Polyps lanu

O le colorectal polyp o se tuputupu aʻe i luga o le laina o le kolone poʻo le tumutumu.

Polyps o le kolone ma le tumutumu e masani ona aoga. Lona uiga e leʻo latou o le kanesa. Atonu e i ai sau tasi pe tele polyps. Ua atili ai ona taatele i tausaga. E tele ituaiga o polyps.

Adenomatous polyps o se masani masani. O gland-pei o tuputupu ae e atiaʻe luga o le mucous membrane e laina ai le gaʻoa tele. E taʻua foi latou o adenomas ma e masani ona avea ma se tasi o mea nei:

• Tubular polyp, lea e sosolo i fafo i le lumen (avanoa avanoa) o le kolone
• Villous adenoma, o nisi taimi e mafolafola ma salalau, ma e ono avea ma kanesa

A avea kanesa ma adenomas, e taʻua o le adenocarcinomas. Adenocarcinomas o kanesa e mafua mai i sela glandular sela. Adenocarcinoma o le sili ona taatele ituaiga o kanesa lanu.

Isi ituaiga o polyps o:

• Hyperplastic polyps, lea e seasea, pe a i ai, e tupu ae i le kanesa
• Serrated polyps, ia e tau le masani ai, ae ono tupu ae ma avea ma kanesa i le aluga o taimi

Polyps lapoʻa nai lo 1 senimita (cm) maua ai le maualuga kanesa lamatiaga nai lo polyps laititi atu i le 1 senitimita. Mea lamatia aofia ai:

• Tausaga
• Talaʻaga o aiga o le kanesa o le kolone poʻo le polyps
• O se ituaiga o polyp e taʻua o le villous adenoma

O se numera toʻaitiiti o tagata e iai polyps e ono fesoʻotaʻi foʻi ma nisi o tuʻugamau, e aofia ai:

• Polyposis adenomatous familial (FAP)
• Gardner syndrome (o se ituaiga o FAP)
• Polyposis talavou (faʻamaʻi e mafua ai le tele o tuputupu ae tamaititi i le manava, masani lava i luma o 20 tausaga)
• Lynch syndrome (HNPCC, o se faʻamaʻi e faʻatupuina ai le avanoa o le tele o ituaiga o kanesa, e aofia ai totonu o le manava)
• Peutz-Jeghers syndrome (faʻamaʻi e mafua ai polyps usus, masani i le laʻau laiti ma masani ona lelei)

Polyps masani lava e leai ni faʻailoga. A iai, faʻailoga e mafai ona aofia ai:

• Toto i totonu o faʻataʻavalega
• Suiga i le manava manava
• Le lelava e mafua mai ile leiloa ole toto ile alu o taimi

O lau fomaʻi tausi soifua o le a faia se faʻamalositino suʻega. O se lapoʻa polyp i le tuaʻoga ono lagonaina i le taimi o le suʻega suʻega.

Ole tele o polyps e maua ile suʻega lea:

• Barium enema (seasea faia)
• Kolone tetele
• Sigmoidoscopy
• Suʻega ole nofoa mo le toto natia (faʻataulaitu)
• Faʻasologa masani
• Suega DNA nofoa
• Suʻega ole tui puipuia ole tama (FIT)

Colorectal polyps tatau ona aveʻese aua o nisi e mafai ona tupu aʻe i le kanesa. I le tele o tulaga, e mafai ona aveʻesea le polyps i le taimi o le kolone.

Mo tagata e iai polyps adenomatous, e mafai ona aliali mai polyps fou i le lumanaʻi. Oe tatau ona i ai se toe fai faʻavaʻa, masani 1 i le 10 tausaga mulimuli ane, faʻamoemoe i:

• Lou tausaga ma le soifua maloloina lautele
• Aofai o polyps na ia oe
• Tele ma le ituaiga o polyps
• Talaʻaga o aiga o polyps poʻo kanesa

I tulaga seasea lava, pe a fai o polyps e ono iʻu i le kanesa pe tele naua e aveʻese i le taimi o le kolonefonia, o le a fautuaina e le kamupani tuʻuina atu se colectomy. Ole taotoga lea e aveʻese ai le vaega ole kolone o loʻo iai polyps.

