri nyore, chii chinonzi serrated polyps?
Mapolyps ane serrated imhando diki dzenyama, kana kuti, mapolyps madiki, anoumbwa pamadziro emukati meura. Anodaidzwa kuti "serrated" nekuti pamusoro pawo unoita sewakachekwa kana uchitarisa uchishandisa maikorosikopu.
Chinhu chakakosha ndechekuti mapolyps aya haasi ekenza paanotanga kuumbwa. Anowanzova asina njodzi. Zvisinei, mamwe mapolyps ane serrated anogona kuchinja kuita kenza nekufamba kwenguva. Ndosaka vanachiremba vachibvisa mapolyps aya nekukurumidza paanoonekwa. Izvi zvinobatsira kudzivirira kenza yemuura kuti isakure mune ramangwana.
Makuriro anoita mapolyps aya ane serrated akasiyana zvishoma nekukura kunoita mamwe mapolyps akajairika, anonzi adenomas. Uye maitiro aanoita kuti ave kenza akasiyanawo. Inenge 25% yekenza yemuura inokura kubva kumapolyps aya ane serrated. Asi kana ikakura kuita kenza, inogona kukura nekukurumidza kupfuura mamwe marudzi.
Ndedzipi mhando huru dzema polyps ane serrated?
Sangano reWorld Health Organization (WHO) rakapatsanura mapolyps ane serrated kuita mhando ina huru. Aya anopatsanurwa zvichienderana nechitarisiko chawo uye maitiro anoita masero. Haasi ese marudzi aya anoshanduka kuita kenza. Saka, zvakakosha kuti chiremba wako aaise mumapoka nemazvo uye aaone.
Heino tsananguro iri nyore yemhando idzodzo ina.
| Rudzi rwePolyp | Zvichitaurwa zviri nyore... |
|---|---|
| Mapolyps epurasitiki | Urwu ndirwo rudzi rwakajairika . Inenge 75% yemapolyps ane serrated ndeerudzi urwu. Mashoko akanaka ndeekuti, ayaHazvikuvadzi, uye hazvizoshanduki kuita kenza. Idambudziko rakajairika rinokonzerwa nekuwanda kwemasero. |
| Zvironda zveSessile Serrated Lotions (SSLs) | Iyi ndiyo mhando yepolyp ine serrated inowanzo shanduka kuita kenza . "Sessile" zvinoreva "sessile" nekuti dzakati sandara uye dzakanamira pamadziro. Ndosaka dzimwe nguva zvakaoma kuwana panguva ye colonoscopy. Vanachiremba vanoona maSSL ese aya seari panjodzi yekubatwa nekenza. |
| Adenomas dzechinyakare dzine serrated | Idzi hadziwanzowaniki . Kunyangwe dzichitaridzika sedzino dzakajairwa, dzinewo zviratidzo "zvakakombama", zvakaita semazino akachekwa. Idziwo mhando yekenza . |
| Ma adenoma ane serrated asina kuiswa muzvikamu | Urwu rudzi rwepolyp rusiri rwemhando nhatu dzataurwa pamusoro apa, asi rune hunhu hwakasanganiswa. Izvi hazviwanzoitiki. Vanachiremba vari kuramba vachiongorora izvi. |
Mabundu aya akajairika zvakadii? Pane zviratidzo here?
Fungidzira, kana ukaita colonoscopies zana, unogona kuona rudzi urwu rwe polyp yakakora muma30 acho. Asi usazvidya moyo, mazhinji eaya anowanikwa ma polyp asina njodzi . Mhando dzakadai seSSLs, dziri panjodzi yekubatwa nekenza, dzinowanikwa muhuwandu hushoma, dzinenge 10%.
Chinhu chakakosha ndechekuti hapana kana imwe yemhando idzi dzemapolyps inowanzo kukonzera zviratidzo . Unogona kuva nawo mumuviri wako usingatombozvizivi.
Kashoma, kana bundu rikakura, unogona kuona ropa shoma mutsvina yako, kana kuti unogona kuzvimba kana kuvimbiwa. Asi pane zvimwe zvingangove zvikonzero zvezviratidzo izvi. Ndosaka vanachiremba vachikurudzira kuti uwane colonoscopy uchiri mudiki, kunyangwe usina zviratidzo.
Chii chinonzi serrated polyposis syndrome (SPS)?
Ichi chirwere chakasiyana uye chisingawanzoitiki. Muchirwere ichi, munhu anowana mapolyps akawanda ane serrated (dzimwe nguva anopfuura makumi maviri) muura hwake hwese. Aya anogona kunge akakura kupfuura zvakajairika uye anogona kunge ari erudzi rwekenza ine njodzi huru. Munhu ane chirwere ichi, SPS, ane mukana we25% wekubata kenza.
