Colon Poryps ndi matenda wamba komanso pafupipafupi - omwe amapezeka kawirikawiri mu gastroenphlogy. Amanena za mitsempha ya intralsines yomwe ndi yayikulu kuposa mucosa. Nthawi zambiri, colonoscopy imakhala ndi ndalama zosachepera 10% mpaka 15%. Kuchuluka kwambiri kumawonjezeka ndi zaka. kukwera. Popeza zoposa 90% za khansa za colorectint zimayambitsidwa ndi kusinthika koopsa kwa ma polyps, chithandizo chonsecho ndikuchitapo kanthu pa endoscopic mukangowoneka.
M'masiku a colonoscopy, 80% mpaka 90% ya ma polyps ndi ochepera 1 cm. Kwa adenomatous polyps kapena ma polyps okhala ndi kutalika ≥ 5 mm (kaya) kapena ayi), njira yosankha endoscopic tikulimbikitsidwa. Kuthekera kwa Microvorolyps (kutalika kwa mainchesi ≤5mm) okhala ndi chotupa chotupa kwambiri (0 ~ 0.6%). Kwa micropheyps mu rectum ndi masigmoin colon, ngati endoscopist ingadziwe kuti ndi ma polygetootous polyps, palibe chifukwa chosinthira, koma mawonekedwe ake pamwambapa sichimachitika kawirikawiri muchipatala ku China.
Kuphatikiza apo, 5% ya ma polyps ndi athyathyathya kapena kukula kwa msewu, wokhala ndi mainchesi oposa 2 cm, kapena popanda mphuno. Pankhaniyi, njira zina zapamwamba za polyp za polyp zimafunikira, mongaEmrndiEzd. Tiyeni tiwone mwatsatanetsatane njira zochotsera polyp.
Opaleshoni
Wodwalayo adamaliza kuwunika kwa mankhwala oyambilira, adayikidwa kumanzere kwa Scabibolity Scabibuli, ndipo adapatsidwa mankhwala opaleshoni. Kuthamanga kwa magazi, kuchuluka kwa mtima, electrocardiogram, ndi zotumphukira zam'magazi okosijeni zidayang'aniridwa panthawi yochita opareshoni.
1 kuzizira / kutenthaZowongolera za biopsyMagawo
Ndioyenera kuchotsedwa kwa ma polyps ≤5mm, koma pakhoza kukhala vuto la kuchotsedwa kwa polyp 4 kwa 5mm. Pamaziko a biopsy ozizira, ma biopsy biopsy amatha kugwiritsa ntchito mafayilo apamwamba kwambiri kuti akhalize zotupa ndipo amathandizira hemostasis pachilondacho. Komabe, chisamaliro chiyenera kuchitika kuti mupewe kuwonongeka kwa sewero la khoma la matumbo chifukwa cha zamalonda zochulukirapo.
Pa opareshoni, mutuwo wa polyp iyenera kukhala yolimba, yokwezedwa moyenera (popewa kuwononga minofu ya minofu), ndikusungidwa mtunda woyenera kuchokera ku khoma la m'mimba. Pamene polyp pedale ikatembenuka oyera, ma excetroctrocaacaacation komanso wepeni. Tiyenera kudziwa kuti sizophweka kuchotsa polyp yayikulu kwambiri, apo ayi imakulitsa nthawi yamagetsi ndikuwonjezera chiopsezo chowonongeka kwathunthu (Chithunzi 1).
2 ozizira / otenthaPolynetom SvereNjira Yochotsera
Zoyenera kukweza zotupa za masisitayi osiyanasiyana ndikufanizira, ndimakhala ndi mtundu wambiri (<2cm) kupezeka kwa khansa yoyambirira ya m'mimba. Nkhaniyi imadziwa bwinobwino). Nkhaniyi ikuwonetsa bwino) Kwa zingwe zazing'ono za IP, kutanthauzira kwa mkangano ndi kosavuta. Misampha yozizira kapena yotentha imatha kugwiritsidwa ntchito poyerekeza. Panthawi ya madokotala, kutalika kwa pediser kuyenera kusungidwa kapena mtunda winawake kuchokera kukhoma m'thumba pomwe akuwonetsetsa kuti adutsemo. Pambuyo polimbikitsa msampha, uyenera kugwedezeka msampha, penyani ngati pali mucosa wamba wozungulira ndikuziyika pamodzi kuti mupewe kuwonongeka kukhoma.
Chithunzi 1 Chithunzi chojambulidwa cha majermal omwe amayendetsa ndege a Forms, Asanachotsedwe kuchotsedwa, B chilonda pambuyo pochotsa mafoloko. CD: Kusamala kwa MafutaZowongolera za biopsykuchotsedwa. Ngati polyp ndi yayikulu kwambiri, imawonjezera nthawi yopanga ma elecentrocaation ndikuyambitsa kuwonongeka kwa magazi.
