Ngaba wakha wenziwa i-colonoscopy? Okanye mhlawumbi ukhe weva ngayo kusapho lwakho okanye kubahlobo bakho. Ngamanye amaxesha emva kolu vavanyo, ugqirha uthi, "Une-polyp kwikholoni yakho." Kuqhelekile ukuba nabani na azive esoyika okanye othukile xa esiva la mazwi. Kodwa ngaba kufuneka woyike ngokwenene? Ngaba zonke ezi polyps ziyingozi kwaye zinomhlaza? Hayi. Namhlanje sithetha ngohlobo oluthile lwe-polyp oluvela kwikholoni ebizwa ngokuba yi-serrated polyps .
Ngamafutshane, zithini iipolyps ezinezikhonkwane?
Iipolyps ezinezihlunu zikhula kancinci kwizicubu, okanye, iipolyps ezincinci, ezikhula eludongeni lwangaphakathi lwekholoni yakho. Zibizwa ngokuba "zii-serrated" kuba umphezulu wazo ubonakala ngathi zi-saw-toothed xa zijongwa nge-microscope.
Into ebalulekileyo kukuba ezi polyps azinawo umhlaza xa ziqala ukwakheka. Zihlala zingenabungozi. Nangona kunjalo, ezinye iipolyps ezinezikhonkwane zinokuguquka zibe ngumhlaza ngokuhamba kwexesha. Yiyo loo nto oogqirha bezisusa ezi polyps ngokukhawuleza nje ukuba zibonwe. Oku kunceda ukuthintela umhlaza wamathumbu amakhulu ukuba ungakhuli kwixesha elizayo.
Indlela ezi polyps zikhula ngayo yahlukile kancinci kwindlela ezinye ii polyps eziqhelekileyo, ezibizwa ngokuba zii-adenomas, ezikhula ngayo. Kwaye inkqubo eziguquka ngayo zibe ngumhlaza nayo yahlukile. Malunga ne-25% yomhlaza wamathumbu amakhulu ikhula kwezi polyps zikhula ngayo. Kodwa ukuba zikhula zibe ngumhlaza, zinokukhula ngokukhawuleza kunezinye iintlobo.
Ziziphi iintlobo eziphambili ze-polyps ezine-serrated?
I-World Health Organisation (WHO) yahlule ii-polyps ezine-serrated kwiintlobo ezine eziphambili. Ezi zahlulwe ngokwenkangeleko yazo kunye nendlela eziziphatha ngayo iiseli. Ayizizo zonke ezi ntlobo eziguquka zibe ngumhlaza. Ke ngoko, kubaluleke kakhulu ukuba ugqirha wakho azihlele ngokuchanekileyo aze azichonge.
Nantsi ingcaciso elula yezo ntlobo zine.
| Uhlobo lwePolyp | Kalula nje... |
|---|---|
| Iipolyps ezixineneyo | Olu lolona hlobo luxhaphakileyo . Malunga ne-75% yee-polyps ezine-serrated zezo hlobo. Iindaba ezimnandi zezokuba, eziAyinabungozi, kwaye ayizukuba ngumhlaza. Yimeko eqhelekileyo ebangelwa ziiseli ezininzi kakhulu. |
| Izilonda ezifakwe i-sessile serrated (SSLs) | Olu lolona hlobo luqhelekileyo lwe-polyp ene-serrated enokuthi iguquke ibe ngumhlaza . Igama elithi "Sessile" lithetha "sessile" kuba zithe tyaba kwaye zinamathele eludongeni. Yingakho ngamanye amaxesha kunzima ukuzifumana ngexesha le-colonoscopy. Oogqirha bacinga ukuba zonke ezi SSL zisengozini yokuba nomhlaza. |
| I-adenomas yesintu ene-serrated | Ezi zinqabile kakhulu. Nangona zibukeka njengee-adenomas eziqhelekileyo, zikwanazo neempawu "ezinamazinyo aqhekekileyo", njengamazinyo atshisiweyo. Zikwaluhlobo lomhlaza . |
| I-adenomas ene-serrated engachazwanga | Olu luhlobo lwe-polyp olungelulo uhlobo lweentlobo ezintathu ezikhankanyiweyo apha ngasentla, kodwa luneempawu ezixutyiweyo. Oku kunqabile. Oogqirha bayaqhubeka nophando ngezi. |
Zixhaphake kangakanani ezi thumba? Ngaba kukho naziphi na iimpawu?
Khawucinge nje, ukuba wenza ii-colonoscopies ezili-100, ungabona olu hlobo lwe-serrated polyp kwi-30 zazo. Kodwa ungakhathazeki, uninzi lwazo ezifunyenweyo zii-hyperplastic polyps ezingenabungozi . Iintlobo ezifana nee-SSL, ezisengozini yomhlaza, zifumaneka kwinani elincinci, malunga ne-10%.
Into ebalulekileyo kukuba akukho nanye kwezi ntlobo zeepolyps edla ngokubangela naziphi na iimpawu . Ungazifumana emzimbeni wakho ungazi nokuba zinjani.
Akunqabile kakhulu, ukuba ithumba liyakhula, unokufumana igazi elincinci kwindle yakho, okanye unokufumana ukudumba okanye ukuqhina. Kodwa kusenokwenzeka ukuba kukho ezinye izizathu ezibangela ezi mpawu. Yiyo loo nto oogqirha becebisa ukuba ufumane i-colonoscopy usemncinci, nokuba awunazo naziphi na iimpawu.
Yintoni i-serrated polyposis syndrome (SPS)?
