Cabanga ukuthi uye kobona udokotela ngenxa yenkinga ethile yesisu, mhlawumbe "i-gastritis" sonke esinayo. Udokotela ulalele izimpawu zakho wathi, "Masifake ikhamera sibheke ngaphakathi esiswini sakho." Wenza i-endoscopy. Ngemva kokuhlolwa, udokotela wathi, "Kukhona into efana nesimila esincane esiswini sakho, okungukuthi, odongeni lwesisu sakho. Sibiza lawa ma-polyp." Kujwayelekile kakhulu ukuzizwa wesaba futhi ukhathazekile uma uzwa into efana nale. "Isimila? Ingabe lokho kusho umdlavuza?" Ungase ucabange. Kodwa ungakhathazeki. Esikhathini esiningi, lezi akuzona izinto okufanele uzesabe. Namuhla, sizokhuluma ngama-polyp esiswini ngendlela elula necacile.
Kalula nje, ayini ama-polyp esiswini?
Ama-polyp esisu, noma ama-polyp esisu, ayizimila ezincane ezakha ulwelwesi lwesisu sakho, njengezimila ezincane. Ngaphakathi esiswini sethu, kukhona ulwelwesi oluncane olunoketshezi olufana ne-mucus. Lawa ma-polyp akhula kulolu lwelwesi. Cabanga ukuthi ngezinye izikhathi sithola ama-moles amancane esikhumbeni sethu, akunjalo? Lokhu kuyinto efana naleyo, kodwa ikhula ngaphakathi esiswini.
Iningi lala ma-polyp awawona umdlavuza (angabi yingozi) , okusho ukuthi awayona ingozi.
Ingabe la ma-polyp ayingozi ngempela? Kuthiwani ngengozi yomdlavuza?
Lona ngumbuzo omkhulu kunayo yonke engqondweni yawo wonke umuntu. Nakhu okufanele ukukhumbule: Iningi lama-polyp esiswini alinawo umdlavuza. Futhi ingozi yokuba abe umdlavuza iphansi kakhulu.
Kodwa-ke, ezinye izinhlobo zama-polyp zibhekwa “njengezingaphambi komdlavuza.” Lokhu kusho ukuthi azinawo umdlavuza uma udokotela wakho ezithola, kodwa uma zihlala zingelashwa isikhathi eside, zingaba nomdlavuza ngemva kweminyaka embalwa.
Kufana nengxenye yokhuni endala futhi eqala ukubola. Ayikaboli ngokuphelele ngaleso sikhathi, kodwa uma singayilungisi, ingabola ngokuphelele ngelinye ilanga. Yilokho okushiwo yila ma-polyp angenawo umdlavuza.
Yingakho odokotela benquma ukususa la ma-polyp ngokushesha nje lapho bewabona. Ukwenza kanjalo kungavimbela ngokuphelele noma yiziphi izingozi zesikhathi esizayo.
Yiziphi izinhlobo eziyinhloko zama-polyp esiswini?
Kunezinhlobo ezahlukene zama-polyp esiswini. Udokotela uzothatha ucezu oluncane lwe-polyp yakho aluthumele elabhorethri ( lokhu sikubiza ngokuthi i-biopsy).(masithi) yiyona ndlela kuphela yokwazi kahle ukuthi hlobo luni. Ingozi kanye nokwelashwa kwalo kunqunywa uhlobo. Ake sibheke kalula lezi zinhlobo.
