Kev kho mob ntawm pais plab polyps

Kev kho mob pais plab polyps, raws li zoo raws li nyob rau hauv ib tug dispensary soj yuav tsum tau nqa tawm raws li nyob rau hauv qhov yuav ntawm malignancy.

Tus kho Hoob no muaj cov conservative thiab phais txoj kev. Lug siv thiab endoscopic polypectomy.

Kev kho mob ntawm polyps conservative txoj kev zoo tawg paj txi txiv. Ntxiv mus, muab cov zaus ntawm neoplastic transformation, tshwj xeeb yog adenomatous formations, thiab teeb meem nyob rau hauv tebchaws malignancy, nws yog tsim nyog los thov lub deletion.

Phais pab lub sij hawm tau ntawm kev ncua tseem ceeb tshwm sim constituting ib tug zoo kev kho mob ntawm polyps. Cov feem ntau tus kws kho gastrectomy. Txawm li cas los, raws li kev xyaum qhia tau hais tias, nyob rau hauv qhov kev txiav txim ntawm yim mus rau nees nkaum feem pua ntawm cov ua cov neeg mob qhia tsis tshua mob heev. Kwv yees li nees nkaum-tsib mus rau peb caug-tsib feem pua ntawm cov neeg mob tom qab phais pib tsim tej qhov ntau yam ntawm mob thiab lwm yam mob. Ntxiv mus, lub post-operative lub neej no tus nqi ntawm tsib mus rau yim feem pua. Raws li kev soj ntsuam ntawm Statistics, qhia ib tug siab yuav ua rau muaj tus mob cancer loj hlob nyob rau hauv lub cult ua hloov khoom nruab nrog.

Phais polypectomy yog suav tias yog ib txoj kev uas yuav tau tshem ntawm lub polyps, yooj yim thiab kev ruaj ntseg dua resection. Excision yog ces nqa tawm formations hauv mucosa los yog tshem lawv ua ke nrog rau tag nrho cov khaubncaws sab nraud povtseg ntawm lub plab phab ntsa. Tej kev kho mob ntawm polyps yog qhia nyob rau hauv cov ntaub ntawv ntawm lawv qhov chaw nyob ze keev xeeb los yog lawv hom. Qhov no txoj kev no kuj yog siv nyob rau hauv cov ntaub ntawv ntawm kev impossibility ntawm kev siv cov endoscopic txoj kev.

Kev tshem tawm ntawm polyps yuav ua tau mechanically txiav siv ib tug hlau lub voj los yog ib tug diathermy voj electrosurgical thiab electrocoagulation nrog me ncais.

Nws yuav tsum tau muab sau tseg hais tias endoscopic polypectomy yog suav tias yog hnub no lub ntsiab txoj kev tau txais tshem ntawm lub militias.

Ntawm cov muaj txoj kev yog feem ntau nyiam electroexcision. Thaum nws yog nqa tawm siv ib tug zoo heev ua ke nrog ntawm tej thiab coagulation yam. Severed polyp yog muab rho tawm los ntawm lub plab thiab yuav ces yuav siv nyob rau hauv ib tug histological txoj kev tshawb no. Lub indications rau kev siv ntawm electrosurgical txheej txheem yog kom muaj nuj nqis ntawm tsim ntawm 0.5 mus rau 3 centimeters, dav ntawm nws puag tsis muaj ntau tshaj li ib nrab centimeters. Nrog ib tug me me npaum li cas ntawm polyps, qhov no txoj kev ua rau kev puas tsuaj thiab tsim nyob rau hauv nws qhov chaw ntawm burning. Yog li, me me polyps tsim nyog coagulated siv txaug coalescer kev ua ntej kev kuaj.

Benign los yog phem nyuv polyps, raws li zoo raws li lub plab, nws yuav phais. Txawm li cas los, muab cov ntxim yuav zoo siv ntawm kev rov muaj dua, raws li tau zoo raws li cov kev loj hlob ntawm cancer, nyob rau hauv thawj ob lub xyoos tom qab phais, tus neeg mob yuav muab ib tug mus tas kho mob daim tshev-up. Tus thawj soj ntsuam no yog muaj nyob rau ntawm qhov kawg ntawm ib tug ib nrab los yog ob lub hlis ntawm hnub tim uas nws siv, thiab lwm yam - txhua txhua rau lub hlis.

Tom qab qhov kev tshem tawm ntawm phem formations thaum lub sij hawm thawj xyoo yog ib tug yuavtsum tau kawm uantej txhua hli xeem. Thaum lub sij hawm thib ob xyoo ntawm kev soj nqa tawm txhua txhua peb lub hlis. Tom qab ob lub xyoos, tau tso cai cov kev semi-txhua xyoo tuaj kuaj tsev.

Nws yuav tsum tau muab sau tseg tias tsis tshua mob heev ntawm polyps (benign) tom qab tshem tawm yog cai nyob rau hauv 13% ntawm cov neeg mob. Txheeb cais noj thaum lub sij hawm ntawm thawj ob lub xyoos tom qab phais. Nyob rau hauv tas li ntawd, tshiab formations twb pom nyob rau hauv 7% ntawm cov neeg mob nyob rau hauv cheeb tsam sib txawv ntawm cov nyuv.

Nws yuav tsum tau muab sau tseg tias txoj kev loj hlob ntawm relapse yog ib tug hais rau ceev re-phais.