Popsps sune cututtukan cututtukan zuciya waɗanda ke fitowa daga ƙwayar epithelial. Mafi sau da yawa, zasu iya faruwa akan membrane na ciki, shine, ƙungiyar mucous membrane na rufin ɓoyayyun gabobin cikin gabobin ciki. Wadannan gabobin sun hada da na ciki da na mahaifa. Hanyar polyps mafi yawanci shine zagaye ko a cikin nau'i na digo. Yana da wuya wani lokacin wahala a same su, kamar yadda, a zahiri, muyi.
A karo na farko, an gano ƙwayoyin ƙwayar cuta a karni na goma sha tara ta wani kwararren masanin ilimin ƙwaƙwalwar ƙwayar cuta ta Jamaniyanci mai suna Virchow. Bayan cikakken nazarin tsarin halittar neoplasm a karkashin wani microscope, sun fara yin imani da cewa babban dalilin bayyanar sa ya keta hadarin lipid.
A halin yanzu, an yi imanin cewa polyps na ƙwayar cuta ana samun su a kusan 10% na yawan jama'a, yawancin su mata ne da suka girmi shekaru 35.
Sanadin da nau'ikan polyps
Polyposis (kasancewar polyps da yawa) cuta ce da ke haifar da dalilai daban-daban.
Tarihin dangi mai wulakantar da kai, ko, a mafi sauki, yanayin tsinkayen kwayoyin halitta - wannan na iya haɗawa da kasancewar halayen nemoplasms daban-daban na nau'in papillomas, polyps, adenomas a cikin dangi na kusa. Wasu sassan kwayoyin halitta suna da alhakin bayyanar su, don haka yiwuwar ci gaba a cikin tsararraki masu zuwa na iya ƙaruwa;
Cututtuka na biliary fili na kamuwa da cuta da alaƙa shine, alal misali, cholecystitis (tsari mai kumburi a cikin ƙwayar ƙwayar cuta), wanda bangon mafitsara ya zama mai kauri, ƙarfinsa yana ƙaruwa, gami da sinadarin cholesterol, wanda shine tushen samuwar kwayar cutar cholesterol. Hakanan cutar cuta ce ta al'aura, wanda hakan ke haifar da damuwa ga al'ada da kuma yadda yanayin sa yake gudana. Stagnation yana haifar da narkewa, jin zafi, bel. Sakamakon wannan, girma na granulations a bango na kumfa ya fara, sannan polyp din da kansa ya fara yin;
Rashin narkewar ƙwayar cuta shine watakila shine mafi yawan haɗari kuma sanadin. Babban mahimmanci shine cin zarafin ƙwayar lipid, wanda ke haifar da tarin ƙwayar cholesterol da ƙanƙantar lipoproteins da ƙarancin ƙarfi a cikin jiki. Saboda irin waɗannan canje-canje a cikin ma'aunin mai, ba kawai atherosclerosis ba, amma har ma polyposis na iya haɓaka. Cholesterol, ban da tasoshin jini, an ajiye shi a bangon gallbladder, ban da abin da galibi ana samun sa a bile. Don haka polyp farawa;
Biliary dyskinesia cin zarafi ne game da yanayin bile, sakamakon lalacewa da ƙaddamar da kwanciyar hankali na ƙwayar tsoka. Tare da wannan ilimin, bile ba ya shiga cikin duodenum gabaɗaya kuma akwai ƙananan ragi. Mai haƙuri na iya fuskantar tashin zuciya, matsanancin amai, jin zafi a cikin dama na hypochondrium, asarar nauyi.