| Uhlobo lwe-Polyp | Incazelo kanye nengozi |
|---|---|
| Ama-polyp e-Fundic gland | Lezi yizinhlobo ezivame kakhulu. Ngokuvamile zinomngcipheko ophansi kakhulu womdlavuza. Zingabangelwa ukusetshenziswa isikhathi eside kwemithi ethile (ama-PPI) yesifo sohudo. |
| Ama-polyp angenapulasitiki | Uhlobo lwesibili oluvame kakhulu. Lokhu kuhlotshaniswa nokuvuvukala kwesisu (i-gastritis). Ingozi yomdlavuza kulezi zimo nayo iphansi kakhulu . Kodwa-ke, ngezinye izikhathi kungaba uphawu oluyisixwayiso lolunye uhlobo lomdlavuza, ngakho odokotela bahlola nezicubu ezizungezile. |
| Ama-polyps e-Adenomatous (ama-adenoma) | Lezi yizinhlobo ezivame kakhulu zama -polyp angaphambi komdlavuza . Zivela cishe ku-10% wamacala. Uma kutholakala i-polyp yalolu hlobo, udokotela uzoyisusa ngokuphelele. |
| Ezinye izinhlobo ezingavamile | Ngaphezu kwalezi, kunezinye izinhlobo ezingavamile ezifana nezimila ze-Gastric neuroendocrine , ama-polyps e-Hamartomatous , kanye nezimila ze-Gastrointestinal stromal (GIST) . Izingozi kanye nokwelashwa kwalezi ziyahlukahluka kuye ngohlobo. |
Yiziphi izimpawu zokuba nama-polyps esiswini?
Into emangalisayo lapha ukuthi ama-polyp amaningi esiswini awabangeli zimpawu.Abantu abaningi bathola ukuthi banama-polyp esiswini sabo ngesikhathi sokuhlolwa kwe-endoscopy ngesinye isizathu. Empeleni, lokhu kuyimiphumela engavamile.
Kodwa-ke, akuvamile kakhulu, amanye ama-polyp angabangela izimpawu. Kunezindlela ezimbili eziyinhloko:
1. Ukopha:
- Amanye ama-polyp angase ophe kancane ebusweni. Singase singakuzwa lokhu kuphuma kwegazi.
- Kodwa uma uqhubeka ukopha kanje, igazi lingaphuma kanye nendle yakho. Igazi eliphuma esiswini lingenza indle yakho ibe mnyama futhi ihlale isikhathi eside .
- Uma wopha kanje isikhathi eside, umzimba wakho ungalahlekelwa yigazi futhi ube ne-anemia . Ungase uzizwe uphaphathekile, ukhathele ngaso sonke isikhathi, futhi ube nezimpawu ezifana nesiyezi ngisho nalapho ukhuphuka izitebhisi .
2. Ukuvimbela:
- Akuvamile kakhulu, uma i-polyp iba nkulu kakhulu, ingavimba ipayipi lokudla esiswini.
- Uma lokhu kwenzeka, ungase ube nezimpawu ezifana nokucanuzela kwenhliziyo, ukuhlanza, ubuhlungu besisu, ukulahlekelwa yisifiso sokudla kanye nokwehla kwesisindo .
Uma unalezi zimpawu, akusho ukuthi une-polyp. Kodwa-ke, uma unalezi zimpawu, kungcono ukubona udokotela wakho ngokushesha ukuze uthole imbangela.
Kungani la ma-polyp akheka? Yiziphi izimbangela eziyinhloko?
Nakuba kunzima ukukhomba imbangela eqondile yama-polyp esiswini, abacwaningi bathole izici eziningana ezibalulekile eziyingozi.
- I-gastritis engapheli: Ukuvuvukala kwesikhathi eside kolwelwesi lwesisu kungabangela izinguquko emaseli kanye nokwakheka kwama-polyps. I-Gastritis, ikakhulukazi ebangelwa ukutheleleka kwebhaktheriya okuthiwa i-H. pylori, iyimbangela enkulu yalokhu.
- Ama-Proton-pump inhibitors (PPI): Lawa yimithi esivame ukuyisebenzisa ye-gastritis, njenge-Omeprazole ne-Pantoprazole. Uma le mithi isetshenziswa isikhathi eside, ilawula ukukhiqizwa kwe-asidi yesisu, futhi ngenxa yalokho, amanye amangqamuzana angakhula ngokweqile futhi akhe ama-polyps (ngokuvamile ama-polyps e-fundic gland angenangozi). Khuluma nodokotela wakho ngalokhu. Asikutsheli ukuthi uyeke ukuthatha imithi, kodwa uzoshintsha umthamo uma kudingeka.
- Izifo Ezibangelwa Yigciwane: Akuvamile kakhulu ukuthi ezinye izimo zofuzo (isibonelo, i-Familial Adenomatous Polyposis - FAP) zingabangela ukwakheka kwenani elikhulu lama-polyp esiswini nasemathunjini.
