Adenomatous polyp: Bayyanar cututtuka da kuma Jiyya

Kila kowannenmu ji rashin jin daɗi, da iyaka da tsoro a kan ji da ganewar asali "wani ciwon daji." Masana kimiyya a duniya suna fafitikar da wani ra'ayi inda ta fito da kuma yadda aka bi da tare da 100% garanti, amma, alas, har da sakamakon ne m. Ganewar asali "adenomatous polyp" bai sauti haka ciki, da kuma 'yan kaxan mutane ba a hade da magani iya bayyana abin da shi ne. A halin yanzu, wannan cuta yana dauke da wani precancerous yanayin, don haka shi ne musamman m. Waɗanda suka sami shi, akwai buƙatar ka kai nan da nan mataki don adana da kiwon lafiya da kuma yiwu rayuwarsu.

Halaye na polyps

A da ginshikin, da polyps a cikin jikin mutum - shi ya yi girma saboda wasu dalilai da mucosa shafin. Wannan shi ne, ba za su iya bayyana a ko'ina a cikin jiki, tare da rufe mucous. A cewar likita statistics, musamman matsala ba adenomatous polyp, in ba haka ba ya kira wani adenoma, kuma shi ne mai kirki ƙari. Kalmar "benign" yana nufin cewa a wasu wuri da jiki ba zato ba tsammani ya fara raba Kwayoyin ba dama, amma har suna da cikakken ko partially riƙe da aiki na shafa sashin jiki ko nama da kuma metastasize. Wannan muhimmanci sosai alama na su yana da damar da cikakken warkar. Saboda haka adenomatous polyp - har yanzu ba a jumla. Duk da haka, ba tare da matakan da, da yawa na kirki marurai zama m. Saboda haka, polyps, da girma wanda ya kai 1 cm, dauke da wani babban yiwuwa na cin zali ciwon daji Kwayoyin, watau, waɗanda da suka riga metastasize. Duk da haka, da kananan girman da ginawa-up a 100% lamuni na tsaro ya aikata ba, saboda akwai lokuta inda ciwon daji ya ci gaba daga rai guda polyp villi.

rarrabuwa

Mucous membranes na mutane da Multi-mai lebur dangane da jiki da suka rufe, da daban-daban tsarin da epithelium. Adenoma tsiro a kan mucosal epithelium daga wanda aka wakilta glandular tsarin, watau ya hada da mutane da yawa gland. Haka kuma, da polyps iya faruwa a ciki, gall mafitsara, da hanji, a cikin urogenital yankin.

Akwai da dama daga rarrabuwa sharudda fãce ga wuri:

1. Bisa ga irin harsashin a kan kafafu (Kara) ko fadi dandali (masu zama a gida). An yi imani da cewa sauri fara up a sedentary metastases adenomatous polyp. A hoto sama ya nuna abin da ya kama a manyan masu zama a gida polyp a kan hanji bango.

2. A size: kananan, matsakaici, manyan. Duk da yake adenomas kasa da 1 cm, su ne kalla iya zama cancerous. A bambanci, a tsakanin adenomas fi girma fiye da 1 cm ne game da 13% na ciwon daji Kwayoyin, da kuma fiye da 2 cm yiwuwa degeneration a wani daji da ya riga ya kai 51%.

3. A bayyanar: siffar zobe, m, naman kaza-dimbin yawa, lokacin farin ciki, da taushi.

4. sarrafawa: guda, mace, jam'i. Recent degenerate cikin ciwon daji game da 2 sau fiye da sau da yawa.

morphological siffofin

Adenomatous polyp ciwon, ciki, da cikakken duk jikin shirya a hanyoyi daban-daban, wanda ƙwarai rinjayar da hangen nesa don dawo da. Su irin wannan:

1. glandular. Ya ƙunshi wani jam'i na gland da arziki a cikin jini, da connective nama. Sun kasu kashi benign, tare da ãyõyin atypia (Kwayoyin rasa su siffar, su tsakiya aka rufe a kan) da kuma malingatsiey (atypical Kwayoyin da gland ake nutsarwa cikin murdede kuma submucosal yadudduka da epidermis, cewa an, a gaskiya, shirin metastasize).

