Umdlavuza wesisu ungomunye wabantu abahlukumezayo obufaka kabi impilo yomuntu engozini. Kunamacala amasha ayizigidi eziyi-1,09 emhlabeni njalo ngonyaka, futhi inani lamacala amasha ezweni lami liphakeme ngama-410,000. Lokho kusho ukuthi, abantu abangaba ngu-1,300 ezweni lami batholakala benomdlavuza wesisulu nsuku zonke.
Izinga lokusinda leziguli zomdlavuza wesisulu lihlobene kakhulu nezinga lokuthuthuka komdlavuza wesisu. Izinga lokulahla lomdlavuza wokuqala esigabeni sasekuqaleni lingafinyelela kuma-90%, noma aphulukiswe ngokuphelele. Izinga lokulahla lomdlavuza wesisu saphakathi nendawo liphakathi kuka-60% no-70%, ngenkathi izinga lokulahla umdlavuza omkhulu wesisulu-strus lingu-30% kuphela. azungeze, kutholakale umdlavuza wokuqala esigabeni esisekuqaleni. Futhi ukwelashwa kusenesikhathi kuyisihluthulelo sokwehlisa ukushona komdlavuza wesisu. Ngenhlanhla, ngokuthuthukiswa kobuchwepheshe be-endoscopic eminyakeni yamuva, ukuhlolwa komdlavuza wokuqala esisekelweni sekwenziwe kabanzi ezweni lami, okuthuthukise kakhulu isimo sokutholwa komdlavuza wokuqala wesisu;
Ngakho-ke, uyini umdlavuza wokuqala esisekelweni? Ungayithola kanjani umdlavuza wakuqala wesisu? Ungayiphatha kanjani?
1 Umqondo womdlavuza wakuqala wesisu
Ngokwengqondo, umdlavuza wokuqala esisekelweni sakusisikuthembela ikakhulukazi umdlavuza wesisu esinezilonda zokuqala, izilonda ezinomkhawulo futhi azikho izimpawu ezisobala. Umdlavuza wakuqala wesisuhlolwe ikakhulu kutholakala yi-gastroscopic biopsy pathology. Ngokuphambene nalokho, umdlavuza wakuqala wesisubhekisele kumaseli womdlavuza ukhawulelwe ku-mucosa kanye ne-submucosa, futhi noma ngabe isimila sikhona kangakanani futhi noma ngabe kukhona umdlavuza wokuqala wesisu. Eminyakeni yamuva nje, i-dysplasia enkulu kanye ne-intraepithelial neoplasia ephezulu kakhulu ihlukaniswa njengomdlavuza wokuqala esisukwini.
Ngokwamazwe omculo, umdlavuza wokuqala wesisu uhlukaniswe: umdlavuza omncane wesisu: ububanzi be-Cancer Focis ngu-6-10 mm. Umdlavuza omncane wesisu: ububanzi be-tumor focti bungaphansi noma bulingana no-5 mm. I-punctate Carcinoma: Isisulu se-mucosa biopsy ngumdlavuza, kepha azikho izicubu zomdlavuza ezingatholakala ochungechungeni lwezinhlamvu zokuhlalisa kabusha.
Ngo-Endoscopically, umdlavuza wakuqala wesibeletho uhlukaniswe ngo-: Type (Type (Type (Pelypoid Type): Labo abanesisindo se-tumor esibonakalayo esingaba ngu-5 mm noma ngaphezulu. Uhlobo II (Uhlobo olungelona iqiniso): I-Tumor Mass iyaphakanyiswa noma icindezeleke ngaphakathi kuka-5 mm. Uhlobo lwe-III (Uhlobo lwesilonda): Ukujula kokudangala kwesisindo somdlavuza kudlula i-5 mm, kepha akweqi i-submucosa.
2 Yiziphi izimpawu zomdlavuza wokuqala wesisu
Iningi lesikhanuko lesisungenazo izimpawu ezikhethekile, okusho ukuthi, izimpawu zokuqala zomdlavuza wesisu akuyona izimpawu. inethiwekhi
Lezo okuthiwa zalezi zimpawu zakuqala zomdlavuza wesisuluya ukujikeleza kwi-Intanethi empeleni akuzona izibonakaliso zakuqala. Noma ngabe kungudokotela noma umuntu omuhle, kunzima ukwahlulela ngezimpawu nezimpawu. Abanye abantu bangaba nezimpawu ezithile ezingezona ezikhethekile, ikakhulukazi ukugaya, okufana nobuhlungu besisu, ukuqhakaza, ukuthula kwasekuqaleni, ukulahleka kwenhliziyo, ama-hiccurture, njll. Ngakho-ke, kubantu abangaphezu kweminyaka engama-40, uma benezimpawu ezisobala zokugaya, kufanele baye esibhedlela ukuze bathole ukwelashwa ngesikhathi, bese benza i-gastroscopy uma kunesidingo, ukuze bangaphuthelwa isikhathi esihle sokuthola umdlavuza wokuqala.
