Fungidzira kuti wakaenda kunoona chiremba nekuda kwechimwe chirwere chemudumbu, pamwe "gastritis" yatinayo tese. Chiremba akateerera zviratidzo zvako ndokuti, "Ngatiise kamera titarise mukati memudumbu mako." Akakuitira endoscopy. Mushure mekuongororwa, chiremba akati, "Pane chimwe chinhu chakaita sebundu diki mudumbu mako, ndiko kuti, pamadziro emudumbu mako. Tinoti aya ma polyps." Zvakajairika kunzwa kutya uye kunetseka paunonzwa chimwe chinhu chakadai. "Bundu here? Izvi zvinoreva kenza here?" Ungafunga. Asi usazvidya mwoyo. Kazhinji, izvi hazvisi zvinhu zvekutya. Nhasi, tichataura nezve ma polyps emudumbu nenzira iri nyore uye yakajeka.
Zvichitaurwa zviri nyore, chii chinonzi stomach polyps?
Ma polyps emudumbu, kana kuti ma polyps emudumbu, madiki anokura padumbu rako, semabundu madiki. Mukati medumbu medu, mune kaganda katete kane musanganiswa wakaita semamucus. Ma polyps aya anokura kubva paganda iri. Fungidzira kuti dzimwe nguva tinova nemamota madiki paganda redu, handiti? Izvi zvakafanana, asi zvinokura mudumbu.
Mazhinji emapolyps aya haana kenza (haana njodzi) , zvichireva kuti haana njodzi.
Mapolyps aya ane njodzi zvechokwadi here? Ko njodzi yekenza?
Uyu ndiwo mubvunzo mukuru uri mupfungwa dzemunhu wese. Heino chimwe chinhu chekurangarira: Ruzhinji rwema polyps emudumbu haruna kenza. Uye njodzi yekuti aite kenza yakaderera zvikuru.
Zvisinei, mamwe marudzi emapolyps anoonekwa se "asati aita kenza." Izvi zvinoreva kuti haasi kenza kana chiremba wako akawawana, asi kana akaramba asina kurapwa kwenguva yakareba, anogona kuva kenza mushure memakore mashoma.
Zvakafanana nedanda rekare uye ratanga kuora. Harina kuora zvachose panguva iyoyo, asi kana tikasagadzirisa, rinogona kuora zvachose rimwe zuva. Ndizvo zvakaita ma polyps aya asati aita kenza.
Ndosaka vanachiremba vachisarudza kubvisa mapolyps aya nekukurumidza pavanoaona. Kuita izvi kunogona kudzivirira zvachose njodzi dzemangwana.
Ndedzipi mhando huru dzema polyps emudumbu?
Kune mhando dzakasiyana dzema polyp emudumbu. Chiremba achatora chidimbu chidiki che polyp yako ochitumira ku lab ( tinoti iyi biopsy).(ngatitii) ndiyo chete nzira yekuziva kuti rudzii rwayo. Njodzi yayo uye kurapwa kwayo zvinotemerwa nerudzi rwayo. Ngatitarisei mhando idzi zviri nyore.
| Rudzi rwePolyp | Tsananguro nenjodzi |
|---|---|
| Mapolyps eFundic gland | Idzi ndidzo mhando dzinonyanya kuwanikwa. Dzinowanzova nenjodzi shoma yekubatwa nekenza. Dzinowanzo kukonzerwa nekushandisa mishonga yakati wandei (PPIs) kwenguva refu yekurapa gastritis. |
| Mapolyps epurasitiki | Rudzi rwechipiri rwakajairika. Izvi zvine chekuita nekuzvimba kwemudumbu (gastritis). Njodzi yekenza mune izvi yakadererawo . Zvisinei, dzimwe nguva zvinogona kuva chiratidzo chekunyevera cherumwe rudzi rwekenza, saka vanachiremba vanoongororawo nyama yakakomberedza. |
| Adenomas (adenomas) | Idzi ndidzo mhando dzinonyanya kuzivikanwa dzema polyps asati aita kenza . Dzinowanikwa muzviitiko zvinenge 10%. Kana polyp yerudzi urwu ikawanikwa, chiremba achaibvisa zvachose. |
| Mamwe marudzi asingawanzoonekwi | Pamusoro peizvi, kune dzimwe mhando dzisingawanzoonekwi dzakadai seGastric neuroendocrine tumors , Hamartomatous polyps , uye Gastrointestinal stromal tumors (GIST) . Njodzi nekurapwa kweizvi zvinosiyana zvichienderana nerudzi rwazvo. |
Ndezvipi zviratidzo zvekuva nema polyps mudumbu?
