Iri Rudzi rwePolp Runowanika Muvanhu vane IBD uye Haasi Precursor kuCcercer
Kune chimiro chepuropiti inogona kuwanika mumakoloni evanhu vane chirwere chekudzivirira chirwere (IBD) , kana Crohn's disease kana ulcerative colitis, iyo inenge isiri iyo yechokwadi yakanyora. Iko kukura kunonzi pseudopolyps nokuti haisi mapuropu zvachose; pane kudaro, ivo "vanonyengera" mapuropu. Pseudo inoreva "fake" kana "phony," uye apo zvivakwa pachavo zviri chaizvo, haisi iyo imwechete yemhando inobviswa nokuti inogona kukonzera kenza yekoloni.
Nzira yePseudopolyps Form
Vanhu vane IBD vanogona kuva nekuputika mumakumbo avo, izvo zvinoitika panguva yekurwisana kwechirwere chacho. Kune vamwe, kuvhuvhuta kunogona kuva kwakanyanya uye kunogona kupfuurira kwenguva yakareba. Kuvhiringidza kunotungamirira kumaronda chaiwo (masango) murusvingo rwekoloni. Mu ulcerative colitis, izvo zvinokambaira zvinowanzovharirwa kumadziro emukati emakoloni, asi muCrohn's disease, zvironda zvinogona kupinda zvakadzika mumukati. Kutenderera kwekurohwa uye kuporesa kunoguma mukusika kwezvisikwa zvitsvuku. Izvi zvakafanana nekuputika kwepamusoro peganda kunogona kukonzera ruvara rwakatarisa rwakasiyana nerutivi rwakapoteredza, rusina kuputika.
Mucheka mutsvuku unowanikwa mumakoloni apo kuputika kuripo uye zvino anoporesa zvakangofanana nemapuropiti, asi haasi kufanana nemapuropiti akare ari pachigamba. Pseudopolyps dzakanyarara uye dzinotarisa zvakafanana nehutu.
Pseudopolyps Haisi Kungozi yeKana
A polyp iri kukura mukati mekoni inogona kutora maitiro akasiyana-siyana, asi inenge nguva dzose inotakura dambudziko rekuva kenza yekoloni.
Nokuda kwechikonzero ichocho, mapuropu anobva abviswa panguva yekolonoscopy sechinhu chinowanzoitika. Vanhu vazhinji vanopfuura makore makumi mashanu vanotanga kuumba mapuropiti, ndicho chikonzero chikoloscopy kuratidzwa chekenza yekoloni inotanga kubva pazera iroro. Kana iyo pombi yakabviswa, ndizvo zvakaitawo mungozi iyo inova kenza. Pseudopolyps, zvisinei, haine dambudziko rakadai rekutengesa kenza uye saka haadi kudzingwa.
Nzira yeGastroenterologist Inoona sei Pseudopolyps
Muchikamu chemumwe munhu ane chironda chekuonda kana chirwere cheCrohn, panogona kunge kune zvinhu zvakasiyana-siyana zvisingaitiki zvinowanzoitika kuti gastroenterologist inogona kudana "kuwana" kana "chirwere." Izvi zvinogona kusanganisira pseudopolyps uye polyps, uye muCrohn's disease, chimwe chinhu chinonzi cobblestone chiratidzo . Chiratidzo cheCobblestone chinowanikwa apo zvikamu zvemukoni zvinoratidzika semugwagwa wecobblestone nekuda kwekuputika nekuporesa zvakare, uye kuwanikwa kunoonekwa semugumisiro weCrohn's disease.
Gastroenterologist akadzidziswa uye ane ruzivo angaziva musiyano pakati pepolp or pseudopolyp pakuona, asi chidimbu chemunzvimbo yacho chichatorwawo, kuti chive nechokwadi. Bhiopsy, iyo inoshandiswa yemaviri, inogona kutorwa kubva mukati mekoni panguva ye sigimoidoscopy kana colonoscopy. Zvinyorwa zvinowanzotorwa kubva munzvimbo dzakasiyana-siyana dzekoloni uye kutumirwa kunechiremba wekuongorora kuti aone kusarudzwa kwezvimwe zvinhu zvisina kuwanikwa zvinowanikwa. Nenzira iyi, chero mapepa kana pseudopolyps anogona kuonekwa zvakanaka. Izvo gastroenterologist inoda kunyatsogutsikana kuti chero chinhu chakafanana nepuropp is pseudopolyp uye kwete chechokwadi chepfundo.
Nzira dzePseudopolyps Dzinobatwa Sei
Icho hachisi kazhinji kurapwa kwakakodzera kunodiwa pseudopolyps iyo inokonzerwa nechirwere cheCrohn kana chironda chekuonda.
Kazhinji, zvinokurudzirwa (sezvisizvo) kuti kana kutuka kuripo kubva kuBD, kurapwa kunofanira kupfuurirwa kana kuiswa kuti iite pasi pesimba. Tarisa ne gastroenterologist kana pane mibvunzo pamusoro pepseudopolyps uye zvavanorevei pamusangano weBD.
Shoko Rinobva
Pseudopolyps haisiwo chikonzero chekufunganya, asi inogona kuva chiratidzo chokuti kupisa kukuru kwakabvumidzwa kupfuurira mukoni. Kurapa kwakakodzera kweBD kuchareva kuti kuputira kunoramba kuripo, pamwe chete nezviratidzo. Kushanyirwa nguva dzose ne gastroenterologist uye nekugadzirwa kwerongwa hwekurapa kwakakodzera kunobatsira kuchengetedza IBD kutungamirirwa.
Kunetseka pamusoro pekuwanikwa kwepseudopolyps kana chokwadi chechidimbu mumakoloni panguva yekolonoscopy inofanira kukurukurirana ne gastroenterologist.
Sources:
D'Haens G, Rutgeerts P. Endoscopy muzvirwere zvinoputika. Muna: Waye J, Williams C, Rex DK, eds. Colonoscopy . Oxford: Blackwell Publishing. 2004.
Morris CJ, Dudnick RS. "Bridges of Chronic Inflammatory Bowel Disease." Clinical Gastroenterology uye Hepatology . 11: 7; A26. 17 Sept. 2013. DOI: http://dx.doi.org/10.1016/j.cgh.2012.09.011