iphepha_banner

Ukuqonda i-polyps ye-gestrointeltenal: Isishwankathelo sempilo yokutya

I-gestrointestinal (GI) i-polyps kukukhula ezincinci okukhula kwilayini yendlela yokugaya, ngokuyintloko kwiindawo ezifana nesisu, amathumbu kunye nekholoni. Ezi polyps ziqhelekileyo, ngakumbi kubantu abadala ngaphezulu kwe-50. Nangona uninzi lwe-GI POlyps lube lubufa, ezinye zinokuqhubela phambili kwi-colon. Ukuqonda iindidi, oonobangela, iimpawu, isifo, kunye nonyango lwe-GI polyps kunokunceda kwangoko kwaye kuphuculwe iziphumo zesigulana.

1. Zithini iipolyps ze-gestrointel?

I-gestrointentinal polyp kukukhula okungaqhelekanga kwezicubu ezivela kwilayini yephecana lokugaya. Banokwahluka ngobukhulu, bekwimilo, kunye nendawo, echaphazela iindawo ezahlukeneyo zephecana ye-GI, kubandakanya i-esophagus, isisu, isisu esincinci, kunye ne-colon. I-Polyps isenokuba iflethi, i-sessile (iqhotyoshelwe ngqo kwi-lining), okanye i-peutun iqhotyoshelwe (iqhotyoshelwe nge-stalk encinci). Uninzi lwee-polyps azinikeli, kodwa iintlobo ezithile zinokuphuhlisa ukuba zibe ngamathumba amaninzi ngokuhamba kwexesha.

Ukungakwazi

I-2. Iindidi zeepolyps ze-gestrointel

Iindidi ezininzi ze-polyps zinokwenza kwiTekti yeGi, nganye ineempawu ezizodwa kunye nengozi yomhlaza:

• I-Adenomatous Polyps (i-adenoms): Olu luhlobo luqhelekileyo lweepolyps olufumaneka kwikholoni kwaye unakho ukuphuhlisa umhlaza webala. I-Ademis ihlelwa kwi-subimar, i-filting, okanye i-tubuloviling subtypes, kunye ne-adenomis evilmini enomhlaza ophezulu.

I-Hyperplastic Polypps: ngokubanzi incinci kwaye ifumaneka kwikholoni, ezi polyps zinomngcipheko ophantsi womhlaza. Nangona kunjalo, iipolyplist ezinkulu ze-hyperplastic, ngakumbi kwicala lasekunene lekolon, linokuba nomngcipheko owonyuka kancinci.

• I-polyps polyps: igcinwe kubantu abanefoldi ye-FIFEN

• I-Hamoromatous Polyps: Ezi polyps zingaqhelekanga kwaye zinokwenzeka njengenxalenye ye-syndromes yemfuza njenge-peutz-joshers syndrome. Nangona iqhele ukubhubha, ngamanye amaxesha banokunyusa umngcipheko womhlaza.

• I-Fenda Polyps: ifunyenwe esiswini, ezi polyps zihlala zincinci kwaye zibhunga. Nangona kunjalo, kubantu abathatha i-pump ye-pump ye-proton ye-proton (i-PPIs), ukwanda kwe-fric gland polyps, nangona umngcipheko womhlaza uhlala ephantsi.

I-3. Izizathu kunye nezinto zomngcipheko

Unobangela ngqo we-gipolps awusoloko ucacile, kodwa izinto ezininzi zinokonyusa amathuba okubakhulisa:

• I-genetics: Imbali yosapho idlala indima ebalulekileyo kuphuhliso lwe-polyps. Iimeko zemfuza ezinjenge-adenomatous Polyposis (i-FAP) kunye ne-Lynch Syndrome yonyusa umngcipheko we-polyps kunye nomhlaza kwiminyaka yobudala.

Ubudala: Iipolyps zihlala zibonwa ngabantu abangaphezulu kwama-50, kunye nomngcipheko weepolyps ze-addetous kunye nomhlaza we-coloretal ukwanda kweminyaka.

• Indlela yokuphila yendlela: Ukutya okuphezulu kwi-red okanye i-pitings, ukutyeba, ukutshaya, kunye nokuselwa kotywala, kunye nokusetyenziswa okugqithisileyo kukwenziwa komngcipheko wokwenziwa kwe-polyp.

