Tizilombo ting'onoting'ono kumatako mu chotulukira kuti: Zizindikiro ndi Chithandizo

Tizilombo ting'onoting'ono kumatako ngalande ndi rectum amatchedwa chosaopsa chotupa, amene akuchokera ku anorectal mucosa. Nthawi zambiri kukhala asymptomatic, koma iwo zingachitikenso kusapeza mu ndime kumatako ndi kuyabwa, kupweteka ndipo ngakhale magazi chifukwa cha kukokoloka chifukwa.

Ngati tizilombo ting'onoting'ono kumatako ndi matenda, ndiye kuti akhoza kuchita abscess ndi zikamera wa fissures kumatako. M'pofunika kuchotsa tizilombo ting'onoting'ono thumbo, iwo ali okhoza kupita gawo la zilonda, iwo amatchulidwa zotupa precancerous ya rectum.

Kodi polyp?

polyp otchedwa chotupa mapangidwe, amene anaphatikiza mwendo wa m'dzenje khoma limba. Iwo matenda zofala ndi akhoza kupangidwa mu chiwalo chilichonse cha dongosolo m'mimba. Kumatako ndi tizilombo ting'onoting'ono - chosaopsa ndi mapangidwe angayambe magulu onse ndi mmodzi. Matendawa angapezeke anthu a m'badwo uliwonse, ngakhale ana. Banja polyposis (kumtundu), amene ali pano mu achibale, ali ndi kugwidwa khansa. Polyposis amavutika kwambiri kuposa amuna (ndi theka) poyerekeza ndi akazi. 10% ya anthu achikulire kuposa 45, malinga ndi maphunziro ochitidwa ndi Association American khansa, akudwala tizilombo ting'onoting'ono mu intestine lapansi. 1% ya matenda kukhala yoopsa. Komabe, ngati zizindikiro za magazi (chotupa chija) anafotokozedwa pa siteji oyambirira ndi kuwapatsa chithandizo yake, kuti madokotala ananena zawo bwino kwambiri (84% odwala kupulumuka).

mitundu tizilombo ting'onoting'ono

tizilombo ting'onoting'ono kumatako akhoza kugawidwa ndi kufala ndi chiwerengero cha: tizilombo ting'onoting'ono angapo mu mawonekedwe a mapangidwe gulu mu madera osiyana a m'matumbo, polyp wosakwatiwa ndipo akakufunsani cholowa polyposis.

Ndi kapangidwe morphological akhoza kugawidwa mu tizilombo ting'onoting'ono fibrous, glandular villous, glandular, zaumbanda (enaake granulating) giperplastinchatye ndi villous. Komanso, komanso secrete pseudopolyposis pamene aakulu kutupa amapezeka kuchuluka kwa mucosal tizilombo ting'onoting'ono mtundu. Kodi polyp kumatako? Photos angaonedwe nkhaniyi.

Symptomatology colorectal tizilombo ting'onoting'ono

Palibe yeniyeni matenda mawonetseredwe, amene angandithandize kunena motsimikiza za kukhalapo kwa kudwala ino m'matumbo tizilombo ting'onoting'ono palibe. Mwamphamvu ndi kukhalapo zizindikiro zimadalira chiwerengero cha tizilombo ting'onoting'ono, kapangidwe morphological, kukula, malo, ndi kukhalapo kapena kusapezeka kwa chophuka chotupa. Koma si onse, nthawi zambiri kwambiri ndi chithunzi matenda limodzi ndi zizindikiro za comorbidities.

Childs, ndi tizilombo ting'onoting'ono kudziwika zidzachitika maphunziro endoscopic matumbo matenda ena. Kumatako ndi tizilombo ting'onoting'ono lalikulu akhoza kuoneka secretions wamagazi kapena mucous ku kutsegula kumatako, kumverera kwa kupezeka kwa thupi zakunja mu kumatako orifice nkhawa. N'zotheka ululu m'dera iliac, ndi pamimba m'munsi. Kawiri kawiri, ndi tizilombo ting'onoting'ono zingachititse kusokoneza ntchito ya peristalsis matumbo kuti nawonso zikamera wa m'mimba kapena kudzimbidwa.

zotsatira za tizilombo ting'onoting'ono

Chotsatira ambiri tizilombo ting'onoting'ono angatchedwe kudzimbidwa, monga anafikapo ku lumen amachititsa tsankho kutsekeka matumbo. Ngozi zizindikiro zimene amafuna mankhwala mwamsanga kwa dokotala, magazi, chifukwa zimenezi chifukwa mwina khansa kudwala, zomwe kudziwa pa siteji oyambirira azipereka kwa atanyamula chithandizo bwino. Pa chiyambi cha yotupa ndondomeko ku tizilombo ting'onoting'ono zambiri limatiuza ululu m'mimba. Kodi asankhe polyp chotulukira? Pa lino.

Matenda ndi tizilombo ting'onoting'ono colorectal

Chifukwa cha kusintha kwa gulu tizilombo ting'onoting'ono chotupa ya m'matumbo chotupa anaulula zotupa ambiri khansa. Pa nkhani imeneyi, kungakhale bwino odwala kudziwa polyposis nthawi zonse kuunikira pa proctologist kuti chotupa chija mu izi tizilombo ting'onoting'ono kwambiri.

