He aha ngā Polypi Pūkahukahu? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko ngā polypi pūkahukahu he iti ngā tipu e whanake ana i te taha o roto o tō pūkahukahu nui (pūkahukahu). Whakaarohia rātou hei iti ngā pūngāwerewere, hei ngā pūtau rākau rākau e hanga ana i te taha o te pakitara pūkahukahu. Ko te nuinga o ngā polypi kāhore he kino, engari ko ētahi momo ka taea te whanake hei mate pūngāwerewere i te wā roa ki te kore e maimoatia.

He tino noa enei tipu, ina koa ka pakeke koe. He tokomaha ngā tāngata he polypi kei a rātou, kāhore hoki e mōhiotia, nā te mea kāhore rātou e tino whakaatu i ngā tohu. Ko te rongo pai, ko te kimi me te tango i ngā polypi i te wā wawe ka taea te aukati i te mate pūngāwerewere pūkahukahu kia kaua e whanake.

He aha ngā tohu o ngā polypi pūkahukahu?

Ko te nuinga o ngā polypi pūkahukahu kāhore he tohu. Koia te take i karangatia ai rātou ko ngā tipu ‘ngāwari’. Ka taea e koe te maha o ngā polypi, engari ka mōhio koe ki te noho pai, koia te take he mea nui te tirotiro auau.

Ina puta mai ngā tohu, ka māngere rātou, ka ngāwari ki te tirotiro. Ko ēnei ngā tohu e whakaatu ana pea kei reira ngā polypi:

• Te toto i te tara, te toto rānei i roto i tō kakau
• Ngā huringa i ngā tikanga o te kakau e roa atu ana i te wiki
• Te mamae o te kopu, te mamae rānei e mau tonu ana
• Te ngoikore o te rino nā te ngawari o te toto
• Te wai māku e puta mai ana i te tara
• Te āhua o te kore e tino whakapau i tō kakau

Ka taea hoki e ēnei tohu te whakaatu i ētahi atu āhuatanga, no reira he mea nui kia kaua e whakaaro he polypi kei a koe i runga i ngā tohu anake. Ko te huarahi anake ki te mohio tino he mā te tirotiro hauora tika.

He aha ngā momo polypi pūkahukahu?

He maha ngā momo polypi pūkahukahu, he rerekē ngā taumata o te tūponotanga o te mate pūngāwerewere. Ko te mārama ki ēnei rerekētanga ka āwhina i a koe ki te whakamārama i te mea ka kī pea tō tākuta ki a koe.

Ko ngā momo tino noa ko ngā polypi adenomatous, he nui rawa te tūponotanga ki te whanake hei mate pūngāwerewere. Ko ēnei te 70% o ngā polypi pūkahukahu katoa. Ko ngā polypi hyperplastic kāhore he kino, kāhore hoki e huri ki te mate pūngāwerewere, ā, ko ngā polypi serrated kei waenganui.

Ko ngā momo iti ake ko ngā polypi mumura, e whanake ana hei whakautu ki te mumura roa, me ngā polypi hamartomatous, he pai te nuinga, engari ka taea te wāhanga o ngā mate pūngāwerewere. Ka whakatau tō tākuta i te momo tika mā te whakamātautau i muri i te tango.

He aha ngā take o ngā polypi pūkahukahu?

Kāhore i tino mōhiotia te take tika o ngā polypi pūkahukahu, engari ka whanake mai rātou ina tipu haere ngā pūtau i roto i tō papanga pūkahukahu, ka wehewehe atu i te mea e tika ana. Ka hangaia ai ēnei tipu iti e karangatia ana e tātou ko ngā polypi.

