Anal polyps mu anus: zviratidzo uye kurapa

Mapapiro emvura inoyerera uye rectum anonzi tumor-yakafanana nemararamiro akasiyana-siyana anobva mumuchengamire weanorectal region. Kazhinji kabudiriro yavo inofadza, asi inogonawo kuratidza sekunetseka mumutsara wakare kana kuchenesa, kurwadziwa uye kunyange kubuda ropa nekuda kwekukura kwevhu.

Kana akabatanidza mapepa ane utachiona, zvinogona kutungamirira ku paraproctitis uye kuonekwa kwekuputika kwechiri. Zvakakosha kubvisa rectal polyps, nokuti vanogona kuenda kune chikamu chekuvadza, vanotumirwa kune zvirwere zvinotyisa zvei rectum.

Chii chinonzi polyp?

Polyp Inonzi chiremera chakaumbwa, icho chinowanikwa kumadziro echomukati chine netsoka. Ivo ndevaya vanowanzovhiringidzika uye vanokwanisa kuumba mune chero chinhengo chekudya kwekudya. Anonyora mapuropa ane bhondi uye anogona kuitika mumapoka, uye pamwe chete panguva imwe. Ichi chirwere chinogona kuwanika kune vanhu vezera ripi neripi, kunyange muvana. Mhuri polyposis (nhaka), iyo iripo muhama dzepedyo, inowanzova yakaipa. Polyposis inokanganisa varume vakawanda (imwe nehafu yenguva) kupfuura vakadzi. Vanenge 10 muzana yevanhu vanopfuura 45, maererano nekutsvakurudza kwakaitwa neAmerican Cancer Association, vanotambura nemapuropa mumatumbo. 1% yezviitiko zvechirwere ichi zvinosvibisa. Zvisinei, kana zviratidzo zvekubuda ropa (malignancy) zvakatoonekwa kare muchitanga chekutanga uye kutarisirwa kwenguva yakajeka kwehutano kunopiwa, kufungidzira kuri nani zvikuru (84% yevarwere vanogara).

Mhando dze polyps

Anonyora mapuropa anogona kugoverwa nekuparidzirwa uye nenhamba: ma polyps akawanda mumhando yezvikwata zvezvigadziro muzvikamu zvakasiyana zvekoloni uye polyp single, pamwe chete nemhando dzakasiyana-siyana dze polyposis.

Maererano nesangano re morphological, polyps inogona kugoverwa kuva fibrous, glandular-inonyangadza, inonyengera, vana vechidiki (cystic-granulating), hyperplastic uye villous. Uyezve, pseudopolyposis iriwo yakasarura, apo kana isingagone kuputika mucosa inokura maererano nemhando yemapuropiti. Chii chinonzi an anal polyp chinotaridzika? Iwe unogona kuona mufananidzo uri munyaya yacho.

Chiratidzo chepuropiti ye rectum

Hapana humwe hutachiona hunoratidzwa huchabatsira kutaura nechivimbo pamusoro pekuvapo kwehutachiona huno, rectal polyps haisipo. Kuoma uye kuvapo kwezviratidzo zvinoenderana nehuwandu hwema polyps, morphological structure, hukuru hwavo, nzvimbo, uye kusavapo kana kuvapo kwekukurira kwakaipa. Asi izvi hazvirevi, kazhinji kacho chimiro chechipatara chiri pamwe chete nezviratidzo zvekugadzirisa zvirwere.

Kazhinji, kuonekwa kwemapurops kunowanikwa panguva yekuongorora kwemukati yeimwe chirwere. Mifananidzo yakakura yemapapps inogona kubuda ropa kana mucous discharge kubva anus, pfungwa yekuvapo mune anus yemuviri wokunze, kusagadzikana. Iko kunonzwa kunorwadza mueileum, pamwe nechemucheche mudumbu. Kazhinji, mapepa anokonzera kukanganiswa kwebasa remukumbo peristalsis, zvichiita kuti zvivepo zvekurara kana kubatwa.

Migumisiro yemapuropiti

Mhedzisiro inowanzoitika yepurops inogona kunzi kuvimbiswa, sezvo kuvapo kwavo mu-lumen kunokonzera kusagadzikana zvishoma kwemukati. Chiratidzo chinotyisa chinoda kuti kurapwa kwenguva pfupi kuchirapa kubuda ropa, nokuti kunogona kukonzerwa nehutachiona hwehupenyu, kuonekwa kwahwo pakutanga kwekutanga kunobatsira pakurapa kwakanyanya. Izvo zvinoitika zvekuvhiringidza kwemapuropiti inowanzoratidzwa nekurwadziwa mudumbu. Nzira yekuti azarure chidimbu chekuvhura kwemazamu? Nezve izvi zvakare.

Kuongororwa kwe rectum polyps

Pamusana pekushandurwa kwemapuropa kusvika kune chikamu chezviremara zvinouraya zvekoloni, mhando dzezvipembenene zvinokonzerwa nehutachiona dzakaonekwa. Munyaya iyi zvinokwanisika kupa varwere mukuonekwa kwe polyposis kugara vachiongororwa ne proctologist nokuda kwekunyadzisa kwemapuropiti ayachete.

Kuonekwa kwekukurira kwakaipa mumapuropa emadziro emadziro pachikwata chekutanga kunogona kuita kuti kubviswa kwechirwere panguva iyoyo uye 90% iwane. Kuti uone mapurisa ehurumende isingagoni kugadzirisa uye chirwere chakakonzera rectum, kuongorora kwemunwe we anus kunoshandiswa. Rudzi urwu rwekutsvakurudza runobvumira kusabvisa kana kuratidza zvimwe zvirwere, somuenzaniso, rectal fistulas, hemorrhoids, cysts uye masero emakumbo emararamiro akajeka, anal fissures. Tsvakurudzo yevamwe varume, kusanganisira, inokubvumira kunzwisisa chirwere cheprostate.