• Iimeko ze-inflamitory: Ukuvunywa okungapheliyo kwe-GI iphecana, kudla ngokubonakala kwiimeko ezinje ngesifo sikaCrohn kunye nesifo sika-Ilcetive Collitis, sinokuba negalelo kuphuhliso lweepolyps.

• Ukusetyenziswa kwamayeza: Ukusetyenziswa kwexesha elide kwamayeza athile, anjengee-Anti-I-Steroidal Anti-I-Anti-I-Anti-I-I-Anti-I-Antis) kunye ne-PPIS, zinokuphembelela umngcipheko weentlobo ezithile zepolyps.

4. Iimpawu ze-gestrointentinal polyps

Uninzi lweepolyps, ngakumbi ezincinci, zi-Asymptomatic. Nangona kunjalo, iipolyps ezinkulu okanye iipolyps kwiindawo ezithile zinokubangela iimpawu, kubandakanya:

• Ukopha ngokubhukuqa: igazi kwisitulo linokubangela i-polyps kwikoloni okanye kwi-rectum.

• Guqula imikhwa yeqhekeza: Iipolyps ezinkulu zinokukhokelela ekuqulunqeni, isifo sohudo, okanye imvakalelo yokukhutshelwa ngaphandle.

• Intlungu yesisu okanye ukungonwabisi: nangona kunqabile, ezinye iipolyps zinokubangela ukuba kubekho ukulinganisa ubushushu be-phecture ukuba bathintele inxenye ye-GI iphecana.

I-Anemia: I-Polyps ephaphazela kancinci kunokubangela i-iron deminaia, ekhokelela ekukhathaleni nasebuthathaka.

Kuba iimpawu zihlala zilungile okanye zingabikho, ukukhangelwa kwesiqhelo, ngakumbi kwi-polyps, kubalulekile ukuba kufunyenwe kwangoko.

I-5. Ukufumanisa isifo se-gestrointenal polyps

Izixhobo ezininzi zokuxilonga kunye neenkqubo zinokufumana i-gipopps, ngakumbi kwikholoni nesisu:

• IColonoscopy: Ikholonoscopy yeyona ndlela isebenzayo yokufumanisa nokususa i-polyps kwikolon. Ivumela ukuboniswa ngokuthe ngqo kwe-lining ye-colon kunye ne-rectum, kwaye naziphi na iipolyps ezifunyenweyo zihlala zisuswa ngexesha lenkqubo.

• I-Endoscopy ephezulu ye-Endoscopy: ye-polyps esiswini okanye kwi-phectory ye-gi ephezulu, i-endoscopy ephezulu yenziwa. Ityhubhu eguquguqukayo enekhamera ifakwe ngomlomo ukuze ibe nomfanekiso-ngqondweni we-esophagus, isisu, kunye ne-duodenum.

I-Sigmoidoycopy: Le nkqubo ihlola indawo engezantsi yekoloni, eyaziwa ngokuba yi-sigmoid colon. Ingafumana i-polyps kwi-rectum kunye ne-colon esezantsi kodwa ayifikeleli kwikholoni ephezulu.

• Uvavanyo lokuhlanjwa: Uvavanyo oluthile lwesitoli lunokufumana umkhondo wegazi okanye i-DNArmal DARDSRUSRSRORSRORSRUSTED edityaniswe kwi-polyps okanye umhlaza webala.

• Ukufumanisa iimvavanyo: I-CT Colonography (i-Wighcopey Colonoscopy) inokwenza imifanekiso eneenkcukacha yekoloni ne-rectum. Nangona ingavumeli ukususwa kwangoko kweepolyps, kunokuba yinto ekhethwayo.

6. Unyango kunye nolawulo

Unyango lwe-GI Polyps luxhomekeke kuhlobo lwabo, ubukhulu, indawo, kunye nokubakho ngenxa yobuqhetseba:

• Ipolypectomy: Le nkqubo yeyona meko ixhaphakileyo yokususa i-polyps ngexesha le-colonoscopy okanye i-endoscopy. I-polyps ezincinci inokususwa usebenzisa umgibe okanye amayeza, ngelixa iipolyps ezinkulu zinokufuna iindlela eziphambili.

