He aha ngā polyp o te puku? Ngā tohu, ngā take, me te rongoā

Ko ngā polyp o te puku he iti, he tipu rerekē e tupu ana i te taha o roto o tō puku. Whakaarohia he iti noa iho rātou, he rite ki ngā pūngāwerewere iti rānei, e hanga ana ina nui atu te tipu o ngā pūtau i te pakitara o tō puku.

Ko te nuinga o ngā polyp o te puku kāore he kino, kāore hoki e puta he tohu. He tokomaha ngā tāngata e ora ana i o rātou oranga katoa me ēnei tipu, kāore hoki e mōhio ana kei reira rātou. Heoi, ko te mārama ki te aha rātou, me te wā pea e hiahiatia ana te tiaki, ka taea te awhina i a koe kia tūmanako atu ki tō hauora kai.

He aha ngā polyp o te puku?

Ko ngā polyp o te puku he tipu o ngā kiko e piri ana i te pakitara o roto o te puku ki te kōhao o te puku. He iti noa iho rātou, mai i te torutoru millimita ki te maha o ngā henimita te rahi.

Ka whakahou tonu te papanga o tō puku, ka whakakapi i ngā pūtau tawhito ki ngā pūtau hou. I etahi wā, ka nui rawa te mahi o tenei tukanga i etahi wāhi, ka hangaia ēnei tipu iti. Ko te nuinga o ngā polyp ka tupu haere i roto i ngā marama, i ngā tau rānei, koia te take i kitea ai rātou i roto i ngā whakamātautau hauora noa atu i te mea he tohu.

Ko te rongo pai, ko te nuinga o ngā polyp o te puku he pai, arā, kāore i te mate pukupuku. He iti noa te ōrau e taea ana te raru i te wa roa.

He aha ngā momo polyp o te puku?

He maha ngā momo polyp o te puku, ā, ko te mōhio ki te momo kei a koe ka awhina i tō tākuta ki te whakatau i te huarahi pai rawa atu mō te tirotiro, te rongoā rānei.

Ko ēnei ngā momo matua ka tūtaki pea koe:

• Ngā polyp o te pūngāwerewere fundic: Koinei te momo tino noa, e kitea ana i te nuinga o te wā i te taha o runga o tō puku. He pai tonu rātou, ā, he hono atu ki te whakamahinga roa o ngā rongoā whakaiti-waikawa.
• Ngā polyp hyperplastic: Ka tupu ēnei ina mumura te papanga o tō puku i te wa roa. He pai tonu rātou, engari pea e hiahiatia ana te tirotiro mena he nui.
• Ngā polyp adenomatous: He iti ake te noa o ēnei, engari he mea nui ake te mataara, no te mea he iti te tūponotanga ka riro hei mate pukupuku i te wa roa.
• Ngā polyp mumura: Ka hangaia ēnei hei whakautu ki te mumura roa i roto i tō puku, ā, he pai tonu rātou.

Ka taea e tō tākuta te whakatau i te momo kei a koe mā te biopsy, kei reira te whakamātautau i te tauira iti i raro i te microscope. Ka awhina tēnei mōhiohio i te mahere tiaki me te kaupapa aru.

He aha ngā tohu o ngā polyp o te puku?

Ko te nuinga o ngā polyp o te puku kāore e puta he tohu. He mea noa tēnei, kāore hoki he mea hei manukanuka.

Ina puta mai ngā tohu, he hono atu rātou ki ngā polyp nui ake, ki ētahi rānei e mumura ana. Ka kite pea koe i ētahi o ēnei tohu:

• Te mamae o te puku o runga, te kore ranei e pai, e haere mai ana, e haere atu ana
• Te ngākau nui i te wa e kai ana, ahakoa he iti ngā kai
• Te ruaki, ina koa i muri i te kai
• Te ngawari ina pēhi i tō puku o runga

I etahi wā, ka puta mai ngā tohu nui ake i ngā polyp nui ake:

• Te ruaki, ina koa ki te whakaroa te polyp i te haerenga o te kai
• Ngā tohu o te toto, penei i ngā paru pouri, te ruaki toto rānei
• Te ngaro o te taumaha kaore i te whakamārama
• Te mamae o te puku tonu

Kia mahara, ko te kore o ngā tohu kāore e whakaatu ana kāore ngā polyp kei reira, ā, ko te puta mai o ngā tohu kāore e whakaatu ana kei a koe ngā polyp. He maha ngā take o te puku e puta ai ngā āhuatanga rite, koia te take he mea nui te aromatawai hauora tika.

