Ngaba uyazazi ezi polyps zineengqakumba ezikwikholoni yakho? Masithethe ngazo ngokulula!

Ngaba wakha wavavanywa `(Colonoscopy)`? Okanye, usenokuba ukhe weva umntu esithi, `Basuse ukukhula okuncinci kwikholoni.'' Uninzi lwexesha, ezi zizinto esizibiza ngokuba yi`(Colon Polyps)`` okanye iipolyps ezikhula kwikholoni. Phakathi kwazo, kukho uhlobo olukhethekileyo olubizwa ngokuba yi`(Serrated Polyps).`` Ngaba igama livakala liyoyikisa kancinci? Ungakhathazeki, siza kuthetha ngayo yonke into ngendlela elula onokuyiqonda.

Zithini ezi `(Serrated Polyps)`? Masiyiqonde ngokulula!

Ngamafutshane, iipolyps ezinezikhonkwane zii-growths ezakha eludongeni lwangaphakathi lwekholoni yakho kwaye zibukeka njengezikhonkwane ezinezikhonkwane phantsi kwe-microscope. Zii-tumor ezinezikhonkwane, kodwa azinabungozi. Oku kuthetha ukuba azinazo umhlaza xa zenzeka okokuqala. Nangona kunjalo, ezinye iipolyps ezinezikhonkwane zinokuba ngumhlaza ngokuhamba kwexesha. Yiyo loo nto oogqirha bezisusa ezi zikhonkwane ngokukhawuleza nje ukuba zifunyenwe zithintela umhlaza wekholoni.

Imbonakalo yezi `(Serrated Polyps)` inxulumene nendlela ezikhula ngayo. Inkqubo ezikhula ngayo yahlukile kancinci kolunye uhlobo lwee-polyps esihlala sizibona kwi-colon, `(Adenomas). Kwakhona, ukuba `(Serrated Polyps)` ijika ibe ngumhlaza, inkqubo yahlukile kwinkqubo `(Adenomas)` ejika ibe ngumhlaza. Kuthiwa malunga ne-25% yomhlaza wamathumbu amakhulu uvela kwezi `(Serrated Polyps)`. Nangona kunjalo, ukuba zikhula zibe ngumhlaza, zinokukhula ngokukhawuleza kunezinye iintlobo.

Ziziphi iintlobo eziphambili ze-`(Serrated Polyps)`?

I-World Health Organisation (WHO) yahlule ii-polyps ezine-serrated kwiindidi ezine eziphambili. Ezi zahlulwe ngokwembonakalo yazo, oko kukuthi, iimpawu zazo zomzimba. Ezi mpawu zibonisa indlela ezahluke ngayo iinkqubo zeseli ezichaphazela ukukhula kwezi polyps. Okubalulekileyo, ayizizo zonke ezi ntlobo ezingaphambi komhlaza . Oogqirha bazihlela xa befunyaniswe ukuba banokuba nomhlaza kangakanani na.

Nazi ezo ntlobo zine:

• `(Iipolyps zeHyperplastic)` Iipolyps zeHyperplastic
• `(Izilonda Ezithambileyo Ezisengqiqweni - ii-SSL)` Izilonda Ezithambileyo Ezisengqiqweni
• I-Adenomas yesintu ene-serrated
• I-Serrated Adenomas engachazwanga

`(Iipolyps zeHyperplastic)` Iipolyps zeHyperplastic

Ezi zezona ntlobo zixhaphakileyo zeepolyps ezinezikhonkwane, ezimalunga nama-75% eemeko. Iindaba ezimnandi zezokuba ezi polyps ezinezikhonkwane azinabungozi kwaye azibi ngumhlaza . Igama elithi "Hyperplastic" lithetha nje ukukhula kakhulu kweeseli. Oku kuthetha ukuba kukho iiseli ezininzi ezikhula kunye. Iipolyps ezininzi ezingaphambi komhlaza ziba "yi-dysplastic," oko kuthetha ukuba zinenguqu ezingaqhelekanga kwiiseli. Olu tshintsho kwiiseli lunokukhokelela kumhlaza.

