ʻO nā polyp nā benoproprop benign e kū aʻe mai ka kiko epithelial. I ka hapanui pinepine, hiki ke kū mai ma luna o ka membrane o loko, ʻo ia hoʻi, ka membrane mukum o ka moʻo o nā ana o nā ʻōpū pono o loko. Hoʻokomo kēia mau mea i ka ʻāpana polū a me ka kōpū. ʻO ke ʻano maʻamau o polyps i ka ʻona a i ʻole ke ʻano o ka hāʻule. I kekahi manawa paʻakikī ka loaʻa ʻana iā lākou, ʻoiai, me ka mālama ʻana.
No ka manawa mua, ua ʻike ʻia nā polyps gallbladder i ka ʻumikūmāiwa ʻumikūmākahi e kekahi kanaka holomua ʻo Virchow. Ma hope o kahi loiloi kikoʻī o ke ʻano o nā neoplasm ma lalo o kahi microscope, hoʻomaka lākou e manaʻo i ke kumu nui o kona helehelena ka hana hōʻino i ka lipid metabolism.
I kēia manawa, manaʻoʻiʻo ʻia aia nā polyps o ka gallbladder ma kahi o 10% o ka heluna, ka nui o lākou ka poʻe o ka wahine ma mua o 35 mau makahiki.
ʻO nā kumu a me nā ʻano o ka polyps
ʻO Polyposis (ʻo ka hele ʻana o kekahi mau polyps) kahi maʻi e alakaʻi i kahi ʻano kumu like ʻole.
He mōʻaukala ʻohana kaumaha, a ʻoi aku paha, he predisposition genetic - hiki ke komo i kēia me nā ʻano like ʻole o nā neoplasms benign o ke ʻano o nā papillomas, polyps, adenomas i nā hoahānau pili kokoke. ʻO kekahi mau ʻāpana o ke kikowaena ka mea e pono ai ko lākou helehelena, no laila e ulu aʻe ka nui o ka ulu ʻana o nā hanauna i hope;
ʻO nā maʻi o ka tractary tract o ka maʻi hopohopo a me ka maʻi kumu, no ka laʻana, ka cholecystitis (kahi hana hoʻonāukiuki i ka gallbladder), a me ka pā o ka pā o ka pāpaki ka mānoanoa, hoʻonui ʻia ka hiʻona, me ke kolamu, ʻo ia ke kumu no ka hoʻokumu ʻana o kahi polyp kolesterol. He maʻi ʻōpala kekahi, no ka mea e hoʻopilikia ʻia ai ka hana maʻamau o ka bile a hiki i kona ʻano paʻa. Kūleʻa ka hele ʻana i ka ʻaina, ʻeha, belching. Ma muli o kēia, e hoʻomaka ka ulu ʻana o nā mole i ka paia o ka umauma, a laila hoʻomaka ka polyp pono i nā ʻano;
ʻO nā maʻi ma nā kaila ka mea maʻamau a maʻamau paha. ʻO ka mea nui nui ka halaʻole o ka hana lipid metabolism, ka mea e alakaʻi ai i ka hōʻemi o ka kolamu a me nā lipoproteins kūloko haʻahaʻa a haʻahaʻa. Ma muli o kēlā mau loli i ke koena o ka momona, ʻaʻole wale i ka atherosclerosis, akā hiki pū ka polyposis. ʻO ka kolololi, ma kahi o nā kīʻaha koko, ua kau ʻia i nā paia o ka gallbladder, i ka mea i loaʻa i ka mea i loaʻa ma ka bile. No laila hoʻomaka ka polyp e hana;
ʻO ka dyskinesia Biliary kahi mea pāʻole i ka hana o ka bile, ka mea i hoʻopiʻi ʻia mai ka hōʻemi ʻana o ka contractility o ka pakanui o ke ake o ka ʻōpū. Me kēia pathology, ʻaʻole hoʻokomo ka bile i ka duodenum a aia kahi palena iki. Hiki i ka mea maʻi ke loaʻa i ka nausea, ka luaʻi haʻi ʻana, nā ʻeha ma nā hypochondrium kūpono, ke kaumaha koʻikoʻi.
