Mapolyps emudumbu (GI) madiki anokura pamucheto wenzira yekugaya, kunyanya munzvimbo dzakadai semudumbu, ura, uye ura. Mapolyps aya akajairika, kunyanya kune vanhu vakuru vane makore anopfuura makumi mashanu. Kunyangwe akawanda mapolyps emudumbu asina njodzi, mamwe anogona kukura kuita kenza, kunyanya mapolyps anowanikwa muura. Kunzwisisa mhando, zvikonzero, zviratidzo, kuongororwa, uye kurapwa kwe GI polyps kunogona kubatsira mukuona nekukurumidza uye kuvandudza mhedzisiro yemurwere.
1. Chii Chinonzi Mapundu Emudumbu?
Polyp yemudumbu kukura kusingawanzoitiki kwenyama inobuda mudumbu remudumbu. Inogona kusiyana muhukuru, chimiro, uye nzvimbo, ichikanganisa zvikamu zvakasiyana zvedumbu, kusanganisira gumbo, dumbu, ura hudiki, uye ura. Polyps dzinogona kunge dzakati sandara, dzakatetepa (dzakabatana zvakananga nedumbu), kana kuti dzakasungirirwa pahunde yakatetepa. Ruzhinji rwepolyps haruna kenza, asi mamwe marudzi ane mukana wakakura wekukura kuita bundu rakaipa nekufamba kwenguva.
2. Mhando dzeMapundu emudumbu
Mhando dzakasiyana dzema polyps dzinogona kuumbwa mudumbu, imwe neimwe ine hunhu hwakasiyana uye njodzi dzekenza:
• Adenomas (Adenomas): Aya ndiwo marudzi epolyps anowanikwa zvakanyanya muura uye anogona kukura kuita kenza yemudumbu. Adenomas dzinoiswa muzvikamu zve tubular, villous, kana tubulovillous subtypes, uye villous adenomas dzine njodzi huru yekenza.
• Mapolyps eHyperplastic: Kazhinji madiki uye anowanikwa muura, mapolyps aya ane njodzi shoma yekenza. Zvisinei, mapolyps makuru ehyperplastic, kunyanya kurudyi rweura, anogona kunge aine njodzi yakawedzera zvishoma.
• Mapolyps ekuzvimba: Anowanzoonekwa muvanhu vane chirwere chemudumbu chinozvimba (IBD), chakadai sechirwere cheCrohn kana chirwere chemudumbu chinonzi ulcerative colitis, mapolyps ekuzvimba anowanzova asina njodzi asi anogona kuratidza kuzvimba kwenguva refu muura.
• Hamartomatous Polyps: Mapolyps aya haawanzoitiki uye anogona kuitika sechikamu chezvirwere zvemajini zvakaita sePeutz-Jeghers syndrome. Kunyangwe kazhinji zvisina njodzi, dzimwe nguva zvinogona kuwedzera njodzi yekenza.
• Mapolyps eFundic Gland: Anowanikwa mudumbu, mapolyps aya anowanzova madiki uye asina njodzi. Zvisinei, kuvanhu vanotora mishonga inodzivirira mapuroteni eproton pump (PPIs) kwenguva refu, kuwedzera kwemapolyps eFundic gland kunogona kuitika, kunyange hazvo njodzi yekenza ichiri yakaderera.
3. Zvinokonzera uye Zvinhu Zvinokonzera Njodzi
Chikonzero chaicho che GI polyps hachisi pachena nguva dzose, asi zvinhu zvakawanda zvinogona kuwedzera mukana wekuva nazvo:
• Majini: Nhoroondo yemhuri ine basa guru mukukura kwemapolyps. Zvirwere zvemajini zvakaita seFamilial Adenomatous Polyposis (FAP) uye Lynch syndrome zvinowedzera njodzi ye colorectal polyps nekenza pazera diki.
• Zera: Mapolyps anowanzoonekwa muvanhu vane makore anopfuura makumi mashanu, nenjodzi yekuva nemapolyps epadumbu nekenza yemudumbu inowedzera nekukura.