`(Izilonda Ezithambileyo Ezisengqiqweni - ii-SSL)` Izilonda Ezithambileyo Ezisengqiqweni

Malunga ne-20% yee-polyps ezine-serrated zezohlobo olubizwa ngokuba yi-Sessile Serrated Lesions (SSLs). Olu luhlobo lwee-polyp ezine-serrated ezinomngcipheko omkhulu wokuba nomhlaza . Igama elithi "Sessile" libhekisa kwinto yokuba zithe tyaba, zifana nediski, okanye ziphakame kancinci. Nangona kunjalo, olu hlobo lunokubonwa nakwii-polyps ezingenabungozi ze-hyperplastic. Ke ngoko, kunzima kancinci ukwahlula ezi zimbini ngembonakalo. Nangona kunjalo, iingcali zinokubona umahluko othile kwisakhiwo sazo.

Ezi `(Sessile Serrated Lesions)` zazinamagama aliqela. Ngoku eli gama litsha lisetyenziselwa ukunciphisa ukudideka okungeyomfuneko. Enye into kukuba ezinye zezi `(SSLs)` zineempawu ze `(Dysplasia)` (iingxaki zeeseli) ezikhankanyiweyo ngaphambili, ngelixa ezinye zingenazo. Oogqirha baphinda bahlele ezo zine `(Dysplasia)` njenge "sessile serrated lesions ezine dysplasia". Nangona kunjalo, zonke `(SSLs)` zithathwa njengeemeko ezingaphambi komhlaza .

I-Adenomas yesintu ene-serrated

Ezi zezona ntlobo zingaqhelekanga ze-`(Serrated Polyps)`, ezibonwa ngaphantsi kwe-1% yabemi . Ezi zikwayimeko yomhlaza . Inkangeleko yazo ifana neye-`(Adenomas)` eqhelekileyo, oko kukuthi, zinesimo esifana ne-mushroom, kwaye zikwanazo neempawu ze-`(Dysplasia)` eziqhelekileyo. Nangona kunjalo, zikwanazo neempawu ze-`(Serrated)` ezifana nemiphetho yesarha. Ngaphambili, ezi zazisoloko ziphazanyiswe njenge-`(Adenomas)` eqhelekileyo. Zisandula ukuqatshelwa njengohlobo lwe-`(Serrated Polyp)`.

I-Serrated Adenomas engachazwanga

Uhlobo lokugqibela zii-polyps ezingangeni kakuhle nakweyiphi na kwezi ndidi zingasentla. Zisenokuba nembonakalo ethe tyaba, enezikhonkwane, kodwa zinokuba neempawu ezifana ne-"Dysplasia" okanye "Adenomas." Nangona zinqabile, oogqirha bakholelwa ukuba kubalulekile ukuqaphela ezi polyps ezingenakuhlelwa ngokucacileyo, kuba uphando lwexesha elizayo lunokuveza okungakumbi ngazo. Sisafunda nge-"Serrated Polyps."

Zixhaphake kangakanani iiSerrated Polyps?

Iipolyps ezinezihlunu zifumaneka kwi-colonoscopy emalunga ne-30% . Uninzi lwexesha, ezi ziipolyps ezingenabungozi ze-hyperplastic. Nangona kunjalo, malunga ne-10% ziipolyps ezingaphambi komhlaza, ezifana neSessile Serrated Lesions (SSLs). Ngexesha le-colonoscopy, ugqirha usenokungakwazi ukubona umahluko phakathi kwezi zimbini rhoqo. Yiyo loo nto, ukuba kukho amathandabuzo, izicubu ziyasuswa, zithunyelwe kwilebhu, kwaye zihlolwe phantsi kwe-microscope yingcali yezifo.

Yintoni i-`(Serrated Polyposis Syndrome - SPS)`?

