Ngaba kukho amaqhuma amancinci esiswini sakho? Masithethe ngee-polyps zesisu!

Ngaba wakha wayenza i-endoscopy yengxaki yesisu okanye imeko efana ne-gastritis? Ngelo xesha, ugqirha usenokuba ukuxelele wathi, "Unezihluma ezincinci esiswini sakho, esizibiza ngokuba zii-polyps." Oku kusenokuvakala kuyoyikisa kancinci, akunjalo? Kodwa ungakhathazeki. Uninzi lwexesha, ezi azinabungozi. Masifunde ngakumbi ngee-stomach polyps namhlanje.

Zithini ezi polyps esiswini?

Ngamafutshane, iiPolyps zeSisu ziintlobo ezincinci okanye ukukhula okukhula kwilwelo lesisu sakho . Zikwabizwa ngokuba ziiPolyps zeSisu. Cinga nje, isisu sethu sinolwelo olunemifinya, kwaye kulapho ezi polyps zikhula khona. Ezi zifana neepolyps ezikhula kwezinye iindawo zomzimba wethu, umzekelo, emathunjini amakhulu.

Into ebalulekileyo kukuba uninzi lwezi polyps zesisu azinazo umhlaza (ezinobungozi) . Oko kuthetha ukuba azibangeli monakalo mkhulu. Nangona kunjalo, kukho iintlobo ezithile ezinokuguquka zibe ngumhlaza ngokuhamba kwexesha. Yiyo loo nto kubalulekile ukuba uzazi ezi.

Ngaba ezi polyps zesisu ziyingozi?

Le yingxaki enkulu kubantu abaninzi. Enyanisweni, umngcipheko womhlaza kwiintlobo ezininzi ze-stomach polyps uphantsi kakhulu, ngamanye amaxesha awukho. Ezinye iintlobo zingaphambi komhlaza . Kodwa nezo zihlala zingenawo umhlaza xa oogqirha bezifumanisa. Kuthatha ixesha elide ukuba i-polyp iguquke ibe ngumhlaza. Yiyo loo nto oogqirha bezisusa kwangoko nje ukuba zifunyanwe, ukuthintela umhlaza kwixesha elizayo.

Kubalulekile: Musa ukoyika ukuba ubona i-polyp. Mamela ngononophelo oko kuthethwa ngugqirha wakho. Uninzi lwexesha, ezi zinokususwa ngokulula.

Ziziphi ezi ntlobo zeethumba ezikhula esiswini?

Kukho iintlobo ezahlukeneyo zeepolyps esiswini. Ezona zixhaphakileyo ziipolyps ze-epithelial . Ezi zezo zikhula kumaleko ophezulu we-lining (epithelium) yesisu. Ukongeza, kukwakho neentlobo eziqala kumaleko onzulu kancinci zize ziphume, ezibizwa ngokuba ziipolyps ze-mesenchymal . Ezi azixhaphakanga kangako.

Iintlobo ze-Epithelial Polyps:

Iintlobo ze-polyps ezibonakala kakhulu ziwela phantsi kolu didi.

• Iipolyps zeFundic Gland: Ezi zezona ntlobo zixhaphakileyo zeepolyps zesisu.Ezi zihlala zenzeka kwinxalenye ephezulu yesisu (i-fundus). Ukuba zisandula ukwakheka, umngcipheko womhlaza uphantsi kakhulu, ukuba awukho. Nangona kunjalo, ngeemeko ezithile ezingaqhelekanga zomhlaza ezizuzwa njengelifa (umzekelo, i-`Familial Adenomatous Polyposis (FAP)` kunye ne-`Gastric Adenocarcinoma kunye ne-Proximal Polyposis of the Stomach (GAPPS)`) zinokukhula rhoqo. Kwiimeko ezinjalo, zinokuba yimeko engaphambi komhlaza ngaphambi kokuba zibe ngumhlaza.

• Iipolyps zeHyperplastic: Ezi zezona zixhaphakileyo. Ezi azihlali zinomhlaza. Zidla ngokunxulunyaniswa ne-gastritis . Nangona kunjalo, ngamanye amaxesha zinokuba khona neminye imidla, ngoko ke zithathwa njengesilumkiso. Xa oogqirha bezifumene, bahlola nezicubu ezingqongileyo ukuze babone ukuba kukho iiseli zomhlaza.

