Ingabe kukhona izimila ezincane esiswini sakho? Ake sixoxe ngama-polyp esiswini!

Wake wahlolwa i-endoscopy yenkinga yesisu noma isimo esifana ne-gastritis? Ngaleso sikhathi, udokotela kungenzeka ukuthi ukutshelile ukuthi, "Unezimila ezincane esiswini sakho, esizibiza ngokuthi ama-polyp." Lokhu kungase kuzwakale kuyesabisa kancane, akunjalo? Kodwa ungakhathazeki. Esikhathini esiningi, lezi aziyona ingozi. Ake sifunde kabanzi ngama-polyp esiswini namuhla.

Ziyini lezi polyp esiswini?

Kalula nje, ama-Stomach Polyps yizimila ezincane noma izimila ezikhula olwelwesini lwesisu sakho . Zibizwa nangokuthi ama-Gastric Polyps. Cabanga ngakho, isisu sethu sinolwelwesi lwamafinyila, futhi yilapho la ma-polyp ekhula khona. Lawa afana nama-polyp akhula kwezinye izingxenye zomzimba wethu, isibonelo, emathunjini amakhulu.

Into ebalulekile ukuthi iningi lala ma-polyp esiswini awawona umdlavuza (angabi yingozi) . Lokho kusho ukuthi awabangeli umonakalo omkhulu. Kodwa-ke, kunezinhlobo ezithile ezingaba umdlavuza ngokuhamba kwesikhathi. Yingakho kubalulekile ukuzazi lezi.

Ingabe la ma-polyp esiswini ayingozi?

Lokhu kuyinkinga enkulu kubantu abaningi. Eqinisweni, ingozi yomdlavuza ezinhlotsheni eziningi ezivame kakhulu zama-polyp esiswini iphansi kakhulu, ngezinye izikhathi ngisho nokungabikho. Ezinye izinhlobo zingaphambi komdlavuza . Kodwa ngisho nalezo ngokuvamile azinawo umdlavuza uma odokotela bezithola. Kuthatha isikhathi eside ukuthi i-polyp iphenduke umdlavuza. Yingakho odokotela bezisusa ngokushesha nje lapho zitholakala, ukuze bavimbele umdlavuza wesikhathi esizayo.

Okubalulekile: Ungesabi uma ubona i-polyp. Lalela ngokucophelela lokho okushiwo udokotela wakho. Esikhathini esiningi, lezi zingasuswa kalula.

Yiziphi lezi zinhlobo zamathumba ezakha esiswini?

Kunezinhlobo eziningana zama-polyp esiswini. Ezivame kakhulu ama-polyp e-epithelial . Lawa yilawo akhula kusukela ongqimbeni oluphezulu lwe-lining (i-epithelium) yesisu. Ngaphezu kwalokho, kunezinhlobo eziqala ongqimbeni olujulile bese ziphuma, ezibizwa ngokuthi ama-polyp e-mesenchymal . Lawa awavamile kangako.

Izinhlobo ze-Epithelial Polyps:

Izinhlobo ezivame kakhulu zama-polyp ziwela ngaphansi kwalesi sigaba.

• Ama-Fundic Gland Polyps: Lawa uhlobo oluvame kakhulu lwama-gastric polyps.. Lezi zivame ukwakheka engxenyeni engenhla yesisu (i-fundus). Uma zisanda kwakheka, ingozi yokuba nomdlavuza iphansi kakhulu, uma ingekho. Kodwa-ke, ngezinye izimo zomdlavuza ezingavamile ezizuzwa njengefa (isibonelo, i-`Familial Adenomatous Polyposis (FAP)` kanye ne-`Gastric Adenocarcinoma kanye ne-Proximal Polyposis of the Stomach (GAPPS)`) zingakhula kaningi. Ezimweni ezinjalo, zingaba yisimo esingaphambi komdlavuza ngaphambi kokuba zibe nomdlavuza.

• Ama-polyps e-Hyperplastic: Lawa uhlobo lwesibili oluvame kakhulu. Lawa awavamile ukuba nomdlavuza. Avame ukuhlotshaniswa ne-gastritis . Kodwa-ke, ngezinye izikhathi angaba khona neminye imidlavuza, ngakho-ke nawo abhekwa njengesibonakaliso sesixwayiso. Uma odokotela bewathola, bahlola nezicubu ezizungezile ukuze babone ukuthi kukhona yini amaseli omdlavuza.

