Ma polyps a m'mimba (GI) ndi tinthu tating'onoting'ono tomwe timamera pakhungu la matumbo, makamaka m'malo monga m'mimba, m'matumbo, ndi m'matumbo. Ma polyps amenewa ndi ofala kwambiri, makamaka kwa akuluakulu opitirira zaka 50. Ngakhale kuti ma polyps ambiri a m'matumbo ndi abwino, ena amatha kukhala khansa, makamaka ma polyps omwe amapezeka m'matumbo. Kumvetsetsa mitundu, zomwe zimayambitsa, zizindikiro, matenda, ndi chithandizo cha ma polyps a m'matumbo kungathandize kuzindikira msanga ndikuwonjezera zotsatira za odwala.
1. Kodi Ma polyps a m'mimba ndi chiyani?
Polyp ya m'mimba ndi kukula kosazolowereka kwa minofu yomwe imatuluka m'kati mwa matumbo. Amatha kusiyana kukula, mawonekedwe, ndi malo, zomwe zimakhudza mbali zosiyanasiyana za matumbo, kuphatikizapo m'mero, m'mimba, m'matumbo ang'onoang'ono, ndi m'matumbo. Polyp ikhoza kukhala yathyathyathya, yokhazikika (yolumikizidwa mwachindunji ndi matumbo), kapena yolumikizidwa ndi peduncle (yolumikizidwa ndi phesi lopyapyala). Polyp zambiri si khansa, koma mitundu ina ili ndi kuthekera kwakukulu kokhala zotupa zoyipa pakapita nthawi.
2. Mitundu ya Ma polyps a m'mimba
Mitundu ingapo ya ma polyps ingapangidwe mu GI tract, iliyonse ili ndi mawonekedwe apadera komanso zoopsa za khansa:
• Adenomas (Adenomas): Awa ndi mitundu yofala kwambiri ya ma polyps omwe amapezeka m'matumbo ndipo amatha kukhala khansa ya m'matumbo. Ma Adenomas amagawidwa m'magulu a tubular, villous, kapena tubulovillous, ndipo ma villous adenomas ali ndi chiopsezo chachikulu cha khansa.
• Ma polyps Opanda Mapulasitiki: Kawirikawiri ndi ang'onoang'ono ndipo amapezeka kwambiri m'matumbo, ma polyps awa ali ndi chiopsezo chochepa cha khansa. Komabe, ma polyps akuluakulu opanda mapulasitiki, makamaka kumbali yakumanja ya m'matumbo, akhoza kukhala ndi chiopsezo chowonjezeka pang'ono.
• Matenda Otupa: Kawirikawiri amapezeka mwa anthu omwe ali ndi matenda otupa m'matumbo (IBD), monga matenda a Crohn kapena matenda a zilonda zam'mimba, matenda otupa nthawi zambiri amakhala osavulaza koma amatha kusonyeza kutupa kwa nthawi yayitali m'matumbo.
• Matenda a Hamartomatous Polyps: Matendawa ndi osowa kwambiri ndipo amatha kuchitika ngati gawo la matenda a majini monga Peutz-Jeghers syndrome. Ngakhale nthawi zambiri amakhala abwino, nthawi zina amatha kuwonjezera chiopsezo cha khansa.
• Ma polyps a fundic gland: Amapezeka m'mimba, ma polyps amenewa nthawi zambiri amakhala ang'onoang'ono komanso osavulaza. Komabe, mwa anthu omwe amatenga mankhwala oletsa kupopera a proton pump (PPIs) kwa nthawi yayitali, kuchuluka kwa ma polyps a fundic gland kumatha kuchitika, ngakhale kuti chiopsezo cha khansa chimakhala chochepa.
3. Zoyambitsa ndi Zoopsa
Chifukwa chenicheni cha ma polyps a m'mimba sichimveka bwino nthawi zonse, koma zinthu zingapo zitha kuwonjezera mwayi woti apangidwe:
• Majini: Mbiri ya banja imagwira ntchito yofunika kwambiri pakukula kwa ma polyps. Matenda a majini monga Familyal Adenomatous Polyposis (FAP) ndi Lynch syndrome amawonjezera chiopsezo cha ma polyps a colorectal ndi khansa ali aang'ono.
• Zaka: Ma polyps amapezeka kwambiri mwa anthu opitirira zaka 50, ndipo chiopsezo cha ma polyps a adenomatous ndi khansa ya m'matumbo chimawonjezeka ndi ukalamba.
