Qhov quav polyps nyob rau hauv lub qhov quav: Cov tsos mob thiab kev kho mob

Polyps qhov quav kwj dej thiab qhov quav yog hu ua benign qog, uas emanate los ntawm cov anorectal mucosa. Feem ntau lawv tsim asymptomatic, tab sis lawv kuj tshwm sim tsis xis nyob rau hauv lub qhov quav zaj lus los sis khaus, mob thiab txawm los ntshav vim lub resulting yaig.

Yog hais tias qhov quav polyps raug kis kab mob, nws yuav ua tau kom rwj thiab cov emergence ntawm qhov quav fissures. Nws yog tsim nyog los tshem tawm cov qhov quav polyps, raws li lawv muaj peev xwm ua mus rau lub ya ntawm phem, lawv raug xa mus rau precancerous txhab ntawm lub qhov quav.

Yuav ua li cas yog ib tug polyp?

polyp hu ua lub qog tsim, uas yog txuas mus rau lub ceg ntawm ib tug hollow hloov khoom nruab nrog phab ntsa. Lawv yog cov ncaj ntau tus kab mob thiab yuav tsum tsim nyob rau hauv tej khoom hauv nrog cev ntawm lub digestive system. Qhov quav polyps - benign thiab tsim yuav tshwm sim ob pab pawg thiab ib tug. Tus kab mob muaj peev xwm yuav nrhiav tau nyob rau hauv cov neeg uas muaj hnub nyoog, txawm nyob rau hauv cov me nyuam. Tsev Neeg polyposis (raws roj ntsha), uas yog tam sim no nyob rau hauv txheeb ze, muaj ib tug ib txwm mus ua mob. Polyposis raug kev txom nyem ntau dua cov txiv neej (los ntawm ib nrab) tshaj cov poj niam. Hais txog 10% ntawm cov neeg laus dua 45, raws li kev tshawb fawb ua los ntawm lub American Association ntawm cancer, raug kev txom nyem los ntawm polyps nyob rau hauv cov hnyuv. 1% ntawm tus kab mob no yog ua phem. Txawm li cas los, Yog hais tias tej yam tshwm sim ntawm los ntshav (malignancy) tau pom tias nyob rau ntawm ib thaum ntxov rau theem thiab ua raws sij hawm kev kho mob, cov raug zoo npaum li cas (84% ntawm cov neeg mob ciaj sia).

hom polyps

Qhov quav polyps yuav tsum tau muab faib los ntawm cov kis thiab tus naj npawb ntawm: ntau yam polyps nyob rau hauv daim ntawv ntawm cov band lub tsim nyob rau hauv ntau qhov chaw ntawm cov nyuv thiab polyp hluas thiab diffuse raws roj ntsha polyposis.

Los ntawm morphological qauv yuav tsum tau muab faib nyob rau hauv polyps fibrous, glandular villous, glandular, hluas (cystic granulating) giperplastinchatye thiab villous. Ntxiv mus, kuj paim pseudopolyposis thaum mob mob tshwm sim loj hlob ntawm mucosal polyps hom. Yuav ua li cas yog qhov quav polyp? Duab yuav tsum tau saib nyob rau hauv tsab xov xwm.

Symptomatology colorectal polyps

Yog tsis muaj kev soj ntsuam ces, uas yuav pab kom hais tseeb txog qhov muaj ntawm no pathology tau cov nyuv polyps yog tsis muaj. Siv thiab muaj cov tsos mob nyob ntawm seb muaj pes tsawg tus polyps, morphological qauv, lawv loj, qhov chaw, thiab lub muaj los yog tsis muaj ib tug phem txoj kev loj hlob. Tab sis hais tias tsis yog tag nrho, nws yog ntau heev tus soj ntsuam daim duab yog nrog los ntawm cov tsos mob ntawm comorbidities.

