I-polyp kwi-colonoscopy ibhekiselele ekukhuleni okungaqhelekanga kwethishu eyenzeka kulwelwe lwangaphakathi lwekholoni. Ezi polyps zihlala zifunyanwa ngexesha lenkqubo ye-colonoscopy, evumela oogqirha ukuba bajonge ngqo amathumbu amakhulu. Ngelixa iipolyps ezininzi zingenabungozi, ezinye zinokukhula zibe ngumhlaza we-colorectal ukuba azibonwa kwaye zisuswe. I-Colonoscopy ihlala iyeyona ndlela isebenzayo yokuchonga kunye nokunyanga iipolyps zekholoni ngaphambi kokuba zenze iingxaki zempilo ezinzulu.
Iipolyps ngamaqela eeseli ezikhula kwikholoni okanye kwirectum. Zinokwahluka ngobukhulu, imilo, kunye nokuziphatha kwebhayoloji. I-Colonoscopy yenza kube lula ukufumana iipolyps ezingenakubonwa ngeempawu zodwa, njengoko iipolyps ezininzi zihlala zithe cwaka iminyaka.
Ngexesha le-colonoscopy, ityhubhu eguquguqukayo enekhamera ifakwe kwi-colon, inika umbono ocacileyo we-intestinal lining. Ukuba i-polyp ibonakala, oogqirha banokuyisusa ngokukhawuleza ngenkqubo ebizwa ngokuba yi-polypectomy. Le nxaxheba ibini ye-colonoscopy-ukufunyanwa kunye nokususwa-yenza ibe ngumgangatho wegolide ekuthinteleni umhlaza we-colorectal.
Iipolyps ziziphumo ezibalulekileyo kwi-colonoscopy kuba zisebenza njengezibonakaliso zesilumkiso. Ngelixa ingezizo zonke iipolyps eziyingozi, ezinye iintlobo zinamandla okuguqula zibe ngamathumba anobungozi. Ukuzifumanisa kwangethuba kuthintela ukukhula kwesifo
Ayizizo zonke iipolyps zekholoni ezifanayo. Banokuhlelwa ngokweendidi ezahlukeneyo ngokusekwe kwinkangeleko yabo kunye nomngcipheko wokuba nomhlaza:
I-Adenomatous polyps (i-adenomas): Olu lolona hlobo luxhaphakileyo lwe-polyps engaphambi komhlaza. Nangona ingeyiyo yonke i-adenoma eya kuba ngumhlaza, uninzi lomhlaza we-colorectal luqala njenge-adenomas.
Iipolyps zeHyperplastic: Ezi zincinci kwaye zithwala umngcipheko ophantsi. Zihlala zifumaneka kwikholoni esezantsi kwaye ngokuqhelekileyo aziqhubeki nomhlaza.
I-Sessile serrated polyps (SSPs): Ezi zibukeka zifana neepolyps ze-hyperplastic kodwa zithathwa njengomngcipheko ophezulu. Ukuba azinyangwa, zinokukhula zibe ngumhlaza wesisu.
Iipolyps ezivuthayo: zihlala zinxulunyaniswa nezifo ezingapheliyo zamathumbu ezifana nesifo sikaCrohn okanye isifo sokubola. Bona ngokwabo abanako umhlaza kodwa babonisa ukuvuvukala okuqhubekayo.
Ngokuhlula i-polyps ngokuchanekileyo, i-colonoscopy ikhokela oogqirha ekumiseni ixesha elifanelekileyo lokulandelelana kunye nezicwangciso zokukhusela.
Izinto ezininzi ezinobungozi zonyusa ithuba lokuphuhlisa iipolyps ezinokubonwa ngexesha le-colonoscopy:
Ubudala: Amathuba okuba neepolyps ayanda emva kweminyaka engama-45 ubudala, yiyo loo nto icolonoscopy screening icetyiswa kule minyaka.
Imbali yosapho: Ukuba nezihlobo ezisondeleyo ezinomhlaza we-colorectal okanye iipolyps kuphakamisa kakhulu umngcipheko.
I-Genetic Syndromes: Iimeko ezifana ne-Lynch syndrome okanye i-familia adenomatous polyposis (FAP) zenza abantu bafumane iipolyps besebancinci.
Iimeko zendlela yokuphila: Ukutya okuphezulu kwinyama ebomvu okanye ecociweyo, ukutyeba kakhulu, ukutshaya, kunye nokusetyenziswa kotywala obuninzi, konke kunegalelo ekwenzeni i-polyp.
Ukuvuvukala okungapheliyo: Izigulane ezine-inflammation bowel disease (IBD), kuquka nesifo sika-Crohn kunye ne-ulcerative colitis, kunokwenzeka ukuba zenze iipolyps ezinobungozi.
Ukuqonda le mingcipheko kuvumela oogqirha ukuba bacebise i-colonoscopy ngexesha elifanelekileyo kunye nokuphindaphinda.
Uninzi lweepolyps azibangeli zimpawu kwaphela. Kungenxa yoko le nto i-colonoscopy ibaluleke kakhulu ekubonweni kwangaphambili. Nangona kunjalo, xa iimpawu zibonakala, zinokubandakanya:
Ukopha kwi-rectal: Izixa ezincinci zegazi zinokubonakala kwiphepha langasese okanye kwisitulo.
Igazi kwisitulo: Ngamanye amaxesha izitulo zinokubonakala zimnyama okanye zihlala ngenxa yokopha okufihliweyo.
Utshintsho kwimikhwa yamathumbu: Ukuqhinwa okuzingileyo, urhudo, okanye utshintsho kwimilo yesitulo kunokubonisa ukuba kukho iipolyps.