Hiki i nā polyps ke ʻano o kekahi mau ʻano:
- ʻO Papillomas - e ko lākou ʻano he maleʻa lākou, hiki ke kū mai ma luna o ka ʻili. ʻO ka papilloma ka mea e like me ka pepa. Me kekahi ʻano o ka hoʻolaha ʻana, hiki iā lākou ke hōʻeha, ʻo ia hoʻi, ua lilo ke ʻano ʻino;
- Adenomatous - ʻaʻole lākou hoʻopōʻino kekahi, akā hiki ke lilo i mea like. Hoʻopilikia ʻia nā polyp Adenomatous ma muli o ka hoʻopili ʻana o nā aʻi. ʻAʻole e like me nā papillomas, ʻo ka nānā ʻana iā lākou e pono hou, ʻoi aku ka wikiwiki;
- Hoʻokomo ʻia - ʻo ia mau polyp e ulu ma muli o nā kaʻeha maʻi i loko o ka puʻuwai a i ʻole nā ke nānā ʻana i nā mea hoʻonāukiuki e like me ka helminthic infestations, nā maʻi parasit, nā hua bile (nā pōhaku). ʻAʻole lākou i helu ʻia he tumors.
- Kāleka - wahaheʻe lākou, a i ʻole pseudotumors, no ka mea hiki iā lākou ke hoʻoponopono me ka lawa kūpono a me ka pono. Loaʻa iā lākou nā wahi i kūpaʻa ʻia i ka wā o ke kaʻina o ka metamorphosis kolamu, a ma muli o ke kaana ʻana o kēia mau helu i ka wā o ka diagnostics ultrasound, hiki iā lākou ke hoʻopā me ka hua bile a i nā mea ʻē aʻe o nā polyps. ʻOiai ma muli o ia mau hewa hewa ka mea e pono ai e alakaʻi i kahi loiloi piha o nā mea maʻi, ka poʻe o nā hoʻokolohua hōʻoia.
Ma hope o ka nānā ʻana i ka hele ʻana o nā polyp, hoʻomaʻamaʻa ʻia nā diagnostics hou e ʻike i ke ʻano o ka polyp a hoʻoholo i nā lāʻau lapaʻau kūpono kūpono.
Nā hōʻike maʻi maʻi o nā polyps cholesterol
ʻO nā hōʻailona o ka polyposis gallbladder ka mea maʻamau pinepine ʻole nā kikoʻī.
Hiki ke hilahila nā hōʻailona o ka hoʻomohala ʻana i ka pathology i ka wā o ke nānā ʻana me ka hōʻike ʻana o ka cholecystitis, colic hepatic a i ʻole biliary dyskinesia.
Hoʻokumu nā hōʻailona ma ke kikowaena o ke kaʻina, ʻo kona nui, ka nui o nā polyps.
Aia paha ke ʻano he asymptomatic a me ke ʻano maʻalahi o ka maʻi.
