I-polypectomy Endoscopic: izici zenqubo

Ukungenelela kokuhlinzwa okususelwe ekususweni kwezinto ezingavamile ezivela emkoloni, okungukuthi i-polyps, ibizwa ngokuthi i-polypectomy yamathumbu amakhulu. Esikhathini sokuqala sokubunjwa kwama-polyps - izindawo ezincane zezicubu ezakha njengesisu. Nge-oncology ukubunjwa kwama-polyps akusebenzi, ngakho-ke banconywa ukuba basuswe masinyane, ngokushesha nje lapho betholakala, ngaphandle kokuqokwa kwemithi ekhethekile ngokungabikho kwemininingwane ekhethekile. Futhi nakuba ukubunjwa kwe-polyps kubhekwa kungenangqondo, ingozi ikhona yokuthi uma ama-polyps engasuswa futhi engashiywa ngaphandle kokunakekelwa, khona-ke angakwazi ukugeleza abe nesifo somdlavuza.

Iyini i-polypectomy endoscopic?

Izinkomba

I-Polypectomy yenziwa ukwelashwa nokuxilongwa. Ukutholakala kwezifo kungenzeka uma imfundo ingashadile, uma kukhona ikhono lobuchwepheshe. Ukuze afeze i-histology nge-polyposis, ama-polyps amaningana ngobukhulu obukhulu, abe nesimo esishintshileyo, asusiwe. Ukwelashwa kubonisa noma yiziphi izintambo ezincane uma kwenzeka ukungenelela kokuhlinzwa akubandakanyi izinkinga. Lapho ukwakhiwa kwezitho zangaphakathi, indlela yokugcina i-endoscopy isetshenziswa. Futhi esimweni sezinto ezizimele noma eziningana, ezitholakala eduze komunye nomunye, isibonakaliso siyindlela yokusebenza.

Yikuphi ukuphikisana okwenziwe yi-polypectomy endoscopic?

Ukungafani

Iziguli ezisesimweni esibucayi noma obhekene negazi elibi le-coagulation azihambisani nokususwa okuhleliwe. Ukuvimbela ukuphikisana, ukuhlolwa kwegazi. Ukusebenza ngeke kwenziwe uma ochwepheshe ekhetha ukuthi kuzofaka izinkinga.

Izinhlobo nezici zesifo

Ukuhlukaniswa njalo nokuvuselelwa kwamangqamuzana e-mucosa emathunjini kuyisimo esivamile, noma kunjalo, uma kukhona ukwehluleka okuphula le misebenzi, amaseli emathunjini esikhundleni sokuvuselelwa akhiwa abe ama-polyps.

Isikhathi eside umuntu angaphila nabo futhi angaboni ukuthi kukhona khona emzimbeni.

I-polypectomy ye-Endoscopic yamakoloni kulokhu ingasiza.

Ochwepheshe bahlanganyela ngamaqembu amaningana ama-polyps:

• Intsha yasendaweni, ivela esemncane, ngokuvamile kuya eminyakeni engu-6. La ma-polyps ayengavamile ukungena emdlalweni wegciwane, kodwa lokhu akusho ukungabi nciphisa amaphesenti amancane engozini yabo, ngakho-ke kufanele futhi basuswe.
• I-hamartomatous, evela emgqumeni inhlanganisela engavamile yamaseli futhi ibe umphumela wokuthuthukiswa okungavamile kwezicubu.
• I-Vorsic, ekhula ngesimo sephethi emadongeni emathumbu. Ngokuvame ukuthambekela ekuthuthukiseni ukwakheka komdlavuza.
• Ukusekela okuncane, ukuthuthuka kuya ezincane futhi kungabi nengozi. Ziphakathi kwendlela ejwayelekile kakhulu yokwakheka.
• I-adenomatous, ebhekisela enobungozi kakhulu, ngoba iphendukela emathunjini omdlavuza kaningi.

Izimbangela zesifo

Ngaphambi kokususwa kwe-polyp udokotela uhlola izimbangela ezenzekayo, kubona uhlobo lwe-polyps, ukugwema izinkinga (amanye ama-polyps akumele athintshwe nhlobo). Izinto ezibangela ukubukeka kokubunjwa kunzima ukunquma ngokunembile. Izizathu zokuvela zingase zibe:

• I-Genetic predisposition;
• Ukungena ekudleni kwenani elikhulu lamanoni ezilwane;
• Intuthuko engavamile kanye nesimo sokuzalwa esasizalwa;
• Ukudla okwanele kwemifino eluhlaza, izilwane zasolwandle nama-lactic acid;
• Izifo ezingapheli zamathumbu, ukuvuvukala;
• Ukudla kudla nge-carcinogens amaningi;
• Ukuphazamiseka kwesimiso samathumbu, ukuqotshwa;
• Imikhuba emibi;
• Amakhilogremu engeziwe, ukuhamba okuphansi, ukungabi nokusebenza komzimba.