Abubuwan polyps na iya zama da nau'ikan da yawa:
- Papillomas - bisa ga dabi'unsu suna da rauni, Hakanan zai iya faruwa akan fata. Papilloma yana da siffar papilla. Tare da wasu nau'ikan fallasawa, suna iya zama m, wato, cutar da mal;
- Adenomatous - suma ba su da matsala, amma suna iya zama irin wannan. Kwayoyin Adenomatous na faruwa ne sakamakon yaduwar ƙwayar cuta ta glandular. Ba kamar papillomas ba, saka idanu akan su ya zama mafi mahimmanci, kuma magani da sauri;
- Abun ƙonewa - irin waɗannan polyps suna haɓaka saboda matakan kumburi a cikin gallbladder ko saboda haɗuwa da abubuwan da ke haifar da damuwa kamar suwar helminthic, cututtukan cututtukan cututtukan ƙwayoyin cuta, duwatsu na bile (duwatsu). Ba a rarrabe su azaman ciwace-ciwace ba.
- Kwalagin cholesterol - qarya ne, ko kuma pseudotumors, saboda suna iya yin tazarce tare da isasshen magani. Suna da wuraren kwantar da hankula waɗanda ke bayyana yayin aiwatar da ƙwayoyin cuta na cholesterol metamorphosis, kuma saboda kasancewar waɗannan ƙwayoyin katako yayin binciken duban dan tayi, ana iya rikitar dasu da duhun bile ko tare da wasu nau'ikan polyps. Yana da daidai saboda irin waɗannan kurakurai cewa wajibi ne a gudanar da cikakken binciken marasa lafiya, wanda ya haɗa da gwaje-gwaje na dakin gwaje-gwaje.
Bayan gano kasancewar polyps, ana yin ƙarin gwaje-gwaje don gano nau'in polyp da ƙayyade hanyoyin dabarun da ya dace.
Bayyanar cututtuka na polyps din polyps
Kwayar cututtukan gallbladder polyposis galibi ba su da takamaiman bayani.
Bayyanar cututtukan haɓaka cuta na iya rikicewa yayin bayyanar cututtuka tare da alamun cholecystitis, hepatic colic ko biliary dyskinesia.
Kwayar cutar ta dogara da fassarar tsari, girmanta, adadin polyps.
Za'a iya samun cikakken asymptomatic ko m hanya ta cutar.
Kwayoyin cutar polyps sune kamar haka:
- raɗaɗin raɗaɗin raunin jijiyoyi ko maras ban sha'awa a cikin yankin na hypochondrium na dama (wurin da ake yin sahihancin ƙwayar cuta), za su iya yin muni bayan cin abinci mai yawa na abinci mai soyayyen abinci, shan giya, saboda damuwa na tunanin mutum;
- toshewar hanji - ana haifar dashi ta hanyar polyp a cikin wuyan mafitsara, inda yake rufe bakin lumen kuma yana hana fitowar ciki, yayin da fata da mucous membranes, sclera ya zama launin shuɗi-mai launin launi, ƙoshin ciki, matsanancin lokaci da amai shima hakanan iya faruwa;
- zafi yana kama da ciwon hepatic colic - suna paroxysmal, zubewa, kuma fitowar su kai tsaye tana nuna karkatarwa ko muntsira da kafafun polypous;
- haushi a baki;
- tashin zuciya, musamman furta da safe;
- yin amai ba gaira ba dalili.
- zawo - yana faruwa saboda isasshen hanyar bile zuwa cikin ƙananan hanjin, saboda narkewar narkewar abinci shine damuwa;
Bugu da kari, ɗayan bayyanar cututtuka na haɓakar ƙwayar cuta na iya kasancewa kasancewar yanayin zafin ƙasa na ɗanɗanawa na zamani (37-38)0C)
Hanyoyin bincike na polyp
A cikin aikin likita na zamani, ana amfani da hanyoyi da yawa na bincike da kayan aikin bincike. Daga hanyoyin dakin gwaje-gwaje, ana amfani da gwajin jini na halittu, binciken fecal da kuma binciken fitsari gaba daya.
