Wakamboongororwa `(Colonoscopy)` here? Kana kuti, ungave wakanzwa mumwe munhu achiti, `Vakabvisa mamwe mabundu madiki muura.'' Kazhinji, aya ndiwo atinodaidza kuti `(Colon Polyps)`` kana kuti mapolyps anokura muura. Pakati pawo, pane rudzi rwakakosha runonzi `(Serrated Polyps).`` Zita racho rinonzwika richityisa zvishoma here? Usazvidya moyo, tichataura nezvese nenzira iri nyore yaunogona kunzwisisa.
Ndezvipi izvi zvinonzi `(Serrated Polyps)`? Ngatizvinzwisise zviri nyore!
Zvichitaurwa zviri nyore, mapolyps ane serrated ibundu rinoumbwa pamadziro emukati meura wako uye rinotaridzika sebundu rakachekwa nemaoko pasi pemaikorosikopu. Iwo mabundu chaiwo, asi haana njodzi. Izvi zvinoreva kuti haasi kenza paanotanga kuumbwa. Zvisinei, mamwe mapolyps ane serrated anogona kuva kenza nekufamba kwenguva. Ndosaka vanachiremba vachibvisa bundu iri nekukurumidza kana vangoonekwa kuti vanodzivirira kenza yemuura.
Kuonekwa kwemasero emasero aya e`(Serrated Polyps)` kwakabatana nenzira yaanoumbwa nayo. Maitiro aanoita akasiyana zvishoma nerumwe rudzi rwemapolyps atinowanzoona muura, `(Adenomas). Zvakare, kana `(Serrated Polyps)` ikashanduka kuita kenza, maitiro acho akasiyana nemaitiro ayo `(Adenomas)` inoshanduka kuita kenza. Zvinonzi inenge 25% yekenza yemuura inobva ku`(Serrated Polyps)` idzi. Zvisinei, kana dzikashanduka kuita kenza, dzinogona kukura nekukurumidza kupfuura mamwe marudzi.
Ndedzipi mhando huru dze `(Serrated Polyps)`?
Sangano reWorld Health Organization (WHO) rakapatsanura mapolyps ane serrated kuita mhando ina huru. Aya akapatsanurwa zvichienderana nechitarisiko chawo, kureva, hunhu hwavo hwemuviri. Hunhu uhwu hunoratidza kuti maitiro emasero anokanganisa kukura kwemapolyps aya akasiyana sei. Zvakakosha kuti, haasi ese marudzi aya anodzivirira kenza . Vanachiremba vanoapatsanura kana akawanikwa kuti vaone kuti angangoita sei kuti ave kenza.
Heano marudzi mana iwayo:
- `(Hyperplastic Polyps)` Mapolyps eHyperplastic
- `(Maronda Akachekwa-chekwa - SSLs)` Maronda Akachekwa-chekwa
- Adenomas dzechinyakare dzakagadzirwa neserrated
- MaAdenomas Akakamurwa Asina Kurongwa
`(Hyperplastic Polyps)` Mapolyps eHyperplastic
Idzi ndidzo mhando dzemapolyps ane serrated dzinonyanya kuwanikwa, dzinoita 75% yevanhu vanobatwa nechirwere ichi. Mashoko akanaka ndeekuti mapolyps aya ane hyperplastic haana njodzi uye haaite cancer . "Hyperplastic" zvinongoreva kukura kwemasero zvakanyanya. Zvinoreva kuti kune masero akawanda ari kukura pamwe chete. Mapolyps mazhinji asati aita cancer anova "dysplastic," zvichireva kuti ane shanduko dzisina kujairika mumasero. Shanduko idzi mumasero dzinogona kutungamira kukenza.
`(Maronda Akachekwa-chekwa - SSLs)` Maronda Akachekwa-chekwa
Anenge 20% emapolyps ane serrated ndeerudzi rweSessile Serrated Lesions (SSLs). Urwu ndirwo rudzi rwemapolyp ane serrated ane njodzi huru yekuva nekenza . "Sessile" zvinoreva kuti akatsetseka, akafanana nediski, kana kuti akasimudzwa zvishoma. Zvisinei, chimiro ichi chinogona kuonekwawo mumapolyps asina njodzi. Nokudaro, zvakaoma kusiyanisa maviri aya nechitarisiko. Zvisinei, nyanzvi dzinogona kuona misiyano muchimiro chawo.