• Iipolyps zeAdenomatous (iiAdenomas): Malunga ne-10% yazo zonke iipolyps zesisu zezo hlobo. Ezi zezona ntlobo zixhaphakileyo zeepolyps ezingaphambi komhlaza ezinobungozi obukhulu bokuba nomhlaza . Zihlala zivela zodwa. Nangona kunjalo, zinokuvela rhoqo kubantu abaneengxaki zofuzo ezifana neFamilial Adenomatous Polyposis (FAP). Oogqirha bayazisusa ezi polyps ngokukhawuleza nje ukuba zifunyenwe baze bazivavanye ukuba azinazo na iintsholongwane ezibangela umhlaza.

• IiTumors zeGastric Neuroendocrine (ezaziwa ngokuba ziiCarcinoid Tumors): Ezi zivela kwiiseli ze-neuroendocrine ezikwilweyini yesisu. Zimalunga ne-1% yazo zonke iitumo esiswini. Zinokuba nomhlaza okanye zibe nobungozi. Kukho iintlobo ezine ezahlukeneyo, nganye inesimo sayo esahlukileyo kancinci. Oogqirha bamisela umngcipheko womhlaza ngokuchonga uhlobo.

• Iipolyps zeHamartomatous (okanye iiHamartomas): Ezi linani elincinci, malunga ne-1% yeepolyps zesisu. Zinokwenzeka ngokuzenzekelayo, okanye zinokunxulunyaniswa nezifo ezingaqhelekanga ezizuzwa njenge-'Peutz-Jeghers syndrome', 'Juvenile Polyposis Syndrome', 'PTEN Hamartoma Tumor Syndrome'. Xa zenzeka ngokuzenzekelayo, zihlala ziyi-tumor engenabungozi ekhula yodwa. Nangona kunjalo, xa zenzeka nezifo ezizuzwayo ezikhankanyiweyo apha ngasentla, ziyakhula ngamanani amakhulu kwaye zinomngcipheko womhlaza.

Iintlobo zeMesenchymal Polyps:

Ezi ziintlobo ezingaqhelekanga zeepolyps ezivela kwiileya ezinzulu kancinci.

• Iipolyps zeFibroid ezivuthayo: Ezi luhlobo lokukhula olungaqhelekanga nolungangamsha. Indlela echanekileyo yokwakheka kwazo ayaziwa. Ngamanye amaxesha ezi zibizwa ngokuba ziigranuloma.Ikwabizwa ngokuba yi-polyp. Yingqokelela yeeseli zomzimba eziqokelelana ngexesha lokuvuvukala. Ezi zihlala zizenzela zodwa, zincinci. Kodwa ukuba ziyakhula, zinokubangela iingxaki. Ukuba inkulu ikhula esiswini, inokuvala umnyango wesisu (pylorus).

• IiTumors zeSisu (GIST): Ezi zii-tumors ezingaqhelekanga, ezingaphambi komhlaza ezinokuba ngumhlaza. Ziqala kumaleko obunzulu wesisu (i-muscularis propria). Oogqirha bayazisusa xa zifunyenwe. Basenokufuna inkqubo eyahlukileyo (i-Endoscopic Mucosal Resection (EMR) okanye i-Endoscopic Submucosal Dissection (ESD)) ukuze bazisuse.

• I-Leiomyomas: Ezi zii-tumor zemisipha ezingaqhelekanga nezigudileyo. Zenza kumaleko obizwa ngokuba yi-'Muscularis Propria' kwaye zinokubonakala njengeziqwenga eludongeni lwangaphakathi lwesisu. Ngamanye amaxesha ezi zinokuba ngumhlaza (i-Leiomyosarcomas). Inkqubo eyahlukileyo inokufuneka ukususa ezi tumor.

Zixhaphake kangakanani iipolyps zesisu?

Enyanisweni, ngokubanzi, ii-polyps zesisu azixhaphakanga kangako. Kwii-100 zovavanyo lwe-endoscopy ephezulu, zifumaneka malunga nezine zazo. Malunga nesiqingatha sezi polyps ze-'Fundic Gland Polyps' ezikhankanyiweyo ngaphambili. Malunga nama-30% ze-'Hyperplastic Polyps', i-10% ze-'Adenomatous Polyps'. Eziseleyo ezili-10% zezinye iintlobo ezingaqhelekanga.

Ngaba iipolyps zesisu zineempawu?

