Umhlaza we-Gastric yenye yeendlela ezingathandekiyo ezibeka ubomi bomntu. Kukho iimeko eziyi-1.09 ezigidi ezigidi emhlabeni minyaka le, kwaye inani lamatyala amatsha ezweni lakowamla angama-410,000. Oko kukuthi, malunga ne-1,300 yabantu kwilizwe lam kufunyaniswa ukuba ngomhlaza we-gustric yonke imihla.
Iqondo lokusinda yezigulana zomhlaza ze-gestric zihambelana ngokusondeleyo nenqanaba lokuqhubela phambili komhlaza we-gastric. Iqondo lonyango lomhlaza wokuqala ovuthayo unokufikelela kwiipesenti ezingama-90, okanye ziphiliswe ngokupheleleyo. Inqanaba lonyango lwenqanaba le-Gastric Carec Umhlaza uphakathi kwe-60% ne-70%, ngelixa inqanaba lonyango lwe-Gastric Priveric kuphela yi-30% kuphela. ngeenxa zonke, umhlaza we-testric wafunyanwa. Kwaye unyango lwakwangoko lusitshixo lokunciphisa ukusweleka komdaniso wegcus. Ngethamsanqa, ngokuphuculwa kwetekhnoloji ye-Endoscopic kule minyaka idlulileyo, ukuhlolwa kwe-gustric pheshey yenziwa ngokubanzi kwilizwe lam, ephucule kakhulu iqondo lokungena loMhlaza kwangoko;
Ke, yintoni umhlaza wokuqala kangaka? Ungafumanisa njani ukuba ngumhlaza wokuqala? Ungayiphatha njani?
1 umxholo womhlaza wokuqala we-gustric
Ngobuthwenyithi, umhlaza we-gustric okokuqala ngokubhekisele kuMhlaza we-GAstric kunye nezilonda zakuqala, izilonda ezinqongopheleyo kwaye azikho mpawu. Umhlaza wakwangoko we-Gastric wafunyaniswa ikakhulu yi-gastroscopic pathoology. I-Thotologically, umhlaza we-gustric jistric ubhekisa kwiiseli zomhlaza kwi-MUCOSA kunye ne-Sumor, kwaye nokuba inkulu kangakanani i-tumasph node, ukuba ngumhlaza wamaxesha athile. Kwiminyaka yakutshanje, i-DysPisia eqatha kunye ne-Inraepilial e-Inteplailia yaseNeoplasia ikwahlelwa njengomhlaza wokuqala.
Ngokutsho kobungakanani bethumba, umhlaza we-gustric wahlulwahlulwahlulwahlulwa: Umhlaza we-gustric encinci: Ububanzi be-capric ye-ciper yi-6-10 mm. Umhlaza omncinci we-gustric: Ububanzi be-tummi bungaphantsi okanye bulingana ne-5 mm. I-punctricate carcinoma: I-Gastric MucoPSy ngumhlaza, kodwa akukho zicubu zomhlaza zinokufumaneka kuluhlu lwemifanekiso yoqhaqho.
I-Endoscopic, umhlaza we-gustric wahlulahlulwe ngokwahlukileyo ukuba: uhlobo (uhlobo lwePolypoid): Abo banomsindo ophakathi kwe-5 mm okanye ngaphezulu. Chwetheza ii (uhlobo oluthile) Chwetheza iii
Zithini iimpawu zomhlaza wokuqala
Uninzi lomhlaza we-gustric thestric alunazo naziphi na iimpawu ezikhethekileyo, oko kukuthi, iimpawu zokuqala zomhlaza we-gestric azikho iimpawu. inethiwekhi
Ezo zinto zibizwa ngokuba ziimpawu zokuqala zomhlaza umhlaza we-gestric Careuling kwi-Intanethi azikho imiqondiso yokuqala. Nokuba ngugqirha okanye umntu obalaseleyo, kunzima ukugweba kwiimpawu nakwimiqondiso. Abanye abantu banokuba neempawu ezithile ezingezizo ezodwa, ubukhulu becala, njengentlungu yesisu, ukubhabha, ukugculelwa kwe-Acid, i-Acid Sureging, i-Helchups, i-Helcking, ngokunjalo ihlala ingatsaleli ingqalelo yabantu. Ke ngoko, kubantu abangaphezulu kweminyaka engama-40, ukuba baneempawu ezibonakalayo zokugungxula, kuya kufuneka baye esibhedlele kunyango ngexesha, kwaye bangenzi ixesha elifanelekileyo lokufumana umhlaza kwangoko.