Aya `(Sessile Serrated Lesions)` aimbova nemazita akati wandei. Iye zvino zita idzva iri rinoshandiswa kuderedza kuvhiringidzika kusingakoshi. Chimwe chinhu ndechekuti mamwe eaya `(SSLs)` ane `(Dysplasia)` (kusagadzikana kwemasero) ambotaurwa, nepo mamwe asina. Vanachiremba vanoisa zvakare aya ane `(Dysplasia)` muzvikamu se "sessile serrated lesions ane dysplasia". Zvisinei, ese `(SSLs)` anoonekwa seasina kenza .
Adenomas dzechinyakare dzakagadzirwa neserrated
Idzi ndidzo mhando dzisingawanzoonekwi dze `(Serrated Polyps)`, dzinoonekwa muvanhu vasingasviki 1% yevanhu . Idziwo zvirwere zvisati zvaita kenza . Chitarisiko chadzo chakafanana ne `(Adenomas)` yakajairika, kureva kuti, dzine chimiro chakafanana nehowa, uye dzinewo zviratidzo zvakajairika zve `(Dysplasia)`. Zvisinei, dzinewo zviratidzo zve `(Serrated)` zvakaita semipendero yesaha. Kare, idzi dzaiwanzo kanganiswa ne `(Adenomas)` yakajairika. Dzakangobva kuzivikanwa semhando ye `(Serrated Polyp)`.
MaAdenomas Akakamurwa Asina Kurongwa
Rudzi rwekupedzisira ipolyps dzisinganyatsoenderana nechero rudzi rwemapundu ari pamusoro apa. Dzinogona kunge dzakati sandara, dzakakora, asi dzinogonawo kuva nezviratidzo zvakafanana ne "Dysplasia" kana "Adenomas." Kunyangwe zvisingawanzoitiki, vanachiremba vanotenda kuti zvakakosha kuziva mapolyps aya asingakwanise kupatsanurwa zvakajeka, nekuti tsvakiridzo yeramangwana inogona kuburitsa zvakawanda nezvawo. Tichiri kudzidza nezve "Serrated Polyps."
Mapolyps eSerrated anowanikwa kakawanda sei?
Mapolyps ane serrated anowanikwa muinenge 30% yemacolonoscopies. Kazhinji, aya mapolyps asina njodzi asina hyperplastic. Zvisinei, anenge 10% mapolyps ane precancerous, akadai seSessile Serrated Lesions (SSLs). Panguva yecolonoscopy, chiremba angasakwanisa nguva dzose kuona musiyano pakati pezviviri izvi. Ndosaka, kana paine kusava nechokwadi, nyama yacho inobviswa, yotumirwa kurabhoritari, uye yoongororwa pasi pemaikorosikopu nenyanzvi yezvirwere.
Chii chinonzi `(Serrated Polyposis Syndrome - SPS)`?
Serrated Polyposis Syndrome (SPS) chirwere chisingawanzoitiki. Izvi ndizvo zvinoitika kanaMapolyps ane serrated anoumbwa akawanda muura hwese. Izvi zvaimbonzi Hyperplastic Polyposis Syndrome. Ungave uine mapolyps anopfuura makumi maviri, kana kuti akakura kupfuura zvakajairika. Ane mukana wekuti angave nekenza isati yasvika nguva yekenza. Vanhu vane chirwere ichi vane mukana we25% wekubata kenza. Chirwere ichi chinokanganisa vanhu vanosvika 0.4% .
Ko ma polyps ane serrated anokonzera zviratidzo here?
Kazhinji, mapolyps ari muura, kusanganisira mapolyps ane serrated, haakonzeri zviratidzo . Kashoma, mapolyps makuru anogona kukonzera kubuda ropa kana shanduko mumaitiro ako emudumbu. Vamwe vanhu vanogona kuona ropa mutsvina yavo, kana kuva nemanyoka asina kutsanangurwa kana kuvimbiwa. Asi zviratidzo izvi zvinogonawo kukonzerwa nezvimwe zvinhu. Vanhu vazhinji vane mapolyps havatombozivi kuti vanawo . Ndosaka vanachiremba vachikurudzira kuongororwa nguva dzose kwecolonoscopy.
Chii chinokonzera kuti aya ma "Polyps" aumbwe?
Mapolyps ane serrated chirwere chinowanzoitika patinokura. Hatizivi kuti nei achiumbwa. Asi tinoziva kuti majini anochinja . Kuchinja kwemajini kukanganisa mukunyora kwemasero ako paanopatsanurana nekugadzira masero matsva. Kukanganisa uku kunoita kuti masero matsva akure nenzira yakasiyana neyaanofanira kukura. Mapolyps ane serrated anokonzerwa nekuchinja kwemajini kwakasiyana nedzimwe mhando dzemapolyps.
