Khama la m'mimba ndi imodzi mwazotupa zoyipa zomwe zingawononge moyo wa munthu. Pali milandu yatsopano 1.09 miliyoni padziko lapansi chaka chilichonse, ndipo kuchuluka kwa milanduyi kudziko langa kuli kokwera ngati 410,000. Ndiye kuti, anthu pafupifupi 1,300 m'dziko langa amapezeka khansa ya chapamimba tsiku lililonse.
Mlingo wambiri wa odwala am'mimba amagwirizana kwambiri ndi kuchuluka kwa khansa yam'mimba. Kuchiritsa kwa khansa ya m'mimba koyambirira kumatha kufikira 90%, kapena kuchiritsidwa kwathunthu. Chithandizo cha khansa yam'mimba chili pakati pa 60% ndi 70%, pomwe kuchiritsa khansa yapamwamba kwambiri ndi 30% yokha. mozungulira, khansa yoyambirira ya chapamimba idapezeka. Ndipo chithandizo choyambirira ndichofunika kuchepetsa munthu wa khansa. Mwamwayi, ndikusintha kwaukadaulo wa endoscopic m'zaka zaposachedwa, kuyeserera koyambirira kwa khansa kwa nthawi yayitali, komwe kumachitika kwambiri ku khansa ya m'mimba;
Ndiye, kodi khansa yoyambirira ya m'mimba? Kodi khansa yoyambirira ya m'mimba? Momwe mungachithandizire?
1 lingaliro la khansa ya m'mimba
Makamaka, khansa yoyambirira ya m'mimba imanena za khansa yam'mimba yokhala ndi zotupa zoyambirira, zotupa zochepa ndipo palibe zizindikiro zodziwikiratu. Khansa yoyambirira ya m'mimba imapezeka ndi matenda a gastroscopic biops. Makonda, khansa yoyambirira ya chapamimba imanena za ma cell a khansa omwe amangokhala ndi mucosa ndi submucosa, ndipo mosasamala kanthu momwe zimakhalira ndi khansa yoyambirira, ndi ya khansa yoyambirira ya m'mimba. M'zaka zaposachedwa, dysplasia yayikulu komanso neopraelithelial neoplatia imapangidwanso ngati khansa yoyambirira ya m'mimba.
Malinga ndi kukula kwa chotupacho, khansa yoyambirira ya m'mimba imagawidwa ku khansa yaying'ono ya m'mimba: m'mimba mwa khansa yomwe khansa ndiyo 6-10 mm. Khangu laling'ono la m'mimba: m'mimba mwake yotupa imakhala yocheperako kapena yofanana ndi 5 mm. Pukuta Carcinoma: The gastric mucosa biops ndi khansa, koma palibe minofu ya khansa yomwe imatha kupezeka m'magulu ochita opaleshoni.
Endoscopically, khansa yoyambirira ya chapamimba imagawikanso: mtundu (mtundu wa polypoid): omwe ali ndi chotupa chotupa cha pafupifupi 5 mm kapena kupitilira apo. Lembani II (mtundu wapamwamba): Chotupa chimakwezedwa kapena kukhumudwa mkati mwa 5 mm. Lembani III (mtundu wa zilonda): Kuzama kwa kupsinjika kwa khansa kuchuluka kwa khansa kudutsa 5 mm, koma osapitilira a submuucosa.
2 Kodi zizindikiro za khansa yam'mimba yoyambirira
Makhange am'mimba oyambilira osakhala ndi zizindikiro zapadera, ndiye kuti, zizindikiro zoyambilira za chapamimba sitizindikiro. mau netiweki
Zizindikiro zoyambirira zoyambirira za khansa yam'mimba ikuyenda pa intaneti sizachizindikiro choyambirira. Kaya ndi dokotala kapena munthu wabwino, ndizovuta kuweruza pazomwe zimachitika. Anthu ena amatha kukhala ndi zizindikiro zina zomwe sizizindikiro zenizeni, makamaka kudzimbidwa, monga kupweteka kwam'mimba, kuyikapo, shiccups, hiccups, etc. Nthawi zambiri sizikopa chidwi cha anthu. Chifukwa chake, kwa anthu oposa zaka 40, ngati ali ndi zizindikiro za kudzimbidwa, ayenera kupita kuchipatala kuti akalandire chithandizo chamankhwala, kuti chisaphonye nthawi yabwino kwambiri kuti mudziwe khansa yoyambirira ya m'mimba.
