Umlobi: Lewis Jackson
Usuku Lokudalwa: 5 Mhlawumbe 2021
Ukuvuselela Usuku: 21 Unovemba 2024
Anonim
Iyini i-Sessile polyp, futhi ingabe iyimbangela yokukhathazeka? - Impilo
Iyini i-Sessile polyp, futhi ingabe iyimbangela yokukhathazeka? - Impilo

-Delile

Yini ama-polyps?

Ama-polyps ukukhula okuncane okuthuthuka kulwelwesi lwezicubu ngaphakathi kwezinye izitho. Ama-polyps ngokuvamile akhula kukholoni noma emathunjini, kepha angakhula nasesiswini, ezindlebeni, esithweni sangasese nasemphinjeni.

Ama-polyps athuthuka ngezimo ezimbili eziyinhloko. Ama-polyps angama-Sessile akhula acabalele ezicutshini ezilele isitho somzimba. Ama-polyps angama-Sessile angahlangana nolwelwesi lwesitho, ngakho-ke kwesinye isikhathi kuyakhohlisa ukuthola nokwelapha. Ama-polyps angama-Sessile abhekwa njengama-precancerous. Zivame ukususwa ngesikhathi se-colonoscopy noma ukuhlinzwa okulandelwayo.

Ama-polyps ahlukanisiwe ayindlela yesibili. Zikhula esihlokweni esivela ezicutshini. Ukukhula kuhleli phezu kocezu oluncane lwethishu. Inikeza i-polyp ukubukeka okufana nekhowe.

Izinhlobo ze-sessile polyps

Ama-polyps aseSessile anezinhlobonhlobo eziningi. Ngamunye uhlukile kancane kunezinye, futhi ngamunye unengozi yomdlavuza.

I-Sessile serrated adenomas

I-Sessile serrated adenomas ibhekwa njengengaphambi kwesikhathi. Lolu hlobo lwe-polyp luthola igama lalo kusukela ekubukekekeni okufana nesaha amaseli anezinhlayiya anazo ngaphansi kwesibonakhulu.


Villous adenoma

Lolu hlobo lwe-polyp luvame ukutholakala ekuhlolweni komdlavuza wekoloni. Inengozi enkulu yokuba nomdlavuza. Bangakwazi ukufundwa, kepha bavame ukuba yizicubu.

Adenomas Tubular

Iningi lama-polyp polyp yi-adenomatous, noma i-adenoma e-tubular. Zingaba yi-sessile noma ifulethi. Lawa ma-polyps anengozi encane yokuba nomdlavuza.

Adenomas Tubulovillous

Ama-adenomas amaningi anenhlanganisela yamaphethini wokukhula womabili (ama-villous and tubular). Babizwa ngama-tubulovillous adenomas.

Izimbangela nezici zobungozi kuma-sessile polyps

Akucaci ukuthi kungani ama-polyps eba khona uma engewona umdlavuza. Ukuvuvukala kungaba icala. Ukuguqulwa kwezakhi zofuzo okuhambisana nezitho kungadlala indima, futhi.

Ama-polyps angenayo i-Sessile ajwayelekile phakathi kwabesifazane nabantu ababhemayo. Zonke izinhlobo zamakholoni nesisu zivame kakhulu kubantu:

  • zikhuluphele
  • udle ukudla okunamafutha amaningi, okune-fiber encane
  • udle ukudla okunama-kilojoule amaningi
  • kudla inani elikhulu lenyama ebomvu
  • baneminyaka engama-50 noma ngaphezulu
  • unomlando womndeni wama-colon polyps nomdlavuza
  • sebenzisa ugwayi notshwala njalo
  • abatholi ukuzivocavoca umzimba ngokwanele
  • unomlando womndeni wohlobo lwesifo sikashukela sohlobo 2

Ukuxilongwa kwama-sessile polyps

Ama-polyps atholakala njalo ngesikhathi sokuhlolwa komdlavuza we-colon noma i-colonoscopy. Lokho kungenxa yokuthi ama-polyps akuvamile ukuthi abangele izimpawu. Noma besolwa ngaphambi kwe-colonoscopy, kuthatha ukuhlolwa okubukwayo okungaphakathi kwesitho sakho ukuqinisekisa ubukhona be-polyp.


Ngesikhathi se-colonoscopy, udokotela wakho uzofaka ishubhu elikhanyisiwe ku-anus, ngokusebenzisa i-rectum, nangamathumbu amakhulu aphansi (colon). Uma udokotela wakho ebona i-polyp, bangakwazi ukuyisusa ngokuphelele.

Udokotela wakho angakhetha futhi ukuthatha isampula lezicubu. Lokhu kubizwa ngokuthi yi-polyp biopsy. Leso sampula sezicubu sizothunyelwa elebhu, lapho udokotela ezosifunda khona bese enza ukuxilongwa. Uma umbiko ubuya njengomdlavuza, wena nodokotela wakho nizokhuluma ngezindlela zokwelashwa.

