Colonic (Colorectal) iiPolyps
![Colorectal Polyps| USMLE STEP, NCLEX, COMLEX](https://i.ytimg.com/vi/57OboUyH_5U/hqdefault.jpg)
Umxholo
- Iindidi zeepolyps zecolonic
- Yintoni ebangela iipolypic polyps?
- Imifanekiso yeepolyps zecolon
- Ngubani osemngciphekweni wee-polyps ze-colonic?
- Zichongwa njani iipolyps?
- Zinyangwa njani iipolyps?
- Zingathintelwa njani iipolyps zecolonic?
- Ukuthatha
Zithini iipolyps?
Iicolyp polyps, ezikwabizwa ngokuba ziicoloipal polyps, ukukhula okuvela ngaphezulu kwikholoni. Ikholoni, okanye amathumbu amakhulu, yityhubhu ende engenamqolo emazantsi endawo yokwetyisa. Kulapho umzimba wenza kwaye ugcine isitulo.
Kwiimeko ezininzi, iipolyps azibangeli zimpawu kwaye zihlala zifumaneka kuvavanyo lokuvavanywa komhlaza wekolon yesiqhelo. Nangona kunjalo, ukuba uziva unempawu, zinokubandakanya:
- igazi kwisitulo okanye ukuphuma kwegazi
- iintlungu, urhudo, okanye ukuqhina okuhlala ixesha elide kuneveki enye
- isicaphucaphu okanye ukugabha ukuba une polyp enkulu
Igazi elikwiphepha lakho langasese okanye ilindle eligaziweyo linokuba luphawu lokuphuma kwegazi kwaye kufuneka kuvavanywe ngugqirha.
Iindidi zeepolyps zecolonic
Iipolyps kwikholoni zinokwahluka ngokobungakanani kunye nenani. Zintathu iintlobo zeepolyps:
- Iipypypplyp polyps azinabungozi kwaye azikhuli zibe ngumhlaza.
- Polyp Adenomatous zezona zixhaphakileyo. Nangona uninzi alunakuze lukhule lube ngumhlaza, banakho ukuba nomhlaza wekolon.
- Iipolyps ezinobungozi zii-polyps eziqwalaselweyo phantsi kovavanyo oluncinci ukuba zibe neeseli zomhlaza kuzo.
Yintoni ebangela iipolypic polyps?
Oogqirha abayazi eyona nto ibangela iipolyps zecolonic, kodwa iipolyps zibangelwa kukukhula okungaqhelekanga kwinyama.
Umzimba uhlakulela iiseli ezintsha ezisempilweni endaweni yeeseli ezindala ezonakalisiweyo okanye ezingasafunekiyo. Ukukhula nokwahlulwa kweeseli ezintsha kuhlala kulawulwa.
Kwezinye iimeko, nangona kunjalo, iiseli ezintsha zikhula kwaye zahlule ngaphambi kokuba zifuneke. Ukukhula okugqithileyo kubangela ukuba ii-polyps zibumbe. Iipolyps zinokuphuhla nakweyiphi na indawo yekholoni.
Imifanekiso yeepolyps zecolon
Ngubani osemngciphekweni wee-polyps ze-colonic?
Nangona imbangela ethile yeepolyps ze-colonic ingaziwa, kukho izinto ezithile ezinokunyusa umngcipheko wokuphuhlisa iipolyps. Ezi zinto zibeka emngciphekweni zibandakanya:
- ungaphezulu kweminyaka engama-50
- ukutyeba kakhulu
- ukuba nembali yosapho yeepolyps okanye umhlaza wekolon
- ukuba neepolyps ngaphambili
- ukuba nomhlaza wesibeleko okanye umhlaza wesibeleko ngaphambi kweminyaka engama-50
- ukuba nesimo sokuvuvukala esichaphazela i-colon, njengesifo sikaCrohn okanye i-ulcerative colitis
- uhlobo olungalawulwayo lwe-2 yeswekile
- ukuba nengxaki yelifa, njengeLynch syndrome okanye isifo sikaGardner
Indlela yokuziphatha enokuthi ibe negalelo ekukhuleni kweepolyps zibandakanya:
- ukutshaya
- ukusela utywala rhoqo
- ukuba nokuhlala phantsi
- ukutya ukutya okunamafutha aphezulu
Unokwazi ukunciphisa umngcipheko wee-polyps xa usenza utshintsho kwindlela yokuphila ukuze ujongane nezi ndlela zokuziphatha. Ukuhlala uthatha idosi ephantsi ye-aspirin kunye nokongeza i-calcium kwindlela otya ngayo kunokunceda ekuthinteleni iipolyps. Ugqirha wakho unokufumana ezinye iingcebiso zokunciphisa umngcipheko.
Zichongwa njani iipolyps?
Iipolyps zifumaneka kwinani leemvavanyo. Olu vavanyo lunokubandakanya:
- Colonoscopy. Ngexesha lale nkqubo, ikhamera eqhotyoshelwe kumbhobho omncinci, oguqukayo ujijwa nge-anus. Oku kuvumela ugqirha wakho ukuba ajonge i-rectum kunye ne-colon. Ukuba i-polyp ifunyenwe, ugqirha wakho angayisusa kwangoko okanye athathe iisampulu zethishu yohlalutyo.