2. villous. Wadannan polyps dubi velvety, kamar shugaban farin kabeji, sau da yawa da wani m surface. Yiwuwar malingatsii su sama da 60%.

3. glandular villous.

4. hyperplastic. Very kananan, taushi, riƙe da al'ada tsarin da mucosa.

5. na yara. Malingiruyut ba kunshi cystic gland da kuma m stroma.

6. fibrous. A stroma da yawa muhimmanci kumbura tasoshin, haddasa kama kumburi infiltration.

7. arya.

Sanadin

Me polyps fara girma har akwai wani daidai amsar. Wasu masana kimiyya yi imani da cewa sun bayyana a mutane a cikin tsufa, wasu ƙaryatãwa wannan. Statistics ya ce a cikin matasa da yara da damar samu da adenoma ne 28% a cikin mutane a karkashin shekaru 30 - 30%, kuma a cikin tsofaffi shekaru 70 da haihuwa - kawai 12.8%. Matsakaicin yawan adenomas gano tsakanin zamanai na 40-50 shekaru.

Watau adenomatous polyp daga cikin dubura ko wasu jiki iya bayyana a kowane zamani, ko da a jarirai (da aka sani hali ganewar asali Kara polyp a 2-wata-old crumbs a ciki). A mafi m dalilai masana kimiyya sun hada da:

- Pathology a lokacin da amfrayo ci gaba;

- gadar hali (yara wadanda iyayensu fuskanci BPH, shi ne ma iya samun game da 2 sau mafi girma);

- kumburi da gastrointestinal gabobin (gastritis, colitis, dysentery, tare da defecation matsaloli da sauransu).

- m rage cin abinci.

- take hakkin da farfadowa daga cikin mucous na ciki da kuma hanjinsu bayan wani tasiri.

Adenomatous polyp na ciki

Wannan jiki ne da fari a kan predisposition zuwa bayyanar adenomas. A cewar daya daga cikin sukayi fassara bisa morphological haruffa, gane asali wadannan iri polyps na ciki:

- tubular.

- papillary.

- gauraye (papillotubulyarnye).

An located a ciki shi ne m. Saboda haka, a sama na uku na 2241 marasa lafiya nazari da aka samu a 2.1% na polyps a tsakiyar uku na wadannan Figures kai 17%, yayin da a cikin ƙananan uku na shi ya 66,8% na pathologies.

The m ƙari faruwa a ciki domin a Saukake makirci: al'ada epithelium - polyp samuwar - a escalating sankara - Cancer. Mafi sau da yawa irin wannan labari ne tasowa na tsawon shekaru biyu, a kalla uku, amma akwai wasu lokuta inda wani polyposis mutane rayu game da shekaru 20.

Sanadin ciki adenomas a general - halittar jini, Pathology a ci gaba da tayi matakin, kumburi cututtuka, yafi gastritis, m abinci, shan barasa, na kullum gastrointestinal cuta. Har ila yau, bisa ga masana kimiyya, shi ne widening na mucous a ciki da dama neuropsychiatric cuta.

cututtuka

Babu wani guda na asibiti hoto nuni da cewa ciki ya girma adenomatous polyp. A bayyanar cututtuka na kowane haƙuri ne ko da yaushe mutum. Daga cikin mafi kowa ne:

- zafi (zuwa 88,6%).

- jin cewa ciki ne ya cika, ko da bayan amfani da kadan yawa na abinci.

- rage ci.

- belching.

- tashin zuciya.

- ƙara slyunoobrazovanie.

- flatulence.

- ƙwannafi.

- wani m iyawa a bakin.