Kudziwika ndi tizilombo ting'onoting'ono mu thumbo khoma chotupa chija pa siteji oyambirira zingachititse yake yochotsa chotupacho, ndipo 90% kuchira. Pakuti kudziwika ndi tizilombo ting'onoting'ono mu gawo osachiritsika a ngalande kumatako ndi rectum ntchito digito kafukufuku chotulukira. Mtundu wa phunziro imaperekanso kuthetsa kapena kuzindikira matenda ena, mwachitsanzo, thumbo fistula, cysts hemorrhoid minofu ndi zotupa adrectal, fissures kumatako. Chala phunziro anthu, kuphatikizapo, kumatithandiza kuzindikira chikhalidwe cha prostate.

Kodi kudziwa fibrous kumatako ndi tizilombo ting'onoting'ono?

Sigmoidoscopy - zoimbidwa nkhani kuphunzira rectum, amene amalola kuyendera khoma matumbo mkati masentimita 25 kutalika kwa chotulukira lapansi. Zambiri amakhala ndi tizilombo ting'onoting'ono ndi chidzachitika sigmoid m'matumbo rectum, mungathe kuwapeza mothandizidwa ndi proctoscope. colonoscopy A zimathandiza adokotala udzakhalire m'matumbo kwathunthu, ndi mpanda wake. Njirazi angatchedwe mulingo woyenera kudziwika ndi tizilombo ting'onoting'ono, ndipo amathandiza kuti kudziwika kuvutika ena matumbo ndi kufufuza za mucosa ake. Polyp kumatako ngalande, amene mtengo wake kuposa 1 masentimita, limasonyeza mu chapamwamba m'matumbo irrigoscopy intestine. Ngati tizilombo ting'onoting'ono anapezeka pa endoscopy, akatswiri kuchita biopsy zitsanzo zosankhidwazi maphunziro zina histological ndi cytological.

Kodi amatchulanso mwa njira zasayansi fecal zamatsenga magazi mayeso, amene amapangidwa ngati anaganiza kudwala wa intestine lapansi. Mwa njira zamakono za zowonera a ziwalo zingaphatikizepo kompyuta ndi MRIs, zomwe zachititsanso kuti kudziwika m'matumbo pathologies.

matenda masiyanidwe

M'pofunika kusiyanitsa kumatako ngalande polyp kwa chiwerengero cha matenda ena m'chiuno, mabungwe ake, monga:

• chotupa neepitelnogo khalidwe fibroids (chotupa akulu wosanjikiza) ndi Angioma (mtima chotupa);
• lipoma;
• matenda amene amatupitsa, amene angalakwitse chifukwa pseudopolyposis;
• actinomycosis ya m'matumbo (chotupa ambiri cecum ndi).

Histological tione wofunika kwambiri mu masiyanidwe matenda a m'matumbo tizilombo ting'onoting'ono.

Therapy m'matumbo tizilombo ting'onoting'ono

tizilombo ting'onoting'ono ndiwofatsa si ankachitira. Ngati kukula kwa polyp ndi malo ake chilolezo, ndi kuchotsedwa pa endoscopy, ndipo ngati sichoncho, ndiye opaleshoni. Tizilombo ting'onoting'ono amachotsedwa Transanal otsika kunama. Tizilombo ting'onoting'ono ndi kukula yaing'ono, akhala afunsidwa mu colonoscopy, kodi kuchotsedwa pa ndondomeko ndi endoscopic electrosurgical (polyp clasped mwendo kuzungulira elekitirodi ndi clamped).

Kodi kumatako polyp kuchotsa?

The tizilombo ting'onoting'ono waukulu kuchotsedwa mbali. Nthawi zina, mavuto angabuke pamene polypectomy ngati magazi ndi perforation wa matumbo khoma. tizilombo ting'onoting'ono Chachotsedwa pansi Kupenda histological. Ngati maselo a khansa kuphunzira anapezeka, kuukitsa funso la matumbo resection malo amene anadabwa. Cholowa kapena banja polyposis kuchizidwa okwana resection ya m'matumbo ndi kugwirizana kutha ufulu ndiye chotulukira. Zimagwira adenomatosis zotupa ndi zimakhala zina, Limbikirani syndrome (osteomas cranial mafupa), yekha mawonekedwe chithandizo awapatse zotsatira.

Ndicho chimene kuchotsa ndi polyp wa ngalande kumatako.

Kuti madokotala ananena zawo ya m'matumbo tizilombo ting'onoting'ono

Nthawi zambiri, kuchotsa yake ndi chizindikiritso cha tizilombo ting'onoting'ono limodzi ndi kuchira. Koma kawirikawiri ndi milandu muyambirenso pambuyo pa chaka chimodzi kufikira zitatu, kotero chaka kuchotsa tizilombo ting'onoting'ono zikuluzikulu dimensioned ulamuliro colonoscopy ndi endoscopy tikulimbikitsidwa kuti zonse, pa 3-5 zaka. Masana polyp mogwirizana chotupa chija mwachindunji ndi kuchuluka ndi kukula kwa dongosolo. Angapo lalikulu tizilombo ting'onoting'ono anali kwambiri m'pamenenso maligniziruyutsya, kuyambira chiopsezo chotupa chija angafikire 20%. Mwina apamwamba kusintha kwa khansara mu polyposis banja.

Kuteteza ndi tizilombo ting'onoting'ono colorectal

Panopa, palibe wapadera polyp kupewa. Kuchepetsa chiopsezo asayembekezere, Mpofunika kudya moyenera yogwira moyo yake mayesowo ndi mankhwala a matenda m'mimba thirakiti sakudziwika. Zofunika kwambiri muyeso zopewera khansa thumbo - oyambirira kudziwika ndi tizilombo ting'onoting'ono.