Polypectomy

Zamkati

• Kodi polypectomy ndi chiyani?
• Kodi cholinga cha polypectomy ndi chiyani?
• Ndondomeko yake ndi yotani?
• Momwe mungakonzekerere polypectomy
• Zimatenga nthawi yayitali bwanji kuti achire?
• Kodi zovuta ndi zoyipa zake ndi ziti?
• Maganizo ake ndi otani?

Kodi polypectomy ndi chiyani?

Polypectomy ndi njira yogwiritsira ntchito polyps mkati mwa colon, yotchedwanso matumbo akulu. Mtundu wambiri ndi minyewa yosadziwika bwino. Njirayi ndiyosavomerezeka ndipo imachitika nthawi imodzimodzi ndi colonoscopy.

Kodi cholinga cha polypectomy ndi chiyani?

Zotupa zambiri zam'mimba zimayamba kukula (zosayambitsa khansa) zisanachitike (khansa).

Colonoscopy imachitika koyamba kuti izindikire kupezeka kwa tizilombo toyambitsa matenda. Ngati pali omwe amapezeka, polypectomy imachitika ndipo minofu imachotsedwa. Minofuyi idzawerengedwa kuti iwone ngati zophukirazo ndizakhansa, zotsogola, kapena zabwino. Izi zitha kuteteza khansa yamatumbo.

Ma polyps nthawi zambiri samalumikizidwa ndi zizindikiro zilizonse.Komabe, ma polyps akuluakulu amatha kuyambitsa:

• magazi akutuluka
• kupweteka m'mimba
• Zoyipa zamatumbo

Polypectomy ingathandizenso kuthana ndi izi. Njirayi imafunika nthawi iliyonse pamene ma polyps amapezeka mu colonoscopy.

Ndondomeko yake ndi yotani?

Polypectomy nthawi zambiri imachitika nthawi yomweyo ndi colonoscopy. Pakati pa colonoscopy, colonoscope idzaikidwa mu rectum yanu kuti dokotala athe kuwona magawo anu onse am'matumbo. Colonoscope ndi chubu chachitali, chowonda, chosinthasintha chokhala ndi kamera ndi kuwala kumapeto kwake.

Colonoscopy imaperekedwa mobwerezabwereza kwa anthu omwe ali ndi zaka zopitilira 50 kuti awone ngati pali zomwe zingayambitse khansa. Ngati dokotala wanu atapeza tizilombo tating'onoting'ono panthawi yomwe mumakhala ndi colonoscopy, nthawi zambiri amatha kupanga polypectomy nthawi yomweyo.

Pali njira zingapo zomwe polypectomy imathandizira. Njira yomwe dokotala wanu amasankha itengera mtundu wa ma polyps omwe ali m'matumbo.

Tizilombo tating'onoting'ono titha kukhala tating'onoting'ono, tating'onoting'ono, tating'onoting'ono, kapena tomwe timapanga. Tizilombo tating'onoting'ono tokhala mosalala ndipo mulibe phesi. Tizilombo tomwe timapanga tizilombo toyambitsa matenda timamera pamapesi ngati bowa. Kwa ma polyps ang'onoang'ono (ochepera mamilimita 5 m'mimba mwake), biopsy forceps itha kugwiritsidwa ntchito kuchotsa. Tinthu ting'onoting'ono tazikuluzikulu (mpaka masentimita awiri m'mimba mwake) titha kuzichotsa pogwiritsa ntchito msampha.

Mu msampha wa polypectomy, dokotala wanu amatsegula waya wocheperako pansi pa polyp ndikugwiritsa ntchito kutentha kuti muchepetse kukula. Minofu kapena phesi zotsala zimasanjidwa.

Ma polyps ena, chifukwa cha kukula kwakukulu, malo, kapena kasinthidwe, amawerengedwa kuti ndi ovuta kwambiri kapena amakhala ndi chiopsezo chowonjezeka cha zovuta. Zikatero, njira za endoscopic mucosal resection (EMR) kapena endoscopic submucosal dissection (ESD) zitha kugwiritsidwa ntchito.

Mu EMR, polyp imachotsedwa paminyama yoyambira pogwiritsa ntchito jakisoni wamadzimadzi isanachitike resection. Majekeseni amadzimadzi amenewa nthawi zambiri amapangidwa ndi mchere. Tizilombo toyambitsa matenda timachotsa chidutswa chimodzi panthawi, chotchedwa piecemeal resection. Mu ESD, madzimadzi amalowetsedwa mkati mwa chotupacho ndipo polyp imachotsedwa mu chidutswa chimodzi.