3 Ungafumanisa njani kwangoko umhlaza wamahle
Kwiminyaka yakutshanje, iingcali zonyango kwilizwe lethu, zidityaniswe neyona meko yelizwe lethu, ziye zenza "iingcali zenkqubo yovavanyo lwe-gestiric rateric".
Iya kudlala indima enkulu ekuphuculeni inqanaba lokuxilongwa kunye nenqanaba lokunyanga lomhlaza wokuqala.
Ukuhlolwa kwe-gastric testric ijolise ikakhulu kwezinye izigulana ezisemngciphekweni, njengabaguli be-helitobacter yosulelo, izigulana ezingaphezulu kwembali ye-Gylori, izigulana ezingaphezulu kweminyaka engama-35, kwaye zikuthanda ukutya okuthambileyo.
Eyona ndlela iphambili yovavanyo ikakhulu kukuchonga inani elinomngcipheko ophezulu lomhlaza omhlaza we-gustric ngovavanyo lwe-serologic, oko kukuthi, ngomsebenzi we-gastric kunye ne-helitobacter pylori antiction. Emva koko, amaqela abeka emngciphekweni omkhulu afunyanwa kwinkqubo yokuhlolwa kokuqala ahlolwa ngemali nge-Gerroscope, kwaye ukujongwa kwezilonda kunokwenza ukuba izilonda zitshiswe kwaye nokuba zinokunyangwa phantsi kwemicroscope.
Of course, it is also a better way to detect early gastric cancer by incorporating gastrointestinal endoscopy into the routine physical examination items in healthy people through physical examination.
4 Yintoni uvavanyo lwe-gastric lomsebenzi kunye nenkqubo yokuhlola i-gestic yomhlaza
Uvavanyo lomsebenzi we-gastricokufumanisa umyinge we-pepsinogen 1 (i-PGI), i-Pepsinogen (PGL1, kunye neProtease) kwiSluum.
. Umhlaza.
I-Endoscopy kunye nokulandelwa kuya kwenziwa kumaqela asemngciphekweni nangaphezulu. Amaqela asemngciphekweni omkhulu aya kutshekishwa kube kanye ngonyaka, kwaye amaqela asemngciphekweni ophakathi aya kutshekishwa kube kanye kwiminyaka emi-2. Ukufunyanwa kwenyani ngumhlaza wokuqala, onokuphathwa ngotyando lwase-Koscopic. Oku akunakuphucula nje inqanaba lokufumana kwangoko lomhlaza we-gestric umhlaza, kodwa unciphise i-tososcopy engafunekiyo kumaqela asengozini.
5 Yintoni i-gastroscopy
Ukuyibeka nje, i-gestroscopy yeyokwenza uhlalutyo lwe-goscopic morphologic yezilonda ezikrokrekileyo ezifumanekayo ngexesha elinye le-gestroscopy, i-chromoendopy, i-chromoendopy, i-endoscopy kunye nezinye iindlela. Isilumkiso sizimisele ukubyheli okanye sikrokrela ububi, kwaye emva koko i-biopsy yelesion yesidubedube yenziwa, kwaye isifo sokugqibela senziwa yi-pathology. Ukufumanisa ukuba kukho izilonda ezinomhlaza, ubungakanani bokungeniswa komhlaba, ubunzulu bokungeniswa ngokuthe tye, inqanaba lokwahlula-hlula, nokuba zikho iimpawu zokuphathwa kwe-microscopic.
Xa kuthelekiswa ne-gestroscopy yesiqhelo, uviwo lwe-gestroscopic kufuneka lwenziwe phantsi kweemeko ezingenamaffi, ivumela abaguli ukuba bazihlaziye ngokupheleleyo kwimo yokulala emfutshane kwaye basebenze i-gastroscopy ngokukhuselekileyo. I-Gastroscopy ineemfuno eziphezulu kubasebenzi. Kufuneka iqeqeshelwe ukufunyanwa komhlaza wokuqala, kwaye amava anamava anokuqhuba iimviwo ezithe vetshe, ukuze ufumane ngcono izilonda kwaye wenze uhlolo kunye nezigwebo.
I-Gastroscopy ineemfuno eziphezulu kwizixhobo, ngakumbi ngeetekhnoloji zokuphucula imifanekiso ezinje ngeChromoendoscopy / i-chromoendoscopy okanye i-endoscopy ye-Endoscopy. I-Ultrasound Gastroscopy ikwafuneka nayo ikwafuneka.
