Olu hlobo lwePolyp lufumaneka kubantu abane-IBD kwaye Awuyi-Precursor Cancer
Kukho uhlobo lwe- polyp olufumanekayo kwikoloni yomntu onesifo sesibindi sokugula (IBD) , nokuba sisifo sikaCrohn okanye isifo se-ulcerative colitis, okwenene asiyiyo ipolisi yinyani. Ezi zikhula zibizwa ngokuba yi-pseudopolyps kuba azikho iifolthi nonke; kunoko, "bangamanga". I-pseudo ithi "inkohliso" okanye "inkohliso," kwaye ngelixa izakhiwo ngokwazo zinyani, azikho uhlobo olufanayo lwe-polyp elisuswe ngenxa yokuba lunokubangela umdlavuza wekoloni.
Indlela yePseudopolyps Ifomu
Abantu abane-IBD banakho ukuvuvukala kwi-colon yabo, eyenzeka ngexesha le- flare-ups yesifo. Kweminye, ukuvuvukala kunokuba nzima kwaye kunokuqhubeka ixesha elide. Ukuqhaqha kubangela izilonda (imingxuma) eludongeni lwekholoni. Kwi-ulcerative colitis, ezo zilonda zivame ukuvalelwa eludongeni lwangaphakathi lwekoloni, kodwa kwisifo sikaCrohn, izilonda zingakwazi ukungena ngaphakathi kwidonga lomathumbu. Umjikelezo wesilonda kunye nokuphulukisa kubangele ekudalweni kweethambo ezibomvu. Oku kufana nendlela ukunqunyulwa ebusweni besikhumba kunokubangela uboya obonakala buhluke kunesikhumba esingajikelezileyo.
Iimpawu ezibomvu ezenza i-colon xa ukuvuvukala kubakho kwaye uphilisa ngendlela efana ne-polyps, kodwa akufani ne-polyp classic esecaleni. I-Pseudopolyps iyancipha kwaye ikhangeleka njengento evulekileyo.
I-Pseudopolyps Ayinayo ingozi yomhlaza
I-polyp ukukhula ngaphakathi kwikholoni engathatha kwiimilo ezahlukahlukeneyo, kodwa phantse njalo inomngcipheko wokuba ngumhlaza wekoloni.
Ngenxa yoko, iipolps zisuswe ngexesha le-colonoscopy njengento eqhelekileyo. Abantu abaninzi abangaphezu kweminyaka engama-50 baqala ukuvelisa iipolisi, yingakho i-colonoscopy ukukhangela umdlavuza wekoloni yenziwe ukususela kuloo minyaka. Ukuba i-polyp isuswe, kunjalo nomngcipheko wokuba ngumhlaza. I-Pseudopolyps, nangona kunjalo, ayinalo mngcipheko wokuguqula umdlavuza kwaye ke ayifuni ukuba isuswe.
Indlela uGastroenterologist ichonga ngayo i-Pseudopolyps
Ngaphakathi koloni lomntu onesifo sesilonda okanye isifo sikaCrohn, kukho izinto eziqhelekileyo ezenzekayo ukuba i-gastroenterologist ingabiza "ukufumana" okanye "ukugula." Oku kungabandakanya i-pseudopolyps kunye ne-polyps, kunye nesifo sikaCrohn, into ebizwa ngokuba ngumqondiso we-cobblestone . Uphawu lweCobblestone luba khona xa iinxalenye zekholoni zibukeka njengezitrato zecobbestone ngenxa yokuvuvukala nokuphulukiswa okuphindaphindiweyo, kwaye ukufunyanwa kubonakala nje ngenxa yesifo sikaCrohn.
I- gastroenterologist eqeqeshwe kwaye ikwazi ukuqonda iyakwazi ukuhlula phakathi kwe-polyp okanye i-pseudopolyp emehlweni, kodwa i- biopsy yendawo iya kuthathwa, ukuqinisekisa. I-biopsy, isampuli yamathambo, inokuthi ithathwe ngaphakathi kwikholoni ngethuba le-sigmoidoscopy okanye i-colonoscopy. Iimpawu ze-Biopsies ziza kuthathwa kwiindawo ezahlukeneyo zekholoni zize zithunyelwe kwi-pathologist ukuvavanya ukwenzela ukuba zichongiwe ukuba ziphi na izifo ezingaqhelekanga ezifunyenweyo. Ngale ndlela, nayiphi na iipolisi okanye i-pseudopolyps ingachongwa ngokufanelekileyo. I-gastroenterologist ifuna ukuqiniseka ngokuqinisekileyo ukuba nantoni na efana ne-polyp yi-pseudopolyp kwaye ayiyiyo ipolisi yinyani.
Indlela amaPseudopolyps athathwa ngayo
Akukho naluphi na unyango oluthile olufunekayo kwi-pseudopolyps ezibangelwa isifo sikaCrohn okanye i-ulcerative colitis.
Ngokuqhelekileyo, kucetyiswa (njengokuba njalo) ukuba ukuba kukho ukuvuvukala kubakho kwi-IBD, unyango kufuneka luqhutywe okanye luqaliswe ukuba lulawulwe phantsi. Hlola nge-gastroenterologist ukuba kukho imibuzo malunga ne-pseudopolyps kunye noko bathetha ntoni kwikhosi ye-IBD.
ILizwi
I-Pseudopolyps ayinaso isizathu sokukhathazeka, kodwa ingaba ngumqondiso wokuthi ukuvuvukala okukhulu kuye kwavunyelwa ukuba kuqhubeke kwikoloni. Ukunyanga okufanelekileyo kwe-IBD kuya kuthetha ukuba ukuvuvukala kugcinwa, kunye neempawu. Ukutyelela rhoqo kunye ne-gastroenterologist kunye nokuphuhliswa kwesicwangciso sonyango esifanelekileyo kuya kunceda ukugcina i-IBD ilawulwe.
Ukukhathazeka ngokufumanisa i-pseudopolyps okanye i-polyps yangempela kwi-colon ngexesha le-colonoscopy kufuneka lixoxe nge-gastroenterologist.
Imithombo:
D'Haens G, Rutgeerts P. Endoscopy kwizifo eziguguzelayo. Ku: Waye J, Williams C, Rex DK, eds. IColonoscopy . Oxford: Blackwell Publishing. 2004.
UMorris CJ, uDudnick RS. "Iibhulogi zeZifo eziHlanyelweyo." I-Clinical Gastroenterology kunye neHepatology . 11: 7; A26. 17 Septemba 2013. INGXELO: http://dx.doi.org/10.1016/j.cgh.2012.09.011