ʻO nā polyp Gastrointestinal (GI) he mau ulu liʻiliʻi e ulu ana ma ka uhi o ke ala ʻai, ʻo ia hoʻi i loko o nā wahi e like me ka ʻōpū, nā ʻōpū, a me ka colon. He mea maʻamau kēia mau polyp, ʻoi aku hoʻi i nā pākeke ma luna o 50. ʻOiai he nui nā polyp GI he maikaʻi ʻole, hiki i kekahi ke holomua i ka maʻi kanesa, ʻoi aku hoʻi nā polyp i loaʻa i loko o ka colon. ʻO ka hoʻomaopopo ʻana i nā ʻano, nā kumu, nā hōʻailona, ka ʻike ʻana, a me nā lāʻau lapaʻau no nā polyp GI hiki ke kōkua i ka ʻike mua ʻana a hoʻomaikaʻi i nā hopena o ka mea maʻi.
1. He aha nā Polyps Gastrointestinal?
ʻO ka polyp gastrointestinal kahi ulu ʻano ʻē o nā ʻiʻo e puka mai ana mai ka uhi o ke ala ʻai. Hiki iā lākou ke ʻokoʻa i ka nui, ke ʻano, a me ka wahi, e hoʻopilikia ana i nā ʻāpana like ʻole o ke ala GI, me ka esophagus, ka ʻōpū, ka ʻōpū liʻiliʻi, a me ka colon. Hiki i nā Polyps ke pālahalaha, sessile (pili pololei i ka uhi), a i ʻole pedunculated (pili ʻia e kahi ʻōpala lahilahi). ʻO ka hapa nui o nā polyps ʻaʻole ia he maʻi kanesa, akā ʻoi aku ka nui o ka hiki o kekahi mau ʻano ke ulu i nā puʻupuʻu ʻino i ka hala ʻana o ka manawa.
2. Nā ʻano o nā Polyps Gastrointestinal
Hiki i nā ʻano polyps ke hana i loko o ke ala GI, kēlā me kēia me nā ʻano kūikawā a me nā pilikia o ka maʻi kanesa:
• Adenomatous Polyps (Adenomas): ʻO kēia ke ʻano polyps maʻamau i loaʻa i loko o ka colon a loaʻa iā lākou ka hiki ke ulu i loko o ke kanesa colorectal. Ua hoʻokaʻawale ʻia nā adenomas i nā ʻano tubular, villous, a i ʻole tubulovillous, me nā adenomas villous e loaʻa ana ka pilikia kiʻekiʻe loa o ka maʻi kanesa.
• Nā Polyps Hyperplastic: Ma ke ʻano laulā, he liʻiliʻi a loaʻa pinepine ʻia i loko o ka kolona, he haʻahaʻa ka pilikia o kēia mau polyps i ka maʻi kanesa. Eia nō naʻe, ʻo nā polyps hyperplastic nui, ʻoi aku hoʻi ma ka ʻaoʻao ʻākau o ka kolona, hiki ke piʻi iki ka pilikia.
• Nā Polyps Mumū: ʻIke pinepine ʻia i nā poʻe me ka maʻi ʻōpū mumū (IBD), e like me ka maʻi Crohn a i ʻole ka ulcerative colitis, ʻo nā polyps mumū he maʻi ʻole akā hiki ke hōʻike i ka mumū lōʻihi ma ka colon.
• Nā Polyps Hamartomatous: ʻAʻole maʻamau kēia mau polyps a hiki ke kū mai ma ke ʻano he ʻāpana o nā syndromes genetic e like me ka Peutz-Jeghers syndrome. ʻOiai he maʻamau maikaʻi ʻole, hiki iā lākou ke hoʻonui i ka pilikia o ka maʻi kanesa.
• Nā Polyps o ke Kelepona Fundic: Loaʻa i loko o ka ʻōpū, he liʻiliʻi a maikaʻi ʻole kēia mau polyps. Eia nō naʻe, i ka poʻe e lawe ana i nā mea hoʻopaʻa proton pump (PPIs) no ka manawa lōʻihi, hiki ke piʻi aʻe ka nui o nā polyps o ke kelepona fundic, ʻoiai ke emi nei ka pilikia o ka maʻi kanesa.
3. Nā Kumu a me nā Kumu Pōpilikia
ʻAʻole maopopo mau ke kumu kikoʻī o nā polyps GI, akā hiki i kekahi mau kumu ke hoʻonui i ka likelika o ka hoʻomohala ʻana iā lākou:
• Genetics: He kuleana koʻikoʻi ko 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 nā polyps colorectal a me ke kanesa i ka wā ʻōpiopio.
• Makahiki: ʻIke pinepine ʻia nā polyps i nā poʻe ma luna o 50, me ka piʻi ʻana o ka pilikia o nā polyps adenomatous a me ke kanesa colorectal me ka makahiki.