I-Serrated Polyposis Syndrome (SPS) yimeko engaqhelekanga. Oku kwenzeka xaIipolyps ezirhabaxa zenzeka ngamanani amakhulu kumathumbu amakhulu. Oku bekubizwa ngokuba yiHyperplastic Polyposis Syndrome ngaphambili. Usenokuba neepolyps ezingaphezu kwama-20, okanye zinokuba nkulu kunesiqhelo. Zikwanamathuba amaninzi okuba nomhlaza ngaphambi kokuba ziqale. Abantu abanale meko banethuba elingama-25% lokufumana umhlaza. Le meko ichaphazela malunga ne-0.4% yabemi.

Ngaba iipolyps ezirhabaxa zibangela iimpawu?

Uninzi lwexesha, iipolyps kumathumbu amakhulu, kuquka neepolyps ezirhabaxa, azibangeli zimpawu . Amaxesha amaninzi, iipolyps ezinkulu zinokubangela ukopha okanye utshintsho kwindlela oziphatha ngayo amathumbu akho. Abanye abantu banokubona igazi kwindle yabo, okanye babe norhudo okanye ukuqhina okungachazwanga. Kodwa ezi mpawu zinokubangelwa zezinye izinto. Abantu abaninzi abaneepolyps abazi nokuba banazo . Yiyo loo nto oogqirha becebisa ukuvavanywa rhoqo kwe-colonoscopy.

Yintoni ebangela ukuba ezi `(Serrated Polyps)` zenzeke?

Iipolyps ezinezihlunu zizinto eziqhelekileyo ezidla ngokuvela njengoko sikhula. Asazi ukuba kutheni zenzeka. Kodwa siyazi ukuba kukho utshintsho lwezakhi zofuzo . Utshintsho lwezakhi zofuzo ziimpazamo ekubhalweni kweeseli zakho xa zahlulahlula kwaye zenza iiseli ezintsha. Ezi mpazamo zibangela ukuba iiseli ezintsha zikhule ngendlela eyahlukileyo kunokuba kufanele. Iipolyps ezinezihlunu zibangelwa kutshintsho lwezakhi zofuzo olwahlukileyo kunezinye iintlobo zeepolyps.

Ziziphi izinto ezibangela umngcipheko wokukhula kwe-`(Serrated Polyps)`?

Izinto ezibangela umngcipheko wokuba neepolyps ezinamazinyo afana kakhulu nezo zokukhula kweepolyps emathunjini amakhulu. Nazi:

• Ukuba uneminyaka engaphezu kwama-50 ubudala.
• Ukutshaya.
• Ukusela utywala ngokugqithisileyo.
• Ukutya inyama ebomvu kakhulu (njengenyama yenkomo, inyama yebhokhwe).
• Ukutyeba kakhulu.
• Ukuba neemeko ezifana neSifo seNtsholongwane esiVuthuzayo.

Ungazichonga njani iiPolyps eziSerrated?

Eyona ndlela ilungileyo yokufumana iipolyps ezinezikhonkwane kukusebenzisa i-colonoscopy . Nangona kunjalo, ngamanye amaxesha, zinokuphoswa. Oku kungenxa yokuba iintlobo ezimbini eziqhelekileyo ze-polyps ezinezikhonkwane, ii-polyps ezine-hyperplastic kunye nezilonda ezinezikhonkwane ezine-sessile (SSLs), azibonakali kakuhle. Zihlala zincinci (malunga ne-5 mm) , zithe tyaba okanye ziphakame kancinci, kwaye zinombala ofanayo nowezicubu ezijikelezileyo, ezingenamida icacileyo.

Cinga nje ngokukhangela ibala elincinci, elingabonakaliyo eludongeni elinombala ofanayo nowepeyinti. Akulula oko, akunjalo?

