HỎI ĐÁP Y HỌC LƯỢNG TỬ CUỐI TUẦN 4 POLYP JUVENILE (JUVENILE POLYPOSIS SYNDROME-JPS)

HỎI : Lý Đặng Khánh Tiên

Tôi tên Khánh Vi, là mẹ của cháu Khánh Tiên. Được biết Thầy qua một vài người bạn đồng nghiệp trong công ty. Nên tham gia nhóm Fb của Thầy để được tư vấn về bệnh cho con gái.

Cháu Khánh Tiên năm nay 11 tuổi, cháu bị Đa polyp đại trực tràng và dạ dày. Cháu bị bệnh do di truyền từ mẹ sang. ( mẹ bị đa polyp đại tràng, sinh thiết polyp tuyến, nghịch sản nặng, nên đã mổ bỏ toàn bộ đại tràng) kết quả sinh thiết của bé khánh tiên là polyp tuyến, dạ dày vi trùng hp. Hiện tại cháu Khánh Tiên đã nội soi cắt polyp đại tràng 3 lần và Dạ dày 1 lần.

Theo các bác si Nhi đồng, phác đồ điều trị của cháu Khánh Tiên là 6 tháng nội soi đại tràng 1 lần để cắt các polyp có kích thước lớn. theo dõi đế khi bé đến tuổi trưởng thành sẽ phẩu thuật bỏ ruột giống mẹ. Nêu tôi rất lo lắng cho con.

Xin hỏi bác sĩ có phương pháp nào để cháu có thể sống hòa bình với các polyt đó không? không cần phải phẩu thuật như tôi. Nếu được xin bác si cho cuộc hẹn tôi đưa cháu đến nhờ bác si tham khám giúp.

Trân trọng cảm ơn !

ĐÁP : Wambuakim

POLYP JUVENILE (JUVENILE POLYPOSIS SYNDROME)

Hội chứng polyp Juvenile là một tình trạng di truyền đặc trưng bởi sự hiện diện của các u mô thừa (u nhú) trong đường tiêu hóa. Những u mô thừa này là các khối mô lành tính không phải ung thư, gọi chung là polyp, hình thành trong dạ dày, ruột non, đại tràng cho đến hậu môn hoặc (và) những nơi khác. Hình thái của nó mềm mại, trông như những u nhỏ hình hạt đậu, quả dâu, quả anh đào…, có cuống dài, mảnh hoặc ngắn, rộng, có “rễ” ăn vào niêm mạc, các tuyến và ống dẫn các tuyến, mạch máu v.v…. và dễ bị chảy máu với các va chạm, cọ sát.

Tuy vậy phải biết rằng polyp sẽ trở thành ác tính (ung thư) nếu có kích thước đủ lớn (d > 10 mm) hoặc có tác động cơ học thô bạo như xén, chọc, nạo v.v…. Tây Y không có khả năng chữa trị polyp mà chỉ có cách ứng xử duy nhất là “polyp cái nào thì cắt cái đó” khi nó đủ lớn để trở thành nguy hiểm. Ví dụ như polyp túi mật thì cắt túi mật, polyp ruột thì cắt đoạn ruột có liên quan …. Nhất là với polyp tuyến ống, có tiềm năng trở thành ung thư trong khi các dạng khác – polyp tăng sản hoặc polyp viêm (giả polyp), ít nguy hiểm hơn.

Polyp Juvenile trẻ em đặc trưng bởi polyp xuất hiện trên khắp đường tiêu hóa trong giai đoạn sơ sinh, là loại nghiêm trọng nhất của rối loạn và để lại hậu quả rất xấu. Trẻ em ở trường hợp này có thể mang bệnh ruột mất protid, dẫn đến tiêu chảy, khó tăng cân và sụt cân, phát triển không đủ tiêu chuẩn. Polyp Juvenile thường được chẩn đoán chậm, là khi khối u đã phát triển khắp đường tiêu hóa. Hội chứng JPS xảy ra với tỉ lệ 1: 100.000 trên toàn thế giới, bệnh nhân JPS có nguy cơ cao cho ung thư đại trực tràng, dạ dày, ruột non, và tuyến tụy, nhưng tỷ lệ rủi ro đối với từng loại cụ thể của ung thư chưa được xác định.

Nhưng cũng đừng xem mọi Polyp (trong đó có Polyp Juvenile) là bi kịch, vì thực chất poyp nói chung không phải khó trị. Trên cơ sở nhận thức 5 hệ tự vệ của cơ thể con người là (i) hệ miễn dịch, (ii) hệ phãn vệ, (iii) hệ đề kháng, (iv) hệ thích nghi và (v) hệ đồng hóa – dị hóa thì có thể sử dụng hệ đồng hóa – dị hóa để loại bỏ hoàn toàn Polyp. Dược pháp chính là (i) đánh dấu polyp, (ii) dị hóa nó khỏi cơ thể và (iii) chặn đứng khả năng tái phát polyp, kết hợp tăng thể trạng và diệt virus HP..

Vì dược pháp cụ thể cần xác định polyp nào (polyp tuyến ống, polyp tăng sản, polyp viêm hoặc cả ba thứ) và nhiều bài thuốc phức tạp cho mỗi dược trình cho nên cần thắm khám trực tiếp hoặc đăng ký nghe mạch từ xa để nhận bài thuốc là tốt nhất.

Mong gia đình yên tâm và chúc may mắn.

Wambuakim (đính kèm một phần trong “Polyposis Theory” của tác giả)

98 Trả lời “HỎI ĐÁP Y HỌC LƯỢNG TỬ CUỐI TUẦN 4 POLYP JUVENILE (JUVENILE POLYPOSIS SYNDROME-JPS)”

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