Polyps muColon Inogona Kubviswa MuColonoscopy
Ikosi yepoloni ndiyo kukura kunowanikwa pamadziro emukati mukuru, kana kuti colon . A polyp iyo yakagadzikana muhuyu inonzi sasile, uye imwe ine tambo refu inonzi "pedunculated". Polyps inowanikwa kuvanhu vanopfuura makore makumi mana uye vanowanzokura zvishoma. Polyps inogona kukura kuva kanaroni yekolone, ndicho chikonzero ivo vanowanzobviswa panguva yekolonoscopy.
Kuwana mutsara wekenza yekoloni ndiyo nzira yakanakisisa yekuwana mapuropiti uye kuvabvisa vasati vangave vane kenza. Vanhu vanopfuura makore makumi mashanu uye avo vane chirwere chinoputira chirwere (IBD) vachada kuongorora nguva dzose. Kuongorora kuburikidza nekolonoscopy zvose zvakachengeteka uye zvinobudirira. Kana iwe uine mibvunzo pamusoro pekuwanda kwei iwe unofanirwa kuongororwa kana nemuedzo ipi, taura nachiremba wako.
Zviratidzo
Muzviitiko zvakawanda, mapuropiti haabvumi zviratidzo. Nemhaka yokuti kazhinji hazvikonzeri zviratidzo, mapuropa anogona kuenda asingaoneki kusvikira awanikwa panguva yekolonoscopy kana imwe mimwe miedzo paikoni. Apo mapepa anokonzera zviratidzo, anogona kusanganisira:
- Ropa muhombodo ( yakasviba kana tsvuku )
- Kubvongodza kubva ku rectum
- Kuvhara kana kubuda kwemahara kusingabvi
Risk Factors
Vamwe vanhu vari pangozi yekugadzira mapuropiti mumakoloni avo kupfuura vamwe, nekuda kwezera kana mhuri. Zvimwe zvezviitiko izvi zvinowanzosanganisira:
- Anopfuura makore makumi mashanu
- Nhoroondo yemhuri kana nhoroondo yehupenyu hwema polyps
- Mhuri inhoroondo yekenza yekoloni
- Nhoroondo yega yekenza mukati mechiberekero kana mavha mavari
Zvimwe zvinokonzera njodzi yezvikwata zvepoloni zvinokonzerwa nemararamiro ehupenyu, uye zvinosanganisira:
- Mafuta ane mafuta akawanda
- Nhoroondo yekusvuta fodya
- Nhoroondo yekunwa doro
- Kurarama hupenyu
- Kuwedzera muviri
Hapana imwe nzira chaiyo yekudzivirira kusimba mapuropa, asi kurarama hupenyu hwakanaka nekudya zvakanaka, kudzidzira, uye kusvuta kana kunwa kunogona kubatsira. Calcium, folic acid inowedzera, uye zuva rega rega chirwere che aspirin chinogonawo kuzvidzivirira pakusimudzirwa kwema polyps.
Mamwe maitiro mashoma emagenha anokwanisa kuita kuti mapuropa awedzere kune vechidiki, kunyange vaduku. Vanhu vane zvirwere izvi, chirwere chisingaenzaniswi nekenza yemapironi (HNPCC [inozivikanwawo seLynch syndrome]), Peutz-Jeghers syndrome, uye mhuri yemadenomatous polyposis (FAP) , iri mungozi yakawanda yekuva nekenza yekoloni.
Aina
Iko kune mhando ina mikuru yemakoloni mapepa: adenomatous (tubular adenoma), hyperplastic, kuvimba, uye villous adenoma (tubulovillous adenoma).
Adenomatous kana Tubular Adenoma. Rudzi urwu rwepuropiti ine ngozi yekutengesa kenza, uye ndiyo yakawanda kwazvo. Apo chirongwa ichi chemapuropiti chinowanikwa, chichaongororwa nekenza. Ani naani ane mapepa aya achada nguva nenguva kuongorora kuti aongorore mamwe mapepa uye kuti avabvise.
Hyperplastic. Aya mapepa anowanzoshamisa, maduku, uye ari pangozi yakanyanya yekuchinja kenza. Chero hupi hwehutachiona hunoonekwa muhutoni huchabviswa uye huongororwa kuti huve nechokwadi kuti hausi kenza.
Villous Adenoma kana Tubulovillous Adenoma. Rudzi urwu rwepuropiti inotakura dambudziko rekuchinja kenza. Zvinowanzossile, izvo zvinoita kuti zvive zvakaoma kubvisa.
Pseudopolyps. Pseudopolyps inowanzoitika kune vanhu vane chirwere chinoputira chirwere (IBD) . Aya marudzi emapurops, ayo anozivikanwawo seokuvhiringidza mapuropa, akasiyana nemamwe maitiro matatu, uye haatendeuki kenza. Izvo zvinoitika semugumisiro wekusingaperi kusuruvara kunoitika mumakoroni evanhu vane Crohn's disease uye ulcerative colitis.
Polyps uye Zvazvo Zvinonamatira kuCaron Cancer
A polyp inokura zvakasimba, izvo zvinoreva kuti kana yakasara panzvimbo iyo mumakoloni, inogona kuchinja kenza.
Kana ikabviswa, yakadai sepakati pekolonoscopy, haina mukana wekutendeutsa kenza. Mushure mokunge mapepa acho abviswa, ichaongororwa nekenza nechirwere chechirwere . Sessile polyps zvinowanzoita kuti munhu ave nekenza kupfuura pedunculated polyps.
Colon Cancer Screening
Vanhu vanopfuura 50 vanofanirwa kuongororwa nekenza yekoloni-kunze kwevanorwara mune mamwe mapoka evanhu vane ngozi vanotoda kuongorora kare kare uye kakawanda. Avo vari mungozi yakakura yekenza yekoloni nekuda kwehupenyu hwemunhu kana yemhuri yekenza vari pamatambudziko makuru uye vanofanirwa kuongororwa kakawanda uye vachiri vaduku kune avo vasina ngozi ipi zvayo. Vanhu vane chirwere chinoputira chirwere (IBD), uye kunyanya avo vane chirwere chepachirwere chepachirwere kwemakore gumi kana kupfuura, vari pangozi yakanyanya yekenza yekoloni.
Mimwe miedzo inogona kushandiswa kutarisa mapepa inosanganisira:
Polyps inogona kuonekwa kuburikidza nemuedzo wepamusoro, asi inogona kubviswa chete panguva ye sigimoidoscopy kana colonoscopy.
Kana iwe uine hanya nezvehutano hwekenza yekoloni, taura nachiremba wako nezvei uye nguva yakawanda iwe unofanirwa kuongororwa.
Sources:
American Society For Gastrointestinal Endoscopy. "Kunzwisisa Polyps uye Kurapa Kwavo." ASGE.org 2011.
American Society Of Colon & Rectal Surgeons. "Polyps of the Colon uye Rectum." FASCRS.org 2011.