Ama-polyps we-gastrointestinal (GI) ukukhula okuncane okuthuthukiswa ekulweni kwepheshana lokugaya ukudla, ikakhulukazi ezindaweni ezinjengesisu, amathumbu, nekholoni. Lawa ma-polyps ajwayelekile, ikakhulukazi kubantu abadala abangaphezu kweminyaka engama-50. Yize iningi le-GI Polyps liphezulu, abanye bangathuthuka kumdlavuza, ikakhulukazi ama-polyps atholakala kwikholoni. Ukuqonda izinhlobo, izimbangela, izimpawu, ukuxilongwa kanye nokwelashwa kwama-GI Polyps kungasiza ekutholweni kusenesikhathi futhi kuthuthukise imiphumela yeziguli.
1. Ayini ama-polyps esiswini?
I-polyp yesisukuqala ukukhula okungajwayelekile kwezicubu ezivela ku-lining yepheshana lokugaya ukudla. Zingahluka ngosayizi, ukwakheka, kanye nendawo, zithinta izingxenye ezahlukahlukene zepheshana le-GI, kufaka phakathi i-esophagus, isisu, amathumbu amancane, nekholoni. Ama-PolyPS angaba yiflethi, uSessile (afakwe ngqo kwi-lining), noma efudumele (enamathiselwe yisiqu esincane). Iningi lama-polyps alona umdlavuza, kepha izinhlobo ezithile zinamandla aphezulu okuthuthukisa abe tumors ezibucayi ngokuhamba kwesikhathi.
2. Izinhlobo zama-polyps esiswini
Izinhlobo eziningi zama-polyps zingakha epheshana le-GI, ngalinye linezimpawu ezihlukile kanye nobungozi bomdlavuza:
• Ama-PolyPS anenamanzi (ama-adenomas): Lolu uhlobo oluvame kakhulu lwama-polyps olutholakala kwikholoni futhi ube namandla okuthuthukisa abe nomdlavuza wezemibalali. Ama-Adenomas ahlukaniswa abe yi-tubular, villous, noma ama-subulovillous subtypes, nama-adenomas asekhaya anengozi enkulu kakhulu yomdlavuza.
• I-HyperPlastic Polyps: Ngokuvamile amancane futhi atholakala ngokujwayelekile kwikholoni, la ma-polyps anengozi ephansi yomdlavuza. Kodwa-ke, ama-polyps amakhulu we-hyperplastic, ikakhulukazi ngakwesokunene sekholoni, angaba nengozi ekhuphuke kancane.
• Ama-polyps okuvuvukala: ngokuvamile abonakale kubantu abanesifo sokuvuvukala amathumbu (i-IBD), njengesifo sikaCrohn noma i-ulcerative colitis, i-inclammative colitis, kuvame ukukhombisa ukuvuvukala okuma kwesikhathi kwikholoni.
• Ama-POMPEROmatous POLLPS: Lawa ma-polyps ajwayelekile futhi angenzeka njengengxenye yama-shintsho wofuzo njengePepuutz-Jeghers Syndrome. Noma ngokujwayelekile, ngezinye izikhathi bangakhulisa ubungozi bomdlavuza.
• Ama-PolyPS we-Fundic Gland: atholakala esiswini, la ma-polyps avame ukuba mncane futhi anign. Kodwa-ke, kubantu abathatha inhibitors ye-Proton yesikhathi eside (i-PPIS), ukwanda kwama-Femmic Gland PlyPS kungenzeka, yize ubungozi bomdlavuza buhlala buphansi.
3. Izimbangela nezici zengozi
Imbangela eqondile yama-GEP POLYPS ayihlali icacile, kepha izici eziningana zingakhulisa amathuba okuba nezinkinga:
• Ufuzo: Umlando Womndeni udlala indima enkulu ekwakhiweni kwama-polyps. Imibandela yofuzo efana ne-polyposis ye-polyposis (FAP) neLynch Syndrome yandisa ubungozi bezikhala zemibala kanye nomdlavuza osezingeni eliphansi.
• Ubudala: Ama-polyps ajwayele ukubonwa kubantu abangaphezu kwama-50, enobungozi bama-polyps anama-adomatous kanye nomdlavuza wemibalabala ekhula ngeminyaka.