- Isigmoidoscopy. Le ndlela yovavanyo iyafana nekholonoscopy, kodwa inokusetyenziselwa kuphela ukubona i-rectum kunye ne-colon esezantsi. Ayinakusetyenziselwa ukuthatha i-biopsy, okanye isampulu yethishu. Ukuba ugqirha wakho ufumanisa i-polyp, kuyakufuneka ucwangcise ikholonoscopy ukuba isuswe.
- I-enema yeBarium. Kolu vavanyo, ugqirha wakho utofa i-barium engamanzi kwi-rectum yakho kwaye emva koko usebenzisa i-X-ray ekhethekileyo yokuthatha imifanekiso yekolon yakho. I-Barium yenza ikholoni yakho ibonakale imhlophe kwimifanekiso. Kuba iipolyps zimnyama, kulula ukuba zichongwe ngokuchasene nombala omhlophe.
- I-CT yobugcisa. Le nkqubo isebenzisa i-CT scan ukwakha imifanekiso yekholoni kunye ne-rectum. Emva kokuskena, ikhompyuter idibanisa imifanekiso yekholoni kunye ne-rectum ukuvelisa umbono we-2- kunye no-3-D wommandla. I-colonology ye-CT ngamanye amaxesha ibizwa ngokuba yi-colonoscopy ebonakalayo. Ingabonisa izicubu ezidumbileyo, ubunzima, izilonda, kunye neepolyps.
- Uvavanyo lwelindle. Ugqirha wakho uya kukunika ikiti yovavanyo kunye nemiyalelo yokubonelela ngesampulu yestool. Uya kubuyisela isampuli kwi-ofisi kagqirha wakho uhlalutyo, ngakumbi ukuvavanya ukopha ngemicroscopic. Olu vavanyo luya kubonisa ukuba unegazi kwisitulo sakho, esinokuba luphawu lwepolyp.
Zinyangwa njani iipolyps?
Eyona ndlela yokunyanga ii-polyps ze-colonic kukususa. Ugqirha wakho uya kususa iipolyps zakho ngexesha le-colonoscopy.
Iipolyps ziyavavanywa phantsi kwemicroscope ukubona ukuba loluphi uhlobo lwepolyp kwaye ukuba ngaba kukho iiseli zomhlaza ezikhoyo. Oogqirha banokuhlala belahla iipolyps ngaphandle kokwenza utyando.
Nangona kunjalo, unokufuna utyando ukuze ususe iipolyps ukuba zikhulu kwaye azinakususwa ngexesha lekolonoscopy. Kwiimeko ezininzi, oku kunokwenziwa ngotyando lwe-laparoscopic. Olu hlobo lotyando lungena kancinci kwaye lusebenzisa isixhobo esibizwa ngokuba yi-laparoscope.
I-laparoscope yityhubhu ende, ebhityileyo enokukhanya okuphezulu kunye nekhamera yesisombululo esiphakamileyo ngaphambili. Isixhobo sifakwa ngokusikwa esiswini. Nje ukuba ugqirha wakho wotyando abe nembonakalo yekolon yakho, baya kususa iipolyps besebenzisa isixhobo esikhethekileyo.
Ugqirha wezifo, okanye umntu ogxile kuhlalutyo lwethishu, uya kujonga iipolyps kwiiseli ezinomhlaza.
Zingathintelwa njani iipolyps zecolonic?
Ukugcina ukutya okunempilo kunokunceda ukuthintela ukukhula kweepolyps. Oku kubandakanya ukutya iziqhamo, imifuno, ukutya okuziinkozo kunye nenyama engenamafutha.
Unokwazi ukukhusela iipolyps ngokunyusa ukutya kwakho i-vitamin D kunye ne-calcium. Ukutya okunotyebi ku-vitamin D kunye ne-calcium kubandakanya:
- ibrokholi
- iyogathi
- ubisi
- itshizi
- amaqanda
- isibindi
- intlanzi
Ungawunciphisa umngcipheko wee-polyps ngokunciphisa ukutya kwakho okunamafutha aphezulu, inyama ebomvu kunye nokutya okuqhubekekayo. Ukuyeka ukutshaya nokwenza umthambo rhoqo ngamanyathelo abalulekileyo okuthintela ukukhula kweepolyps.
Ukuthatha
Iipolyp polyps azihlali zibangela naziphi na iimpawu. Zifumaneka rhoqo ngexesha lokuhlolwa rhoqo kwe-colon, njenge-colonoscopy okanye i-sigmoidoscopy.
Olona khetho lwakho lufanelekileyo lokufumanisa ukuba unee-polyps ze-colonic kukuba uhlolo lwekholoni rhoqo xa ugqirha elucebisa. Iipolyps zihlala zisuswa ngaxeshanye nenkqubo yovavanyo.
Nangona ii-polyps zihlala zinobungozi, oogqirha bahlala bezisusa kuba ezinye iintlobo zeepolyps zinokuthi kamva zibe ngumhlaza. Ukususa iipolyps ze-colonic kunokunceda ukukhusela umdlavuza wekolon ekuphuhliseni.
Ukutya okunempilo, kubandakanya ukutya okune-vitamin D, i-calcium, kunye nefayibha, kunokunciphisa umngcipheko wokuphuhlisa iipolyps.