ʻO nā polyps Gastrointestinal (GI) he mau ulu liʻiliʻi ia e ulu ana ma ke kapa o ka digestive tract, ma loko o nā wahi e like me ka ʻōpū, ka ʻōpū, a me ka colon. He mea maʻamau kēia mau polyps, ʻoi aku ka nui o nā pākeke ma mua o 50. ʻOiai he nui nā polyps GI he palupalu, hiki i kekahi ke holomua i ka maʻi kanesa, ʻoi aku ka polyps i loaʻa i loko o ke kolonā. ʻO ka hoʻomaopopo ʻana i nā ʻano, nā kumu, nā hōʻailona, nā hōʻailona, a me nā lāʻau lapaʻau no GI polyps hiki ke kōkua i ka ʻike mua ʻana a hoʻomaikaʻi i nā hopena maʻi.
1. He aha ke ʻano o nā Polyps Gastrointestinal?
ʻO ka polyp gastrointestinal kahi ulu maʻamau o ka ʻiʻo e hoʻomaka ana mai ke kapa o ka ʻāpana digestive. Hiki iā lākou ke ʻokoʻa i ka nui, ke ʻano, a me ka wahi, e pili ana i nā ʻāpana like ʻole o ka ʻāpana GI, me ka esophagus, ka ʻōpū, ka ʻōpū liʻiliʻi, a me ke kolonā. He palahalaha paha ka polyps, sessile (pili pololei i ka lining), a i ʻole pedunculated (i hoʻopili ʻia e kahi ʻōpala lahilahi). ʻO ka hapa nui o nā polyps he non-cancerous, akā ʻoi aku ka kiʻekiʻe o kekahi mau ʻano e hoʻomohala i mau maʻi maʻi maʻi i ka manawa.
2. Nā ʻano o nā Polyps Gastrointestinal
Hiki ke hana ʻia kekahi mau ʻano polyps ma ka ʻāpana GI, kēlā me kēia me nā hiʻohiʻona kūʻokoʻa a me nā pilikia maʻi kanesa:
• Adenomatous Polyps (Adenomas): ʻO kēia nā ʻano polyps maʻamau i loaʻa i loko o ke kolonā a hiki ke ulu i ka maʻi kanesa kala. Hoʻokaʻawale ʻia nā adenomas i loko o nā ʻano subtypes tubular, villous, a i ʻole tubulovillous, me nā adenomas villous i loaʻa ka pilikia kiʻekiʻe o ka maʻi kanesa.
• Hyperplastic Polyps: He mea liʻiliʻi a loaʻa maʻamau i loko o ke kolonā, he haʻahaʻa ko kēia mau polyps i ka maʻi kanesa. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o nā polyps hyperplastic nui, ʻoi aku ka nui ma ka ʻaoʻao ʻākau o ke kolonā.
• Nā Polyps Inflammatory: ʻIke pinepine ʻia i ka poʻe me ka maʻi ʻeha o ka ʻōpū (IBD), e like me ka maʻi o Crohn a i ʻole ka ulcerative colitis, ʻoi aku ka maikaʻi o nā polyps inflammatory akā hiki ke hōʻike i ka mumū lōʻihi i loko o ke kolamu.
• Hamartomatous Polyps: ʻAʻole maʻamau kēia mau polyps a hiki ke loaʻa ma ke ʻano o nā maʻi genetic e like me ka maʻi Peutz-Jeghers. ʻOiai ka maʻamau maʻamau, hiki iā lākou ke hoʻonui i ka pilikia o ka maʻi kanesa.
• Fundic Gland Polyps: Loaʻa i loko o ka ʻōpū, liʻiliʻi kēia mau polyps. Eia nō naʻe, i ka poʻe e lawe ana i nā mea hoʻopaʻa pāpaʻi proton lōʻihi (PPI), hiki ke piʻi ka nui o nā polyps gland fundic, ʻoiai e mau ana ka maʻi kanesa.
3. Nā kumu a me nā kumu pilikia
ʻAʻole maopopo ke kumu maoli o nā polyps GI, akā hiki i kekahi mau mea ke hoʻonui i ka hiki ke hoʻomohala iā lākou:
• Genetics: He kuleana koʻikoʻi ka mōʻaukala ʻohana i ka ulu ʻana o nā polyps. ʻO nā kūlana genetic e like me Familial Adenomatous Polyposis (FAP) a me Lynch syndrome e hoʻonui i ka pilikia o ka polyps colorectal a me ke kanesa i ka wā ʻōpio.
• Makahiki: ʻIke pinepine ʻia nā polyps i ka poʻe ma luna o 50, me ka piʻi ʻana o ka adenomatous polyps a me ka maʻi ʻaʻai ʻulaʻula i ka makahiki.
