Polyp ezimpundu kwi ingquza: Iimpawu and Treatment

Iipolyps emseleni ezimpundu kunye ezinqeni zibizwa ngokuba ithumba nabungozi, apho sivela isifo anorectal. Bavame nazimpawu, kodwa kwakhona zenzeka kabi neyona ezimpundu okanye ukurhawuzelela, intlungu kunye nokopha ngenxa ukhukhuliseko okubangelwa.

Ukuba polyp ezimpundu bosulelekile, oko kunokukhokelela ithumba kwaye ukuvela ehlola ezimpundu. Kuyimfuneko ukuba ukususa polyp efakwa, njengoko bathi bakwazi ukuya abangakwaziyo ebulalayo, zabizwa amanxeba precancerous ye isikali.

Yintoni liqhubu?

liqhubu ngokuba ithumba Ukwakheka, encamathele Umlenze kodonga ilungu umngxuma. Yokuba izifo eliqhelekileyo kwaye kwasekwa naliphi na iqumrhu kwinkqubo yokwetyisa. polyp ezimpundu - ebubonisayo, kunye nokusekwa zingenzeka omabini amaqela enye. Isifo zifumaneka abantu nayiphi na ubudala, nkqu nabantwana. polyposis Family (amafa), akhoyo emizalwaneni elisondeleyo, lifumene umkhwa ukuba zibe ngumhlaza. Polyposis ubunzima ngakumbi kunamadoda (ngesiqingatha) kuneentombi. Malunga ne-10% yabantu abadala kwe-45, njengoko uphando olwenziwe yi-American Association of komhlaza, ubunzima ukusuka polyp ethunjini. 1% kwesi sifo iya amabi. Noko ke, ukuba iimpawu ukopha (yobubi) ezichongiweyo kwi kusekwangoko kwaye enze unyango ngexesha, i-ALS kubhetele kakhulu (84% ezigulane asinde).

iintlobo polyp

polyp ezimpundu nabanako ukwahlulelana ngayo ukunwenwa kunye nenani: polyp ezininzi ngokohlobo yokwakhiwa kwe band kwiindawo ezahlukeneyo ikholoni kunye liqhubu owodwa kwaye kuyenye polyposis amafa.

Xa isakhiwo morphological nabanako ukwahlulelana ngayo polyp ezinezikhondo, villous glandular, glandular, zolutsha (granulating esinganyangekiyo) giperplastinchatye kunye villous. Ngaphezu koko, nabo cell pseudopolyposis xa ukudumba ezingapheliyo kwenzeka ukwanda lohlobo mucosal polyp. Yintoni liqhubu ezimpundu? Amafoto ingabonwa kwinqaku.

polyp Symptomatology colorectal

Akukho mpawu ezithile lwezonyango, nto leyo eza kunceda ukuba kuthi ngokuqinisekileyo malunga phambi kwale ngezifo ziye polyp colon azifumaneki. Ngamandla kwaye kukho iimpawu kuxhomekeka kwinani polyp, isakhiwo morphological, ubungakanani zabo, indawo, kwaye ubukho okanye ukungabikho esinganyangekiyo. Kodwa loo nto yonke, oko rhoqo umfanekiso lwezonyango lukhatshwa iimpawu comorbidities.

Ngokuqhelekileyo, polyp detection kwenzeka ngexesha izifundo wamathumbu endoscopic nezinye izifo. polyp ezinkulu ezimpundu angavela netuwa olunegazi okanye imazi lokuvula ezimpundu, imvakalelo phambi kwebhunga angaphandle kweli orifice nobunzima ezimpundu. ubuhlungu kummandla iliac, kunye osesiswini. Rhoqo, polyp kunokubangela uphazamiseko umsebenzi peristalsis isisu, ukuba negalelo ekuveleni urhudo okanye nokuqunjelwa.

nemiphumela polyp

Isiphumo oqhelekileyo polyp ingabizwa ukuqhina, njengoko ubukho babo kule mithambo ubangela buso kwamathumbu kokuphazanyiswa. Iimpawu ingozi ezifuna unyango olukhawulezileyo kugqirha, uyopha, ngokuba isizathu sokuba kusenokuba umhlaza ngezifo, leyo ukubona kwibakala lokuqala iza kuba negalelo ngokubamba unyango ngempumelelo. Ngomhla ngemvelaphi inkqubo yokukrala kwi polyp badla uxelela iintlungu esiswini. Indlela yokubona i ingquza liqhubu? Kule kamva.

Uxilongo polyp colorectal

Ngenxa lenguqu ukuya udidi polyp amabi, le ithumba colon yatyhila yamathumba umhlaza emininzi. Kule meko, kusenokuba kuhle kwizigulane ekwalatheni polyposis kubekwa esweni rhoqo kwi proctologist ngenxa yobubi kwezi polyp ezininzi.

