Pane tumapundu tudiki here mudumbu mako? Ngatitaurei nezvemapundu emudumbu!

Wakamboitwa endoscopy here kana kuti chirwere chakadai segastritis? Panguva iyoyo, chiremba angangodaro akakuudza kuti, "Une tunhu tudiki tunomera mudumbu mako, twatinoti ma polyps." Izvi zvinganzwika sekutyisa, handiti? Asi usazvidya mwoyo. Kazhinji, izvi hazvina njodzi. Ngatidzidzei zvakawanda nezve ma polyps emudumbu nhasi.

Ndezvipi izvi zvinonzi polyps mudumbu?

Zvichitaurwa zviri nyore, maPolyps emudumbu madiki kana kuti matumbu anokura padumbu rako . Anonziwo maPolyps emudumbu. Funga nezvazvo, mudumbu medu mune mucous lining, uye ndipo panokura mapolyps aya. Aya akafanana nemapolyps anokura mune dzimwe nhengo dzemuviri wedu, semuenzaniso, muura hukuru.

Chinhu chakakosha ndechekuti akawanda ema polyps emudumbu aya haasi ekenza (asina njodzi) . Izvi zvinoreva kuti haakuvadzi zvakanyanya. Zvisinei, kune mamwe marudzi anogona kuchinja kuita kenza nekufamba kwenguva. Ndosaka zvichikosha kuziva nezvazvo.

Mapundu emudumbu aya ane njodzi here?

Iri idambudziko guru kuvanhu vazhinji. Kutaura zvazviri, njodzi yekubatwa nekenza mumhando zhinji dzemapolyps emudumbu ishoma kwazvo, dzimwe nguva haitomboitiki. Dzimwe mhando dzinenge dzisati dzaita kenza . Asi kunyange idzo hadziwanzoiti kenza kana vanachiremba vakadziwana. Zvinotora nguva yakareba kuti polyp ishanduke kuita kenza. Ndosaka vanachiremba vachidzibvisa nekukurumidza padzinowanikwa, kudzivirira kenza yeramangwana.

Zvakakosha: Usavhunduke kana ukaona polyp. Teerera zvakanaka zvinotaurwa nachiremba wako. Kazhinji, izvi zvinogona kubviswa zviri nyore.

Ndeapi marudzi aya emabundu anoumbwa mudumbu?

Kune mhando dzakasiyana dzemapolyps mudumbu. Anonyanya kuzivikanwa ndee epithelial polyps . Aya ndiwo anokura kubva pamusoro pechikamu chemukati (epithelium) chedumbu. Pamusoro pezvo, kunewo mhando dzinotanga kubva pachikamu chakadzama zvishoma dzobuda, idzo dzinonzi mesenchymal polyps . Aya haawanzoitiki zvakanyanya.

Mhando dzeEpithelial Polyps:

Mhando dzemapolyps dzinoonekwa zvakanyanya dzinowira muchikamu ichi.

• Mapolyps eFundic Gland: Aya ndiwo marudzi akajairika emapolyps emudumbu.Izvi zvinowanzo umbwa muchikamu chepamusoro chedumbu (fundus). Kana zvichangobva kuumbwa, njodzi yekenza ishoma kwazvo, kana isiripo. Zvisinei, nezvimwe zvirwere zvekenza zvenhaka zvisingawanzoitiki (semuenzaniso, `Familial Adenomatous Polyposis (FAP)` uye `Gastric Adenocarcinoma uye Proximal Polyposis of the Stomach (GAPPS)`) zvinogona kukura kakawanda. Muzviitiko zvakadaro, zvinogona kunge zviri chirwere chisati chatanga kenza vasati vava kenza.

• Mapolyps eHyperplastic: Aya ndiwo rudzi rwechipiri rwakajairika. Aya haasiwo kenza. Anowanzobatanidzwa nechirwere chegastritis . Zvisinei, dzimwe nguva anogona kuvapo nemamwe kenza, saka anoonekwawo sechiratidzo chekunyevera. Vanachiremba pavanoawana, vanoongororawo nyama dzakapoteredza kuti vaone kana paine masero ekenza.