3 Momwe Mungapezere Khansa Yoyambirira Kuyamba
M'zaka zaposachedwa, akatswiri achipatala m'dziko lathu, kuphatikiza ndi machitidwe enieni a dziko lathu, apanga akatswiriwo kuwunikira koyamba kwa China ".
Idzachita nawo gawo lalikulu pokonza matendawa ndi kuchiritsa khansa ya m'mimba.
Kuwunika kwa khansa koyambirira kwa khansa kumalinganiza kwambiri odwala omwe ali ndi vuto lalikulu, odwala omwe ali ndi Helicobacter Pylori matenda a Helicobacter a Hyloori a Helicobacter omwe ali ndi Hylobacter Pyloori kachilombo ka Helicobacter kambiri, odwala oposa 35, omwe amasuta fodya.
Njira yoyeserera yoyambirira ndiyofunika kudziwa kuchuluka kwa chiwopsezo cha chiwopsezo cha chiwopsezo cha zigawo za serological kudzera mu mayeso a serological Kuyesedwa kwam'mimba ndi Helicobacter pylori anti ontimata. Kenako, m'magulu owopsa omwe amapezeka koyamba kuwunikidwa mosamalitsa ndi gastrosrocope, ndipo kuwunika zotupa kumatha kupangidwa mwamphamvu pogwiritsa ntchito ma biopscopes.
Inde, ndi njira yabwinoko yopezera khansa yoyambirira ya chapamimba polumikizana ndi zinthu zam'madzi zathanzi mu anthu athanzi labwino pakuyenerera.
4 Kodi kuyesa kwa gastric ndikuwunika kwa chapamimba ndi chiyani kafukufuku
Kuyesa kwa gastric ndikuwona kuchuluka kwa pepsinogen 1 (PGI), pepsinogen (PGL1, ndi mapuloteni) mu seramu.
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Endoscopy ndi kutsatira zidzachitika kwa magulu owopsa pakati ndi owopsa. Magulu owopsa adzayang'aniridwa kamodzi pachaka, ndipo magulu owopsa azikhala osachepera kamodzi pazaka ziwiri zilizonse. Kupeza kwenikweni ndi khansa yoyambirira, yomwe imatha kuchitidwa opareshoni ya endoscopic. Izi sizingangosintha khansa yoyambirira ya chapamimba, komanso kuchepetsa endoscopy osafunikira m'magulu owopsa.
5 Kodi gastroscopy ndi chiyani?
To put it simply, gastroscopy is to perform endoscopic morphological analysis of suspicious lesions found at the same time as routine gastroscopy, including ordinary white light endoscopy, chromoendoscopy, magnifying endoscopy, confocal endoscopy and other methods. Ntchito yoyesedwa imatsimikiza kukhala yakanikirana, kenako ndikusindikiza zotupa zoyipa zomwe zimachitidwa, ndipo matenda omaliza amapangidwa ndi matenda. Kuti mudziwe ngati pali zotupa zadekha, kuchuluka kolowera khansa, kuya kwa mtima wolunjika, kusiyanitsa, ndipo ngati pali chithandizo cha microscopic.
Poyerekeza ndi gastroscopy, kuyesedwa kwa gastroscopic kumayenera kuchitidwa m'mikhalidwe yopweteka, kulola odwala kuti azipumula kwathunthu munthawi yayifupi ndikuchita gastroscopy mosamala. Gastroscopy imakhala ndi zofunikira pa ogwira ntchito. Iyenera kuphunzitsidwa m'makomo oyambilira a khansa, ndipo odziwa matenda owonjezerawa amatha kuyesedwa mwatsatanetsatane, kuti azindikire zotupa ndikupanga mayesero oyenera ndi maweruzo.
Gastroscopy imakhala ndi zofunikira pa zida, makamaka ndi matekinoloje owonjezera ngati cromendoscopy / elemronoscopycycopy kapena eleoscopy. Ultrasound gastroscopy imafunikiranso ngati pakufunika.