• Ama-Adenomatous Polyps (ama-Adenoma): Cishe u-10% wawo wonke ama-polyp esiswini angalolu hlobo. Lawa uhlobo oluvame kakhulu lwama-polyp angaphambi komdlavuza asengozini enkulu yokuba nomdlavuza . Ngokuvamile ayenzeka ngawodwana. Kodwa-ke, angavela kaningi nakubantu abanezimo zofuzo ezifana ne-Familial Adenomatous Polyposis (FAP). Odokotela bayawasusa la ma-polyp ngokushesha nje lapho etholakala bese bewahlola ukuthi awanazo yini izimila zomdlavuza.

• Ama-Tumors e-Neuroendocrine Esiswini (aziwa nangokuthi ama-Carcinoid Tumors): Lawa avela kumaseli e-neuroendocrine olwelwesini lwesisu. Angaba cishe yi-1% yawo wonke ama-tumors esiswini. Angaba nomdlavuza noma abe yingozi. Kunezinhlobo ezine ezahlukene, ngayinye inesimo esihlukile kancane. Odokotela banquma ingozi yomdlavuza ngokukhomba uhlobo.

• Ama-Hamartomatous Polyps (noma ama-Hamartomas): Lawa ayinani elincane, cishe i-1% yama-polyps esiswini. Angavela ngokuzenzekelayo, noma angahlotshaniswa nezifo ezingavamile zofuzo njenge-'Peutz-Jeghers syndrome', 'Juvenile Polyposis Syndrome', 'PTEN Hamartoma Tumor Syndrome'. Uma evele ngokuzenzekelayo, ngokuvamile ayisisu esingenangozi esikhula sodwa. Kodwa-ke, uma evelela nezifo ezifuzo ezishiwo ngenhla, akhula ngamanani amakhulu futhi kukhona ingozi yomdlavuza.

Izinhlobo ze-Mesenchymal Polyps:

Lezi yizinhlobo ezingavamile kakhulu zama-polyp ezivela ezingqimbeni ezijulile kancane.

• Ama-Fibroid Polyps Avuvukalayo: Lawa uhlobo lokukhula olungavamile kakhulu nolungangcolisi. Indlela eqondile yokwakheka kwawo ayaziwa. Ngezinye izikhathi lawa abizwa ngokuthi ama-granuloma.Ibizwa nangokuthi i-polyp. Iyiqoqo lamaseli omzimba aqoqana ngesikhathi sokuvuvukala. Lawa avame ukwakheka ngokwawo, amancane. Kodwa uma ekhula, angabangela izinkinga. Uma enkulu ikhula esiswini, ingavimba ukungena kwesisu (pylorus).

• Ama-Gastrointestinal Stromal Tumors (GIST): Lawa ama-tumors angavamile, angaphambi komdlavuza angaba umdlavuza. Aqala engxenyeni ejulile yolwelwesi lwesisu (i-muscularis propria). Odokotela bayawasusa lapho etholakala. Angase adinge inqubo ehlukile (i-Endoscopic Mucosal Resection (EMR) noma i-Endoscopic Submucosal Dissection (ESD)) ukuze asuswe.

• Ama-Leiomyoma: Lawa ama-tumors angavamile, abushelelezi emisipha. Akha ungqimba olubizwa ngokuthi i-'Muscularis Propria' futhi angabonakala njengezigaxa odongeni lwangaphakathi lwesisu. Ngezinye izikhathi lawa angaba nomdlavuza (i-Leiomyosarcomas). Inqubo ehlukile ingadingeka ukususa la ma-tumors.

Zivame kangakanani i-stomach polyps?

Eqinisweni, ngokuvamile, ama-polyp esiswini awavamile kangako. Kuma-endoscopy angu-100 aphezulu, atholakala cishe ku-4 awo. Cishe ingxenye yala ma-polyp yi-'Fundic Gland Polyps' okukhulunywe ngayo ngaphambilini. Cishe ama-30% yi-'Hyperplastic Polyps', ama-10% yi-'Adenomatous Polyps'. Ama-10% asele ayizinhlobo ezingavamile.

