Khawucinge ukuba uye waya kugqirha ngenxa yengxaki ethile yesisu, mhlawumbi "i-gastritis" esinayo sonke. Ugqirha umamele iimpawu zakho waza wathi, "Masifake ikhamera size sijonge ngaphakathi esiswini sakho." Wenza i-endoscopy. Emva kovavanyo, ugqirha wathi, "Kukho into efana nethumba elincinci esiswini sakho, oko kukuthi, eludongeni lwesisu sakho. Ezi polyps sizibiza ngokuba zi." Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa usiva into efana nale. "Ithumba? Ngaba oko kuthetha umhlaza?" Unokucinga. Kodwa ungakhathazeki. Uninzi lwexesha, ezi ayizozinto zokoyika. Namhlanje, siza kuthetha ngee polyps zesisu ngendlela elula necacileyo.
Ngamafutshane, zithini iipolyps zesisu?
Iipolyps zesisu, okanye iipolyps zesisu, zizinto ezincinci ezikhula kwingqimba yesisu sakho, njengeethumba ezincinci. Ngaphakathi esiswini sethu, kukho inwebu encinci enokukhupha okufana ne-mucus. Ezi polyps zikhula kule nwebu. Khawucinge ukuba ngamanye amaxesha sifumana ii-moles ezincinci eluswini lwethu, akunjalo? Le yinto efana naleyo, kodwa ikhula ngaphakathi esiswini.
Uninzi lwezi polyps azinamhlaza (zinobungozi) , oko kuthetha ukuba azinabungozi.
Ngaba ezi polyps ziyingozi ngokwenene? Kuthekani ngengozi yomhlaza?
Lo ngumbuzo omkhulu engqondweni yomntu wonke. Nantsi into ekufuneka uyikhumbule: Uninzi lwee-polyps zesisu azinawo umhlaza. Kwaye umngcipheko wokuba zibe ngumhlaza uphantsi kakhulu.
Nangona kunjalo, ezinye iintlobo zeepolyps zithathwa njenge "precancerous." Oku kuthetha ukuba azinawo umhlaza xa ugqirha wakho ezifumene, kodwa ukuba zihlala zinganyangwa ixesha elide, zinokuba ngumhlaza emva kweminyaka embalwa.
Kufana nesiqwenga somthi esidala nesiqala ukubola. Asikaboli ngokupheleleyo ngelo xesha, kodwa ukuba asisilungisi, sinokubola ngokupheleleyo ngenye imini. Yiloo nto ezi polyps zingaphambi komhlaza.
Yiyo loo nto oogqirha begqiba ekubeni bazisuse ezi polyps ngokukhawuleza nje xa bezibona. Ukwenza njalo kunokuthintela ngokupheleleyo naziphi na iingozi zexesha elizayo.
Ziziphi iintlobo eziphambili ze-stomach polyps?
Kukho iintlobo ezahlukeneyo zeepolyps zesisu. Ugqirha uza kuthatha iqhekeza elincinci lepolyp yakho aze alithumele kwilebhu ( oku sikubiza ngokuba yi-biopsy).(masithi) yindlela ekuphela kwayo yokwazi ukuba loluphi uhlobo. Umngcipheko kunye nonyango lwayo lumiselwa luhlobo. Makhe sijonge olu hlobo ngokulula.
| Uhlobo lwePolyp | Inkcazo kunye nomngcipheko |
|---|---|
| Iipolyps ze-Fundic gland | Ezi zezona ntlobo zixhaphakileyo. Zidla ngokuba nomngcipheko omncinci kakhulu womhlaza. Zidla ngokubangelwa kukusetyenziswa ixesha elide kwamayeza athile (ii-PPI) kwi-gastritis. |
| Iipolyps ezixineneyo | Uhlobo lwesibini oluxhaphakileyo. Ezi zinxulunyaniswa nokudumba kwesisu (i-gastritis). Umngcipheko womhlaza kwezi zifo nawo uphantsi kakhulu . Nangona kunjalo, ngamanye amaxesha zinokuba luphawu lwesilumkiso lolunye uhlobo lomhlaza, ngoko oogqirha bahlola nezicubu ezingqongileyo. |
| Iipolyps ze-Adenomatous (ii-adenomas) | Ezi zezona ntlobo zixhaphakileyo zeepolyps ezingaphambi komhlaza . Zivela malunga ne-10% yamatyala. Ukuba kufunyenwe ipolyp yolu hlobo, ugqirha ngokuqinisekileyo uza kuyisusa ngokupheleleyo. |
| Ezinye iintlobo ezinqabileyo | Ukongeza kwezi, kukho nezinye iintlobo ezingaqhelekanga ezifana nee -Gastric neuroendocrine tumors , i-Hamartomatous polyps , kunye ne -Gastrointestinal stromal tumors (GIST) . Iingozi kunye nonyango lwazo ziyahluka ngokuxhomekeke kuhlobo lwazo. |
Zithini iimpawu zokuba neepolyps esiswini?