Gwajin jini na biochemical - a ciki, a gaban ƙwayoyin cholesterol, za a haɓaka abubuwan da ke cikin bilirubin. Bilirubin shine samfurin fashewar ƙarshe na haemoglobin. Yana canzawa da yawa a gaban kowace matsala tare da hanta, gall mafitsara da kuma ƙwayar biliary. Bilirubin kai tsaye ne (ba a haɗa shi ba) kuma kai tsaye (yana haɗuwa). Ctionaukar kai tsaye yana ƙaruwa tare da abin da ake kira hemolytic ko suprahepatic jaundice, wanda lalata lalata ƙwayoyin ja yana faruwa sosai. Hawan jini da aka sake dashi tare da babban gudu yana fara jujjuyawa zuwa bilirubin. Ctionashi na kai tsaye yana ƙaruwa da ƙwaƙwalwar ƙwaƙwalwa, ko na inji, ko taƙasa, wanda ke faruwa saboda toshewar ƙwayar biliary tare da kashin ko kuma a cikin yanayinmu, polyp. Anara yawan alkaline phosphatase kuma, ba shakka, ana iya lura da cholesterol.
Binciken Fecal, ko coprogram - karamin adadin stercobilin, ɗaya daga cikin samfuran tsaka-tsakin lalacewawar haemoglobin, na iya kasancewa a cikin feces.
Nazarin ciki - a cikin fitsari, urobilinogen, wanda shima tsaka-tsaki ne a cikin rushewar haemoglobin.
Baya ga hanyoyin bincike na dakin gwaje-gwaje, ana iya gano polyps cholesterol ta amfani da duban dan tayi, endoscopic ultrasonography da kuma hoton magnetic resonance.
Hanyar bincike na Ultrasonic (duban dan tayi) shine mafi yawan gama gari kuma hanya mafi araha. Ya dogara da tunani na raƙuman ruwa na ultrasonic daga gabobin. Tare da tsari na yau da kullun na ƙwayar cuta ba tare da cututtukan ƙwayar cuta ba, ƙwaƙwalwar baƙar fata, ta iyakance ta bango na bakin ciki, za a iya gani a allon. Idan an sami wasu ƙananan neoplasms a cikin mafitsara, za su yi kama da fararen farin da keɓaɓɓen kwanon da ke kusa da bangon ƙwayar.
A cikin tsarin su, za su zama hyperechoic (echogenicity shine yawaitar samuwar). Babban bambanci tsakanin polyps da calculi shine cewa polyp baya canza wurinta lokacin da jikin jikin mara lafiya ya canza. Kafin gudanar da duban dan tayi, yana da kyau a dauki abinci mai sauki, wanda ba zai kwadaitar da tsarin narkewar abinci ba, kuma ba zai bada gudummawa ga samuwar gas mai yawa ba.
Endoscopic ultrasonography (EUS) hanya ce ta bincike mara kyau wacce ake yi ta amfani da endoscope. An sanya endoscope, tare da bincike na duban dan tayi a cikin duodenum. Ultrasonography yana da wasu fa'ida a kan hanyar duban dan tayi, saboda idan aka yi shi, ana iya ganin sifar gurnati da duk wani abu da yake sabuwa a ciki. Kafin aiwatar da ESR, ba a yarda mai haƙuri ya ci, kuma bayan shi da yamma - abinci mai sauƙi.
Hoto na Magnetic Resonance (MRI) shine bincike mafi bayani game da marasa lafiya da ake zaton suna polyposis. Yana ba ku damar bincika dalla-dalla game da tsarin ƙwayar ƙwayar cuta, tsarin neoplasms, yana ba ku damar tantance kasancewar mahalli ko kuma an sami ɓarna a cikin kowane tsarin. Amma, abin takaici, ba kowa ne ke iya biyan MRI ba saboda yawan farashi.
Hanyoyi don magance polyps
Za'a iya magance polyps na ƙwayar ƙwayar ƙwayar ƙwayar cuta tare da magani da tiyata.
Ana amfani da aikin tiyata na cututtukan ƙwayar cuta idan yin amfani da magunguna ba ya ba da kyakkyawan sakamako mai mahimmanci.
Daga cikin magungunan da aka tsara irin su Holiver, Ursosan, Ursosulfak, Hepabene, Drotaverin (No-Shpa) da Simvastatin.
Hanyar aiwatar da kowane magani shine kamar haka.