He maha ngā take e āwhina ana ki te hanganga o ngā polypi:

• Te tau – ka piki haere tō tūponotanga i muri i te 50
• Te hītori whānau o ngā polypi, mate pūngāwerewere pūkahukahu rānei
• Ngā āhuatanga pūngāwerewere kua oti te whakawhiwhi penei i te familial adenomatous polyposis
• Ngā mate pūkahukahu mumura penei i te mate Crohn, te mate ulcerative colitis rānei
• Ngā take oranga penei i te whakakī, te inu nui o te waipiro, me te kore o te mahi tinana
• Te kai nui o ngā mīti tukatuka, te iti o te muka
• Te momona me te mate huka

I roto i ngā take onge, ka taea e ētahi mate pūngāwerewere te hanganga o ngā rau, ngā mano rānei o ngā polypi. Ko ēnei āhuatanga, penei i te mate Lynch, te mate Peutz-Jeghers rānei, e hiahia ana ki te whakahaere motuhake me te tirotiro auau.

Nōhea te haere ki te tākuta mō ngā polypi pūkahukahu?

Me whakapiri atu koe ki tō tākuta ki te pāngia koe e tetahi huringa mau tonu i ngā tikanga o tō kakau, te kite rānei i te toto i roto i tō kakau. Ahakoa he iti ngā tohu, he pai ake te tirotiro atu i te manukanuka.

He mea nui ake, me whai koe i ngā aratohu tirotiro i tūtohutia ahakoa kei te pai rawa koe. Ko te nuinga o ngā whakahaere hauora e kī ana kia tīmata te tirotiro mate pūngāwerewere pūkahukahu auau i te tau 45 mō ngā tāngata he tūponotanga noa, ā, i mua atu rānei ki te whai koe i ngā take tūponotanga.

Rapua te awhina hauora tonu ki te pāngia koe e te mamae nui o te kopu, te nui o te toto tara, ngā tohu rānei o te ngoikore o te rino penei i te ngenge nui me te ngoikore. Ahakoa he onge enei tohu, e hiahia ana rātou ki te aromatawai wawe.

He aha ngā take tūponotanga mō ngā polypi pūkahukahu?

He maha ngā take e taea ai te piki o tō tūponotanga ki te whanake i ngā polypi pūkahukahu. Ko te mārama ki ēnei take tūponotanga ka āwhina i a koe me tō tākuta ki te whakatau i te kaupapa tirotiro pai rawa atu mō tō āhuatanga.

Ko te tau te take tūponotanga nui rawa atu e kore e taea e koe te whakahaere. Ka piki haere tō tūponotanga ki te whai polypi i muri i te tau 50, ko te nuinga o ngā tāngata e whanake ana i te kotahi polypi i te tau 60. Ko te ira tangata he mahi anō, ko ngā tāne he nui ake te reiti i ngā wāhine.

Ko te hītori whānau he nui te pānga ki tō tūponotanga. Ki te whai tetahi mātua, te teina rānei i ngā polypi, mate pūngāwerewere pūkahukahu rānei, ina koa i mua i te tau 60, ka piki haere tō tūponotanga. Ka taea e ētahi āhuatanga pūngāwerewere onge te hanganga o ngā polypi i te tamarikitanga, te taitamarikitanga rānei.

Ko ngā take oranga e taea ana e koe te whakahaere ko te whakakī, e rua te piki o tō tūponotanga polypi, me te inu nui o te waipiro. Ko te kai nui o ngā mīti whero me ngā mīti tukatuka, te iti o ngā hua me ngā huawhenua, ka piki ake te tūponotanga. Ko te momona, te mate huka, me te kore o te whakakori auau te whakakotahi i ngā take tūponotanga e taea ana te whakahaere.

He aha ngā raruraru pea o ngā polypi pūkahukahu?

Ko te take matua mō ngā polypi pūkahukahu ko te tūponotanga ki te whanake hei mate pūngāwerewere i te wā roa. Ko te huringa nei e 10-15 tau te roa, koia te take he tino whai hua te tirotiro auau me te tango ki te aukati i te mate pūngāwerewere pūkahukahu.

Kāhore katoa ngā polypi e whanake hei mate pūngāwerewere, engari ko ētahi momo he nui ake te tūponotanga. Ko ngā polypi adenomatous e nui atu i te 1 henimita te nui rawa te tūponotanga o te mate pūngāwerewere. Ko te maha o ngā polypi kei a koe, ko te nui ake o rātou, ka piki haere tō tūponotanga katoa.

