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Polyp: menene halayen hanci, mafitsara da polyps na hanji?
Polyps sune tsiro da aka fi samu akan rufin hanji, dubura, mahaifa, ciki, hanci, sinuses, da mafitsara. Suna iya auna daga ƴan millimeters zuwa dama santimita. Duk da yake a mafi yawan lokuta, waɗannan su ne m kuma sau da yawa asymptomatic ciwace-ciwacen daji, a wasu lokuta suna iya tasowa zuwa ciwon daji.
Ciwon hanci
Polyp na hanci shine girma na rufin hanci wanda ke rufe rufin sinuses. Wadannan ciwace-ciwacen ciwace-ciwace, da yawa akai-akai kuma marasa kyau, suna da keɓancewar kasancewa sau da yawa a tsakanin juna. Suna iya faruwa a kowane zamani.
Polyp na hanci zai iya fitowa a matsayin wani ɓangare na polyposis na sinus na hanci, wanda ke da girma da girma na ƙananan polyps a cikin rufin hanci da sinuses.
hadarin dalilai
"Abubuwan haɗari ga polyp na hanci suna da yawa," in ji Dokta Anne Thirot-Bidault, masanin ilimin cututtuka. Ana iya ambata musamman game da kumburin sinuses na yau da kullun, asma, rashin haƙuri ga aspirin. Cystic fibrosis kuma yana haifar da samuwar polyp. Halin tsinkayar kwayoyin halitta (tarihin iyali) kuma yana yiwuwa a wannan yanayin. "
Alamun
Babban alamun cutar polyp na hanci suna kama da na mura. Lallai, majiyyaci zai fuskanci asarar wari, kuma zai sha wahala daga jin cushewar hanci, maimaita atishawa, ƙarin ɓoyayyen ƙoƙon ƙoshin lafiya da snoring.
jiyya
A matsayin magani na farko, likita zai rubuta maganin miyagun ƙwayoyi bisa ga corticosteroids na gida, a cikin fesa, don fesa cikin hanci. Wannan magani yana taimakawa iyakance bayyanar cututtuka ta hanyar rage girman polyps.
Tiyata (polypectomy ko cire polyps) ta yin amfani da endoscope (tubun kallo mai sauƙi) wani lokaci ya zama dole idan sun toshe hanyoyin iska ko haifar da cututtukan sinus akai-akai.
Polyps na hanci yakan sake dawowa, sai dai idan an sarrafa abubuwan da ke haifar da fushi, rashin lafiyan, ko cututtuka.
Mafitsara polyp
polyps mafitsara ƙananan tsiro ne waɗanda ke tasowa daga rufin mafitsara, wanda ake kira urothelium. Wadannan ciwace-ciwacen kusan ko da yaushe suna yin su ne da dysplastic, wato, ƙwayoyin cuta masu cutar kansa.
Alamun
Yawancin lokaci, ana gano waɗannan polyps a gaban jini a cikin fitsari (hematuria). Hakanan ana iya bayyana su ta hanyar ƙonewa yayin yin fitsari ko kuma ta ɓacin rai don yin fitsari.
hadarin dalilai
Wadannan raunukan mafitsara ana fifita su ta hanyar shan taba da fallasa wasu sinadarai (arsenic, magungunan kashe qwari, abubuwan da suka samo asali na benzene, carcinogens na masana'antu). Ana lura da su akai-akai a cikin mutane sama da 50, kuma sun ninka sau uku a cikin maza fiye da na mata.
"Idan akwai jini a cikin fitsari, likita zai fara ba da umarnin gwajin cytobacteriological na fitsari (ECBU) don kawar da kamuwa da cutar urinary, sannan a gwada fitsari don kwayoyin marasa lafiya (cytology na fitsari) da fibroscopy na mafitsara," in ji shi. Dr Anne Thirot-Bidault.
jiyya
A cikin siffofi na sama, maganin ya ƙunshi cire raunuka gaba ɗaya ta hanyar halitta a ƙarƙashin kamara. Wannan hanya ita ake kira transurethral resection (UVRT). Bayan haka, an damƙa polyp ko polyps ga dakin gwaje-gwaje na anatomopathology wanda bayan binciken ƙananan ƙwayoyin cuta, zai tantance matakin kutsewa da ƙarfin sel (jin). Sakamakon zai jagoranci jiyya.
