Polypectomy Endoscopic: inkqubo ethile

yokungenelela Surgical isekelwe phezu ukususwa ikholoni zolwakhiwo nemvelo, ezizezi polyp ibizwa polypectomy lwe ikholoni. Ngelo lokuqala ukubunjwa polyp - kwiindawo ezincinane kwithishyu, kwasekwa njengoko ngamathumba. Kuba polyp Oncology okwenyaniso, kodwa ngenxa yokuba kucetyiswa ukuba kususwe ngokukhawuleza uyaziwa, ngaphandle bokunikeza yonyango iziyobisi ezithile kungekho ezibonisa ezithile. Nangona ukuyilwa polyp kuthathwa ukuba akanangozi, ingozi silele into yokuba xa polyp hayi asuswe kwaye washiywa ngaphandle ingqalelo, ngoko ke banako ifikelele wayenomhlaza.

Yintoni na polypectomy endoscopic?

ubungqina

Polypectomy eziqhutywe ukuze unyango kunye noxilongo. Uphethwe kunokwenzeka xa ukuyilwa enye, ukuba indlela kunokwenzeka. Kuba histology of polyposis zisuswe kwi polyp eziliqela ubungakanani inkulu ukuba ifomu iguqulwe kancinane. Ukuze unyango ubonisa naziphi polyp ezincinane xa uqhaqho iBhayibhile ithetha iingxaki. Xa uluhlu enyama yangaphakathi ngokusebenzisa indlela endoscopic. Yaye kwiimeko apho kukho zolwakhiwo zodwa okanye ezininzi zilungiswe ecaleni kwenye, ebonisa intsebenziswano.

Zeziphi Izimo na polypectomy endoscopic?

Izimo

Izigulane zikwimeko kakhulu okanye ukubandezeleka ukusuka igazi ekunqandeni ihlwempu, musa ukuqhuba ukususwa ekucwangciselwa yena. Ukuze ngaphandle Izimo, kuqhuba iimvavanyo zegazi. Lo msebenzi uza ungenziwa ukuba ingcali ugqiba ukuba oko kuya kubangela iingxaki.

Iintlobo kunye neempawu zesifo

Icandelo rhoqo kunye nokuhlaziywa iiseli isifo wamathumbu - yinto eqhelekileyo, kodwa ukuba kukho naziphi na iziphene ezihlambela le misebenzi, iiseli wamathumbu endaweni uhlobo ezihlaziyiweyo polyp.

Kangangexesha elide abantu baphile nabo babe akayiboni ubukho babo emzimbeni.

polypectomy Endoscopic ye ikholoni kulo mzekelo kunganceda.

Iingcali uwahlule amaqela ezininzi polyp:

• elivisayo Local, ukubonakala eselula, ngokuqhelekileyo ukuya kwiminyaka emi-6. Ezi polyp akuvamanga similise imihlaza, kodwa oku akuthethi ukuthintela ipesenti encinane ingozi zabo, kwaye kufuneka isuswe.
• Gamartomatoznye evela isikali kwi idibanise engaqhelekanga eziseleni kwaye sisiphumo sophuhliso inyama engaqhelekanga.
• Villous, ifike ekwimo ikhaphethi ezindongeni emathunjini. Bavame ukuba zikhule zibe zomhlaza.
• Hyperplastic, asaphuhlayo ubungakanani obuncinane kwaye izeziphi azinabungozi. Bona ziphakathi ntlobo zixhaphakileyo zemfundo.
• Adenomatous besive eyingozi kakhulu, ngenxa yokuba kwingxingwa zibe ngumhlaza rhoqo.

Izinto ezibangela izifo

Phambi kokuba ukususwa liqhubu ugqirha wasikhangela oonobangela kunokwenzeka, kugqiba uhlobo polyp ukuphepha iingxaki (ezinye polyp ngcono angamchukumisi). Imiba engabangela inkangeleko kwingxelo, kunzima ukuchaza ngqo. Izizathu ukubonakala kungaba:

• yofuzo;
• ukungena ezityiwa isixa esikhulu amafutha ezilwanyana;
• uphuhliso engaqhelekanga kunye nezici naso;
• inani elingonelanga imifuno ekrwada, iimveliso zaselwandle kunye asidi yobisi;
• isifo wamathumbu esinganyangekiyo, nangokurhala;
• nasekusebenziseni ukutya a lot of carcinogens;
• ukuphazamiseka kwenkqubo emathunjini, nokuqunjelwa;
• imikhuba emibi;
• ubunzima extra, ukuhamba aphantsi, ukunqongophala umthambo.