• Zvinhu Zvinoita Muupenyu: Kudya nyama tsvuku kana dzakagadzirwa nemafuta akawanda, kufuta, kusvuta, uye kunwa doro zvakanyanya zvose zvakabatana nekuwedzera kwenjodzi yekuumbwa kwepolyp.
• Zvirwere Zvinokonzera Kuzvimba: Kuzvimba kwenguva refu kwemudumbu, kunowanzoonekwa muzvirwere zvakaita sechirwere cheCrohn nechirwere cheulcerative colitis, kunogona kubatsira pakukura kwepolyps.
• Kushandisa Mishonga: Kushandisa mimwe mishonga kwenguva refu, yakadai semishonga isingashandisi masteroidal anti-inflammatory drugs (NSAIDs) uye PPIs, kunogona kukanganisa njodzi yemamwe marudzi emapolyps.
4. Zviratidzo zveMapundu emudumbu
Ma polyps mazhinji, kunyanya madiki, haana zviratidzo. Zvisinei, ma polyps makuru kana kuti ma polyps mune dzimwe nzvimbo anogona kukonzera zviratidzo, zvinosanganisira:
• Kubuda ropa mutsvina: Ropa riri mutsvina rinogona kubva mumasero emudumbu kana mutsvina.
• Kuchinja Kwemaitiro Emudumbu: Mapolyps makuru anogona kukonzera kuvimbiwa, manyoka, kana kunzwa sekunge munhu abuda asina kukwana.
• Marwadzo emudumbu kana kusagadzikana: Kunyangwe zvisingawanzoitiki, mamwe ma polyps anogona kukonzera kurwadziwa kwemudumbu kudiki kusvika pakati nepakati kana akavhara chikamu chenzira yekugaya chikafu.
• Kushaya ropa: Mapombi anobuda ropa zvishoma nezvishoma nekufamba kwenguva anogona kukonzera kushomeka kwesimbi mumuviri, zvichikonzera kuneta nekushaya simba.
Sezvo zviratidzo zvichiwanzova zvisinganzwisisike kana kuti zvisipo, kuongororwa nguva dzose, kunyanya kwe colorectal polyps, kwakakosha kuti zvionekwe nekukurumidza.
5. Kuongororwa kweMapundu emudumbu
Zvishandiso zvakasiyana-siyana zvekuongorora zvinogona kuona ma "GI polyps", kunyanya muura nemudumbu:
• Colonoscopy: Colonoscopy ndiyo nzira inoshanda zvikuru yekuona nekubvisa polyps muura. Inobvumira kuona zvakananga mukati meura nerectum, uye chero polyps inowanikwa inogona kubviswa panguva yekuvhiyiwa.
• Upper Endoscopy: Kune ma polyps ari mudumbu kana mudumbu, upper endoscopy inoitiswa. Chubhu inochinjika ine kamera inopinzwa nemuromo kuti ionekwe negurokuro, dumbu, uye duodenum.
• Sigmoidoscopy: Nzira iyi inoongorora chikamu chezasi chemuura, chinozivikanwa se sigmoid colon. Inogona kuona ma polyps mu rectum nepazasi pemuura asi haisviki kumusoro kwemuura.
• Kuongororwa kwetsvina: Kuongororwa kwetsvina kunogona kuona zviratidzo zveropa kana zviratidzo zveDNA zvisina kujairika zvine chekuita nemapolyps kana kenza yemudumbu.
• Kuongororwa kwemifananidzo: CT colonography (virtual colonoscopy) inogona kugadzira mifananidzo yakadzama yeura nerectum. Kunyangwe zvisingabvumire kubviswa kwemapolyps nekukasika, inogona kuva sarudzo isingakuvadzi.
6. Kurapwa uye Kutarisirwa
Kurapwa kwe GI polyps kunoenderana nerudzi rwadzo, saizi, nzvimbo, uye mukana wekenza:
• Kubviswa kwemasero machena: Nzira iyi ndiyo inonyanya kushandiswa pakubvisa mapuropu panguva yekuongorora colonoscopy kana endoscopy. Mapuropu madiki anogona kubviswa uchishandisa snare kana forceps, nepo mapuropu makuru angada nzira dzepamusoro-soro.