Nā ʻano hōʻailona o nā polyps penei:
- nā manaʻo ʻeha o kahi aching a pull paha i ka ʻāina o ka hypochondrium kūpono (ke kahua o ka mana o ka gallbladder), hiki ke hopohopo ma hope o ka paʻi o ka momona a me nā meaʻai ʻai, inu ʻona, ma muli o ke koʻikoʻi;
- jaundice obstructive - kumu ia ma ka wahi o ka polyp i ka ʻā o ka puna, kahi e hoʻopili ai i ka lumen a pale i ka puka ʻana o ka bile, aʻo ka ʻili a me nā memous, sclera e ʻelehe-ʻōmaʻomaʻo i ke kala, ʻulē, hiki ke ʻano ka manawa a me ka luaʻi;
- ʻeha e like me ka hepatic colic - he paroxysmal, stitching, a me ko lākou helehelena pololei ke hōʻike nei i ka twisting a i ka hoʻopili ʻana paha i ka wāwae polypous;
- ʻawaʻawa ma ka waha;
- nausea, ka mea i hoʻolaha ʻia i ke kakahiaka;
- hoʻoili ʻole no ke kumu ʻike ʻole;
- ka huʻihuʻi - ua kū mai ia ma ka lawa ʻole o ka pae o ka bile i loko o ka ʻōpū liʻiliʻi, ma muli o ke kīpē ʻana o ke kō;
Eia kekahi, ʻo kekahi o nā hōʻailona o ka hoʻomohala ʻana o ka pathology me ka hiki ʻana o ke aniani subfebrile lōʻihi (37-380C)
ʻO nā ala diagnostic polyp
Ma kēia ʻano lapaʻau hou, ua hoʻohana ʻia nā ʻano ʻenehana like ʻole a me nā ʻimi noiʻi noiʻi. Mai nā ʻano hana loea, kahi loiloi koko biochemical, hoʻohana ʻia ka fecal a me ka nānā ʻana i ka urine laulima.
ʻO ka hōʻike koko biochemical - i loko, i mua o ka polyps cholesterol, e hoʻonui ʻia ka ʻike bilirubin. ʻO Bilirubin ka huahana o ka haki hope loa o ka hemoglobin. Hoʻololi ia i ka nui o ka helu ʻana i kekahi pilikia me ka nāʻiole, ka mana palaki a me nā pāpaʻi biliary. Pili ʻole ʻo Bilirubin (non-conjugated) a me ka pololei (conjugated). Hoʻonui ka hapa kūlike me ka ʻoma i kapa ʻia nā hemolytic, a me ka jaundice suprahepatic, kahi i ʻike nui ʻia ai ka luku ʻana i nā ʻulaʻula ʻulaʻula. ʻO ka hemoglobin hoʻokuʻu i hoʻokuʻu me ka wikiwiki wikiwiki e hoʻololi i ka bilirubin. Hoʻonui ka hapa kikoʻī me ka subhepatic, a i ʻole mechanical, a i ʻole obstructive jaundice, i ulu ʻia ma muli o ka auamoia o ka biliary tract me kahi calculus a i ʻole, i kā mākou hihia, he polyp. Ka hoʻonui ʻia ʻana o ka phosphatase alkaline a, ʻoiaʻiʻo, hiki ke ʻike ʻia ka cholesterol.
ʻO ka nānāʻana i ka Fecal, a i ʻole coprogram - kahi liʻiliʻi o stercobilin, kekahi o nā huahana waena o ka uha ʻana o ka hemoglobin, aia paha i nā feces i loaʻa.
Iā Urinalysis - i loko o ka urine, urobilinogen, kahi pū kekahi i ke aniani i ka wāwahi i ka hemoglobin, e hoʻohaʻahaʻa ʻia.
Ma kahi o nā kaʻina noiʻi noiʻi, hiki ke ʻike ʻia nā polyps kolesterol me ka hoʻohana ʻana i ka ultrasound, ka ultrasonography endoscopic a me ka imaging magneton resonance.
ʻO ka hoʻohana ʻia ʻana o ka mīkini noiʻi (ultrasound) ʻo ia ka hana maʻamau a me ka maʻalahi. Kūkulu ʻia ia e ka ʻike ʻana o nā nalu ultrasonic mai nā kino. Me ke ʻano maʻamau o ka humuhumu ʻole ʻole me nā alapiʻi, kahi oval ʻeleʻele, i kaupalena ʻia e ka pā ipo, e ʻike ʻia i ka aniani. Inā loaʻa nā neoplasms i kahi o ka pala, e like lākou me nā keokeo keʻokeʻo me kahi pālahalaha i ʻike ʻia ma ka ʻaoʻao o ke kino.