Uninzi lwexesha, iipolyps zesisu azibangeli zimpawu. Zihlala zifunyanwa ngengozi ngexesha lovavanyo olwenzayo ngesinye isizathu. Nangona kunjalo, ezinye iintlobo zeepolyps zinokopha . Amaxesha amaninzi, ezinye iintlobo zinokukhula zibe nkulu ngokwaneleyo ukubangela ukuvaleka . Nazi ezinye iimpawu onokuzifumana:

• Ukopha: Usenokungaziva ukopha ngaphakathi esiswini sakho. Kodwa ukuba kukho ukopha okuninzi, unokubona iimpawu zegazi kwindle yakho. (Xa ukopha kuvela kwinxalenye ephezulu yesisu sakho , indle iya kuba mnyama, ihlale ixesha elide, kunokuba ibe bomvu.) Ekuhambeni kwexesha, ukulahleka kwegazi kunokukhokelela kwi- anemia . Oku kunokubangela iimpawu ezifana nokuba mhlophe, ubuthathaka, kunye nokudinwa.

• Ukuvaleka: Ukuba i-polyp inkulu ngokwaneleyo ukuvala indlela yakho yokugaya ukutya, unokufumana iimpawu ezinje ngesicaphucaphu, ukudumba, kunye nentlungu yesisu . Isisu sakho sinokuba buhlungu xa usicinezela. Ukuba i-polyp ivala indlela yokungena esiswini sakho, unokufumana ukuhlanza, ukuphelelwa ngumdla wokutya, kunye nokwehla kobunzima .

Zibukeka njani ezi polyps?

Iintlobo ezahlukeneyo zeepolyps zesisu zinokubonakala zahlukile. Ezinye ziphakanyisiwe, zifana nethumba, ngelixa ezinye zithe tyaba. Oogqirha babiza iipolyps ezibanzi, eziphakanyisiwe kancinci ngokuthi "zii-sessile," kwaye iipolyps ezinentloko efana nesiqu "zii-pedunculated." Ezinye iintlobo zinokuba nezilonda kumphezulu kwaye zinokopha.

Iipolyps zingahluka ngobukhulu ukusuka kwimilimitha ukuya kwiisentimitha ezininzi. Uninzi lwazo zincinci, kuba zikhula kancinci kakhulu. Iipolyps ezinkulu zinokuba nomhlaza, kuba zindala. Kodwa kunzima koogqirha ukutsho ngokuqinisekileyo ukuba zinomhlaza okanye akunjalo ngaphandle kokuzijonga ngemakroskopu.

Yintoni ebangela iipolyps zesisu?

Iipolyps zesisu ezikhula ngokunxulumene neemeko zofuzo ziyimfuza. Nangona kunjalo, iipolyps ezingaqhelekanga zichatshazelwa zizizathu zemfuza kunye nezinye izinto. Oko kukuthi, iintlobo ezahlukeneyo zeepolyps zikhula ngenxa yenguqu ezahlukeneyo zemfuza, kodwa kubonakala ngathi nezinye izinto nazo zibandakanyeka ekubangeleni olu tshintsho.

Nazi ezinye zezizathu eziye zafunyanwa ngabaphandi:

• I-Gastritis Engapheliyo: I-Gastritis kukudumba kwengaphakathi lesisu. Inokuba yimfene okanye ingabi yimfene. I-gastritis erhabaxa yeyona ixhaphakileyo. Ibangelwa kukukhukuliseka kweekhemikhali okanye usulelo olungapheliyo olufana ne-H. pylori. I-gastritis engabi yimfene inokubangela ukuba ingaphakathi lesisu libe lincinci (i-atrophic gastritis), nto leyo ebangela utshintsho kwiiseli ezahlukeneyo. Zombini ezi ntlobo zinokukhokelela ekuphuhlisweni kweentlobo ezahlukeneyo zeethumba, ngakumbi ii-polyps ezixineneyo, ii-adenomas, ii-fibroids ezivuthayo, kunye neethumba ze-neuroendocrine.