Chithunzi 2 Chithunzi chojambulidwa cha matenthedwe cha matenthedwe ang'onoang'ono
3 Emr
■ NGissions
Kwa akuluakulu a ma p otupa, kuwonjezera pa njira zomwe zili pamwambazi, misampha yamafuta iyenera kugwiritsidwa ntchito poyerekeza. Asanayambenso kupenda, janicaucal yokwanira kukhazikitsidwa m'munsi mwa pedicle (2 mpaka 10 ml ya mayunitsi 10,000), zotupa zimalepheretsa kupangira chitseko. kuzungulira ndikuwotcha khoma la m'mimba.
Chithunzi 3 chithunzi chojambulidwa chaEmrChithandizo cha LP-Lys
Tiyenera kudziwa kuti ngati mtundu wawukulu womwe ndili nalo ilyp ali ndi sodi vasarom, ndipo imatulutsa magazi atatha kuchotsedwa. Panthawi yofananamo, njira yolekanitsa yolerera imatha kugwiritsidwa ntchito pochepetsa magazi. Ma polyps akulu akulu amathanso kujambulidwa mu zidutswa kuti achepetse zovuta za opareshoni, koma njirayi siyothandiza kuwunika kwakhumi.
■ lla-c tysions
Kwa Ila-C. Ciwo ndi zina ndi zotupa zomwe zili ndi ma diameter akuluakulu, kusinthidwa kwa msambo kungakhale kuwonongeka kwathunthu. Kapangidwe kambiri ka matendawa kumatha kuwonjezera kutalika kwa zotupa ndikuchepetsa zovuta za msampha ndi kutulutsa. Kaya pali zochita zochita opaleshoni ndi maziko ofunikira kuti adenoma ndi osakanikirana kapena owopsa ndipo ngati pali chithandizo cha endoscopic. Njirayi imatha kuwonjezera kuchuluka kwa ma adenomas<2cm m'mimba mwake.
Chithunzi 4EmrChithandizo Chopata Chapamwamba cha Mtundu wa Il Ma Polyps
4 Ezd
Kwa adenomas wokhala ndi mainchesi akulu kuposa 2cm zomwe zimafuna kuti nthawi imodzi ikhale ndi chizindikiritso chokweza, komanso khansa zina zoyambirira,Emrzotsalira kapena zosintha zomwe ndizovuta kuchitira,EzdChithandizo chitha kuchitidwa. Masitepe a General ndi awa:
1. Pambuyo padontholodic dongong, malire a zotupawo afotokozedwa bwino ndipo mawonekedwewo sangathe kulembedwa kuti malire a zotupa ali omveka).
2. Jekeser submucally kuti apange zotupa zikunyamuka.
3.
4. Amasunthani minofu yolumikizirana ndi submucosa ndipo pang'onopang'ono pezani minofu yodwala.
5. Onani chilondacho mosamala ndikuchiza mitsempha yamagazi kuti ipewe zovuta.
6. Pambuyo pokonza zotsutsanazo, zitumizeni kuti muyesedwe.
Chithunzi 5EzdChithandizo cha zotupa zazikulu
Kusamala mosamala
Tsombuni colon protherm Pultuction imafuna njira yoyenera yosankhidwa malinga ndi ma polyp, malo, luso la wothandizira, komanso zida zomwe zilipo. Nthawi yomweyo, kuchotsedwa kwa polyp kumatsatanso mfundo zomwe mfundozo, zomwe timafunikira kutsatira momwe tingathere kuti zitsimikizire kuti njira yachipatala ndi yotetezeka ndipo odwala amapindula ndi odwala.
1. Kukhazikitsa kwa dongosolo la mankhwalawa ndi chinsinsi cha kumaliza kwa kumaliza kwa Polyp (makamaka ma polyps akulu). Kwa ma polyps ovuta, ndikofunikira kusankha njira yofananira isanachitike mankhwala, kulankhulana ndi anamwino, akatswiri opanga mankhwala ndi antchito ena munthawi yake, ndikukonza zida zamankhwala. Ngati chilolezo, chitha kumaliza motsogozedwa ndi opaleshoni wamkulu kuteteza ngozi zosiyanasiyana zopangira opaleshoni.
2. Kukhala ndi ufulu wabwino "pa thupi lagalasi panthawi yamankhwala ndi chofunikira kuonetsetsa kuti cholinga cha opareshoni chimakwaniritsidwa. Mukalowa pagalasi, tsatirani mosamalitsa ndi njira yotsatsira "yopititsa patsogolo njira yochiritsira boma lomasuka, lomwe limatha kulandira chithandizo.
3.. Matumbo a wodwalayo ayenera kukonzedwa mosamala pamaso pa chithandizo, udindo wa wodwalayo uyenera kutsimikizika pamaso pa opaleshoni, ndipo ma polyps ayenera kuwonekera ndi mphamvu yokoka. Nthawi zambiri zimakhala bwino ngati lesionyo ili mbali inayo ya madzi otsala m'matumbo.
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 kwambiriEmr, Ezd, 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: Aug-02-2024