Polyp: ndeapi maitiro emhino, dundira uye colon polyps?
Mapolyps kukura kunowanzo kuwanikwa pamadziro ekoloni, rectum, chibereko, dumbu, mhino, sinuses, uye dundira. Vanogona kuyera kubva pamamirimita mashoma kusvika kune akati wandei masendimita. Nepo muzviitiko zvakawanda, aya ane benign uye anowanzo asymptomatic tumors, mune dzimwe nguva anogona kuita cancer.
Mhino polyp
Nasal polyp (nasal polyp) kureva kukura kwemukati wemhino unovhara mbiru dzema sinuses. Aya mapundu, anowanzoitika uye asina kunaka, ane ruzivo rwekuti kazhinji ari maviri. Dzinogona kuitika chero pazera.
A nasal polyp inogona kuoneka sechikamu chenasal sinus polyposis, iyo inoratidzwa nekuwanda kwe microscopic polyps mumucheka wemhino uye sinuses.
Zvinhu zvinotyisa
"Zvikonzero zvepamhino yepolyp yakawanda," anodaro Dr. Anne Thirot-Bidault, oncologist. Kutaurwa kunogona kunyanya kuitwa kwekuzvimba kusingaperi kwemasina, asima, kusashivirira kune aspirin. Cystic fibrosis zvakare inokonzeresa kuumbwa kwepolyp. A genetic predisposition (nhoroondo yemhuri) zvakare inogoneka mune iyi kesi ”.
zviratidzo
Zviratidzo zvikuru zvenasal polyp zvakafanana zvikuru neaya echikosoro. Zvechokwadi, murwere achaona kurasikirwa kwekunhuwa, uye achatambura nekunzwa kwemhino yakavhara, kudzokorora kuhotsira, kuwedzera kwehupu uye kuridza ngonono.
Mishonga
Sekurapa kwekutanga, chiremba achanyora mushonga wemishonga unobva pane corticosteroids yemunharaunda, mupfapfaidzo, kuti isaswe mumhino. Kurapa uku kunobatsira kuderedza zviratidzo nekudzikisa saizi yemapolyps.
Kuvhiya (polypectomy kana kubviswa kwemapolyps) uchishandisa endoscope (flexible viewing chubhu) dzimwe nguva inodiwa kana ichivharira nzira dzemhepo kana kukonzera hutachiona hwema sinus.
Nasal polyps inowanzodzoka, kunze kwekunge kushatirwa kwepasi, allergy, kana hutachiona huchidzorwa.
Dundira polyp
Dundira mapolyps tunhu tudiki tudiki tunokura kubva muchikamu chedundira, chinonzi urothelium. Aya mapundu anenge anogara achigadzirwa nedysplastic, kureva, masero ane kenza.
zviratidzo
Kazhinji yenguva, ma polyps aya anowanikwa mukuvapo kweropa muweti (hematuria). Zvinogonawo kuratidzwa nekupisa paunenge uchiita weti kana nekunzwa kunorwadza kuita weti.
Zvinhu zvinotyisa
Zvironda zvedupa izvi zvinofarirwa nekuputa uye kusangana nemamwe makemikari (arsenic, pesticides, benzene derivatives, industrial carcinogens). Zvinowanzoonekwa muvanhu vanopfuura makumi mashanu, uye zvinopetwa katatu muvarume pane vakadzi.
"Kana muweti muine ropa, chiremba achatanga araira kuongororwa kwecytobacteriological weti (ECBU) kuitira kuti pasave nehutachiona hweurinary tract, uye kuongororwa weti yemasero asina kujairika (urine cytology) uye dundira fibroscopy," anotsanangura. Dr Anne Thirot-Bidault.