Baqedwa nini futhi kungani?

Isizathu esiyinhloko sokususwa ukuvimbela ukuthuthukiswa kwesisu somdlavuza. Kubandakanya ukususwa kuboniswa ngobuhlungu, ukungathandeki emathunjini, ukuphuma kwegazi, ukungasebenzi kahle. Kodwa-ke, ngaphambi kokusebenza, lochwepheshe uqhubeka nokuxilongwa ngokugcwele mayelana nokutholakala kwezinto ezivimbela ukungenela okuhlinzekwa ngenxa yemiphumela emibi noma imiphumela engenzeka. Izici zengozi:

• Izifo zesistimu yokujikeleza;
• Ukulimala ezindongeni ze-rectum;
• Isifo sikashukela sikhona;
• Izifo ezithathelwanayo;
• Ukwehla kwegazi okubi;
• Ukungezwani komzimba emithini;
• I-polyp (indawo, usayizi, uhlobo).

Njengamanje, kunezindlela zokungenelela zokungenela, futhi ngenxa yalokho, ngokukhishwa ngokushesha kwama-polyps, udokotela angakhetha izinketho ezingcono kakhulu, isibonelo, i-polypectomy endoscopic iyobekwa.

Izici zokuthola

Ngaphambi kokukhipha ama-polyps, kufanele uqale uqonde izinhlobo, isimo nesimo. I-polyp ingaba nesimo se-fungus, okungukuthi, sinesakhiwo esisemlenzeni ohlangene, sinesizinda esikhulu, ukuthungwa kwayo okunamandla, nesimo esizungezile. Ngaphezu kwalokho, i-polyps ingaba yindlala futhi ilula.

Umuntu angabona ukuthi kukhona ama-polyps emzimbeni lapho enza ukuxilongwa noma ukuhlolwa kwezinye izifo. Ngokuvamile, ukutholakala kwama-polyps kungenangqondo, ngoba uma kudala futhi kuthuthuka emathunjini, akuvamile ukuthola izibonakaliso zokuba khona kwazo. Izindlela eziyinhloko zokuthola ama-polyps zihlanganisa i-endoscopy, i-biopsy ne-colonoscopy.

Lapho wenza ukuhlolwa ngeso lengqondo nge-colonoscopy nokuthola ama-polypic formations, udokotela ukhetha izinketho eziwusizo kakhulu zesenzo. Phakathi nokuhlolwa kokuphela kwe - endoscopic kunokwenzeka ukubona izintambo ezincane zesayizi bese ususa amafomu, ubukhulu bawo abudluli 7 mm. Le ndlela yokususa ama-polyps ayikwazi ukusetshenziswa izikhathi ezingaphezu kwezingu-2 ngonyaka.

I-polypectomy endoscopic ye-gallbladder ivame ukwenza.

Uma kubalulekile ukususa ama-polyps amakhulu, ukungenelela okuhlinzayo kwenziwa nge-polypectomy. Lokhu kusebenza kudinga ukuthi kube khona inqubo ekhethekile endoscopic.

Indlela enembile kakhulu kunoma iyiphi i-polyps ingabizwa ngokuthi isuswe nge-colonoscope yesayithi eyodwa nokuhlolwa okungaphezulu ngaphansi kwe-microscope, kanye ne-biopsy. Ekupheleni kwalesi sigaba futhi sithola imiphumela yocwaningo, kusetshenzwe umsebenzi. Umphumela ngamunye wocwaningo luzodlala indima ebalulekile ekukhethweni kokungenelela kokuhlinzwa, ngoba uma ama-polyps enesifo somdlavuza, isiguli kufanele sithole i-chemotherapy.

Futhi emva kokuthi ama-polyps asusiwe, iminyaka eminingana ngokulandelana njalo ngonyaka uzodinga ukuthi ube ne-colonoscopy, ngoba ama-polyps angaphinda afake.

I-nuances yokungenelela kokuhlinzwa

Ukusebenza okwenziwa ama-rectal kuqedwa kuthiwa i-endoscopic polypectomy. Lolu hlobo lwenqubo yokuhlinzekela lubhekisela ezinkambisweni ezingenabuhlungu kakhulu, ngoba aludingi ukucutshungulwa noma izimpawu. Uma ukhiqiza noma ususa ama-polyps, umuntu akazwa ubuhlungu, ngoba azikho iziphetho zezinzwa emgqonyeni wamathumbu. Ngokuvamile le nqubo yenziwa esibhedlela, futhi amapolitiki amancane kuphela kuya ku-5 mm ubukhulu angaphathwa ngesifo sengqondo.

Kodwa ngokuvamile ama-polyps amancane ayathinteki, kodwa ulinde aze avuthiwe, njengoba engavunyelwe ukuwaqeda ngenxa yengozi yokulimaza izicubu nama-mucosa emathumbu.

I-polypectomy endoscopic ye-rectum eyenziwa kanjani?

