Polyps nyob rau hauv lub gallbladder - ib tug phenomenon txawm tias yuav luag mob, tab sis heev insidious. Tom qab tag nrho, muaj cov polyps tuaj yeem ua rau qhov kev tshem tawm ntawm lub zais zis, los yog, txawm tias tuaj siab, rau qhov degeneration ntawm polyp los ntawm benign kom malignant tsim.
Ua rau polyps
Lub polyp ntawm lub gallbladder yog ntxwv raws li ib tug benign txoj kev loj hlob ntawm lub gallbladder mucosa. Hauv cov khoom siv niaj hnub no tsis muaj ib lub ntsiab txhais ntawm ib qho kev ua rau ntawm cov pob txha. Feem ntau, cov kws kho mob hu ua xws li ua txhaum cai ntawm kev sib pauv ntawm cov roj cholesterol thiab cov lipids, vim ntau tshaj kev noj cov zaub mov thiab cov zaub mov muaj rog, thiab heredity. Polyps kuj tuaj yeem tshwm nyob rau tom qab:
- ntev o ntawm cov roj hmab (cholecystitis);
- cholelithiasis ;
- kab mob siab hom kabmob sib txawv;
- dyskinesia ntawm bile ducts , lwm yam zoo li
Nyob ntawm tus qauv, cov hom polyps ntawm lub gallbladder yog qhov txawv:
- Cholesterol polyps yog hyperplasia ntawm mucous membrane ntawm lub gallbladder nrog cov roj deposits. Qhov no yog hom kab mob ntau tshaj plaws hauv polyps.
- Inflammatory polyps - inflammatory ras txog ntawm mucous daim nyias nyias ntawm lub gallbladder nyob rau hauv daim ntawv ntawm kev loj hlob granulation ntaub so ntswg.
- Adenomatous polyps yog benign hlav nyob rau hauv daim ntawv ntawm polypoid kev loj hlob ntawm glandular cov ntaub so ntswg.
- Papilloma yog ib qho nqaij hlav ntawm cov mucous membrane ntawm lub gallbladder nyob rau hauv daim ntawv ntawm cov txiv neej zoo li lub txiv mis.
Polyps yuav ua tau ib los yog ntau yam. Ntau lub polyps ntawm lub zais zis yog hu ua polyposis.
Polyps nyob rau hauv lub gallbladder - cov tsos mob
Tus mob ntawm polyps yog suab tsis nrog nws los ntawm kev hnov mob los yog lwm yam tsis xis nyob rau ib tug neeg. Feem ntau tsis tshua sib cais ntawm cov qog nkag hauv cov kab mob hauv lub cev thiab ua rau gallstone colic. Nyob rau hauv cov ntaub ntawv ntawm tsim ntawm ib tug polyp nyob rau hauv lub caj dab ntawm gallbladder, raws li ib tug ntawm cov uas hla ntws ntws outflow yog nyuaj, dull mob nyob rau hauv txoj cai hypochondrium yuav tshwm sim, tshwj xeeb tshaj yog tom qab noj mov.
Tsis muaj cov tsos mob ntawm cov hnyuv loj nyob rau hauv lub gallbladder tau txiav txim siab tias qhov teeb meem loj tshwm sim tau tshwm sim nyob rau theem siab tshaj ntawm tus kab mob. Lub ntsiab kev hem thawj rau lub cev yog qhov peev xwm ntawm lub polyp ntawm lub gallbladder los ntawm benign formations mus degenerate rau hauv malignant ones. Raws li kev txheeb cais, qhov feem pua ntawm qhov kev sib txuam (malignization) yog txij li 10 mus rau 33%.
Kev kuaj ntawm polyps
Vim lub fact tias polyps nyob rau hauv lub gallbladder yuav luag tsis ua mob rau hauv ib tug neeg, lawv feem ntau kuaj pom ntawm ultrasound ntawm lub plab kab noj hniav. Kom paub meej txog tus mob thiab ua tib zoo xyuas cov polyps hauv lub gallbladder, tshwj xeeb tshaj yog thaum muaj teeb meem tshwm sim, siv computer tomography, endoscopic retrograde pancreatocholangiography, endoscopic fibrogastroduodenoscopy, etc.
Kev kho mob ntawm tus kab mob
Yog tias tus neeg mob tsis muaj kab mob nrog rau lub gallbladder, ntxiv rau qhov muaj cov polyps nyob hauv nws, cov hauv qab no yuav tsum tau qhia meej ntxiv:
- seb cov polyps yog ntau;
- Puas yog qhov luaj li cas ntawm cov polyps tshaj 1 cm inch?
- seb cov polyps tau nce zuj zus tuaj (polyp ntau dua li ib xyoo los ntawm ntau tshaj 2 hli);
- polyps nyob rau hauv lub gallbladder coj mob mus rau ib tug neeg.
Yog tias muaj tsawg kawg yog ib yam ntawm cov tsos mob no, kws kho mob tuaj yeem txiav txim siab tshem cov qos yaj ywm phais.
Kev tiv thaiv ntawm kev tshwm sim
Tej hom kev tiv thaiv tsis muaj nyob. Tab sis nyob rau hauv muaj polyps nyob rau hauv lub gallbladder, nws yog ib lub tswv yim mus soj ntsuam qhov tseeb kev noj haus. Cov zaub mov yuav tsum tshiab, nplua thiab nplua nuj nyob hauv cov khoom siv. Nws yog ib qho tseem ceeb kom muaj cov zaub mov thiab cov txiv hmab txiv ntoo zoo heev. Cov kev ua si tas li kuj pab tau.
Nco ntsoov, polyps nyob rau hauv lub gallbladder yog ib qho muaj feem yuav mob cancer. Kev kuaj mob ntev thiab zoo kawg nkaus ultrasound ntawm lub plab kab noj plawv yuav pab koj kom tsis txhob muaj teebmeem loj ntawm qhov muaj cov formations no.