Ingabe ama-polyp esiswini anezimpawu?

Esikhathini esiningi, ama-polyp esiswini awabangeli zimpawu. Avame ukutholakala ngengozi ngesikhathi sokuhlolwa okwenzayo ngesinye isizathu. Kodwa-ke, ezinye izinhlobo zama-polyp zingopha igazi . Akuvamile kakhulu, ezinye izinhlobo zingakhula zibe zinkulu ngokwanele ukubangela ukuvaleka . Nazi ezinye izimpawu ongase uzizwe:

• Ukopha: Ungase ungakuzwa ukopha ngaphakathi esiswini sakho. Kodwa uma kukhona ukopha okuningi, ungase uqaphele izimpawu zegazi esitulweni sakho. (Uma ukopha kuvela engxenyeni engenhla yesisu sakho , isitulo sizoba mnyama, silinde, kunokuba sibe bomvu.) Ngokuhamba kwesikhathi, ukulahlekelwa igazi kungaholela ekulahlekelweni kwegazi . Lokhu kungabangela izimpawu ezifana nokuphaphatheka, ubuthakathaka, kanye nokukhathala.

• Ukuvaleka: Uma i-polyp inkulu ngokwanele ukuvimba umgudu wakho wokugaya ukudla, ungase ube nezimpawu ezifana nokucanuzela kwenhliziyo, ukuqunjelwa, kanye nobuhlungu besisu . Isisu sakho singase sibe buhlungu nalapho usicindezela. Uma i-polyp ivimba ngempela indlela yokungena esiswini sakho, ungase uzwe ukuhlanza, ukuphelelwa yisifiso sokudla, kanye nokwehla kwesisindo .

Zibukeka kanjani lezi polyp?

Izinhlobo ezahlukene zama-polyp esiswini zingabonakala zihlukile. Ezinye ziphakanyisiwe, zifana nomdlavuza, kanti ezinye ziyisicaba. Odokotela babiza ama-polyp abanzi, aphakanyisiwe kancane ngokuthi “ama-sessile,” kanti ama-polyp anekhanda elifana nesiqu ngokuthi “ama-peduncle.” Ezinye izinhlobo zingase zibe nezilonda ebusweni futhi zingopha igazi.

Ama-polyp angahluka ngobukhulu kusukela kumilimitha elilodwa kuya kumasentimitha amaningana. Iningi lawo lincane, ngoba akhula kancane kakhulu. Ama-polyp amakhulu anamathuba amaningi okuba nomdlavuza, ngoba asebekhulile. Kodwa kunzima kodokotela ukusho ngokuqinisekile ukuthi anomdlavuza noma cha ngaphandle kokuwabheka ngaphansi kwe-microscope.

Yini ebangela ama-polyp esiswini?

Ama-polyp esisu akhula ngokuhambisana nezimo zofuzo angofuzo. Kodwa-ke, ama-polyp angavamile athonywa yizimbangela zofuzo kanye nezinye izici. Okusho ukuthi, izinhlobo ezahlukene zama-polyp ziyakhula ngenxa yokuguquka kwezakhi zofuzo okuhlukene, kodwa kubonakala sengathi nezinye izici nazo zihilelekile ekubangeleni lokhu kuguquka kwezakhi zofuzo.

Nazi ezinye zezizathu abacwaningi abazitholile:

• I-Gastritis Engapheli: I-Gastritis ukuvuvukala kolwelwesi lwesisu. Kungaba ukuguguleka noma ukungaguguleki. I-gastritis egugulekayo iyona evame kakhulu. Ibangelwa ukuguguleka kwamakhemikhali noma ukutheleleka okungapheli njenge-H. pylori. I-gastritis engaguguleki ingabangela ukuthi ulwelwesi lwesisu lube luncane (i-atrophic gastritis), okubangela izinguquko ezahlukahlukene zamaseli. Zombili izinhlobo zingaholela ekukhuleni kwezinhlobo ezahlukene zamathumba, ikakhulukazi ama-polyps aqinile, ama-adenoma, ama-fibroids okuvuvukala, kanye namathumba e-neuroendocrine.

