Tubular adenoma dysplasia giredhi 1-2

intestinal pathologies zvinowanika vanhu vazhinji. An chirwere muviri kunyanya ngozi runoonekwa kune akaipa Kushandurwa epithelium. Kenza muura uye mugaranhoko mumwe vaikudzwa nenzvimbo sechivako oncological pathologies. The chirwere kazhinji kunotungamirira kurufu varwere. Saka zvinokosha nguva kuziva avo ezvinhu anoteverwa akaipa kukura nemasero. Mumwe pathologies izvi ndizvo tubular adenoma (polyp). Pasinei inoitwa epithelial masero, degeneration yaro bundu zvingaitika. Saka, pamusoro kuziva miedzo intestinal adenomas nguva dzose zvinoda kubvunza oncologist. Kazhinji, zvinofanira kubviswa surgically dzidzo.

Ndeipi tubular adenoma ari muura?

Benign mapundu ose ura hazvizivani. Mune zvisingawanzoitiki kacho, dzinounza zvazvakaipira kuti pachavo rizivikanwe. Kazhinji Kuvapo kwavo kuwanikidzwa tsaona, panguva dzose rokuongorora kana panguva pakurapa mamwe gastrointestinal zvirwere. Mumwe anomera izvi ndizvo tubular adenoma ari muura. Externally Rine chiduku womukati excrescence panyika epithelium. Kana iwe tora chiduku piece adenoma rinenge (biopsy) uye kuongorora pasi maikorosikopu, unogona kuona mumasero ura dzakura. Sezvazviri benign mapundu ose, ivo histological nemamiriro akavaka-up rinodzokorora epithelial marongerwo. Zvisinei, tubular adenoma chirwere pamusoro izvo kazhinji kuva colorectal kenza. Naizvozvo, zvine njodzi kuti utano murwere. Chimwe zita uyu benign mapundu ose ura - polypoid adenomas. It kunoitika munenge 5% vemo. The kakawanda panowanikwa adenoma hakunei nezera uye kurara kuti munhu. Mune zvimwe zviitiko pane vakawanda polyps. Zvinofungidzirwa kuti kuvapo rimwe adenoma duku ngozi malignancy tubular yakaderera. Kunyange zvakadaro, dzidzo iri kukonzera Registration muna Oncology Center kuramba achitarisirwa.

Zvinokonzera adenomas vari ura

Masayendisiti haasati kuwana chaiyo causative chiri kuita kuti pave intestinal adenomas. Kune akawanda dzidziso benign anomera. vanachiremba vakawanda vanodavira kuti kutungamirira basa reDare wemishonga zvinoverengeka panowanikwa chirwere ichi. Kubva musi uyu, akazivisa wandei zvinokonzera tubular adenomas:

1. Genetic kubatwa. Nhodzera pakuparwa intestinal polyps kunokosha. Mune zvimwe zviitiko, tubular adenomas dzakaonekwa akawanda dzemhuri.
2. Hunhu simba. Zvinofungidzirwa kuti vanhu zvokudya riri mudenga mafuta emhuka, katsika chimiro zvose benign neoplasms uye gastrointestinal kenza. Uyewo, ngozi abnormalities izvi ipfupi nokushandisa miriwo, miriwo, zvokudya akapfuma faibha.
3. Bad tsika.
4. Zvinoitika muviri siyana namakemikari vamiririri, ionizing nemwaranzi.
5. Zvinokangaidza.

Kakawanda, tubular adenoma inowanikwa vakwegura. Nokuda kuti boka iri revanhu kunowedzera ngozi kenza muura, polyps inozviisa fanira kubviswa.

Mhando dzakasiyana-siyana tubular adenomas

Tubular adenoma angava akasiyana saizi. It yemakomo kubva shoma millimeters kuti 3.2 cm., Zvichienderana nemaziso mifananidzo, yoga "sessile" polyps, benign pedunculated. Sezvo tubular adenomas yakasiyana localization. Vanogona iri mudumbu, ari muura uye sigmoid muura. Zvichienderana nokuwanda adenomas secrete kuroorwa uye vakawanda polyps. The kukosha chikuru kuti usarudze nzira yokurapa uye fungidziro chinhu kupatsanura iyo inobva histological nemamiriro tishu neoplasms. Zvichienderana kusunungurwa ichi 3 mhando intestinal polyps:

1. Tubular benign adenoma. Nemaziso kuongororwa anogona kuonekwa kuti ichi mhando polyp Masero vari elongated kana branching chubhu takapoteredzwa connective tishu.
2. Tubular-villous adenoma - yakatanga pasi pokudzora rwakashata zvinhu pasina kurapwa. The chidzoke kwaiita polyps kuwedzera ngozi degeneration kupinda kenza. Histological ongororo inoratidza masero sei tubular uye zvikamu fibrosis.
3. Villous adenoma. mhando iyi bowel polyps chinhu precancerous ezvinhu unosungira kuti nguva dzose rinochinjwa kuva akaipa bundu. Kana dzichibvisa dzakadaro macropreparations dzidzo afanane matope.