- Holiver magani ne da ke motsa hanji daga mafitsara, yana daidaita yanayin aikin sa, yana hana gurbatar yanayi. An hana shi yin magani don hana biliary. Wajibi ne a sha shi allunan 2 sau uku a rana kafin abinci.
- Hepabene - wannan magani ya san mutane da yawa, tunda yana da yawa. Yana normalizes da ɓoye na bile by hepatocytes, sauƙaƙe spasms. Hanyar aikace-aikacen - capsule 1 sau uku a rana.
- Drotaverine (No-Shpa) magani ne wanda ke cikin rukunin antispasmodics. Yana sauƙaƙe juji da ciwo, musamman tare da maganin hepatic. Ya kamata a ɗauka allunan 1-2 a lokacin hare-hare na jin zafi ko kuma rashin jin daɗi.
- Simvastatin magani ne don lura da atherosclerosis, yana cikin rukuni na statins. Yana rage adadin cholesterol a cikin jini. Ya bugu 1 kwamfutar hannu a lokacin bacci, saboda mafi yawan cholesterol ana yin sa daidai da daddare.
- Ursosan - yana taimakawa wajen warkar da polyps na asalin cholesterol. Hakan, kamar Simvastatin, yana rage matakin cholesterol da ƙarancin lipoproteins mai yawa a cikin jini, kuma yana hana sabon tarin ƙwayoyin cholesterol. Contraaƙƙarfan aiki don amfani dashi shine canje-canje mai lalacewa a bango na ƙwayar ƙwayar cuta, toshewar hancin biliary, babban polyp (sama da 2 cm). An lissafta sashi na Ursosan kamar 10 MG a 1 kg na nauyin jiki. Tsawon lokacin jiyya yana daga watanni shida zuwa shekara guda.
- Ursofalk - tsarin aikinta yayi kama da na Ursosan. Magana ce ga adibas din cholesterol. Sashi na kwayoyi iri daya ne - 10 MG da 1 kg na nauyin jiki. Yayin duk jiyya, lura da girman polyp na wajibi ne.
- Allochol magani ne na choleretic. Yana karfafa motsin rai da tashin hankali daga biro daga mafitsara. Ba za a iya tsara shi don toshewar hancin biliary ba. Wajibi ne a sha shi allunan 2 sau uku a rana bayan abinci tsawon wata daya.
- Ovesol shiri ne na ganye wanda shine karin abinci. Yana aiki a hankali kuma na dogon lokaci. Aikinsa shine ta da hankali na fitar da kalifa, cire stagnation na bile, ta da kwantar da hankali na ciwon ciki. Contraindication zuwa amfani da Ovesol cikakken cikas ne na bututun bile. Itauke shi sau 15-20 a rana sau biyu. Kimanin darussan magani guda huɗu waɗanda ke ɗaukar wata ɗaya yakamata ayi a shekara.
Ana aiwatar da aikin tiyata tare da manyan girma na ciwace-ciwacen ciwace-ciwacen ciwace-ciwacen ciwace-ciwacen daji, tare da cututtukan da ke tattare da cututtukan cututtukan ƙwayar cuta na biliary fili (cutar gallstone, cholecystitis da pancreatitis), tare da haɓakar polyp cikin sauri, tare da adadi mai yawa daga cikinsu kuma tare da babban haɗarin cutar malignancy. Suna yin ayyukan kamar polypectomy - cire polyp kawai, da cholecystectomy - cire cikakkiyar ƙwayar ƙwayar cuta.
Bayan aikin, dole ne ku bi wani abincin. Ya ƙunshi ƙarancin abinci da soyayyen mai da mai, a cikin amfani da abinci mai dafaffiyar abinci da kuma steamed, a cikin cikakke giya, salted, kyafaffen. Hakanan ana bada shawarar bada tallafi mai mahimmanci tare da magungunan jama'a (propolis, zuma, infusions na ganye, magungunan homeopathic).
Abubuwan da ke tattare da cholesterol a jiki an bayyana su a cikin bidiyo a wannan labarin.