I-term colon polyp ibhekisela ekukhuleni okungavamile kwimbali yekholoni . Kukho iintlobo ezahlukeneyo zeepolps, kodwa kucingelwa ukuba kuphela iipesenti ezili-10 zazo zikhule ziba ngumhlaza wekoloni . Ezi zikhula zingabalwa njengezintlu (ezingekho komhlaza), zangaphambi komdlavuza, okanye zibulala umdlavuza.
Ukufumana i- polyphonic colps akuthethi nto nantoni-enye yesithathu yamaMelika ngaphezu kweminyaka eyi-50 inayo.
Nangona kunjalo, iintlobo ezithile zeepolps zingakhula, ziguqulwe, zibe ngumhlaza. Oku kucingelwa ukuba kwenzeke ngokukhawuleza, ngaphezu kwexesha eli-10 ukuya kwe-20 leminyaka.
Isantya sokukhula esicothayo sepolp yisona sizathu esona sizathu sokuba umdlavuza wekolon unqandekile. Ukuba ugqirha wakho ufumene iintlobo ezifanelekileyo ze-polyps-ezo ezinokukhula zibe ngumhlaza-unokuzikhupha phambi kokuba zenzele ithuba lokuguqula phambili.
Izinto zobungozi
Unokufumana iipolisi kwinani leendlela ezahlukeneyo. Njengoko uneminyaka yobudala, iipolisi zingakhula kwikolon yakho, yingakho kufuneka uqalise ukuhlola iimvavanyo zomdlavuza wekolon uneminyaka engama-50 ubudala.
Abanye abantu baya kukhula iipolps ngokukhawuleza, ngenxa yokuphila kunye nokutya okuququzelela ukukhula kwe-polyp, okanye kunokufumana isifo sokuzalwa, njenge- familial adenomatous polyposis (i-FAP), eyona imeko engaqhelekanga yemfuyo ekhuthaza ukukhula kwama-polyps ngaphambili komhlaza. yakho ikholoni.
Genetics
Ukuba unelungu lokuqala losapho (umzalwana, udade, utata, umama, umntwana) kunye nomhlaza wekoloni okanye iipolisi, umngcipheko wokuba nomdlavuza wekolon ukwanda.
Kwimeko yakho, izikhokelo zokuqala iimvavanyo zokuhlola i- cancer engama-50 ubudala azisebenzi. Ugqirha wakho angathanda ukuqala ukuphonononga ngokukhawuleza.
I-Adenomatous Polyposis Syndrome (FAP)
Le yintsholongwane yentsapho-ezuzwe njengelifa elibangela ukuphuhliswa kwamakhulu (nakwiwaka) ama-polyps angaphambi komhlaza kwikholoni yakho.
Nangona kunqabile, abantu abane-FAP banokufumana ukuba banomdlavuza wekolon ngokutsha kwabo. Izimpawu ze-FAP zingabandakanya ukutshintsha kwimizimba yesisu, intlungu yesisu, okanye izitulo zamanzi (ukusuka kwiipolisi ezinkulu).
I-Hereditary Nonpolyposis I-Colorectal Cancer Syndrome (i-HNPCC)
Kwakhona kuthiwa yi- Lynch syndrome , le meko yentsapho-eyayifumana i-inherited risk that can increase your risk of developing cancer of colon. Akukho zibonakaliso zangaphandle ze-HNPCC, kodwa ukuhlolwa kofuzo , imbali yentsapho yomdlavuza wekoloni, kunye nokuhlolwa kweemvavanyo, ezifana ne-colonoscopy, kuya kunceda ugqirha wakho ahlolisise le syndrome.
I-Peutz-Jeghers Syndrome (PJS)
Le yimo ezuze ilifa elenza ukuba iipolysi zepoloni ezithandana nokuba ngumhlaza. I-PJS ayiqhelekanga, ichaphazela phakathi kwe-25 000 ukuya kwelinye kunye nabantu abangama-300,000 ekuzalweni.
I-PJS ingadluliselwa kumntwana (50/50 ithuba lento) okanye iqhutywe ngokukhawuleza (isizathu esingaziwa). Ezinye iimpawu ezinxulumene nesifo, esivame ukubonwa ekuzalweni, ziquka ubumnyama obumnyama obumnyama emlonyeni okanye emlonyeni, u-clubbing of the finger okanye izibopho, kunye negazi kwisitulo.
U mngcipheko
Uninzi lwabantu abadala abangaphezu kwama-50 luya kuba neepolitiki kwi-colon yabo, kodwa lunciphise umngcipheko wezinto ezifaka isandla ekukhuleni nasekunciphiseni umngcipheko wokuvelisa umdlavuza wekoloni.
Izinto ezinjalo ezilawulwayo ziquka:
- Yeka ukutshaya-Umngcipheko wokwenza iipolisi ziphindwe kabini ukuya kathathu xa utshaya.
- Ukucoca ukutya kwakho-Ukutya okuninzi kumanqatha kunye nokubomvu inyama kunye ne-fiber ephantsi kunokunyusa umngcipheko womhlaza wekoloni.