• Ama-Proton-Pump Inhibitors (PPI): Lawa yimithi esiyiphuza njalo ye-gastritis, isilungulela, kanye ne-acid reflux, njenge-Omeprazole. Uma lokhu kusetshenziswa isikhathi eside futhi njalo, kungathinta indlela okusebenza ngayo ulwelwesi lwesisu. Uma le mithi ivimba amanye amangqamuzana ekukhiqizeni i-asidi, amanye amangqamuzana aqala ukukhiqiza i-asidi eningi kunokudingekile ukuze kulungiswe ukuntuleka. Lokhu kuyimbangela evamile yalawo ma-'Fundic Gland Polyps' angenacala. Ngezinye izikhathi, lokhu kungathinta nokuthuthukiswa kwama-'Gastric Neuroendocrine Tumors'.

Ama-polyp atholakala kanjani (atholakala kanjani)?

Ama-polyp amaningi esiswini atholakala ngesikhathi sokuhlolwa kwe-endoscopy ephezulu (EGD) . Udokotela wesisu noma udokotela ohlinzayo owenza lolu vivinyo uthatha ingxenye encane yezicubu (i-biopsy) ku-polyp, noma asuse i-polyp ngokuphelele (i-polypectomy). Amasampula ezicubu abe esethunyelwa ukuze ayohlolwa okwengeziwe. Udokotela wezifo uyawahlola ngaphansi kwe-microscope ukuze anqume ukuthi uhlobo luni lwe-polyp nokuthi lunomdlavuza yini.

Kusho ukuthini uma une-polyps esiswini sakho?

Izinhlobo ezahlukene zama-polyp zingasho izinto ezahlukene. Kuye ngohlobo lwe-polyp olutholakele, udokotela wakho angayala ukuhlolwa okwengeziwe ukuze ahlole ezinye izimo ezingase zihileleke. Isibonelo, angayala ukuhlolwa ukuze ahlole ukutheleleka kwe-H. pylori noma ezinye izimo zokuvuvukala okungapheli.

Inani lama-polyp onawo kanye nosayizi wawo nakho kubalulekile. Uma unama-polyp amaningi, udokotela wakho angase ancome ukuhlolwa kwezakhi zofuzo ukuze abheke izimo zofuzo. Uma kuqinisekiswa ukuthi unesifo esinjalo sofuzo, kuzodingeka uhlole ama-polyp kwezinye izingxenye zomzimba wakho. Uma kutholakala ama-polyp angaphambi komdlavuza, kungadingeka ukuthi wenze esinye i-endoscopy maduze.

Yiziphi izindlela zokwelapha ama-polyp esiswini?

Ukwelashwa kuncike ohlotsheni lwama-polyp onawo kanye nesimo sawo. Kuye ngalokhu, ukwelashwa okulandelayo kunganconywa:

• Ukususwa Kwe-Polyp Yesisu: Udokotela wakho kungenzeka ukuthi ukhiphe ama-polyp ngesikhathi sokuhlinzwa kwe-endoscopy (i-polypectomy). Kodwa-ke, ngezinye izikhathi ama-polyp amaningi angadinga ukutholwa noma ukususwa. Amanye ama-polyp anzima, ajulile angadinga izinqubo ezikhethekile (`EMR`, `ESD`) noma, ngokungavamile, ukuhlinzwa.

• Ukuhlolwa Okwengeziwe Kwe-Polyp: Uma udokotela wakho ethola futhi esusa ama-polyp anomdlavuza noma angaba nomdlavuza, kufanele uhlolwe kabusha maduze ukuze kubonakale ukuthi amasha ayavela yini. Udokotela wakho uzokutshela ukuthi kufanele uhlolwe kangaki, kuye ngohlobo kanye nohlobo lwama-polyp atholakele. Bangase bafune nokuqapha indlela umzimba wakho osabela ngayo ekwelashweni.

• Ukwelashwa Kwezimo Ezihlobene: Ngezinye izikhathi, ungase uqale utholakale unesifo esingelapheka, njenge-gastritis, ngenxa yalezi polyp zesisu. Udokotela wakho angase elaphe ama-polyp ngenkathi elapha nesimo esiyisisekelo. Ama-polyp ahlobene ngqo nokutheleleka kwe-H. pylori noma ukusetshenziswa kwama-proton pump inhibitors (PPIs) angase aphele lapho lezo zimo zelashwa.