• Adenomatous Polyps (Adenomas): Inenge 10% yemapolyps ese emudumbu ndeerudzi urwu. Aya ndiwo marudzi akajairika emapolyps asati aita kenza ane njodzi huru yekuva nekenza . Anowanzoitika ega ega. Zvisinei, anogonawo kuitika kakawanda kune vanhu vane zvirwere zvekuzvarwa nazvo zvakaita seFamilial Adenomatous Polyposis (FAP). Vanachiremba vanobvisa mapolyps aya nekukurumidza pavanowanikwa voaedza kuti vaone kana aine kenza.

• Matumbu eNeuroendocrine emudumbu (anozivikanwawo seCarcinoid Tumors): Aya anobva mumasero eneuroendocrine ari mudumbu. Anoita 1% yematumbu ese ari mudumbu. Anogona kunge aine kenza kana kuti asina njodzi. Kune mhando ina dzakasiyana, imwe neimwe ine fungidziro yakasiyana zvishoma. Vanachiremba vanotarisa njodzi yekenza nekuona rudzi rwayo.

• Hamartomatous Polyps (kana kuti Hamartomas): Aya madiki, anenge 1% emapolyps emudumbu. Anogona kuitika ega, kana kuti anogona kusanganiswa nezvirwere zvisingawanzoitiki zvenhaka zvakaita se'Peutz-Jeghers syndrome', 'Juvenile Polyposis Syndrome', 'PTEN Hamartoma Tumor Syndrome'. Kana zvikaitika zvega, zvinowanzova bundu risina njodzi rinokura rega. Zvisinei, kana zvikaitika nezvirwere zvenhaka zvataurwa pamusoro apa, zvinokura zvakanyanya uye zvine njodzi yekenza.

Mhando dzeMesenchymal Polyps:

Idzi imhando dzisingawanzoonekwi dzemapolyps anobva muzvikamu zvakadzika zvishoma.

• Mapuropu eFibroid Anozvimba: Aya mapuropu eFibroid anokura zvishoma nezvishoma uye asina njodzi. Nzira chaiyo yekuumbwa kwawo haisati yazivikanwa. Dzimwe nguva aya anonzi magranuloma.Inonziwo polyp. Iboka remasero ekudzivirira muviri anoungana panguva yekuzvimba. Anowanzo umbwa ega, madiki. Asi kana akakura, anogona kukonzera matambudziko. Kana guru rikaitika mudumbu, rinogona kuvhara suo remudumbu (pylorus).

• Matumbu emudumbu (GIST): Aya matumbu asingawanzoitiki, anotanga kuita kenza anogona kuita kenza. Anotangira muchikamu chakadzika chedumbu (muscularis propria). Vanachiremba vanoabvisa kana awanikwa. Vangada nzira yakasiyana (Endoscopic Mucosal Resection (EMR) kana Endoscopic Submucosal Dissection (ESD)) kuti vaabvise.

• Leiomyomas: Aya mabundu emhasuru asingawanzoonekwi, akatsetseka. Anoumbwa muchikamu chinonzi `Muscularis Propria` uye anogona kuoneka semapundu pamadziro emukati medumbu. Dzimwe nguva aya anogona kunge ari kenza (Leiomyosarcomas). Nzira yakasiyana inogona kudiwa kubvisa mabundu aya.

Mapolyps emudumbu akajairika zvakadii?

Kutaura zvazviri, kazhinji, mapolyps emudumbu haawanzo kuwanikwa. Paongororo zana dzepamusoro dze endoscopy, anowanikwa mune dzinenge ina dzacho. Inenge hafu yemapolyps aya ndiwo ambotaurwa nezvawo ekuti 'Fundic Gland Polyps'. Anenge 30% ndiwo 'Hyperplastic Polyps', 10% ndiwo 'Adenomatous Polyps'. Asara 10% mamwe marudzi asingawanzoonekwi.