I loko o kā lākou hoʻonohonoho, e lilo lākou i ka maʻi hyperechoic (echogenicity ke ʻano o ka hoʻokumu). ʻO ka ʻokoʻa nui ma waena o ka polyps a me ka calculi, ʻaʻole i hoʻololi ka polyp i kona wahi i ka manawa e loli ai ke kūlana o ka mea maʻi. Ma mua o ka hoʻokō ʻana i kahi ultrasound, pono ia e lawe wale i ka meaʻai māmā, ʻaʻole ka mea e hoʻouka ʻole i ka ʻōnaehana ʻana, a ʻaʻole e hāʻawi i ka hoʻopukapuka ʻana i ka ʻenehana.
ʻO Endoscopic ultrasonography (EUS) kahi hana noiʻi invasive e hana ana me ka hoʻohana ʻana i ka endoscope. Hoʻokomo ʻia kahi endoscope, me kahi ʻimi hoʻoliʻi ultrasound, i loko o ka duodenum. Loaʻa i ka Ultrasonography kekahi mau pono o ke kaila o ka ultrasound, no ka mea, i ka hana ʻana, ke ʻano o ka gallbladder a me kekahi neoplasms i loko o ka mea i ʻike hou ʻia a me ka maopopo. Ma mua o ka lawe ʻana i ka ESR, ʻaʻole ʻae ʻia ka mea maʻi e ʻai, a ma hope o ke ahiahi - ʻo ka meaʻai māmā wale nō.
ʻO ka hoʻohanaʻana i ka résonance imonance (MRI) ka ʻike ʻike e ʻike ai nā maʻi o ka poʻe maʻi me ka polyposis i kānalua ʻia. Hāʻawi ia iā ʻoe e nānā i nā kikoʻī kikoʻī o ke ʻano o ka gallbladder, ke ʻano o nā neoplasms, hiki iā ʻoe ke nānā i ke ʻano o ka congenital a i ʻole ka loaʻa i nā abnormalities i kekahi ʻōnaehana o ka maʻi. Akā, ʻaʻole naʻe, hiki i ka poʻe āpau ke kūʻai aku i ka MRI no ka uku nui.
Nā lāʻau no ka mālamaʻana i nā polyps
Hiki i ka polyps Chypesterol o ka gallbladder ke mālamaʻia me ka lāʻau lapaʻau a me ka hana.
Hoʻohana ʻia ka hoʻomaʻamaʻa ʻana o nā patology inā ʻaʻole ka hāʻawi ʻana i nā lāʻau lapaʻau i ka hopena kūpono.
ʻO nā lāʻau lapaʻau i kauoha ʻia e like me Holiver, Ursosan, Ursosulfak, Hepabene, Drotaverin (No-Shpa) a me Simvastatin.
ʻO ka hana ʻana o kēlā me kēia lāʻau lapaʻau e like me kēia.
- ʻO Holiver kahi lāʻau lapaʻau e hoʻoulu i ka ʻokiʻoki o ka bile mai ka pālaʻi, hoʻāluulu i ka contractility, pale ʻana i ka bile congestion. Papa ʻole ia no ke kuhikuhi ʻana no ka auhau pili. Pono e lawe iā 2 papa ʻekolu mau manawa i ka lā ma mua o ka papaʻaina.
- Hepabene - ʻike ʻia kēia lāʻau lapaʻau e ka lehulehu o nā kānaka, ʻoiai mea maʻamau loa. Hoʻonohonoho ʻo ia i ka mea huna o ka bile e nā hepatocytes, hōʻoluʻolu i nā spasms. Ke ʻano o ka noi - 1 mau kapsul ʻekolu mau lā i ka lā.
- ʻO Drotaverine (No-Shpa) kahi lāʻau lapaʻau e pili ana i ka hui o antispasmodics. Hoʻomaha ia i ka hōʻeha a me ka ʻeha, ʻoi aku me ka col hepatic. Pono e lawe i nā papa papa 1-2 i ka wā o ka hōʻeha ʻana a i ʻole nā hōʻoluʻolu maikaʻi ʻole.