Unyango olu-6 lomhlaza wokuqala
I-1. I-Endoscopic Rection
Nje ukuba umhlaza we-gastric wafunyaniswa, i-endoscopic ithathe ukhetho lukhetho lokuqala. Xa kuthelekiswa novavanyo lwemveli, i-Endoscopic ineengenelo zokungaphantsi koxinzelelo, ezimbalwa zilulamo, kwaye ziphinde zifikeleleke ngokukhawuleza, kunye nokusebenza kakuhle kwezi zinto zininzi. Ke ngoko, ukuqhubela phambili kwe-endoscopic kuyacetyiswa ekhaya nakwamanye amazwe njengonyango olukhethiweyo lomhlaza wokuqala.
Okwangoku, i-tooscopic esetyenziswa ngokuxhaphakileyo e-Endoscopic ikakhulu ibandakanya ukuqhubela phambili kwe-Endoscopic Mucosal Itekhnoloji entsha iphuhliswe, i-ESD-Channel Tooscopy, inokufikelela kwinqanaba le-bibli ye-en kwi-procria ye-muscroulis, nangona ikwanikezela ngesitali se-pathoilical sinciphise ukuphindaphinda kwakhona.
Kuya kufuneka kuqatshelwe ukuba ukuqhubela phambili kwe-endoscopic kukuhlinzwa kakhulu kakhulu, kodwa kusekho imeko eninzi yeengxaki, ikakhulu kukwabambana, i-osulelo, i-Stenousis, kunye noPhononongo kufuneka ziphinde ziphinde ziphinde zenzeke ngokukhawuleza.
I-2 leparoscopic utyando
Utyando lwe-laparoscopic lunokuqwalaselwa kwizigulana ezinemihla yomhlaza we-gustric kwangoko ongenakukwazi ukuqhubela phambili. Utyando lwe-laparoscopic kukuvula amajelo amancinci kwisisu sesigulana. I-laparoscopes kunye nezixhobo zokusebenza zibekwe kwezi teneli zinobungozi obukhulu kwisigulana, kwaye idatha yemifanekiso kwi-asigus capity idluliselwa kwiscreen se-laparoscope, esigqitywe phantsi kwesikhokelo se-laparoscope. utyando lomhlaza we-gustric. Utyando lwe-laparoscopic unokugqibezela ukusebenza kwe-laparotomy yemveli, yenza i-gestrectomy enkulu, iyonke, i-lymph ye-lymph, ingonakali, iphazamisekile, kwaye ikhawuleze i-Gastrointenal umsebenzi emva kotyando.
3. Utyando oluvulekileyo
Ukususela nge-5% ukuya kwi-6% ye-Intramucosal Gastric Carecric Lymastlic i-Adesta STEATASE MABEASTASE MABEATASE MABEASTASE MABEATASICINAS KWI-MAPATASE MABE NOKHUSELEKO NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKUXELWA NGOKUGQIBELA NOKWENZA I-LYMPHICY NOPHANDO LOKUXELWA NGOKUGQIBELA.
isishwankathelo
Nangona umhlaza we-gestric unobungozi kakhulu, ayilunganga. Logama nje ulwazi lokuthintela luphuculwe, umhlaza we-gustric unokufunyanwa ngexesha kwaye unyangwe kwangoko, kwaye kunokwenzeka ukufezekisa unyango olupheleleyo. Ke ngoko, kucetyiswa ukuba amaqela abeka emngciphekweni omkhulu emva kweminyaka engama-40, nokuba bangena kwixeshana lokugaya, kufuneka bahlolwe kwangoko uviwo oluqhelekileyo lomhlaza ukuze bafumane umhlaza kwangoko ukufumana impilo kunye nentsapho eyonwabileyo.
Thina, iJiangxi Zhuoruhiuuuuuuuhui-biopsy godps, i-hemoclip,I-Polyp gorare, Inaliti ye-sclerotherapy, ukutshiza i-catheter, Ibrashi ye-cytology, isikhokelo, Ibhasikithi yokubuyisa ilitye, I-Nasal Biling Drasheter Casheter catheternjlnjl. Iimveliso zethu kufuneka ziqinisekiswe, kwaye izityalo zethu ziqinisekisiwe. Impahla yethu ithunyelwe eYurophu, iMntla Melika, eMbindi Mpuma kunye nenxalenye yeAsia, kwaye ifumana umthengi wokuqonda kunye nokudumisa!
IXESHA LOKUQALA: Jun-21 ukuya kwi-2022