Into emangalisayo apha kukuba uninzi lwee-polyps zesisu azibangeli zimpawu.Abantu abaninzi bafumanisa ukuba bane-polyps esiswini sabo ngexesha le-endoscopy ngesizathu esinye. Enyanisweni, ezi ziziphumo ezingalindelekanga.
Nangona kunjalo, kunqabile kakhulu, ezinye ii-polyps zinokubangela iimpawu. Kukho iindlela ezimbini eziphambili:
1. Ukopha:
- Ezinye iipolyps zinokopha kancinci kumphezulu. Sisenokungaziva ezi zopha.
- Kodwa ukuba uqhubeka ukhupha igazi ngolu hlobo, igazi lingaphuma kunye nendle yakho. Igazi eliphuma esiswini lingenza indle yakho ibe mnyama kwaye ingahlali ixesha elide .
- Xa uphuma igazi ngolu hlobo ixesha elide, umzimba wakho unokulahlekelwa ligazi kwaye ube ne-anemia . Usenokuziva uphaphathekile, udiniwe ngalo lonke ixesha, kwaye ube neempawu ezifana nesiyezi nokuba unyuka izinyuko .
2. Ukuthintela:
- Amaxesha amaninzi, ukuba i-polyp iba nkulu kakhulu, inokuvala umbhobho wokutya esiswini.
- Ukuba oku kuyenzeka, unokufumana iimpawu ezifana nokucaphuka, ukuhlanza, iintlungu zesisu, ukungabi namdla wokutya, kunye nokwehla kobunzima .
Ukuba unale mpawu, akuthethi ukuba une-polyp. Nangona kunjalo, ukuba unale mpawu, kungcono ukubona ugqirha wakho ngokukhawuleza ukuze ufumane unobangela.
Kutheni ezi polyps zenzeka? Zithini izizathu eziphambili?
Nangona kunzima ukuchonga unobangela ochanekileyo we-stomach polyps, abaphandi bafumanise izinto ezininzi ezibalulekileyo ezibangela umngcipheko.
- I-gastritis engapheliyo: Ukudumba kwexesha elide kwengaphakathi lesisu kunokubangela utshintsho kwiiseli kunye nokwakheka kwee-polyps. I-Gastritis, ingakumbi ebangelwa lusulelo lwebhaktheriya olubizwa ngokuba yi-H. pylori, yimbangela enkulu yoku.
- Ii-Proton-pump inhibitors (PPIs): La ngamayeza esiwasebenzisa rhoqo kwi-gastritis, njenge-Omeprazole kunye ne-Pantoprazole. Xa la mayeza esetyenziswa ixesha elide, alawula ukuveliswa kwe-asidi yesisu, kwaye ngenxa yoko, ezinye iiseli zinokukhula kakhulu kwaye zenze ii-polyps (ezidla ngokuba zii-polyps ze-fundic gland ezingenabungozi). Thetha nogqirha wakho ngale nto. Asikuxeleli ukuba uyeke ukuthatha amayeza, kodwa uya kutshintsha idosi ukuba kuyimfuneko.
- Ii-Hereditary syndromes: Amaxesha amaninzi, ezinye iimeko zelifa (umzekelo, iFamilial Adenomatous Polyposis - FAP) zinokubangela ukuba kubekho inani elikhulu lee-polyps esiswini nasemathunjini.
