Ipolypectomy

Umxholo

• Yintoni i-polypectomy?
• Yintoni injongo ye-polypectomy?
• Ithini inkqubo?
• Uyilungiselela njani i-polypectomy
• Kuthatha ixesha elingakanani ukubuyela kwimeko yesiqhelo?
• Zithini iingxaki kunye neziphumo ebezingalindelekanga?
• Yintoni imbonakalo?

Yintoni i-polypectomy?

I-polypectomy yinkqubo esetyenziselwa ukususa iipolyps ngaphakathi kwikholoni, ekwabizwa ngokuba ngamathumbu amakhulu. I-polyp yingqokelela engaqhelekanga yethishu. Inkqubo ayisebenzi kwaye ihlala iqhutywa ngaxeshanye nekholonoscopy.

Yintoni injongo ye-polypectomy?

Amaninzi amathumba ekholoni akhula njengokukhula (engeyomhlaza) ukukhula ngaphambi kokuba abe yingozi (umhlaza).

I-colonoscopy yenziwa kuqala ukubona ubukho bazo naziphi na iipolyps. Ukuba kukho naziphi na ezifunyanisiweyo, kwenziwa i-polypectomy kwaye izicubu ziyasuswa. Izicubu ziya kuvavanywa ukufumanisa ukuba ingaba ukukhula komhlaza kungumhlaza, kungaphangeli, okanye kulungile. Oku kunokuthintela umhlaza wekolon.

Iipolyps zihlala zingahambelani nazo naziphi na iimpawu kwaphela.Nangona kunjalo, iipolyps ezinkulu zinokubangela:

• ukuphuma kwegazi
• intlungu zesisu
• izitenxo ezenzeka emathunjini

I-polypectomy inokunceda ekunciphiseni ezi mpawu. Le nkqubo iyadingeka naliphi na ixesha xa kufunyanwa iipolyps ngexesha lekholonoscopy.

Ithini inkqubo?

I-polypectomy idla ngokuqhutywa ngaxeshanye njenge-colonoscopy. Ngexesha lekolonoscopy, icolonoscope iya kufakwa kwi-rectum yakho ukuze ugqirha abone onke amacandelo ekholoni yakho. Ikholonoscope yityhubhu ende, ebhityileyo, eguqukayo enekhamera kunye nokukhanya esiphelweni sayo.

I-colonoscopy inikezelwa rhoqo kubantu abangaphezulu kweminyaka engama-50 ubudala ukuba bajonge naluphi na ukukhula okunokubonisa umhlaza. Ukuba ugqirha wakho ufumanisa iipolyps ngexesha le-colonoscopy yakho, baya kuhlala benza i-polypectomy ngexesha elifanayo.

Zininzi iindlela apho i-polypectomy inokwenziwa khona. Yeyiphi indlela ugqirha ayikhethayo eya kuxhomekeka kuhlobo luni lwee-polyps ezikwikholoni.

Iipolyps zinokuba zincinci, zinkulu, zincinci, okanye zi-pedunculated. Iipolyps ze-Sessile zithe tyaba kwaye azikho isiqu. Iipolyps ezibunjiweyo zikhula kwizikhondo ezinje ngamakhowa. Kwiipolyps ezincinci (ngaphantsi kwe-5 millimeters ububanzi), i-biopsy forceps ingasetyenziselwa ukususwa. Iipolyps ezinkulu (ukuya kuthi ga kwiisentimitha ezi-2 ububanzi) zinokususwa kusetyenziswa umgibe.

Kwi-polypectomy yomgibe, ugqirha wakho uza kukhupha ucingo olucekeceke ezantsi kwe-polyp kwaye asebenzise ubushushu ukunciphisa ukukhula. Nasiphi na isicwili okanye isiqu esishiyekileyo emva koko siyabiliswa ngomzimba.

Ezinye iipolyps, ngenxa yobukhulu obukhulu, indawo, okanye ukumiselwa, zithathwa njengezicel'umngeni kwezobuchwephesha okanye zinxulunyaniswa nomngcipheko okhulayo weengxaki. Kwezi meko, i-endoscopic mucosal resection (EMR) okanye i-endoscopic submucosal dissection (ESD) yeendlela inokusetyenziswa.

Kwi-EMR, i-polyp iphakanyisiwe ukusuka kwizicubu ezisisiseko kusetyenziswa inaliti yolwelo ngaphambi kokuba kwenziwe resection. Le inaliti yolwelo ihlala yenziwe ngetyuwa. I-polyp isuswa kwisiqwenga esinye ngexesha, elibizwa ngokuba yi-piecemeal resection. Kwi-ESD, ulwelo lujojowe nzulu kwisilonda kwaye ipolyp isuswe kwinto enye.

