Wake wezwa ngento ebizwa ngokuthi 'ama-polyp'? Mhlawumbe udokotela wakho ukuhlolile wakutshela ukuthi unayo. Kalula nje, lezi yizimila ezincane ezakheka ezindongeni zangaphakathi zezitho zomzimba ngaphakathi kwemizimba yethu (isibonelo, amathumbu, isibeletho). Nakuba eziningi zalezi zingeyona ingozi, ezinye zingaphenduka umdlavuza ngokuhamba kwesikhathi, ngakho-ke kungcono ukuzisusa bese uzihlola. Ngakho-ke namuhla sizokhuluma ngenqubo yezokwelapha ebizwa ngokuthi 'i-polypectomy', esusa la ma-polyp.
Kuyini ngempela i-polypectomy?
I-Polypectomy inqubo yezokwelapha esusa i-polyp noma ukukhula okwakhiwe ngaphakathi kwesitho somzimba wakho. La ma-polyp angaba nomdlavuza (umdlavuza) noma angabi nomdlavuza (ongemuhle).
Esikhathini esiningi, lezi azinabungozi . Kodwa udokotela wakho angasho ngokuqinisekile kuphela ngemva kokuzisusa nokuzithumela elabhorethri ukuze zihlolwe. Amanye ama-polyp "angaphambi komdlavuza." Lokhu kusho ukuthi awasenawo umdlavuza manje, kodwa angase abe nomdlavuza esikhathini esizayo.
Kungani la ma-polyp kudingeka asuswe?
Kungase kube nezizathu eziningana zokususa i-polyp.
- Uma unezimpawu: Amanye ama-polyp angabangela ukuthi ube nezimpawu ezahlukahlukene, njengobuhlungu besisu, ukopha, noma izinguquko emikhubeni yamathumbu.
- Uma kukhona ingozi yokuba nomdlavuza: Uma udokotela ewuhlola futhi ecabanga ukuthi kungenzeka ukuthi unomdlavuza noma ecabanga ukuthi kungenzeka ukuthi unomdlavuza.
- Uma ufuna ukuhlolwa: Ukuze uthole ukuthi hlobo luni lwesimila, udinga ukusisusa bese usithumela elebhu (i-"biopsy").
Odokotela abaningi bakholelwa ukuthi ngisho nama-polyp angenazo izimpawu kufanele asuswe kusenesikhathi ukuze kuvinjelwe izinkinga zesikhathi esizayo.
Lapho Ama-Polyps Avame Ukuvela Khona Nokubaluleka Kokuwasusa
Ama-polyp angakheka kunoma yisiphi isitho esingenalutho emzimbeni wethu. Ake siqonde kabanzi ngakho kusukela kuthebula elingezansi.
| Lapho kwenzeka khona ama-polyp | Ukubaluleka kokususwa (umdlavuza ovinjelwayo) |
|---|---|
| Ama-Polyps Amathumbu Amancane | Umdlavuza we-Colorectal |
| Ama-polyp esibeletho | Umdlavuza wesibeletho kanye nomdlavuza wesibeletho |
| Ama-Polyps Esisu | Umdlavuza Wesisu |
| Ama-polyp e-Gallbladder | Umdlavuza Wenyongo |
Ingabe lokhu ukuhlinzwa okukhulu? Ingabe kuzolimaza?
Lona umbuzo abantu abaningi abanawo. Cha, i-polypectomy ivame ukuba ukuhlinzwa okuncane. "Kuyinqubo engangenisi kakhulu". Lokho kusho ukuthi yenziwa ngaphandle kokwenza noma yikuphi ukusikeka okukhulu.
Lawa ma-polyp avame ukususwa ngesikhathi se-colonoscopy noma i-endoscopy. Lokhu kuhilela ukufaka ithubhu elide neliguquguqukayo elinekhamera ngembobo yemvelo emzimbeni wakho (isb., i-rectum, umlomo) bese udlulisa amathuluzi amancane kuyo ukuze kususwe i-polyp.
Futhi, into abantu abaningi abayesabayo ubuhlungu. Ngeke uzwe ubuhlungu phakathi nale nqubo. Udokotela uzokunikeza umuthi wokubulala izinzwa kanye nowokuhlunguphaza ukuze aqinisekise ukuthi ukhululekile. Unganikwa umuthi wokubulala izinzwa ojwayelekile (uhlobo lomuthi wokubulala izinzwa) uma ufisa. Noma unganikwa umuthi wokudambisa (uhlobo lomuthi okulalisa). Ungazizwa ucindezelekile kancane lapho i-polyp isuswa, kodwa ayibuhlungu.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ukulungiselela ngaphambi kokuhlinzwa
- Ukuhlanza amathumbu: Ikakhulukazi ukuze i-colonoscopy isuse ama-polyp emathunjini amakhulu, amathumbu akho kudingeka angabi nalutho futhi ahlanzeke ngokuphelele. Ngenxa yalokhu, udokotela wakho uzokunikeza uketshezi olukhethekile (`(ifomula yokulungiselela amathumbu)`) ozoluphuza. Kuzodingeka futhi ulandele ukudla okukhethekile izinsuku ezimbalwa.
