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 سرطان روده بزرگ, علايم پوليپ روده بزرگ

شرح بيماري:
پوليپ روده بزرگ،توده اي در روده بزرگ يا راست روده است كه منشاآن پوشش داخلي روده بزرگ است.اين توده ها غالباغيرسرطاني هستند ولي اگر درمان نشوند،ممكن است به سرطان روده بزرگ تبديل شوند.


علايم بيماري:
اين بيماري معمولا بدون علامت است وبصورت تصادفي مثلا درحين غربالگري بيماران مبتلا به سرطان روده بزرگ كشف مي شود،البته گاهي علايم ديگر مانند وجود خون غير قابل رويت در مدفوع ، تغيير در دفعات تخليهء مثانه ، ترشح مخاطي از مقعد و درد يا گرفتگي عضلاني شكم،دربين بيماران ديده مي شود.


علت بروز بيماري:
درحال حاضر علت بروز بيماري،ناشناخته است ولي درميان كساني كه سابقه فاميلي وزمينه ارثي دارند،احتمال ابتلا به پوليپ روده بزرگ افزايش مي يابد.

 
انواع پوليپ روده بزرگ:
• پوليپ هاي هيپر پلاستيك:شايع ترين پوليپ ها هستند.معمولا 5ميلي متر قطر دارندو سلامتي را تهديد نمي كنند ولي اگر قطرآن ها به بيش از1سانتي متر برسد،بايد ازلحاظ سرطاني بودن بررسي شده وخارج شوند.


پوليپ هاي آدنومايي:به سه گروه تقسيم مي شوند؛1.لوله اي. 2.پرزي.3.لوله اي-پرزي.
آدنوم هاي لوله اي،شايع ترين آدنوم ها هستندو حدود1سانتي متر قطر دارند.

آدنوم هاي پرزي،كم شيوع ترين آدنوم هاهستند و بيشترآنها حداقل 1سانتي متر قطر دارند.

آدنوم هاي لوله اي-پرزي،همانطور كه از نامشان پيداست،مشخصات هردو گروه آدنوم هاي فوق راداراست.


پوليپ هاي آدنومايي داراي استعداد سرطان شدن هستند؛هرچه قطر آدنوم ها افزايش يافته و پرزي تر باشند،احتمال سرطاني شدن در آن ها بيشتر است.براي جلوگيري از سرطاني شدن بايدپوليپ ها برداشته شوند.برداشتن آن ها بيشتر از طريق كولونوسكوپي انجام مي شود.دراين روش،لوله اي نازك و منعطف از جنس فيبر نوري با يك چراغ در نوك آن ازراه مقعد وارد رودهءبزرگ شده وبالا مي رود.
اگرتعداد سلول هاي سرطاني شده پوليپ،كم باشد مي توان پوليپ ها را ازطريق كولونوسكوپي برداشته وسرطان را درمان كرد.
اگراحتمال پيشرفت سرطان باشد، پزشك طي عمل جراحي در شكم،قسمتي از روده بزرگ را كه دچار پوليپ شده،به همراه غددلنفاوي وبافت هاي اطراف خارج مي كند.

 

 سرطان روده بزرگ, علايم پوليپ روده بزرگ

 
پوليپ هاي التهابي:بسيار كمياب هستند.اين پليپ هادر اثر التهاب ياآسيب رودهءبزرگ بوجود آمده ومعمولا براي سلامتي خطر ندارند.


پوليپ هاي نوجواني:اختلالات ارثي هستند كه بسيار نادرند ومي توان آنها را ازطريق كولونوسكوپي به راحتي درمان كرد.


پوليپ هاي ارثي: يكي از اختلالات ايجاد كنندهء پوليپ روده بزرگ كه شديدا ارثي مي ‌باشد، پوليپوز آدنومايي فاميلي نام دارد؛ اين بيماري معمولا در دوران نوجواني رخ مي دهد و ويژگي آن، وجود پوليپ هاي بسيار زياد به تعداد حداقل 100 و اغلب 1000 يا بيشتر، در سرتاسر روده بزرگ است. اين پوليپ‌ها گاها علامتي ايجاد نمي كنند يا شايد باعث خون ‌ريزي از مقعد شوند. اين پوليپ‌ ها گاهي در روده كوچك نيز بوجود مي آيند.

 

وقتي كه پوليپوز آدنومايي فاميلي با تشكيل تومورهاي خوش‌ خيم در ساير نقاط بدن، همراه باشد بيماري "سندرم گاردنر" بوجود مي آيد. پوليپوز آدنومايي فاميلي حتما به سرطان تبديل مي شود كه حدود يك درصد از كل علل سرطان روده بزرگ، راست روده است.غالبا به محض تشخيص بيماري، توصيه مي ‌شودكه تمام راست روده برداشته شود. بايد بستگان نزديك فرد مبتلا، در سنين 10 تا 12 سالگي، از نظر ابتلا به اين بيماري بررسي شوند تا در صورت وجود اين بيماري، تحت درمان قرارگيرند.

امتياز:
بازديد:
برچسب: پوليپ ,روده بزرگ،
موضوع: عمومي
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