Polypectomy

Anter

• He aha ka polypectomy?
• He aha ke kumu o ka polypectomy?
• He aha nā kaʻina hana?
• Pehea e hoʻomākaukau ai no kahi polypectomy
• Pehea ka lōʻihi o ke ola ʻana?
• He aha nā pilikia a me nā hopena?
• He aha ke kuanaʻike?

He aha ka polypectomy?

ʻO kahi polypectomy kahi hana i hoʻohana ʻia e lawe i nā polyps mai loko o ke kolona, ​​i kapa ʻia hoʻi ʻo ka ʻōpū nui. ʻO kahi polyp kahi hōʻiliʻili maʻamau o kaʻaʻaʻa. ʻAʻole noninvasive ke kaʻina hana a lawe pinepine ʻia i ka manawa like ma ke ʻano he kolone.

He aha ke kumu o ka polypectomy?

Hoʻonui ka nui o nā tumors o ke kolone ma ke ʻano he ulu benign (noncancerous) ma mua o ka hōʻino ʻana (maʻi ʻaʻai).

Hana mua ʻia kahi kolonekia e ʻike i ke alo o kekahi polyps. Inā ʻike ʻia kekahi, hana ʻia kahi polypectomy a hemo i ka ʻaʻa. E nānā ʻia kaʻiʻo e hoʻoholo inā he maʻi ʻaʻai ka ulu, precancerous, a i ʻole benign. Hiki i kēia ke pale aku i ka maʻi ʻaʻai kolone.

ʻAʻole pili pinepine nā Polyps me nā ʻōuli.Eia nō naʻe, hiki i nā polyps nui ke kumu:

• hoʻokahe kahe
• abdominal eha
• kīnā ʻole o ka ʻōpū

E kōkua ana kahi polypectomy e hōʻoluʻolu i kēia mau ʻōuli pū kekahi. Koi ʻia kēia kaʻina hana i kēlā me kēia manawa ke ʻike ʻia nā polyps i ka manawa o kahi kolone.

He aha nā kaʻina hana?

Lawe ʻia kahi polypectomy i ka manawa like ma ke ʻano he kolonekia. I ka manawa o kahi kolonekia, e hoʻokomo ʻia kahi kolone i loko o kāu kiko e ʻike ai kāu kauka i nā ʻāpana āpau o kāu kolone. ʻO kahi koloneoscope kahi lōʻihi lōʻihi, lahilahi, maʻalahi me kahi kāmela a me kahi kukui ma ka hopena.

Hāʻawi pinepine ʻia kahi kolonoscopy no ka poʻe i ʻoi aku i ka 50 mau makahiki e nānā no nā ulu ʻana i hiki ke hōʻike ʻia o ka maʻi ʻaʻai. Ināʻike kāu kauka i nā polyp i ka manawa o kāu kolonoscopy, e hana maʻamau lākou i kahi polypectomy i ka manawa like.

Nui a hewahewa nā ala e hiki ai ke hana i kahi polypectomy. ʻO ke ala a ke kauka e koho ai e hilinaʻi ia i ke ʻano o nā polyps i loko o ke kolona.

Hiki i nā Polyps ke liʻiliʻi, nui, sessile, a i ʻole pedunculated. Pālahalaha nā polyps Sessile a ʻaʻohe ona koʻokoʻo. Ulu aʻe nā polyps Pedunculated ma nā ʻāhi e like me ka huaalulu. No nā polyp liʻiliʻi (ma lalo o 5 mau mika i ke anawaena), hiki ke hoʻohana i nā biopsy forceps no ka hemo ʻana. Hiki ke hoʻoneʻe ʻia nā polyps nui (a i 2 kenimika ke anawaena) me ka hoʻohana ʻana i kahi pahele.

I ka pahele polypectomy, e hoʻopili kāu kauka i kaula uea lahilahi ma lalo o ka polyp a hoʻohana i ka wela e ʻoki ai i ka ulu. ʻO kēlā me kēia koena a i ʻole ka lāʻau i ka cauterized.

ʻO kekahi mau polyps, ma muli o ka nui, kahi, a i ʻole hoʻonohonoho hoʻonohonoho ʻia, manaʻo ʻia ʻoi aku ka paʻakikī o ka ʻenehana a i ʻole pili pū me ka hoʻonui ʻana i nā pilikia. I kēia mau hihia, hiki ke hoʻohana ʻia nā ʻenehana endoscopic mucosal resection (EMR) a i ʻole endoscopic submucosal dissection (ESD).

I EMR, hāpai ʻia ka polyp mai nā aʻa i lalo e hoʻohana ana i kahi injection wai ma mua o ka hana ʻia ʻana o ka resection. Hana pinepine ʻia kēia kahe wai i ka saline. Wehe ʻia ka polyp i hoʻokahi ʻāpana i kēlā me kēia manawa, i kapa ʻia he ʻāpana ʻāpana. I ka ESD, hoʻokomo ʻia ka wai i loko o ka lesion a hoʻoneʻe ʻia ka polyp i hoʻokahi ʻāpana.

