Ubume kunye nesakhiwo sinceda ukufumanisa ingozi yomhlaza
I-polyp iyigama elisetyenziselwa ukuchaza ukukhula kwimbali yebhubhane elimnyama. Ukukhula kungakhula kwimigca yesondlo, umlomo, isibeleko, isantya, iindinyana, okanye isini somzimba. Xa i-polyp ikhula kwi-colon, ngokuqhelekileyo iyancipha (engekho umdlavuza) kodwa, ngezinye iimeko, inokukhula ibe yintsholongwane (umhlaza).
Ukuqonda iColon Polyps
Kukho iintlobo ezahlukahlukeneyo zeepolisi zepoloni , enye yazo eneempawu zayo kunye nesakhiwo.
Ezi zinto kunye nezinye (kubandakanywa ubungakanani kunye nendawo) zingasinceda ukuba sinqume ukuba zinokukwazi ukuphuhlisa zibe ngumhlaza wekoloni .
Ama-polyphon polyps ngokwawo aqhelekileyo, ayenzeka kwisiqingatha sabantu abadala abangaphezu kwe-60. Zivame ukufunyanwa ngexesha lokuvavanywa kokubona kwikholoni. Xa kufumaniswe, ukukhula kungasuswa kwaye izicubu zithunyelwe ebhodini yokuvavanya ukuvavanya ukuba naziphi na izinto ezingaqhelekanga zibonisa ukulimala.
Okwangoku, bonke abantu abadala kweminyaka engama-50 nangaphezulu bayacetyiswa ukuba babe nokuhlola okuqhelekileyo usebenzisa enye yezi ndlela ezine:
- I-Colonoscopy , engayibonisa i-colon yonke
- I-Sigmoidoscopy, enokufumana kuphela iipolisi kwiqendu lokugqibela lekholoni yakho
- I- enema ye- Barium yayisetyenziselwa ukugqamisa ukungaqhelekanga kwi-X-ray
- Uvavanyo lwe-Fecal occult stool elisetyenziselwa ukufumana igazi kwi-stool (uphawu lomhlaza)
Uhlobo
Xa uchaza i-polyp, ugqirha uya kusebenzisa amagama esiwaqaphelayo (njengeplani okanye ephakanyisiwe) kunye nento esingayiyo.
Ngokubanzi, ezi nkcazo zenyama ziyakunceda ugqirha ukuba achaze indlela yokujongana ne-polyp kufuneka ukuba isuswe. Banikeza nokuqonda ngokusemandleni alo ngomhlaza.
Iipolitiki ze-Colon ziza kubumba imilo ebalulekileyo:
- Iipolisi ezinqambileyo ziphakanyisiwe, ukukhula kwamakhowe-okufana namakhowe anamathele emkhatsini womlenze womnquba ngesityalo eside, esincinci (peduncle).
- I-polyphonic se-ssile zihlala phezu komlenze we-mucous. Ziyinyameko kwaye azinaso isiqu.
Iipolisi ezinqambileyo zilula ukuzibona kuba zimi. Ngokwahlukileyo, iipolisi ze-sessile zilala phantsi kunye kwaye ziyakwazi ukuba nomhlaza ngenxa nje yokuba zilahlekile. Ngexesha elifanayo, iifolsi ze-sessile aziqhelekanga ukuba zisuse kwaye zifuna ukuhlinzwa.
Iintlobo
Ngaphandle kobukeka babo, ugqirha uya kufuna ukufumana uhlobo luni lwepolp. Oku kufuneke ukuba uhlolisise izicubu ngaphantsi kwe-microscope ukujonga zombini isakhiwo seselula kunye neempawu zeeseli ngokwazo. Phakathi kwezigaba eziqhelekileyo:
- Iipolisi ezivuthayo zepoloni zifumaneka kubantu abaninzi abanezifo zesibindi (IbD) , njengesifo sikaCrohn okanye isifo sezilonda zesilonda. Ngezinye izihlandlo ezivuthayo zibizwa ngokuthi "iipolisi ezingamanga" kuba ezi ziyi-polyps ngokweyodwa kodwa kunokuba kubonakaliswe ukuvuvukala kwe-IBD. Ezi zipholophu zinobungozi kwaye akunakwenzeka ukuba zibe ngumhlaza.
- Iipropsplastiki ze-polyps zichazwe ngumsebenzi weeseli kwi-mass mass. I-Hyperplasia ("ukukhula okukhawulezayo") ithetha nje ukuba kukho ukwanda okungavamile kwamanani eeseli ezibangelwa ukwandiswa kwe-polyp. Nangona ukukhula okukhawulezayo, iipolplastiki ze-polyps zibhekwa ukuba ziphantsi komngcipheko wokuguqula umdlavuza. (I-prostate eyandisiweyo yenye umzekelo we-hyperplasia enobungozi.)
- Iipolisi ezi-Adenomatous , okanye i-adenomas, zenza malunga neepesenti ezingama-70 zazo zonke iipolisi ezitholakala kwikoloni. Nangona i-adenomas ingaba ngumhlaza, inqubo ingathabatha iminyaka. Ngokuchasene nama-polyp hyperplastiki, i-adenomas ayi-neoplastic. I-Neoplasia ("ukukhula okutsha") ligama elisetyenziselwa ukuchaza ukukhula okungavamile kweeseli ezilahleka ngokuthe ngcembe iimpawu zeseli eziqhelekileyo. Xa iiseli ze-nonoplastiki zenza ubunzima, sibhekisela kuyo njengengxumbo. I-neoplasm ingaba yinto enobungozi, inobungozi, okanye into ephakathi .
- I-adenoma ene-villous yintlobo ye-polyp adenomatous ene-potential potential of cancer. Kuqikelelwa ukuba malunga neepesenti ezingama-30 ze -adenomas ezihlakulayo ziya kuhlakulela zibe yintlungu. Ezi ntlanzi zivame ukuba ne-cauliflower-like protrusions kwaye zingadinga ukuhlinzwa ukuba zisuse.
Kungakhathaliseki ukuba luhlobo luni, nayiphi ipoliti ephakamileyo kuneyentimenti enye kufuneka isuswe.
Iimpawu
Okona kuninzi, mhlawumbi ngeke ukwazi ukuba unama-polyps. Ngokuqhelekileyo awukwazi ukuzivakalelwa, kwaye ngokuqhelekileyo zifunyenwe ngexesha leskrini esilawulayo. Ukuba iimpawu zivela, zingabandakanya:
- Utshintsho kwimizi yesilonda, kuquka ukumbumba okanye isifo sohudo
- Igazi kwizitshixo ( ebumnyama, izitya zokuhlala okanye izibhakabhaka ezibomvu)
- Intlungu zesisu
Ukuba le nxalenye yeempawu ziqhubeka ngaphezu kweveki, yenza isigqibo sokuba ubone ugqirha wakho.
> Umthombo:
> Shussman, N. kunye ne-Wexman, S. "Ii-polyps ezidibeneyo kunye ne-polyposis syndromes." Ingxelo yeGastroenterology. 2014; 2 (1): 1-15.