He aha ngā take o ngā polyp o te puku?

Ka tupu ngā polyp o te puku ina pakaru te tukanga noa o te tipu o ngā pūtau me te whakakapi i te papanga o tō puku. He maha ngā take e taea ai te whakaoho i tēnei tukanga.

Ko ēnei ngā take tino noa:

• Te whakamahinga roa o ngā proton pump inhibitors (PPIs): Ka taea e ēnei rongoā whakaiti-waikawa te arahi ki ngā polyp o te pūngāwerewere fundic ina whakamahia mō te wā roa
• Te mumura o te puku roa: Ko te whakaoho tonu mai i ngā puna rerekē ka taea te whakaoho i te hanganga polyp
• Te mate huaketo H. pylori: Ka taea e tēnei huaketo puku noa te whakaoho i te mumura e arahi ana ki ētahi momo polyp
• Ngā āhuatanga autoimmune: Ka taea e ngā āhuatanga penei i te mate toto pernicious te pā ki te papanga o tō puku

Ko ēnei ngā take iti ake te noa, engari he taea:

• Ngā āhuatanga ira penei i te familial adenomatous polyposis (FAP)
• Te gastritis roa mai i ngā take rerekē
• Te pokanga o te puku, te whara rānei i mua
• Ētahi rongoā atu i ngā PPIs

He mahi anō te tau, i te mea ka noa ake ngā polyp i te wā e koroheke ana koe. Ko te nuinga o ngā tāngata e whānau ana i ngā polyp o te puku he 50 tau neke atu, ahakoa ka puta i tetahi tau.

Nōhea koe me haere ki te tākuta mō ngā polyp o te puku?

Me whakapiri atu koe ki tō kaiwhakarato hauora mena ka pāngia koe e ngā tohu o te puku tonu, ahakoa he ngawari.

Rapua te tiaki hauora mō ēnei tohu:

• Te mamae o te puku tonu, te kore rānei e pai, e roa atu ana i ngā rā torutoru
• Te ruaki tonu, te ruaki rānei
• Te ngākau nui i te wa e kai ana i ngā kai iti
• Te ngaro o te taumaha kaore i te whakamārama
• Ngā huringa i ō nekehanga o te whekau, ina koa ngā paru pouri, ngā paru toto rānei

Whiwhihia te tiaki hauora tonu mena ka pāngia koe e:

• Te mamae nui o te puku
• Te ruaki toto, te mea rānei e rite ana ki ngā oneone kōpi
• Ngā paru pango, ngā paru tarry rānei
• Ngā tohu o te maroke nui
• Te ngākau ngoikore, te māuiui rānei me ngā tohu o te puku

Ahakoa he ngawari ō tohu, kaua e whakaroa te kōrero ki tō tākuta. Ka taea e rātou te awhina i te whakatau mena he hiahiatia te aromatawai atu, ā, ka hoatu te rangimarie o te ngākau.

He aha ngā take morearea mō ngā polyp o te puku?

He maha ngā take e taea ai te whakanui i tō tūponotanga ki te whānau i ngā polyp o te puku. Ko te mārama ki ēnei take morearea ka taea te awhina i a koe me tō tākuta ki te whakatau i ngā whakatau mō te tirotiro me te aukati.