Feem ntau, polyps nrhiav kom tau tshwm sim thaum lub sij hawm endoscopic plab hnyuv kev tshawb fawb rau lwm yam kab mob. Qhov quav loj polyps yuav tshwm sim ntshav ntswg lej kua los ntawm lub qhov quav qhib, cov kev xav ntawm muaj ib tug txawv teb chaws lub cev nyob rau hauv lub qhov quav orifice tsis xis nyob. Tau mob nyob rau hauv lub iliac cheeb tsam, thiab rau sab plab mog. Lus, polyps yuav ua rau muaj kev cuam tshuam ntawm cov kev ua ntawm plab hnyuv peristalsis, yog li pab mus rau lub rov tshwm sim ntawm raws plab los yog cem quav.

txim ntawm polyps

Feem ntau qhov yuav tau txais ntawm polyps yuav hu ua cem quav, raws li lawv muaj nyob rau hauv lub lumen ua ib nrab plob tsis so tswj thaiv. Danger tej yam tshwm sim uas yuav tsum tau tam sim ntawd kev kho mob rau cov kws kho mob, yog los ntshav, vim hais tias yog vim li cas rau nws tej zaum yuav mob cancer pathology, uas ntes nyob rau ntawm ib thaum ntxov rau theem yuav ua rau kom tuav ib tug muaj kev vam meej kev kho mob. Nyob rau hauv keeb kwm ntawm lub inflammatory txheej txheem nyob rau hauv polyps feem ntau qhia mob plab. Yuav ua li cas qhia hais tias ib tug polyp qhov quav? Nyob rau qhov no tom qab.

Mob ntawm colorectal polyps

Vim cov kev hloov rau hauv qeb ntawm phem polyps ntawm cov nyuv mob qhia ntau cancer hlav. Nyob rau hauv no kev twb kev txuas, tej zaum nws yuav hu rau cov neeg mob nyob rau hauv kev txheeb xyuas polyposis tsis tu ncua saib xyuas ntawm lub proctologist rau malignancy nyob rau hauv cov feem ntau polyps.

Nov ntawm polyps nyob rau hauv lub qhov quav phab ntsa malignancy nyob rau ntawm ib thaum ntxov rau theem yuav ua rau kom raws sij hawm tshem tawm cov qog, thiab 90% rov qab. Rau cov nrhiav kom tau ntawm polyps nyob rau hauv lub davhlau ya nyob twg ib feem ntawm lub qhov quav kwj dej thiab qhov quav siv cov kev tshawb fawb qhov quav. Qhov no hom ntawm kev kawm no tseem tso cai rau kom tshem tawm los yog qhia lwm yam kab mob, e.g., qhov quav fistula, hemorrhoid cov ntaub so ntswg hlwv thiab hlav adrectal, qhov quav fissures. Ntiv tes txoj kev tshawb no nyob rau hauv cov txiv neej, xws li, tso cai rau kom peb to taub qhov mob ntawm lub prostate.

Yuav ua li cas mus ntes fibrous qhov quav polyps?

Sigmoidoscopy - instrumental tuav txoj kev tshawb no ntawm lub qhov quav, uas tso cai rau koj mus tshawb xyuas lub plab hnyuv phab ntsa hauv 25 cm qhov siab ntawm lub qhov quav. Lub ib thooj ntawm lub polyps tshwm sim nyob rau hauv lub sigmoid nyuv thiab qhov quav, koj yuav nrhiav tau lawv nrog kev pab los ntawm proctoscope. Ib tug mus xoos hnyuv laus tso cai tus kws kho mob yuav pom tau cov nyuv kiag li, thiab nws cov phab ntsa. Cov kev yuav tsum tau hu ua kev pom kev rau kom paub tias ntawm polyps, thiab lawv pab txhawb kom muaj cov nrhiav kom tau ntawm lwm yam plab hnyuv txawv txav thiab kev tshawb nrhiav txog nws mucosa. Polyp qhov quav kwj dej, uas nws muaj nuj nqis yog ntau tshaj 1 cm, qhia rau hauv lub Upper nyuv irrigoscopy hnyuv. Yog hais tias polyps twb pom thaum lub sij hawm endoscopy, kws txawj ua me zauv rau ntxiv histological thiab cytological kev tshawb fawb.