- Imithi:Udokotela wezinzwa uzoxoxa nawe kusengaphambili ngohlobo lwe-anesthesia ozolunikwa. Angase futhi akucele ukuthi uyeke ukuthatha imithi ethile (njengemithi yokunciphisa igazi) ngosuku lokuhlinzwa.
Ngesikhathi sokuhlinzwa
I-polypectomy elula yenziwa kusetshenziswa i-endoscope, okuyipayipi elinekhamera enamathiselwe.
1. Udokotela uzofaka leli payipi emzimbeni wakho bese eya lapho kukhona khona i-polyp.
2. Bese kuthi inani elincane legesi yekhabhoni dioksijini lifakwe esithweni ukuze lifuthwe ukuze ingaphakathi lesitho libonakale kahle.
3. Bese, kusetshenziswa ithuluzi elincane (njenge-forceps noma i-wire loop) elidlula ngepayipi, i-polyp iyasikwa kuqala bese isuswa.
4. Ngemva kokususwa kwe-polyp, indawo iyashiswa okwesikhashana (i-electrocautery) ukuze kumiswe ukopha futhi kususwe noma yiziphi izicubu ezisele. Lokhu futhi kuvimbela i-polyp ukuthi ikhule futhi.
Ama-polyp ayinkimbinkimbi asuswa kanjani?
Amanye ama-polyp angase abe nzima ukuwasusa ngezindlela ezilula ngoba makhulu, ayisicaba, noma atholakala ngendlela eyenza kube nzima ukuwasusa. Ezimweni ezinjalo, kusetshenziswa ezinye izindlela.
| Indlela Yokwenza | Kalula nje... |
|---|---|
| Ukuhlinzwa kwe-Laparoscopic | Ukwenza izimbobo eziningana ezincane kakhulu esiswini, ukufaka ikhamera namathuluzi okususa i-polyp. |
| Ukususwa kwe-mucosal ye-Endoscopic (EMR) | Faka isixazululo sikasawoti kulwelwesi olungaphansi kwe-polyp, uvumele i-polyp ukuthi isuswe kalula uma isikhulile. |
| Ukususwa kwe-submucosal ye-Endoscopic (ESD) | Ama-polyp amakhulu noma anomdlavuza asuswa abe yingcezu eyodwa, kanye nolwelwesi olujulile olungaphansi. |
Kwenzekani ngemva kokuhlinzwa futhi ingabe zikhona izingozi?
Ngemva kokuhlinzwa
Ngokuvamile ungaya ekhaya ngalolo suku. Kodwa-ke, njengoba ungeke ukwazi ukushayela ngenxa yemiphumela yomuthi wokubulala izinzwa, kubalulekile ukuba nomuntu ozokushayela. Ungase uzizwe ungakhululekile izinsuku ezimbalwa ngenxa yomoya ovaleleke esiswini sakho. I-polyp esusiwe ithunyelwa elabhorethri, futhi umbiko uzotholakala ngemva kwesonto elilodwa kuya kwamabili.
Izingozi nezinkinga
Izinkinga azivamile kakhulu, kodwa kubalulekile ukuziqaphela.
- Ukopha (`(Ukopha)`)
- Ukutheleleka (`(Ukutheleleka)`)
- Ukubhoboka kwesitho (`(Ukubhoboka)`)
- Ukusha okubangelwa izinto zikagesi
Esinye isimo esingavamile kakhulu yi -Postpolypectomy Coagulation Syndrome (PPCS) . Lokhu kwenzeka lapho ukushisa okuvela ku-polyp kushisa izicubu ezingaphansi, okubangela izimpawu ezifana nobuhlungu besisu kanye nomkhuhlane. Lokhu akukubi njengokubhoboka. Ngokuvamile kuyaphela ngemithi zingakapheli izinsuku ezimbalwa. Kodwa-ke, uma uhlangabezana nanoma yiziphi zalezi zimpawu zingakapheli izinsuku ezimbalwa zokuhlinzwa, tshela udokotela wakho ngokushesha.
Ngokuvamile uzolulama ngokuphelele zingakapheli izinsuku ezimbalwa. Kuzodingeka uphuze amaphilisi obuhlungu usuku olulodwa noma ezimbili. Igazi elincane lingadlula endle noma emchameni wakho, okuyinto evamile. Kodwa-ke, uma ukopha kukhulu noma kuqhubeka, qiniseka ukuthi ukhuluma nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Polypectomy inqubo yezokwelapha elula nephephile esusa ama-polyp, uhlobo lokukhula olwakheka emzimbeni.
- Nakuba ama-polyp amaningi engeyingozi, kubalulekile ukuwasusa nokuwahlola ngenxa yengozi yokuthi abe umdlavuza.
- Le nqubo ayibuhlungu, futhi amasu okubulala izinzwa anciphisa ukungakhululeki kwakho.
- Isikhathi sokululama sifushane kakhulu, ngokuvamile izinsuku ezimbalwa nje.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (ubuhlungu obukhulu, umkhuhlane, ukopha okukhulu) ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha.
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