Ko ēnei ngā take morearea tino nui:

• Te tau neke atu i te 50: Ka piki tō tūponotanga i te wā e koroheke ana koe
• Te whakamahinga roa o ngā PPI: Te tango i ngā rongoā whakaiti-waikawa mō ngā marama, ngā tau rānei
• Te mate huaketo H. pylori: Te whai i tēnei mate huaketo, ina koa ki te kore e rongoā
• Te hītori whānau: Te whai i ngā whānau me ngā polyp o te puku, te mate pukupuku o te puku rānei
• Ngā āhuatanga autoimmune: Ina koa ētahi e pā ana ki te pūnaha kai

Ko ēnei ngā take morearea atu e taea ana te awhina:

• Te gastritis roa, te mumura rānei o te puku
• Te pokanga o te puku i mua
• Ngā syndrome ira penei i te FAP, te syndrome Lynch rānei
• Te whakakī me te inu nui o te waiū
• Te kai nui i ngā kai tukatuka, te iti hoki o ngā hua hou me ngā huawhenua

Ko te whai i ēnei take morearea kāore e whakaatu ana ka whānau koe i ngā polyp, ā, ka taea tonu e ngā tāngata kaore he take morearea te whānau i a rātou. Ko ngā take morearea anake te awhina i tō tākuta ki te whakatau i te nui o te tirotiro i tō hauora kai.

He aha ngā raruraru pea o ngā polyp o te puku?

Ko te nuinga o ngā polyp o te puku kāore e puta he raruraru, ā, ka noho tonu he pai i roto i tō oranga. Heoi, he mea whai hua te mārama ki te aha pea ka puta, kia taea ai e koe te whakatau i ngā whakatau mō te tirotiro me te rongoā.

Ko ēnei ngā raruraru tino noa, ahakoa he iti tonu te noa:

• Te toto: Ka taea e ngā polyp nui ake te toto haere māmā, ka arahi pea ki te mate toto i te wa roa
• Te aukati: Ka taea e ngā polyp nui rawa te whakaroa i te haerenga o te kai i roto i tō puku
• Te ulceration: Ka taea e ngā polyp te whānau i ngā whewhe i runga i o rātou mata, ka puta ai te mamae, te toto rānei

Ko ēnei ngā raruraru nui ake, engari he iti rawa te noa:

• Te huringa kino: He iti te tūponotanga o ngā polyp adenomatous ki te riro hei mate pukupuku i roto i ngā tau maha
• Te perforation: He tino iti te noa, engari ka taea e ngā polyp nui te pakaru i te pakitara o te puku
• Te toto nui: He mea noa, engari he taea mena ka ngākau te polyp nui ki te oko toto

Ko te mea nui hei mahara, ko te tirotiro noa te awhina i te hopu i ngā huringa i te tīmatanga. Ka taea e tō tākuta te kite i ngā whanaketanga raru i mua atu i te riro hei raruraru nui.

Me pēhea te aukati i ngā polyp o te puku?

Ahakoa kāore e taea e koe te aukati katoa i ngā polyp o te puku, ka taea e koe te mahi kia whakaiti i tō tūponotanga, ā, kia tautoko i tō hauora puku katoa.

Ko ēnei ngā huarahi whai hua hei whakaiti i tō tūponotanga:

• Whakamahia ngā PPIs mātauranga: Tangohia ngā rongoā whakaiti-waikawa kia rite ki ngā tohutohu, ā, mō te wā poto rawa e hiahiatia ana
• Rongoāhia ngā mate huaketo H. pylori: Whakamātauria, rongoāhia hoki mena kei a koe tēnei mate huaketo
• Kai kai rite: Whakauruhia ngā hua, ngā huawhenua, me ngā witi katoa, i te wā e whakaiti ana i ngā kai tukatuka
• Kaua e whakakī: Ka whakanuia e te whakakī te mumura puta noa i tō pūnaha kai
• Whakaitihia te waiū: Ka taea e te inu nui te whakaoho i te papanga o tō puku

Ko ēnei ngā mahi tautoko atu:

• Te whakahaere i te ahotea mā ngā rautaki whakaora hauora
• Te pupuri i te taumaha hauora
• Te mahi tinana noa
• Te aru atu ki tō tākuta mō ngā take o te puku roa
• Te tango i ngā rongoā kia rite ki ngā tohutohu, te kōrero hoki ki tō kaiwhakarato hauora mō te whakamahinga roa

Mena kei a koe ngā take morearea penei i te hītori whānau, ngā āhuatanga ira rānei, mahi tahi me tō tākuta ki te whakawhanake i te mahere tirotiro tika. Ko te kite i te tīmatanga me te tirotiro ko ō taputapu pai rawa atu mō te pupuri i te hauora o te puku.