3 Ungayithola Kanjani Ukuthola Umdlavuza Wokugcina
Eminyakeni yamuva nje, ochwepheshe bezokwelapha ezweni lethu, behlanganiswe nesimo sangempela sezwe lethu, bahlele "ochwepheshe benqubo yokuqala yokuhlola umdlavuza eChina".
Izodlala indima enkulu ekuthuthukiseni izinga lokuxilongwa kanye nokulahla izinga lomdlavuza wokuqala wesisu.
Ukuhlolwa komdlavuza wokuqala esisekelweni kuhloselwe ikakhulukazi iziguli ezinobungozi obukhulu, ezinjengeziguli ezinokutheleleka nge-Pyylori, iziguli zomlando womdlavuza womdlavuza wesisu, iziguli ezingaphezu kwama-35, futhi zithanda ukudla okuthe xaxa.
Indlela yokuhlola eyinhloko ikakhulukazi ukuthola inani elikhulu kakhulu lomdlavuza wesisu ngokuhlolwa kwe-serological, okungukuthi, ngokusebenzisa umsebenzi wesisu kanye ne-helicobacter pylori antibomvud ukutholwa. Ngemuva kwalokho, amaqembu abeka engcupheni enkulu etholakala kwinqubo yokuqala yokuhlola ahlolwa ngokucophelela yi-gastroscope, futhi ukubonwa kwezilonda kungenziwa kunciphise ngokwengeziwe ngezindlela zokukhulisa, ukubopha, i-biopsy, ukunquma ukuthi izilonda zomdlavuza nokuthi zingalashwa ngaphansi kwalesi sithonjana.
Kuyiqiniso, kuyindlela engcono yokuthola umdlavuza wakuqala wesisu ngokufaka i-endoscopy yesisu e-endoscopy ezintweni ezijwayelekile zokuhlolwa ngokomzimba kubantu abaphilile ngokuhlolwa ngokomzimba.
4 Kuyini ukuhlolwa komsebenzi wesibeletho nohlelo lokuhlola umdlavuza wesisu
Ukuhlolwa komsebenzi wesisukuzo ukuthola isilinganiso sePepsinogen 1 (PGI), i-Pepsinogen (PLL1, kanye neProtease) ku-serum.
(PGR, PGI / PGII) Okuqukethwe kwe-Gastrin 17 (G-17), kanye nohlelo lokuhlola umdlavuza wesisulungelo lususelwa emiphumeleni yokuhlolwa komdlavuza we-gastric, kuhlanganiswe namaqembu okufaka umdlavuza wesisu, kungaqhamuka amaqembu aphakathi nendawo aphezulu.
I-Endoscopy futhi ukulandela kuzokwenziwa amaqembu aphakathi nendawo anobungozi. Amaqembu anobungozi obukhulu azohlolwa okungenani kanye ngonyaka, futhi amaqembu anobungozi obuphakathi azohlolwa okungenani kanye eminyakeni emi-2. Ukutholwa kwangempela kungumdlavuza wokuqala, ongalashwa ngokuhlinzwa kwe-endoscopic. Lokhu akukwazi ukwenza ngcono kuphela isilinganiso sokutholwa komdlavuza wesisu, kepha futhi unciphise e-endoscopy engadingekile emaqenjini aphansi.
5 Ithini i-gastroscopy
Ukuyibeka nje, i-gastroscopy ukwenza ukuhlaziya ama-endoscopic morphological of izilonda ezisolisayo ngasikhathi sinye njenge-gastroscopy evamile, kufaka phakathi i-endoscopy evamile e-endoscopy, i-endoscopy ekhulisayo nezinye izindlela. Isilonda sizimisele ukuba senign noma sisole ngokulimala, bese kuthi kwenziwa i-biopsy ye-biopsy le-lesion esolwayo, futhi ukuxilongwa kokugcina kwenziwa nge-pathology. Ukuthola ukuthi ngabe kukhona izilonda ezinomdlavuza, ubukhulu bokufakwa komdlavuza ngokungemuva, ukujula kokufakwa okuthe mpo, izinga lokuhlukanisa, nokuthi ngabe kukhona izinkomba zokwelashwa kwemicroscopic.
Uma kuqhathaniswa ne-gastroscopy ejwayelekile, ukuhlolwa kwe-gastroscopic kudinga ukwenziwa ngaphansi kwezimo ezingenazinhlungu, okuvumela iziguli ukuba ziphumule ngokuphelele esimweni sokulala esifushane futhi senze i-gastroscopy ngokuphepha. I-Gastroscopy inezidingo eziphakeme kubasebenzi. Kumele iqeqeshelwe ukutholwa komdlavuza wokuqala, futhi ama-endoscopists anolwazi angaqhuba izivivinyo eziningi ezinemininingwane, ukuze athole kangcono izilonda futhi ahlole kahle kanye nezinqumo.
I-Gastroscopy inezidingo eziphakeme kwimishini, ikakhulukazi ngobuchwepheshe bokuthuthukisa isithombe njenge-chromooendoscopy / ngogesi chromooendoscopy noma i-endoscopy yokukhulisa. I-gastroscopy ye-Ultrasound nayo iyadingeka uma kunesidingo.