Kunezinketho eziningi zokususa ama-polyps ngokusebenzisa lokhu kungenelela:

• Esigabeni esingaphansi se-polyp enkulu ngaphambi kokuba sisuswe, ikhambi elikhethekile le-electrolyte liqaliswa ezimweni ezikhethekile ukugwema ukutholakala kwezinkinga.
• Uma ususa ukubunjwa kwe-polypic ngesimo se-fungus, inqubo ye-coagulation loop, iphonswa kwizombangazwe futhi iyayisika, isetshenziswa. Njengoba le nqola idlula amanje aphansi, ngokushesha futhi iveza indawo yokususwa.
• Uma izimpande ezinkulu ezinesisekelo esikhulu zisusiwe, kusetshenziselwa indlela ehlukanisayo esebenzisa i-loop diam eqoqa futhi ihlukanise ukwakheka.

Eqinisweni, yonke i-polypectomy endoscopic ihlanganisa ukufaka i-anus idivayisi ekhethekile enebhubhu elide nekamelo, lapho ukuhlolwa kwangaphakathi kwezindonga ze-rectum nokukhishwa kwamafomu kwenziwa. Ukukhipha le nqubo kuhilela enye yalezi zindlela. Kodwa-ke, indlela yokususa ama-polyps akhethiwe emva kokuxilongwa okuphelele, hhayi ngesikhathi sokutadisha okuyisisekelo.

Ukuphindaphinda kwama-polyps

Emva kokukhipha ama-polyps okuphindaphindiwe kuvela kuma-13% weziguli eminyakeni emibili yokuqala. Kweminye iminyango yekoloni, ingozi yokubukeka kwayo i-7%.

I-polypectomy endoscopic yokuphela kwesifo ngokuvamile iyenziwa.

Ukuvimbela

Izindlela eziyinhloko zokuvimbela ukubukeka kwama-polyps zihlanganisa: izinguquko zokuphila, ukudla nokucwaninga okuvamile. Ungeluleka ukuvimbela okulandelayo.

Kudingeka ukuba udle ukudla okune-calcium eningi, ngoba i-calcium inomthelela wokuvimbela ngisho nangabe isifo sesivele sidluliselwe.

Kudingeka udle okusanhlamvu okuningi, imifino nezithelo ngokuphathelene nokuqukethwe kule mikhiqizo yenani elikhulu lama-antioxidants kanye nemifino yemifino. Le mikhiqizo inciphisa izingozi zokubunjwa.

Nciphisa amafutha emvelaphi yezilwane. Abantu abadla amafutha amaningi kanye nokudla basengozini enkulu yokuthola umdlavuza we-rectum nama-polyps, ngokungafani nabantu abadla amanoni amanengi. Ungancoma amafutha wemifino.

Ukunciphisa ukuphuza utshwala, ngoba ukuhlukunyezwa kwayo kwandisa kakhulu ingozi yokuthuthukisa umdlavuza we-rectum ne-polyps kuphela, kodwa nezinye izifo.

Kubalulekile ukuyeka ukubhema, ngoba lo mkhuba ukwandisa kakhulu amathuba okuba nomdlavuza wekoloni. Kuyafaneleka futhi ukususa isisindo esiningi futhi ukwandise umsebenzi womzimba.

I-polypectomy yezinye izitho

I-polypectomy endoscopic ye-gallbladder yenziwa kanjani?

Ama-polyps ngokuvamile ayenzeka ku-gallbladder. Enye encane ayingozi. Awunakunaka. Kodwa uma kuneziningana zazo futhi ubukhulu bawo bungaphezu kuka-10 mm, khona-ke i-polypectomy endoscopic yenziwa. Ilungu ligcinwa, kuphela ukukhula okumele kususwe. Ngosayizi omkhulu we-polyps, isilwane sonke sisuswe, ngoba umdlavuza kungenzeka.

Iyini i-polypectomy endoscopic yempumu?

Ama-polyps angase avele nasemakhaleni. Indlela yokugcina i-endoscopic polyectomy isusa ukukhula ngokushesha nokubuhlungu. Kunoma imuphi umnyango we- conal nasal kanye nezono ze-paranasal, ama-formations asusiwe. Qinisekisa ukuthi usebenzisa i-shaver kanye nesikhathi esisodwa sokusebenza.

Kukhona i-polypectomy endoscopic yesisu.

Ngezinye izikhathi amangqamuzana akhula ngaphakathi esiswini. Ukuhlinzeka okungapheliyo kuzosiza lapha. Kodwa konke kuzoxhomeka ngobukhulu bemfundo. Uma zikhulu, zenza uchungechunge lokungenelela. Ngalesi sikhathi isiguli sisiphupho sezidakamizwa.

Ku-polypectomy endoscopic isetshenziswa kaningi. Lena indlela ephumelelayo kakhulu yokuqeda ama-polyps ezinhlotsheni ezehlukene.