Me pēhea te whakatau i ngā polyp o te puku?

Ko te whakatau i ngā polyp o te puku ko te tirotiro tika i roto i tō puku mā te whakamahi i ngā taputapu motuhake. He tika te tukanga, he hoahoa hoki kia pai te ngāwari.

Ko te tukanga whakatau matua ko te endoscopy o runga, e kiia ana hoki ko te EGD (esophagogastroduodenoscopy). I roto i tēnei tukanga, ka tukuna e tō tākuta he pūtau angiangi, ngawari me te kamera i roto i tō waha ki tō puku. Ka whiwhi koe i te rongoā hei awhina i a koe kia ngāwari, kia iti hoki te mamae.

Ko ēnei ngā mea e whakauru ana ki te tukanga whakatau:

• Te hītori hauora me te whakamātautau tinana: Ka ui tō tākuta ki ngā tohu, ka tirotiro hoki i tō puku
• Te endoscopy o runga: Ko te huarahi matua mō te kite me te aromatawai i ngā polyp
• Te biopsy: Ka tangohia pea ngā tauira iti o ngā kiko hei whakatau i te momo polyp
• Ngā whakamātautau toto: Ka tirotiro pea ēnei mō te mate toto, te mate huaketo H. pylori, ngā āhuatanga rānei

I etahi wā, ka awhina pea ngā whakamātautau atu:

• Te raupapa GI o runga (te horo o te barium) mena kāore e taea te endoscopy
• Te CT scan mena he awangawanga mō ngā raruraru
• Te whakamātautau ira mena ka whakaatu te hītori whānau i ngā āhuatanga ira

Ko te tukanga endoscopy he 15-30 meneti te roa, ā, ka taea e koe te haere ki te kāinga i taua rā. Ko te nuinga o ngā tāngata e kite ana he tino ngāwari atu i te mea i tumanakohia e rātou, ina koa me te whakaora e whakaratohia ana.

He aha te rongoā mō ngā polyp o te puku?

Ko te rongoā mō ngā polyp o te puku e whakawhirinaki ana ki tō rātou momo, te rahi, me ngā āhuatanga. Ko te nuinga o ngā polyp e hiahia ana ki te tirotiro anake, ētahi atu rānei pea e hiahiatia ana te tango.

Mō te nuinga o ngā polyp iti, pai, ko te huarahi ko te "mataara i te tatari". Ko te tikanga tenei ko ngā tirotiro noa me te endoscopy hou i ia 1-3 tau hei tirotiro i ngā huringa. Ka tūtohu tō tākuta i te kaupapa pai rawa atu e whakawhirinaki ana ki tō āhuatanga motuhake.

Ko ēnei ngā whiringa rongoā mahi:

• Te tango endoscopic: Ka taea te tango i ngā polyp i te wa o te endoscopy mā te whakamahi i ngā taputapu motuhake
• Ngā whakatikatika rongoā: Te whakaiti, te mutu rānei i ngā PPIs mena kei te awhina rātou ki te hanganga polyp
• Te rongoā H. pylori: Ngā rongoā hei whakakore i ngā mate huaketo e taea ana te whakaoho i te mumura
• Te whakahaere i ngā āhuatanga taketake: Te rongoā i ngā mate autoimmune, ngā take awhina rānei

Ka tūtohu tō tākuta i te tango mena he:

• Nui (i te nuinga o te wā neke atu i te 1-2 henimita)
• Momo adenomatous me te morearea mate pukupuku
• Te puta mai o ngā tohu penei i te toto, te aukati rānei
• Te tipu tere i te wa e tirotirohia ana
• He maha te maha me ngā āhuatanga raru

Ko te tukanga tango i te nuinga o te wā ka mahia i te wa o te endoscopy ano e whakamahia ana mō te whakatau. Ka taea e te nuinga o ngā tāngata te hoki ki ngā mahi noa i roto i te rā, i ngā rā rua rānei i muri i te tukanga.