Ndezvipi zvinhu zvinokonzera njodzi yekubatwa ne `(Serrated Polyps)`?
Zvinhu zvinokonzera njodzi yekuva nemapolyps ane serrated zvakafanana zvikuru nezvinokonzeresa kuva nemapolyps muura hukuru. Izvi ndeizvi:
- Kuva nemakore anopfuura makumi mashanu ekuberekwa.
- Kusvuta.
- Kunwa doro zvakanyanya.
- Kudya nyama tsvuku zvakanyanya (senge nyama yemombe, yembudzi).
- Kufuta zvakanyanya.
- Kuva nezvirwere zvakaita seInflammatory Bowel Disease.
Nzira yekuziva `(Serrated Polyps)`?
Nzira yakanakisisa yekuwana ma polyps ane serrated ndeyekushandisa colonoscopy . Zvisinei, dzimwe nguva, anogona kushaikwa. Izvi zvinodaro nekuti mhando mbiri dzinonyanya kuzivikanwa dzema polyps ane serrated, hyperplastic polyps uye sessile serrated lesions (SSLs), hadzisi pachena zvakanyanya. Kazhinji kacho madiki (anenge 5 mm) , akati sandara kana kuti akasimudzwa zvishoma, uye ane ruvara rwakafanana nenyama yakakomberedza, asina miganhu yakajeka.
Funga nezvazvo sekutsvaga kavara kadiki, kasinganyatsooneki pamadziro kane ruvara rwakafanana nependi. Izvozvo hazvisi nyore, handiti?
Itsva,Makoronoscope, ane simba guru uye kukura, anonyatsoona mapolyps ane serrated kupfuura zvishandiso zvekare. Kugadzirira ura uye kudzidziswa kwachiremba zvakakoshawo. Vanachiremba vanofanira kuziva nhungamiro dzichangoburwa dzekuona mapolyps ane serrated. Dzimwe nzira dzecolonoscopy dzakawanikwa dzichishanda zviri nani kupfuura dzimwe uye dzinogona kuchinja chitarisiko chemapolyps.
Munguva yecolonoscopy yako, chiremba wako anogona kufungidzira kuti une Sessile Serrated Lesion kana Serrated Polyp, inova mhando yegomarara rinogona kukura kuita polyp. Kana paine kusava nechokwadi, achaibvisa panguva yekuvhiyiwa (Polypectomy) . Polyp yacho ichatumirwa kurabhoritari kuti iongororwe naPathologist. Ndipo chete pachazokwanisa kuona kuti imhando ipi yepolyp uye kuita kuti chirwere chacho chiongororwe kekupedzisira.
Zvisinei, kana uine Serrated Polyposis Syndrome (SPS), chiremba wako anogona kukwanisa kuiona panguva yekuongororwa kwecolonoscopy. Nzira yekuongorora SPS ndeyekutarisa huwandu hwemapolyps ane serrated akawanikwa, saizi yawo, uye kuti ari kupi muura. Maererano nehuwandu, mapolyps ane serrated akakura kupfuura zvakajairika kana munzvimbo dzisina kujairika muura ane mukana wekuti aite kenza kana akaongororwa zvakanyanya.
Chii chinoitika kana `(Serrated Polyps)` ikawanikwa panguva ye`(Colonoscopy)`?
Mapolyp eHyperplastic akajairika uye hapana chekunetseka nawo. Zvisinei, kana chiremba wako achifungidzira kuti une polyp ine serrated, anofanira kubviswa . Izvi ndezvekuona kuti rudzii rwayo uye kudzivirira kuti isave kenza. Kana zvikaonekwa kuti ipolyp isati yatanga kenza, chiremba wako acharonga colonoscopy yako inotevera munguva pfupi iri kutevera , kuitira kuti uve nechokwadi chekuti mamwe matsva anoongororwa.
Ndinofanira kuongororwa colonoscopy kwenguva yakareba sei nekuda kwe polyp ine serrated?
Vanachiremba vanoisa njodzi yekubatwa nekenza yemudumbu muchikamu chidiki, chiri pakati nepakati, kana kuti chakakwira, zvichienderana nerudzi rwema polyps ane serrated avanowana. Njodzi iyoyo inoshandiswa kuona kuti colonoscopy inotevera inofanira kuitwa riini. Zvichienderana nemirairo iripo,
- Kana paine njodzi yepakati , kamwe chete mumakore mashanu ega ega .