• Nā mea e ola ai: ʻO ka ʻai nui i ka ʻiʻo ʻulaʻula a i ʻole ka ʻiʻo i hoʻoponopono ʻia, ka momona, ka puhi ʻana, a me ka inu ʻana i ka waiʻona i pili pū me ka piʻi nui ʻana o ka hoʻokumu ʻana o ka polyp.
• Nā Kūlana Inflammatory: Hiki ke kōkua i ka hoʻomohala ʻana o ka polyps i ka maʻi maʻi o ka GI tract, i ʻike pinepine ʻia i nā kūlana e like me ka maʻi o Crohn a me ka ulcerative colitis.
• Hoʻohana i nā lāʻau lapaʻau: ʻO ka hoʻohana lōʻihi ʻana i kekahi mau lāʻau lapaʻau, e like me nā lāʻau anti-inflammatory non-steroidal (NSAIDs) a me PPI, hiki ke hoʻololi i ka pilikia o kekahi mau ʻano polyps.
4. Nā hōʻailona o nā Polyps Gastrointestinal
ʻO ka hapa nui o nā polyps, ʻoi aku ka liʻiliʻi, he asymptomatic. Eia nō naʻe, hiki i nā polyps nui a i ʻole nā polip ma kekahi mau wahi ke kumu i nā hōʻailona, e like me:
• Ka Hoʻokahe ʻana i ke koko: Hiki ke loaʻa ke koko i loko o ka waihona mai nā polyps i loko o ka ʻāʻī a i ʻole ka rectum.
• Hoʻololi i nā maʻamau o ka ʻōpū: ʻO nā polyps nui aʻe e alakaʻi i ka constipation, ka maʻi maʻi, a i ʻole ka manaʻo o ka haʻalele ʻole ʻana.
• ʻEha o ka ʻōpū a i ʻole ʻoluʻolu: ʻOiai kakaʻikahi, hiki i kekahi polyps ke hōʻeha i ka ʻeha o ka ʻōpū maʻalahi inā keakeʻa lākou i kahi ʻāpana o ka ʻāpana GI.
• Anemia: ʻO nā polyps e kahe mālie ana i ka wā e hiki ke hopena i ka anemia nele i ka hao, a hiki i ka luhi a me ka nāwaliwali.
No ka mea he maʻalahi a ʻike ʻole paha nā hōʻailona, ʻo ka nānā ʻana maʻamau, ʻoi aku hoʻi no nā polyps colorectal, he mea koʻikoʻi no ka ʻike mua ʻana.
5. Ka Hoʻomaʻamaʻa ʻana i nā Polyps Gastrointestinal
Hiki i kekahi mau mea hana diagnostic a me nā kaʻina hana ke ʻike i nā polyps GI, ʻoi loa i loko o ka ʻōpū a me ka ʻōpū:
• Kokokopi: ʻO ka colonoscopy ke ala kūpono loa no ka ʻike ʻana a me ka wehe ʻana i nā polyps i loko o ke kolo. Hiki iā ia ke ʻike pololei i ka uhi ʻana o ke kolonā a me ka rectum, a hiki ke wehe ʻia nā polyps i loaʻa i ka wā o ke kaʻina hana.
• Upper Endoscopy: No nā polyps i loko o ka ʻōpū a i ʻole ka ʻāpana GI luna, hana ʻia kahi endoscopy luna. Hoʻokomo ʻia kahi paipu maʻalahi me ka pahupaʻikiʻi ma ka waha e ʻike i ka esophagus, ʻōpū, a me ka duodenum.
• Sigmoidoscopy: Ke nānā nei kēia kaʻina hana i ka ʻāpana haʻahaʻa o ke kolonā, i kapa ʻia ʻo ka sigmoid colon. Hiki iā ia ke ʻike i nā polyps i loko o ka ʻāʻī a me ka kolone haʻahaʻa akā ʻaʻole hiki i ke kolon luna.
• Nā hoʻāʻo ʻana o ka pehu: Hiki i kekahi mau hoʻāʻo ʻana o ka pehu ke ʻike i nā ʻāpana o ke koko a i ʻole nā hōʻailona DNA ʻokoʻa i hoʻopili ʻia i ka polyps a i ʻole ka maʻi kanesa colorectal.
• Nā ho'āʻo kiʻi: CT colonography (virtual colonoscopy) hiki ke hana i nā kiʻi kikoʻī o ke kolonā a me ka rectum. ʻOiai ʻaʻole ia e ʻae i ka wehe koke ʻana i nā polyps, hiki ke lilo i koho non-invasive.
6. Lapaau a me ka Hooponopono
ʻO ka mālama ʻana i nā polyps GI e pili ana i ko lākou ʻano, ka nui, ka wahi, a me ka hiki no ka maʻi maʻi:
• Polypectomy: ʻO kēia kaʻina hana ka hana maʻamau no ka wehe ʻana i nā polyps i ka wā o ka colonoscopy a i ʻole endoscopy. Hiki ke hoʻoneʻe ʻia nā polyps liʻiliʻi me ka hoʻohana ʻana i kahi pahele a i ʻole forceps, aʻo nā polyps nui e koi i nā ʻenehana ʻoi aku ka holomua.