Mapundu emudumbu ane zviratidzo here?

Kazhinji, mapolyps emudumbu haakonzeri zviratidzo. Anowanzoonekwa netsaona panguva yekuongororwa kwaunenge uchiita nekuda kwechimwe chikonzero. Zvisinei, mamwe marudzi emapolyps anogona kubuda ropa . Kashoma, mamwe marudzi anogona kukura zvakakwana kuti akonzere kuvharika . Heano mamwe zviratidzo zvaunogona kusangana nazvo:

• Kubuda ropa: Ungasanzwa kubuda ropa mudumbu mako. Asi kana ropa rakawanda richibuda, unogona kuona zviratidzo zveropa mutsvina yako. (Kana ropa richibva kumusoro kwedumbu rako , tsvina yacho inenge yakasviba, yanonoka, kwete yakatsvuka.) Nekufamba kwenguva, kurasikirwa neropa kunogona kukonzera anemia . Izvi zvinogona kukonzera zviratidzo zvakaita sekucheneruka, kushaya simba, uye kuneta.

• Kuvharika: Kana polyp yakakura zvakakwana kuvhara nzira yako yekugaya, unogona kuona zviratidzo zvakaita sekusvotwa, kuzvimba, uye kurwadziwa mudumbu . Dumbu rako rinogonawo kurwadza kana ukaridzvanya. Kana polyp ikavhara suo redumbu rako, unogona kunzwa kurutsa, kurasikirwa nechido chekudya, uye kudzikira kwehuremu .

Mapolyps aya akaita sei?

Mhando dzakasiyana dzema polyps emudumbu dzinogona kutaridzika zvakasiyana. Dzimwe dzakakura, dzakaita sebundu, asi dzimwe dzakati sandara. Vanachiremba vanoti ma polyps akafara, akakwidzwa zvishoma "sessile," uye ma polyps ane musoro wakaita sedzinde "pedunculated." Dzimwe mhando dzinogona kunge dziine maronda pamusoro uye dzinogona kubuda ropa.

Mapolyps anogona kusiyana kubva pamirimita imwe kusvika masendimita akati wandei. Mazhinji acho madiki, nekuti anokura zvishoma nezvishoma. Mapolyps makuru anowanzova nekenza, nekuti akura. Asi zvakaoma kuti vanachiremba vataure chokwadi kana aine kenza kana kuti kwete vasina kuvatarisa pasi pemaikorosikopu.

Chii chinokonzera mapundu emudumbu?

Mapolyps emudumbu anowanikwa pamwe chete nemamiriro ezvinhu ekugara nhaka ane majini. Zvisinei, mapolyps asingawanzoitiki anokonzerwa nezvikonzero zvemajini pamwe nezvimwe zvinhu. Kureva kuti, mhando dzakasiyana dzemapolyps dzinokura nekuda kwekuchinja kwemajini kwakasiyana, asi zvinoita sekunge zvimwe zvinhu zvine chekuitawo nekukonzera kuchinja uku.

Heano zvimwe zvezvikonzero zvakawanikwa nevatsvakurudzi:

• Gastritis Isingaperi: Gastritis kuzvimba kwemukati medumbu. Inogona kukwesha kana kusakwesha. Gastritis inokwesha ndiyo inonyanya kuitika. Inokonzerwa nekukwesha kwemakemikari kana hutachiona husingaperi hwakadai seH. pylori. Gastritis isina kukwesha inogona kukonzera kuti mukati medumbu mutete (atrophic gastritis), izvo zvinokonzera shanduko dzakasiyana dzemasero. Mhando dzese dziri mbiri dzinogona kutungamira kukukura kwemhando dzakasiyana dzemamota, kunyanya hyperplastic polyps, adenomas, inflammatory fibroids, uye neuroendocrine tumors.