Kwa ma polyps akuluakulu omwe sangachotsedwe endoscopically, opaleshoni yamatumbo ingafunike.

Akachotsa polyp, amatumizidwa kumalo osungira matenda kuti akayese ngati polyp ili ndi khansa. Zotsatira zake zimatenga sabata imodzi kuti zibwerere, koma nthawi zina zimatha kutenga nthawi yayitali.

Momwe mungakonzekerere polypectomy

Pofuna kupanga colonoscopy, madokotala anu amafunika kuti matumbo anu akulu akhale omveka bwino komanso opanda chilichonse cholepheretsa kuwona. Pachifukwa ichi, mudzafunsidwa kutulutsa bwino matumbo anu tsiku limodzi kapena awiri musanachitike. Izi zitha kuphatikizira kumwa mankhwala otsegulitsa m'mimba, kukhala ndi enema, komanso kudya zakudya zomveka bwino.

Kutatsala pang'ono kutenga polypectomy, mudzawonedwa ndi wochita dzanzi, yemwe adzakupatseni mankhwala ochititsa dzanzi pochita izi. Adzakufunsani ngati simunakhalepo ndi vuto lililonse pochita dzanzi m'mbuyomu. Mukakhala okonzeka komanso mutavala mwinjiro wachipatala, mudzafunsidwa kuti mugone chammbali ndi maondo anu atakwatiridwa pachifuwa.

Njirayi imatha kuchitika mwachangu. Nthawi zambiri zimangotenga pakati pa mphindi 20 mpaka ola limodzi, kutengera zofunikira zilizonse.

Zimatenga nthawi yayitali bwanji kuti achire?

Simuyenera kuyendetsa galimoto kwa maola 24 kutsatira polypectomy.

Kuchira kumakhala kofulumira. Zotsatira zazing'ono monga kuzizira, kuphulika, ndi kukokana nthawi zambiri zimatha kuthana ndi maola 24. Ndi njira zambiri zomwe zingachitike, kuchira kwathunthu kumatha kutenga milungu iwiri.

Dokotala wanu akupatsani malangizo amomwe mungadzisamalire nokha. Amatha kukufunsani kuti mupewe zakumwa ndi zakudya zina zomwe zingakwiyitse thupi lanu pakudya masiku awiri kapena atatu mutachita izi. Izi zingaphatikizepo:

• tiyi
• khofi
• koloko
• mowa
• zakudya zokometsera

Dokotala wanu adzakonzerani ndondomeko yotsatira colonoscopy. Ndikofunika kuwunika ngati polypectomy idachita bwino komanso kuti palibenso tizilombo tina tomwe tapanga.

Kodi zovuta ndi zoyipa zake ndi ziti?

Zowopsa za polypectomy zitha kuphatikizira kutuluka kwa m'mimba kapena kwamitsempha yamagazi. Zowopsa izi ndizofanana ndi colonoscopy. Zovuta ndizochepa, koma funsani dokotala nthawi yomweyo ngati muli ndi izi:

• malungo kapena kuzizira, chifukwa izi zimatha kuwonetsa matenda
• kutaya magazi kwambiri
• kupweteka kwambiri kapena kuphulika m'mimba mwanu
• kusanza
• kugunda kwamtima kosasintha

Maganizo ake ndi otani?

Malingaliro anu kutsatira polypectomy palokha ndiabwino. Njirayi siyowopsa, imangopweteka pang'ono, ndipo muyenera kuchira kwathunthu pakatha milungu iwiri.

Komabe, malingaliro anu onse adzatsimikiziridwa ndi zomwe zapezeka chifukwa cha polypectomy. Chithandizo chamankhwala china chilichonse chiziwunikiridwa ngati ma polyps anu ndiabwino, othamanga, kapena khansa.

• Ngati ali ndi vuto, ndiye kuti ndizotheka kuti sipadzakhalanso chithandizo china.
• Ngati ali ndi zotsogola, ndiye kuti pali mwayi woti khansa yam'matumbo itha kupewedwa.
• Ngati ali ndi khansa, khansa ya m'matumbo imachiritsidwa.

Chithandizo cha khansa komanso kupambana kwake kudzadalira pazinthu zambiri, kuphatikiza nthawi yomwe khansa ili. Dokotala wanu adzagwira nanu ntchito kuti mupange dongosolo lamankhwala.