Pain sau da yawa bayyana bayan wani abinci da sa'o'i biyu riƙe, sa'an nan ya kwanta.

Bugu da kari ga cututtuka halayyar polyps a marasa lafiya tare da kowa bayyanar cututtuka lura cewa a cikin jiki akwai wata matsala. Wannan gajiya, wani rauni, kuma wani lokacin zazzabi, rashin barci, ciwon kai, ciki, causeless.

Akwai vnezheludochnye ãyõyi wanda daya zai iya zargin gaban polyposis, musamman idan yana da hereditary. Wannan tabo a kan fata (a kusa da lebe, hanci, cheeks, kirji, hannuwa, baya, ciki, wuyansa) a cikin nau'i na freckles, a wani yanayin kuma a kowace kakar ba su canja bayyanar.

bincikowa da

Adenomatous polyps a wani sashin jiki ne kusan ba zai yiwu a gane ba tare da wata hardware bincikowa. shi ya hada da ciki:

- ultrasonography.

- X-ray da barium m ruwa (yadda ya kamata kamar 4.6% daga cikin lokuta);

- gastroscopy.

- fibrogastroscopy.

- biopsy.

- gastrolaparoskopiya.

Babu kasa muhimmanci, da kuma awon bincike na ciki ruwan 'ya'yan itace, da jini, da kuma dauki ga occult jini a ciki abinda ke ciki.

Matsakaicin sakamakon ba wani binciken da hanyoyin da dama.

Adenomatous ciwon polyps

Wannan cuta ne na biyu "m" wuri bayan na ciki da polyposis. Bisa kididdigar da, polyps a cikin ciwon ake rajista da wannan mitar:

- Women - 46%.

- maza - 53%.

A dogara da ci gaban da cutar ta shekaru ne kamar haka:

- marasa lafiya 41 zuwa shekaru 60 - 56%.

- daga 31 zuwa shekaru 40 - 23%.

- daga 14 zuwa shekaru 30 - 10%.

Degeneration na polyps a cikin m ƙari yana da wasu dogara a kan su lambar. Saboda haka, idan a cikin dubura 5 ko fiye daga wadannan abokai, suka ci gaba a cikin daji a cikin 100% na lokuta.

A ciwon polyps an kuma rarraba unevenly. Saboda haka, a cikin suna hawa ɓangare na rubuta 13% na duk lokuta a cikin gangara ciwon rabo - 13.5%, a cikin sigmoid bangare kuma dubura - 73.5%. A Sanadin polyps a cikin hanjinsu ne kamar guda kamar yadda a taron na su a ciki, amma da fifiko da aka bai wa likitoci kumburi cututtuka. Saboda haka, daga cikin 455 examinees suka sami polyps, 30% wahala daga matsananciyar cututtuka (colitis, proctosigmoiditis, da sauransu), da kuma 16.4% karambau dysentery. Yana taka muhimmiyar rawa, kuma talakawa abinci mai gina jiki. Saboda wannan dalili, colitis samu a fiye da 50% na lokuta.

Alamun da ganewar asali na polyps a cikin hanji

Halayyar siffofin kawai domin hanji polyposis ba. Sau da yawa wani dogon lokaci, marasa lafiya kada ka ji ãyõyin cewa sun fara girma adenomatous polyp. A mafi halayyar bayyanar cututtuka da cutar:

- jini a cikin tumbi (89%).

- da ci gaban da cuta iya zub da jini a lokacin ko bayan wani hanji motsi.

- zawo ko maƙarƙashiya (55.2%).

- zafi a ciki.

- kona da / ko itching na dubura (65%).

- anemia (7%).

- tashin zuciya.

- ƙwannafi.

- ciwon kai.

- belching.

- flatulence.

- zafi a cikin dubura, har ya zuwa ƙananan mayar da sacrum.

