I-adeloma ye-Tubular ene-dysplasia ye-1-2 degrees

Amathambo emathumbu atholakala kubantu abaninzi. Isifo esichengileyo kakhulu salo lungu sisifo esibuhlungu se-epithelium. I-Cancer ye-colon kunye ne-rectum ithatha enye yezona ndawo zikhokelela kwi-ecological structure of pathologies. Esi sifo sivame ukukhokelela ekufeni kwezigulane. Ngoko ke, kubalulekile ukufumanisa ngexesha ezo zimo eziphambili ukukhula kakubi kweeseli. Enye yezobuchopho i-adenoma ye-tubular (i-polyp). Nangona iqulethwe yilezi zisele ze-epithelial eziqhelekileyo, ziyakwazi ukuhlaziya zibe siswini. Ngoko ke, ukuba i-adenoma yamathumbu ifunyanwa, kuhlale kuyimfuneko ukubonisana ne-oncologist. Kwiimeko ezininzi, kuyimfuneko ukususa ukwenziwa kobugcisa.

Yintoni i-aduloma ye-tubular yekolon?

Ngokuqhelekileyo iifowuni zeBinign zamathumbu zifumaneka. Kwiimeko ezinqabileyo, zizisa ukuphazamiseka kwaye zizenza zizive. Ngokuphindaphindiweyo ubukho babo bufumaneka ngethuba, ngexesha loviwo lokukhusela okanye ngexesha lokunyangwa kwamanye amathambo ephepha lokutya. Enye ye-neoplasm i-adenoma ye-tubular yamathumbu. Ngaphandle kukhula okuncinci kummandla wangaphakathi we-epithelium. Ukuba uthatha isincinci se-adenoma tissue (bamba i-biopsy) kwaye uyihlolisise phantsi kwe-microscope, unokubona iiseli ezivuthiweyo zamathumbu. Njengawo onke ama-neoplasms angenangqondo, isakhiwo sakhe sengqondo sakhe sokukhula siphinda siphinde siphinde senze i-epithelium. Nangona kunjalo, i-aduloma ye-tubular isifo, esivame ukuvelisa umdlavuza omnyama. Ngenxa yoko, kubangela ingozi kwimpilo yesigulane. Elinye igama le-neoplasm yesifo esibuhlungu yi-polypoid adenoma. Kwenzeka malunga ne-5% yabemi. Ubume be-adenoma abuxhomeki kwixesha kunye nobulili bomntu. Kwezinye iimeko, kukho iipolisi ezininzi. Kukholelwa ukuba phambi kwe-adenoma ye-tubular yayizikhulu ezincinci, umngcipheko wokuhlambalaza uphantsi. Nangona kunjalo, le mfundiso yeso sizathu sokubhaliswa kwi-dispensary ye-oncology yokubeka iliso ngokuqhubekayo.

Iimbangela ze-adenoma emathunjini

Iingcali zenzululwazi azikaze zenze i-etiological ebonakalayo ekhuthaza ukuphuhliswa kwama-adenomas emathumbu. Kukho iingcamango ezininzi zeziganeko ze-neoplasms ezinobungozi. Uninzi oogqirha bakholelwa ukuba ukudibana kwamanani amaninzi kudlala indima ehamba phambili ekuqalekeni kwesi sifo. Ngaloo ndlela, kukho izizathu ezininzi zokubonakala kwe-adenoma ye-tubular:

1. I-Genetic predisposition. Ulungelelwano xa kwenzeka iintlobo zamathumbu zibaluleke kakhulu. Kwezinye iimeko, i-adenomas i-tubular ifunyanwa kwiintsapho ezininzi.
2. Ubume bokutya. Kukholelwa ukuba abantu ekudleni apho inani elikhulu lezilwanyana zezilwanyana, banomdla wokubonakala kwimizimba yomzimba kunye nomdlavuza wesisu. Ngako oko, umngcipheko wale pathologi wehla ngokusetyenziswa kwemifuno, imifino, ukutya, isityebi kwifiber.
3. Imikhwa emibi.
4. Iimpembelelo kumzimba wee-agents ezihlukahlukeneyo zamachiza, i-radiation ionizing.
5. Iimeko ezinzima.