Chinhu chinoshamisa apa ndechekuti ma polyps mazhinji emudumbu haakonzeri zviratidzo.Vanhu vazhinji vanoona kuti vane ma polyps mudumbu ravo panguva yekuongorora endoscopy nekuda kwechimwe chikonzero. Kutaura chokwadi, izvi zvinongoitika zvega.
Zvisinei, kashoma, mamwe ma polyps anogona kukonzera zviratidzo. Pane nzira mbiri huru:
1. Kubuda ropa:
- Mamwe ma polyps anogona kubuda ropa zvishoma kubva pamusoro. Tinogona kusanzwa kubuda ropa uku.
- Asi kana ukaramba uchibuda ropa seizvi, ropa rinogona kubuda netsvina yako. Ropa rinobva mudumbu rinogona kuita kuti tsvina yako ive nhema uye igare kwenguva refu .
- Kana ukabuda ropa seizvi kwenguva yakareba, muviri wako unogona kurasikirwa neropa woshaya ropa . Unogona kunzwa kucheneruka, kuneta nguva dzese, uye kuona zviratidzo zvakaita sedzungu kunyangwe uchikwira masitepisi .
2. Kuvharira:
- Kashoma, kana polyp ikakura zvakanyanya, inogona kuvhara pombi yechikafu mudumbu.
- Kana izvi zvikaitika, unogona kuona zviratidzo zvakaita sekusvotwa, kurutsa, kurwadziwa mudumbu, kurasikirwa nechido chekudya, uye kudzikira kwehuremu .
Kana uine zviratidzo izvi, hazvirevi kuti une polyp. Zvisinei, kana uine zviratidzo izvi, zvakanaka kuti uone chiremba wako nekukurumidza kuti uwane chikonzero.
Sei mapolyps aya achiumbwa? Ndezvipi zvikonzero zvikuru?
Kunyange zvazvo zvakaoma kuziva chikonzero chaicho chekuputika kwemudumbu, vaongorori vakaona zvinhu zvakawanda zvinokonzera njodzi.
- Gastritis isingaperi: Kuzvimba kwenguva refu kwemukati medumbu kunogona kukonzera shanduko mumasero uye kuumbwa kwemapolyps. Gastritis, kunyanya inokonzerwa nehutachiona hwebhakitiriya hunonzi H. pylori, ndiyo inonyanya kukonzera izvi.
- Proton-pump inhibitors (PPIs): Iyi ndiyo mishonga yatinowanzo shandisa yekurapa gastritis, yakadai seOmeprazole nePantoprazole. Kana mishonga iyi ikashandiswa kwenguva yakareba, inodzora kugadzirwa kweacid mudumbu, uye nekudaro, mamwe masero anogona kukura zvakanyanya uye kugadzira polyps (kazhinji fundic gland polyps isingakuvadzi). Taura nachiremba wako nezveizvi. Hatikuudzi kuti urege kutora mushonga, asi iye achachinja dosage kana zvichidikanwa.
- Zvirwere zvenhaka: Kashoma, mamwe mamiriro ezvinhu anogarwa nhaka (semuenzaniso, Familyal Adenomatous Polyposis - FAP) anogona kukonzera huwandu hwakawanda hwemapolyps mudumbu nemumatumbu.
