Nā polyps kala

ʻO ka polypectal colorectal kahi ulu i ka uhi o ke kolona a i ʻole ka pololei.

ʻO nā polyps o ke kolona a me ka pololei ke ʻano pinepine. ʻO kēia ʻaʻole lākou he kanesa. Loaʻa iā ʻoe i hoʻokahi a i ʻole nā ​​polyps. Ua lilo lākou i mea maʻamau me ka makahiki. Nui a hewahewa nā ʻano polyps.

ʻO kahi adenomatous polyps kahi ʻano maʻamau. ʻO lākou nā ulu e like me ka momona e hoʻomohala ma ka membrane mucous e laina ana i ka ʻōpū nui. Kapa ʻia lākou he adenomas a ʻo kekahi o kēia mau mea pinepine:

• ʻO ka polyp tubular, kahi e puka i waho i ka lumen (ākea ākea) o ke kolona
• ʻO Villen adenoma, kahi pālahalaha a pālahalaha i kekahi manawa, a ʻoi aku ka lilo i maʻi ʻaʻai

Ke lilo ʻo adenomas i maʻi ʻaʻai, ʻike ʻia lākou ʻo adenocarcinomas. ʻO Adenocarcinomas he mau maʻi ʻaʻai i hoʻomaka ʻia i nā hunaola glandular. ʻO Adenocarcinoma ka ʻano maʻamau o ka maʻi ʻaʻai kala.

ʻO nā ʻano polyps ʻē aʻe:

• ʻO nā polyps hyperplastic, ka mea liʻiliʻi, inā loaʻa, lilo i maʻi ʻaʻai
• Serrated polyps, ʻoi aku ka liʻiliʻi o ka maʻa, akā hiki ke ulu i ka maʻi ʻaʻai i ka manawa

ʻOi aku ka nui o nā maʻi poli ma mua o 1 centimita (cm) ma mua o ka polyps i ʻoi aku ma mua o 1 centimeter. ʻO nā kumu pilikia me:

• Makahiki
• ʻO ka moʻolelo ʻohana o ka maʻi ʻaʻai kolona a i ʻole nā ​​polyps
• ʻO kahi ʻano polyp i kapa ʻia villous adenoma

Pili pū kekahi poʻe liʻiliʻi me nā polyps i kekahi mau maʻi hoʻoilina, e like me:

• Polyposis adenomatous ʻohana (FAP)
• ʻO Gardner Syndrome (kahi ʻano FAP)
• ʻO ka polyposis ʻōpio (ka maʻi e hoʻoulu ai i ka ulu o ka ʻōpū, ma mua o 20 mau makahiki)
• ʻO Lynch Syndrome (HNPCC, kahi maʻi e hāpai i ka manawa o nā ʻano maʻi ʻaʻai, e like me ka ʻōpū)
• ʻO Peutz-Jeghers Syndrome (maʻi e hiki ai i nā polyps ʻōpū, maʻa mau i ka ʻōpū liʻiliʻi a maʻa mau)

ʻAʻohe o polyps i nā ʻōuli. Ke loaʻa, hiki ke hoʻopili ʻia nā ʻōuli:

• Koko i nā noho
• Hoʻololi i ka nohona ʻōpū
• ʻO ka luhi i ka lilo ʻana o ke koko i ka manawa

E hana i kāu mea mālama ola i kahi hoʻokolohua kino. Hiki ke ʻike ʻia kahi polyp nui i ka polima i ka wā o kahi hoʻokolokolo kūpono.

Loaʻa ka hapa nui o nā polyps me nā hōʻike aʻe:

• ʻO ka enema Barium (hana pinepine ʻole ʻia)
• Kolonekia
• ʻO Sigmoidoscopy
• Hōʻaʻo Stool no ke koko hūnā
• Kolonekia kiko
• Hōʻike DNA Stool
• Hōʻikeʻike immunochemical fecal (FIT)

Pono e hemo i nā polypect colorectal no ka mea hiki i kekahi ke ulu i ka maʻi ʻaʻai. I ka hapanui o nā hihia, hiki ke hoʻoneʻe ʻia nā polyps i ka manawa o kahi kolone.

No nā poʻe me nā polyp adenomatous, hiki i nā polyp hou ke hōʻike i ka wā e hiki mai ana. Pono ʻoe i kahi kolonekia hou, ʻo ka maʻamau ma kahi o 1 a 10 mau makahiki ma hope, kaukaʻi ʻia:

• ʻO kou mau makahiki a me kou olakino laulā
• Ka helu o nā polyp i loaʻa iā ʻoe
• Ka nui a me ke ʻano o nā polyps
• ʻO ka mōʻaukala ʻohana o polyps a i ʻole ka maʻi ʻaʻai

I nā hihia maʻamau, i ka manawa e huli paha nā polyps i maʻi ʻaʻai a nui loa paha e hemo i ka manawa o ka colonoscopy, e paipai ka mea hāʻawi i kahi colectomy. ʻO kēia kahi ʻoki e wehe i kahi ʻāpana o ke kolona i loaʻa nā polyps.

