Iipolisi kwiColon iyakususwa ngexesha leColonoscopy
I-polyphon polyol yintambo ekhulayo eyenziwa eludongeni lwe- intestine enkulu, okanye i-colon . I-polyp ebonakalayo ebonakalayo ibizwa ngokuba yi-sessile, kwaye enye enesiqu eside ibizwa ngokuba yi-pedunculated. Iipolyps ziqhelekileyo kubantu abangaphezu kweminyaka engama-40 kwaye zihlala zikhula ngokukhawuleza. Iipolyps zingakhula zibe ngamagciwane e-colon, yingakho zisuswe ngexesha le-colonoscopy.
Ukuhlolwa kwesifo somhlaza wekolon yindlela efanelekileyo yokufumana iipolisi kwaye uyasusa ngaphambi kokuba abe nomhlaza. Abantu abangaphezu kweminyaka engama-50 kunye nalabo abanezifo zesibindi sokuvuvukala (IBD) baya kufuna ukuhlolwa rhoqo. Ukuphonononga nge-colonoscopy kuphephile kwaye kusebenza. Ukuba unemibuzo malunga nokuba kufuneka uhlolwe kaninzi kangakanani okanye unjani iimvavanyo, xela ugqirha wakho.
Iimpawu
Kwiimeko ezininzi, ii-polyps ayibangeli nayiphi na impawu. Ngenxa yokuba ngokungekho nto ibangela izibonakaliso, iipolisi zingahamba zingabonakali kude zifumaneke ngexesha le-colonoscopy okanye olunye uvanyo kwi-colon. Xa iingqungquthela zenza iimpawu, ziquka:
- Igazi kwisitulo ( omnyama okanye obomvu )
- Ukuhlamba kwi- rectum
- Ukugqithiselwa okanye uhudo olungasuki
Izinto zobungozi
Abanye abantu basengozini yokuphuhlisa iipolisi kwikholoni yabo kunabanye, ngenxa yobudala okanye imbali yentsapho. Ezinye zezinto ezijongene nobungozi ziquka:
- Umdala ongaphezu kweminyaka engama-50
- Imbali yentsapho okanye imbali yomntu we-polyps
- Imbali yentsapho yomdlavuza wekoloni
- Imbali yomdla womhlaza kwisisu okanye amaqanda
Eminye imingcipheko yeengqungquthela zee-colon ngenxa yokuphila, kwaye iquka:
- Ukutya okunamafutha aphezulu
- Umlando wokubhema ugwayi
- Imbali yokusela utywala
- Indlela yokuphila
- Ukunyanya
Akukho ndlela ekhethekileyo yokukhusela ukuphuhlisa iipolisi ze-colon, kodwa ukuphila ngendlela enempilo ngokutya ngokufanelekileyo, ukusetyenziswa, nokubhema okanye ukusela kunokunceda. I-calcium, i-folic acid supplement, kunye ne-dose ephantsi yosuku lwe-aspirin inokukhusela kunye nokuphuhliswa kwee-polyps.
Ezinye iimeko ezingabonakali zemizimba zenza ukuba iipolisi zikhule kubantu abancinci, nakwishumi elivisayo. Abantu abanezi ngxaki, i-HNPCC [eyaziwa ngokuba yi-Lynch syndrome], i-Peutz-Jeghers syndrome, kunye ne- familial adenomatous polyposis (FAP) , isengozini enkulu yokuvelisa umdlavuza wekolon.
Iintlobo
Kukho iintlobo ezine eziphambili zeepolisi zepoloni: i-adenomatous (i-aduloma ye-tubular), i-hyperplastic, i-inflammatory, ne-adenoma ene-villous (i-adbulooma i-tubulovillous adenoma).
Adenomatous okanye iTrabular Adenoma. Olu hlobo lwepolisi lunomngcipheko wokuguqula umdlavuza, kwaye yinto eqhelekileyo. Xa lolu hlobo lwe-polyp lufumaneka, luya kuvavanywa ngumhlaza. Nabani na onalo iipolisi bayakufuna ukuphonononga ngezikhathi ezithile ukujonga ezinye iipolisi kunye nokuba zikhutshwe.
Hyperplastic. Ezi zipolisi ziqhelekileyo, zincinci, kwaye zisengozini ephantsi yokuguqula umdlavuza. Naliphina i-polyps e-hyperplastiki efunyenwe kwikoloni iza kususwa kwaye ihlolwe ukuqinisekisa ukuba ayinomdlavuza.
I-Adenoma okanye i-Tubulovillous Adenoma. Olu hlobo lwe-polyp lubeka umngcipheko omkhulu wokuguqula umdlavuza. Ngokuqhelekileyo i-sessile, eyenza kunzima ukususa.
Pseudopolyps. I-pseudopolyps idla ngokuphindaphindiweyo kubantu abanezifo ezikhulayo (IBD) . Ezi ntlobo ze-polyps, ezaziwa nangokuthi i-polyps ezivuthayo, zihluke kwezinye iifom ezintathu, kwaye aziphenduleli umdlavuza. Ziya kwenzeka ngenxa yokuvuvukala okungapheliyo okwenzeka kwikoloni yabantu abanesifo sikaCrohn kunye nesifo sezilonda zesilonda.
I-Polyps kunye ne-Link yabo kwiCaron Cancer
I-polyp ikhula ngokukhawuleza, oko kuthetha ukuba xa ishiywe endaweni ekholoni, ingaba ngumhlaza.
Ukuba isusiwe, njengokuba ngexesha le-colonoscopy, ayinalo ithuba lokuguqula umdlavuza. Emva kokuba i-polyp isuswe, iya kuhlolwe ngumhlaza ngumhlaza wezilwanyana . Iipolisi ze-Sessile ziyakwazi ukuguqula umdlavuza kunama-polyps.
Ukuhlolwa kweCaron Cancer
Abantu abaneminyaka engaphezulu kwama-50 kufuneka bahlolwe umhlaza wekolon-ngaphandle kwezigulane kumaqela athile obungozi abafuna ukuhlolwa ngaphambili nangaphezulu. Abo basengozini enkulu yomdlavuza wekolon ngenxa yokuba umntu okanye umhlala wentsapho yomhlaza unomngcipheko ophezulu kwaye kufuneka uhlolwe rhoqo kwaye usemncinci kunabo abangenayo imingcipheko. Abantu abanezifo zesibindi sokuvuvukala (IBD), kwaye ngakumbi abo banesifo se-ulcerative colitis iminyaka engama-10 okanye ngaphezulu, basengozini enkulu yomhlaza wekoloni.
Ezinye iimvavanyo ezingasetyenziselwa ukujonga iipolisi ziquka:
Iipolisi zingabonwa ngovavanyo olukhankanywe ngasentla, kodwa zingasuswa kuphela ngexesha le-sigmoidoscopy okanye i-colonoscopy.
Ukuba unomdla malunga nomngcipheko womhlaza wekoloni, xela ugqirha wakho malunga nokuba kwaye kufuneka uhlolwe nini kwaye kaninzi kangakanani.
Imithombo:
Umbutho waseMelika kwi-Endoscopy yesisu. "Ukuqonda iiPolyps kunye neNyango yabo." ASGE.org 2011.
I-American Society Of Colon & Rectal Surgeons. "Iipolisi zeColon kunye neRectum." FASCRS.org 2011.