- ʻO Simvastatin kahi lāʻau lapaʻau no ka mālamaʻana i ka atherosclerosis, nā mea āpau o nā statins. E hōʻemi ana i ka nui o ka kolamu ma ke koko. Ua inu i ka papa papaʻa i ka wā hiamoe, no ka mea, ʻoi ka nui o ka kolamu ma ka pō.
- Ke kōkua nei ʻo Ursosan i ka ho'ōla ʻana i nā polyps o ka puka koloka nui. ʻO ia, e like me Simvastatin, e hōʻemi i ka pae o ka cholesterol a me nā lipoproteins haʻahaʻa haʻahaʻa i loko o ke koko, a pale pū i ka hōʻuluʻulu hou o nā kolesterol. ʻO ka contraindication i kona hoʻohana ʻana he mau lōkino i ka paia o ka papale, kaʻaina o ka palaki biliary, ka nui o ka polyp nui (ma mua o 2 cm). Hoʻomoe ʻia ka helu ʻana o Ursosan ma kahi he 10 mg no 1 kg o ka paona o ke kino. ʻO ka lōʻihi o ka mālamaʻana mai 6 mau mahina a i hoʻokahi makahiki.
- ʻO Ursofalk - ʻo kona ʻano hana o like me kā Ursosan. He aha ʻino ia no ka waiho ʻana i ka kolesterol. ʻO like ka nui o ka lāʻau i ka wai - 10 mg no 1 kg o ka paona o ke kino. I ka wā o ka mālama holoʻokoʻa, nānā ka nui o ka polyp i mea pono.
- He lāʻau lapaʻau choleretic ʻo Allochol. Hoʻonohonoho ia i ka motility a me ka excretion o ka bile mai ka pahi. ʻAʻole hiki ke kuhikuhi no ka hoka ʻana o ka pā o ka maʻa. Pono e lawe iā 2 papa ʻekolu mau manawa o ka lā ma hope o ka papaʻaina no hoʻokahi mahina.
- ʻO ka Ovesol kahi mākaukau i ka mea kanu i ke ʻano kai. Hoʻololi maikaʻi ia a lōʻihi no ka manawa lōʻihi. ʻO kāna hana e hoʻoulu ai i ka ʻāʻī o ka calula, ka hoʻopau ʻana i ka stileation o ka bile, e hoʻoulu ana i ka like o ka gallbladder. ʻO ka contraindication i ka hoʻohana ʻana iā Ovesol he hāmeʻa piha i nā wai ʻoile. Lawe iā 15-20 e hāʻule i ʻelua mau manawa i ka lā. Ma kahi o ʻehā mau lāʻau lapaʻau e mau ana i hoʻokahi mahina e mālama ʻia i hoʻokahi makahiki.
Hoʻololi ʻia ka hana hōʻeha me nā nui o nā neoplasms, me nā ala e pili ana i nā ala o ka biliary tract (maʻi gallstone, cholecystitis a me ka pancreatitis), me ka ulu wikiwiki o ka polyp, me ka nui o lākou a me ka ʻoi o ka hopena kiʻekiʻe o ka hōʻino. Hana lākou i nā hana e like me ka polypectomy - ka wehe ʻana i ka polyp wale nō, a me ka cholecystectomy - ke hoʻopau piha ʻana i ka ʻōpū.
Ma hope o ka hana ʻana, pono ʻoe e pili i kahi meaʻai. Aia i loko o kaʻai ʻole i nā momona a me nā momona, i ka hoʻohana ʻana i nā kīʻaha kuke ʻia a me ka steamed, i ka wehe piha ʻana i ka waiʻona, paʻakai, ʻūhā. Manaʻo ʻia ke kākoʻo me nā kānaka lapaʻau (propolis, meli, infusion herbal, homeopathic rongoā).
Hōʻike ʻia nā hopena o ka cholesterol i ke kino i ka wikiō ma kēia ʻatikala.