Ka taea e ngā polypi nui te raruraru i ētahi wā i mua i te huri hei mate pūngāwerewere. Ka taea e rātou te toto nui ki te whakaeke i te ngoikore o te rino, i ētahi wā onge rānei, te aukati i tō pūkahukahu. Ka taea e ngā polypi nui te huri i te pūkahukahu ki runga i a ia ano, te hanganga i te āhuatanga e karangatia ana ko te intussusception.

Ka taea e ētahi āhuatanga kua oti te whakawhiwhi te hanganga o ngā rau o ngā polypi, te hanga i te mate pūngāwerewere me te kore o te whakahaere pokanga. Ko ēnei mate onge e hiahia ana ki te tiaki motuhake, a, i te nuinga o te wā ka tangohia he wāhanga, te katoa rānei o te pūkahukahu hei whakamaramatanga.

Me pēhea te aukati i ngā polypi pūkahukahu?

Ahakoa e kore e taea e koe te aukati i ngā polypi pūkahukahu katoa, ka taea e koe te whakaiti i tō tūponotanga mā ngā whiringa oranga hauora. Ko te rongo pai, ko te nuinga o ēnei huringa e pai ana ki tō hauora katoa.

He mahi nui te kai i te aukati. Aro atu ki te kai i te nui o ngā hua, ngā huawhenua, me ngā witi katoa, i te whakaiti i te mīti whero me ngā kai tukatuka. Ko ngā kai nui te muka e āwhina ana ki te pupuri i tō pūnaha kai pai, ā, ka whakaiti pea i te hanganga o ngā polypi.

Ka taea e te whakakori tinana auau te whakaiti i tō tūponotanga polypi ki te 25%. Whakaarohia te iti rawa o te 150 meneti o te whakakori ngawari i ia wiki. Ko te pupuri i te taumaha hauora, te karo i te whakakī, me te whakaiti i te inu waipiro e āwhina ana ki te whakaiti i tō tūponotanga.

Ko ētahi rangahau e kī ana pea ko ngā taapiringa aspirin me te kārati ka āwhina pea ki te aukati i ngā polypi, engari me kōrero koe ki tō tākuta mō ēnei whiringa. Me whakarite ngā painga ki ngā pānga pea mō tō āhuatanga motuhake.

Me pēhea te whakatau i ngā polypi pūkahukahu?

Ko te tikanga maimoatanga mō ngā polypi pūkahukahu ko te tango, e mahia ana i te nuinga o te wā i roto i te tikanga ano i whakamahia ai te kimi i a rātou. Ko te nuinga o ngā polypi ka taea te tango haumaru me te tino mā te whakamahi i ngā taputapu motuhake.

Ko ngā polypi iti e tangohia ana i te nuinga o te wā mā te tikanga e karangatia ana ko te polypectomy, kei hea te polyp e tapahia ana mā te poroporo wīra, te mahanga rānei. Ko ngā polypi nui ake pea e hiahia ana ki ngā tikanga tango uaua ake, i ētahi wā ka mahia i ngā wāhanga kia tino tangohia.

I muri i te tango, ka tirotirohia te kiko polypi i raro i te microscope kia whakatauhia ai tona momo me te mea kei roto i ngā pūtau mate pūngāwerewere. Ko ēnei korero e āwhina ana i tō tākuta ki te tūtohu i te tiaki whai muri me ngā wā tirotiro a muri ake nei.

I roto i ngā take onge, ki te nui rawa ngā polypi, te maha rānei ki te tango haumaru i te wā o te colonoscopy, pea ka hiahiatia te pokanga. He mea noa ake tenei ki ngā āhuatanga kua oti te whakawhiwhi e hangai ana i ngā rau o ngā polypi puta noa i te pūkahukahu.

Me pēhea te whakahaere i te ora i muri i te tango polypi?