Ubhaqo polyp eludongeni yobubi efakwa kwi kusekwangoko inokuba negalelo ukususa ngexesha nethumba, no-90% recovery. Kuba ekufumanekeni polyp kwi inxalenye yesiphelo lomsele ezimpundu kunye ezinqeni usebenzisa ilindle uphando yedijithali. Olu hlobo zokufunda kwakhona ivumela ukuphelisa okanye ukuchonga ezinye izifo, umz, fistula efakwa, cysts hemorrhoid izicwili kunye nangezilonda adrectal, ehlola ezimpundu. isifundo umnwe ngabantu, kuquka, likuvumela ukuba siqonde imeko endlaleni.

Indlela ukubona polyp anal ezinezikhondo?

Sigmoidoscopy - ukufunda instrumental efundisayo isikali, evumela ukuba ahlole udonga wamathumbu ngaphakathi 25 ukuphakama cm ukusuka empundwini. Ubuninzi polyp kwenzeka ikholoni sigmoid kunye ezinqeni, nibe nako ukuwenzela ukufumana encediswa proctoscope. A colonoscopy ivumela ugqirha ukuba nomfanekiso ikholoni ngokupheleleyo, nodonga lwawo. ingabizwa kangangoko ukuze efumanise polyp Le ndlela, kwaye igalelo ekufumanekeni ezinye ukungaqheleki amathumbu kunye nophando isifo yayo. Iyithyubu emisele ezimpundu, ixabiso yakhe ngaphezu kwe-1 cm, kutyhilwa eliphezulu colon irrigoscopy emathunjini. Ukuba polyp yafunyanwa ngexesha endoscopy, iingcali wenze umzekelo biopsy kwizifundo zokuqhubela histological kunye cytological.

Nako ukubalula phakathi ubuchule zelebhu ilindle uvavanyo lwegazi ubugqi, evela ukuba ngezifo yethumbu olukrokrelwayo. Ngeendlela yanamhlanje nokuthelekelela ngamalungu lwangaphakathi zingabandakanya ikhompyutha kunye MRIs, nalo negalelo ekufumanekeni ezimbi colon.

diagnosis umehluko

Kuyimfuneko ukuba ukwahlula phakathi liqhubu emisele ezimpundu evela kwinani nezinye izifo zangasese,-arhente zalo, ezifana:

• fibroids uphawu Ithumba neepitelnogo (ithumba layer dystrophy) kunye Angioma (ithumba nemithambo);
• lipoma;
• isifo Crohn kaThixo, nto leyo ngokuphosakeleyo pseudopolyposis;
• actinomycosis of ikholoni (nethumba uqhelekileyo le cecum).

zeemviwo Histological kubaluleke engundoqo umahluko kwesifo polyp colon.

polyp Therapy colon

polyp Conservative abaphathwa. Ukuba ubungakanani liqhubu kunye imvume yayo indawo, luthe lwancothulwa ngexesha endoscopy, yaye ke ukuba akunjalo, ke intsumpa. Iipolyps zisuswa Transanal ezisezantsi zogqunyelelwe. Iipolyps ukuba ubukhulu encinane, ziye zachongwa ngexesha colonoscopy, ziyasuswa ngexesha inkqubo ngu electrosurgical endoscopic (liqhubu baqubuda, babambelela emlenzeni loop electrode kunye ska).

Njani ukususwa liqhubu ezimpundu?

Polyp inkulu isuswe iinxalenye. Kwiimeko ezinqabe kakhulu, izigulo zinokuvela xa polypectomy njengoko ukopha kunye perforation eludongeni kwamathumbu. polyp Ususe phantsi iimviwo histological. Ukuba iiseli umhlaza isifundo afunyanwa, kuphakanyiswa umbuzo site namathumbu resection leyo nqa. polyposis ilifa okanye kwiintsapho anyangwe resection lilonke ikholoni kunye udibaniso lwe ekupheleni kwayo free ke empundwini. Xa zidibene yamathumba adenomatosis kunye nezinye zomzimba, syndrome saqina (osteomas amathambo cranial), le fomu kuphela unyango ukunika isiphumo.

Nantso into ukususwa liqhubu lomsele ezimpundu.

I-ALS polyp colon

Kwiimeko ezininzi, ukususwa ngexesha kunye nokuchongwa polyp kunye achache. Kodwa rhoqo kunye amatyala kokuwela emva kweminyaka omnye ukuya kwemithathu, ngoko ke unyaka emva kokuba ukususwa polyp ezinkulu dimensioned colonoscopy ulawulo kunye endoscopy Kucetyiswa ukuba malunga zonke 3-5 kwiminyaka rhoqo,. Emini liqhubu sihambisane yobubi sihlobene ngqo imali kunye nobungakanani kwingxelo. polyp Multiple amakhulu kakhulu ngakumbi kusenokwenzeka maligniziruyutsya, ukususela umngcipheko yobubi unako ukufikelela-20%. Amathuba ephezulu lenguqu ukuya somdlavuza polyposis kwiintsapho.

Uthintelo polyp colorectal

Okwangoku, akukho nokuthintela liqhubu okhethekileyo. Ukunciphisa ubungozi kwazo, Sicebisa ngokutya elungeleleneyo, yokuphila asebenzayo kunye nokuhlolwa yokupasa ngexesha unyango lwezifo lokugaya ezichongiweyo. Ilinganisa ibalulekileyo yothintelo umhlaza efakwa - Ubhaqo polyp yokuqala.