Bincikowa da hada palpation, duban dan tayi, X-ray, sigmoidoscopy, contact Beta-radiometry, colonoscopy, fibrocolonoscopy, dakin gwaje-gwaje gwaje-gwaje.

Polyps a cikin gallbladder

Adenomatous polyp na gallbladder - a rare cuta, abin da ke faruwa a cikin kasa da 1% na dukan marasa lafiya da polyposis. Bisa kididdigar da, mafi cutar rinjayar mutane a kan shekaru 45. A gallbladder - a sosai kananan jiki, a manya da shi ne kawai 14 cm tsawo da kuma 5 cm a fadin. Bisa ga tsarin yake kama da jakar tare da bakin ciki ganuwar, a fadi jiki, da Tapered wuyansa, kuma wani sosai kunkuntar ɓangare na abin da Dates baya bile bututu. A mafi wuya halin da ake ciki an dauke su da wuri daga cikin polyps a cervix ko bututu. A wannan yanayin, da fitarwa ana katange bile a cikin hanji, da kuma haƙuri yana jaundice na fata da kuma fata na idanu. Bugu da kari a wannan yanayi, akwai wasu alamomi da cewa gall yiwu ya karu polyp:

- aching zafi.

- koda colic.

- tashin zuciya (musamman a cikin safe).

- haushi a bakin.

- bacin.

A Sanadin cutar na iya zama inflamed gall kuma mucosa, mahaukaci metabolism, rage cin abinci, gadar hali.

Ganewar asali da aka yi da duban dan tayi, ultrasonography. Jiyya ne yafi m, kunsha a cikin kau na gallbladder. Kawai a wasu lokuta, likita zai iya rubũta magani maimakon tiyata liyafar - "ursosan" ko "Ursofalk".

magani

Ya danganta da wurin, size da sauran halaye na da likita ta zayyana wani magani adenomatous polyp. Idan aka same shi a cikin ciki, tiyata kadai ne zai yiwu, tun da babu magani ba zai yi wani polyp to girma da baya. Kwayoyi kawai dan lokaci inganta overall hoto, amma ba na rage hadarin degeneration cikin daji da siffofin maruran. Lokacin ganowa guda polyp kau ne da za'ayi kawai shi, kuma idan ganowa mahara growths - ciki resection.

Wani Hanyar magani - polypectomy da wani endoscope. An nuna for stebelnyh polyps jere a size daga 0.5 cm da kuma kunshi a cire su daga wani karfe hinjis. A wasu lokuta, an yi a kan wani outpatient akai. Biopsy bayan wannan aiki ake bukata. Wadannan guda hanyoyin magani na polyps a cikin kananan hanji da kuma ciwon. A cikin dubura, idan wani adenoma aka samu a nesa na 10 cm daga dubura, yana yiwuwa excision karkashin maganin sa barci.

Kananan growths cire ta amfani electrocautery.

Daga cikin zamani jiyya domin kau da polyps Laser karatu iya sa, lantarki hasken dake fitowa ta ko igiyoyin rediyo.

A cikin wani hali, bayan da tasiri na haƙuri dangana ga wani m rage cin abinci.

An yi imani da cewa kirki polyps a cikin manyan hanji za a iya warke enemas da celandine, wanda ya kamata a yi a cikin kudi na 25-30. A bayani da aka shirya kamar haka: 50 grams na kore ganye da kuma mai tushe Kink a cikin wani nama grinder, zuba 300 ml, daga ruwan zãfi, jira har sai sanyi, tace. 2 hours kafin warkewa enemas yi wani tsarkakewa. The bayani celandine haƙuri dole rike kanka har zuwa 1.5 hours, da kuma yara - har zuwa minti 30. Hanyoyin da ake da za'ayi a wata rana.

Yana da muhimmanci: da yawa marasa lafiya, wannan hanya ba ya tabbatar, da kuma suka yi ta yi tiyata don cire polyps cewa girma a cikin m siffofin maruran.