Me pēhea te tiaki i a koe i te kāinga?

Ahakoa kāore ngā polyp o te puku e hiahia ana ki te tiaki motuhake i te kāinga, ka taea e koe te tautoko i tō hauora puku katoa, ā, ka pai ake te ngāwari mena kei te pāngia koe e ngā tohu.

Ko ēnei ngā huarahi ngawari hei tiaki i a koe:

• Kai iti ake, maha atu ngā kai: Ka taea tēnei te awhina mena ka ngākau nui koe i te wa poto
• Kōwhiri i ngā kai ngāwari ki te kai: Ko ngā kai ngawari, ngawari pea ka pai ake
• Noho makuku: Inuhia te wai maha puta noa i te rā
• Kaua e whakamahi i ngā mea whakaoho: Whakaitihia ngā kai kawa, te waiū, te caffeine mena ka raru koe
• Tangohia ngā rongoā kia rite ki ngā tohutohu: Whai i ngā tohutohu a tō tākuta tika

Mō te whakaora i ngā tohu, ka kite pea koe he whai hua ēnei rautaki:

• Te kai māmā me te ngau pai
• Te karo i te takoto i te wa tonu i muri i ngā kai
• Te whakahaere i te ahotea mā ngā tikanga whakaora
• Te moe pai
• Te mahi tinana ngawari penei i te hikoi i muri i ngā kai

Kia mahara ko te tiaki kāinga he tautoko, kāore i te rongoā. Whai tonu i ngā tohutohu a tō tākuta mō te tirotiro me te rongoā, ā, kaua e whakaroa te karanga mena he awangawanga, tohu hou rānei kei a koe.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui ka taea te awhina i a koe ki te whiwhi i te nuinga o tō wā me tō kaiwhakarato hauora, ā, kia kore ai e wareware koe i ngā mōhiohio nui.

I mua i tō haerenga, kohia ēnei mōhiohio:

• Rārangi o ngā tohu o nāianei: Tuhia te wā i tīmata ai rātou, te maha o te wā e puta ai rātou, me te aha e pai ake ai rātou, te kino ake rānei
• Rārangi rongoā katoa: Whakauruhia ngā rongoā rongoā, ngā rongoā kore-tūtohu, me ngā taapiri
• Te hītori hauora: Ngā raruraru o mua o te puku, ngā pokanga, ngā āhuatanga hauora nui rānei
• Te hītori whānau: Ngā whānau me ngā raruraru o te puku, ngā polyp, ngā mate pukupuku kai rānei

Haere mai kia rite ki ngā pātai penei i:

• He aha te momo polyp kei ahau, he aha te tikanga o tēnā?
• Nōhea ahau e hiahia ana ki ngā tirotiro aru atu?
• He aha ngā huringa kai me mahi e ahau?
• He aha ngā tohu e whakaoho ai ahau ki te karanga atu ki a koe?
• Me whakatika e ahau ētahi o ōku rongoā o nāianei?

Mō ngā hui endoscopy, ka whiwhi koe i ngā tohutohu whakarite motuhake, i te nuinga o te wā ko te nohopuku mō ngā haora 8-12 i mua. Whakaritea kia waka koe ki te kāinga i muri i te tukanga mena ka whiwhi koe i te whakaora.

Kaua e manukanuka ki te maha o ngā pātai. E hiahia ana tō rōpū hauora kia mārama koe ki tō āhuatanga, kia tūmanako hoki ki tō mahere tiaki.

He aha te mea nui mō ngā polyp o te puku?

Ko ngā polyp o te puku he tipu noa iho e maha ngā tāngata e whai ana, kāore hoki e mōhio ana. Ko te nuinga kāore e puta he tohu, ā, e hiahiatia ana te tirotiro noa hei whakarite kia mau tonu rātou.