Zvinokosha kuyeuka kuti, pasinei "hakukuvadzi" tubular adenoma, zviri inenge nguva dzose rinochinjwa kuva villous polyp. Paavhareji, inoitika mumakore 4-5 mushure chichikosha.

The kunotoda mune tubular adenoma pamusoro ura

Kana zviduku rakawandisa tubular adenoma hakuna zvekuchipatara kuratidzwa. Izvi imhaka yokuti dzidzo asingadi kuvhiringidza chakaipa nokushanda ura uye chikamu chetsoka. Kana polyp rinosvika masendimita vanoverengeka dhayamita (kubva 2 kana kupfuura), ayo kuvapo unogona vanofungidzirwa pamusoro yokuora zviratidzo. Pakati pavo vane kuchinja akadai intestinal kusanzwa, zvemamiriro zvinoyerera, marwadzo panguva defecation. Zviratidzo tubular adenoma:

1. Kupatirwa kana manyoka.
2. Chimiro ropa kana defecating. Izvi imhaka yokuti faeces kuvadza rusvingo tubular adenoma.
3. Marwadzo panguva defecation.
4. Kuvava ari nekunobuda netsvina munharaunda.

Yeuka kuti zviratidzo izvi zvingava anoratidza panowanikwa nekenza sigmoid kana mugaranhoko. Naizvozvo, kukura chiremba mufananidzo yakafanana chinhu chimbi kugadzirisa kuti proctologist.

Tubular muura adenoma pamwe dysplasia: tsanangudzo

Kupindana benign mune kenza kunotanga zvishoma nezvishoma kuchinja cellular Kuronga adenoma - dysplasia. Kana tubular polyp acho haina kuchengetwa. Kazhinji cellular kugadzirisa kuitika mune villous idzodzo. Kunyange zvakadaro, chinhu chakadai sechinhu tubular adenoma pamwe dysplasia ariko. The panowanikwa saibva masero kazhinji apo polyp ukuru. Muchiitiko chino, tubular adenoma tinoshandurirwa villous dzidzo tubulovillous. Dysplasia hakusi anoratidza nedanho malignancy nguva dzose. It kunobva dhigirii zvokunamata pamusoro adenoma masero. Kunyange zvakadaro, chimiro masero undifferentiated kunyange shomanana kunowedzera ngozi kenza bowel anomera.

Mwero dysplasia mu tubular adenomas

Govera 3 inosiyana dysplasia mu tubular intestinal adenomas. On sei kuchinja polyp masero zvidobi ari chiremba kunoenderana. Tubular adenoma pamwe dysplasia giredhi 1-2 ane yakanaka fungidziro kuti anorapwa. Yakakwirira ndingangokuvara degeneration kupinda kenza akaona anyatsoona kuchinja cellular Kuronga polyp. Mwero dysplasia kunoratidzwa thickening pamusoro basal rukoko ari intestinal epithelium. Hypochromic Sero neerekitironi, nhamba mitoses akawedzera. mwero dysplasia kunoratidzwa pakuti basal rukoko pamusoro epithelium iri avhiringidzwa, pane raidudzwa kuwanda masero ari nhungirwa wongoramba. Uyezve, zvinhu pachavo akasiyana pakukura uye chimiro. Nemuumbi mwero dysplasia chinhu chinouraya Danho, akatevera atypia. Masero nedzimwe hyperchromic uye polymorphism. Kuwanda dzakachinjwa zvinhu zvinobva 0.5 1% kubva epithelial tishu.

Chirwere tubular intestinal adenomas

Kana uchifungidzira pamberi tubular adenomas vaiita endoscopic bvunzo. Izvi zvinosanganisira colonoscopy uye sigmoidoscopy. Pakusarudza nzira kunoenderana nzvimbo polyp iri ura. Mukuenderera nechirwere yakapiwa gistologicheskimu uye cytology.

Mabatirwo tubular adenoma

The nzira chikuru kurapwa kuvhiya nokubviswa polyp. Mune zvisingawanzoitiki Muzviitiko, tubular adenoma, chete tarisai (nokuti shoma). Panyaya iyi, murwere vanofanira kutevera zvokudya uye kubvisa tsika dzakaipa. Kuitisa endoscopic polypectomy. In chakakomba dysplasia kuita oparesheni.

Kudzivirira tubular adenomas

Kufungidzira kukura tubular adenoma hazviiti. Kunyange zvakadaro, kune matanho zvinosanganisira kudya zvinovaka muviri (hwakapararira mu zvokudya faibha, pasi mafuta). Unofanirawo kubvisa kusvuta uye doro apo nokugamuchira vakaremerwa nhoroondo nhaka. Pashure pemakore 60 ndakarumbidzwa chirwere colonoscopy.