• Izici zendlela yokuphila: Ukudla okuphezulu ngenyama ebomvu noma esetshenzisiwe, ukukhuluphala, ukubhema, nokuphuza ngokweqile ngokweqile kunakho konke kuhlotshaniswa nengozi eyandayo yokwakheka kwe-polyp.
• Izimo Zokuvuvukala: Ukuvuvukala okungapheli kwepheshana le-GI, kuvame ukubonwa ngemibandela efana nesifo sikaCrohn kanye ne-ulcerative colitis, kungaba nomthelela ekuthuthukisweni kwama-polyps.
• Ukusetshenziswa Komuthi: Ukusetshenziswa Kwesikhathi Eside Kwemithi ethile, njengezidakamizwa ezingezona ze-anti-infloidal (NSAIDS) ne-PPIS, kungathonya ingozi yezinhlobo ezithile zama-polyps.
4. Izimpawu zama-polyps esiswini
Ama-polyps amaningi, ikakhulukazi amancane, ayi-asymptomatic. Kodwa-ke, ama-polyps amakhulu noma ama-polyps ezindaweni ezithile angadala izimpawu, kufaka phakathi:
• Ukuphela kokopha kwe-rectal: Igazi esihlalweni lingavela kuma-polyps ekoloni noma i-rectum.
• Ukushintshwa kwemikhuba yamathumbu: Ama-polyps amakhulu angaholela ekuqunjweni, isifo sohudo, noma umuzwa wokuphuma okungaphelele.
• Ubuhlungu besisu noma ukungaphatheki kahle
• I-ANEMIA: Ama-polyps aphuma kancane ngokuhamba kwesikhathi kungahle kube nomphumela we-anemia, okuholela ekukhathaleni nasebuthakathaka.
Njengoba izimpawu zivame ukucasuka noma zingekho, ukuhlolwa kabusha, ikakhulukazi ama-polyps anemibala, kubalulekile ukuze uthole ukutholwa kusenesikhathi.
5. Ukuxilongwa kwama-polyps esiswini
Amathuluzi amaningi okuxilonga nezinqubo angabona ama-Gi Polyps, ikakhulukazi kwikholoni nasesiswini:
• IColonoscopy: I-colonoscopy iyindlela ephumelela kakhulu yokuthola nokususa ama-polyps kwikholoni. Ivumela ukubonwa okuqondile kokufakwa kwekholoni ne-rectum, futhi noma yimaphi ama-polyps atholakele angasuswa ngesikhathi senqubo.
• I-Upper Endoscopy: Ama-PolyPS esiswini noma epheshana eliphakeme le-GI, kwenziwa i-endoscopy ephezulu. Ishubhu eguquguqukayo enekhamera efakwa ngomlomo ukubona ngeso lengqondo i-esophagus, isisu kanye ne-duodenum.
• I-Sigmoidoscopy: Le nqubo ihlola ingxenye engezansi yekoloni, eyaziwa ngokuthi i-Sigmoid Colon. Ikwazi ukubona ama-polyps ku-rectum nekholoni eliphansi kepha alifinyeleli kwikholoni eliphezulu.
• Ukuhlolwa kwesitulo: Ukuhlolwa okuthile kwesitulo kungathola imicengezi yegazi noma amamaki e-DNA angajwayelekile axhumeke kuma-polyps noma umdlavuza we-colorectal.
• Ukuhlolwa kokucabanga: I-CT colonography (i-colonoscopy) ingadala izithombe ezinemininingwane yekoloni ne-rectum. Yize kungavumeli ukususwa okusheshayo kwama-polyps, kungaba inketho engahlaseli.
6. Ukwelashwa kanye nabaphathi
Ukwelashwa kwama-Gi Polyps kuncike ngohlobo lwabo, usayizi, indawo, kanye namathuba okulimala:
• I-Polypectomy: Le nqubo ingukuphathwa okuvame kakhulu kokususa ama-polyps ngesikhathi se-colonoscopy noma endoscopy. Ama-polyps amancane angasuswa kusetshenziswa ugibe noma ama-forceps, ngenkathi ama-polyps amakhulu angadinga amasu athuthukile.