Ahakoa ko te kupu "polyp" pea he mea awangawanga, kia mahara ko te nuinga o ngā polyp o te puku he pai, kāore hoki e raru ki tō hauora. Ahakoa ka hiahiatia te rongoā i ngā polyp, ko ngā tukanga i te nuinga o te wā he tika, he tino whai hua hoki.

Ko te mea nui rawa atu ka taea e koe te pupuri i te kōrero whakatuwhera ki tō kaiwhakarato hauora. Whai i ō rātou tohutohu mō te tirotiro, ripoata i ngā tohu hou, ngā tohu kino ake rānei, ā, kaua e whakaroa te ui pātai mō tō tiaki.

Me te tirotiro hauora tika, ka taea e ngā tāngata me ngā polyp o te puku te ora i ngā oranga noa, hauora. Aro atu ki te pupuri i te hauora pai katoa mā te kai rite, te mahi tinana noa, me te tiaki hauora tika.

Ngā Pātai Nui e Uihia Ana Mō Ngā Polyp o te Puku

Ka taea te huri o ngā polyp o te puku hei mate pukupuku?

Ko te nuinga o ngā polyp o te puku kāore e riro hei mate pukupuku. He iti te tūponotanga o ngā polyp adenomatous ki te huri kino i roto i ngā tau maha, koia te take e tirotirohia ana e ngā tākuta. Ko ngā polyp o te pūngāwerewere fundic me ngā polyp hyperplastic he iti rawa te noa, ki te kore rānei, ka riro hei mate pukupuku. Ka whakatau tō tākuta i tō tūponotanga motuhake e whakawhirinaki ana ki te momo me ngā āhuatanga o ō polyp.

Me huri e ahau tōku kai mena kei ahau ngā polyp o te puku?

Ko te nuinga o ngā tāngata me ngā polyp o te puku kāore e hiahia ki te whai i ngā kai motuhake. Heoi, ko te kai i te kai rite e whai hua ana i ngā hua, ngā huawhenua, me ngā witi katoa e tautoko ana i te hauora o te puku katoa. Mena kei a koe ngā tohu penei i te ngākau nui i te wa poto, ko ngā kai iti ake, maha atu pea ka pai ake. Ka taea e tō tākuta te hoatu i ngā tohutohu kai motuhake e whakawhirinaki ana ki tō āhuatanga motuhake.

Nōhea ahau e hiahiatia ana te tirotiro mō ngā polyp o te puku?

Ka rerekē ngā kaupapa tirotiro e whakawhirinaki ana ki te momo me te rahi o ō polyp. Ko ngā polyp iti, pai pea ka tirotirohia i ia 2-3 tau, ētahi atu polyp nui ake, adenomatous rānei pea e hiahiatia ana te tirotiro ia tau. Ko ētahi polyp iti rawa o te pūngāwerewere fundic pea kāore e hiahiatia te aru tonu. Ka hanga e tō tākuta he mahere tirotiro motuhake e whakawhirinaki ana ki ō take morearea motuhake.

Ka taea te whakaoho i ngā polyp o te puku e te ahotea?

Ko te ahotea anō kāore e whakaoho tika i ngā polyp o te puku, engari ka taea e te ahotea roa te awhina i te mumura o te puku me ngā raruraru kai. Ko te whakahaere i te ahotea mā ngā rautaki whakaora hauora e tautoko ana i te hauora kai katoa. Mena kei te pāngia koe e ngā tohu kai e pā ana ki te ahotea, kōrerohia ngā tikanga whakahaere ahotea ki tō kaiwhakarato hauora.

He ira ngā polyp o te puku?

Ko te nuinga o ngā polyp o te puku kāore i te ira, engari ka taea e ētahi āhuatanga ira te whakanui i tō tūponotanga. Ko te familial adenomatous polyposis (FAP) me te syndrome Lynch he āhuatanga ira iti te noa e taea ana te whakaoho i ngā polyp maha. Mena kei a koe te hītori whānau kaha o ngā polyp o te puku, te mate pukupuku o te puku rānei, pea he mea whai hua te tohutohu ira hei aromatawai i tō tūponotanga, hei whakatau hoki i te tirotiro tika.