Ukukhathazeka kwesisu: Ukuqhawula okanye intlungu engabonakaliyo inokuthi yenzeke ukuba iipolyps zikhula zibe zikhulu.
I-iron-deficiency anemia: Ukulahleka kwegazi kancinci kwiipolyps kunokukhokelela ekudinweni kunye ne-anemia.
Ngenxa yokuba ezi zimpawu zinokudibana neminye imiba yokugaya, i-colonoscopy ibonelela ngendlela eqinisekileyo yokuqinisekisa ukuba iipolyps zikhona.
Enye yeenzuzo ezinkulu ze-colonoscopy kukukwazi ukususa i-polyps ngexesha lenkqubo efanayo. Le nkqubo yaziwa ngokuba yi-polypectomy. Izixhobo ezincinci zigqithiswa kwikholonoscope ukuze zihluthe okanye zitshise i-polyp, ngokwesiqhelo ngaphandle kokuba isigulana siva iintlungu.
Emva kokususwa, i-polyp ithunyelwa kwilebhu ye-pathology apho iingcali zinquma uhlobo lwayo kwaye ingaba iqulethe iiseli ezinomhlaza okanye ezinomhlaza. Iziphumo zikhokela ulawulo lwexesha elizayo.
Akukho polyps zifunyenweyo: Phinda colonoscopy qho emva kweminyaka eli-10.
Iipolyps ezinomngcipheko ophantsi zifunyenwe: Ukulandelela kwiminyaka emi-5.
Iipolyps ezinobungozi obuphezulu zifunyenwe: Phinda kwakhona kwiminyaka eyi-1-3.
Iimeko ezingapheliyo okanye ingozi yofuzo: I-Colonoscopy inokucetyiswa rhoqo rhoqo emva kweminyaka eyi-1-2.
Le shedyuli yobuqu iqinisekisa ukuba iipolyps ezintsha okanye eziphindaphindiweyo zibanjwa kwangoko, zinciphisa kakhulu umngcipheko womhlaza.
I-Colonoscopy ingaphezulu nje kwesixhobo sokuxilonga. Sesona sicwangciso sisebenzayo sokuthintela umhlaza wesisu:
Ukufunyaniswa kwangoko: I-Colonoscopy ichonga iipolyps ngaphambi kokuba zibe neempawu.
Unyango olukhawulezileyo: Iipolyps zinokususwa ngexesha lenkqubo efanayo, ukuphepha iingxaki ezizayo.
Ukuthintela umhlaza: Ukususa i-adenomatous polyps kunciphisa kakhulu umngcipheko womhlaza wesisu.
Impembelelo yezempilo yoluntu: Iinkqubo ze-colonoscopy zesiqhelo ziye zanciphisa amazinga omhlaza we-colorectal kumazwe amaninzi.
Kwizigulane, i-colonoscopy inikeza ukuqinisekiswa kunye nokulawula impilo yabo. Kwiinkqubo zokhathalelo lwempilo, yindlela eqinisekisiweyo yokusindisa ubomi kunye nokunciphisa iindleko zonyango ngokuthintela umhlaza ophezulu.
I-polyp kwi-colonoscopy kukukhula kumgca wangaphakathi wekholoni, ehlala ifunyenwe ngaphambi kokuba kuvele iimpawu. Ngelixa iipolyps ezininzi zinobungozi, ezinye zinamandla okuqhubela phambili kumhlaza we-colorectal. I-Colonoscopy ihlala iyeyona ndlela ilungileyo yokufumanisa kunye nokususa ezi polyps, inika uhlobo olunamandla lokuthintela umhlaza. Ngokuqonda iintlobo ze-polyps, ukuqaphela izinto ezinobungozi, kunye nokulandela iishedyuli ezifanelekileyo zokuhlola, abantu ngabanye banokuzikhusela ngokuchasene neyona mhlaza inokuthinteleka.
I-polyp kukukhula okungaqhelekanga kumgca wangaphakathi wekholoni. Uninzi lunobungozi, kodwa ezinye-ezifana ne-adenomatous okanye i-sessile serrated polyps-zinokuba ngumhlaza we-colorectal ukuba awususwanga.
I-Colonoscopy ivumela ukubonwa ngokuthe ngqo kwekholoni yonke kwaye ivumela oogqirha ukuba babone iipolyps ezincinci ezinokuthi ziphosakele ezinye iimvavanyo. Kwakhona ivumela ukususwa ngokukhawuleza (i-polypectomy) ngexesha lenkqubo efanayo.
Ezona ntlobo ziphambili zii-adenomatous polyps, hyperplastic polyps, sessile serrated polyps, kunye neepolyps ezidumbileyo. Iipolyps ezine-adenomatous kunye ne-sessile serrated zinomngcipheko ophezulu womhlaza.
Oogqirha benza i-polypectomy besebenzisa izixhobo ezifakwe kwikholonoscope ukusika okanye ukutshisa i-polyp. Inkqubo ngokuqhelekileyo ayinabuhlungu kwaye yenziwa phantsi kwe-sedation.
Ukulandelela kuxhomekeke kuhlobo lwepolyp kunye nenani. Akukho polyps ithetha isithuba seminyaka eli-10; iipolyps ezinomngcipheko omncinci zifuna iminyaka emi-5; Amatyala asemngciphekweni omkhulu anokufuna iminyaka eyi-1-3. Izigulana ezinomngcipheko wemfuzo zinokufuna uhlolo rhoqo emva kweminyaka emi-1 ukuya kwemi-2.
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