Dab tsi yog hnyuv polyp, cov tsos mob, ua rau thiab kho

Zoo Siab

• Cov tsos mob ntawm txoj hnyuv polyps
• Yuav plab hnyuv polyp hloov mus ua mob cancer?
• Cov tseem ceeb ua
• Yuav kho tus mob li cas

Mob hnyuv polyps yog cov kev hloov uas tuaj yeem tshwm sim hauv txoj hnyuv vim muaj kev nthuav dav ntau ntawm cov hlwb muaj nyob rau hauv cov leeg hauv lub plab hnyuv loj, uas feem ntau tsis ua rau pom cov tsos mob lossis cov tsos mob, tab sis uas yuav tsum tau muab tshem tawm kom tsis txhob muaj teeb meem.

Mob hnyuv polyps feem ntau yog benign, tab sis qee qhov lawv tuaj yeem tsim kho mob qog nqaij hlav hauv plab hnyuv, tuaj yeem ua rau tuag taus thaum nws raug kuaj nyob rau theem kawg. Yog li, cov neeg laus dua 50 xyoo lossis tus neeg muaj keeb kwm mob polyps lossis mob plab hnyuv hauv tsev neeg yuav tsum sab laj nrog tus kws kho mob gastroenterologist thiab ua qhov kev ntsuam xyuas uas pab ua kom paub tias muaj cov polyps tseem nyob rau theem pib.

Cov tsos mob ntawm txoj hnyuv polyps

Cov kab mob hnyuv polyps feem ntau tsis tsim cov tsos mob, tshwj xeeb tshaj yog thaum pib tsim lawv thiab vim li ntawd thiaj li pom zoo kom kuaj txoj hnyuv mob thaum muaj kab mob rau hauv txoj hnyuv lossis tom qab 50 xyoo, txij li tsim muaj polyps los ntawm qhov no ntau muaj hnub nyoog. Txawm li cas los xij, thaum cov polyp twb tau tsim ntau lawm, tej zaum yuav muaj cov tsos mob ntawm qee qhov tsos mob, xws li:

• Hloov pauv lub plab hnyuv, uas yuav yog zawv plab lossis quav tawv;
• Muaj ntshav tawm hauv cov quav, uas tuaj yeem pom nrog qhov muag liab qab lossis kuaj tau hauv cov ntshav kuaj pom nyob hauv cov quav;
• Mob plab los yog tsis xis nyob, xws li roj thiab plab hnyuv.

Nws yog ib qho tseem ceeb rau tus neeg sab laj txog tus kws kho mob gastroenterologist yog tias lawv muaj cov tsos mob uas qhia tias yog mob plab hnyuv, vim tias qee qhov muaj feem ntau yuav ua mob qog noj ntshav. Yog li, los ntawm kev txheeb xyuas cov cim thiab cov tsos mob nthuav qhia los ntawm tus neeg thiab kev tshwm sim los ntawm kev ntsuas cov duab, tus kws kho mob tuaj yeem tshawb xyuas qhov mob hnyav ntawm polyps thiab qhia txog kev kho mob uas tsim nyog tshaj plaws.

Yuav plab hnyuv polyp hloov mus ua mob cancer?

Feem ntau, kev mob plab hnyuv polyign muaj benign thiab muaj qhov tsawg tsawg ntawm qhov mob qog noj ntshav, txawm li cas los xij ntawm adenomatous polyps lossis tubule-villi muaj qhov muaj feem ntau yuav ua mob qog nqaij hlav. Ntxiv rau, qhov kev pheej hmoo ntawm kev hloov pauv muaj ntau dua nyob rau hauv sessile polyps, uas yog tiaj thiab muaj ntau dua 1 cm inch.

Ntxiv rau, qee qhov tseem ceeb tuaj yeem ua rau muaj kev pheej hmoo ntawm hloov lub polyp mus rau mob qog nqaij hlav, xws li muaj ntau polyps hauv txoj hnyuv, muaj hnub nyoog 50 xyoo lossis ntau dua thiab muaj cov mob tshwm sim hauv plab hnyuv, xws li Crohn kab mob thiab mob plab, muab ua piv txwv.

Txhawm kom txo txoj kev pheej hmoo ntawm txoj hnyuv polyps los ua cancer nws pom zoo kom tshem tawm txhua polyps dhau 0.5 cm los ntawm txoj hnyuv laus, tab sis ntxiv rau nws yog ib qho tseem ceeb kom tawm dag zog tsis tu ncua, muaj kev noj haus nplua nuj nyob hauv fiber ntau, tsis txhob haus luam yeeb thiab tsis txhob haus cawv ntau, vim cov no yam ua rau mob cancer pib.

Cov tseem ceeb ua

Mob hnyuv polyps tuaj yeem tshwm sim vim yog cuam tshuam nrog kev noj mov thiab kev nyob hauv tus kheej, ua ntau zaus tshwm sim tom qab hnub nyoog 50 xyoo. Qee qhov haujlwm tseem ceeb cuam tshuam nrog kev txhim kho plab hnyuv polyps yog:

• Rog dhau los lossis rog dhau;
• Kev tswj tsis tau hom ntshav qab zib hom 2;
• Cov zaub mov muaj roj ntau;
• Noj cov zaub mov tsis muaj calcium, zaub thiab txiv hmab txiv ntoo;
• Cov mob o, xws li colitis;
• Lynch syndrome;
• Familial adenomatous polyposis;
• Gardner's mob ntsws;
• Peutz-Jeghers mob ntsws.

Ntxiv rau, cov neeg uas haus luam yeeb lossis haus cawv ntau dhau heev lossis tus neeg muaj keeb kwm mob polyps lossis mob qog nqaij hlav hauv plab kuj tseem muaj feem ntau txhim kho hnyuv polyps hauv lawv lub neej.

Yuav kho tus mob li cas

Kev kho mob rau txoj hnyuv polyps yog ua tiav los ntawm kev tshem tawm thaum kuaj txoj hnyuv, thiab tau qhia rau cov polyps uas ntev dua 1 cm ntev, cov txheej txheem tshem tawm polyp raug paub tias yog polypectomy. Tom qab tshem tawm, cov polyps raug xa mus rau qhov chaw kuaj thiab tshuaj ntsuam xyuas kom pom cov cim tsis ua haujlwm. Yog li, raws li kev soj ntsuam, tus kws kho mob tuaj yeem qhia tau txuas ntxiv ntawm kev kho mob.

Tom qab ua tiav qhov kev tshem tawm ntawm polyp nws yog ib qho tseem ceeb uas tus neeg muaj qee qhov kev tiv thaiv kom tsis txhob muaj teeb meem thiab kev tsim cov hnyuv polyps tshiab. Ib qho ntxiv, nws yuav raug pom zoo los ntawm tus kws kho mob kom rov ua qhov kev kuaj mob tom qab ob peb xyoos los kuaj xyuas kev tsim cov polyps tshiab thiab, yog li, kev tshem tawm tshiab tau qhia. Saib dab tsi yog kev saib xyuas tom qab tshem tawm cov polyps.

Thaum muaj polyps me dua li 0.5 cm thiab uas tsis ua rau qhov tsos ntawm cov tsos mob lossis tsos mob, nws yuav tsis tsim nyog los ua qhov kev tshem tawm ntawm polyp, nrog tus kws kho mob tsuas pom zoo kom rov kuaj dua thiab rov kuaj dua txoj hnyuv.