Ngokuqhelekileyo, i-adenoma ye-tubular ivela kwibadala. Ngenxa yokuba eli qela labantu linomngcipheko ophezulu wokuhlakulela umhlaza wesisu, iipolps ziphantsi kokususwa okufunekayo.

Iindidi ze-adenomas ze-tubular

I-adenoma ye-tubular ingaba nobukhulu obuhlukile. Ihamba ukusuka kumbalwa ambalwa ukuya kwi-2-3 cm. Ngokuxhomekeke kumzekelo omncinci, i-"sessile" iipolisi kunye nezilonda ezinobungozi kwi-pedicle ziyahlukana. Kwakhona, ii-adenomas ze-tubular ziyahlukahluka kwindawo. Ziyakwazi ukufumaneka kwisisu, isigxina kunye ne-sigmoid colon. Kuxhomekeke kwisixa se-adenomas, i-polyps ezingatshatanga kunye neeninzi ziyahlukana. Okona khetho olubalulekileyo kunyango kunye nokuchasiswa kwesi sifo kukwahlula ngokusekelwe kwisakhiwo sakhelo seengxube ze-neoplasm. Kuxhomekeke kule nto, iintlobo ezintathu ze-polyps zamathumbu ziyahlukana:

1. I-tubular benign adenoma. Ngokuhlolwa kwe-microscopic, umntu unokubona ukuba iiseli ze-polyp zolu hlobo zixubile okanye zi-tubules ezixubene zijikelezwe zizicubu ezinxulumene.
2. I-adenoma ye-Tubular-villous - ikhula phantsi kweempembelelo zezinto ezingekho phantsi kwayo kwaye kungabikho unyango. Ukubonakala kwee-polyps zolu hlobo kuphakamisa umngcipheko wokuguguzwa kwintsholongwane yomhlaza. Uviwo lwe-Histological lubonisa zombini iiseli ze-tubular kunye ne-fibrosis.
3. I-adenoma yamanzi. Olu hlobo lwe-polyps zamathumbu luyisimo esinqunyanyelweyo, oko kukuthi, ihlala iguqulwa ibe yisifo esibi. Xa ususa lo msebenzi, ukulungiswa okubanzi kufana neklabishi yaselwandle.

Kufanelekile ukukhumbula ukuba, nangona "ukungenakubungozi" kwe-adenoma ye-tubular, phantse njalo iguqule ibe yi-polyp. Ngokomyinge oku kwenzeka emva kweminyaka engama-4-5 emva kokufunyanwa kwayo.

Umfanekiso weklinikhi we-adenoma ye-tubular yobumathumbu

Ngobuncinane obukhulu, i-adenoma ye-tubular ayinayo nayiphi na imbonakalo yekliniki. Oku kubangelwa kukuba imfundo ayiphazamisi ukusebenza ngokuqhelekileyo kwamathumbu kunye nokuhamba kwesitulo. Ukuba i-polyp ifinyelela ngamasentimitha ambalwa ububanzi (ukusuka kwi-2 okanye ngaphezulu), ubukho bayo bunokukrokrwa ngeempawu zeklinikhi. Phakathi kwabo, kukho utshintsho olunjengokuxhamla kwamathumbu emathunjini, ukukhulelwa kwamathambo, intlungu ngexesha lokuxhatshazwa. Iimpawu ze-tubular adenoma:

1. Ukutyunjwa okanye urhudo.
2. Ukubonakala kwegazi ngexesha lokuchaswa. Oku kubangelwa kukuba iimazi zilimaza udonga lwe-adenoma ye-tubular.
3. Ubuhlungu ngexesha lokunyakaza kwesisu.
4. Ukutshiza kwi-anus.

Kufuneka kukhunjulwe ukuba iimpawu ezinjalo zingabonisa ukuqala kwe-tumor ebulalayo yesigmoid okanye i-rectum. Ngoko ke, xa uhlakulela umfanekiso ofanayo wekliniki, kuyimfuneko ukukhawuleza ukubonisana ne-proctologist.

