Mea Kākau: Lewis Jackson
Lā O Ka Hana: 6 Mei 2021
HōʻAno Hou I Ka Lā: 20 Nowemapa 2024
Anonim
Colorectal Polyps| USMLE STEP, NCLEX, COMLEX
Wikiō: Colorectal Polyps| USMLE STEP, NCLEX, COMLEX

Anter

He aha nā polyps colonic?

ʻO nā polyps colonic, i ʻike ʻia nā polyps colorectal, he ulu ulu i luna o ka kolona. ʻO ke kolonā, a i ʻole ka ʻōpū nui, he pūkaʻā hakahā lōʻihi ma ka lalo o ka mahele digestive. ʻO ia kahi e hana ai a mālama ai ke kino i ka pahu.

I ka hapanui o nā hihia, ʻaʻole kumu nā polyps i nā hōʻailona a ʻike pinepine ʻia ma nā hōʻike loiloi maʻi ʻaʻai kolona maʻamau. Eia nō naʻe, inā ʻike ʻoe i nā ʻōuli, pili pū paha lākou:

  • ke koko i ka pahu a kahe paha kahe
  • ʻeha, diarrhea, a i ʻole paʻa paʻa i ʻoi aku ka lōʻihi ma mua o hoʻokahi pule
  • nausea a i ʻole ka luaʻi inā he polyp nui kāu

ʻO ke koko ma luna o kāu pepa holoi a i ʻole nā ​​kūpikipiki koko-kikoʻī he hōʻailona ia o ke kahe o ke kahe a pono e loiloi ʻia e ke kauka.

Nā ʻano polyps colonic

Hiki i nā Polyps i ke kolona ke loli i ka nui a me ka helu. ʻEkolu ʻano o polyps kolona:

  • ʻAʻole maikaʻi nā polyps hyperplastic a ulu ʻole i ka maʻi ʻaʻai.
  • ʻO nā adenomatous polyps ka mea maʻamau. ʻOiai ʻaʻole e ulu ka hapanui i kanesa, hiki iā lākou ke lilo i maʻi ʻaʻai kolone.
  • ʻO nā polyp malignant he polyps i ʻike ʻia ma lalo o ka ninaninau ʻia ʻana o microscopic e loaʻa nā pūnaʻi maʻi ʻaʻai i loko o lākou.

He aha ke kumu o nā polyps colonic?

ʻAʻole maopopo i nā kauka ke kumu pololei o nā polyps colonic, akā ʻo nā polyps ka hopena o ka ulu ʻana o nā mea like ʻole.


Hoʻokumu ke kino i nā manawa olakino hou e hoʻololi i nā hunaola kahiko i hōʻino ʻia a ʻaʻole pono hou ʻia. Hoʻonohonoho pinepine ʻia ka ulu a me ka mahele ʻana o nā hunaola hou.

I kekahi mau hihia, eia naʻe, ulu a hoʻokaʻawale nā ​​pūnaewele hou ma mua o ka makemake ʻia. Hoʻonui kēia ulu ulu i polyps e hana. Hiki i nā polyp ke ulu i kēlā me kēia wahi o ke kolona.

Nā kiʻi o colonic polyps

ʻO wai ka mea e makaʻu i nā polyps colonic?

ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī o nā polyps colonic, aia kekahi mau mea i hiki ke hoʻonui i kou makaʻu i ka hoʻomohala ʻana i nā polyps colonic. ʻO kēia mau kumuhana pilikia:

  • ma luna o 50 mau makahiki
  • ke kaumaha nui
  • ka loaʻa ʻana o ka moʻolelo ʻohana o nā polyps a i ʻole ka maʻi ʻaʻai kolone
  • loaʻa nā polyps i ka wā i hala
  • me ka maʻi ʻaʻai ovarian a i ʻole ka maʻi ʻaʻai uterine ma mua o ka makahiki 50
  • ke loaʻa nei kahi maʻi hōʻeha e hoʻopili i ke kolona, ​​e like me ka maʻi o Crohn a i ʻole ke kolitis ulcerative
  • me ka loaʻa ʻole o ka maʻi diabetes type 2 kāohi ʻia
  • ka loaʻa ʻana o ka maʻi hoʻoilina, e like me ka maʻi ʻo Lynch a i ʻole ka maʻi ʻo Gardner