Nini yaye kutheni nokuphelisa?

Esona sizathu siphambili ekususweni kukuthintela umhlaza. Kubandakanya ukususwa eboniswe ekwaneliseni iminqweno intlungu, ukusilela apha emathunjini, ukopha ukuwisa patency. Noko ke, ngaphambi kokuba umsebenzi oyingcali nangoku uqhuba diagnosis ngokucokisekileyo ngenxa yobukho izinto ukuthintela ungenelelo zoqhaqho ngenxa yeziphumo ebezingalindelekanga okanye iziphumo kunokwenzeka. Izinto yomngcipheko:

• izifo kwegazi;
• umonakalo iindonga isikali;
• diabetes;
• isifo esosulelayo;
• ekunqandeni egazini;
• uxabana amayeza;
• ingakumbi liqhubu (indawo, ubukhulu, uhlobo).

Okwangoku, kukho zingawucongi ubuchule utyando, ngoko xa eboniswe ukususwa engxamisekileyo polyp ugqirha uyakwazi ukukhetha iinketho kakhulu, umzekelo, ziya kuthunyelwa polypectomy endoscopic.

Iimpawu bangabonwa

Phambi kokususa polyp kufuneka uqale ukubonisa ezahlukeneyo, imilo kunye nendawo. Le liqhubu inokuba ngohlobo mkhuhlane, ngamanye i isakhiwo elahliweyo kwi esikhondweni elongate, abe isiseko ngokubanzi, ukuguda noburhabaxa na ukumila flat ngakumbi ajikelezayo. Ukongeza, polyp kunokuba villous kunye egudileyo.

Ukubona ubukho polyp emzimbeni umntu angakwazi ngexesha uxilongo okanye ukuvavanyela ezinye izifo. Ngokufuthi Ubhaqo polyp na random, njengoko lokuqulunqa nokuphuhlisa yethumbu kunqabile ukunqakula iimpawu ebusweni babo. Phakathi iindlela ezingundoqo ekufumanekeni polyp ziquka endoscopy, colonoscopy kunye biopsy.

In eqhelekileyo zokuxilonga ukubonwa yi colonoscopy polypouses iimanyano ugqirha okhetha embodiments nenzuzo amanyathelo. Ngethuba loviwo endoscopic uyakwazi ukubona polyp kwaye susa ubungakanani ezincinane wemfundo, ubukhulu apho ayidluli 7 mm. Le ndlela sokususwa polyp zingasetyenziswa akukho ngaphezu amaxesha 2 ngonyaka ngamnye.

Babeqhuba polypectomy endoscopic le senyongo.

Xa kuyimfuneko ukuba ukususa polyp ezinkulu, utyando lwenziwa nge polypectomy. Loo msebenzi ufuna iindlela ezizodwa endoscopic.

Indlela elifaneleke na ukususwa polyp nga kubizwa nge isahlulo colonoscope elinye kunye iimviwo phantsi neemicroscope, kunye biopsy. umsebenzi icetyelwe ekupheleni kwesi sigaba kunye nokufumana iziphumo zophando. iziphumo zophando ziya kudlala indima ebalulekileyo ukhetho yokungenelela ngotyando, kuba xa polyp indalo ngumhlaza, umguli kuya kufuneka bangenele izifundo nechemotherapy.

Kwaye emva kokuba polyp zisusiwe, kwiminyaka embalwa ilandelelana ngonyaka ngamnye kuya kufuneka bangenele colonoscopy kuba polyp nga kuyilwa kwakhona.

ngomahluko utyando

Utyando ngalo ishenxisa ukuyilwa isikali, ekuthiwa polypectomy endoscopic. Olu hlobo lotyando ibhekisela iinkqubo yalula ngakumbi kuba ingakufuni basike okanye ukuhlatywa. Xa polyp otschipyvanii okanye ukususa umntu zintlungu ngenxa isifo wamathumbu akukho kwalapho. Le nkqubo yenziwa esibhedlele, kwaye kuphela polyp ezincinane kakhulu 5 mm ubukhulu enokubonwa OPD.

Kodwa polyp ezincinane kakhulu musa ukuchukumisa, alinde de ivuthiwe, kuba abasusa ayikhuthazwa ngenxa zibenze umonakalo inyama kunye isifo emathunjini.

Njani na endoscopic polypectomy of isikali?

