Ngaba wakha weva ngento ebizwa ngokuba yi-'polyps'? Mhlawumbi ugqirha wakho ukuhlolile waza wakuxelela ukuba unayo. Ngamafutshane, ezi zizinto ezincinci ezikhula eludongeni lwangaphakathi lwamalungu omzimba ngaphakathi emizimbeni yethu (umzekelo, amathumbu, isibeleko). Nangona uninzi lwazo zingeyongozi, ezinye zinokuguquka zibe ngumhlaza ngokuhamba kwexesha, ngoko ke kungcono ukuzisusa size sizihlole. Ngoko ke namhlanje siza kuthetha ngenkqubo yezonyango ebizwa ngokuba yi-'polypectomy', esusa ezi polyps.
Yintoni kanye kanye i-polypectomy?
I-Polypectomy yinkqubo yezonyango esusa i-polyp okanye ukukhula okwenzeke ngaphakathi kwilungu lomzimba wakho. Ezi polyp zinokuba ngumhlaza (umhlaza) okanye zingabi ngumhlaza (zingabi yingozi).
Uninzi lwexesha, ezi azinabungozi . Kodwa ugqirha wakho unokukuxelela ngokuqinisekileyo emva kokuba ezisusile aze azithumele kwilebhu ukuze zivavanywe. Ezinye iipolyps "zingaphambi komhlaza." Oku kuthetha ukuba azinamhlaza ngoku, kodwa zinokuba ngumhlaza kwixesha elizayo.
Kutheni le nto ezi polyps kufuneka zisuswe?
Kunokubakho izizathu ezininzi zokususa i-polyp.
- Ukuba uneempawu: Ezinye iipolyps zinokubangela ukuba ube neempawu ezahlukeneyo, ezinje ngentlungu yesisu, ukopha, okanye utshintsho kwindlela ohamba ngayo amathumbu.
- Ukuba kukho umngcipheko wokuba nomhlaza: Ukuba ugqirha uyawuhlola aze acinge ukuba usenokuba ngumhlaza okanye ucinga ukuba usenokuba ngumhlaza.
- Ukuba ufuna ukuvavanywa: Ukuze ufumane uhlobo oluchanekileyo lwethumba, kufuneka ulisuse uze ulithumele kwilebhu ("biopsy").
Oogqirha abaninzi bakholelwa ukuba neepolyps ezingenabungozi nezingenazo iimpawu kufuneka zisuswe kwangethuba ukuze kuthintelwe iingxaki ezizayo.
Apho iiPolyps Zixhaphake Kakhulu Khona kunye Nokubaluleka Kokuzisusa
Iipolyps zinokwakheka nakweyiphi na ilungu elingenanto emzimbeni wethu. Masiqonde ngakumbi ngazo kwitheyibhile engezantsi.
| Apho kwenzeka khona iipolyps | Ukubaluleka kokususwa (umhlaza onokuthintelwa) |
|---|---|
| Iipolyps zeColon | Umhlaza weColorectal |
| Iipolyps zesibeleko | Umhlaza womlomo wesibeleko kunye nomhlaza wesibeleko |
| Iipolyps zesisu | Umhlaza Wesisu |
| Iipolyps zeSinyithi senyongo | Umhlaza weSinyithi |
Ingaba olu lutyando olukhulu? Ngaba luza kuba buhlungu?
Lo ngumbuzo abantu abaninzi abanawo. Hayi, i-polypectomy idla ngokuba lutyando oluncinci. "Yinkqubo engenamsebenzi kangako". Oko kuthetha ukuba yenziwa ngaphandle kokwenza naziphi na izihlangu ezinkulu.
Ezi polyps zihlala zisuswa ngexesha le-colonoscopy okanye i-endoscopy. Oku kuquka ukufaka ityhubhu ende, eguquguqukayo enekhamera ngomngxuma wendalo emzimbeni wakho (umz., i-rectum, umlomo) kunye nokudlulisa izixhobo ezincinci kuyo ukuze kususwe i-polyp.
Kwakhona, into abantu abaninzi abayoyikayo yintlungu. Awuyi kuva ntlungu ngexesha lolu tyando. Ugqirha uza kukunika i-anesthesia kunye ne-painkillers ukuqinisekisa ukuba ukhululekile. Unganikwa i-anesthesia eqhelekileyo (uhlobo lwe-anesthesia) ukuba uyafuna. Okanye unganikwa i-sedation (uhlobo lwamayeza akwenza ulale). Ungaziva uxinzelelo oluncinci xa i-polyp isusiwe, kodwa ayibuhlungu.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ukulungiselela ngaphambi kotyando
- Ukucocwa kwamathumbu: Ingakumbi kwi-colonoscopy ukususa ii-polyps emathunjini amakhulu, amathumbu akho kufuneka angabi nanto kwaye acoceke ngokupheleleyo. Ngenxa yesi sizathu, ugqirha wakho uya kukunika ulwelo olukhethekileyo (`(ifomyula yokulungiselela amathumbu)`) ukuze ulusele. Kuya kufuneka ulandele ukutya okukhethekileyo kangangeentsuku ezimbalwa.