• IiProton-Pump Inhibitors (PPIs): La ngamayeza esiwasebenzisa rhoqo xa sinesifo se-gastritis, isitshiso sentliziyo, kunye ne-acid reflux, njenge-Omeprazole. Xa la mayeza esetyenziswa ixesha elide kwaye rhoqo, anokuchaphazela indlela esebenza ngayo ingaphakathi lesisu. Xa la mayeza ethintela ezinye iiseli ekuveliseni i-asidi, ezinye iiseli ziqala ukuvelisa i-asidi engaphezulu kunokuba kuyimfuneko ukuze zibuyisele ukungabikho kwayo. Le yimbangela eqhelekileyo yezo `Fundic Gland Polyps` zingenatyala. Ngamanye amaxesha, oku kunokuchaphazela nophuhliso lwe-`Gastric Neuroendocrine Tumors`.

Zifunyanwa njani iipolyps (zifunyaniswa njani)?

Uninzi lwee-polyps zesisu zifunyanwa ngexesha le-endoscopy ephezulu (EGD) . Ingcali yesisu okanye ugqirha owenza olu vavanyo uthatha iqhekeza elincinci lezicubu (i-biopsy) kwi-polyp, okanye asuse i-polyp ngokupheleleyo (i-polypectomy). Emva koko iisampulu zezicubu zithunyelwa ukuze zivavanywe ngakumbi. Ingcali yezifo izihlola phantsi kwe-microscope ukuze ifumanise ukuba loluphi uhlobo lwe-polyp kwaye ingaba inomhlaza.

Kuthetha ukuthini ukuba une-polyps esiswini sakho?

Iintlobo ezahlukeneyo zeepolyps zinokuthetha izinto ezahlukeneyo. Ngokuxhomekeke kuhlobo lweepolyp ezifunyenweyo, ugqirha wakho unokuyalela ezinye iimvavanyo ukujonga ezinye iimeko ezinokuba zibandakanyekile. Umzekelo, banokuyalela iimvavanyo ukujonga usulelo lwe-H. pylori okanye ezinye iimeko zokudumba ezingapheliyo.

Inani lee-polyps onazo kunye nobukhulu bazo nazo zibalulekile. Ukuba unee-polyps ezininzi, ugqirha wakho unokucebisa uvavanyo lwe-genetic ukuze kukhangelwe iimeko zofuzo. Ukuba kuqinisekisiwe ukuba unesifo esinjalo sofuzo, kuya kufuneka ujonge ii-polyps kwezinye iindawo zomzimba wakho. Ukuba kufunyenwe ii-polyps ezingaphambi komhlaza, kunokufuneka wenze enye i-endoscopy kungekudala.

Ziziphi iindlela zonyango lwe-stomach polyps?

Unyango luxhomekeke kuhlobo lwee-polyps onazo kunye nemeko yazo. Ngokuxhomekeke koku, unyango olulandelayo lunokucetyiswa:

• Ukususwa kwePolyp yeSisu: Ugqirha wakho usenokuba uzisusile iipolyp ngexesha le-endoscopy (i-polypectomy). Nangona kunjalo, ngamanye amaxesha iipolyp ezininzi zinokufuneka zifunyanwe okanye zisuswe. Ezinye iipolyp ezinzima nezinzulu zinokufuna iinkqubo ezikhethekileyo (`EMR`, `ESD`) okanye, ngokungaqhelekanga, utyando.

• Uvavanyo olongezelelweyo lwePolyp: Ukuba ugqirha wakho ufumana aze asuse iipolyp ezibangela umhlaza okanye ezinokubangela umhlaza, kufuneka uphinde uhlolwe ngokukhawuleza ukuze kubonwe ukuba ezintsha ziyavela na. Ugqirha wakho uza kukuxelela ukuba kufuneka uphinde uhlolwe kangaphi, kuxhomekeke kuhlobo kunye nohlobo lweepolyp ezifunyenweyo. Basenokufuna nokujonga indlela umzimba wakho osabela ngayo kunyango.

• Unyango lweZimo Ezinxulumene Nazo: Ngamanye amaxesha, unokuqala ufunyaniswe ukuba unesifo esinokunyangwa, njenge-gastritis, ngenxa yezi polyps zesisu. Ugqirha wakho unokunyanga ii-polyps ngelixa enyanga imeko engaphantsi. Ii-polyps ezinxulumene ngqo nosulelo lwe-H. pylori okanye ukusetyenziswa kwee-proton pump inhibitors (PPIs) zinokuphela xa ezo meko zinyangwa.

Ngaba ungakuthintela ukwakheka kwee-polyps zesisu?

