Oko kufuneka ukwazi malunga ne-Tubular Adenoma

Ngaba wakha wenziwa i-colonoscopy ukuze kuhlolwe umhlaza wamathumbu amakhulu ? Xa wenza njalo, ugqirha wakho mhlawumbi ukuxelele ukuba unezihluma ezincinci ezibizwa ngokuba zii-polyps kwikholoni yakho. Ezi zihluma ezincinci ezikhula kulwelo lwamathumbu amakhulu. Uninzi lwexesha, azinabungozi. Kodwa ngamanye amaxesha, zinokukhokelela kumhlaza wamathumbu amakhulu . Yiyo loo nto kubalulekile ukuba uzazi.

Ngamafutshane, yintoni i-Tubular Adenoma?

Uhlobo oluqhelekileyo lwe-colon polyp olususwa ngoogqirha ngexesha le-colonoscopy lubizwa ngokuba yi-"Tubular Adenoma." Eli gama livela kwinto yokuba iiseli kwezi polyps zibukeka njengeetyhubhu ezincinci xa zijongwa phantsi kwe-microscope.

Iindaba ezimnandi zezokuba ngaphantsi kwe-10% yezi `(Tubular Adenoma)` zijika zibe ngumhlaza. Nangona kunjalo, ukuba unolu hlobo okanye naluphi na olunye uhlobo lwee-colon polyps, ugqirha wakho ngokuqinisekileyo uza kuzisusa. Oku kwenzelwa ukuphelisa kwanethuba elincinci lokukhula komhlaza kwixesha elizayo.

Zenzeka njani ezi polyps?

Ngamanye amaxesha iiseli emzimbeni wethu ziqala ukukhula zingalawuleki. Le nkqubo siyibiza ngokuba yi-mutation . Ezi seli ezingaqhelekanga ziba zii-tumor ezifana nee-polyps. Ii-Tubular adenomas zihlala zincinci, zingaphantsi kwesiqingatha se-intshi ngobukhulu.

Iingcali azikayazi kakuhle ukuba kutheni oku kusenzeka, kodwa zikholelwa ukuba indibaniselwano yezinto zemfuza kunye neemeko ezingqongileyo zinegalelo kule meko.

Ukongeza, abantu abanokuvuvukala okungapheliyo kwekholoni, njenge-ulcerative colitis okanye isifo sikaCrohn , banokukhula kwezi thumba njengempendulo yokuvuvukala. Nangona kunjalo, iithumba ezikhula ngenxa yokuvuvukala azinakwenzeka ukuba zibe ngumhlaza. Nangona kunjalo, ezi meko ziyandisa umngcipheko wokuba nomhlaza wekholoni. Oku kungenxa yokuba ezi zifo zonakalisa ulwelo lwekholoni kwaye zibangela ukuba iiseli zahlukane ngokukhawuleza ukuzama ukuzilungisa.

Yintoni umahluko phakathi kwe-Tubular kunye ne-Villous Adenoma?

Kukho iindlela ezimbini eziphambili zokukhula kwe-adenomas kumathumbu amakhulu. Masiqonde umahluko phakathi kwezi zimbini ngetafile.

Ezinye iithumba zinokuba nomxube weendlela zombini. Sizibiza ngokuba yi-"Tubulovillous Adenomas." Malunga ne-15% yeethumba ezikhula kumathumbu amakhulu zi-"Villous" okanye "Tubulovillous".

Ngubani osengozini enkulu yokuphuhlisa ezi zinto?

Unamathuba amancinci okuba ne-`(Tubular Adenoma)` ukuba unale ngxaki ilandelayo:

• Ukuba neminyaka engama-50 okanye ngaphezulu.
• Ukuba ne-body mass index ephezulu (BMI) okanye ukuba ngumntu otyebileyo kakhulu .
• Ukuba yindoda.
• Ukuba kukho nabani na kusapho lwakhe okhe waba neethumba zamathumbu amakhulu okanye umhlaza.
• Ukuba nesifo seswekile.
• Ukutshaya.
• Ukusela utywala ngokugqithisileyo.
• Ukungazilolongi.

Zithini iimpawu zoku?

Nangona kunjalo, ngamanye amaxesha unokubona iimpawu ezifana nezi:

• Ukopha okuphuma emqolo.
• Ukukhupha okufana ne-mucus kunye nenkunkuma.
• Urhudo okanye ukuqhina rhoqo.
• Isisu esibuhlungu.
• I-anemia ebangelwa kukulahleka kwegazi kunye nenkunkuma.