• Zinthu Zokhudza Moyo: Kudya nyama zofiira zambiri kapena zokonzedwa, kunenepa kwambiri, kusuta fodya, komanso kumwa mowa mopitirira muyeso zonse zagwirizanitsidwa ndi chiopsezo chowonjezeka cha mapangidwe a polyp.
• Matenda Otupa: Kutupa kosatha kwa njira ya m'mimba, komwe nthawi zambiri kumawoneka m'matenda monga matenda a Crohn ndi matenda a zilonda zam'mimba, kungathandize kuti ma polyps ayambe kukula.
• Kugwiritsa Ntchito Mankhwala: Kugwiritsa ntchito mankhwala ena kwa nthawi yayitali, monga mankhwala oletsa kutupa (NSAIDs) ndi ma PPI, kungayambitse chiopsezo cha mitundu ina ya ma polyps.
4. Zizindikiro za Matenda a M'mimba
Ma polyps ambiri, makamaka ang'onoang'ono, sasonyeza zizindikiro. Komabe, ma polyps akuluakulu kapena ma polyps m'malo ena angayambitse zizindikiro, kuphatikizapo:
• Kutuluka Magazi m'chimbudzi: Magazi m'chimbudzi amatha kuchitika chifukwa cha ma polyps m'matumbo kapena m'matumbo.
• Kusintha kwa Zizolowezi za M'mimba: Ma polyps akuluakulu angayambitse kudzimbidwa, kutsegula m'mimba, kapena kumva ngati munthu sanatuluke m'mimba mokwanira.
• Kupweteka M'mimba Kapena Kusasangalala: Ngakhale kuti sizichitika kawirikawiri, ma polyp ena angayambitse kupweteka pang'ono mpaka pang'ono m'mimba ngati atsekereza gawo la GI tract.
• Kuchepa kwa magazi m'thupi: Ma polyps omwe amatuluka magazi pang'onopang'ono pakapita nthawi angayambitse kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa ayoni, zomwe zimapangitsa kuti munthu atopa komanso afooke.
Popeza zizindikiro nthawi zambiri zimakhala zosaonekera kapena sizipezeka, kufufuza pafupipafupi, makamaka ma polyps a colorectal, ndikofunikira kwambiri kuti munthu azindikire msanga.
5. Kuzindikira Matenda a Ma polyps a m'mimba
Njira zingapo zodziwira matenda zimatha kuzindikira ma polyps a m'mimba, makamaka m'matumbo ndi m'mimba:
• Colonoscopy: Colonoscopy ndiyo njira yothandiza kwambiri yopezera ndikuchotsa ma polyps m'matumbo. Imalola kuwona mwachindunji mkati mwa matumbo ndi rectum, ndipo ma polyps aliwonse omwe amapezeka nthawi zambiri amatha kuchotsedwa panthawi ya opaleshoniyi.
• Upper Endoscopy: Pa ma polyps m'mimba kapena m'mimba, upper endoscopy imachitidwa. Chubu chosinthasintha chokhala ndi kamera chimayikidwa kudzera pakamwa kuti chiwonetse m'mero, m'mimba, ndi duodenum.
• Sigmoidoscopy: Njirayi imafufuza gawo la pansi la m'matumbo, lotchedwa sigmoid colon. Imatha kuzindikira ma polyps mu rectum ndi m'matumbo otsika koma sifika pamwamba pa m'matumbo.
• Kuyesa Chimbudzi: Kuyesa kwina kwa chimbudzi kumatha kuzindikira zizindikiro za magazi kapena zizindikiro zachilendo za DNA zomwe zimagwirizanitsidwa ndi ma polyps kapena khansa ya m'matumbo.
• Mayeso Ojambula: CT colonography (virtual colonoscopy) ingapangitse zithunzi za m'matumbo ndi m'matumbo. Ngakhale sizimalola kuti ma polyps achotsedwe nthawi yomweyo, ikhoza kukhala njira yosavulaza.
6. Chithandizo ndi Kasamalidwe
Chithandizo cha ma polyps a m'mimba chimadalira mtundu wawo, kukula, malo, ndi kuthekera kwa khansa:
• Kuchotsa ma polypectomy: Njirayi ndiyo njira yodziwika kwambiri yochotsera ma polyp panthawi ya colonoscopy kapena endoscopy. Ma polyp ang'onoang'ono amatha kuchotsedwa pogwiritsa ntchito snare kapena forceps, pomwe ma polyp akuluakulu angafunike njira zapamwamba kwambiri.