Maikaʻi ke kuanaʻike inā hemo aku nā polyps. Hiki i nā Polyps i hemo ʻole ke ulu i ka maʻi ʻaʻai i ka manawa.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Koko i ka neʻe ʻana o ka ʻōpū
• Hoʻololi i nā ʻano ʻōpū

E hoʻemi i kou makaʻu i ka hoʻomohala ʻana i nā polyps:

• ʻAi i nā meaʻai haʻahaʻa i ka momona a ʻai i nā hua, nā mea kanu, a me nā olonā.
• Mai puhihi a mai inu i ka waiʻona i ka nui.
• Mālama i kahi kaupaona kino maʻamau.
• E kiʻi i ka hoʻoikaika kino maʻamau.

Hiki i kāu mea hoʻolako ke kauoha i kahi koloneoscopy a i ʻole nā ​​hōʻike loiloi ʻē aʻe

• Kōkua kēia mau ho'āʻo i ka pale ʻana i ka maʻi ʻaʻai kolona ma o ka loaʻa ʻana a me ka wehe ʻana i nā polyps ma mua o ko lākou lilo ʻana i maʻi ʻaʻai. Hiki i kēia ke hōʻemi i ka manawa o ka hoʻomohala ʻana i ka maʻi ʻaʻai kolona, ​​a i ʻole ma ka liʻiliʻi e kōkua i ka hopu ʻana iā ia i kāna pae mālama maikaʻi loa.
• Pono ka hapa nui o ka poʻe e hoʻomaka i kēia mau hoʻāʻo i ka makahiki 50. ʻO kēlā me ka moʻolelo ʻohana o ka maʻi ʻaʻai kolona a i ʻole nā ​​polyps kolone e pono e nānā ʻia i ka makahiki ma mua a ʻoi paha.

ʻO ka lawe ʻana i ka aspirin, naproxen, ibuprofen, a i ʻole nā ​​lāʻau like e kōkua i ka hōʻemi ʻana i ka makaʻu no nā polyp hou. E makaʻala hiki i kēia mau lāʻau ke loaʻa nā hopena ʻino inā lawe ʻia no ka manawa lōʻihi. ʻO nā hopena ʻē aʻe e pili ana i ke kahe ʻana i ka ʻōpū a i ʻole kolona a me nā maʻi puʻuwai. E kamaʻilio me kāu mea hāʻawi ma mua o ka lawe ʻana i kēia mau lāʻau.

Polyps Intestinal; Polyps - kala kala; Nā polyps Adenomatous; Nā polyps Hyperplastic; Nā villa adenomas; Polyp Serrated; Serenated adenoma; Nā polyps precancerous; Maʻi ʻaʻai Kolona - polyps; Kahe - polyps colorectal

• Kolonekia
• ʻŌnaehana Digestive

ʻO ke Kōmike Alakaʻi Clinical o ke Kulanui ʻAmelika o nā Kauka. ʻO ka loiloi no ka maʻi ʻaʻai kala i nā mākua awelika a asymptomatic: kahi ʻōlelo alakaʻi mai ke Kulanui ʻAmelika o nā Kauka. ʻO Ann Intern Med. 2019; 171 (9): 643-654. pubmed.ncbi.nlm.nih.gov/31683290.

ʻO Garber JJ, Chung DC. ʻO nā polyps colonic a me nā syndrome polyposis. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 126.

Pūnaewele Pūnaewele Manuahi Manuahi. Nā papa hana hoʻomaʻamaʻa NCCN i ka oncology (nā alakaʻi NCCN): ka nānā ʻana i ka maʻi ʻaʻai colorectal. Mana 1.2020. www.nccn.org/professionals/physician_gls/pdf/colon.pdf. Hoʻohou ʻia Mei 6, 2020. Loaʻa iā Iune 10, 2020.

Rex DK, Boland CR, Dominitz JA, et al. ʻO ka loiloi ʻana i ka maʻi ʻaʻai Colorectal: nā ʻōlelo aʻoaʻo no nā kauka a me nā mea maʻi mai ka U.S. Multi-Society Task Force on Colorectal Cancer. ʻO Am J Gastroenterol. 2017; 112 (7): 1016-1030. PMID: 28555630 pubmed.ncbi.nlm.nih.gov/28555630.