Mankhwala 6 a khansa yam'mimba yoyambirira
1.
Kamodzi khansasi yam'mimba imapezekanso, kufalikira kwa endoscopic ndiye kusankha koyamba. Poyerekeza ndi opaleshoni yachikhalidwe, kutulutsa kwa endoscopic kumakhala ndi maubwino ochulukirapo ocheperako, zovuta zochepa, kuchira mwachangu, komanso mtengo wotsika, komanso kufunikira kwa zinthu ziwiri chimodzimodzi. Chifukwa chake, kutulutsa kwa endoscopic kumalimbikitsidwa kunyumba ndi kumayiko ena monga chithandizo chomwe amakonda kwambiri khansa ya m'mimba.
Pakadali pano, zogwiritsidwa ntchito kawirikawiri kawirikawiri zimaphatikizapo endoscopic mucasal incraction (Emr) ndi endoscopic submucas (ESD). Tekinoloje yatsopano yopangidwa, ESD imodzi-channel, imatha kukwaniritsa gawo lina la bloc limakhala lotupa mu muscularis mu musclulis ercularis mu musculalogical yolakwika kuti muchepetse kubwereza mobwerezabwereza.
Tiyenera kudziwa kuti kusindikiza kwa endoscopic ndikuchita opaleshoni yovuta kwambiri, koma pamakhala zovuta kwambiri, makamaka, kupweteka kwa wodwalayo, kuwunikiranso kumayenera kugwirira ntchito bwino ndi dokotala kuti ayambenso kuchira.
2 opaleshoni ya laparoscopic
Opaleshoni ya Laparoscopic imatha kuonedwa kwa odwala omwe ali ndi khansa yoyambirira yam'mimba yomwe sangathe kutsata endoscopic. Opaleshoni ya laparoscopic ndikutsegula njira zazing'onoting'ono m'mimba za wodwala. Laparoscopes ndi zida zogwiritsira ntchito zimayikidwa kudzera munjira izi popanda zovulaza kwa wodwalayo, ndipo chithunzicho m'mikono pamimba amafalikira pazenera la laparoscope, lomwe limatsirizidwa motsogozedwa ndi laparoscope. opaleshoni ya padenti yam'mimba. Opaleshoni ya Laparoscopic imatha kumaliza ntchito ya laparotomy, amachita zazikulu kapena zokwanira, zosokoneza, zowonongeka pang'ono, komanso kubwezeretsa pang'ono kwa m'mimba pang'ono pambuyo pa opaleshoni.
3. Opaleshoni yotseguka
Kuyambira 5% mpaka 6% ya khansa yam'mimba ya chapamimba ndi 15% mpaka 20% ya a bastric lymph metocamcinoma mwa amayi achichepere, omwe amatha kuchotsedwa kwambiri ndi lymph.
chidule
Ngakhale khansa ya m'mimba imavulaza kwambiri, siowopsa. Malingana ngati kuzindikira kupewa kumayendetsedwa, khansa ya chapamimba imatha kupezeka mu nthawi ndi kuthandizidwa molawirira, ndipo ndizotheka kukwaniritsa kuchiritsa kwathunthu. Chifukwa chake, tikulimbikitsidwa kuti magulu owopsa atakwanitsa zaka 40, ngakhale atakhala ndi vuto la m'mimba, ayenera kuwunikira mayeso am'mimba kuti amvetsetse khansa yoyambirira ndikusunga moyo komanso banja losangalala.
IEAMNXI Zhuouria Chachipatala co., Ltd.Zowongolera za biopsy, hemoclip,Msampha wa Polyp, Sclerotherapy singano, Spray Catheter, Nkhondo za Cytology, gongo, Mtanga Wobwezeretsa Mlandu, Minda ya NASAAL BRARARDetc. zomwe zimagwiritsidwa ntchito kwambiri ku Emr, ESD, Ercp. Zogulitsa zathu ndi CE kutsimikizika, ndipo mbewu zathu ndiotsimikizika. Katundu wathu watumizidwa ku Europe, North America, Middle East ndi gawo la Asia, ndipo amapeza kasitomala wodziwika kuti avomereze ndi matamando!
Post Nthawi: Jun-21-2022