Wake wahlolwa i-colonoscopy? Noma mhlawumbe uke wezwa ngayo emndenini wakho noma kubangani bakho. Ngezinye izikhathi ngemva kwalokhu kuhlolwa, udokotela uthi, "Une-polyp ku-colon yakho." Kuvamile ukuthi noma ubani azizwe esaba kancane noma ethukile lapho ezwa la mazwi. Kodwa ingabe kufanele wesabe ngempela? Ingabe wonke la ma-polyp ayingozi futhi anomdlavuza? Cha. Namuhla sikhuluma ngohlobo olukhethekile lwe-polyp olwakha ku-colon ebizwa ngokuthi ama-polyps aqinile .
Kalula nje, ayini ama-polyp anezimbotshana?
Ama-polyp anezimbotshana ayizimila ezincane zezicubu, noma kunalokho, ama-polyp amancane, akheka odongeni lwangaphakathi lwekholoni lakho. Abizwa ngokuthi "ama-serrated" ngoba ubuso bawo bubukeka njenge-saw-tooth uma bubhekwa ngaphansi kwe-microscope.
Into ebalulekile ukuthi la ma-polyp awabi nomdlavuza lapho eqala ukwakheka. Ngokuvamile awabi nabungozi. Kodwa-ke, amanye ama-polyp anezimbotshana angaphenduka umdlavuza ngokuhamba kwesikhathi. Yingakho odokotela besusa la ma-polyp ngokushesha nje lapho ebonakala. Lokhu kusiza ukuvimbela umdlavuza wamathumbu ukuthi ungakhuli esikhathini esizayo.
Indlela la ma-polyp anezimbobo ezikhula ngayo ihlukile kancane endleleni amanye ama-polyp avamile, abizwa ngokuthi ama-adenoma, akhula ngayo. Futhi inqubo aguquka ngayo abe umdlavuza nayo ihlukile. Cishe ama-25% omdlavuza wamathumbu akhula kula ma-polyp anezimbobo ezikhula ngayo. Kodwa uma ekhula abe umdlavuza, angakhula ngokushesha kunezinye izinhlobo.
Yiziphi izinhlobo eziyinhloko zama-polyp anezimbotshana?
I-World Health Organization (WHO) ihlukanise ama-polyp anezimbotshana abe izinhlobo ezine eziyinhloko. Lawa ahlukaniswa ngokubukeka kwawo nendlela aziphatha ngayo amaseli. Akuzona zonke lezi zinhlobo eziphenduka umdlavuza. Ngakho-ke, kubaluleke kakhulu ukuthi udokotela wakho awahlukanise futhi awabone ngokunembile.
Nansi incazelo elula yalezo zinhlobo ezine.
| Uhlobo lwe-Polyp | Kalula nje... |
|---|---|
| Ama-polyp angenapulasitiki | Lolu uhlobo oluvame kakhulu . Cishe ama-75% ama-polyp aqunyiwe alolu hlobo. Izindaba ezinhle ukuthi, lawaAkuyona ingozi, futhi ngeke kuphenduke umdlavuza. Kuyisimo esivamile esibangelwa amangqamuzana amaningi kakhulu. |
| Izilonda ezifakwe i-sessile serrated (SSLs) | Lolu uhlobo oluvame kakhulu lwe-polyp enezimbotshana okungenzeka kakhulu ukuthi iphenduke umdlavuza . Igama elithi "Sessile" lisho "sessile" ngoba ziyisicaba futhi zinamathele odongeni. Yingakho ngezinye izikhathi kunzima ukuzithola ngesikhathi se-colonoscopy. Odokotela babheka wonke lawa ma-SSL njengasengozini yokuba nomdlavuza. |
| Ama-adenoma endabuko anezimbotshana | Lezi azivamile kakhulu. Nakuba zibukeka njenge-adenomas evamile, zinezici "ezinama-serrated", njengamazinyo aqoshiwe. Futhi ziwuhlobo lomdlavuza . |
| Ama-adenoma angenaso isitashi angahlukaniswanga | Lolu uhlobo lwe-polyp olungeyona eyanoma yiluphi uhlobo lwezinhlobo ezintathu ezishiwo ngenhla, kodwa olunezici ezixubile. Lokhu nakho akuvamile. Odokotela bayaqhubeka nokucwaninga ngalezi. |
Zivame kangakanani lezi zimila? Ingabe zikhona izimpawu?
Cabanga nje, uma wenza ama-colonoscopies ayi-100, ungabona lolu hlobo lwe-polyp enezimbotshana cishe kuma-30 awo. Kodwa ungakhathazeki, iningi lalawo atholakalayo ama-polyp angenangozi . Izinhlobo ezifana nama-SSL, asengozini yokuba nomdlavuza, zitholakala ngenani elincane, cishe u-10%.
Into ebalulekile ukuthi akukho neyodwa yalezi zinhlobo zama-polyp evame ukubangela noma yiziphi izimpawu . Ungaba nazo emzimbeni wakho ngaphandle kokuqaphela.
Akuvamile kakhulu, uma isimila sikhula, ungase uzwe igazi elincane esitulweni sakho, noma ungase uzizwe uqunjelwa noma uqunjelwe. Kodwa kunezinye izimbangela eziningi zalezi zimpawu. Yingakho odokotela bencoma ukuthi uthole i-colonoscopy usemncane, noma ngabe awunazo izimpawu.
Iyini i-serrated polyposis syndrome (SPS)?