• Ukususwa kwetyala: kwiimeko ezinqabileyo apho iipolyps zikhulu kakhulu okanye azinakususwa ngogonyamelo, utyando. Oku kuxhaphake kakhulu kwi-polyps ehambelana ne-syndromes yemvelo.

• Ukubeka iliso rhoqo: kwizigulana ezinepoliplies ezininzi, imbali yosapho yeepolyps, okanye iimeko ezithile zofuzo, i-colonoscopies elandelwayo iyacetyiswa ukubeka esweni iipolip.

Khuphela

I-Polypectomy ye-Polypectomy

I-7. Ukuthintela i-gestrointenal polyps

Ngelixa azikho zonke iipolips, uhlengahlengiso oluninzi lwendlela yokuphila unokunciphisa umngcipheko wophuhliso lwabo:

• Ukutya: Ukutya ukutya okuzitya iziqhamo, imifuno, kunye neengqolowa zizonke ngelixa kuncitshiswa inyama ebomvu kunye nezeminyezizi kunokunceda ukuthoba umngcipheko we-colyps.

• Gcina ubunzima obusempilweni: Ukutyeba kakhulu kudityaniswe kumngcipheko onyukayo weepolyps, ngakumbi kwikholoni, ke ukugcina ubunzima bempilo kuyingenelo.

• Yeka ukutshaya kwaye unciphise ukukhumbula: Zombini ukutshaya kunye nokusetyenziswa kotywala obunzima kunxulunyaniswa nomngcipheko owonyukayo we-GI polyps kunye nomhlaza we-colorecy.

• Ukuhlolwa rhoqo: I-Colonoscopies ye-Colonoscopies kubalulekile, ngakumbi kubantu abangaphezu kwama-50 okanye abo banembali yosapho yePolyps okanye umhlaza webala. Ukufunyanwa kwangoko kweepolips kuvumela ukususwa ngaphambi kokuba ziphumle zibe ngumhlaza.

I-8. I-Prognosis kunye ne-Outlook

I-prognosis kubantu abanee-polyps ze-gestrointenal zihlala zilungile, ngakumbi ukuba i-polyps ifunyenwe kwangoko kwaye isuswe. Ngelixa uninzi lwee-polyps zibufake, ukubeka esweni rhoqo kunye nokususa kunokunciphisa kakhulu umngcipheko womhlaza webala. Iimeko zemvelo ezinxulunyaniswa neepolyps, ezinjengeFOP, zifuna ulawulo olunobunkunkqele obunobunkunkqele ngenxa yomngcipheko omkhulu wobubi.

Ukuqukumbela

I-gestrointentinal polyps kukufumana okuqhelekileyo kubantu abadala, ngakumbi njengoko bekhula. Ngelixa uninzi lwee-polyps lube lubufa, iintlobo ezithile zithwala umngcipheko wokuba nomhlaza xa ushiywe unganyangwa. Ngotshintsho lwendlela yokuphila, ukuhlolwa rhoqo, kunye nokususwa kwexesha ngexesha elifanelekileyo, abantu banokunciphisa kakhulu umngcipheko wabo wokuphuhlisa iingxaki ezinkulu ezivela kwi-GI polyps. Ukufundisa uluntu ngokubaluleka kokufunyanwa kwangoko kunye nendima yamanyathelo okuthintela kubalulekile ekuphuculeni iziphumo kunye nokuphucula umgangatho wobomi.

Thina, Jiangxi Zhuo Ruihua Stomer Guihua Coouth Cortor COORCHEARK., Ngumenzi wase-China kwi-Endoscopici-biopsy godps, i-hemoclip, I-Polyp gorare, Inaliti ye-sclerotherapy, ukutshiza i-catheter, Ibrashi ye-cytology, isikhokelo, Ibhasikithi yokubuyisa ilitye, I-Nasal Biling Drasheter Casheter catheternjl.Ems, Esd, I-ERCP. Iimveliso zethu kufuneka ziqinisekiswe, kwaye izityalo zethu ziqinisekisiwe. Impahla yethu ithunyelwe eYurophu, iMntla Melika, eMbindi Mpuma kunye nenxalenye yeAsia, kwaye ifumana umthengi wokuqonda kunye nokudumisa!


IXESHA LOKUQALA: UNv-18 ukuya kwi-2024