Izindlela zokwelapha ezi-6 zomdlavuza wakuqala
1. Ukuvuselelwa kwe-endoscopic
Lapho sekutholakale umdlavuza wesibeletho wakuqala, ukusetha kabusha kwe-endoscopic ukukhetha kokuqala. Uma kuqhathaniswa nokuhlinzwa kwendabuko, ukusetha kabusha kwe-endoscopic kunezinzuzo zokuhlukumezeka okuncane, izinkinga ezimbalwa, ukululama okusheshayo, kanye nezindleko eziphansi, kanye nokusebenza kwempumelelo kokubili kungafani. Ngakho-ke, ukusetha kabusha kwe-endoscopic kunconywa ekhaya nakwamanye amazwe njengokulashwa okuthandwa ngumdlavuza wokuqala esisukwini.
Njengamanje, amalungiselelo asetshenziswa kakhulu e-endoscopic ikakhulukazi afaka phakathi ukulungiswa kwe-endoscopic mucosal resection (EMR) kanye ne-endoscopic subsection dissection (ESD). Kuthuthukiswe ubuchwepheshe obusha, i-Esd-Channel Endoscopy, ingafinyelela ukumiswa kwe-bloc ngesikhathi esisodwa sezilonda ezijulile ku-muscularis propria, kuyilapho futhi zinikeza iziteleka ezinembile ze-pathological ukuze zinciphise ukuphindeka okwephuzile.
Kumele kwaziwe ukuthi ukusetha kabusha kwe-endoscopic kungukuhlinzwa okuncane kakhulu, kepha kusekhona izehlakalo eziphezulu, ikakhulukazi okubandakanya ukopha, ukunakekelwa kwesisu, ukubhekelwa kwesisu, nokubuyekezwa kufanele kubambisane nodokotela ukuze kuphinde kube khona udokotela ukuze kuphinde kube nodokotela ukuze kubuye ngokushesha.
2 I-Laparoscopic Surgery
Ukuhlinzwa kweLaparoscopic kungadingidwa iziguli ezinomdlavuza wokuqala esisekelweni esingenakukwazi ukuthengiswa kabusha kwe-endoscopic. Ukuhlinzwa kweLaparoscopic ukuvula iziteshi ezincane esiswini sesiguli. I-Laparoscopes kanye nezinsimbi zokusebenza zibekwe kulezi ziteshi ngokulimala okuncane esigulini, futhi idatha yesithombe esiswini sesisu idluliselwa esikrinini esibonakalayo nge-laparoscope, eqedwa ngaphansi kokuholwa yi-laparoscope. Ukuhlinzwa komdlavuza wesisu. Ukuhlinzwa kweLaparoscopic kungaqedela ukusebenza kwe-Laparotomy yendabuko, kwenze i-strectomy enkulu noma ephelele, ukuhlukaniswa kwe-lymph nodres, ukulimala okuncane, nokubuyiselwa okuncane kwesikhafu, kanye nokubuyiselwa okusheshayo komsebenzi wesisu ngemuva kokuhlinzwa.
3. Vula ukuhlinzwa
Kusukela ngo-5% kuya ku-6% womdlavuza we-Statucosal Grastric kanye no-15% kuya ku-20% womdlavuza we-subrecosal lymph node metastasis, ikakhulukazi i-adenocarcinoma ye-lymph node ePerigarch Node Metastasis, ikakhulukazi i-adenocarcinoma yentsha kubantu abasebasha, i-laparotomy yendabuko ingahle ikhishwe.
ukubeka kafushane
Yize umdlavuza wesisu yingozi kakhulu, akuyena kubi. Uma nje ukuqonda kokuvimbela kuthuthukiswa, umdlavuza wesisu ungatholwa ngesikhathi futhi waphathwe kusenesikhathi, futhi kungenzeka ukufeza ikhambi eliphelele. Ngakho-ke, kunconywa ukuthi amaqembu abeka engcupheni ephezulu ngemuva kweminyaka engama-40, kungakhathalekile ukuthi ane-Diftive Floud Moshing, kufanele ahlolwe ekuqaleni komdlavuza wesisu, noma i-endoscopy ye-gastrointestinal kumele ifakwe ekuhlolweni komzimba okujwayelekile nokugcina impilo nomndeni ojabulayo.
We, Jiangxi Zhuoruihui Medical Incument Co, Ltd, umenzi waseChina ochwepheshe kokudla kwe-endoscopic, njengeI-Biopsy Forceps, hemoclip,I-PolyP Snare, inaliti ye-sclerotherapy, fafaza i-catheter, ama-cytolology amabhulashi, Umhlahlandlela, I-Stone Retrieval Basket, I-Catheter ye-Nasal Buily Catheternjll. Okusetshenziswa kabanzi e-EMR, i-ESD, ERCPP. Imikhiqizo yethu iqinisekisiwe, futhi izitshalo zethu ziqinisekisiwe ze-ISO. Izimpahla zethu zithunyelwe eYurophu, eNyakatho Melika, eMpumalanga Ephakathi nendawo nengxenye ye-Asia, futhi zithola amakhasimende wokuqashelwa nokudumisa!
Isikhathi sePosi: Jun-21-2022