Vanoona sei anal fibrotic polyps?

Recto-manoscopy inobvunzurudza ruzivo rwemutsara, iyo inokubvumira kuongorora muromo wemukati wematumbo pakureba kwemasentimita makumi maviri kubva pane anus. Chikamu chikuru chezviputi chinomuka mu sigmoid uye rectum, zvinogona kuonekwa nekubatsirwa ne rectoscope. Colonoscopy ichabvumira chiremba kufungidzira chimiro chakakura kwazvo nemadziro ayo. Aya maitiro anogona kunzi zvakanakisisa pakuonekwa kwemapuropiti, uye anobatsira pakuonekwa kwezvimwe zvirwere zvemukati uye kuongorora mucosa yayo. Iko yepurasitiki yemarara, iyo yakareba inopfuura 1 cm, inoita kuti zvikwanise kuzarura munzvimbo dzepamusoro dzekoloni irrigoscopy. Kana mapepa acho akawanikwa panguva yekupedzisira, nyanzvi dzinoita samping yebiopsy kuti iwedzere zvidzidzo zvake uye zvechitolo.

Iyo inogonawo kuonekwa pakati pemakorikari emhando yekuongorora nyuchi dzemvura yakachengetwa, iyo inobudiswa kana chirwere chepachiviri chichifungidzirwa. Kuzviitiko zvemazuva ano zvekuona zviratidzo zvenhengo dzomukati zvinogona kuonekwa kune kombiyuta uye maginiti emagetsi ekufungidzira, izvo zvinoitawo kuti kuve nekuonekwa kwezvirwere zvemukati mudumbu.

Kusiyanisa kutsvaga

Zvakakosha kusiyanisa chidimbu chemvura yakakonzerwa kubva kune dzimwe mimwe zvirwere zvepelvic, nhengo dzayo, dzakadai se:

• Tumha yehupenyu husina maturo: myoma (tumarara yemusara yakasara) uye angioma (tumumumumu tumor);
• Lipomas;
• Chirwere cheCrohn, chinogona kuonekwa sepseudopolyposis;
• Actinomycosis yekoloni (kazhinji kamuviri we caecum).

Kuongorora kwake kwekutsanangura kwake ndekwekukosha kwekusiyana kwekutsanangurwa kwemapuropa emukumbo mukuru.

Therapy ye rectum polyps

Zvinotsigira mapurisa hazviporese. Kana uwandu hwepolp uye nzvimbo yahwo huchibvumira, zvino hubviswa panguva yekupedzisira, uye kana zvisingaiti, zvino chirwere. Polyps yakareka nhema inopera transanal. Zvinyorwa zviduku zvaionekwa panguva yekolonoscopy zvinodzingwa panguva yekupedzisira inogadzirwa ne electroexcision (gumbo re polyp rinosungirirwa nemagetsi echisimba uye yakasimbiswa).

Mifananidzo yakabviswa sei?

Pombi dzakakura dzinobviswa muzvikamu. Muzviitiko zvisingaiti zvinetso zvinogona kuitika mu polypectomy nenzira yekubuda ropa uye kuputika kwemuviri mudumbu. The remops polyps are under histological examination. Kana kenza masero akawanikwa munguva yekudzidza, vanosimudza mubvunzo wekugadziriswa kwemukati wemukati, iyo inobatwa. Hedheni kana kuti mhuri yepolposis inobatwa nehuwandu hwekugadzirisa kwemukati mamukati uye kubatana kwekuguma kwayo kusingagumi pashure payo. Kana ichibatanidzwa neadenomatosis uye matumire emamwe matukisi, Garder's syndrome (osteoma yemapfupa emakumbo), chete rudzi urwu rwekurapa runogona kupa mugumisiro.

Ndizvo zvazvinoreva kubvisa puropiti yemarara.

Zviratidzo zvepuropiti dze rectum

Muzviitiko zvakawanda, kusunungurwa panguva yakakodzera uye kuonekwa kwemapuropiti kunofambidzana nekudzoka. Asi pane dzimwe nguva mamiriro ekudzokazve mugore rimwe chete kusvika kumakore matatu, naizvozvo gore mushure mekubviswa kwema-polyp-size, mapironoscopy anochengetedzwa anoitwa, uye inokurudzirwa kuti endoscopy inogara ichipfuura pamusoro pemakore ose matatu. Kuchinja kwepuropiti muchigamba chemaitiro akashata kwakananga zvakananga nenhamba uye ukuru hwekuumbwa. Mazana akawanda emapurops akawanda anowanzovhiringidza, sezvo dambudziko rekuvadza rinogona kusvika 20%. Iko mikana yakawanda yekuchinja kune kenza mumhuri polyposis.

Kudzivirirwa kwepurops ye rectum

Parizvino, hapana chidziro chakakosha chema polyps. Kuti kuderedze njodzi yekuitika kwavo, zvinokurudzirwa kudya nenzira yakarongeka, kutungamira mararamiro anoshanda uye kutora miedzo yakakodzera panguva yekudya uye kugadzirisa zvirwere zvinorwara. Nzira inonyanya kukosha yekudzivirira kwekukura kwekenza yemakwenzi ndeye kuonekwa kwokutanga kwemapuropiti.