- Kana paine njodzi yakakura, makore matatu ega ega .
- Kana uine `(SPS)`, zvinokurudzirwa kuti uongororwe kamwe chete pagore .
- "(Hyperplastic Polyps)" ine njodzi shoma haidi kuongororwa kwakakosha.
Chii chaunotarisira kana uine ``Serrated Polyps'' isati yatanga kenza?
Kana chiremba wako akabvisa mapolyps ane serrated precancerous panguva yecolonoscopy yako, unenge wakachengeteka parizvino . Kuabvisa kunoderedza njodzi yekuti ave nekenza. Zvisinei, chiremba wako achada kutarisa ura hwako zvakanyanya nekuda kwezvikonzero zvakasiyana-siyana. Chimwe chikonzero ndechekuti mapolyps aya ane serrated serrated anogona kuoma kubvisa zvachose ne polypectomy nekuda kwechimiro chawo chakati sandara uye mipendero yawo yakapfava.
Funga nezvazvo sekutora chidimbu chejeli chakawira pasi. Dzimwe nguva panenge paine zvidimbu zvidiki zvasara, handiti? Ndizvo zvazviri.
Kana zvidimbu zvidiki zvemasero zvikasiyiwa kana zvabviswa, kana kuti paine mapolyps akashaikwa panguva yekuongororwa kwecolonoscopy yapfuura uye asina kuoneka zvakanyanya, anogona kuramba achikura kusvika pakuva mamiriro ekenza. Anogonawo kukura nekukurumidza kupfuura mapolyp matsva. Pamusoro pezvo, mapolyps ane serrated ane mukana wekuva kenza kupfuura mamwe marudzi. Ane mukana zvakare wekukura kuita kenza munzvimbo dzinopfuura imwe chete panguva imwe chete .
Ndirini pandinofanira kuona chiremba nezvemapundu emudumbu?
Kana uri panjodzi yepakati, vanachiremba vanokurudzira kuti uongororwe colonoscopy makore gumi ega ega, kutanga wava nemakore makumi mana nemashanu. Kana mumwe munhu mumhuri mako akambova nekenza yemuura kana polyps (genetic link), kana uine chirwere chinowedzera njodzi yako yekubatwa nepolyps, senge chirwere chemudumbu chinozvimba, ungangoda kuongororwa colonoscopy nekukurumidza. Bvunza chiremba wako kana yasvika nguva yekuita colonoscopy yako yenguva dzose.
Kufanana nemapolyps mazhinji emudumbu, polyps dzine serrated dzakajairika uye dzinowanzova dzisina njodzi . Mamwe acho ane mukana mudiki wekuva nenjodzi nekufamba kwenguva. Ndosaka tine colonoscopy. Chero bedzi tichiaongorora uye tichiabvisa kana akawanikwa, polyps dzine serrated hadzina mukana wekuva kenza. Tichiri kudzidza nezve polyps dzine serrated uye maitiro adzo, asi ikozvino tava kuziva zvakakwana kuti tipe mishonga yekudzivirira .
Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)
Zvakanaka, ngatitarisei zvimwe zvezvinhu zvakakosha zvekurangarira kubva pane zvatataura nezvazvo:
- Mapolyps ane serrated rudzi rwekukura kwenyama kunoumbwa muura hukuru uye kunoita semipendero yesaha.
- Mamwe marudzi emapolyps ane serrated, kunyanya sessile serrated loses (SSLs), anogona kuva kenza nekufamba kwenguva.
- Kazhinji, izvi hazvina zviratidzo , saka zvakakosha kuti ugare uchiongororwa colonoscopy.
- Nekuziva nekubvisa izvi panguva yekuongorora colonoscopy, kenza inogona kudzivirirwa .
- Kana ukaonekwa uine `(Serrated Polyps),` tevera mirairo yachiremba wako nemazvo. Zvakakosha kuenda kunoongororwa nguva nenguva.
- Usatya , chinhu chakakosha kuziva izvi uye kuzviziva nekukurumidza.
Kana muine mimwe mibvunzo nezvenyaya iyi, musazeza kutaura nachiremba wenyu. Iye anogona kukupai mazano nenzira yakakodzera.
` Mapolyps Akakamurwa, Mapolyps Emukati, Colonoscopy, Kenza Yemukati, Mapolyps Ane Huremu Hwepamusoro, Maronda Akakamurwa Nemasero, Gastroenterology
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