I-Polypectomy

-Delile

• Kuyini i-polypectomy?
• Yini injongo ye-polypectomy?
• Yini inqubo?
• Ungayilungiselela kanjani i-polypectomy
• Kuthatha isikhathi esingakanani ukululama?
• Ziyini izinkinga nemiphumela emibi?
• Uyini umbono?

Kuyini i-polypectomy?

I-polypectomy inqubo esetshenziselwa ukususa ama-polyps ngaphakathi kwekoloni, ebizwa nangokuthi amathumbu amakhulu. I-polyp iqoqo elingajwayelekile lezicubu. Inqubo ayiqhamuki futhi ivame ukwenziwa ngasikhathi sinye njenge-colonoscopy.

Yini injongo ye-polypectomy?

Izicubu eziningi zekholoni zikhula njengokukhula okuyingozi (okungenalo umdlavuza) ngaphambi kokuba zibe yingozi (umdlavuza).

I-colonoscopy kuqala kwenziwa ukuthola ukuthi kukhona yini ama-polyps. Uma kukhona okutholakele, kwenziwa i-polypectomy futhi izicubu ziyasuswa. Izicubu zizohlolwa ukuthola ukuthi iziqu zinomdlavuza yini, zinobungozi noma azinabungozi. Lokhu kungavimbela umdlavuza wamathumbu.

Ama-polyps awavamisile ukuhlotshaniswa nanoma yiziphi izimpawu nhlobo. Noma kunjalo, ama-polyps amakhulu angadala:

• ukuphuma kwegazi
• ubuhlungu besisu
• okungajwayelekile kwamathumbu

I-polypectomy izosiza ukukhulula lezi zimpawu futhi. Le nqubo iyadingeka nganoma yisiphi isikhathi lapho kutholakala ama-polyps ngesikhathi se-colonoscopy.

Yini inqubo?

I-polypectomy ivame ukwenziwa ngasikhathi sinye njenge-colonoscopy. Ngesikhathi se-colonoscopy, i-colonoscope izofakwa ku-rectum yakho ukuze udokotela wakho abone zonke izingxenye zekholoni yakho. I-colonoscope iyishubhu ende, ezacile, eguquguqukayo enekhamera nokukhanya ekugcineni kwayo.

I-colonoscopy inikezwa njalo kubantu abaneminyaka engaphezu kwengu-50 ubudala ukuhlola noma yikuphi ukukhula okungakhombisa umdlavuza. Uma udokotela wakho ethola ama-polyps ngesikhathi se-colonoscopy yakho, bavame ukwenza i-polypectomy ngasikhathi sinye.

Kunezindlela eziningana lapho kungenziwa khona i-polypectomy. Ukuthi iyiphi indlela udokotela wakho ayikhethayo kuzoya ngokuthi hlobo luni lwama-polyps akhona kukholoni.

Ama-polyps angaba mancane, makhulu, abe nesessile, noma ahlukaniswe. Ama-polyps angama-Sessile ayisicaba futhi awanaso isiqu. Ama-polyps aqoshiwe akhula ezinhlangeni njengamakhowe. Ngama-polyps amancane (angaphansi kwamamilimitha ayi-5 ububanzi), i-biopsy forceps ingasetshenziselwa ukususwa. Ama-polyps amakhulu (afinyelela kumasentimitha amabili ububanzi) angasuswa kusetshenziswa ugibe.

Ku-snare polypectomy, udokotela wakho uzokhipha ucingo oluncane ezansi kwe-polyp bese esebenzisa ukushisa ukusika ukukhula. Noma yisiphi isicubu noma isiqu esisele siyakhanjiswa.

Amanye ama-polyps, ngenxa yobukhulu obukhulu, indawo, noma ukumiswa, kubhekwa njengenselelo enkulu kwezobuchwepheshe noma kuhlotshaniswa nengozi eyengeziwe yezinkinga. Kulezi zimo, kungasetshenziswa amasu we-endoscopic mucosal resection (EMR) noma ama-endoscopic submucosal dissection (ESD).

Ku-EMR, i-polyp iyaphakanyiswa izicubu ezingaphansi kusetshenziswa umjovo oketshezi ngaphambi kokwenziwa kabusha. Lo mjovo oketshezi uvame ukwenziwa ngosawoti. I-polyp isuswa ngocezu olulodwa ngasikhathi, olubizwa ngokuthi yi-piecemeal resection. Ku-ESD, uketshezi lujova ngokujulile ku-lesion bese i-polyp isuswa kucezu olulodwa.