Kwezinye iipolyps ezinkulu ezingenakususwa ngokungapheliyo, ukuhlinzwa kwamathumbu kunokufuneka.

Nje ukuba i-polyp isuswe, iya kuthunyelwa kwilebhu yezifo ukuvavanya ukuba i-polyp inomhlaza. Iziphumo zihlala zithatha iveki enye ukubuya, kodwa ngamanye amaxesha zinokuthatha ixesha elide.

Uyilungiselela njani i-polypectomy

Ukuze wenze i-colonoscopy, oogqirha bakho bafuna amathumbu akho amakhulu ukuba acace gca kwaye angabinakho nakuphi na ukuphazamiseka okubonakalayo. Ngesi sizathu, uya kucelwa ukuba ukhuphe ngokupheleleyo amathumbu akho kusuku olunye okanye ezimbini ngaphambi kwenkqubo yakho. Oku kunokubandakanya ukusebenzisa i-laxatives, ukuba ne-enema, kunye nokutya ukutya okucacileyo kokutya.

Ngaphambi nje kwe-polypectomy, uya kubonakala ngudokotela we-anesthetist, oya kulawula i-anesthetic yenkqubo. Baza kukubuza ukuba ukhe wasabela gwenxa kwi-anesthetic ngaphambili. Nje ukuba ulungele kwaye unxibe ilokhwe yakho yasesibhedlele, uya kucelwa ukuba ulale ngecala ngamadolo akhutshelwe esifubeni sakho.

Inkqubo inokwenziwa ngokukhawuleza. Ihlala ithatha kuphela phakathi kwemizuzu engama-20 ukuya kwiyure e-1, kuxhomekeke kulo naluphi na ungenelelo oluyimfuneko.

Kuthatha ixesha elingakanani ukubuyela kwimeko yesiqhelo?

Akufanele uqhube iiyure ezingama-24 ulandela ipolypectomy.

Ukuchacha ngokukhawuleza kuyakhawuleza. Iziphumo ebezingalindelekanga ezincinci ezinje nge-gassiness, bloating, kunye necramp zihlala zisombulula ngaphakathi kweeyure ezingama-24. Ngenkqubo ebandakanyekayo, ukubuyiswa ngokupheleleyo kungathabatha ukuya kwiiveki ezimbini.

Ugqirha wakho uya kukunika imiyalelo yokuba uzikhathalele njani. Banokucela ukuba uphephe iziselo ezithile kunye nokutya okunokucaphukisa inkqubo yakho yokwetyisa iintsuku ezimbini ukuya kwezintathu emva kwenkqubo. Oku kunokubandakanya:

• iti
• kofu
• isoda
• utywala
• ukutya okuneziqholo

Ugqirha wakho uya kukucwangcisela ikholonoscopy yokulandela. Kubalulekile ukujonga ukuba i-polypectomy ibe yimpumelelo kwaye akukho zixhobo zingaphezulu ziye zaphuhliswa.

Zithini iingxaki kunye neziphumo ebezingalindelekanga?

Umngcipheko we-polypectomy unokubandakanya ukugqobhoza kwamathumbu okanye ukuphuma kwegazi. Le micimbi ifana nekholonoscopy. Iingxaki zinqabile, kodwa qhagamshelana nogqirha wakho kwangoko ukuba unayo nayiphi na kwezi mpawu:

• umkhuhlane okanye ukubanda, njengoko oku kunokubonisa usulelo
• ukopha kakhulu
• iintlungu eziqatha okanye ukudumba esiswini sakho
• ukugabha
• ukubetha kwentliziyo ngokungaqhelekanga

Yintoni imbonakalo?

Ukujonga kwakho ukulandela ipolypectomy ngokwayo kulungile. Inkqubo ayisebenzi, ibangela kuphela ukungaphatheki kakuhle, kwaye kuya kufuneka ubuyiselwe ngokupheleleyo kwiiveki ezimbini.

Nangona kunjalo, imbonakalo yakho iyonke iya kugqitywa yinto efunyenwe njengesiphumo se-polypectomy. Ikhosi yalo naluphi na unyango olongezelelekileyo iya kugqitywa ngokuba ingaba iipolyps zakho zinobungozi, ziyingozi okanye zinomhlaza.

• Ukuba banobungozi, ke kunokwenzeka ukuba akukho lunye unyango oluya kufuneka.
• Ukuba banomdla, kukho ithuba elihle lokuba umhlaza wekolon unokuthintelwa.
• Ukuba banomdlavuza, umhlaza wekolon uyanyangeka.

Unyango lomhlaza kunye nempumelelo yayo iya kuxhomekeka kwizinto ezininzi, kubandakanya ukuba leliphi inqanaba umhlaza elikulo. Ugqirha wakho uza kusebenza nawe ukwenza isicwangciso sonyango.