• Proton-Pump Inhibitors (PPIs): Iyi ndiyo mishonga yatinotora nguva dzose yekurapa gastritis, chirungurira, uye acid reflux, seOmeprazole. Kana iyi ikashandiswa kwenguva refu uye kakawanda, inogona kukanganisa mashandiro anoita mudumbu. Kana mishonga iyi ikamisa mamwe masero kugadzira acid, mamwe masero anotanga kugadzira acid yakawanda kupfuura inodiwa kuti atsive kushomeka kwayo. Ichi ndicho chikonzero chinowanzoitika che "Fundic Gland Polyps" dzisina mhosva. Dzimwe nguva, izvi zvinogonawo kukanganisa kukura kwe "Gastric Neuroendocrine Tumors".

Mapolyps anowanikwa sei (anoonekwa sei)?

Ma polyps mazhinji emudumbu anowanikwa panguva yekuongorora upper endoscopy (EGD) . Chiremba wezvekudya kana chiremba anoita bvunzo iyi anotora chidimbu chidiki chenyama (biopsy) kubva mu polyp, kana kubvisa polyp zvachose (polypectomy). Sampuli dzenyama dzinozotumirwa kuti dziongororwe zvakare. Nyanzvi yezvirwere inodziongorora pasi pemakroskopu kuti ione kuti imhando ipi ye polyp uye kana iri kenza.

Zvinorevei kana uine ma polyps mudumbu mako?

Mhando dzakasiyana dzemapolyps dzinogona kureva zvinhu zvakasiyana. Zvichienderana nerudzi rwemapolyp akawanikwa, chiremba wako anogona kuraira mimwe miedzo kuti aongorore zvimwe zvirwere zvingave zvichibatanidzwa. Semuenzaniso, vanogona kuraira miedzo kuti vaongorore hutachiona hweH. pylori kana zvimwe zvirwere zvehurwere zvisingaperi.

Huwandu hwemapolyps aunawo pamwe nehukuru hwawo zvakakoshawo. Kana uine mapolyps akawanda, chiremba wako anogona kukurudzira kuongororwa kwemajini kuti utarise mamiriro ekugara nhaka. Kana zvikaonekwa kuti une chirwere chakadaro chekugara nhaka, uchafanirwa kutarisa mapolyps mune dzimwe nhengo dzemuviri wako. Kana mapolyps asati awanikwa ane kenza, ungangoda kuedzwazve endoscopy munguva pfupi iri kutevera.

Ndezvipi zvinoitwa pakurapa ma polyps emudumbu?

Kurapwa kunoenderana nerudzi rwemapolyps aunawo uye mamiriro awo. Zvichienderana neizvi, kurapwa kunotevera kunogona kukurudzirwa:

• Kubviswa kwePolyp yeDumbu: Chiremba wako angangodaro akabvisa polyp panguva ye endoscopy (polypectomy). Zvisinei, dzimwe nguva polyp dzakawanda dzingada kuwanikwa kana kubviswa. Mamwe mapolyp akaomarara, akadzika angada nzira dzakaoma (`EMR`, `ESD`) kana, kashoma, kuvhiyiwa.

• Kuongororwazve kwePolyp: Kana chiremba wako akawana uye akabvisa mapolyp ane kenza kana kuti anogona kunge ari kenza, unofanira kuongororwazve nekukurumidza kuti uone kana matsva achibuda. Chiremba wako achakuudza kuti unofanira kuongororwazve kangani, zvichienderana nerudzi uye hunhu hwemapolyp akawanikwa. Vangangodawo kutarisa kuti muviri wako uri kupindura sei pakurapwa.

• Kurapa Kwezvirwere Zvakafanana: Dzimwe nguva, unogona kutanga waonekwa uine chirwere chinorapika, senge gastritis, nekuda kwezvipembenene zvemudumbu. Chiremba wako anogona kurapa polyps ukuwo achirapawo chirwere chiripo. Polyps dzine chekuita zvakananga nehutachiona hweH. pylori kana kushandiswa kweproton pump inhibitors (PPIs) dzinogona kupera kana zvirwere izvozvo zvikarapwa.

Unogona kudzivirira kuumbwa kwe polyps mudumbu here?