Isifo sichongwa kwaye sinyangwa njani?

Eyona ndlela ilungileyo nechanekileyo yokufumana nokususa i-`(Tubular Adenoma)` luvavanyo lwe-`(Colonoscopy)` .

Kolu vavanyo, ugqirha ufaka ityhubhu ende, eguquguqukayo enekhamera eqhotyoshelwe kwi-anus yakho aze ayikhokelele kancinci kwi-colon yakho. Imifanekiso engaphakathi kwi-colon yakho ingabonwa kwisikrini sevidiyo. Ukuba kukho naziphi na kwezi thumba, zinokubonakala ngokucacileyo.

Ugqirha uza kusebenzisa isixhobo esincinci ukusika nokususa ithumba, okanye abeke ucingo olujikeleze aze alitshise ngombane. Oku kwenziwa ngelixa uphantsi kwe-anesthesia, oko kuthetha ukuba ulele ubuthongo obukhulu, ukuze ungabi nantlungu.

Ithumba elisusiweyo lithunyelwa kwilabhoratri, apho ingcali yezifo ilihlola phantsi kwe-microscope ukuze ibone ukuba linazo na iiseli zomhlaza.

Nangona kukho ezinye iimvavanyo ezininzi zokuzifumanisa, kusafuneka i-colonoscopy ukuze zisuswe. Ezi vavanyo zezi:

• I-CT colonography
• I-sigmoidoscopy eguquguqukayo
• Uvavanyo lwelindle

Kwenzeka ntoni emva kokuba i-cyst isusiwe?

Ukuba ukhe waba ne-`(Tubular Adenoma)` okanye olunye uhlobo lwe-adenoma kwaye zisusiwe, kuya kufuneka wenze uvavanyo oluphindaphindwayo lwe-`(Colonoscopy)` ukuze ubone ukuba ziyabuya na. Oku kubizwa ngokuba yi-`(Follow-up)`.

Ukuba ubunenye okanye ezimbini ezincinci (ngaphantsi kweemilimitha ezili-10), kuya kufuneka ukuba wenze uvavanyo lwakho olulandelayo kwiminyaka eyi-7-10 .

Kodwa,

• Ukuba ubuneenati ezintathu okanye ezine,
• Ukuba zinkulu kuneemilimitha ezili-10,
• Ukuba ugqirha ebengenakuzisusa ngokupheleleyo,
• Ukuba kukho umntu kusapho lwakho okhe waba neethumba zamathumbu amakhulu okanye umhlaza,

Ugqirha wakho unokukucebisa ukuba wenze uvavanyo oluphindayo ngokukhawuleza, mhlawumbi kwiminyaka emi-3-5 . Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.

Ezi zinto zingathintelwa njani ukuba zingabikho kwaye zibangele umhlaza?

Malunga ne-95% yomhlaza wamathumbu amakhulu iqala njengeentsholongwane ezincinci (ii-polyps) ezifana nezi. Ezi zinokuthatha iminyaka elishumi nangaphezulu ukuba zibe ngumhlaza.

Oogqirha ngokubanzi bacebisa ukuba wenze i-colonoscopy yakho yokuqala xa uneminyaka engama-45 ubudala. Nangona kunjalo,

• Ukuba kukho umntu kusapho lwakho okhe waba nomhlaza wamathumbu amakhulu okanye iithumba,
• Ukuba unesifo samathumbu esibangelwa kukudumba (IBD),
• Ukuba kukho imeko yemfuza eyonyusa lo mngcipheko,

Kusenokufuneka uqale uvavanyo kwangethuba, malunga neminyaka engama-40 ubudala .

Ukongeza, unganciphisa umngcipheko wakho ngokwenza ezi zinto zilandelayo:

• Nciphisa ukutya kwakho inyama enamafutha amaninzi kunye nenyama elungisiweyo.
• Yitya imifuno emininzi, iziqhamo ezitsha, kunye nokutya okunefayibha eninzi.
• Zigcine uphilile.
• Kuphephe ukutshaya ngokupheleleyo.
• Ukuba usela utywala, nciphisa kakhulu.
• Thetha nogqirha wakho malunga nokuba ukuthatha i-aspirin yonke imihla kunokunceda na ukunciphisa umngcipheko wakho wokuba nomhlaza, kwaye uqaphele izinto ezilungileyo nezingalunganga. Ungaze uqale ukuthatha eli yeza ngaphandle kwengcebiso kagqirha.