• Kubviswa kwechirwere: Muzviitiko zvisingawanzoitiki apo mapolyps akakura zvikuru kana kuti haagone kubviswa ne endoscopically, kuvhiyiwa kunogona kudiwa. Izvi zvinonyanya kuitika kune mapolyps ane chekuita ne genetic syndromes.
• Kuongororwa Nguva Dzose: Kune varwere vane polyps dzakawanda, nhoroondo yemhuri yema polyps, kana mamiriro chaiwo emajini, colonoscopy dzinotevera nguva dzose dzinokurudzirwa kuti dzitariswe kana paine polyps itsva.
Musungo wePolypectomy
7. Kudzivirira Mapundu Emudumbu
Kunyange zvazvo zvisiri zvese zvinogona kudzivirirwa, kuchinja mararamiro kunogona kuderedza njodzi yekukura kwavo:
• Kudya: Kudya chikafu chine michero yakawanda, miriwo, nezviyo zvakakwana ukuwo uchideredza kudya nyama tsvuku neyakagadziriswa kunogona kubatsira kuderedza njodzi yekubatwa ne colorectal polyps.
• Ramba Uine Huremu Hwakanaka: Kufuta kwakabatana nenjodzi yakakura yekuva nemapolyps, kunyanya muura, saka kuchengetedza huremu hwakanaka kunobatsira.
• Rega Kusvuta Uye Uderedze Kunwa Doro: Kusvuta uye kushandisa doro zvakanyanya zvine chekuita nenjodzi yakakura yekuva nemapundu emudumbu uye kenza yemudumbu.
• Kuongororwa Nguva Dzose: Kuongororwa kwecolonoscopy nguva dzose kwakakosha, kunyanya kuvanhu vane makore anopfuura makumi mashanu kana avo vane nhoroondo yemhuri ye polyps kana kenza ye colorectal. Kuonekwa kwe polyps nekukurumidza kunobvumira kubviswa vasati vakura kuita kenza.
8. Kufungidzira uye Maonero
Kufungidzira kwevanhu vane mapolyps emudumbu kazhinji kwakanaka, kunyanya kana mapolyps akaonekwa nekukurumidza uye akabviswa. Kunyange zvazvo mapolyps mazhinji asina njodzi, kuongororwa nekubviswa nguva nenguva kunogona kuderedza zvakanyanya njodzi yekenza yemudumbu. Mamiriro ejini ane chekuita nemapolyps, akadai seFAP, anoda kurapwa kwakasimba nekuda kwenjodzi huru yekenza.
Mhedziso
Mapolyps emudumbu anowanzoonekwa nevanhu vakuru, kunyanya pavanenge vachikura. Kunyange zvazvo akawanda emapolyps asina njodzi, mamwe marudzi ane njodzi yekuva nekenza kana akasarapwa. Kuburikidza nekuchinja mararamiro, kuongororwa nguva dzose, uye kubviswa panguva yakakodzera, vanhu vanogona kuderedza zvakanyanya njodzi yavo yekuva nematambudziko akakomba kubva kumapolyps emudumbu. Kudzidzisa veruzhinji nezvekukosha kwekuonekwa nekukurumidza uye basa rekudzivirira ndiro chinhu chikuru mukuvandudza mhedzisiro uye kusimudzira hupenyu.
Isu, Jiangxi Zhuo Ruihua Medical Instrument Co., Ltd., tinogadzira zvinhu muChina zvine chekuita ne endoscopic consumables, zvakaita sesimba re biopsy, hemoclip, musungo wepolyp, tsono yekurapa sclerotherapy, katheta yekupfapfaidza, mabhurashi e cytology, waya yekufambisa, tswanda yekutorwa kwematombo, katheta yekubuditsa mvura yemumhinonezvimwewo zvinoshandiswa zvakanyanya muEMR, ESD, ERCPZvigadzirwa zvedu zvakanyoreswa neCE, uye mafekitori edu akanyoreswa neISO. Zvinhu zvedu zvakatumirwa kuEurope, North America, Middle East nedzimwe nzvimbo dzeAsia, uye zviri kuita kuti mutengi azivikanwe uye arumbidzwe zvikuru!
Nguva yekutumira: Mbudzi-18-2024