Vanachiremba vanorapa sei izvi?
Kana polyp yawanikwa, kurapwa kunoenderana nerudzi rwayo, saizi, uye huwandu hwayo.
1.Kubviswa kwepolyp (Polypectomy):
- Kazhinji, kana chiremba akaona polyp panguva ye endoscopy, anoshandisa mudziyo wakakosha kuicheka zvachose nekuibvisa. Izvi zvinonzi polypectomy . Hauzonzwi kurwadziwa panguva iyi.
- Mamwe mapolyps akadzika kana makuru angada nzira dzakagadzirwa dzakadai seEMR kana ESD kuti abviswe. Muzviitiko zvisingawanzoitiki, kuvhiyiwa kunogona kudiwa.
2. Kuongororwa kwekutevera:
- Kana waive ne polyp isati yatanga kenza, chiremba wako angangokuudza kuti udzokere kunoongororwa endoscopy pane imwe nguva inotevera kuti utarise ma polyp matsva.
- Zvakakosha zvikuru kuti usapotsa bvunzo zvichienderana nenguva yawakapihwa nachiremba wako.
3. Kurapa chikonzero chiripo:
- Kana mapolyps acho akakonzerwa nehutachiona hweH. pylori, chiremba wako achakupa mishonga inorwisa mabhakitiriya. Mamwe marudzi emapolyps anogona kupera ega kana hutachiona hwapera.
- Kana chikonzero chacho chikafungidzirwa kuti mushonga wePPI, chiremba wako anogona kusarudza kuchinja mushonga kana kuderedza mwero wemushonga. Usamborega kutora mushonga wawakanyorerwa nachiremba wako wega.
Kuwana polyp hachisi chinhu chekutya. Zvakafanana nechiratidzo chidiki chinobva mumuviri wako. Muviri wako uri kukuudza kuti, "Pane chiri kuitika mudumbu mangu, chiteerere." Chinhu chinonyanya kukosha kuteerera chiratidzo ichocho uye kutevedzera mirairo yachiremba wako.
Chii chandinofanira kubvunza chiremba wangu?
Kana ukaona kuti une polyp, zvakajairika kuva nemibvunzo yakawanda. Usazeza kubvunza mibvunzo iyi kana uchienda kunoona chiremba wako.
- "Chiremba, ndine rudzii rwepolyp?"
- "Pane njodzi yekuti izvi zvingakonzera kenza here?"
- "Ndiri panjodzi yakakura yekubatwa nekenza yemudumbu mune ramangwana kupfuura vamwe here?"
- "Chii chingave chiri kukonzera ma polyps aya?"
- "Ndezvipi zvandinofanira kuchinja pamararamiro angu uye kudya kwangu kuti ndidzivise zvinhu zvakaita seizvi kuti zvisaitike mune ramangwana?"
- "Ndinofanira kuita endoscopy yangu inotevera rini?"
Mhinduro dzemibvunzo iyi dzichakubatsira kunzwisisa zviri nani mamiriro ako ezvinhu.
Mharidzo Yekuenda Nayo Kumba
- Ma polyps emudumbu madiki anokura pamadziro emukati medumbu. Mazhinji acho haasi kenza zvachose.Uye hazvina kukuvadza.
- Kazhinji, izvi zvinowanikwa netsaona, sezvo kazhinji zvisingakonzeri zviratidzo .
- Kuwana polyp kunopa chiremba wako ruzivo rwakakosha nezveutano hwedumbu rako, izvo zvinogona kubatsira kurapa zvimwe zvirwere, zvakaita segastritis.
- Kana mhando yekenza ikawanikwa, kuibvisa nekukurumidza kunogona kudzivirira zvachose njodzi yeramangwana.
- Usambofa wakasiya nguva yawakapihwa nachiremba wako, kunyanya nguva yekuongororwa . Zvakakosha zvikuru pahutano hwako hwenguva refu.
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