Ukunyanga i-gastritis engapheliyo kunye nezizathu zayo kunokunceda ukuthintela ezinye iintlobo ze-polyps zesisu. Kwakhona, ukunciphisa ukusetyenziswa kwamayeza abizwa ngokuba yi-`Proton Pump Inhibitors (PPIs)` kunokunceda ukunciphisa ukwakheka kwezinye iintlobo ze-polyps. Nangona kunjalo, uninzi lwe-polyps ezikhula ngokudibeneyo ne-`PPIs` azinabungozi. Ngoko ke akukho mthetho wokuba kufuneka uyeke ukuthatha amayeza ukuze uzithintele. Kungcono ukuxoxa ngale nto nogqirha wakho.

Kwenzeka ntoni xa une-polyps esiswini sakho?

Ukuba ugqirha wakho ufumene iipolyps esiswini sakho, uza kwenza uvavanyo ukuze afumanise ukuba zeziphi iintlobo zazo kunye nokuba zithetha ukuthini.Ixesha elininzi, azibalulekanga kangako. Amathuba okufumana i-polyp eguquka ibe ngumhlaza wesisu angaphantsi kwe-2%. Usenokufunyaniswa unenye imeko enokunyangeka.

Ngaba kufuneka nditshintshe indlela enditya ngayo emva kokususwa kwee-polyps?

Ukutya okunesondlo kunceda isisu siphilise emva kokuba ii-polyps zisusiwe nge-endoscopy. Kwakhona, ukutya okulungileyo kubalulekile ukuthintela i-gastritis, esona sizathu siphambili se-polyps zesisu. Oogqirha bacebisa ukuba kulandelwe ukutya okulwa nokuvuvukala . Oko kukuthi, endaweni yokutya okwenziweyo, iswekile egqithisileyo, kunye namafutha agcweleyo, ukutya kwendalo okuqulethe iinkozo ezipheleleyo, iiproteni ezingenamafutha, kunye namafutha angenamafutha kufuneka kubekwe phambili.

Ndifanele ndimbone nini ugqirha?

Emva kokuba iipolyps zisusiwe , kubaluleke kakhulu ukubuyela kwiindibano zovavanyo njengoko ugqirha wakho ekuxelela. Uza kukuxelela ukuba ubuye kangaphi. Kwakhona, ukuba uneempawu ezingaqhelekanga, ezinje ngentlungu yesisu okanye utshintsho kwindle yakho, kufuneka wazise ugqirha wakho. Emva koko angakuxelela ukuba kuyinto eqhelekileyo okanye ukuba kufuneka ihlolwe.

Ndingayibuza yiphi imibuzo ugqirha?

Ungabuza imibuzo efana nale:

• Luhlobo luni lweepolyps endinazo?
• Ngaba iipolyps zam zisengozini yokuba nomhlaza?
• Ingaba ndisemngciphekweni ophezulu okanye ophantsi wokuba nomhlaza wesisu?
• Yintoni enokubangela ukuba ndibe ne-stomach polyps?
• Zeziphi iinguqu ekufuneka ndizenze ukuthintela ukuba ii-polyps zesisu zingabikho kwixesha elizayo?
• Ndifanele ndiyenze nini i-endoscopy yam elandelayo?

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

Ukufumana iipolyps esiswini sakho kudla ngokuba yingozi, xa uvavanywa ngenye into. Kunokuba yinto ephazamisayo kancinci. Kodwa khumbula, uninzi lweepolyps zesisu azinawo umhlaza, kwaye zinomngcipheko omncinci wokuba ngumhlaza. Kwiimeko ezininzi, lolunye nje uphawu lwesimo esikuzise kugqirha.

Ngokuxhomekeke kuhlobo lwee-polyps zesisu onazo, ugqirha wakho uya kuba nolwazi oluninzi olubalulekileyo malunga nempilo yakho yesisu. Uya kwazi ukuba enze ntoni ukunyanga imeko yakho nokulawula umngcipheko wakho womhlaza wesisu. Ukuba kukho umngcipheko, kungcono ukufumanisa kwangoko kunokuba kamva, akunjalo? Ngoko ke ungoyiki, mamela oko ugqirha wakho akuthethayo, kwaye ufumane unyango olufanelekileyo.

Iipolyps zesisu , iithumba zesisu, i-gastritis, i-endoscopy, umhlaza wesisu, iingxaki zesisu, iintlobo zeepolyps