• Ukukhishwa Kokuhliswa: Ezimweni ezingavamile lapho ama-polyps makhulu kakhulu noma akwazi ukususwa nge-endoscopically, ukuhlinzwa kungadingeka. Lokhu kuvame kakhulu ama-polyps ahambisana nama-ydtomes genetic.
• Ukuqapha okujwayelekile: Ezigulini ezinama-polyps amaningi, umlando womndeni wama-polyps, noma imibandela ethile yofuzo, kunconyelwa ama-colonoscoopies ajwayelekile okulandela ukubhekisisa ama-polyps amasha.
Ugibe lwe-polypectomy
7. Ukuvimbela ama-polyps esiswini
Yize kungewona wonke ama-polyps angavinjelwa, ukulungiswa okuningana kwendlela yokuphila kunganciphisa ubungozi bokuthuthuka kwabo:
• Ukudla: Ukudla ukudla okunothile ngezithelo, imifino, kanye okusanhlamvu okugcwele ngenkathi kunciphisa inyama ebomvu futhi kusetshenzwe kungasiza ukwehlisa ingozi yama-polyps amelelesi.
• Gcina isisindo esinempilo: ukukhuluphala kuhlobene nengozi eyandayo yama-polyps, ikakhulukazi ekoloni, ngakho-ke ukugcina isisindo esinempilo siyazuzisa.
• Yekani ukubhema futhi unciphise imali yokuphuza utshwala
• Ukuhlola njalo: ama-colonoscopies ajwayelekile abalulekile, ikakhulukazi kubantu abangaphezu kwama-50 noma labo abanomlando womndeni wama-polyps noma umdlavuza wemibalali. Ukutholwa kusenesikhathi kwama-polyps kuvumela ukususwa ngaphambi kokuba bahlakulele umdlavuza.
8. I-Prognosis kanye ne-Outlook
I-prognosis yabantu abanama-polypstestinalinalinalinalinalinalinalinalinalinaliwana athandeka, ikakhulukazi uma ama-polyps atholakala kusenesikhathi futhi isuswe. Ngenkathi iningi lama-polyps liphezulu, ukuqapha nokususwa njalo kunganciphisa kakhulu ingozi yomdlavuza wezemibalali. Imibandela yofuzo ehambisana nama-polyps, njenge-FAP, idinga ukuphathwa okunolaka okwengeziwe ngenxa yengozi enkulu yokulimala.
Ukugcina
Ama-polyps ase-gastrointestinalinalinalinalinalinalinalinali ajwayelekile athola abantu abadala, ikakhulukazi njengoba akhula. Ngenkathi iningi lama-polyps lingevign, izinhlobo ezithile ziphatha ubungozi bokuba nomdlavuza uma kushiywe kungalashwa. Ngokushintsha kwendlela yokuphila, ukuhlolwa okujwayelekile, kanye nokususwa okufika ngesikhathi, abantu banganciphisa kakhulu ingozi yabo yokuthola izinkinga ezinkulu ezivela ku-GEPEPS. Ukufundisa umphakathi ngokubaluleka kokutholwa kusenesikhathi kanye nendima yezindlela zokuvimbela kuyisihluthulelo sokwenza ngcono imiphumela kanye nokwenza ngcono impilo yempilo.
We, Jiangxi Zhuo Ruihua Medical Instrument Co, Ltd., Ungumkhiqizi eChina ochwepheshe kokudla kwe-endoscopic, njengeI-Biopsy Forceps, hemoclip, I-PolyP Snare, inaliti ye-sclerotherapy, fafaza i-catheter, ama-cytolology amabhulashi, Umhlahlandlela, I-Stone Retrieval Basket, I-Catheter ye-Nasal Buily Catheternjll. Kusetshenziswe kabanziEMR, Ivi, I-ERCPP. Imikhiqizo yethu iqinisekisiwe, futhi izitshalo zethu ziqinisekisiwe ze-ISO. Izimpahla zethu zithunyelwe eYurophu, eNyakatho Melika, eMpumalanga Ephakathi nendawo nengxenye ye-Asia, futhi zithola amakhasimende wokuqashelwa nokudumisa!
Isikhathi sePosi: Nov-18-2024