Ko te ora i muri i te tango polypi he ngāwari te nuinga, ko te nuinga o ngā tāngata e hoki ana ki ngā mahi noa i roto i te rā, rua rānei. Ka taea e koe te wheako i tetahi mamae iti, te pupuhi rānei i muri tonu i te tikanga, engari ka ngāwari te whakatau.

Ka tūtohu pea tō tākuta kia kaua e mahi i ētahi mahi mō ngā rā torutoru, penei i te kawe i ngā mea taimaha, te whakakori tinana kaha rānei. Ka āwhina tenei ki te aukati i te toto mai i ngā waahi tango. Me karo hoki koe i te aspirin me ētahi atu rongoā whakaiti toto, ki te kore e tohutohuhia motuhake e tō tākuta.

Tirohia ngā tohu whakatūpato penei i te mamae nui o te kopu, te nui o te toto, te kirika, te ruaki rānei e mau tonu ana. Ahakoa he onge ngā raruraru, he mea nui te whakapiri atu ki tō tākuta ki te pāngia koe e tetahi tohu e awangawanga ana i muri i te tikanga.

Ko te nuinga o ngā tāngata ka taea te whakahoki mai i tō rā kai noa i roto i te 24 haora, ahakoa ka tūtohu pea tō tākuta kia tīmata ki ngā kai māngere i te tīmatanga. Kia pai te inu wai, kia hoki haere mā te wā ki tō tikanga kai noa i te wā e pai ana koe.

Me pēhea te whakarite mō tō hui tākuta?

I mua i tō hui, kohikohia ngā korero mō tō hītori whānau o te mate pūngāwerewere pūkahukahu, ngā polypi, ngā āhuatanga digestive rānei. Ko ēnei korero e āwhina ana i tō tākuta ki te aromatawai i tō tūponotanga me te tūtohu i te tirotiro tika.

Hangaia he rārangi o ngā tohu katoa kua kite koe, ahakoa he kore hononga ki tō pūnaha digestive. Tāpirihia ngā kōrero mō te wā i tīmata ai ngā tohu, te maha o te puta, me te mea e pai ake ai, te kino ake rānei.

Mau mai he rārangi tino o ō rongoā o nāianei, tae atu ki ngā rongoā-ā-te-kāinga me ngā taapiringa. Ka taea e ētahi rongoā te pānga ki te tūponotanga toto i ngā tikanga, no reira me mōhio tō tākuta ki ngā mea katoa e inu ana koe.

Whakaritea ngā pātai mō ngā whiringa tirotiro, te mea e tatari ana i ngā tikanga, me te tiaki whai muri. Kaua e whakaroa ki te ui mō tetahi mea e awangawanga ana koe. E hiahia ana tō tākuta ki te āwhina i a koe ki te whakatau whakamārama mō tō hauora.

He aha te mea nui mō ngā polypi pūkahukahu?

Ko ngā polypi pūkahukahu he noa, he tipu ngāwari te nuinga e taea te tango ngāwari i mua i te whakaeke i ngā raruraru. Ko te mea nui rawa atu hei mahara ko te tirotiro auau ka taea te aukati i te mate pūngāwerewere pūkahukahu mā te kimi me te tango i ngā polypi i te wā wawe.

Ko te nuinga o ngā polypi kāhore he tohu, koia te take he mea nui te whai i ngā aratohu tirotiro. I te tīmatanga i te tau 45 mō ngā tāngata he tūponotanga noa, ka taea e te tirotiro auau te hopu i ngā polypi i te wā iti, ngāwari hoki ki te tango.

Ahakoa e kore e taea e koe te whakahaere i ngā take tūponotanga katoa penei i te tau me te hītori whānau, ka taea e koe te whakaiti i tō tūponotanga mā ngā whiringa oranga hauora. Ko te kai pai, te noho mahi, me te karo i te whakakī katoa e āwhina ana ki te tiaki i tō hauora pūkahukahu.

Kia mahara ko te kimi i ngā polypi kāhore he take mō te manukanuka. Mā te tiaki hauora tika me te whai muri, ka taea te whakahaere pai i ngā polypi, ka taea te aukati i te mate pūngāwerewere pūkahukahu i te nuinga o ngā take.

