Zolemba zambiri
Chiphuphu choyesera ndi mayeso omwe amatenga zitsanzo, kapena amachotsa tizilombo toyambitsa matenda (kukula kosazolowereka) kuti tiwunike.
Tinthu ting'onoting'ono timene timakhala timatumba tomwe timatha kulumikizidwa ndi khungwa (pedicle). Ma polyps amapezeka m'magulu okhala ndi mitsempha yambiri. Ziwalo zotere zimaphatikizapo chiberekero, kholingo, ndi mphuno.
Ma polyps ena ali ndi khansa (yoyipa) ndipo ma cell a khansa atha kufalikira. Mitundu yambiri yamtunduwu imakhala yopanda khansa (yowopsa). Malo omwe amapezeka kwambiri ndi ma polyps omwe amathandizidwa ndi colon.
Momwe polyp biopsy imachitikira zimadalira malowo:
- Colonoscopy kapena sigmoidoscopy yosinthasintha imafufuza matumbo akulu
- Coloposcopy yolunjika mozama imayang'ana kumaliseche ndi khomo pachibelekeropo
- Esophagogastroduodenoscopy (EGD) kapena endoscopy ina imagwiritsidwa ntchito pakhosi, m'mimba, ndi matumbo ang'onoang'ono
- Laryngoscopy imagwiritsidwa ntchito pamphuno ndi pakhosi
Kwa madera amthupi omwe amatha kuwoneka kapena komwe tizilombo tating'onoting'ono timamveka, mankhwala osokoneza bongo amagwiritsidwa ntchito pakhungu. Kenako kachidutswa kakang'ono kamene kamaoneka kuti si kachilendo kamachotsedwa. Minofu imeneyi imatumizidwa ku labotale. Kumeneko, amayesedwa kuti awone ngati ali ndi khansa.
Ngati biopsy ili m'mphuno kapena malo ena otseguka kapena owoneka, palibe kukonzekera kwapadera komwe kumafunikira. Wothandizira zaumoyo wanu angakuuzeni ngati simukuyenera kudya kapena kumwa chilichonse (mwachangu) chisanachitike.
Kukonzekera kowonjezereka kumafunikira ku biopsies mkati mwa thupi. Mwachitsanzo, ngati muli ndi chidziwitso chakumimba, simuyenera kudya chilichonse kwa maola angapo musanachitike. Ngati mukukhala ndi colonoscopy, yankho loyeretsera matumbo anu ndilofunika musanachitike.
Tsatirani malangizo okonzekera omwe akukupatsani.
Kwa ma polyps pakhungu, mumatha kumva kukoka pomwe chithunzi cha biopsy chikutengedwa. Mankhwala atachita dzanzi atatha, malowa atha kukhala owawa kwamasiku ochepa.
Ma biopsies a polyps mkati mwa thupi amachitika pamachitidwe monga EGD kapena colonoscopy. Nthawi zambiri, simumva chilichonse nthawi yomaliza kapena pambuyo pake.
Kuyesedwa kumachitika kuti mudziwe ngati kukula kuli khansa (yoyipa). Njirayi imathandizidwanso kuti muchepetse zizindikilo, monga kuchotsa ma polyps am'mphuno.
Kuwunika kwa mtundu wa biopsy kumawonetsa kuti polyp imakhala yoyipa (osati khansa).
Maselo a khansa alipo. Izi zikhoza kukhala chizindikiro cha chotupa cha khansa. Mayeso ena angafunike. Kawirikawiri, polyp angafunikire chithandizo chambiri. Izi ndikuwonetsetsa kuti zachotsedwa.
Zowopsa ndi izi:
- Magazi
- Dzenje (perforation) m'chiwalo
- Matenda
Chisokonezo - tizilombo tating'onoting'ono
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Carlson SM, Goldberg J, Lentz GM. Endoscopy: hysteroscopy ndi laparoscopy: zisonyezo, zotsutsana, ndi zovuta. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 10.
Pohl H, Draganov P, Soetikno R, Kaltenbach T. Colonoscopic polypectomy, mucosal resection, ndi submucosal resection. Mu: Chandrasekhara V, Elmunzer BJ, Khashab MA, Muthusamy VR, eds. Matenda a m'mimba Endoscopy. Wachitatu ed. Philadelphia, PA; 2019: mutu 37.
Samlan RA, Kunduk M. Kuwona kwamphako. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap 55.