Entsha,Iikholonoskopu, ezinesisombululo esiphezulu kunye nokukhulisa, zingcono ekufumaneni iipolyps ezinezikhonkwane kunezixhobo ezindala. Ukulungiswa kwamathumbu kunye noqeqesho lukagqirha nako kubalulekile. Oogqirha kufuneka bazi izikhokelo zamva nje zokufumanisa iipolyps ezinezikhonkwane. Ezinye iindlela zekholonoscopy zifunyenwe zisebenza ngcono kunezinye kwaye zinokutshintsha imbonakalo yeepolyps.

Ngexesha le-colonoscopy yakho, ugqirha wakho unokurhanela ukuba une-Sessile Serrated Lesion okanye i-Serrated Polyp, uhlobo lomhlaza olunokuthi lube yi-polyp. Ukuba kukho amathandabuzo, uya kuyisusa ngexesha lenkqubo (i-Polypectomy) . I-polyp iya kuthunyelwa kwilebhu ukuze ihlolwe yiPathologist. Kulapho kuphela apho ugqirha aya kukwazi ukufumanisa ukuba loluphi uhlobo lwe-polyp aze enze uxilongo lokugqibela.

Nangona kunjalo, ukuba uneSerrated Polyposis Syndrome (SPS), ugqirha wakho unokukwazi ukuyichonga ngexesha le-colonoscopy. Indlela yokuxilonga i-SPS kukujonga inani lee-polyps ezine-serrated ezifunyenweyo, ubungakanani bazo, kunye nendawo ezikuyo kwi-colon. Ngokwezibalo, ii-polyps ezine-serrated ezinkulu kunesiqhelo okanye kwiindawo ezingaqhelekanga kwi-colon zinokuba nomhlaza xa zijongwa ngokusondeleyo.

Kwenzeka ntoni ukuba `(Serrated Polyps)` ifunyenwe ngexesha `(Colonoscopy)`?

Iipolyps ezine-hyperplastic zixhaphakile kwaye akukho nto ibalulekileyo yokuzikhathaza ngazo. Nangona kunjalo, ukuba ugqirha wakho ukrokrela ukuba une-polyp ene-serrated, kufuneka isuswe . Oku kukufumanisa ukuba loluphi uhlobo lwayo kunye nokuthintela ukuba ingabi ngumhlaza. Ukuba kuqinisekisiwe ukuba yi-polyp engaphambi komhlaza, ugqirha wakho uza kucwangcisa i-colonoscopy yakho elandelayo kungekudala , ukuze uqiniseke ukuba ufumana naziphi na ezintsha.

Ndingayifumana nini i-colonoscopy ngenxa ye-polyp ene-serrated?

Oogqirha bahlula umngcipheko wokuba nomhlaza we-colonectal njengophantsi, ophakathi, okanye ophezulu, kuxhomekeke kuhlobo lwee-polyps ezirhabaxa abazifumanayo. Loo mngcipheko usetyenziselwa ukumisela ukuba kufuneka kwenziwe nini i-colonoscopy elandelayo. Ngokwezikhokelo zangoku,

• Ukuba kukho umngcipheko ophakathi , kube kanye emva kweminyaka emihlanu .
• Ukuba kukho umngcipheko omkhulu, rhoqo emva kweminyaka emithathu .
• Ukuba une-`(SPS)`, kucetyiswa ukuba uvavanywe kube kanye ngonyaka .
• IiPolyps zeHyperplastic ezinobungozi obuphantsi azifuni ukubekwa esweni okukhethekileyo.

Yintoni onokuyilindela ukuba une-"Serrated Polyps" engaphambi komhlaza?

Ukuba ugqirha wakho ukhuphe iipolyps ezifakwe i-serpent ngaphambi komhlaza ngexesha le-colonoscopy yakho, ukhuselekile okwangoku . Ukususa ezi polyps kuya kunciphisa umngcipheko wokuba zibe nomhlaza. Nangona kunjalo, ugqirha wakho uya kufuna ukujonga ikholoni yakho ngezizathu ezahlukeneyo. Esinye isizathu kukuba ezi polyps ezifakwe i-serpent zinokuba nzima ukuzisusa ngokupheleleyo nge-polypectomy ngenxa yesimo sazo esithe tyaba kunye nemiphetho yazo efiphele.

