Ama-polyps ku-Colon angasuswa ngesikhathi se-Colonoscopy
I-polyp polyp ukukhula okwenzeka odongeni lomathumbu omkhulu, noma i-colon . I-polyp efana nesimo esibizwa ngokuthi sessile, kanti enye enesiqu eside ibizwa ngokuthi i-pedunculated. Ama-polyps ajwayelekile kubantu abangaphezu kweminyaka engama-40 futhi avame ukukhula kancane. Ama-polyps angathuthuka abe ngamagciwane e-colon, yingakho ajwayele ukukhishwa ngesikhathi se-colonoscopy.
Ukuhlolwa komdlavuza wekoloni kuyindlela engcono kakhulu yokuthola ama-polyps futhi uwasuse ngaphambi kokuba abe nomdlavuza. Abantu abangaphezu kweminyaka engama-50 nalabo abanesifo sofuba (IBD) esizovuthayo bazodinga ukuhlolwa njalo. Ukuhlola nge-colonoscopy kokubili kuphephile futhi kuphumelele. Uma unemibuzo mayelana nokuthi kufanele uhlolwe kaningi kangakanani noma yiziphi izivivinyo, khuluma nodokotela wakho.
Izimpawu
Ezimweni eziningi, ama-polyps awabangeli izimpawu. Ngenxa yokuthi ngokuvamile ayibangeli izimpawu, ama-polyps angahamba angatholakali aze atholakale ngesikhathi se-colonoscopy noma olunye uvivinyo ekoloni. Lapho ama-polyps enza izibonakaliso, zingabandakanya:
- Igazi kulesi sikhundla ( omnyama noma obomvu )
- Ukuhlwitha kusuka ku- rectum
- Ukuqokwa noma isifo sohudo esingahambi
Izingozi Zezingozi
Abantu abathile basengozini yokuthuthukisa ama-polyps ekoloni yabo kunezinye, ngenxa yobudala noma umlando womndeni. Ezinye zalezi zici zengozi zihlanganisa:
- Uneminyaka engaphezu kwengu-50
- Umlando womndeni noma umlando womuntu siqu we-polyps
- Umlando womndeni womdlavuza wekoloni
- Umlando womuntu womdlavuza esibelethweni noma ama-ovari
Ezinye izici ezingozini ze-polyp polyps zibangelwa indlela yokuphila, futhi zihlanganisa:
- Ukudla okunamafutha aphezulu
- Umlando wokubhema ugwayi
- Umlando wokuphuza utshwala
- Indlela yokuphila yangasese
- Ukukhuluphala
Ayikho indlela ekhethekile yokuvimbela ukuthuthukisa ama-polyp polyps, kodwa ukuphila ngendlela enempilo ngokudla kahle, ukuzivocavoca, nokubhema noma ukuphuza kungasiza. I-calcium, i-folic acid supplements, kanye nesilinganiso esincane nsuku zonke se-aspirin singase sivikele futhi ekuthuthukiseni ama-polyps.
Ezinye izimo ezingavamile zezakhi zofuzo zingabangela ama-polyps ukuba akhule kubantu abasha, ngisho nentsha. Abantu abanezinkinga, umdlavuza we-colon non-polyposis (i-HNPCC [eyaziwa nangokuthi i-Lynch syndrome]), i-Peutz-Jeghers syndrome, kanye ne- familial adenomatous polyposis (FAP) , isengozini enkulu yokwenza umdlavuza wekoloni.
Izinhlobo
Kunezinhlobo ezine eziyinhloko zama-polyp polyps: adenomatous (adeloma tubular), hyperplastic, inflammatory, kanye ne-adenoma ene-villous (adonia i-tubulovillous).
Adenomatous or Tubular Adenoma. Lolu hlobo lwe-polyp lubeka ingozi yokuguqula umdlavuza, futhi luvame kakhulu. Uma lolu hlobo lwe-polyp luyatholakala, luzohlolwa ngomdlavuza. Noma ubani onalezi zinhlayiya kuzodinga ukuhlolwa kwesikhashana ukuze ahlole amanye ama-polyps futhi abe nawo asuswe.
Isikhungo sokungasebenzi. Lezi polyps zivamile, ezincane, futhi zisengozini ephansi yokuguqula umdlavuza. Noma iyiphi i-polyps ephezulu engatholakali ekhoneni izosuswa futhi ihlolwe ukuqinisekisa ukuthi ayinayo umdlavuza.
I-Villous Adenoma noma i-Tubulovillous Adenoma. Lolu hlobo lwe-polyp lubeka ingozi enkulu yokuguqula umdlavuza. Zivame ukuba sessile, okwenza kube nzima kakhulu ukususa.
Ama-pseudopolyps. I-pseudopolyps ivame ukuvela kubantu abanesifo sofuba esiswini (IBD) . Lezi zinhlobo ze-polyps, eyaziwa nangokuthi i-polyps yokuvuvukala, zihlukile kwezinye izinhlobo ezintathu, futhi aziphenduleli umdlavuza. Zenzeka ngenxa yokuvuvukala okungapheli okwenzeka ekoloni labantu abane-Crohn's disease kanye nesifo sofuba esiswini.
I-polyps kanye ne-Link yabo ku-Cancer Colon
I-polyp ukukhula okuyisimangaliso, okusho ukuthi uma kushiywe endaweni ekoloni, ingase ibe nomdlavuza.
Uma isusiwe, njengalapho i-colonoscopy, ingenayo ithuba lokuguqula umdlavuza. Ngemuva kokuba i-polyp isuswe, izohlolwa isifo somdlavuza we- pathologist . Ama-polyps we-Sessile angase abe nomdlavuza kunama-polyps ahamba ngezinyawo.
Ukuhlolwa kweCaron Cancer
Abantu abadala kunama-50 kufanele bahlolwe umdlavuza wekoloni-ngaphandle kweziguli emaqenjini athile obungozi abadinga ukubukwa ngaphambili nangaphezulu kaningi. Labo abasengozini enkulu yomdlavuza wekoloni ngenxa yomlando womuntu siqu noma womndeni womdlavuza basengozini enkulu futhi kufanele bahlolwe kaningi futhi bebancane kunabangenazo izinkinga. Abantu abanesifo sofuba (IBD) esivuthayo, ikakhulukazi labo abanesifo sokulonda i-ulcerative iminyaka eyishumi noma ngaphezulu, basengozini enkulu yomdlavuza wekoloni.
Ezinye izivivinyo ezingase zisetshenziselwe ukubuka ama-polyps zihlanganisa:
Ama-polyps angase atholakale ngokusebenzisa ukuhlolwa okungenhla, kodwa angasuswa kuphela ngesikhathi se-sigmoidoscopy noma i-colonoscopy.
Uma ukhathazekile ngengozi yakho yomdlavuza wekoloni, khuluma nodokotela wakho ukuthi kufanele uhlolwe nini futhi kangakanani.
Imithombo:
I-American Society Ye-Endoscopy Yamathumbu. "Ukuqonda i-polyps kanye nokuphathwa kwabo." ASGE.org 2011.
I-American Society Of Colon & Rectal Doctors. "Polyps of the Colon kanye Rectum." FASCRS.org 2011.