• Nā Kumu o ke ʻAno o ka Noho ʻana: ʻO ka ʻai kiʻekiʻe i nā ʻiʻo ʻulaʻula a i ʻole nā ʻiʻo i hana ʻia, ka momona, ka puhipaka, a me ka inu ʻona nui ua pili pū me ka piʻi ʻana o ka pilikia o ka hoʻokumu ʻia ʻana o ka polyp.
• Nā Kūlana Mumū: ʻO ka mumū mau o ke ala GI, i ʻike pinepine ʻia i nā kūlana e like me ka maʻi Crohn a me ka ulcerative colitis, hiki ke kōkua i ka ulu ʻana o nā polyps.
• Ka Hoʻohana ʻana 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 nā PPI, hiki ke hoʻopilikia i ka pilikia o kekahi mau ʻano polyps.
4. Nā Hōʻailona o nā Polyps Gastrointestinal
ʻO ka hapa nui o nā polyps, ʻoiai nā mea liʻiliʻi, he asymptomatic. Eia nō naʻe, hiki i nā polyps nui a i ʻole nā polyps ma kekahi mau wahi ke hana i nā hōʻailona, e like me:
• Ke kahe koko ʻana o ka ʻōpū: Hiki ke loaʻa ke koko i loko o ka ʻōpala mai nā polyps i loko o ka colon a i ʻole ka rectum.
• Ka Hoʻololi ʻana i nā ʻAno o ka ʻŌpū: Hiki i nā polyps nui ke alakaʻi i ka paʻa ʻana o ka ʻōpū, ka maʻi pākīkī, a i ʻole ka manaʻo o ka hoʻokuʻu piha ʻole ʻia.
• ʻEha a ʻoluʻolu ʻole paha o ka ʻōpū: ʻOiai he mea kakaikahi, hiki i kekahi mau polyp ke hoʻoulu i ka ʻeha ʻōpū iki a kaulike inā e ālai lākou i kahi ʻāpana o ke ala GI.
• Anemia: ʻO nā polyps e kahe mālie ana ke koko i ka hala ʻana o ka manawa e hopena i ka anemia nele i ka hao, e alakaʻi ana i ka luhi a me ka nāwaliwali.
Ma muli o ka maʻalahi a ʻaʻohe paha o nā hōʻailona, he mea nui ka nānā ʻana maʻamau, ʻoiai no nā polyp colorectal, no ka ʻike mua ʻana.
5. Ka ʻike ʻana i nā Polyps Gastrointestinal
Hiki i kekahi mau mea hana a me nā kaʻina hana diagnostic ke ʻike i nā polyps GI, ʻoi aku hoʻi ma ka colon a me ka ʻōpū:
• Colonoscopy: ʻO ka colonoscopy ke ala kūpono loa no ka ʻike ʻana a me ka wehe ʻana i nā polyps i loko o ka colon. Hiki iā ia ke ʻike pololei i ka uhi o ka colon a me ka rectum, a ʻo nā polyps i loaʻa hiki ke wehe ʻia i ka wā o ke kaʻina hana.
• Endoscopy Kiʻekiʻe: No nā polyps i loko o ka ʻōpū a i ʻole ke ala GI kiʻekiʻe, hana ʻia kahi endoscopy kiʻekiʻe. Hoʻokomo ʻia kahi ʻōmole palupalu me kahi kāmela ma o ka waha e ʻike i ka esophagus, ka ʻōpū, a me ka duodenum.
• Sigmoidoscopy: Nānā kēia kaʻina hana i ka ʻaoʻao haʻahaʻa o ka kolona, i ʻike ʻia ʻo ka kolona sigmoid. Hiki iā ia ke ʻike i nā polyp ma ka rectum a me ka kolona haʻahaʻa akā ʻaʻole hiki i ka kolona luna.
• Nā Hoʻāʻo Noho: Hiki i kekahi mau hoʻāʻo noho ke ʻike i nā koena o ke koko a i ʻole nā māka DNA ʻē aʻe e pili ana i nā polyps a i ʻole ke kanesa colorectal.
• Nā Hoʻāʻo Kiʻi: Hiki i ka CT colonography (virtual colonoscopy) ke hana i nā kiʻi kikoʻī o ka colon 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. Ka Lapaʻau a me ka Hoʻokele
ʻO ka mālama ʻana i nā polyp GI e pili ana i ko lākou ʻano, ka nui, kahi, a me ka hiki ke loaʻa i ka maʻi ʻino:
• Polypectomy: ʻO kēia kaʻina hana ka lāʻau lapaʻau maʻamau no ka wehe ʻana i nā polyps i ka wā o ka colonoscopy a i ʻole endoscopy. Hiki ke wehe ʻia nā polyps liʻiliʻi me ka hoʻohana ʻana i kahi snare a i ʻole forceps, ʻoiai ʻo nā polyps nui e koi paha i nā ʻenehana holomua.
