Unama-polyp e-colon? Ungakhathazeki, ake sixoxe ngakho!

Wake wezwa 'ngama-polyp ekholoni'? Mhlawumbe udokotela wakho ukhulume ngawo, noma mhlawumbe uphakamise ukuthi uhlolwe. Abantu abaningi bayesaba kancane lapho bezwa igama lawo, ngoba bezwe ukuthi angaba nomdlavuza. Kodwa ayini ngempela? Ingabe wonke ama-polyp ayingozi? Ake sixoxe ngalokhu kalula nangokucacile ukuze siphendule noma yimiphi imibuzo ongase ube nayo ngawo.

Ziyini lezi polyp zamathumbu amakhulu?

Kalula nje, lezi yizimila ezincane, ezengeziwe ezakheka odongeni lwangaphakathi lwekholoni noma i-rectum yakho. Zicabange njengezimila ezincane esikhumbeni sakho. Iningi lalezi ziyizimila ezingenangozi, ezingenabungozi .

Kodwa-ke, ezinye izinhlobo zezimila zingaba umdlavuza uma zingelashwa isikhathi eside. Yingakho odokotela beluleka ukuthi zisuswe ngokushesha nje lapho uzibona. Into ebalulekile ukuthi phakathi kuka-15% no-40% wabantu abadala bangase babe nalezi zinhlobo zezimila. Lokhu kusho ukuthi akuyona into engavamile njengoba ungase ucabange. Abantu abangaphezu kweminyaka engu-50 kanye nabesilisa banamathuba amakhulu okuzihlakulela.

Kungani lokhu kwenzeka? Yiziphi izici eziyingozi?

Lezi zimila zivame ukubangelwa izinguquko ezithile (ukuguqulwa kwezakhi zofuzo) kumaseli ethu amathumbu. Nakuba kungenakwenzeka ukusho ngqo ukuthi kungani lezi zinguquko zenzeka, izinto ezithile zingandisa ingozi yokuthuthukisa lezi zimila.

Noma ubani angazithola lezi zinto, kodwa ingozi iphezulu uma unezimo ezilandelayo:

Ngaphezu kwalokho, ezinye izimo ezingavamile zofuzo nazo zingandisa le ngozi. Isibonelo, isimo esibizwa ngokuthi i-`Familial Adenomatous Polyposis (FAP)` singabangela amakhulu noma ngisho nezinkulungwane zama-polyp ukuthi akhule esemncane. I-`Lynch Syndrome` ingenye inkinga enjalo yofuzo. Uma umndeni wakho unomlando walokhu, kubalulekile ukukhuluma nodokotela wakho mayelana nokuhlolwa kofuzo kanye nokuhlolwa kwasekuqaleni.

Ingabe kunezinhlobo zezimila zamathumbu?

Yebo, akuzona zonke izimila ezifanayo. Odokotela bazihlukanisa ngokwendlela ezibukeka ngayo nge-microscope. Ezinye izinhlobo zinamathuba amaningi okuba nomdlavuza, kanti ezinye azifani.

• Ama-polyp e-Adenomatous / Ama-Adenomas: Cishe ama-70% ama-polyp e-colon alolu hlobo. Iningi lomdlavuza we-colon liqala ngalolu hlobo lwe-polyp . Kodwa-ke, ngokuvamile kuthatha iminyaka ukuthi lolu hlobo lwe-polyp lube umdlavuza. Yingakho kubalulekile ukulithola nokulisusa kusenesikhathi.
• Ama-polyp anezimbotshana: Lawa aqanjwe ngoba imiphetho yawo ifana namazinyo esaha. Kukhona nezinhlobo zalolu hlobo ezingaba umdlavuza.
• Ama-polyp angenapulasitiki: Lawa cishe awaba umdlavuza.
• Ama-polyp okuvuvukala: Lawa akuzona ngempela ama-polyp angempela. Akheka ngenxa yokutheleleka isikhathi eside noma ukuvuvukala emathunjini. Awawona umdlavuza.

Ziyini izimpawu zalokhu?

Nakhu okumangaza abantu abaningi: Iningi lamathumba amathumbu amakhulu alinazo izimpawu. Ungase ungazi nokuthi unawo. Ngokuvamile, atholakala ngesikhathi sokuhlolwa okwenziwe ngesinye isizathu.