- Amayeza:Ingcali yokubulala iintlungu iza kuxoxa nawe kwangaphambili ngohlobo lwe-anesthesia oza kunikwa. Ingakucela nokuba uyeke ukusebenzisa amayeza athile (afana ne-blood thinners) ngomhla wotyando.
Ngexesha lotyando
I-polypectomy elula yenziwa kusetyenziswa i-endoscope, eyityhubhu enekhamera eqhotyoshelweyo.
1. Ugqirha uza kufaka le tube emzimbeni wakho aze aye apho kukho i-polyp.
2. Emva koko, kufakwa igesi encinci yekhabhoni dayoksayidi kwisitho ukuze sivuthelwe ukuze ingaphakathi lesitho libonakale ngokucacileyo.
3. Emva koko, kusetyenziswa isixhobo esincinci (njenge-forceps okanye i-wire loop) esidluliselwa kwityhubhu, i-polyp iyasikwa kuqala ize isuswe.
4. Emva kokuba i-polyp isusiwe, indawo iyatshintshwa okwethutyana ukuze kumiswe ukopha kwaye kususwe naziphi na izicwili eziseleyo. Oku kuthintela i-polyp ukuba ingakhuli kwakhona.
Zisuswa njani ezinye iipolyps ezintsonkothileyo?
Ezinye iipolyps zinokuba nzima ukuzisusa ngeendlela ezilula kuba zinkulu, zithe tyaba, okanye zibekwe ngendlela eyenza kube nzima ukuzisusa. Kwiimeko ezinjalo, kusetyenziswa ezinye iindlela.
| Indlela yokusebenza | Kalula nje... |
|---|---|
| Utyando lweLaparoscopic | Ukwenza imingxunya embalwa kakhulu esiswini, ukufaka ikhamera kunye nezixhobo zokususa i-polyp. |
| Ukususwa kwe-mucosal ye-Endoscopic (EMR) | Faka isisombululo se-saline kwi-membrane engaphantsi kwe-polyp, uvumele i-polyp ukuba isuswe ngokulula xa sele inyukile. |
| Ukususwa kwe-submucosal ye-Endoscopic (ESD) | Iipolyps ezinkulu okanye ezinomhlaza zisuswa zibe yingcezu enye, kunye ne-membrane enzulu engaphantsi. |
Kwenzeka ntoni emva kotyando kwaye ngaba kukho naziphi na iingozi?
Emva kotyando
Ngokwesiqhelo ungaya ekhaya ngaloo mini inye. Nangona kunjalo, njengoko ungayi kukwazi ukuqhuba ngenxa yeziphumo ze-anesthesia, kubalulekile ukuba nomntu oza kukuqhubela. Ungaziva ungakhululekanga kangangeentsuku ezimbalwa ngenxa yomoya ovalelekileyo esiswini sakho. I-polyp esusiweyo iya kuthunyelwa kwilebhu, kwaye ingxelo iya kufumaneka kwiveki enye ukuya kwezimbini.
Iingozi kunye neengxaki
Iingxaki azixhaphakanga kakhulu, kodwa kubalulekile ukuba uzazi.
- Ukopha (`(Ukopha)`)
- Usulelo (`(Usulelo)`)
- Ukugqobhoka kwesitho somzimba (`(Ukugqobhoka)`)
- Ukutsha okubangelwa zizixhobo zombane
Esinye isimo esingaqhelekanga kakhulu yiPostpolypectomy Coagulation Syndrome (PPCS) . Oku kuxa ubushushu obuvela kwi-polyp butshisa izicwili ezingaphantsi, nto leyo ebangela iimpawu ezifana nentlungu yesisu kunye nomkhuhlane. Oku akukubi njengokugqobhoka. Kudla ngokuphela ngamayeza kwiintsuku ezimbalwa. Nangona kunjalo, ukuba ufumana naziphi na kwezi mpawu kwiintsuku ezimbalwa emva kotyando, xelela ugqirha wakho ngoko nangoko.
Ngokwesiqhelo uza kuphila ngokupheleleyo kwiintsuku ezimbalwa. Kuya kufuneka uthathe amayeza okudambisa iintlungu usuku olunye okanye ezimbini. Igazi elincinci lingadlula kwindle okanye kumchamo wakho, nto leyo eqhelekileyo. Nangona kunjalo, ukuba ukopha kukhulu okanye kuyaqhubeka, qiniseka ukuba uthetha nogqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Polypectomy yindlela elula nekhuselekileyo yonyango esusa ii-polyps, uhlobo lokukhula olwenzeka ngaphakathi emzimbeni.
- Nangona uninzi lwee-polyps zingeyongozi, kubalulekile ukuzisusa nokuzihlola ngenxa yengozi yokuba zijike zibe ngumhlaza.
- Le nkqubo ayibuhlungu, kwaye iindlela zokubulala iintlungu ziyakunciphisa ukungonwabi kwakho.
- Ixesha lokuchacha lifutshane kakhulu, ngesiqhelo lithatha iintsuku ezimbalwa.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (intlungu egqithisileyo, umkhuhlane, ukopha kakhulu) emva kotyando, yazisa ugqirha wakho ngoko nangoko.
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