Mishonga
Muchimiro chepamusoro, kurapwa kunosanganisira kubvisa maronda zvachose nenzira dzechisikigo pasi pekamera. Nzira iyi inonzi transurethral bladder resection (UVRT). Mapolyp kana mapolyps anobva apihwa murabhoritari yeanatomopathology iyo, mushure mekuongorora diki, inozoona dhigirii rekupinda uye hukasha hwemasero (giredhi). Zvigumisiro zvichatungamirira kurapwa.
Mune mafomu anopinda anokanganisa tsandanyama yebladder, zvinodikanwa kubvisa nhengo yacho nekupindira kunorema kwekuvhiya (iyo cystectomy).
Colorectal polyp
A colorectal polyp chero chironda chakasimudzwa chemukati wecolon kana rectum. Inonyatsooneka panguva yekuongorora, mukati megumbo rekudya.
Saizi yaro inosiyana - kubva pa 2 millimeters uye mashoma masendimita - kungofanana nechimiro chayo:
Iyo sessile polyp inoita seyakatenderedzwa protrusion (segirazi yewachi), yakaiswa pamadziro emukati mekoloni kana rectum;
Iyo pedicled polyp yakaumbwa sefungus, ine tsoka nemusoro;
Iyo planar polyp inosimudzwa zvishoma pamadziro emukati mekoloni kana rectum;
Uye iyo yakaora mwoyo kana ine ulcerated polyp inoumba gomo mumadziro.
Colon polyps zvakanyanya panjodzi
Mamwe macolon polyps ane njodzi huru yekuva cancer.
Adenomatous polyps
Iwo anonyanya kuumbwa nemasero egland anoisa lumen yedumbu guru. “Izvi ndizvo zvinowanzoitika, chiremba anobvuma kudaro. Ivo vane 2/3 yemapolyps uye vari mune pre-gomarara state ”. Kana vakashanduka, 3 adenomas mu1000 inova colorectal cancers. Mushure mekubviswa, ivo vanowanzodzoka zvakare. Kuongorora kwakakosha.
Scalloped kana serrated polyps
Aya adenomatous polyps anobatwa ane mhosva yechikamu chikuru checolon cancer interval (inoitika pakati pembiri yekudzora colonoscopies) nekudaro kudiwa kwekutarisisa.
Mamwe marudzi emakoloni polyps
Mamwe mapoka emacolon polyps, akadai se hyperplastic polyps (inozivikanwa nekuwedzera kwehukuru uye shanduko mumatumbu ari muruko rwecolon) haawanzo kufambira mberi kune colorectal cancer.
Zvinhu zvinotyisa
Colon polyps inowanzoenderana nezera, mhuri kana nhoroondo yega. "Iyi genetic factor inobata 3% yegomarara," inotsanangura nyanzvi. Muchiitiko ichi, tiri kutaura nezvemhuri polyposis kana chirwere cheLynch, chirwere che autosomal chinowanzogara nhaka, izvo zvinoreva kuti munhu anorwara ane mukana we50% wekuendesa chirwere kuvana vake ".
zviratidzo
"Mazhinji colon polyp ane asymptomatic," anosimbisa Dr. Anne Thirot-Bidault. Kashoma, vanogona kunge vari chikonzero chekubuda ropa muchituru (rectal kubuda ropa) ”.
Mishonga
Chiyero chakakosha chekuongorora colon polyp ndeye colonoscopy. Inokubvumira kuona madziro ekoloni uye, uchishandisa forceps, kutora mamwe masampuli (biopsy) kuongorora matishu.
"Ablation, kunyanya panguva yecolonoscopy, ndiyo yakanyanya kurapwa yecolon polyp. Izvi zvinobatsira kudzivirira kutanga kwegomarara, ”anodaro mutauri wedu. Kana iri sessile polyps kana yakakura kwazvo polyps, kubviswa kunofanirwa kuitwa nekuvhiya.
MuFrance, kuongororwa kwegomarara remukati kunopihwa nekukoka, makore maviri ega ega, kuvakadzi nevarume vane makore makumi mashanu kusvika makumi manomwe nemana uye vasina nhoroondo yemunhu kana yemhuri.