• Wehe ʻana i ke ʻoki kino: I nā hihia kakaikahi kahi i nui loa ai nā polyps a ʻaʻole hiki ke wehe ʻia ma o ka endoscopically, pono paha ke ʻoki kino. He mea maʻamau kēia no nā polyps e pili ana me nā syndromes genetic.
• Nānā Mau ʻAna: No nā poʻe maʻi me nā polyps he nui, ka mōʻaukala ʻohana o nā polyps, a i ʻole nā kūlana genetic kikoʻī, ua ʻōlelo ʻia nā colonoscopies hahai mau e nānā no nā polyps hou.
ʻO ka pahele polypectomy
7. Ke pale ʻana i nā Polyps Gastrointestinal
ʻOiai ʻaʻole hiki ke pale ʻia nā polyps āpau, hiki i kekahi mau hoʻoponopono nohona ke hōʻemi i ka pilikia o ko lākou ulu ʻana:
• ʻAi: ʻO ka ʻai ʻana i kahi meaʻai momona i nā huaʻai, nā mea kanu, a me nā palaoa holoʻokoʻa me ka hoʻēmi ʻana i nā ʻiʻo ʻulaʻula a me nā ʻiʻo i hana ʻia e kōkua paha i ka hoʻohaʻahaʻa ʻana i ka pilikia o nā polyps colorectal.
• E mālama i ke kaumaha olakino: Ua pili ka momona i ka piʻi ʻana o ka pilikia o nā polyps, ʻoi aku hoʻi i loko o ka colon, no laila he mea maikaʻi ka mālama ʻana i ke kaumaha olakino.
• E Hoʻōki i ka Puhipaka a me ka Hoʻēmi i ka ʻAi ʻona: ʻO ka puhipaka a me ka hoʻohana nui ʻana i ka waiʻona e pili pū ana me ka hoʻonui ʻia o ka pilikia o nā polyps GI a me ke kanesa colorectal.
• Nānā Mau: He mea nui nā colonoscopies maʻamau, ʻoiai no nā poʻe ma luna o 50 a i ʻole ka poʻe me ka mōʻaukala ʻohana o nā polyps a i ʻole ke kanesa colorectal. ʻO ka ʻike mua ʻana i nā polyps e hiki ai ke wehe ʻia ma mua o ko lākou ulu ʻana i ke kanesa.
8. Ka wānana a me ka nānā ʻana
ʻO ka wānana no nā poʻe me nā polyps gastrointestinal he maikaʻi ia, ʻoiai inā ʻike mua ʻia nā polyps a wehe ʻia. ʻOiai ʻo ka hapa nui o nā polyps he benign, hiki i ka nānā mau ʻana a me ka wehe ʻana ke hōʻemi nui i ka pilikia o ka maʻi ʻaʻai colorectal. ʻO nā kūlana genetic e pili ana me nā polyps, e like me FAP, pono ka hoʻokele ikaika ma muli o ka nui o ka pilikia o ka malignancy.
Hopena
He mea maʻamau ka loaʻa ʻana o nā polyps gastrointestinal i nā pākeke, ʻoiai i ko lākou wā ʻelemakule. ʻOiai ʻo ka hapa nui o nā polyps he benign, aia kekahi mau ʻano i ka pilikia o ka lilo ʻana i maʻi kanesa inā waiho ʻole ʻia. Ma o nā loli o ke ʻano o ka nohona, ka nānā mau ʻana, a me ka wehe ʻana i ka manawa kūpono, hiki i nā kānaka ke hōʻemi nui i ko lākou pilikia o ka loaʻa ʻana o nā pilikia koʻikoʻi mai nā polyps GI. ʻO ke aʻo 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 hoʻonui ʻana i ke ʻano o ke ola.
ʻO mākou, ʻo Jiangxi Zhuo Ruihua Medical Instrument Co., Ltd., he mea hana ma Kina e loea ana i nā mea hoʻopau endoscopic, e like menā forceps biopsy, hemoclip, ʻūpā polyp, nila sclerotherapy, ʻaukā pīpī, nā palaki cytology, uea alakaʻi, hīnaʻi kiʻi pōhaku, catheter hoʻokahe wai biliary ihua pēlā aku i hoʻohana nui ʻia maEMR, ESD, ERCPUa hōʻoia ʻia kā mākou huahana e CE, a ua hōʻoia ʻia kā mākou mau mea kanu e ISO. Ua hoʻokuʻu ʻia aku kā mākou waiwai i ʻEulopa, ʻAmelika ʻĀkau, Hikina Waena a me kekahi ʻāpana o ʻAsia, a ua loaʻa nui ka ʻike a me ka hoʻomaikaʻi ʻia e ka mea kūʻai aku!
Ka manawa hoʻouna: Nov-18-2024