Oogqirha baphatha njani oku?
Xa kufunyaniswa i-polyp, unyango luxhomekeke kuhlobo lwayo, ubungakanani bayo, kunye nenani layo.
1.Ukususwa kwePolyp (iPolypectomy):
- Kwiimeko ezininzi, ukuba ugqirha ubona i-polyp ngexesha le-endoscopy, uza kusebenzisa isixhobo esikhethekileyo ukuyinqumla ngokupheleleyo aze ayisuse. Oku kubizwa ngokuba yi-polypectomy . Awuyi kuva ntlungu ngexesha lenkqubo.
- Ezinye iipolyps ezinzulu okanye ezinkulu zinokufuna iinkqubo ezikhethekileyo ezifana ne-EMR okanye i-ESD ukuze zisuswe. Kwiimeko ezingaqhelekanga, utyando lunokufuneka.
2. Uvavanyo Olulandelayo:
- Ukuba ubune-polyp engaphambi komhlaza, ugqirha wakho usenokukuxelela ukuba ubuyele kwi-endoscopy kamva ukuze ujonge ii-polyps ezintsha.
- Kubaluleke kakhulu ukuba ungaluphosi uvavanyo ngokweshedyuli oyinikwe ngugqirha wakho.
3. Ukunyanga unobangela oyintloko:
- Ukuba iipolyps zibangelwa lusulelo lwe-H. pylori, ugqirha wakho uya kukunika amayeza okubulala iintsholongwane. Ezinye iintlobo zeepolyps zinokuphela zodwa xa usulelo luphelile.
- Ukuba imbangela kucingelwa ukuba yeyeza le-PPI, ugqirha wakho unokugqiba ekubeni alitshintshe iyeza okanye alinciphise. Ungaze uyeke ukuthatha iyeza elinikwe ngugqirha wakho wedwa.
Ukufumana i-polyp akuyonto yokoyika. Kufana nomqondiso omncinci ovela emzimbeni wakho. Umzimba wakho ukuxelela ukuba, "Kukho into eyenzekayo esiswini sam, yiqwalasele." Eyona nto ibalulekileyo kukumamela loo mqondiso uze ulandele imiyalelo kagqirha wakho.
Ndimele ndibuze ntoni kugqirha wam?
Xa ufumanisa ukuba une-polyp, kuyinto eqhelekileyo ukuba nemibuzo emininzi. Ungathandabuzi ukubuza le mibuzo xa usiya kugqirha wakho.
- "Gqirha, loluphi uhlobo lwe-polyp endinalo?"
- "Ingaba kukho umngcipheko wokuba oku kungabangela umhlaza?"
- "Ngaba ndisengozini enkulu yokuba nomhlaza wesisu kwixesha elizayo kunabanye?"
- "Yintoni enokuba ibangela ezi polyps?"
- "Zeziphi iinguqu endimele ndizenze kwindlela yam yokuphila kunye nokutya ukuze ndithintele izinto ezinje ukuba zingenzeki kwixesha elizayo?"
- "Ndiza kuyithatha nini i-endoscopy yam elandelayo?"
Iimpendulo zale mibuzo ziya kukunceda uqonde kakuhle imeko yakho.
Umyalezo Wokuya Ekhaya
- Iipolyps zesisu ziintshulube ezincinci ezikhula eludongeni lwangaphakathi lwesisu. Uninzi lwazo azinawo umhlaza konke konke.Kwaye ayiyongozi.
- Uninzi lwexesha, ezi zifunyanwa ngengozi, kuba zihlala zingabonakalisi zimpawu .
- Ukufumana i-polyp kunika ugqirha wakho ulwazi olubalulekileyo malunga nempilo yesisu sakho, olunokunceda ekunyangeni ezinye izifo ezifihlakeleyo, ezifana ne-gastritis.
- Ukuba uhlobo lomhlaza lufunyenwe, ukulususa kwangethuba kunokuthintela ngokupheleleyo umngcipheko wexesha elizayo.
- Ungaze ulibale ngamadinga akho kagqirha, ingakumbi amadinga okuhlolwa . Kubaluleke kakhulu kwimpilo yakho yexesha elide.
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