Izwi rokuti colon polyp rinoreva kukura kusinganzwisisiki mumucheka wekoloni . Kune marudzi akawanda akasiyana- siyana emapuropiti, asi inofungidzirwa kuti anenge 10 kubva muzana chete avo vanongokura kuva kenza yekoni . Izvi zvinokura zvinogona kuenzaniswa sebenign (kwete kenza), pre-cancer, kana kenza.
Kuwana hutachiona hwepoloni hazvirevi chero chinhu-chimwe chetatu cheAmerica kupfuura makore makumi mashanu.
Zvisinei, mamwe mapepa anokwanisa kukura, mutate, uye ave kenza. Izvi zvinofungidzirwa kuti zvinoitika zvishoma nezvishoma, pamusoro pemakore gumi kusvika makumi maviri.
Iko kunononoka kukura kwema polyp ndiyo chikonzero chikuru chekenza yekoloni inodzivirirwa zvikuru. Kana chiremba wako akawana mhando dzakanaka dzemapuropiti-iyo inogona kukura kuva kenza-iye anogona kuvabvisa vasati vawana mukana wekutenderera mberi.
Risk Factors
Iwe unogona kuwana mapuropiti nenzira dzakasiyana-siyana. Sezvaunokura, mapuropa anogona kukura mumakoloni ako, ndicho chikonzero iwe unofanira kutanga kutarisa miedzo yekurapa yekoloni yakapoteredza makore makumi mashanu.
Vamwe vanhu vachakurira mapuropiti nokukurumidza, nekuda kwehupenyu hwehupenyu uye kudya kunoita kuti kukura kwepuropiti, kana kuti ive nemararamiro ane nhaka, zvakadai semhuri adenomatous polyposis (FAP), iyo inowanzosangana nemasikirini emuviri anoita kuti kukura kwep-pre-cancerous polyps wako colon.
Genetics
Kana uine nhengo yemhuri yekutanga (hama, hanzvadzi, baba, amai, mwana) ane kenza yemaroni kana mapuropa, mungozi yako yekuva nekenza yekoloni inowedzera.
Mune mhaka yako, mirayiridzo yekutanga maitiro ekuratidza kenza kuongorora makore makumi mashanu haafaniri kushanda. Chiremba wako angada kutanga kutarisa nekukurumidza.
Familial Adenomatous Polyposis Syndrome (FAP)
Iyi imhuri-yakagadzirirwa nehutano inokonzera kukura kwemazana (kunyange zviuru) zvep-pre-cancerous polyps mukoloni yako.
Kunyange zvazvo zvisiri nyore, vanhu vane FAP vanogona kuongororwa vane kenza yekoloni vachiri vaduku vavo. Zviratidzo zveFAP zvinogona kusanganisira kuchinja maitiro , hutumbu hwemimba, kana zvigaro zvinopa ropa (kubva kumahombekombe makuru).
Hereditary Nonpolyposis Colorectal Cancer Syndrome (HNPCC)
Izvo zvinonziwo seLynch syndrome , iyi imhuri-yakagarwa nhaka iyo inogona kuwedzera mungozi yako ekuva nekenza yekoloni inenge inenge 80 muzana. Izvo hazvina zviratidzo zvekunze zveHNPCC, asi kuongororwa kwemazwi , nhoroondo yemhuri yekenza yekoloni, uye kuongorora kuongorora, zvakadai sekolonoscopy, kuchabatsira chiremba wako kuongorora iyi syndrome.
Peutz-Jeghers Syndrome (PJS)
Iyi inhaka yakagarwa nhaka inokonzera mapolitiki anowanzoita kuti ave nechirwere chekenza. PJS haina kujaira, inopindirana pakati pe1 ne 25,000 kusvika kune imwe uye 300 000 vanhu pakuberekwa.
PJS inogona kupfuurirwa kumwana (50/50 mukana weiyo) kana kukura zvishoma nezvishoma (chikonzero chisingazivikanwi). Zvimwe zviratidzo zvine chokuita nehutachiona, iyo inowanzotariswa pakuberekwa, inosanganisira kuve nerima yakajeka pamiromo kana mumuromo, clubbing yemunwe kana zvigunwe, uye ropa mune chigaro.
Kuderedza Ngozi
Ruzhinji rwevanhu vakuru vanopfuura makumi mashanu vachave nemapurasitiki mumakoloni avo, asi kunogona kuderedza zvinhu zvinokonzera ngozi zvinobatsira kukura uye kuderedza dambudziko rekuita kenza yemukondomu.
Zvinhu zvakadai zvinodzora zvinosanganisira:
- Rega kusvuta-Mukana wekugadzira mapuropiti inopetwa kaviri kana katatu kana ukasvuta.