Kurapa chirwere chegastritis chisingaperi uye zvikonzero zvacho kunogona kubatsira kudzivirira mamwe marudzi emapolyps emudumbu. Zvakare, kuderedza kushandiswa kwemishonga inonzi `Proton Pump Inhibitors (PPIs)` kunogona kubatsira kuderedza kuumbwa kwemamwe marudzi emapolyps. Zvisinei, mapolyps mazhinji anowanikwa pamwe chete ne`PPIs` haana njodzi. Saka hapana mutemo wekuti unofanira kurega kutora mushonga kuti udzivise. Zvakanaka kukurukura izvi nachiremba wako.

Chii chinoitika kana uine ma polyps mudumbu mako?

Kana chiremba wako akawana ma polyps mudumbu mako, achaita bvunzo kuti aone kuti ndeapi marudzi uye kuti anorevei.Kazhinji, hazvina kuipa. Mikana yekuwana polyp inoshanduka kuita kenza yemudumbu isingasviki 2%. Unogona kuonekwa uine chimwe chirwere chinogona kurapwa.

Ndinofanira kuchinja kudya kwangu mushure mekubviswa mapolyps here?

Kudya kunovaka muviri kunobatsira dumbu kupora mushure mekunge mapolyps abviswa kuburikidza ne endoscopy. Zvakare, kudya kwakanaka kwakakosha kudzivirira gastritis, iyo inonyanya kukonzera mapolyps mudumbu. Vanachiremba vanokurudzira kutevedzera kudya kunorwisa kuzvimba . Kureva kuti, pachinzvimbo chekudya kwekugadzira, shuga yakawandisa, uye mafuta akazara, chikafu chechisikigo chine zviyo zvakakwana, mapuroteni asina mafuta akawanda, uye mafuta asina mafuta akazara chinofanira kukosheswa.

Ndinofanira kuona chiremba rini?

Mushure mekunge mapolyps abviswa , zvakakosha kudzokera kunoongororwa sezvakaudzwa nachiremba wako. Achakuudza kuti unodzoka kangani. Zvakare, kana uine zviratidzo zvisingawanzoitiki, zvakaita sekurwadziwa mudumbu kana kuchinja kwetsvina yako, unofanirawo kuzivisa chiremba wako. Anogona kukuudza kana zviri zvakajairika kana kuti zvichida kuongororwa.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Unogona kubvunza mibvunzo yakaita seiyi:

• Ndivana rudzii rwemapolyps?
• Mapolyps angu ari panjodzi yekubatwa nekenza here?
• Ndiri panjodzi yakakura here kana kuti yakaderera yekubatwa nekenza yemudumbu?
• Chii chingangove chikonzero chikuru chekuputika kwemudumbu mangu?
• Ndezvipi zvandinofanira kuchinja kuti ndidzivise kukura kwemapundu emudumbu mune ramangwana?
• Ndinofanira kuita endoscopy yangu inotevera rini?

Chekupedzisira, yeuka izvi (Mharidzo Yekuenda Kumba)

Kuwana ma polyps mudumbu kazhinji itsaona, kana uri kuongororwa nachiremba nezvechimwe chinhu. Zvinogona kukunetsa zvishoma. Asi yeuka, ma polyps mazhinji emudumbu haasi kenza, uye ane mukana mudiki wekuva kenza. Kazhinji, inongova chimwe chiratidzo chechirwere chakakuunza kuna chiremba.

Zvichienderana nerudzi rwemapolyps emudumbu aunawo, chiremba wako achava neruzivo rwakakosha nezveutano hwemudumbu mako. Iye achaziva zvekuita kuti arape chirwere chako uye agadzirise njodzi yako yekenza yemudumbu. Kana paine njodzi, zviri nani kuziva nekukurumidza, handiti? Saka usatya, teerera zvinotaurwa nachiremba wako, uye uwane kurapwa kwakakodzera.

Ma polyps emudumbu, bundu remudumbu, gastritis, endoscopy, kenza yemudumbu, matambudziko emudumbu, mhando dze polyps