Adenomas ndi Ubale Wawo ndi Khansara ya Colon
Adenoma ndi yowonongeka, koma nthawizina imayamba kusankhana khansa yomwe ikhoza kukhalapo mu colon . Adenomas ndi mtundu wa mapuloteni omwe amachokera kapena amafanana ndi mapiritsi oyenera a koloni koma ali ndi mbali zina zosiyana. Adenomas ndi mtundu wobiriwira wa mapuloteni, komanso chifukwa chofala kwambiri cha kansa ya coloni, kotero kupeza ndi kuchotsa njira zowonetsera ndikofunika kwambiri pofuna kupewa khansara ya coloni .
Pamene adenoma amakhala khansara, imatchedwa adenocarcinoma . Mwamwayi, adenomas kawirikawiri ndi osavuta kupeza ndi kuchotsa asanakhale khansa.
Adenomas ndi Colon Cancer Screenings
Ma Adenomas amapezeka nthawi zambiri pa nthawi yoyezetsa khansa, monga colonoscopy kapena fleximo sigmoidoscopy. Amachotsedwa kenako amatumizidwa kwa dokotala yemwe amawafufuza pang'onopang'ono. Zotsatirazo zidzaperekedwa kwa dokotala wanu, kawirikawiri kuphatikizapo momwe iwo akuwonekera, mikhalidwe yapadera, ndi chiopsezo chawo chokhala khansara ngati iwo sanachotsedwe.
Ma adenomas ambiri amakula mobwerezabwereza pakati pa anthu, kutanthauza kuti sagwidwa ndi kusintha kwa chibadwa. Komabe, chiopsezo chokhala ndi mapulotoni amtundu wochulukirapo kuposa centimita imodzi kapena kukhala ndi khansa ya colon ndi yachiwiri kwambiri kwa anthu omwe ali ndi chiwerengero cha digiri yoyamba omwe ali ndi adenoma yaikulu kuposa mamita imodzi, kotero pali chidziwitso chodziwika bwino cha banja.
Kuonjezera apo, palinso matenda omwe safala kwambiri omwe amadziwika kuti adenomatous polyposis (FAP) omwe amachititsa kuti zikwi mazana zikwi zamatenda apitirize kukula chifukwa cha kusintha kwa jini.
Adenoma Growth Patterns
Adenomas ikhoza kusonyeza kukula kwa mitundu yosiyanasiyana yomwe akatswiri amatha kudziwa. Zomwe zikuluzikulu ziwirizi ndizoopsa komanso zowopsya, ndipo adenomas ambiri ndizophatikizapo mitundu yonse.
Pachifukwa ichi, iwo angatchulidwe kuti adoluomas tubulovillous. Pamene adenomas amapezeka kuti ndi yosagwira mtima, zizindikiro zawo zimathandiza kudziwa nthawi yoyenera kutsatila ndikuyang'anitsitsa.
Ma adenomas ena amatchedwa serrated chifukwa ali ndi maonekedwe a 'dzino dzino' pansi pa microscope. Zilonda zamtundu wa adenomas ndi zitsamba zamtundu wa adenomas zimakhala ndi zosiyana, koma zonsezi zimaonedwa kuti ndizodziwika bwino ndipo zimapanganso chiopsezo chachikulu chokhalira ndi khansara ya colon m'tsogolomu. Ngakhale zili choncho, anthu ambiri omwe ali ndi serenomas osatulutsa matenda a khansa.
Adenomas ndi Chiwopsezo cha Khansa
Mwinamwake adenoma ndi khansa pamene imapezeka ikugwirizana ndi kukula, mtundu, ndi digiri ya dysplasia, kapena kuchulukitsa kwa maselo osadziwika. Mwachitsanzo, 1.5 masentimita tubular adenoma ali ndi chiwopsezo chachiwiri chokhala ndi khansa poyerekeza ndi 3-centimeter oopsa adenoma, omwe ali ndi chiopsezo cha 25 pa khansa.
Ndondomeko Zowonetsera Khansa ya Colon
Madokotala osiyana angapangitse nthawi zosiyana pakati pa zojambula, koma nthawi yayitali idzakhala yofupika ngati kafukufuku wammbuyo adapeza mankhwala oterewa chifukwa choopsa chanu chowonjezera adenomas ndi chachikulu.
Kuphatikiza apo, kaconoscopy yotsatira ingakonzedwe posachedwa kapena mtsogolo, malingana ndi matenda a adenomas omwe munachotsedwa kale:
| Zaka Zaka kufikira Zomwe Zidzakhala Zojambula Zotsatira | Makhalidwe Othandizira Amtundule Anachotsedwa Adenoma Poyamba |
| 5 Zaka | Munali ndi adenomas tubular 1 kapena 2 yomwe inali yosakwana masentimita (cm) kukula kwake |
| Zaka 3 | Munali ndi adenomas oposa atatu omwe anachotsedwa kwathunthu OR Munali ndi 1 adenoma yomwe inali yaikulu kuposa 1 masentimita yomwe inachotsedwa kwathunthu |
| Pasanathe zaka zitatu | Munali ndi adenomas oposa khumi ndi awiri OR Munali ndi adenoma oopsa OR Munali ndi dysplasia yapamwamba kwambiri |
| Miyezi 2 mpaka 6 | Munali ndi adenoma yamagazi imene inachotsedwa |
Zotsatira
- Association of Directors of Anatomic and Surgical Surgery
- American Cancer Society