Nā hana e hiki ke hāʻawi i ka ulu ʻana o nā polyps colonic me:


  • puhipaka
  • inu waiona pinepine
  • ka loaʻa ʻana o kahi nohona noho
  • ʻai i ka papaʻai momona kiʻekiʻe

Hiki paha iā ʻoe ke hoʻohaʻahaʻa i kou makaʻi no nā polyps colonic inā ʻoe e hoʻololi i ka nohona e kamaʻilio i kēia mau ʻano. ʻO ka lawe mau ʻana i kahi lāʻau haʻahaʻa o ka aspirin a me ka hoʻohui ʻana i ka nui o ka calcium i kāu papaʻai hiki ke kōkua i ka pale ʻana i nā polyps. Loaʻa paha i kāu kauka kekahi mau manaʻo ʻē aʻe no ka hōʻemi ʻana i kāu makaʻu.

Pehea e ʻike ʻia ai nā colyps colonic?

Hiki ke loaʻa nā Polyps ma nā hōʻike he nui. Pili pū paha kēia mau hoʻāʻo:

  • Kolonekia. I kēia kaʻina hana, hoʻopili ʻia kahi kāmela i kahi paipu lahilahi a maʻalahi hoʻi i wili ʻia ma o ka anus. ʻAe kēia i kāu kauka e nānā i ka pololei a me ke kolona. Inā loaʻa kahi polyp, hiki i kāu kauka ke lawe koke iā ia a lawe paha i nā mea kikoʻa no ka loiloi.
  • ʻO Sigmoidoscopy. Ua like kēia ʻano kānana me kahi kolonekia, akā hiki ke hoʻohana wale ʻia ia e ʻike ai i ke kolamu a me ke kolona i lalo. ʻAʻole hiki ke hoʻohana ʻia e lawe i kahi biopsy, a i ʻole kahi laʻana o nā meaola. Ināʻike kāu kauka i kahi polyp, pono ʻoe e hoʻonohonoho i kahi kolone e lawe aku ia.
  • Enema Barium. No kēia hoʻāʻo, hoʻomālū ke kauka i ka barium wai i kāu kolo a laila hoʻohana i kahi X-ray kūikawā e kiʻi i nā kiʻi o kou kolone. Hōʻike ka Barium i ke kolone o kāu koloke i nā kiʻi. No ka meaʻeleʻele nā ​​polyps, maʻalahi lākou e ʻike kūʻē i ke kala keʻokeʻo.
  • Kolonā CT. Hoʻohana kēia kaʻina hana i kahi scan CT e kūkulu i nā kiʻi o ke kolona a me ka pololei. Ma hope o ka scanner, hoʻohui kahi kamepiula i nā kiʻi o ke kolona a me ka pololei e hana i nā ʻike 2 a me 3-D o ia wahi. Kāhea ʻia kahi kolonā CT he kolonekia māua. Hiki iā ia ke hōʻike i nā pehu i pehu, nā lehulehu, nā maʻi ulcer, a me nā polyps.
  • Hōʻike moʻo noho. E hāʻawi aku kāu kauka iā ʻoe i kahi pahu hoʻāʻo a me nā ʻōkuhi no ka hāʻawi ʻana i kahi laulau. E hoʻihoʻi ʻoe i kahi laʻana i ke keʻena o kāu kauka no ka loiloi, keu hoʻi e hoʻāʻo no ke kahe ʻana o microscopic. E hōʻike kēia hōʻike inā he koko kou i loko o kāu pahu, kahi hiki ke lilo i hōʻailona o ka polyp.

Pehea e mālama ai i nā polyps colonic?

