Ukwelashwa nokuvikelwa polyp esiswini

Ukwelashwa polyp esiswini, kanye observation Dispensary kufanele sigcwaliswe esekelwe amathuba umdlavuza.

Inkambo zokwelapha kuhlanganisa izindlela ngoludala futhi kuhlinzwa. Kabanzi futhi polypectomy endoscopic.

Ukwelashwa nokuvikelwa polyp izindlela olandelanayo cishe ayizwakali. Ngaphezu kwalokho, unikezwa ukuvama ukuguqulwa neoplastic, zokwakheka ikakhulukazi adenomatous, futhi nobunzima uzingela umdlavuza, kubalulekile ukusebenzisa ukususwa.

Steel kokungenela isikhathi ladluliselwa isenzakalo esiyinhloko akha ukwelashwa okuphumelelayo ka-polyp. The njalo ebekiwe kakhulu gastrectomy. Nokho, njengoba umkhuba imibukiso, ngokulandelana ayisishiyagalombili ukuba amabili amaphesenti iziguli eziqhutshwa wembula Ukuphinda. Cishe amabili nanhlanu kuya amaphesenti amathathu nanhlanu amacala ngemva kokuhlinzwa basungula ezihlukahlukene nemisebenzi iziyaluyalu kanye nezinkinga. Ngaphezu kwalokho, post-op bebeletha ezinhlanu kuya kweziyisishiyagalombili amaphesenti. Ngokusho imiphumela Izibalo, wembula amathuba eliphezulu ukukhula umdlavuza enkolweni eziqhutshwa isitho.

polypectomy Steel kubhekwa indlela ukuqeda polyp, lula futhi kuphephe kuka resection. Excision is wabe eseya lapho zokwakheka ngaphakathi mucosa noma kokukhipha nabo kanye nayo yonke zamatshe odongeni esiswini. ukwelashwa okunjalo polyp liboniswa uma indawo yabo wodwa kanjani oseduze noma uhlobo yabo. Le ndlela futhi esebenzayo uma engenakwenzeka lobuchwepheshe kusetshenziswa indlela endoscopic.

Ukususwa kwezimiso polyp kungaba athutha ukusika usebenzisa iluphu metal noma electrosurgical diathermy loop bese electrocoagulation nge esebenzisa biopsy.

Kufanele kuqashelwe ukuthi polypectomy endoscopic kubhekwa namuhla indlela eyinhloko ukususa nabezempi.

Phakathi izindlela olutholakalayo electroexcision encomekayo kakhulu. Lapho Kwenziwa ngokusebenzisa inhlanganisela yimpumelelo kakhulu yokwehlisa kanye ezijiyisa igazi. polyp elinqunywe akhishwa esiswini futhi kungaba ke lisetshenziswe isifundo histological. I izinkomba ngokusetshenziswa amasu electrosurgical kuyinto ngobungako kumiswa 0.5 kuya ku-3 amasentimitha, ububanzi kwesisekelo salo hhayi ningi than amasentimitha nengxenye. Nge imali encane polyp, le ndlela kuholela ekubhujisweni kanye kumiswa endaweni yayo bokusha. Ngakho, ama-polyp ezincane ngokufanele coagulated usebenzisa coalescer ambiwa kokuqhuba biopsy ukuthethwa kwecala.

Benign noma abulalayo ikholoni polyp, kanye esiswini, sihilela ukuhlinzwa. Nokho, banikezwe amathuba Ukuphinda, kanye emdlavuzeni, eminyakeni yokuqala emibili ngemva kokuhlinzwa, isiguli inikezwa unomphela wezokwelapha isheke-up. Ukuhlola kuqala kuboniswa ekupheleni nengxenye noma izinyanga ezimbili kusukela ngosuku lokuqaliswa yayo, njll - njalo ezinyangeni eziyisithupha.

Ngemva ukususwa zokwakheka abulalayo phakathi nonyaka walo wokuqala kuyinto ukuhlolwa imfuneko nyangazonke. Phakathi nonyaka observation yesibili eyenziwa njalo ngemva kwezinyanga ezintathu. Ngemva kweminyaka emibili, wavumela njalo ukuhlolwa semi yonyaka.

Kufanele kuqashelwe ukuthi ukuphinda polyp (ingozi) emva ukususwa is ebonwe 13% eziguli. Izibalo ezithathwe ngesikhathi eminyakeni yokuqala emibili ngemva kokuhlinzwa. Ngaphezu kwalokho, indlela okwakheke ngayo entsha etholakale 7% eziguli ezindaweni ezahlukene ikholoni.

Kufanele kuqashelwe ukuthi ukwakhiwa kwanoma yiliphi lokubuya kwesifo kuyinkomba for esiphuthumayo kabusha ukuhlinzwa.