Odokotela bakuphatha kanjani lokhu?
Uma kutholakala i-polyp, ukwelashwa kuncike ohlotsheni lwayo, usayizi, kanye nenombolo.
1.Ukususwa kwe-polyp (i-Polypectomy):
- Ezimweni eziningi, uma udokotela ebona i-polyp ngesikhathi se-endoscopy, uzosebenzisa ithuluzi elikhethekile ukuyisika ngokuphelele bese eyisusa. Lokhu kubizwa ngokuthi i-polypectomy . Ngeke uzwe ubuhlungu phakathi nale nqubo.
- Amanye ama-polyp ajulile noma amakhulu angadinga izinqubo ezikhethekile njenge-EMR noma i-ESD ukuze asuswe. Ezimweni ezingavamile, kungase kudingeke ukuhlinzwa.
2. Ukuhlolwa Kokulandelela:
- Uma ubune-polyp engaphambi komdlavuza, udokotela wakho cishe uzokutshela ukuthi ubuyele emuva uyohlolwa i-endoscopy ngosuku olulandelayo ukuze uhlole ama-polyp amasha.
- Kubaluleke kakhulu ukungaweqi izivivinyo ngokwesheduli udokotela wakho akunikeza yona.
3. Ukwelapha imbangela eyisisekelo:
- Uma ama-polyp ebangelwa ukutheleleka kwe-H. pylori, udokotela wakho uzokunikeza ama-antibiotic. Ezinye izinhlobo zama-polyp zingase ziphele zodwa uma ukutheleleka sekwelaphekile.
- Uma imbangela kucatshangwa ukuthi umuthi we-PPI, udokotela wakho angase anqume ukushintsha umuthi noma ukunciphisa umthamo. Ungalokothi uyeke ukuthatha umuthi udokotela wakho awubhalele wena.
Ukuthola i-polyp akuyona into okufanele uyesabe. Kufana nesibonakaliso esincane esivela emzimbeni wakho. Umzimba wakho ukutshela ukuthi, "Kukhona okwenzekayo esiswini sami, qaphela." Into ebaluleke kakhulu ukulalela leso sibonakaliso bese ulandela imiyalelo kadokotela wakho.
Yini okufanele ngiyibuze udokotela wami?
Uma uthola ukuthi une-polyp, kuvamile ukuba nemibuzo eminingi. Ungangabazi ukubuza le mibuzo uma uya kudokotela wakho.
- "Dokotela, hlobo luni lwe-polyp enginayo?"
- "Ingabe ikhona ingozi yokuthi lokhu kungabangela umdlavuza?"
- "Ingabe ngisengozini enkulu yokuba nomdlavuza wesisu esikhathini esizayo kunabanye?"
- "Yini engaba imbangela yala ma-polyp?"
- "Yiziphi izinguquko okufanele ngizenze endleleni yami yokuphila kanye nokudla ukuze ngivimbele izinto ezinjengalezi ukuthi zenzeke esikhathini esizayo?"
- "Kufanele ngiyenze nini i-endoscopy yami elandelayo?"
Izimpendulo zale mibuzo zizokusiza ukuthi uqonde kangcono isimo sakho.
Umlayezo Wokuya Nawe Ekhaya
- Ama-polyp esisu ayizimila ezincane ezakheka odongeni lwangaphakathi lwesisu. Iningi lazo alinawo nhlobo umdlavuza.Futhi akulona ingozi.
- Esikhathini esiningi, lokhu kutholakala ngengozi, njengoba kuvame ukubangela zimpawu .
- Ukuthola i-polyp kunikeza udokotela wakho ulwazi olubalulekile mayelana nempilo yesisu sakho, okungasiza ekwelapheni ezinye izimo eziyisisekelo, njenge-gastritis.
- Uma kutholakala uhlobo lomdlavuza, ukulususa kusenesikhathi kungavimbela ngokuphelele ingozi yesikhathi esizayo.
- Ungalokothi weqe ama-aphoyintimenti kadokotela wakho, ikakhulukazi ama-aphoyintimenti okuhlolwa . Kubaluleke kakhulu empilweni yakho yesikhathi eside.
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