O le vaʻaiga e sili atu pe a fai o le polyps ua aveʻesea. Polyps e leʻo aveʻesea e mafai ona tupu ae i le kanesa ile taimi.

Valaʻau lau tautua peʻa iai sau:

• Toto i totonu o le manava gaioiga
• Suiga i manava o lou manava

Ina ia faʻaititia lou tulaga lamatia o le atiaʻe polyps:

• Taumafa i meaʻai maualalo le lololo ma 'ai tele fualaʻau, fualaʻau, ma alava.
• Aua le ulaula ma 'aua le inu tele i le' ava.
• Faatumauina se mamafa masani o le tino.
• Ia fai sau faamalositino masani.

E mafai ona faʻatonuina e lau kamupani se kolone poʻo se isi suʻega:

• O nei suʻega e fesoasoani e puipuia le kanesa o le kolone e ala i le sailia ma aveʻese polyps ae leʻi avea ma kanesa. Lenei ono faʻaititia ai le avanoa e atiaʻe ai le kanesa o le kolone, poʻo le mea sili fesoasoani fesoasoani e puʻeina i lona tulaga sili ona togafitia.
• Tele tagata e tatau ona amata nei suʻega ile 50 tausaga le matutua. O i latou e iai le talaʻaga o le aiga o le kanesa o le kolone poʻo le polyps kolone atonu e manaʻomia ona siaki i se amataga poʻo le tele o taimi.

O le inuina o aspirin, naproxen, ibuprofen, poʻo isi vailaʻau e ono fesoasoani e faʻaititia ai le ono maua o polyps fou. Ia e mataala o nei vailaʻau mafai ona i ai ni aʻafiaga ogaoga pe a fai mo se taimi umi. O aʻafiaga e aofia ai le palapala i le manava poʻo le faʻamaʻi ma le fatu. Talanoa ma lau tautua ae e leʻi inuina nei vailaʻau.

Polyps o manava; Polyps - lanu lanu; Adenomatous polyps; Polokalame hyperplastic; Adenomas mataga; Serrated polyp; Serrated adenoma; Preciperous polyps; Kanesa kanesa - polyps; Toto - polyps lanu

• Kolone tetele
• Polokalama Digestive

Komiti o Taʻiala Faʻafomaʻi o le American College of Physicians. Suʻesuʻega mo le kanesa o le colorectal i le asymptomatic averesi-ono tagata matutua: o se faʻamatalaga faʻasino mai le American College of Physicians. Ann Intern Med. 2019; 171 (9): 643-654. pubmed.ncbi.nlm.nih.gov/31683290.

Garber JJ, Chung DC. Colonic polyps ma polyposis syndromes. I totonu: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger ma le Fordtran's Gastrointestinal ma le Maʻi o le ate. 11th lomiga. Filatelefia, PA: Elsevier; 2021: mata 126

'Upega Tafaʻilagi National Comprehensive Cancer Network. NCCN falemaʻi faʻataʻitaʻiina faʻatonuga i oncology (NCCN taiala): colorectal kanesa siaki. Faʻamatalaga 1.2020. www.nccn.org/professionals/physician_gls/pdf/colon.pdf. Faʻafouina Me 6, 2020. Avanoa Iuni 10, 2020.

Rex DK, Boland CR, Dominitz JA, et al. Suʻega ole kanesa ole Colorectal: faʻutua mo fomaʻi ma tagata mamaʻi mai le U.S. Multi-Society Task Force on Colorectal Cancer. Am J Gastroenterol. 2017; 112 (7): 1016-1030. PMID: 28555630 pubmed.ncbi.nlm.nih.gov/28555630.