Kwamanye ama-polyps amakhulu angenakususwa endoscopically, ukuhlinzwa kwamathumbu kungadingeka.

Uma i-polyp isisusiwe, izothunyelwa ebhodini lezokuhlola ukuze lihlole ukuthi i-polyp inomdlavuza yini. Imiphumela imvamisa ithatha isonto elilodwa ukubuya, kepha kwesinye isikhathi ingathatha isikhathi eside.

Ungayilungiselela kanjani i-polypectomy

Ukuze wenze i-colonoscopy, odokotela bakho badinga ukuthi amathumbu akho amakhulu acace ngokuphelele futhi akhululeke kunoma yikuphi ukuvimbela okubonakalayo. Ngalesi sizathu, uzocelwa ukuthi ukhiphe ngokuphelele amathumbu akho usuku olulodwa noma ezimbili ngaphambi kwenqubo yakho. Lokhu kungabandakanya ukusebenzisa ama-laxatives, ukuba ne-enema, nokudla ukudla okucacile kokudla.

Ngaphambi nje kwe-polypectomy, uzobonwa ngumuntu obulala izinzwa, ozonikeza izinzwa ngenqubo. Bazokubuza ukuthi ngabe uke waba nokusabela okubi yini ku-anesthetic ngaphambilini. Uma usulungile futhi ugqoke ingubo yakho yesibhedlela, uzocelwa ukuba ulale ngohlangothi lwakho udonselwe esifubeni.

Inqubo ingenziwa ngokushesha okukhulu. Imvamisa kuthatha kuphela phakathi kwemizuzu engama-20 kuya ehoreni eli-1, kuya ngokungenelela okudingekayo.

Kuthatha isikhathi esingakanani ukululama?

Akufanele ushayele amahora angama-24 ulandela i-polypectomy.

Ukutakula ngokuvamile kuyashesha. Imiphumela emibi efana ne-gassiness, bloating, kanye necramp ivame ukuxazululwa kungakapheli amahora angama-24. Ngenqubo ebandakanyeke kakhulu, ukululama ngokugcwele kungathatha amasonto amabili.

Udokotela wakho uzokunikeza imiyalo yokuthi ungazinakekela kanjani. Bangakucela ukuthi uvikele iziphuzo ezithile kanye nokudla okungacasula uhlelo lwakho lokugaya ukudla izinsuku ezimbili kuya kwezintathu ngemuva kwenqubo. Lokhu kungafaka:

• itiye
• ikhofi
• isoda
• utshwala
• ukudla okubabayo

Udokotela wakho uzokuhlelela ne-colonoscopy yokulandela. Kubalulekile ukuhlola ukuthi i-polypectomy yaphumelela yini nokuthi awekho amanye ama-polyps athuthukile.

Ziyini izinkinga nemiphumela emibi?

Izingozi ze-polypectomy zingafaka ukungcola kwamathumbu noma ukuphuma kwegazi. Lezi zingcuphe ziyefana nge-colonoscopy. Izinkinga azivamile, kodwa xhumana nodokotela wakho ngokushesha uma unezinye zalezi zimpawu ezilandelayo:

• umkhuhlane noma amakhaza, njengoba lokhu kungakhombisa ukutheleleka
• ukopha kakhulu
• ubuhlungu obukhulu noma ukuqunjelwa esiswini sakho
• ukuhlanza
• ukushaya kwenhliziyo okungajwayelekile

Uyini umbono?

Umbono wakho ngokulandela i-polypectomy uqobo muhle. Inqubo ayifuni, ibangela ukungakhululeki okuncane kuphela, futhi kufanele ululame ngokugcwele emavikini amabili.

Kodwa-ke, ukubuka kwakho konke kuzonqunywa yilokho okutholwe njengomphumela we-polypectomy. Inkambo yanoma yikuphi ukwelashwa okuqhubekayo izonqunywa ukuthi ama-polyps akho anobungozi noma cha, anomdlavuza noma awunomdlavuza.

• Uma benobungozi, khona-ke kungenzeka ngokuphelele ukuthi akukho okunye ukwelashwa okuzodingeka.
• Uma benesibindi, khona-ke kunethuba elihle lokuthi umdlavuza wamathumbu ungavinjelwa.
• Uma benomdlavuza, umdlavuza wekoloni uyelapheka.

Ukwelashwa komdlavuza nempumelelo yawo kuzoncika ezintweni eziningi, kufaka phakathi ukuthi umdlavuza ukulesiphi isigaba. Udokotela wakho uzosebenzisana nawe ukwakha uhlelo lokwelashwa.