Izimpawu nezakhiwo zisiza ukukhomba ingozi yomdlavuza
I-polyp yigama elisetshenziselwa ukuchaza ukukhula emgqeni wesikhumba esingenalutho. Ukukhula kungase kuthuthuke emgqeni wegciwane lokugaya, umlomo, isisu, isambatho, ama-nasal, noma isitho sangasese. Uma i-polyp ikhula ekoloni, ngokuvamile ihlanzekile (engeyona umdlavuza) kodwa, kwezinye izimo, ingaba yi-malignancy (umdlavuza).
Ukuqonda i-Colon Polyps
Kunezinhlobo ezahlukene zama- polyp polyps , ngasinye esinezici zayo kanye nesakhiwo.
Lezi nezinye izici (kubandakanya ubukhulu nendawo) zingasisiza ukuthi sinqume ukuthi zingakwazi yini ukuthuthukisa umdlavuza wekoloni .
Ama-colon ama-polyps ngokwawo avamile, ayenzeka cishe engxenyeni yabantu abadala abangaphezu kuka-60. Avame ukutholakala ngesikhathi sokuhlolwa kokubukwa kwekoloni. Lapho kutholakala, ukukhula kungasuswa futhi izicubu zithunyelwe ebhukwini ukuze kuhlolwe ukuhlola ukuthi ngabe yiziphi izinto ezingavamile ezibonisa ukulimala.
Njengamanje, bonke abadala abadala abaneminyaka engama-50 nangaphezulu bayelulekwa ukuba babe nokuhlola okungafaniyo besebenzisa elinye lamasu amane:
- I-Colonoscopy , engabuka ngokuhlola yonke ikoloni
- I-Sigmoidoscopy, engabona kuphela ama-polyps engxenyeni yokugcina yekoloni yakho
- I-Barium enema isetshenziselwa ukugqamisa okungavamile ku-X-ray
- Ukuhlolwa kwe-stec stool occult kusetshenziselwa ukuthola igazi esitokisini (isibonakaliso somdlavuza)
Ifomu
Lapho echaza i-polyp, udokotela uzosebenzisa amagama esiwaqaphelayo (afana nesipiliyoni noma aphakanyiswe) futhi amanye asingawenzi.
Ngokuphelele, lezi zichazo zomzimba zisiza udokotela ukuthi anqume indlela yokubhekana ne-polyp uma kudingeka ukuthi asuswe. Banikeza nokuqonda ngokusemandleni alo ngomdlavuza.
Ama-polyp polyps angena ezibunjwa ezimbili eziyisisekelo:
- I-polyps ephawulwayo iphakanyiswa, ukukhula kwamakhowe okufana namakhowe afakwe ebusweni bendwangu yamangcwaba ngesithombo eside, esincane (peduncle).
- Ama-polyps ase-Sessile ahlala ebusweni be-membrane. Zinezicucu futhi zingenayo isiqu.
Ama-polyps asezingeni eliphansi alula ukubona ngoba aya. Ngokuphambene nalokho, ama-polyse sessile alala phansi futhi angase abe nomdlavuza nje ngenxa yokulahlekelwa. Ngesikhathi esifanayo, ama-polyse sessile ngokuvamile awalula njengokususa futhi ngokuvamile adinga ukuhlinzwa.
Izinhlobo
Ngaphandle kokubukeka kwabo, udokotela uzofuna ukuthola ukuthi iyiphi ipolitiki. Lokhu kudinga ukuhlola izicubu ngaphansi kwe-microscope ukubheka kokubili isakhiwo seselula kanye nezici zamaseli ngokwawo. Phakathi kwezigaba ezivamile:
- Amapulponi e- inflammatory colon atholakale kubantu abanesifo sofuba (IBD) , njengesifo sikaCrohn noma isifo sofuba esiswini. Ngezinye izikhathi ama-polyps okuvuthayo abizwa ngokuthi "ama-polyps amanga" ngoba awawona ama-polyps nge-se kodwa kodwa kubonakala ukuvuvukala kwe-IBD. Lezi zinhlayiya zinezinhlanzi futhi zingenakwenzeka ukuba nomdlavuza.
- Ama-polyps angenalutho ahlongozwa ngumsebenzi wamaseli ku-mass mass. I-Hyperplasia ("ukukhula okusheshayo") kusho ukuthi ukwanda okungavamile kwezinombolo zamangqamuzana okubangelwa ukukhuliswa okukhulu kwe-polyp. Naphezu kokukhula okusheshayo, ama-polyps asezingeni eliphezulu abhekwa njengengozi ephansi yokuguqula umdlavuza. (I-prostate ekhulisiwe yinye isibonelo se-hyperplasia enobungozi.)
- Ama-polyps adenomatous , noma i-adenomas, enza cishe amaphesenti angu-70 azo zonke izinhlobo ze-polyps ezitholakale kukholoni. Nakuba i-adenomas ingaba nomdlavuza, inqubo ingathatha iminyaka eminingi. Ngokungafani nama-polyps aphezulu, i-adenomas ayiyona ingxubevange. I-Neoplasia ("ukukhula okusha") igama elisetshenziselwa ukuchaza ukukhula okungavamile kwamangqamuzana alahlekelwa kancane kancane izici zamaseli avamile. Lapho amangqamuzana angama-neoplastic enza inqwaba, sibhekisela kulokho njengesisu. I-neoplasm ingaba yinto enobungozi, engalungile noma into ephakathi .
- I-adenoma ene-villous iyinhlobo ye-polyp adenomatous enekhono elikhulu lokuba nomdlavuza. Kulinganiselwa ukuthi cishe amaphesenti angama-30 ama- adenomas ahlambalazayo azokhula abe yingozi. La ma-polyps ngokuvamile ane-protrusions afana ne-cauliflower futhi angadinga ukuhlinzeka ukususa.
Kungakhathaliseki uhlobo lwawo, noma yikuphi ukuphakama kwe-polyp kunomthamo owodwa kufanele kususwe.
Izimpawu
Ngokuyinhloko, cishe ngeke wazi uma unama-polyps. Ngokuvamile awukwazi ukuzizwa, futhi ngokuvamile kutholakala ngesikhathi sokubuka isikrini. Uma izimpawu zivela, zingabandakanya:
- Izinguquko emzimbeni wesifuba, kubandakanya ukuqotshwa noma isifo sohudo
- Igazi emagcekeni (noma amnyama, ama-tarry noma izitshalo ezibomvu ezikhanyayo)
- Ubuhlungu besisu
Uma le nhlanganisela yezimpawu iqhubeka isikhathi esingaphezulu kweviki, yenza i-aphoyintimenti ukuze ubone udokotela wakho.
> Umthombo:
> Shussman, N. no-Wexman, S. "Ama-polyps ama-polyps kanye nama-polyposis syndromes." Umbiko we-Gastroenterology. 2014; 2 (1): 1-15.