- Phuza utywala ngokumodareyitha-Ukusetyenziswa kotywala okweqile kwandisa umngcipheko weengcingo zomdlavuza.
- Abantu abaqhuba umsebenzi wokuzivocavoca abanomzimba osemgangathweni banomngcipheko omncinci wokuphucula umdlavuza wekolon kunye ne-rectum.
- Ukunciphisa umzimba (ukuba kuyimfuneko) -Ukunyuka kwandisa ingozi yomhlaza.
Kubalulekile ukuba uqaphele ukuba kukho izinto ezinobungozi ongenakukwazi ukuzilawula, ezibandakanya ubulili, ubudala, izifo zesifo, kunye nembali yentsapho.
Imbali yezifo zesibilini sokuvuvukala , uhlobo lwesifo sikashukela, okanye iimeko zomntu ezandisa ingozi yokuphuhlisa iipolisi, njengeFAP okanye i-HNPCC, inokukubeka ingozi enkulu.
Iimpawu
Ngokwenxalenye enkulu, iipolps zihlala kwaye zikhule zizolile ngekholoni yakho ngaphandle kwempawu zangaphandle. I-polyp enkulu inokuphuma, ebonakalayo kwisitopu okanye kwi-test fecal blood test. Ngokuqhelekanga, unokufumana ukukhathala, okungenzeka ngokulahleka kwegazi (ukuphaphaza kwikholoni kwi-polyps enkulu okanye emdlavuza).
Uvavanyo lokuThengisa
Kukho iimvavanyo ezahlukeneyo zokuhlola iisetyenzisiweyo ezisetyenziselwa ukufumanisa ubukho bee-polyps kwikholoni yakho. Uninzi lwale mviwo lufuna ukulungiswa kwezilwanyana ukukhupha i-colon yesitoreji kunye nokusetyenziswa kwamanzi, ukuvumela ukuboniswa okucacileyo kwee-polyps. Ezi zivavanyo ziquka:
- I-Colonoscopy- isetyenziswe ukujonga kunye nokususa iipolisi ezinkulu
- I-Colonoscopy eyiNtle ( CT Colonography ) -yasetyenziswa ukujonga iifolthi
- Ukuqhathaniswa kabini noBarum Enema (DCBE) -kusetyenziswa ukujonga iifolthi
- Uvavanyo lwegazi lwe-Fecal Occult Test (i-FOBT) -yasetyenziswa ukufumanisa ukuphuma kwegazi kwi-stool
Iintlobo zePolyps
Iipolisi zithiwa ngokubhekiselele kwindawo yazo, uhlobo kunye nokubonakala. Unako ukuhlakulela iipolisi kunoma iyiphi nayinye inxalenye yekholoni yakho okanye i-rectum. Uhlobo oluqhelekileyo lwe-polyp yi-polyp i-tubular, eyona nto incinci ukuba ibe nomhlaza.
Ngokuqhelekileyo, iintsholongwane zekholoni ziphuhliswa kwiipolisi ezinama-adenomatous, kunye ne- adenocarcinoma ibe yindlela exhaphakileyo ye-tumor. Iipolisi ezinama-adenomatous zingaba ziqhamo (i-frond okanye i-leaf-like), iphakanyisiwe, okanye idibene.
I-polyps ye-hyperplastiki ayisoloko ixhatshazwe nomhlaza wekolon, nangona kunjalo, ingaba ngumdlavuza ngaphambi kokuba ifunyenwe kwicala lasekunene lekholoni yakho okanye ukuba unembali yoluntu ye-genetic syndromes.
Unyango
Emva kokuba i-polyp ichongiwe, ugqirha uya kuhlola uhlobo lwawo kunye nobukhulu kwaye angakhetha ukukususa kwaye anciphise umngcipheko we-polyp ukuba abe nomdlavuza esikhathini esizayo. Ukususwa kwe-polyp kuthiwa yi-polypectomy, edla ngokugqitywa ngexesha lakho le-colonoscopy okanye i-sigmoidoscopy.
Njenganoma yiphina inqubo yonyango, kukho izingozi ezinxulumene nokususwa kwetypsi kubandakanya umngcipheko wegciwane lesilwanyana (umgodi kwilungu), ukuphuma kwegazi, kunye nokusuleleka, ukubiza ambalwa. Qinisekisa ukuxoxa ngeengozi kunye neenzuzo zokususwa kwetypilli kunye nogqirha wakho.
Kwakhona, ukuba ugqirha wakho ufumana iipolisi ezingenakubalwa okanye ezinkulu kakhulu, unokuthetha nawe malunga nokukhupha isahlulo sekholoni yakho. Oku kubizwa ngokuba yi- colectomy .
Imithombo:
American Cancer Society. (2006). I-American Cancer Society's Guide epheleleyo yeCrorectal Cancer . Clifton Fields, NE: I-American Cancer Society.
Medline Plus. (nd). I-Peutz-Jeghers Syndrome.
National Cancer Institute. (nd). I-Colorectal Cancer Prevention (PDQ).
INational Digestive Diseases Information Clearinghouse. (nd). Into endiyidingayo yokwazi malunga neColon Polyps.