Gastrointestinal (gi) Polyps idiki kukura inokura pane iyo yekucheka kweiyo yekugaya turakiti, kunyanya mukati menzvimbo dzakadai sedumbu, uye colon. Iyi polyps ine vanhu vakuru pamwe chete, kunyanya muvakuru vanopfuura makumi mashanu. Kunyangwe vazhinji gi polyps vane mhosva, vamwe vanogona kufambira mu cancer, kunyanya polyps inowanikwa mukoloni. Kunzwisisa mhando, zvinokonzeresa, zviratidzo, kuongororwa, uye kurapwa kweGi polyps kunogona kubatsira mukutanga kuona uye kugadzirisa zvabuda murwere.
1. Ndeapi matombo echigaro?
Iyo gastrointestinal polyp kukura kwezvinhu zvisina kujairika kwetishu patsime kubva mukucheka kweiyo yekugaya turakiti. Vanogona kusiyana muhukuru, chimiro, uye nzvimbo, kubata zvikamu zvakasiyana zveGi turakiti, kusanganisira esophagus, dumbu, mudumbu madiki, uye colon. Polyps inogona kunge iri flat, sessle (yakasungirirwa zvakananga kune iyo lining), kana pedurulated (yakasungirirwa nedumbu rakatetepa). Ruzhinji rwemapolyps haana kukurumidza, asi mamwe marudzi ane mukana wepamusoro wekukura kuva akanaka mumatumbo pane nguva.
2. Mhando dzeGastrointestinal Polyps
Mhando dzinoverengeka dzePolyps dzinogona kuumbwa muGi turakiti, imwe neimwe ine hunhu hwakasiyana nehunhu cancer:
• Adhimoni polyps (Adenomas): Iyi ndiyo mhando yakajairika yemapoly inowanikwa mukoloni uye ine mukana wekukura mu cancer cancer. Adenomas inoverengerwa muTubular, villilous, kana tubuliplous zvidiki, neAdenomas ine njodzi yepamusoro yekenza.
• Hyperplastic polyps: kazhinji diki uye inowanzowanikwa mukoloni, idzi polyps ine njodzi yepasi yekanasi. Nekudaro, hyperplastic polyps, kunyanya kuruoko rwerudyi rwekoroni, inogona kunge ine njodzi yakawedzera zvishoma.
• Polylamitorature polyps: Kazhinji inoonekwa muvanhu nehurwere hwehutu (IBD), senge chirwere cheCrohn
• Hepartomatous polyps: Iyi polyps haina kujairika uye inogona kuitika sechikamu chegenetic syndromes kunge peutz-jeghers syndrome. Kunyangwe kazhinji benzi, vanogona dzimwe nguva vanogona kuwedzera njodzi yekenza.
• Fundment Gland Polyps: Inowanikwa mudumbu, idzi polyps dzinowanzove diki uye dzakabatana. Nekudaro, muvanhu vanotora nguva refu prot plot inhibitors (PPIS), kuwedzera kwemari yegland poly kunogona kuitika, kunyangwe iyo cancer njodzi inoramba yakaderera.
3. Inokonzera uye zvine njodzi zvinhu
Iyo chaiyo yakakonzera gi polyps haisi nguva dzose yakajeka, asi zvinhu zvinoverengeka zvinogona kuwedzera mukana wekuvandudza ivo:
• genetics: Nhoroondo yemhuri inotamba chinzvimbo chakakosha mukuvandudzwa kwemapolyps. Genetic mamiriro ezvinhu seMhuri Adenomati Polyposis (Fap) uye Lynch Syndrome inowedzera njodzi yeColored Polyps nekenza pazera diki.
• Zera: Polyps anowanzoonekwa muvanhu vanopfuura makumi mashanu, nengozi yemubatanidzwa uye cancer cancer inowedzera nezera.
• Zvinhu zvehupenyu: Chikafu chakakwirira mune tsvuku kana chakagadziriswa nyama, kufutisa, kuputa, uye kuputa kwakawandisa kwakabatana nengozi yakawedzera yePolyp kugadzirwa kwePolyp.
• Mamiriro Ekuzvimba: Kuzvimba kusingaperi kweGi Turakiti, kazhinji kunoonekwa mumamiriro ezvinhu sehosha yaCrohn
• Kushandiswa kweMushonga
4. Zviratidzo zveGastrointestinal Polyps
Mazhinji polyps, kunyanya zvidiki, ari asymptomatic. Nekudaro, polyps yakakura kana polyps mune dzimwe nzvimbo dzinogona kukonzera zviratidzo, kusanganisira:
• RECALLING BLEEDING: Ropa muchitsauko zvinogona kukonzerwa nemapoly mumapuranga kana rectum.
• Shanduko muitiro wetsuhi: Polyps akakura zvinogona kutungamira mukupwanyika, manyoka, kana kunzwa kwekusakwana kusakwana.
• kurwadziwa mudumbu kana kusagadzikana: kunyangwe zvisingawanzo, dzimwe polyps dzinogona kukonzera zvinyoro-nyoro kuti uwedzere kurwadziwa mudumbu kana dzikanganisa chikamu cheGi turakiti.
• Anemia: Polyps akarasikirwa zvishoma nezvishoma nekufamba kwenguva kunogona kuguma ne simbi-kushomeka ane chirwere cheAnemia, zvichitungamira kuneta uye kushaya simba.