• Kuchotsa Opaleshoni: Nthawi zina pamene ma polyp ndi akulu kwambiri kapena sangathe kuchotsedwa pogwiritsa ntchito endoscopic, opaleshoni ingafunike. Izi zimachitika kawirikawiri pa ma polyp okhudzana ndi majini.
• Kuwunika Nthawi Zonse: Kwa odwala omwe ali ndi ma polyp angapo, mbiri ya banja la ma polyp, kapena matenda enaake a majini, colonoscopy yotsatiridwa nthawi zonse imalimbikitsidwa kuti iwunikire ma polyp atsopano.
Msampha wa polypectomy
7. Kupewa Matenda a M'mimba Osauka
Ngakhale kuti si ma polyps onse omwe angapewedwe, kusintha kwina kwa moyo kungachepetse chiopsezo cha chitukuko chawo:
• Zakudya: Kudya zakudya zokhala ndi zipatso, ndiwo zamasamba, ndi tirigu wonse komanso kuchepetsa nyama zofiira ndi zokonzedwa kungathandize kuchepetsa chiopsezo cha matenda a colonectal polyps.
• Khalani ndi Kulemera Kwabwino: Kunenepa kwambiri kwagwirizanitsidwa ndi chiopsezo chowonjezeka cha matenda a polyps, makamaka m'matumbo, kotero kusunga kulemera kwabwino n'kopindulitsa.
• Siyani Kusuta ndi Kuchepetsa Kumwa Mowa: Kusuta fodya komanso kumwa mowa wambiri kumawonjezera chiopsezo cha matenda a GI polyps ndi khansa ya m'matumbo.
• Kuyezetsa Kawirikawiri: Kuyezetsa magazi pafupipafupi n'kofunika kwambiri, makamaka kwa anthu azaka zopitirira 50 kapena omwe ali ndi mbiri ya matenda a polyps kapena khansa ya m'matumbo. Kuzindikira msanga ma polyps kumathandiza kuti achotsedwe asanakhale khansa.
8. Kuneneratu za matenda ndi chiyembekezo
Matenda a m'mimba mwa anthu omwe ali ndi ma polyp m'mimba nthawi zambiri amakhala abwino, makamaka ngati ma polyp apezeka msanga ndikuchotsedwa. Ngakhale kuti ma polyp ambiri ndi abwino, kuyang'aniridwa ndi kuchotsedwa nthawi zonse kungachepetse kwambiri chiopsezo cha khansa ya m'matumbo. Matenda a majini okhudzana ndi ma polyp, monga FAP, amafunika kuthandizidwa mwamphamvu chifukwa cha chiopsezo chachikulu cha khansa.
Mapeto
Matenda a m'mimba ndi omwe amapezeka kwambiri mwa akuluakulu, makamaka akamakalamba. Ngakhale kuti matenda ambiri a m'mimba ndi abwino, mitundu ina imakhala ndi chiopsezo chokhala ndi khansa ngati sichitha kuchiritsidwa. Kudzera mu kusintha kwa moyo, kuyezetsa nthawi zonse, komanso kuchotsa matendawa nthawi yake, anthu amatha kuchepetsa kwambiri chiopsezo chawo chokhala ndi mavuto aakulu chifukwa cha matenda a m'mimba. Kuphunzitsa anthu kufunika kozindikira msanga komanso ntchito yoteteza matendawa ndikofunikira kwambiri pakukweza zotsatira ndikukweza moyo wabwino.
Ife, Jiangxi Zhuo Ruihua Medical Instrument Co., Ltd., ndi opanga ku China omwe amagwira ntchito kwambiri pazinthu zogwiritsidwa ntchito m'ma endoscopic, mongamphamvu ya biopsy, hemoclip, msampha wa polyp, singano ya sclerotherapy, katheta wopopera, maburashi a cytology, waya wotsogolera, dengu lotengera miyala, katheta yotulutsira madzi m'mphunondi zina zotero zomwe zimagwiritsidwa ntchito kwambiri muEMR, ESD, ERCPZogulitsa zathu zili ndi satifiketi ya CE, ndipo mafakitale athu ali ndi satifiketi ya ISO. Katundu wathu watumizidwa ku Europe, North America, Middle East ndi mbali ina ya Asia, ndipo makasitomala ambiri amalandira ulemu ndi kutamandidwa!
Nthawi yotumizira: Novembala-18-2024