Kuj hais cov laboratory hom kev kawm quav Occult ntshav kuaj, uas yog ua yog hais tias tus xav tias pathology ntawm txoj hnyuv. Los ntawm kev niaj hnub ntawm visualization ntawm hauv nruab nrog cev tej zaum yuav muaj xws li ib lub computer thiab MRIs, uas kuj ua rau kom lub nrhiav kom tau ntawm cov nyuv pathologies.

differential mob

Nws yog tsim nyog los paub qhov txawv nruab nrab ntawm tus quav kwj dej polyp los ntawm ib tug xov tooj ntawm lwm yam hu ua pelvic cov kab mob, nws cov koom haum, xws li:

• mob neepitelnogo cim fibroids (qog npag txheej) thiab Angioma (vascular mob);
• lipoma;
• Crohn tus kab mob, uas yuav ua tau yuam kev pseudopolyposis;
• actinomycosis ntawm cov nyuv (feem ntau mob ntawm lub cecum).

Histological xeem yog ib yam uas yuav tsum muaj tseem ceeb nyob rau hauv lub differential mob ntawm cov nyuv polyps.

Therapy nyuv polyps

Conservative polyps yog tsis kho. Yog hais tias qhov luaj li cas ntawm cov polyp thiab nws qhov chaw nyob daim ntawv tso cai, nws yog muab tshem tawm thaum lub sij hawm endoscopy, thiab yog hais tias tsis tau, ces surgically. Polyps raug muab tshem tawm Transanal tsawg-dag. Polyps yog me me luaj li cas, tau lawm tias thaum lub sij hawm ib tug xoos hnyuv laus, raug muab tshem tawm thaum lub sij hawm ntawm txoj kev los ntawm endoscopic electrosurgical (polyp clasped ceg voj electrode thiab clamped).

Yuav ua li cas yog qhov quav polyp tshem tawm?

Qhov loj tshaj plaws polyps tshem tawm qhov chaw. Nyob rau hauv tsawg tus neeg mob, mob tej zaum yuav tshwm sim thaum uas polypectomy li los ntshav thiab perforation ntawm lub plob tsis so tswj phab ntsa. Deleted polyps raug histological xeem. Yog hais tias txoj kev tshawb no cancer hlwb twb pom, raising rau lo lus nug ntawm plob tsis so tswj resection qhov chaw uas xav tsis thoob vim. Mob muaj keeb los yog familial polyposis kho los ntawm tag nrho cov resection ntawm cov nyuv thiab qhov kev twb kev txuas ntawm nws free kawg ces lub qhov quav. Thaum ua ke adenomatosis hlav thiab lwm yam ntaub so ntswg, nyuaj syndrome (osteomas cranial cov pob txha), tsuas yog daim ntawv no ntawm kev kho mob tej zaum yuav muab cov kev tshwm sim.

Hais tias yog dab tsi qhov kev tshem tawm ntawm ib tug polyp ntawm lub qhov quav kwj dej.

Cov raug ntawm cov nyuv polyps

Nyob rau hauv feem ntau tus neeg mob, raws sij hawm raug muab tshem tawm thiab qhia kom paub txog polyps nrog rov qab. Tab sis heev thiab mob ntawm relapse tom qab ib mus rau peb lub xyoo, yog li ib xyoo tom qab qhov kev tshem tawm ntawm polyps loj dimensioned tswj mus xoos hnyuv laus thiab endoscopy yog pom zoo kom muaj tsis tu ncua, txog txhua txhua 3-5 xyoos. Nruab hnub nrig polyp nyob rau hauv kauj ruam malignancy yog ncaj qha txog tus nqi thiab kev loj ntawm formations. Ntau loj polyps twb ho yuav maligniziruyutsya, txij li thaum txoj kev pheej hmoo ntawm malignancy yuav ncav cuag 20%. Qhov siab tshaj plaws ntau yam ntawm txoj kev hloov mus rau mob cancer nyob rau hauv familial polyposis.

Kev tiv thaiv ntawm colorectal polyps

Tam sim no, yog tsis muaj tshwj xeeb polyp kev tiv thaiv. Yuav kom txo tau txoj kev pheej hmoo ntawm lawv tshwm sim, kom noj ib balanced, active txoj kev ua neej thiab raws sij hawm pass soj ntsuam thiab kev kho mob ntawm digestive ib ntsuj av tau cov kab mob uas tau txheeb xyuas. Qhov tseem ceeb tshaj plaws ntawm kev tiv thaiv ntawm lub qhov quav cancer - thaum ntxov ntawm polyps.