ʻO ke ala maikaʻi e mālama ai i nā polyps colonic e hoʻopau iā lākou. E lawe paha kāu kauka i kāu polyps i ka manawa o kahi kolone.


Ninaninau ʻia nā polyps ma lalo o ka microscope e ʻike i ke ʻano o ka polyp a inā aia kekahi o nā pūnaʻi maʻi ʻaʻai i kēia manawa. Hiki i nā kauka ke hoʻopau i nā polyp me ka hana ʻole o ke kaha.

Eia nō naʻe, pono paha ʻoe i ke ʻoki e wehe i nā polyps inā nui lākou a ʻaʻole hiki ke hemo i ka wā o kahi kolone. I ka hapanui o nā hihia, hiki i kēia ke hana ʻia e ke kīpoki laparoscopic. ʻO kēia ʻano ʻoki kino he invasive liʻiliʻi a hoʻohana i kahi mea kani i kapa ʻia he laparoscope.

ʻO kahi laparoscope kahi lōʻihi lōʻihi a lahilahi me kahi kukui uila kiʻekiʻe a me kahi kāmela hoʻonā kiʻekiʻe ma mua. Hoʻokomo ʻia ka mea kani ma o kahi ʻoki i loko o ka ʻōpū. I ka manawa e ʻike ai kāu kauka lāʻau i kāu kolona, ​​e hemo lākou i nā polyp e hoʻohana nei i kahi mea hana kūikawā.

ʻO kahi pathologist, a i ʻole kekahi mea loea i ka hoʻopili ʻōnaehana, e nānā i nā polyps no nā hunaola maʻi maʻi.

Pehea e pale aku ai i nā polyps colonic?

ʻO ka mālama ʻana i ka papaʻai olakino hiki ke pale i ka ulu ʻana o nā polyps colonic. Hoʻopili kēia i ka ʻai ʻana i nā huaʻai, nā mea kanu, nā kīʻaha holoʻokoʻa, a me kaʻiʻo momona.

Hiki paha iā ʻoe ke pale i nā polyps ma ka hoʻonui ʻana i kāu lawe ʻana i ka wikamina D a me ka calcium. ʻO nā meaʻai e waiwai i ka wikamina D a me ka calcium e komo pū:

  • broccoli
  • yogurt
  • waiū
  • huamoa
  • ake
  • iʻa

Hiki iā ʻoe ke hoʻohaʻahaʻa hou i kou makaʻi no nā polyps colonic e ka hōʻemi ʻana i kāu lawe ʻana i nā meaʻai momona momona, ʻiʻo ʻulaʻula, a me nā meaʻai i hana ʻia. ʻO ka haʻalele ʻana i ka puhipaka a me ka hoʻoikaika kino pinepine ʻana i nā hana nui e pale ai i ka hoʻomohala ʻana o nā polyps colonic.

ʻO ka lawe lawe ʻana

ʻAʻole hana pinepine nā polyps Colonic i kekahi mau ʻōuli. ʻIke pinepine ʻia lākou i ka wā o ke kānana kolone maʻamau, e like me ke kolonekia a i ʻole ka sigmoidoscopy.

ʻO kāu koho maikaʻi loa no ka ʻike ʻana inā loaʻa iā ʻoe nā polyps colonic e nānā pinepine ʻia i nā kolone ke koi aku kāu kauka iā lākou. Hiki ke hoʻoneʻe pinepine ʻia nā polyps i ka manawa like me ke kaʻina hana kānana.

ʻOiai maikaʻi ʻole nā ​​polyps, lawe pinepine nā kauka iā lākou no ka mea hiki i kekahi ʻano o nā polyp ke lilo i maʻi ʻaʻai. Hiki ke kāpae i nā polyps colonic i ka pale ʻana i ka maʻi ʻaʻai kolona.

ʻO kahi papaʻai olakino, me nā meaʻai e waiwai ana i ka wikamina D, calcium, a me ka fiber, hiki ke hoʻohaʻahaʻa i kou makaʻi no ka hoʻomohala ʻana i nā polyps colonic.

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