- Geza kudya kwako-Kudya zvakakora mumafuta uye nyama yakatsvuka uye yakadzika mu fiber kunogona kuwedzera njodzi yekenza yekoloni.
- Inwa doro mumwero-Kuwedzerwa kunwa doro kunowedzera njodzi yekodha yekenza.
- Kudzidzira-Vanhu vane mafambiro emumuviri vane pangozi shomanana yekudzidzira kenza yekolon uye rectum.
- Kuderedza uremu (kana zvichidiwa) -Ukuwedzera kunowedzera ngozi kune kenza.
Zvakakosha kucherechedza kuti kune zvipingamupinyi zvisingakwanise kudzora, zvinosanganisira hutano, makore, zvirwere, uye nhoroondo yemhuri.
Nhoroondo yezvirwere zvechirwere , chirwere cheshuga chechirwere cheshuga, kana mamiriro ezvinhu emhuri anowedzera mukana wekugadzira mapuropa, seFAP kana HNPCC, anogona kukuisawo pangozi yakawanda.
Zviratidzo
Nokuda kwechikamu chikuru, mapepa anogara uye anokura akanyarara mumakoroni ako asina zviratidzo zvekunze. Ikoko guru rinogona kubuda ropa , iro rinogona kuonekwa muchitsiko kana kuti kuongorora kwechivi chekuita masimba. Pashoma pacho, unogona kunzwa kuneta, izvo zvinogona kuitika nekurasikirwa kweropa kudarika (kubuda ropa mumakoloni kubva kune yakakura zvikuru kana kenza yemahara).
Kuongororwa Kuongororwa
Kune zvakawanda zvakasiyana-siyana zvekuongorora kuongororwa zvinoshandiswa kuona hupo hwema polyps mucoloni yako. Ruzhinji rwezviongororwa izvi dzinoda kugadzirira maronda kuti udzikinure chikoni chechigadziko nemvura zviri mukati, zvichibvumira kuonekwa zvakajeka kwema polyps. Miedzo yakadaro inosanganisira:
- Colonoscopy-yakashandiswa kufungidzira uye kubvisa mapepa makuru
- Virtual Colonoscopy ( CT Colonography ) -kufanirwa kufungidzira mapepa
- Kaviri-Kusiyanisa Barium Enema (DCBE) -kufananidzira kufungidzira mapuropa
- Chiitiko cheFecal Test Test Ropa (FOBT) -kuona kuti kubuda ropa mune chigaro
Mitauro yePolps
Polyps dzinodanwa maererano nenzvimbo yazvo, rudzi, uye kuonekwa. Iwe unogona kukura mapuropu mune chero chikamu chekoroni yako kana rectum. Rudzi rwakawanda kupfuura rumwe rwepuropiti ndiro tubular polyp, iyo inogonawo kunge isingagoni kuva nekenza.
Kazhinji kacho, kenza yekoloni inokura kubva pakudzivirira kwema polyps, uye adenocarcinoma ndiyo inonyanya kurudzika yemarara. Adenomatous polyps inogona kuva yakaipa (frond kana mashizha-akadai), yakasimudzwa, kana kuti yakadzika.
Hyperplastic polyps inowanzosanganiswa nekenza yekoloni, zvisinei, inogona kuva isati yave nekenza kana ichiwanika kurudyi rwekoloni yako kana kana iwe une nhoroondo yemhuri ye genetic syndromes.
Kurapa
Kana imwe puropiti yave ichinyatsozivikanwa, chiremba achaongorora mhando yayo uye kukura uye angasarudza kuibvisa uye kuderedza dambudziko rekuti chikafu chive chekenza mune ramangwana. Kubviswa kwepolp kunonzi polypectomy, iyo inowanzopedzwa panguva yako colonoscopy kana sigmoidoscopy.
Kungofanana nedzimwe nzira dzekurapa, kune ngozi dzinobatanidza nekubviswa kwema polyp kusanganisira panjodzi yekudzivirira pfupa (gomba muhodzi), kubuda ropa, uye utachiona, kutumidza zvishomanana. Iva nechokwadi chekukurukurirana nezvengozi uye zvakabatsiro zvekuputika kwepuropiti nachiremba wako.
Uyewo, kana chiremba wako akawana mapepa asina kuwanda kana akawanda kwazvo, iye anogona kutaura newe pamusoro pokubvisa chikamu chekoloni yako. Izvi zvinonzi colectomy .
Sources:
American Cancer Society. (2006). American Cancer Society's Complete Guide kuColorectal Cancer . Clifton Fields, NE: American Cancer Society.
Medline Plus. (nd). Peutz-Jeghers Syndrome.
National Cancer Institute. (nd). Colorectal Cancer Prevention (PDQ).
National Digestive Diseases Information Clearinghouse. (nd). Zvandinoda Kuziva Pamusoro peColon Polyps.