Ndezvipi zvikonzero uye zvinhu zvinokonzera njodzi yeizvi?
Hapana chikonzero chimwe chete chinoita kuti pave nemapolyps mukoloni. Anowanzoonekwa sezvatinokura. Chikonzero chikuru chinofungidzirwa kuti ikuchinja kwemajini kunoitika kana masero edu akapatsanuka ogadzira masero matsva. Kungofanana nemuchina wekunyora dzimwe nguva unoita zvikanganiso zvidiki. Kuchinja kwemajini uku kunoita kuti masero akure asingadzoreki uye agadzire mabundu.
Kune zvinhu zvakawanda zvinowedzera njodzi yekukudziridza ma polyps aya:
- Kuva nemakore anopfuura makumi mashanu
- Kusvuta
- Kunwa doro zvakanyanya
- Kudya nyama tsvuku nguva dzose (senge nyama yemombe nenguruve)
- Kuwedzera huremu (kufuta)
- Kuva nezvirwere zvemudumbu zvinogara kwenguva refu, zvakaita sechirwere chemudumbu chinoputika (IBD)
Izvi zvinoonekwa uye zvinorapwa sei?
Nzira yakanakisisa uye yega yekuona ma polyps ane serrated ndeye colonoscopy . Ongororo iyi inoongorora ura hwako hwese uchishandisa chubhu diki ine kamera yakabatana.
Asi dzimwe nguva zvinogona kuoma kuwana ma SSL. Nekuti mhando dzakadai se SSL dzakati sandara, dzine ruvara rwakafanana ne tissue dzakatenderedza, uye miganhu yacho haisi pachena. Ndosaka zvichikosha kuva nachiremba ane hunyanzvi uye ane ruzivo anoita bvunzo iyi achishandisa makamera epamusoro-soro (high resolution colonoscopes).
Chii chinoitika mushure mekuyedzwa?
1. Kuonekwa: Kana chiremba akaona polyp panguva yekuongororwa kwecolonoscopy uye akafungidzira kuti imhando ine njodzi huru, achaibvisa ipapo ipapo. Maitiro aya anonzi polypectomy .
2. Kuongororwa: Polyp yakabviswa inotumirwa kurabhoritari, uko nyanzvi yezvirwere inoiongorora pasi pemaikorosikopu kuti ione kuti rudzii rwepolyp rwayo uye inopa mushumo.
3. Zvirongwa zveramangwana: Zvichibva pamushumo iwoyo, chiremba wako ndiye achasarudza kuti unofanira kuita colonoscopy yako inotevera kwenguva yakareba sei.
| Rudzi rwepolyp rwakawanikwa | Nguva inokurudzirwa ye colonoscopy inotevera |
|---|---|
| Njodzi shoma (semuenzaniso mapolyps madiki ane hyperplastic) | Kazhinji mumakore gumi |
| Njodzi iri pakati nepakati (semuenzaniso maSSL akawanda) | Mumakore angangoita mashanu |
| Njodzi huru (semuenzaniso maSSL makuru kana akawanda) | Mumakore angangoita matatu |
| Kana mamiriro eSPS aripo | Gore rega rega |
Chiremba wako anogona kuchinja nguva idzi zvichienderana nemamiriro ako ezvinhu, saka zvakakosha kutevedzera mirairo yake.
Musakanganwa, kubvisa polyp iri panjodzi yekubatwa nekenza zvinoreva kuti makachengeteka zvachose parizvino. Tabvisa mukana wekuti kukura ikoko kukure kuita kenza. Zvisinei, zvakakosha kuti uongororwe zvakare panguva yakakodzera, sezvo kukura uku kunogona kudzoka.
Mharidzo Yekuenda Nayo Kumba
- Mapolyps ane serrated rudzi rwekukura kunoumbwa muura. Mazhinji acho haana njodzi .
- Zvisinei, mamwe marudzi, akadai seSSLs, anogona kuchinja kuita kenza nekufamba kwenguva, saka zvakanaka kuti uabvise nekukurumidza paunoaona.
- Mabundu aya haakonzeri zviratidzo . Ndosaka zvichikosha kuti uongororwe colonoscopy mushure memakore makumi mana nemashanu, sezvakakurudzirwa nachiremba wako.
- Kana polyp yakawanikwa panguva yekuongororwa kwako ikaonekwa kuti ine kenza ikabviswa, usazvidya moyo. Zvinoreva kuti chiremba wako akaiona nenguva uye akaidzivirira kuti isakure kuita kenza.
- Chinhu chinonyanya kukosha ndechekuongororwa kunotevera panguva chaiyo yauchaudzwa nachiremba . Usapotsa.
- Unogona kuderedza njodzi yekubatwa neizvi nekurega kusvuta, kunwa doro zvakanyanya, uye kurarama hupenyu hune hutano.
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