Kodi Sessile Polyp ndi Chiyani, ndipo Kodi Ndi Chifukwa Chake Chodera nkhawa?

Zamkati

• Mitundu ya tizilombo toyambitsa matenda
• Sessile serrated adenomas
• Villous adenoma
• Tubular adenomas
• Tubulovillous adenomas
• Zoyambitsa ndi zoopsa pazotupa za sessile
• Kuzindikira kwa tizilombo toyambitsa matenda
• Chithandizo cha tizilombo toyambitsa matenda
• Kuopsa kwa khansa
• Maganizo ake ndi otani?

Kodi tizilombo ting'onoting'ono ndi chiyani?

Ma polyps ndi timatumba ting'onoting'ono timene timakhala mkati mwa ziwalo zina. Ma polyps nthawi zambiri amakula m'matumbo kapena m'matumbo, koma amathanso kukula m'mimba, makutu, nyini, ndi pakhosi.

Tinthu ting'onoting'ono timapangidwa mumitundu iwiri. Tizilombo tating'onoting'ono tomwe timakhala tating'onoting'ono timakhala tolimba pamatumba. Tizilombo tating'onoting'ono tomwe timatha kusakanikirana ndi kulumikizana ndi chiwalo, motero nthawi zina zimakhala zovuta kupeza ndi kuchiza. Tizilombo tating'onoting'ono tomwe timagwiritsa ntchito tizilombo toyambitsa matenda timayesedwa kuti timakhala tomwe timapanga. Amachotsedwa nthawi zambiri pochita opaleshoni ya colonoscopy kapena kutsatira.

Tizilombo toyambitsa matenda ndi mawonekedwe achiwiri. Amakula pa phesi kuchokera ku minofu. Kukula kumakhala pamtundu wochepa thupi. Amapatsa polyp mawonekedwe ngati bowa.

Mitundu ya tizilombo toyambitsa matenda

Ma polyps osalala amabwera mumitundu ingapo. Iliyonse ndiyosiyana pang'ono ndi enawo, ndipo iliyonse imakhala ndi chiopsezo cha khansa.

Sessile serrated adenomas

Sessile serrated adenomas amawerengedwa kuti ndiwopepuka. Mtundu wa polyp umatchedwa dzina kuchokera kumaonekedwe ngati macheka omwe maselo osungunuka ali nawo pansi pa microscope.

Villous adenoma

Mtundu wa polypwu umadziwika kawirikawiri mukamayesa khansa yam'matumbo. Zili ndi chiopsezo chachikulu chokhala ndi khansa. Amatha kukhala achiwerewere, koma nthawi zambiri amakhala osagonana.

Tubular adenomas

Mitundu yambiri yamatumbo ndi adenomatous, kapena tubular adenoma. Amatha kukhala osalala kapena osalala. Mitundu imeneyi imakhala ndi chiopsezo chochepa chokhala ndi khansa.

Tubulovillous adenomas

Ma adenomas ambiri amakhala ndi chisakanizo cha mitundu yonse yokula (yoyipa komanso yamachubu). Amatchedwa tubulovillous adenomas.

Zoyambitsa ndi zoopsa pazotupa za sessile

Sizikudziwika chifukwa chake ma polyps amayamba pomwe alibe khansa. Kutupa kumatha kukhala mlandu. Kusintha kwa majini komwe kumagwirizana ndi ziwalozo kumathandizanso.

Mitundu ya Sessile serrated polyps imakonda kupezeka pakati pa amayi ndi anthu omwe amasuta. Mitundu yonse yamatumbo ndi m'mimba ndizofala kwambiri mwa anthu omwe:

• onenepa
• idyani chakudya chamafuta ambiri, chopanda ulusi
• idyani zakudya zopatsa mphamvu kwambiri
• amadya nyama yofiira yambiri
• ali ndi zaka 50 kapena kupitirira
• ali ndi mbiri ya banja la tizilombo tating'onoting'ono ndi khansa
• Gwiritsani ntchito fodya ndi mowa nthawi zonse
• sakuchita masewera olimbitsa thupi okwanira
• khalani ndi mbiri yabanja yamtundu wa 2 matenda ashuga

Kuzindikira kwa tizilombo toyambitsa matenda

Ma polyps amapezeka nthawi zambiri pakuwunika khansa kapena colonoscopy. Izi ndichifukwa choti ma polyps samayambitsa zisonyezo. Ngakhale atakayikiridwa pamaso pa colonoscopy, pamafunika kuyerekezera kwamkati mwa chiwalo chanu kuti mutsimikizire kupezeka kwa polyp.

Pakati pa colonoscopy, dokotala wanu amalowetsa chubu chowunikira mu anus, kudzera mu rectum, komanso m'matumbo akulu m'munsi (colon). Ngati dokotala akuwona kachilombo, akhoza kuchotseratu.

Dokotala wanu amathanso kusankha kutenga pang'ono minofu. Izi zimatchedwa polyp biopsy. Zoyeserera izi zimatumizidwa ku labu, komwe dokotala amaziwerenga ndikupeza matenda. Ngati lipotilo libwereranso ngati khansa, inu ndi adokotala mukambirana za njira zamankhwala.