• Ka wehe 'ana i ke kaiapuni: I na hihia kakaikahi ka nui o na polyps a i ole hiki ke wehe ia me ka endoscopically, pono paha ke oki. He mea maʻamau kēia no nā polyps e pili ana i nā maʻi genetic.
• Nānā mau: No nā poʻe maʻi me nā polyps he nui, ka mōʻaukala ʻohana o nā polyps, a i ʻole nā kūlana genetic kikoʻī, ʻōlelo ʻia nā colonoscopis hahai mau e nānā i nā polyps hou.
Pahele polypectomy
7. Kāohi ʻana i nā Polyps Gastrointestinal
ʻOiai ʻaʻole hiki ke pale ʻia nā polyps a pau, hiki i nā hoʻololi o ke ʻano o ke ola ke hōʻemi i ka pilikia o ko lākou ulu ʻana:
• ʻAi: ʻO ka ʻai ʻana i ka meaʻai momona i nā huaʻai, nā mea kanu, a me nā kīʻaha holoʻokoʻa me ka hoʻopaʻa ʻana i nā ʻiʻo ʻulaʻula a me nā ʻiʻo i hana ʻia e kōkua i ka hoʻohaʻahaʻa ʻana i ka pilikia o nā polyps colorectal.
• E mālama i ke kaumaha maikaʻi: Ua hoʻopili ʻia ka momona i ka nui o ka pilikia o ka polyps, ʻoi loa i loko o ke kolo, no laila he mea pono ka mālama ʻana i ke kaumaha olakino.
• Ha'alele i ka puhi puana a e kaupalena i ka inu 'ana i ka wai'ona: 'O ka puhi puana a me ka ho'ohana 'ana i ka wai'ona nui e pili ana me ka pi'i 'ana o ka GI polyps a me ka ma'i 'a'ai kala.
• Nānā maʻamau: He mea nui nā colonoscopy maʻamau, ʻoi aku ka nui o nā poʻe ma luna o 50 a i ʻole ka poʻe me ka mōʻaukala ʻohana me ka polyps a i ʻole ka maʻi maʻi kala. ʻO ka ʻike mua ʻana i nā polyps e hiki ai ke wehe ʻia ma mua o ka ulu ʻana i ka maʻi kanesa.
8. Ka wānana a me ka nānā
ʻOi aku ka maikaʻi o ka wānana no ka poʻe me nā polyps gastrointestinal, ʻoiai inā ʻike mua ʻia nā polyps a wehe ʻia. ʻOiai ʻoi aku ka maikaʻi o ka hapa nui o nā polyps, ʻo ka nānā mau ʻana a me ka wehe ʻana hiki ke hōʻemi nui i ka hopena o ka maʻi maʻi colorectal. ʻO nā kūlana genetic e pili ana i nā polyps, e like me FAP, pono i ka hoʻokele koʻikoʻi ma muli o ka nui o ka maʻi maʻi.
Ka hopena
He mea maʻamau ka ʻike ʻana o nā polyps gastrointestinal i nā pākeke, ʻoi aku ka nui o ko lākou mau makahiki. ʻOiai ʻoi aku ka maikaʻi o ka hapa nui o nā polyps, hiki i kekahi mau ʻano ke lilo i ka maʻi kanesa inā haʻalele ʻole ʻia. Ma o ka hoʻololi ʻana i ka nohona, ka nānā ʻana maʻamau, a me ka wehe ʻana i ka manawa, hiki i nā kānaka ke hōʻemi nui i ko lākou pilikia o ka hoʻomohala ʻana i nā pilikia koʻikoʻi mai GI polyps. ʻO ka hoʻonaʻauao ʻana i ka lehulehu i ke koʻikoʻi o ka ʻike mua ʻana a me ke kuleana o nā hana pale ke kī i ka hoʻomaikaʻi ʻana i nā hopena a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola.
ʻO mākou, ʻo Jiangxi Zhuo Ruihua Medical Instrument Co., Ltd., he mea hana ma Kina i mea kūikawā i nā mea endoscopic consumables, e like mebiopsy forceps, hemoclip, pahele polyp, nila sclerotherapy, pulupulu pulupulu, cytology brushes, uea alakaʻi, hīnaʻi kiʻi pōhaku, ihu biliary drainage catheteretc. i hoohana nui ia maEMR, ESD, ERCP. ʻO kā mākou huahana i hōʻoia ʻia ʻo CE, a ua hōʻoia ʻia kā mākou mea kanu. Ua lawe ʻia kā mākou waiwai i ʻEulopa, ʻAmelika ʻAmelika, Middle East a me kahi hapa o Asia, a loaʻa nui i ka mea kūʻai aku o ka ʻike a me ka hoʻomaikaʻi!
Ka manawa hoʻouna: Nov-18-2024