I-adenoma ye-Tubular yekholoni ene-dysplasia: inkcazo

Ukutshintshwa kwemfundo ebuncinci kumdlavuza kuqala ngokuguqulwa kweminye kwimilo yeselula ye-adenoma - dysplasia. Kwi-polyp tubular le nkqubo ayigcinwanga. Ngokuqhelekileyo, i-rearrangements yamaseli yenzeka eyenzekayo xa kunesimo esibi. Nangona kunjalo, loo mbono njenge-tubular adenoma ne-dysplasia ikhona. Ukubonakala kweeseli ezifayo kubakho xa i-polyp ikwandiswa ngobukhulu. I-adenoma ye-tubular iguqulwa ibe yinto eyenza i-tubular-formous. I-Dysplasia ayisoloko ibonisa ukungalungi kwenkqubo. Kuxhomekeke kwinqanaba lokukhula kwamaseli e-adenoma. Nangona kunjalo, ukubonakala kwezinto ezingenanto, nangona kwindleko encinane, kwandisa umngcipheko wokwakha umhlaza wengqondo.

Amagatya e-dysplasia kwi-adenomas ebulalayo

Kukho ama-3 degrees e-dysplasia kwi-adenomas ezibulalayo zamathumbu. Iindlela zobugqirha zixhomekeke kwiininzi ze-polyp ezitshintshileyo. I-adenoma ye-Tubular ene-dysplasia ye-1-2 degrees ine-prognosis efanelekileyo yokunyango. Ubungakanani obuphezulu bokuguqulwa komdlavuza kubonwa ngenguqu ezitshintshiweyo kwi-cellular composition of polyp. I-dysplasia echanekileyo ibonakaliswa ngongqimba lwendawo yokusekwa kwe-intestinal epithelium. I-nucleus yeseli yintsholongwane, inani lamathambo linyuka. I-Dysplasia ye-degree ephakathi ihluke kwindlela umgca we-basal we-epithelium ophazamisayo, ukwanda kwegama le-germ cells kuyagcinwa. Ukongezelela, izimo ngokwazo zihluke ngobukhulu kunye nomlo. I-dysplasia echazwe nge-dysplasia yinqanaba lokugcina, lilandelwa yi-atypia. Iiseli zihluke ngokuchaneka kunye ne-polymorphism. Inani lezinto eziguqulwayo zivela kwi-0.5 ukuya kwi-1% yezicubu ze-epithelial.

Ukuxilongwa kwe-adenoma ye-tubular yamathumbu

Ukuba kukho ukukrokrelwa kwe-adenoma ye-tubular, iimviwo ze-endoscopic zenziwa . Ziquka i-colonoscopy kunye ne-sigmoidoscopy. Ukukhethwa kwendlela kuxhomekeke kwendawo yepolisi emathunjini. Inxaxheba ebalulekileyo ekuxilongeni kunikwe uphando lwe-hertological and cytological.

Unyango lwe-adenoma ye-tubular

Indlela ephambili yokonyango ukukhutshwa kwe-polyp. Kwiimeko ezinqabileyo, i-adenoma ye-tubular ibonwa kuphela (kunye nobukhulu obuncinane). Kule meko, isigulane kufuneka silandele ukutya kunye nokuphelisa imikhwa emibi. Ngokuqhelekileyo zenziwa i- endoscopic polypectomy. I-dysplasia enamandla yenza umsebenzi.

Ukuthintela ukubonakala kwe-adenomas tubular

Akunakwenzeka ukuqikelela ukuphuhliswa kwe-adenoma ye-tubular. Nangona kunjalo, amanyathelo okukhusela aquka ukutya okunempilo (i-predominance ekudleni kwefiber, inani elincinci leoli). Kwakhona kufuneka kukhishwe ngaphandle kokubhema nokusela utywala kunye ne-annesnes. Emva kweminyaka engama-60, kuyacetyiswa ukuba wenze i-colonoscopy yokuxilonga.