A cikin nau'ikan kutsawa waɗanda ke shafar tsokar mafitsara, ya zama dole a cire gabobin ta hanyar tiyata mai nauyi (cycectomy).
Launi mai launi
Polyp mai launi shine duk wani rauni mai tasowa na rufin hanji ko dubura. Yana da sauƙi a iya gani yayin bincike, a cikin sashin narkewar abinci.
Girmansa yana da canji - daga 2 millimeters da ƴan santimita - kamar siffarsa:
Sessile polyp yayi kama da fitowar zagaye (kamar gilashin agogo), wanda aka sanya a bangon ciki na hanji ko dubura;
The pediced polyp yana da siffar kamar naman gwari, tare da ƙafa da kai;
An ɗaga polyp na planar kaɗan akan bangon ciki na hanji ko dubura;
Kuma polyp mai rauni ko mai rauni yana haifar da rami a bango.
Colon polyps yana cikin haɗari
Wasu polyps na hanji suna da haɗarin haɓakawa zuwa kansa.
Adenomating polyps
Ainihin sun ƙunshi sel glandular waɗanda ke layin lumen na babban hanji. “Wadannan sune suka fi yawa, in ji likita. Sun shafi 2/3 na polyps kuma suna cikin yanayin pre-ciwon daji ”. Idan sun samo asali, 3 adenomas a cikin 1000 sun zama ciwon daji na colorectal. Bayan an cire su, sukan sake faruwa. Sa ido yana da mahimmanci.
Polyps mai ƙumburi ko serrated
Wadannan polyps na adenomatous suna da alhakin babban rabo na tazarar ciwon daji na hanji (wanda ke faruwa tsakanin colonoscopies guda biyu) don haka buƙatar kulawa ta kusa.
Sauran nau'ikan polyps na hanji
Sauran nau'ikan polyps na hanji, irin su hyperplastic polyps (wanda aka kwatanta da karuwa da girma da canje-canje a cikin gland a cikin rufin hanji) da wuya ya ci gaba zuwa ciwon daji na launi.
hadarin dalilai
Polyps na hanji galibi suna da alaƙa da shekaru, dangi ko tarihin sirri. "Wannan kwayar halitta ta shafi kusan kashi 3% na cututtukan daji," in ji ƙwararren. A wannan yanayin, muna magana ne game da polyposis na iyali ko cutar Lynch, cuta ce ta gado ta autosomal, wanda ke nuna cewa mara lafiya yana da haɗarin 50% na watsa cutar ga yaransa.
Alamun
"Mafi yawan polyps na hanji ba su da lafiya," in ji Dokta Anne Thirot-Bidault. Da wuya, suna iya zama sanadin zubar jini a cikin stool (jini na dubura)”.
jiyya
Babban jarrabawar don gano polyp na hanji shine colonoscopy. Yana ba ka damar ganin ganuwar hanji kuma, ta amfani da karfi, don ɗaukar wasu samfurori (biopsy) don nazarin kyallen takarda.
"Cutar, musamman a lokacin colonoscopy, shine mafi kyawun magani ga polyp na hanji. Wannan yana taimakawa hana kamuwa da cutar kansa,” in ji mai magana da yawun mu. A cikin yanayin polyps na sessile ko manyan polyps, cirewar dole ne a yi ta hanyar tiyata.
A Faransa, ana ba da gwajin cutar kansar launin fata ta hanyar gayyata, kowace shekara biyu, ga mata da maza masu shekaru 50 zuwa 74 kuma ba tare da tarihin mutum ko na dangi ba.