Ukwelashwa kwama-sessile polyps

Ama-polyp Benign akudingeki asuswe. Uma ngabe zincane futhi zingabangeli ukungakhululeki noma ukucasuka, udokotela wakho angakhetha ukubuka nje ama-polyps bese uwashiya endaweni yawo.

Ungadinga ama-colonoscopy ajwayelekile kakhulu ukubuka ushintsho noma ukukhula okungeziwe kwe-polyp, noma kunjalo. Ngokufanayo, ukuze ube nokuthula kwengqondo, ungathatha isinqumo sokuthi ufuna ukunciphisa ubungozi bama-polyps abe nomdlavuza (obulalayo) bese uwasusa.

Ama-polyps anomdlavuza adinga ukususwa. Udokotela wakho angazisusa ngesikhathi se-colonoscopy uma zincane ngokwanele. Ama-polyps amakhulu angadinga ukususwa ngokuhlinzwa ngokuhamba kwesikhathi.


Ngemuva kokuhlinzwa, udokotela wakho angafuna ukucubungula ukwelashwa okwengeziwe, okufana nemisebe noma i-chemotherapy, ukuze aqiniseke ukuthi umdlavuza awusakazekanga.

Ingozi yomdlavuza

Akuwona wonke ama-sessile polyp azoba nomdlavuza. Yidlanzana elincane kuphela lawo wonke ama-polyps eliba nomdlavuza. Lokho kufaka ama-sessile polyps.

Kodwa-ke, ama-sessile polyps ayingozi enkulu yomdlavuza ngoba ayakhohlisa ukuthola futhi anganakwa iminyaka. Ukubukeka kwazo okuyisicaba kuzifihla kulwelwesi lwamafinyila olujiyile olugudla ikholoni nesisu. Lokho kusho ukuthi bangaba nomdlavuza bengakatholakali. Lokhu kungahle kushintshe, noma kunjalo.

Ukususa ama-polyps kuzonciphisa ubungozi bokuthi i-polyp ibe nomdlavuza ngokuzayo. Lo ngumqondo omuhle kakhulu wama-polyps we-seredile polyps. Ngokwesinye isifundo, amaphesenti angama-20 kuya kwangu-30 omdlavuza obomvu avela kuma-polyps angama-serrated.

Uyini umbono?

Uma ulungiselela ukuhlolwa komdlavuza we-colonoscopy noma we-colon, khuluma nodokotela wakho ngengozi yakho yomdlavuza wekoloni nokuthi kuzokwenziwani uma kutholakala ama-polyps. Sebenzisa lawa maphuzu okuqala ukuqala ingxoxo:

  • Buza ukuthi usengozini enkulu yomdlavuza wamathumbu. Indlela yokuphila kanye nezakhi zofuzo zingathinta ubungozi bakho bokuthola umdlavuza we-colon noma i-precancer. Udokotela wakho angakhuluma ngengozi yakho nezinto ongazenza ukwehlisa ubungozi bakho ngokuzayo.
  • Buza ngama-polyps ngemuva kokuhlungwa. Ekuqokweni kwakho kokulandela, buza udokotela wakho ngemiphumela ye-colonoscopy. Kungenzeka babe nezithombe zanoma yimaphi ama-polyps, futhi bazoba nemiphumela yama-biopsies emuva ezinsukwini ezimbalwa.
  • Khuluma ngezinyathelo ezilandelayo. Uma ama-polyps atholakala futhi ahlolwa, yini okudingeka yenzeke kuwo? Khuluma nodokotela wakho ngohlelo lokwelashwa. Lokhu kungafaka isikhathi sokulinda lapho ungathathi sinyathelo. Uma i-polyp i-precancerous noma umdlavuza, udokotela wakho angafuna ukuyisusa ngokushesha.
  • Nciphisa ubungozi bama-polyps esizayo. Yize kungacaci ukuthi kungani ama-colon polyps ekhula, odokotela bayazi ukuthi unganciphisa ingozi ngokudla ukudla okunempilo nge-fiber namafutha ancishisiwe. Unganciphisa futhi ubungozi bama-polyps nomdlavuza ngokunciphisa isisindo nokuzivocavoca umzimba.
  • Buza ukuthi kufanele uphinde uhlolwe nini. Ama-Colonoscopies kufanele aqale eneminyaka engama-50. Uma udokotela wakho engatholi ama-adenomas noma ama-polyps, ukuhlolwa okulandelayo kungenzeka kungadingeki iminyaka eyishumi. Uma kutholakala ama-polyps amancane, udokotela wakho angase asikisele ukubuyela emuva eminyakeni emihlanu. Kodwa-ke, uma kutholakala ama-polyps amakhulu noma ama-polyps anomdlavuza, ungadinga ama-colonoscopies amaningi wokulandela esikhathini seminyaka embalwa.

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