Le yimeko ekhethekileyo nengaqhelekanga. Kule meko, umntu uba neepolyps ezininzi ezinezikhonkwane (ngamanye amaxesha ezingaphezulu kwama-20) kumathumbu akhe amakhulu. Ezi zinokuba nkulu kunesiqhelo kwaye zinokuba yingozi enkulu yomhlaza. Umntu onesi sifo, i-SPS, unobungozi obuyi-25% bokufumana umhlaza.
Zithini izizathu kunye nezinto ezibangela ezi ngxaki?
Akukho sizathu sinye see-polyps zamathumbu amakhulu. Zixhaphake ngakumbi njengoko sikhula. Isizathu esiphambili kucingelwa ukuba ziinguqu zemfuza ezenzeka xa iiseli zethu zahlukana kwaye zenza iiseli ezintsha. Njengokuba umatshini wokukopa ngamanye amaxesha wenza iimpazamo ezincinci. Ezi nguqu zemfuza zibangela ukuba iiseli zikhule zingalawuleki kwaye zenze iithumba.
Kukho izinto ezininzi ezibangela umngcipheko wokuphuhlisa ezi polyps:
- Ukuba neminyaka engaphezu kwama-50 ubudala
- Ukutshaya
- Ukusela kakhulu
- Ukutya inyama ebomvu rhoqo (njengenyama yenkomo nengulube)
- Ukutyeba kakhulu (ukutyeba kakhulu)
- Ukuba neemeko ezingapheliyo zokudumba kwamathumbu, njengesifo samathumbu esidumbayo (IBD)
Zifunyaniswa kwaye zinyangwa njani ezi zifo?
Eyona ndlela ilungileyo nekuphela kwayo yokufumana iipolyps ezinezikhonkwane kukusebenzisa i-colonoscopy . Olu vavanyo luhlola lonke ikholoni yakho kusetyenziswa ityhubhu encinci enekhamera eqhotyoshelweyo.
Kodwa ngamanye amaxesha kunokuba nzima ukuzifumana. Kuba iintlobo ezifana nee-SSL zithe tyaba, zinombala ofanayo nezicubu ezijikelezileyo, kwaye imida ayicacanga. Yiyo loo nto kubalulekile ukuba nogqirha onamava nochwephesha enze olu vavanyo esebenzisa iikhamera zobuchwepheshe obuphezulu (ii-colonoscopes ezinesisombululo esiphezulu).
Kwenzeka ntoni emva kovavanyo?
1. Ukufumanisa: Ukuba ugqirha ubona i-polyp ngexesha le-colonoscopy aze acinge ukuba luhlobo olunobungozi obukhulu, uza kuyisusa ngoko nangoko. Le nkqubo ibizwa ngokuba yi-polypectomy .
2. Uvavanyo: I-polyp esusiweyo ithunyelwa kwilebhu, apho ingcali yezifo iyihlola phantsi kwe-microscope ukuze ifumanise ukuba loluphi uhlobo lwe-polyp ize inike ingxelo.
3. Izicwangciso zexesha elizayo: Ngokusekelwe kuloo ngxelo, ugqirha wakho uya kugqiba ukuba kufuneka wenze i-colonoscopy yakho elandelayo kungekudala kangakanani.
| Uhlobo lwe-polyp lufunyenwe | Ixesha elicetyiswayo le-colonoscopy elandelayo |
|---|---|
| Umngcipheko ophantsi (umz. iipolyps ezincinci ze-hyperplastic) | Ngokwesiqhelo kwiminyaka eli-10 |
| Umngcipheko ophakathi (umz. ii-SSL ezininzi) | Kwiminyaka emi -5 ezayo |
| Iingozi eziphezulu (umz. ii-SSL ezinkulu okanye ezininzi) | Kwiminyaka emi -3 ezayo |
| Ukuba imeko ye-SPS iyafumaneka | Qho ngonyaka |
Ugqirha wakho unokutshintsha la maxesha ngokuxhomekeke kwimeko yakho, ngoko ke kubalulekile ukulandela imiyalelo yakhe.
Ungalibali, ukususa i-polyp esengozini yomhlaza kuthetha ukuba ukhuselekile ngokupheleleyo okwangoku. Siyisusile into yokuba loo ntsholongwane ibe ngumhlaza. Nangona kunjalo, kubalulekile ukuphinda uhlolwe ngexesha elifanelekileyo, njengoko ezi ntsholongwane zinokuphinda zibuye.
Umyalezo Wokuya Ekhaya
- Iipolyps ezirhabaxa luhlobo lokukhula olwenzeka kumathumbu amakhulu. Uninzi lwazo alunabungozi .
- Nangona kunjalo, ezinye iintlobo, ezifana nee-SSL, zinokuguquka zibe ngumhlaza ngokuhamba kwexesha, ngoko ke kungcono ukuzisusa ngokukhawuleza nje ukuba uzibone.
- Ezi thumba azibangeli zimpawu . Yiyo loo nto kubalulekile ukuba wenze i-colonoscopy emva kweminyaka engama-45, njengoko ugqirha wakho ekucebisa.
- Ukuba i-polyp efunyenwe ngexesha lovavanyo lwakho ifunyenwe inomhlaza yaza yasuswa, ungakhathazeki. Oko kuthetha ukuba ugqirha wakho uyibonile ngexesha elifanelekileyo waza wayithintela ukuba ingakhuli ibe ngumhlaza.
- Eyona nto ibalulekileyo kukwenza uvavanyo lwakho olulandelayo ngexesha kanye ugqirha akuxelele lona . Ungaphoswa.
- Unganciphisa umngcipheko wokufumana ezi zinto ngokuphepha ukutshaya, ukusela utywala ngokugqithisileyo, nokulandela indlela yokuphila esempilweni.
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