Ngā pātai e ui pinepinetia ana mō ngā polypi pūkahukahu

P1: Ka huri katoa ngā polypi pūkahukahu hei mate pūngāwerewere?

Kāo, ko te nuinga o ngā polypi pūkahukahu kāhore e whanake hei mate pūngāwerewere. Engari, ko ētahi momo e karangatia ana ko ngā polypi adenomatous he tūponotanga ki te whanake hei mate pūngāwerewere i roto i te 10-15 tau ki te kore e maimoatia. Koia te take e tūtohu ana ngā tākuta ki te tango i ngā polypi ina kitea i te wā o te tirotiro. Ko te huringa mai i te polyp ki te mate pūngāwerewere he tukanga puhoi, e hoatu ana ki a koe te wā nui ki te aukati mā te tirotiro auau me te tango.

P2: Nōhea te tirotiro i muri i te tango i ngā polypi?

Ko te wā o tō tirotiro a muri ake nei e whakawhirinaki ana ki te maha, te rahi, me te momo o ngā polypi i tangohia. Ki te whai koe i ngā polypi iti, iti te tūponotanga, pea ka hiahia koe ki te tirotiro i ia 5-10 tau. Engari, ki te whai koe i ngā polypi nui, maha rānei ngā polypi adenomatous, ka tūtohu pea tō tākuta ki te tirotiro auau i ia 3-5 tau. Ka hoatu e tō tākuta ngā tūtohu motuhake e hāngai ana ki tō āhuatanga motuhake me ngā hua pathology.

P3: Ka taea e au te kite i ngā polypi pūkahukahu e tipu ana i roto i ahau?

Ko te nuinga o ngā tāngata kāhore e taea te kite i ngā polypi pūkahukahu, koia te take i kitea ai rātou i te wā o te tirotiro auau, kāhore hoki i runga i ngā tohu. Ko ngā polypi e tipu ana i te wā roa, kāhore hoki e whakaeke i te mamae, te kore rānei. I ētahi wā, ko ngā polypi nui pea ka whakaeke i tetahi mamae, ngā huringa rānei i ngā tikanga o te kakau, engari ko te nuinga nui e ngāwari ana tae noa ki te kitea i te wā o te colonoscopy.

P4: He kai kei reira e taea ai te āwhina i te aukati i ngā polypi pūkahukahu?

Ahakoa kāhore he kai kotahi e taea te whakamana i te aukati, ko te kai e whai hua ana i ngā hua, ngā huawhenua, me ngā witi katoa pea ka āwhina ki te whakaiti i tō tūponotanga. Ko ngā kai nui te muka, penei i ngā pi, ngā pīpī, me ngā rau kakariki, e tautoko ana i te hauora pūkahukahu. Ko te whakaiti i te mīti whero, ngā mīti tukatuka, me ngā kai tukatuka nui pea ka whai hua. Ko ētahi rangahau e kī ana pea ko ngā kai e whai hua ana i te folate, te kārati, me ngā antioxidants pea he whakamaramatanga, engari e hiahiatia ana ngā rangahau atu.

P5: He aha te mea ka puta ki te kitea ngā pūtau mate pūngāwerewere i roto i ngā polypi?

Ki te kitea ngā pūtau mate pūngāwerewere i roto i te polyp i tangohia, ka whakatau tō tākuta i ngā mahi a muri ake nei i runga i ngā take maha tae atu ki te momo mate pūngāwerewere, te hohonutanga o te whakaeke, me te mea he mārama ngā taha o te polyp i tangohia. I roto i te nuinga o ngā take, ko te tango tino o te polyp te maimoatanga tika ki te ārai te mate pūngāwerewere ki te polyp. Engari, pea ka hiahia koe ki tetahi atu maimoatanga, te tirotiro auau rānei. Ka kōrero tō tākuta i ngā whiringa katoa, ka hanga i te mahere maimoatanga e hāngai ana ki tō āhuatanga motuhake.