Kukho iinketho ezininzi ukususwa polyp yi kuphazamiseka:

• Kwingingqi esezantsi liqhubu enkulu phambi kokususa yaqalisa electrolyte spetsrastvor kwiimeko ezizodwa, ukuthintela kuphuhliso iingxaki.
• Xa ukususa polypouses uluhlu ifomu mushroom kusetyenziswa ubuchule olitshizayo coagulation noyi kwi inkcenkceshelwa yaye truncating ngayo. Ekubeni le loop kubonakala esiphantsi, ngoko nangoko kwaye cauterizes indawo nokususa.
• Ekumfuduseni polyp enkulu ukuba isiseko esibanzi kusetyenziswa indlela zale ngokususa umtya diathermic, ekuqhubeni lokwahlulwa Ukwakheka capture.

Enyanisweni, yonke polypectomy endoscopic sikuko ufaka kungena empundu kwisixhobo ezizodwa elide kunye camera, nto leyo yenziweyo uviwo yangaphakathi iindonga ezinqeni nengxelo nokususa. Ukwenza le nkqubo ibandakanya enye kwezi nkqubo zilandelayo. Nangona kunjalo, inkqubo sokususwa polyp ikhethiwe emva wenza zokuxilonga, kungekhona isifundo zaseprayimari.

ukuphinda polyp

Emva ukususwa ukuphinda liqhubu senzeka ngowe-13% yezigulane kwiminyaka emi-2 yokuqala. Kwezinye iindawo ikholoni ubungozi imbonakalo yazo entsha - 7%.

Amaxesha amaninzi sisigulana endoscopic polypectomy.

ukuvimbela

Iindlela eziphambili yothintelo polyp ziquka: utshintsho yokuphila, idayethi izifundo rhoqo. Unga zibonisa oku kulandelayo ukuze zokuthintela.

Kuyimfuneko ukuba ukusebenzisa ukutya ngaphezulu calcium-sisityebi, ekubeni calcium kunempembelelo umbala, kwanokuba sele ukubandezeleka izifo.

Kufuneka ukuba udle kakhulu ukutya okuziinkozo, iziqhamo kunye nemifuno ngenxa umxholo ephakamileyo antioxidants kunye nefayibha oku kutya. Ezi mveliso ukunciphisa ingozi kwingxelo.

Nciphisa nezikhongozelo koqoqobo kwesilwanyana. Abantu umthamo omkhulu amanqatha ukutya, kakhulu basemngciphekweni umhlaza efakwa kunye polyp, njengoko kuchasene kubantu pahla lukhulu okunamafutha kangako. oyile zemifuno ukuncoma.

Nciphisa ukusetyenziswa kotywala kuba gadalala yayo kwandisa kakhulu iingozi zomhlaza nje colon kunye polyp, kodwa nezinye izifo.

Kufuneka ukuba uyeke ukutshaya, njengoko lo mkhwa kwandisa kakhulu amathuba wokuhlaselwa ngumhlaza wamathumbu. Kwakhona kubalulekile ukuba kususwe ubunzima abangaphezu kwemfuneko kunye nokwandisa umsebenzi ngokwasemzimbeni.

Polypectomy namanye amalungu

Njani na endoscopic polypectomy le senyongo?

Iipolyps akholisa ukubakho senyongo. Enye ezincinane ingeyongozi. It nazo zingananzwa. Kodwa ukuba kukho ezininzi, kunye nobukhulu babo amakhulu kwe-10 mm, ngoko uchithe polypectomy endoscopic. Sakhiwo igcinwe, ngokuxhomekeke kuphela kweziqu ukususwa. Xa ubukhulu enkulu polyp isusiwe umzimba uphela, njengoko Umhlaza.

Yintoni endoscopic polypectomy impumlo?

Xa impumlo, polyp nako ukwenzeka. indlela poliektomiii endoscopic Uloshenxisa neziqu ngokukhawuleza ebelapha. Kuyo nayiphi na inxalenye na turbinates ngeempumlo kunye sinuses paranasal iyasuswa imfundo. Qiniseka ukusebenzisa ukucheba ngeli lixa libambe owawanyayo.

Kukho endoscopic polypectomy isisu.

Ngamanye amaxesha iiseli kukhula esiswini. Ukwanceda uqhaqho endoscopic. Kodwa yonke into iya kuxhomekeka kubungakanani ukwakheka. Ukuba inkulu, kuliwa uthotho zokungenelela. Isigulana ngeli xesha na iyeza ubuthongo.

Ngu polypectomy endoscopic Kweza kaninzi. Le yindlela esebenzayo ukubatshabalalisa polyp kwiindawo ezininzi.