Loluhlobo lwe-polyp luyatholakala kubantu abane-IBD futhi akuyona i-Precursor Cancer
Kukhona uhlobo lwe- polyp olutholakala emgqonyeni womuntu onesifo sofuba (IBD) , noma isifo sikaCrohn noma i-ulcerative colitis, okuyinto empeleni ayiyona ipolitiki yangempela. Lezi zikhula zibizwa ngokuthi i-pseudopolyps ngoba aziyona i-polyps nhlobo; Kunalokho, "amapolisi" amanga. Ukuguqula amagama kusho "ukukhohlisa" noma "ukuphanga," kanti ngenkathi izakhiwo ngokwazo zingokoqobo, aziyona uhlobo olufanayo lwe-polyp elisuswe ngoba lungabangela umdlavuza wekoloni.
Indlela ifomu le-Pseudopolyps
Abantu abane-IBD bangase babe nokuvuvukala emakoloni abo, okwenzeka ngesikhathi se- flare-ups yesifo. Kwabanye, ukuvuvukala kungaba nzima futhi kungaqhubeka isikhathi eside. Ukuvuvukala kubangela izilonda zangempela (izimbobo) odongeni lekoloni. Nge-ulcerative colitis, lezo zilonda zivame ukuvalelwa odongeni lwangaphakathi lwekoloni, kodwa esibhedlela sikaCrohn, izilonda zingakwazi ukungena odongeni lwamathumbu emathunjini. Umjikelezo wesilonda nokuphulukisa kubangela ekudaleni izicubu ezibomvu. Lokhu kufana nokuthi ukusika phezu kwesikhumba kungabangela kanjani uhlamvu olubukeka luhluke kunesikhumba esizungezile, esingenakunyakaziswa.
Izicubu ezibomvu ezakha emgqeni uma ukuvuvukala kukhona bese uphulukisa ngendlela efana ne-polyps, kodwa akufani ne-polyp yesilasi esisezingeni. Ama-pseudopolyps ahlanzekile futhi abukeka afana ne-bump.
Ama-pseudopolyps awawona ingozi yeCanscer
I-polyp ukukhula ngaphakathi kwekoloni engathatha ezinhlobonhlobo ezihlukahlukene, kodwa cishe njalo ibeka ingozi yokuba ngumdlavuza wekoloni.
Ngenxa yalesi sizathu, ama-polyps asuswe ngesikhathi se-colonoscopy njengento evamile. Abantu abaningi abangaphezu kweminyaka engama-50 baqala ukuthuthukisa ama-polyps, yingakho ikholonoscopy ukuhlobisa umdlavuza wekoloni kwenziwa kusukela ngaleso sikhathi. Uma i-polyp isusiwe, ingozi yokukhula kwayo ibe ngumdlavuza. I-pseudopolyps, kodwa, ayinayo ingozi yokuguqula umdlavuza ngakho-ke ayidingi ukususwa.
Indlela i-Gastroenterologist ihlola ngayo i-Pseudopolyps
Ngaphakathi kololoni lomuntu one-ulcerative colitis noma isifo se-Crohn, kungase kube nezinto ezehlukene ezingavamile ukuthi isifo se-gastroenterologist singabiza ngokuthi "ukutholwa" noma "ukugula." Lokhu kungafaka ama-pseudopolyps nama-polyps, nasesifo sikaCrohn, okuthiwa uphawu lwe-cobblestone . Isibonakaliso se-cobblestone sibonakala lapho izingxenye zekholoni zibukeka sengathi ziwumgwaqo we-cobblestone ngenxa yokuvuvukala nokuphulukiswa okuqhubekayo, futhi ukutholakala kubonakala nje ngenxa yesifo sikaCrohn.
I- gastroenterologist eqeqeshwe futhi enezibonela ingase ikwazi umehluko phakathi kwe-polyp noma i-pseudopolyp emehlweni, kepha i- biopsy yendawo izokwathathwa, ukuqinisekisa. I-biopsy, eyisampula yamathishu, ingathathwa ngaphakathi kwekoloni ngesikhathi se-sigmoidoscopy noma i-colonoscopy. I-Biopsies iyovame ukuthathwe ezindaweni ezihlukahlukene ze-colon iphinde ithunyelwe kudokotela wezokwelapha ukuze ahlolwe ukuze kutholakale ukuthi kukhona yini okungajwayelekile okutholakele. Ngale ndlela, noma yiziphi izinhlayiya noma amapseudopolyps zingabonakala kahle. I-gastroenterologist izofuna ukuqinisekisa ngokuphelele ukuthi noma yini efana ne-polyp yi-pseudopolyp hhayi i-polyp yangempela.
Indlela ama-Pseudopolyps athathwa ngayo
Ngokuvamile akukho ukwelashwa okuqondile okudingekayo kumapseudopolyps okuwumphumela wesifo sikaCrohn noma isifo sofuba esiswini.
Ngokujwayelekile, kunconywa (njalo) ukuthi uma kukhona ukuvuvukala kuvela ku-IBD, ukwelashwa kufanele kuqhutshwe noma kuqaliswe ukuze kutholwe ngaphansi kokulawula. Hlola ne-gastroenterologist uma kunemibuzo mayelana ne-pseudopolyps nalokho abakushoyo kwi-IBD.
Izwi elivela
Ama-pseudopolyps awavamile ukubangela ukukhathazeka, kepha kungaba yisibonakaliso sokuvuvukala okuningi okuvunyelwe ukuqhubeka ekoloni. Ukuphathwa kahle kwe-IBD kuyosho ukuthi ukuvuvukala kugcinwa, kanye nezimpawu. Ukuvakashelwa njalo ne-gastroenterologist kanye nokuthuthukiswa kohlelo lokuphatha olufanele kuzosiza ukugcina i-IBD ilawulwe.
Ukukhathazeka ngokutholakala kwama-pseudopolyps noma ama-polyps eqiniso emgqeni ngesikhathi se-colonoscopy kufanele ixoxe nge-gastroenterologist.
Imithombo:
U-D'Haens G, uRutgeerts P. Endoscopy ngezifo ezithathelisayo zezifo. Ku: Waye J, Williams C, Rex DK, ama-eds. I-Colonoscopy . I-Oxford: I-Blackwell Publishing. 2004.
UMorris CJ, uDudnick RS. "Amabhuloho Wezifo Ezibangelwa Ukukhubazeka Okungapheliyo." I-Gastroenterology Clinic ne-Hepatology . 11: 7; A26. 17 Septemba 2013. DOI: http://dx.doi.org/10.1016/j.cgh.2012.09.011