Ungakwazi yini ukuvimbela ukwakheka kwama-polyp esiswini?

Ukwelapha i-gastritis engapheli kanye nezimbangela zayo kungasiza ekuvimbeleni ezinye izinhlobo zama-polyp esiswini. Futhi, ukunciphisa ukusetshenziswa kwemithi ebizwa ngokuthi i-`Proton Pump Inhibitors (PPIs)` kungasiza ekunciphiseni ukwakheka kwezinye izinhlobo zama-polyp. Kodwa-ke, ama-polyp amaningi akhula ngokuhambisana nama-`PPI' awalungile. Ngakho-ke akukho mthetho wokuthi kufanele uyeke ukuthatha imithi ukuze uwavimbele. Kungcono ukuxoxa ngalokhu nodokotela wakho.

Kwenzekani uma une-polyps esiswini sakho?

Uma udokotela wakho ethola ama-polyp esiswini sakho, uzokwenza izivivinyo ukuze athole ukuthi aluhlobo luni nokuthi asho ukuthini.Esikhathini esiningi, azibi zimbi kakhulu. Amathuba okuthola i-polyp ephenduka umdlavuza wesisu angaphansi kuka-2%. Ungase utholakale unesinye isimo esingelashwa.

Ingabe ngidinga ukushintsha indlela engidla ngayo ngemva kokususwa kwama-polyp?

Ukudla okunomsoco kusiza isisu siphole ngemva kokususwa kwama-polyp nge-endoscopy. Futhi, ukudla okuhle kubalulekile ukuvimbela i-gastritis, okuyimbangela enkulu yama-polyp esiswini. Odokotela beluleka ukulandela ukudla okulwa nokuvuvukala . Okusho ukuthi, esikhundleni sokudla okwenziwa, ushukela owedlulele, namafutha agcwele, ukudla kwemvelo okuqukethe okusanhlamvu okuphelele, amaprotheni angenamafutha, namafutha agcwele kufanele kubekwe phambili.

Kufanele ngimbone nini udokotela?

Ngemva kokususwa kwama-polyp , kubaluleke kakhulu ukubuyela emuva uyohlolwa njengoba udokotela wakho ekutshela. Uzokutshela ukuthi ubuye kangaki. Futhi, uma unezimpawu ezingavamile, njengobuhlungu besisu noma izinguquko esitulweni sakho, kufanele wazise nodokotela wakho. Angakutshela ukuthi kuyinto evamile noma ukuthi idinga ukuhlolwa.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Ungabuza imibuzo efana nale:

• Hlobo luni lwama-polyp enginawo?
• Ingabe ama-polyp ami asengozini yokuba nomdlavuza?
• Ingabe ngisengozini ephezulu noma ephansi yokuba nomdlavuza wesisu?
• Yini okungenzeka kakhulu ukuthi iyimbangela yama-polyp esiswini sami?
• Yiziphi izinguquko okufanele ngizenze ukuze ngivimbele ama-polyp esiswini ukuthi angakhuli esikhathini esizayo?
• Kufanele ngiyenze nini i-endoscopy yami elandelayo?

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Ukuthola ama-polyp esiswini sakho kuvame ukuba yingozi, uma uhlolwa ngezokwelapha ngenxa yento ethile. Kungaba yinto ephazamisayo kancane. Kodwa khumbula, ama-polyp amaningi esiswini awawona umdlavuza, futhi asengozini encane yokuba nomdlavuza. Ezimweni eziningi, amane nje ayisibonakaliso sesimo esikulethe kudokotela.

Kuye ngohlobo lwama-polyp esiswini onawo, udokotela wakho uzoba nolwazi oluningi olubalulekile mayelana nempilo yakho yesisu. Uzokwazi ukuthi yini okufanele ayenze ukuze elaphe isimo sakho futhi alawule ingozi yakho yomdlavuza wesisu. Uma kukhona ingozi, kungcono njalo ukuthola ngokushesha kunokuba kamuva, akunjalo? Ngakho-ke ungesabi, lalela lokho okushiwo udokotela wakho, bese uthola ukwelashwa okufanele.

Ama - polyp esisu, izimila zesisu, i-gastritis, i-endoscopy, umdlavuza wesisu, izinkinga zesisu, izinhlobo zama-polyp