I-Polypectomy yigama elisetshenziselwa ukuchaza inqubo encane yokuhlasela lapho odokotela bekhipha ukukhula okungavamile kwezicubu, ezibizwa ngama- polyps , ngaphakathi ngaphakathi kwekoloni yakho. It isetshenziswa njengendlela yokuhlola ukuthi ukukhula kuyinto umdlavuza, precancerous , noma non-cancerous.
Isilinganiso "-tectomy" kusho ukususa noma isenzo sokuqeda.
Indlela i-Polypectomy eyenziwa ngayo
I-polypectomy ijwayele ukuqhutshwa ngesikhathi senqubo ebizwa ngokuthi i- colonoscopy lapho isikhala eside, esivumelana nezimo (esibizwa ngokuthi i- colonoscope ) sifakwa ngaphakathi kwe-rectum.
I-colonoscopy yindlela yokuhlola evamile ephakanyiswe abantu abadala abaneminyaka engama-50 noma ngaphezulu ukuhlola noma yikuphi ukukhula okungabonisa umdlavuza. Amafomu amaningi okuvuma kwezokwelapha ahlanganisa ulimi oluthi i-polypectomy ingenziwa ngesikhathi sokuhlolwa kwe-colonoscopic.
Kunezinhlobo ezimbili ezahlukene zama polypectomi angasetshenziswa:
- I- polypectomy yegibe iyindlela lapho odokotela bekhiphela khona ucingo omncane, obizwa ngokuthi umgibe, ezungeze phansi kwe-polyp bese usebenzisa ukushisa ngesikhathi esisodwa bese kunqunywe ukukhula futhi kubangele ukulimala.
- I-polypectomy yokudla i-piece isetshenziselwa ukususa ukukhula okukhulu okungasuswa ngokuhlinzwa. Uma umuntu engakwazi ukuhlinzwa ngokubeletha, le nqubo isusa isiqeshana sokukhula ngesiqephu ngenkathi yenqubo ye-colonoscopic.
Ukuze ulungiselele inqubo, uzocelwa ukuba ulungise kahle usuku noma ngaphezulu kusengaphambili ukuze uqinisekise ukuthi ikholoni icacile futhi ayikho nhlobo yokuvimbela okubonakalayo.
Lokhu kungahlanganisa ukusetshenziswa kwe-laxative, i-enema, nokudla okucacile kokudla.
Ngosuku lwenqubo, uzobe uxoxwa yi-anesthetist ozobuza ukuthi unesifo sofuba yini noma okuhlangenwe nakho okubi ngaphambili kwe-anesthesia. Uma usuqedile futhi ugqoke esembatho sasesibhedlela, uzobekwa eceleni kwakho etafuleni lokuhlola ngamadolo akho adonsele esifubeni sakho.
Inqubo ingathatha noma yikuphi kusuka kumaminithi angu-20 kuya ehoreni.
Ukukhula ngokwabo kungaba okuncane futhi okuncane noma okuncane noma okunamandla, okuyizintambo ezinama- pedunculated ezikhulayo ezitsheni ezifana ne-mushroom. Uma isusiwe, ama-polyps athunyelwa ebhodini lokugula ukuze ahlole ukuthi kukhona yini uphawu lomdlavuza we- colon . Imiphumela ngokuvamile ibuyiselwa ngaphakathi kwesonto, ngezinye izikhathi isikhathi eside.
Ngemuva kwePolypectomy
Emva kwe-polypectomy, udokotela noma umhlengikazi uzokunikeza imiyalo ngalokho okumele ulindelwe futhi izimpawu azibheke. Akuyona into engavamile ukuzizwa i-groggy futhi ingaqiniseki ezinyaweni zakho. Njengalokhu, kunconywa ukuthi ilungu lomngane noma ilungu lomndeni likuqhube ekhaya futhi wenze njalo emahoreni angu-24 alandelayo.
Ngenkathi kuvame ubuhlungu obuncane emva kokususwa kwe-polyp encane, isidakamizwa esingezona-steroidal sokuvuvukala (i-NSAID) singahle sinqunywe uma kususwa kusanda kakhulu.
Izingozi ze-polypectomy zifana nalezo ze-colonoscopy futhi zingabandakanya ukuphuma kwe-rectal kanye ne-perforation yegciwane. Ingabe lezi zinkinga zibhekwa njengezivamile, kufanele uxhumane nodokotela wakho ngokushesha uma ubona noma yiziphi izimpawu ezimbi ezilandelayo:
- imfiva noma amahlumela
- ukuphuma kwegazi (okungaphezu kwesipuni ngesikhathi)
- ubuhlungu obukhulu besisu noma ukubhula
- ukuhlanza
- izinhliziyo ezingavamile (arrhythmia)
Khuluma nodokotela wakho uma uthatha noma yiluphi uhlobo lwegazi lokugqoka, olufana ne-warfarin, njengoba lingakwandisa ingozi yokukhipha igazi.
> Umthombo:
> Anderloni, A .; Jovani, M .; Hassan, C .; et al. "Intuthuko, izinkinga, nezinkinga ze-polypectomy." I- Exp Exp Gastroenterol. 2014; 7: 28-296.