Mtundu uwu wa mapuloteni umapezeka mwa anthu omwe ali ndi IBD ndipo Sali Prestursor ku Cancer
Pali mtundu wa mapuloteni amene angapezeke mu khola la munthu yemwe ali ndi matenda otupa (IBD) , kaya Crohn's disease kapena ulcerative colitis, zomwe si zoona kwenikweni. Zowonjezera izi zimatchedwa pseudopolyps chifukwa sizowonongeka konse; M'malo mwake, iwo ndi "zabodza" polyps. Nthano imatanthauza "zabodza" kapena "zonyansa," ndipo pamene zochitikazo zenizeni, sizili mtundu womwewo womwe umachotsedwa chifukwa zingayambitse khansa yamtunda.
Momwe Pseudopolyps Form
Anthu omwe ali ndi IBD akhoza kukhala ndi kutupa m'mimba mwawo, zomwe zimachitika panthawi ya matendawa. Kwa ena, kutupa kungakhale koopsa ndipo kumatha nthawi yaitali. Kutupa kumabweretsa zilonda zam'mimba (mabowo) pakhoma la koloni. Mu zilonda za ulcerative, zilondazi zimangokhala pamtambo wa mkati, koma mu Crohn's disease, zilondazi zimatha kulowa m'mimba mwa m'mimba. Kuthamanga kwa zilonda ndi machiritso kumabweretsa kuphulika kwa minofu yofiira. Izi zikufanana ndi momwe kudula pamwamba pa khungu kungayambitse chilonda chosiyana ndi chikopa chozungulira.
Minofu yofiira yomwe imapanga mu colon pamene kutupa kulipo ndipo kenako amachiza pang'ono kufanana ndi mapuloteni, koma sizili ngati mapepala apamwamba omwe ali paphesi. Zolemba zapusopolyps zimakhala zomveka komanso zimawoneka ngati chiphuphu.
Pseudopolyps Sali Kangozi ya Khansa
Pulopeni ndi kukula mkati mwa colon yomwe imatha kupanga maonekedwe osiyanasiyana, koma nthawi zonse imakhala ndi chiopsezo chokhala khansara yamtundu.
Pa chifukwachi, mapuloteni amachotsedwa pa colonoscopy ngati chinthu chozoloŵera. Anthu ambiri opitirira zaka makumi asanu ndi awiri amayamba kupanga mapepala, chifukwa chake colonoscopy yowonekera pa khansara yamtunda imayamba kuyambira m'zaka zimenezo. Ngati mapuloteni atachotsedwa, koteronso chiopsezo chake chikhala khansara. Pseudopolyps, komabe, sakhala ndi chiopsezo chotere chotembenuza khansa ndipo safuna kuchotsedwa.
Momwe Gastroenterologist Amadziwira Pseudopolyps
Mu khola la munthu amene ali ndi matenda a zilonda zam'mimba kapena matenda a Crohn, pakhoza kukhala zinthu zosayembekezereka zomwe zimachitika kuti gastroenterologist angatchedwe "kupeza" kapena "matenda". Izi zingaphatikizepo pseudopolyps ndi polyps, ndi matenda a Crohn, omwe amatchedwa chizindikiro cha cobblestone . Chizindikiro cha chikhochi chimapezeka pamene mbali zina zamtunda zikuwoneka ngati msewu wokhotakhota chifukwa cha kutupa ndi machiritso kawirikawiri, ndipo ndizowoneka ngati zotsatira za matenda a Crohn.
Gastroenterologist wophunzitsidwa ndi wodziwa zambiri angadziwe kusiyana pakati pa mapuloteni kapena pseudopolyp, koma chidziwitso cha derachi chidzatengedwenso, kutsimikizira. Nthendayi, yomwe ndi chitsanzo cha minofu, ikhoza kutengedwa kuchokera mkati mwa coloni pa sigmoidoscopy kapena colonoscopy. Ma biopsies amatha kutengedwa kuchokera kumadera osiyanasiyana a colon ndi kutumizidwa kwa odwala matenda kuti ayesedwe kuti azindikire kuti pali vuto lililonse limene limapezeka. Mwanjira imeneyi, ma polyps kapena pseudopolyps amatha kuzindikira bwino. Gastroenterologist adzafuna kukhala otsimikiza kuti chirichonse chofanana ndi mapuloteni ndi pseudopolyp osati pulopeni yeniyeni.
Mmene Pseudopolyps Amachitira
Kaŵirikaŵiri palibe mankhwala enaake omwe amafunikira kuti pseudopolyps apangidwe chifukwa cha matenda a Crohn kapena ulcerative colitis.
Kawirikawiri, zimalimbikitsidwa (nthawi zonse) kuti ngati kutupa kulipo kwa IBD, mankhwala ayenera kupitilizidwa kapena kuyambitsidwa kuti ayang'anire. Fufuzani ndi gastroenterologist ngati pali mafunso okhudza pseudopolyps ndi zomwe akutanthauza pa maphunziro a IBD.
Mawu Ochokera
Mafupawa si ambiri omwe amawadetsa nkhaŵa, koma zikhoza kukhala chisonyezero chakuti kutupa kwakukulu kunaloledwa kupitilira mu colon. Kuchiza moyenera IBD kudzatanthauza kuti kutentha sikungatheke, pamodzi ndi zizindikiro. Maulendo obwereza nthawi zonse ndi gastroenterologist ndi chitukuko cha njira yoyenera ya mankhwala amathandizira kuti IBD ilamulire.
Kuda nkhawa ndi kupezeka kwa pseudopolyps kapena mapuloteni enieni mu colon pa colonoscopy ayenera kukambirana ndi gastroenterologist.
Zotsatira:
D'Haens G, Rutgeerts P. Endoscopy mu matenda opweteka. Mu: Waye J, Williams C, Rex DK, eds. Colonoscopy . Oxford: Blackwell Publishing. 2004.
Cris Morris, Dudnick RS. "Mabotolo a Chronic Inflammatory Bowel Disease." Clinical Gastroenterology ndi Hepatology . 11: 7; A26. 17 Sep 2013. DOI: http://dx.doi.org/10.1016/j.cgh.2012.09.011