No kekahi mau polyp nui i hiki ʻole ke wehe ʻia endoscopically, pono paha ke kahakaha ʻōpū.

Ke hoʻopau ʻia kahi polyp, e hoʻouna ʻia i kahi labology pathology e hoʻāʻo ai inā he maʻi maʻi ka polyp. Lawe pinepine nā hopena i hoʻokahi pule e hoʻi, akā i kekahi manawa hiki ke lōʻihi.

Pehea e hoʻomākaukau ai no kahi polypectomy

I mea e hana ai i kahi kolona, ​​pono i kāu mau kauka i kou ʻōpū nui e mōakāka a manuahi hoʻi i nā mea ʻike ʻia. No kēia kumu, e noi ʻia ʻoe e ninini pono i kou ʻōpū no hoʻokahi a ʻelua paha mau lā ma mua o kāu kaʻina hana. Pili paha kēia i ka hoʻohana ʻana i nā laxatives, ka loaʻa ʻana i kahi enema, a me ka ʻai ʻana i kahi papaʻai meaʻai maopopo.

Ma mua o ka polypectomy, e ʻike ʻia ʻoe e kahi anesthetist, nāna e mālama i ka anesthetic no ke kaʻina hana. E nīnau lākou iā ʻoe inā ua loaʻa nā hopena maikaʻi ʻole i ka anesthetic ma mua. I ka manawa e mākaukau a ma kou kāʻei haukapila, e noi ʻia ʻoe e moe ma kou ʻaoʻao me kou mau kuli i huki ʻia i kou umauma.

Hiki ke hana i nā kaʻina hana me ka wikiwiki. Lawe wale ia ma waena o 20 mau minuke a 1 mau hola, ke kaukaʻi ʻia i nā hana pono e pono ai.

Pehea ka lōʻihi o ke ola ʻana?

ʻAʻole pono ʻoe e hoʻokele no 24 mau hola ma hope o kahi polypectomy.

ʻO ka hoʻihoʻi wikiwiki ʻana. Hoʻoholo pinepine nā hopena ʻē aʻe e like me ka gassiness, bloating, a me nā cramp ma loko o 24 mau hola. Me ke kaʻina hana i pili hou aku, hiki i kahi hoʻihoʻi piha ke hala i ʻelua mau pule.

E hāʻawi aku kāu kauka iā ʻoe i kekahi mau ʻōkuhi pehea e mālama ai iā ʻoe iho. E noi paha lākou iā ʻoe e hōʻalo i kekahi mau mea inu a me nā meaʻai e hiki ai ke hoʻonāukiuki i kāu ʻōnaehana digestive no ʻelua a ʻekolu paha lā ma hope o ke kaʻina hana. Hiki i kēia mau mea ke:

• tī
• kope
• soda
• ʻalekohola
• mea ʻai nīoi

E hoʻonohonoho pū kāu kauka iā ʻoe no kahi colonoscopy ukali. He mea nui e nānā inā ua kūleʻa ka polypectomy a ʻaʻole i hoʻomohala ʻia kahi polypect hou.

He aha nā pilikia a me nā hopena?

Hiki i nā makaʻu o kahi polypectomy ke hoʻopili i ka perforation o ka ʻōpū a i ʻole ke kahe ʻana o ka pololei. Kūlike kēia mau pilikia no kahi kolone. Kūleʻa ka paʻakikī, akā e hoʻopili koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli.

• ke kuni a me ka haʻalulu, ʻoiai hiki ke hōʻike i kahi maʻi
• kahe nui ke koko
• ʻeha nui a ʻōhū paha i loko o kou ʻōpū
• ka luaʻi
• kuʻi naʻau kaulike ʻole

He aha ke kuanaʻike?

ʻO kāu nānā aku ma hope o kahi polypectomy ponoʻī maikaʻi. Noninvasive ke kaʻina hana, kumu wale ia i ka ʻoluʻolu iki, a pono ʻoe e hoʻihoʻi piha ʻia i ʻelua mau pule.

Eia nō naʻe, e hoʻoholo ʻia kāu kuana holoʻokoʻa e ka mea i ʻike ʻia ma muli o ka hopena o ka polypectomy. E hoʻoholo ʻia ka papa o kekahi lapaʻau hou e ka benign, precancerous, a cancerous paha o kāu polyps.

• Inā maikaʻi lākou, a laila hiki nō paha ʻaʻole pono kahi lapaʻau hou.
• Inā lākou he precancerous, a laila aia kahi manawa kūpono e hiki ai ke pale aku i ka maʻi ʻaʻai kolone.
• Inā he maʻi ʻaʻai lākou, hiki ke mālama ʻia ka maʻi ʻaʻai kolona.

ʻO ka mālama ʻana i ka maʻi ʻaʻai a me kona kūleʻa e kaukaʻi ʻia i nā kumu he nui, e like me ke ʻano o ka maʻi ʻaʻai. E hana pū kāu kauka me ʻoe e hana i kahi hoʻolālā lapaʻau.