Mapulogalamu mu Colon Angachotsedwe Pa Colonoscopy
Pulopusiti yamakono ndi kukula komwe kumapezeka pakhoma la matumbo aakulu, kapena colon . Pulopenti yomwe imakhala yofiira imatchedwa sessile, ndipo imodzi yomwe ili ndi phesi lautali imatchedwa pedunculated. Mapuloteni amapezeka kwa anthu oposa zaka 40 ndipo nthawi zambiri amakula pang'onopang'ono. Mapuloteni akhoza kukhala khansa yamtunduwu, chifukwa chake amachotsedwa pa colonoscopy.
Kufufuza kansa ya coloni ndiyo njira yabwino kwambiri yopezera mapuloteni ndi kuwachotsa asanakhale ndi khansa. Anthu oposa zaka 50 ndi omwe ali ndi matenda opatsirana (IBD) amafunika kuwunika nthawi zonse. Kupima pogwiritsa ntchito colonoscopy zonse ndi zotetezeka komanso zothandiza. Ngati muli ndi mafunso okhudza momwe mungayang'anire nthawi zambiri kapena ndi mayesero ati, kambiranani ndi dokotala wanu.
Zizindikiro
Nthaŵi zambiri, mapuloteni samayambitsa zizindikiro. Chifukwa chakuti sizimayambitsa zizindikiro, mapuloteni amatha kupezeka osadziwika mpaka atapezeka pa colonoscopy kapena mayeso ena pa colon. Pamene mapuloteni amachititsa zizindikiro, amatha kukhala:
- Magazi mu mpando ( wakuda kapena wofiira )
- Kusuntha kuchokera ku rectum
- Kutsekula kapena kutsekula m'mimba kumene sikuchoka
Zowopsa
Anthu ena ali pachiopsezo chotenga mapuloteni m'matumbo awo kusiyana ndi ena, chifukwa cha msinkhu kapena mbiri ya banja. Zina mwazifukwazi zimaphatikizapo:
- Ali ndi zaka zoposa 50
- Mbiri ya banja kapena mbiri yaumwini ya polyps
- Mbiri ya banja la khansa yamtunda
- Mbiri yake ya khansa mu chiberekero kapena mazira
Zina mwazidzidzidzi zowonongeka kwazitsulo ndi chifukwa cha moyo, ndipo zimaphatikizapo:
- Zakudya zamtengo wapatali
- Mbiri ya kusuta fodya
- Mbiri ya kumwa mowa
- Kukhala ndi moyo wokhazikika
- Kunenepa kwambiri
Palibe njira yeniyeni yopezera kukhala ndi mavitamini, koma kukhala ndi moyo wathanzi mwa kudya bwino, kuchita masewera olimbitsa thupi, osasuta kapena kumwa kumathandiza. Calcium, folic acid supplement, komanso mlingo wa tsiku ndi tsiku wa aspirin ungathenso kuteteza kusamalidwa kwa mapuloteni.
Zina zosawerengeka za majini zimayambitsa mapuloteni kukula mwa achinyamata, ngakhale achinyamata. Anthu omwe ali ndi matendawa, khansa yachitsulo yopanda ma polyphis (HNPCC [yotchedwa Lynch syndrome]), Matenda a Peutz-Jeghers, ndi achibale a adenomatous polyposis (FAP) , ali ndi chiopsezo chowonjezereka chokhala ndi khansa yamtundu.
Mitundu
Pali mitundu inayi ikuluikulu ya mapulotoni otchedwa colon polyps: adenomatous (tubular adenoma), opaleshoni, yotupa, ndi oopsa adenoma (tubulovillous adenoma).
Adenomatous kapena Tubular Adenoma. Mtundu uwu wa mapuloteni uli ndi chiopsezo chotembenuza khansa, ndipo ndiwowonjezereka. Pamene mtundu uwu wa mapuloteni amapezeka, udzayesedwa kwa khansa. Aliyense amene ali ndi mapulogalamuwa amafunikira kufufuza nthawi ndi nthawi kuti ayang'ane ma polyps ena ndi kuwachotsa.
Kutentha. Mapuloteniwa ndi ofanana, ochepa, ndipo ali pangozi yochepa ya kusintha khansa. Ma polyps omwe amapezeka mu coloni amachotsedwa ndikuyesedwa kuti asamawonongeke.
Villous Adenoma kapena Tubulovillous Adenoma. Mtundu woterewu uli ndi chiopsezo chachikulu chotengera khansa. Nthawi zambiri zimakhala zovuta, zomwe zimapangitsa kuti zikhale zovuta kuchotsa.
Pseudopolyps. Mafupa ambiri amapezeka mwa anthu omwe ali ndi matenda opatsirana (IBD) . Mitundu iyi ya polyps, yomwe imadziwikanso kuti yotupa, imasiyanasiyana ndi maonekedwe ena atatu, ndipo samatulutsa khansa. Zimapezeka chifukwa cha kutupa kosatha kumene kumachitika pakati pa anthu omwe ali ndi matenda a Crohn ndi ulcerative colitis.
Mapuloteni Awo ndi Ophatikiza Nawo ku Khansara ya Colon
Pulopeni ndi kukula kochepa kwambiri, kutanthauza kuti ngati ikasiyidwa pamtunda, ikhoza kutulutsa khansa.
Ngati iyo imachotsedwa, monga pa colonoscopy, ilibe mwayi wotsutsa khansa. Pambuyo pochotsa pulopeni, idzayesedwa kwa khansa ndi katswiri wodwala matenda . Masamba a Sessile amatha kusintha kansera kusiyana ndi mapuloteni oyendayenda.
Kuwonetsa Khansa ya Colon
Anthu oposa 50 ayenera kuyang'aniridwa ndi khansara ya colon-kupatula odwala m'magulu ena omwe ali ndi chiopsezo omwe amafunika kuwunika kale komanso mobwerezabwereza. Amene ali pachiopsezo chachikulu cha khansa yamtunda chifukwa cha mbiri ya munthu kapena banja la khansara ali pachiopsezo chachikulu ndipo ayenera kuyesedwa kawirikawiri komanso ali wamng'ono kwambiri kuposa omwe alibe zifukwa zilizonse zoopsa. Anthu omwe ali ndi matenda opatsirana kwambiri (IBD), makamaka omwe ali ndi zilonda zam'mimba kwa zaka 10 kapena kuposa, amakhalanso ndi chiopsezo chachikulu cha khansa yamtunda.
Mayesero ena omwe angagwiritsidwe ntchito poyang'ana polyps ndi awa:
Mapulogalamu angapangidwe pogwiritsa ntchito mayesero omwe ali pamwambawa, koma angathe kuchotsedwa pa sigmoidoscopy kapena kolonoscopy.
Ngati mukudandaula za chiopsezo cha kansa ya coloni, kambiranani ndi dokotala wanu nthawi ndi nthawi kuti muyang'anire.
Zotsatira:
American Society Kwa Zachimake Endoscopy. "Kumvetsetsa Zinenero Zosiyanasiyana ndi Chithandizo Chawo." ASGE.org 2011.
American Society Of Colon & Rectal Surgeons. "Zambiri za Colon ndi Rectum." FASCRS.org 2011.