Chithandizo cha tizilombo toyambitsa matenda

Ma polyp Benign sayenera kuchotsedwa. Ngati ndizochepa ndipo sizimayambitsa mavuto kapena kukhumudwitsa, dokotala wanu angasankhe kungoyang'ana tizilombo toyambitsa matenda ndikuwasiya.

Mungafunike ma colonoscopy pafupipafupi kuti muwone zosintha kapena kukula kwa polyp, komabe. Momwemonso, pamtendere wamaganizidwe, mutha kusankha kuti mukufuna kuchepetsa chiopsezo cha tizilombo tating'onoting'ono tomwe timakhala khansa ndikuwachotsa.

Matenda a khansa amafunika kuchotsedwa. Dokotala wanu amatha kuwachotsa pa colonoscopy ngati ali ochepa mokwanira. Ma polyps akulu amafunika kuchotsedwa ndikuchitidwa opaleshoni nthawi ina.

Pambuyo pa opaleshoni, dokotala wanu angafune kulandila chithandizo chowonjezera, monga radiation kapena chemotherapy, kuti awonetsetse kuti khansara siinafalikire.

Kuopsa kwa khansa

Osati mtundu uliwonse wamatenda omwe amakhala ndi khansa. Ndi ochepa okha mwa mitundu yonse ya polyp omwe amakhala ndi khansa. Izi zimaphatikizapo ma polyp sessile.

Komabe, sessile polyps ndi chiopsezo chachikulu cha khansa chifukwa ndizovuta kupeza ndipo amatha kunyalanyazidwa kwazaka zambiri. Maonekedwe awo mosabisa amawabisa m'matumbo owoneka bwino omwe amakhala m'matumbo ndi m'mimba. Izi zikutanthauza kuti atha kukhala ndi khansa osapezekanso. Izi zitha kusintha, komabe.

Kuchotsa ma polyps kumachepetsa chiopsezo kuti tizilombo ting'onoting'ono tidzakhala khansa m'tsogolo. Awa ndi malingaliro abwino makamaka kwa ma polyp sessile polyps. Malinga ndi kafukufuku wina, 20 mpaka 30 peresenti ya khansa yoyera yamtundu uliwonse imachokera ku ma polyp polyp.

Maganizo ake ndi otani?

Ngati mukukonzekera kukayezetsa khansa ya colonoscopy kapena colon, lankhulani ndi dokotala wanu za chiopsezo chanu cha khansa ya m'matumbo komanso zomwe zingachitike ngati ma polyps atapezeka. Gwiritsani ntchito mfundo izi kuti muyambe kukambirana:

• Funsani ngati muli pachiwopsezo chachikulu cha khansa yamatumbo. Moyo ndi mayendedwe amtundu wanu zimatha kusokoneza chiopsezo chanu chokhala ndi khansa yam'matumbo kapena yotsogola. Dokotala wanu akhoza kuyankhula za chiwopsezo chanu komanso zomwe mungachite kuti muchepetse chiopsezo mtsogolo.
• Funsani za ma polyp pambuyo pakuwunika. Pazosankha kwanu, funsani adotolo za zotsatira za colonoscopy. Atha kukhala ndi zithunzi zamtundu uliwonse, ndipo adzakhalanso ndi zotsatira za biopsies m'masiku ochepa.
• Kambiranani za masitepe otsatira. Ngati ma polyp anapezeka ndikuyesedwa, nchiyani chikuyenera kuchitika kwa iwo? Lankhulani ndi dokotala za dongosolo lamankhwala. Izi zingaphatikizepo nthawi yodikira yomwe simukuchitapo kanthu. Ngati tizilombo toyambitsa matenda timakhala ndi khansa kapena khansa, dokotala wanu angafune kuchotsa mofulumira.
• Kuchepetsa chiopsezo chanu cha tizilombo ting'onoting'ono mtsogolo. Ngakhale sizikudziwika bwino chifukwa chake ma polyp polyp amakula, madokotala amadziwa kuti mutha kuchepetsa chiopsezo chanu mwa kudya zakudya zopatsa thanzi ndi mafuta komanso mafuta ochepa. Muthanso kuchepetsa chiopsezo cha tizilombo tating'onoting'ono ndi khansa pochepetsa thupi komanso kuchita masewera olimbitsa thupi.
• Funsani nthawi yomwe muyenera kuwunikidwanso. Colonoscopies iyenera kuyamba ali ndi zaka 50. Ngati dokotala wanu sapeza ma adenomas kapena ma polyps, kuwunika kotsatira sikungakhale kofunikira kwa zaka 10. Ngati tizilombo tating'onoting'ono tipezeka, dokotala wanu angakuuzeni kuti mudzabwerenso kwa zaka zisanu. Komabe, ngati tizilombo tating'onoting'ono tambiri timapezeka m'matenda a khansa, mungafunike ma colonoscopies angapo pazaka zochepa.