Cinga ngayo njengokuthatha iqhekeza lejeli eliwile phantsi. Ngamanye amaxesha kukho amaqhekeza amancinci aseleyo, akunjalo? Yiyo loo nto kunjalo.

Ukuba kushiywe iziqwenga ezincinci zeeseli xa zisusiwe, okanye ukuba kukho iipolyps ezingakhange zibonwe ngexesha le-colonoscopy yangaphambili kwaye azizange zibonakale kangako, zinokuqhubeka zikhula zibe ziimeko ezingaphambi komhlaza. Zinokukhula ngokukhawuleza kune-polyp entsha. Ukongeza, iipolyps ezirhangqiweyo zinamathuba amaninzi okuba ngumhlaza kunezinye iintlobo. Zikwanamathuba amaninzi okukhula zibe ngumhlaza kwiindawo ezingaphezu kwesinye ngexesha elinye .

Ndifanele ndimbone nini ugqirha malunga nee-intestinal polyps?

Ukuba usemngciphekweni oqhelekileyo, oogqirha bacebisa ukuba wenze i-colonoscopy rhoqo emva kweminyaka eli-10, ukususela kwiminyaka engama-45 ubudala. Ukuba kukho umntu kusapho lwakho oye waba nomhlaza wamathumbu amakhulu okanye ii-polyps (ikhonkco lemfuza), okanye ukuba unesifo esongeza umngcipheko wokuba nee-polyps, ezifana nesifo samathumbu esidumbileyo, unokufuna ukwenza i-colonoscopy kwangethuba. Buza ugqirha wakho ukuba lixesha lokuba wenze i-colonoscopy yakho rhoqo.

Njengee-polyps ezininzi zamathumbu amakhulu, ii-polyps ezine-serrated zixhaphakile kwaye zihlala zingenabungozi . Ezinye zazo zinomngcipheko omncinci wokuba yingozi ngokuhamba kwexesha. Yiyo loo nto sine-colonoscopy. Lo gama nje sizihlola kwaye sizisuse ukuba zifunyenwe, ii-polyps ezine-serrated azinalo ithuba lokuba ngumhlaza. Sisafunda ngee-polyps ezine-serrated kunye nendlela eziziphatha ngayo, kodwa ngoku siyazi ngokwaneleyo ukubonelela ngonyango lokuthintela .

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, makhe sijonge ezinye zezona zinto zibalulekileyo ekufuneka sizikhumbule koko sithethe ngako:

• Iipolyps ezirhabaxa luhlobo lokukhula okunenyama okwakheka emathunjini amakhulu kwaye kujongeka njengemiphetho yesarha.
• Ezinye iintlobo zeepolyps ezinezikhonkwane, ingakumbi izilonda ezinezikhonkwane ezinezikhonkwane (ii-SSL), zinokuba ngumhlaza ngokuhamba kwexesha.
• Uninzi lwexesha, ezi azibonakali , ngoko ke kubaluleke kakhulu ukuba kwenziwe uvavanyo lwe-colonoscopy rhoqo.
• Ngokuzichonga nokuzisusa ezi zinto ngexesha le-colonoscopy, umhlaza unokuthintelwa .
• Ukuba ufunyaniswe une-`(Serrated Polyps)` landela imiyalelo kagqirha wakho ngokuchanekileyo. Kubalulekile ukuya kuvavanyo lokulandelela rhoqo.
• Musa ukoyika , eyona nto ibalulekileyo kukwazi ezi zinto nokuzichonga kwangethuba.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha wakho. Angakunika iingcebiso ngeyona ndlela ifanelekileyo.

Iipolyps eziSerrated, Iipolyps zeColon, I-Colonoscopy, Umhlaza weColon, Iipolyps eziHyperplastic, Izilonda eziSessile eziSerrated, I-Gastroenterology