Lesi yisimo esikhethekile nesingavamile. Kulesi simo, umuntu uba nama-polyp amaningi anezimbotshana (ngezinye izikhathi angaphezu kuka-20) kuwo wonke umathumbu akhe amakhulu. Lawa angaba makhulu kunokujwayelekile futhi angaba nohlobo lomdlavuza oluyingozi kakhulu. Umuntu onalesi simo, i-SPS, usengozini engu-25% yokuba nomdlavuza.
Yiziphi izimbangela kanye nezici eziyingozi zalokhu?
Ayikho imbangela eyodwa yama-polyp ekholoni. Avame kakhulu njengoba sikhula. Imbangela eyinhloko kucatshangwa ukuthi ukuguquka kwezakhi zofuzo okwenzeka lapho amangqamuzana ethu ehlukana futhi enza amangqamuzana amasha. Njengoba nje umshini wokukopisha ngezinye izikhathi wenza amaphutha amancane. Lokhu kuguquka kwezakhi zofuzo kubangela amangqamuzana ukuba akhule ngendlela engalawuleki futhi akhe amathumba.
Kunezici eziningana ezandisa ingozi yokuthola la ma-polyp:
- Ukuba neminyaka engaphezu kwengu-50 ubudala
- Ukubhema
- Ukuphuza ngokweqile
- Ukudla inyama ebomvu njalo (njengenyama yenkomo nengulube)
- Ukukhuluphala ngokweqile (ukukhuluphala ngokweqile)
- Ukuba nezimo zokuvuvukala kwamathumbu ezingamahlalakhona, njengesifo samathumbu esivuvukalayo (IBD)
Zitholakala futhi zelashwa kanjani lezi zifo?
Indlela engcono kakhulu newukuphela kwayo yokuthola ama-polyp anezimbotshana iwukusebenzisa i-colonoscopy . Lokhu kuhlola kuhlola wonke umathumbu wakho usebenzisa ithubhu elincane elinekhamera enamathiselwe.
Kodwa ngezinye izikhathi kungaba nzima kancane ukuzithola. Ngoba izinhlobo ezifana nama-SSL ziyisicaba, zinombala ofanayo nezicubu ezizungezile, futhi imingcele ayicacile. Yingakho kubalulekile ukuba nodokotela onekhono nonolwazi ozokwenza lokhu kuhlolwa esebenzisa amakhamera obuchwepheshe obuphezulu (ama-colonoscope anesinqumo esiphezulu).
Kwenzekani ngemva kokuhlolwa?
1. Ukutholwa: Uma udokotela ebona i-polyp ngesikhathi sokuhlolwa kwekholoni futhi esola ukuthi uhlobo oluyingozi kakhulu, uzoyisusa ngokushesha. Le nqubo ibizwa ngokuthi i-polypectomy .
2. Ukuhlolwa: I-polyp esusiwe ithunyelwa elabhorethri, lapho isazi sezifo siyihlola khona ngaphansi kwe-microscope ukuze sithole ukuthi hlobo luni lwe-polyp bese sihlinzeka ngombiko.
3. Izinhlelo zesikhathi esizayo: Ngokusekelwe kulowo mbiko, udokotela wakho uzonquma ukuthi udinga ukwenza i-colonoscopy yakho elandelayo ngokushesha kangakanani.
| Kutholakale uhlobo lwe-polyp | Isikhathi esinconyiwe se-colonoscopy elandelayo |
|---|---|
| Ingozi ephansi (isb. ama-polyp amancane angenaplastiki) | Ngokuvamile eminyakeni eyi-10 |
| Ingozi ephakathi nendawo (isb. ama-SSL amaningi) | Eminyakeni engaba ngu- 5 |
| Izingozi eziphezulu (isb. ama-SSL amakhulu noma amaningi) | Eminyakeni engaba ngu -3 |
| Uma isimo se-SPS sitholakala | Njalo ngonyaka |
Udokotela wakho angashintsha lezi zikhathi kuye ngesimo sakho, ngakho-ke kubalulekile ukulandela imiyalelo yakhe.
Ungakhohlwa, ukususa i-polyp esengozini yokuba nomdlavuza kusho ukuthi uphephile ngokuphelele okwamanje. Sisuse ithuba lokuthi lokho kukhula kukhule kube umdlavuza. Kodwa-ke, kubalulekile ukuhlolwa futhi ngesikhathi esifanele, njengoba lokhu kukhula kungaphinde kuvele.
Umlayezo Wokuya Nawe Ekhaya
- Ama-polyp aqunyiwe awuhlobo lokukhula okwakheka emathunjini. Iningi lalawa alinangozi .
- Kodwa-ke, ezinye izinhlobo, njenge-SSLs, zingaba umdlavuza ngokuhamba kwesikhathi, ngakho-ke kungcono ukuzisusa ngokushesha nje lapho uzibona.
- Lezi zimila azibangeli zimpawu . Yingakho kubalulekile ukwenza i-colonoscopy ngemva kweminyaka engu-45, njengoba kunconywa udokotela wakho.
- Uma i-polyp etholakale ngesikhathi sokuhlolwa kwakho itholakale inomdlavuza futhi isusiwe, ungakhathazeki. Kusho ukuthi udokotela wakho uyibonile ngesikhathi futhi wayivimbela ukuthi ingakhuli ibe umdlavuza.
- Into ebaluleke kakhulu ukuthi wenze isivivinyo sakho esilandelayo ngesikhathi udokotela akutshele sona . Ungaphuthelwa.
- Unganciphisa ingozi yokuthola lokhu ngokugwema ukubhema, ukuphuza utshwala ngokweqile, nokulandela indlela yokuphila enempilo.
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