Kodwa-ke, ngezinye izikhathi, ikakhulukazi uma ama-cyst emakhulu kancane, izimpawu ezilandelayo zingavela:

• Igazi esitulweni: Izinto ezifana nokubona amabala egazi endlini yangasese, igazi ephepheni lendlu yangasese.
• Ukushintsha kombala wendle: indle emnyama noma enemigqa ebomvu (lokhu kubonisa ukuthi igazi lixubene).
• Ushintsho ekusebenzeni kwamathumbu: ukuqunjelwa noma isifo sohudo esihlala isikhathi esingaphezu kwesonto.
• Ubuhlungu besisu: Ngezinye izikhathi isimila esikhulu singabangela ukuvaleka kwamathumbu futhi sibangele ubuhlungu besisu.
• Ukukhathala nokukhathala okukhulu: Lokhu kwenzeka ngoba ukuphuma kwegazi okuqhubekayo okuvela kuma-cysts kubangela ukuntuleka kwensimbi emzimbeni, okuholela ekulahlekelweni yigazi.

Kubaluleke kakhulu: Ungesabi ukucabanga ukuthi unesimila samathumbu noma umdlavuza ngoba nje unalezi zimpawu. Lezi zimpawu zingabangelwa ezinye izimbangela ezilula, njenge-hemorrhoids. Kodwa-ke, uma unezinye zalezi zimpawu, ungazinaki futhi nakanjani ubone udokotela wakho ukuze akunike iseluleko.

Lezi zitholakala futhi zelashwa kanjani?

Indlela engcono kakhulu yokuvimbela umdlavuza wamathumbu amakhulu ukuthola nokususa la mathumba kusenesikhathi. Kunezindlela eziningana zokuhlola lokhu.

• I-Colonoscopy: Lena yindlela evame kakhulu futhi enembile. Kulokhu, unikezwa umuthi wokubulala izinzwa (ukuze ungezwa lutho), bese kufakwa ipayipi elincane, eliguquguqukayo elinekhamera nge-anus yakho ukuze kuhlolwe wonke amathumbu akho amakhulu.
• Ingxenye engcono kakhulu: Phakathi nalolu vivinyo, udokotela angasusa nanoma yimaphi ama-polyp akhona (i-polypectomy) . Ama-polyp abe esethunyelwa elabhorethri ukuze ahlolwe amaseli omdlavuza.
• Ezinye izivivinyo: Nakuba kunezindlela ezifana ne-'CT Colonography' (i-colonoscopy ebonakalayo) kanye nokuhlolwa kwendle, uma kusolwa ukuthi kukhona isimila, i-colonoscopy kumele yenziwe ukuze kuqinisekiswe futhi kususwe.

Uma isimila sesisusiwe, ngeke sibuye. Kodwa-ke, uma umuntu enesimila, kunethuba elingama-30% lokuthi isimila esisha sizokhula kwenye indawo.Ngakho-ke, udokotela wakho uvame ukuncoma ukuthi wenze olunye uhlolo eminyakeni emi-3-5. Kubaluleke kakhulu ukulandela leyo miyalelo.

Ingabe lokhu kungavinjelwa ukuthi kwenzeke?

Nakuba singenakukwazi ukushintsha izimbangela zofuzo, singanciphisa ingozi yokuthola lezi zimila ngokushintsha indlela yethu yokuphila.

• Ukudla okuhle: Yidla izithelo eziningi, imifino, nokudla okucebile nge-fiber (ubhontshisi, udali, ubhontshisi, ilayisi elinsundu).
• Ukulawula isisindo: Uma ukhuluphele ngokweqile, zama ukunciphisa isisindo.
• Izinto okufanele uzikhawulele: Nciphisa inyama ebomvu, inyama eyomisiwe (njengesoseji, ubhekeni), kanye nokudla okunamafutha.
• Ukubhema notshwala: Kungcono ukuyeka le mikhuba ngokuphelele.
• Ukuzivocavoca: Vivinya umzimba ngamandla okungenani izinsuku ezimbalwa ngesonto.
• Khuluma nodokotela wakho: Buza udokotela wakho ukuthi ukuthatha imithi efana ne-calcium, i-vitamin D, noma i-aspirin kufanelekile yini kuwe, ngokusekelwe emlandweni womndeni wakho. Ungalokothi usebenzise imithi isikhathi eside ngaphandle kweseluleko sikadokotela.