Sezvo zviratidzo zvinowanzoitika kana kusavapo, tsika yekuongorora, kunyanya kune colorel polyps, yakakosha pakuonekwa kwekutanga.
5. Kuongororwa kwegastrointestinal polyps
Mari dzinoverengeka dzekuongorora uye maitiro anogona kuona gi polyps, kunyanya mu colon nedumbu:
• Colonoscopy: Iyo colonoscopy ndiyo nzira inoshanda kwazvo yekuona uye kubvisa polyps mukoloni. Inotendera kutaridzika kwakananga kwekumirira kweiyo colon uye rectum, uye chero polyps inowanikwa inogona kuwanzokwanisa kubviswa panguva yekuita.
• Upamusoro endoscopy: ye polyps mudumbu kana yepamusoro gi turakiti, iyo yepamusoro endoscopy inoitwa. Iyo inoshanduka tube ine kamera yakaiswa kuburikidza nemuromo kuti uone esophagus, dumbu, uye duodenum.
• Sigmoidoscopy: Maitiro aya anoongorora chikamu chepazasi chekoroni, anozivikanwa seiyo sigmoid colon. Inogona kuona polyps mune rectum uye yakaderera colon asi haisvike kumusoro kwekoroni.
• Zviyedzo zveStool: Zvimwe zviyedzo zvekutanga zvinogona kuona matunhu eRopa kana zvisakarongeka mackers zvakabatana nePolyps kana colorectal cancer.
• Kufungidzira bvunzo: CT COLOGRAGRAPRY (VIRUAL Colonoscopy) inogona kugadzira mifananidzo yakatsanangurwa yeiyo colon uye rectum. Kunyangwe iyo isingabvumire kubviswa kwekukurumidza kwe polyps, inogona kuve isingagumi sarudzo.
6. Kurapa uye Management
Kurapa kweGi Polyps kunoenderana nemhando yavo, saizi, nzvimbo, uye kugona kwekubudirira:
• Polypectomy: Iyi nzira ndiyo yakajairika kurapa kwekubvisa polyps panguva ye colonoscopy kana endoscopy. Polys Diki inogona kubviswa ichishandisa musungo kana forceps, nepo hombe polyps ingangoda hunyanzvi hwepamberi.
• Kureururwa kwekuvhiya: Muzviitiko zvisingawanzo ipo phepenti yakakura kwazvo kana kuti haigone kubviswa endoscopically, kuvhiyiwa kunogona kunge kuri madikanwa. Izvi zvakajairika kuti polyps yakabatana neine genetic syndromes.
• Kugara uchiona: Kune varwere vane polyps akawanda, nhoroondo yemhuri yemhuri, kana yakatarwa genetic mamiriro, nguva dzose yekutevera colonoscopies inokurudzirwa kuti utarise polyps nyowani.
Polypectomy musungo
7. Kudzivirira gastrointestinal polyps
Nepo kwete polys yese inogona kudzivirirwa, mararamiro emararamiro anoverengeka anogona kuderedza njodzi yekukura kwavo:
• Kudya: kupedza chikafu mupfumi mumichero, miriwo, uye zviyero zvizere apo kudzikisira tsvuku uye yakagadziriswa nyama inogona kubatsira kuderedza njodzi yemugodhi.
• Chengetedza uremu hune hutano: kufutisa kwakabatana nenjodzi yakawedzera yePolyps, kunyanya mukoloni, saka kuchengetedza uremu hwakanaka kunobatsira.
• Rega kusvuta uye kudzikamisa doro kudya uye kusvuta uye kushandisa zvinorema doro zvinosanganiswa nengozi yakawedzera yeGi Polyps uye colorectal cancer.
• Kugara uchiongorora: Maitiro eColonoscopies akakosha, kunyanya kune vanhu vanopfuura makumi mashanu kana avo vane nhoroondo yemhuri ye polyps kana coleroc cancer. Kubvira kwekutanga kwePolyps kunobvumira kubviswa usati wavatanga kuita kenza.
8. Prognosis uye Outlook
Iyo prognosis yevanhu vane gastrointestinal polyps inowanzo farira, kunyanya kana polyps yaonekwa nekukurumidza uye kubviswa. Nepo akawanda polyps ane benji, anogara achiongorora uye kubvisa kunogona kuderedza zvakanyanya njodzi ye colorel cancer. Genetic mamiriro akabatana ne polyps, senge fap, inoda manejimendi ane hutsinye nekuda kwengozi yakakura yekubudirira.
Mhedziso
Pollopinstinal Polyps anowanikwa anowanikwa mune vakuru, kunyanya sezvavanokura. Nepo yakawanda polyps iri benigns, mamwe marudzi anotakura njodzi yekuve nekukasira kana ikasiiwa isina kurapwa. Kuburikidza nemararamiro anochinja, kugara uchiongorora, uye kubviswa kwenguva dzose, vanhu vanogona kuderedza zvakanyanya njodzi yavo yekukudziridza matambudziko akakura kubva kuGI POLYPS. Kudzidzisa veruzhinji pane kukosha kwekutanga kuwanikwa uye chinzvimbo chezvekudzivirira matanho zvakakosha pakuvandudza zvibodzwa uye kuvandudza hupenyu.
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Kutumira Nguva: Nov-18-2024