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Chotupa chachikulu chotchinga matumbo, Opaleshoni ya Endoscopic EMR kuti athetse "ngozi yayikulu yobisika"

Anthu ambiri m'moyo amaganiza kuti chinyontho chimakhala cholemera kwambiri akaona chimbudzi chawo sichikupanga bwino.chifukwa cha kupangika kwa chotupa m'matumbo kwa nthawi yayitali!

Chimbudzi chosaumbika kwa nthawi yayitali, kuganiza's chifukwa cha chinyezi chochuluka

Umosayembekezereka akudwala ma polyps angapo a m'matumbo

Bambo Jiang (dzina lachinyengo), omwe ali ndi zaka 58 chaka chino, akhala akuvutika maganizo ndi "chimbudzi chosasinthika" kwa nthawi yaitali, ndipo zizindikiro za chimbudzi chosasinthika zakhala zaka 6. Bambo Jiang nthawi zonse ankaganiza kuti ndi chifukwa cha chinyontho kwambiri, choncho adamwa mankhwala ambiri achi China kuti aziwongolera, koma zizindikiro zake sizinali bwino. Sanapeze cholakwika chilichonse pakuyezetsa kuchipatala komweko ndipo sanasinthe atalandira chithandizo chamankhwala. Posachedwapa, osati kokhazizindikirozo zinakula, komansokupweteka kwapakati pamimba kwachitika. Banjali lidasowa mtendere ndipo linatsagana ndi Bambo Jiang ku chipatala cha Xi'an Weitai Digestive Disease kuti akalandire chithandizo.

Bambo Jiang analandira chithandizo ndi Chi Shengqun, mkulu wa dipatimenti yachipatala cha Xi'an Weitai Digestive Disease Hospital. Atatha kumvetsera kulongosola kwa Bambo Xu, Chi Shengqun adalimbikitsa kuti apitecolonoscopykuti adziwenso chifukwa chake.

Ku Digestive Endoscopy Center, Wachiwiri kwa Director Xu Mingliang adachitacolonoscopyza Bambo Jiang. Pansi pa microscope, adapeza9 yayikulu ndi yaying'ono Yamada mtundu 2, lembani 3 ndi mtundu wa 4 ma polyps am'mimba omwe amawonekera m'matumbo ndi matumbo.. Theyaying'ono inali pafupifupi 0.5 * 0.7cm, ndizazikuluzikulu zinali pafupifupi 2.8 * 3.6cm, pafupifupi kutsekereza matumbo.Kuthekera kwa chotupa chachikulu ichi kusanduka khansa ndikwambiri.

Endoscopic Mucosal Resection (EMR)

Dokotala amachita endoscopic mucosal resection (EMR)kuchotsa mwamsangama polyps ambiri m'mimba

Ndinamva kuti Bambo Xu ali ndi ma polyps angapo omwe akukula m'matumbo awo, okhala ndi polyp yayikulu kwambiri yopitilira 2.5cm, banja lawo lida nkhawa kwambiri. Mtsogoleri Xu Mingliang moleza mtima adatonthoza ndikuuza banja la Bambo Xu kuti, "Osadandaula, polyp yamtunduwu.zitha kuthetsedwapansicolonoscopyndiamachira msanga." Pamene banja la Bambo Jiang linapumira mpumulo atamva nkhaniyi ndipo linavomera kuti achite opaleshoni ya EMR.

Pambuyo kudziwa njira mankhwala, Director Xu Mingliang mosamala pabwino, jekeseni, ndi ntchito msampha electrocut ndi polyps. Pang'onopang'ono, ma polyps 9 a m'matumbo adachotsedwa kwathunthu, ndipo tinthu tating'onoting'ono tidagwiritsidwa ntchito kusindikiza balalo. Opaleshoniyo inayenda bwino. Pambuyo opareshoni, 4 postoperative polyps minofu anatumizidwa kwa pathological kufufuza, ameneadawonetsa adenoma yoyipa ya tubularkutisachedwa kusintha koyipa. Mwamwayi,resection panthawi yakezidachitika,kuteteza bwino kupezeka kwa khansa ya m'matumbo.

Kujambula kwa endoscopic m'mimba
Kujambula kwa endoscopic m'mimba
Ma polyps okondwa

“Ndinkaganiza kuti ndichita opaleshoni yaikulu, koma sindinkayembekezera kuti ingathetsedwecolonoscopy!" Bambo Jiang anatero mosangalala. Akubwerera m'chipinda cha odwala, a Jianganayambiranso kudya tsiku lachiwirindipo analianatulutsidwa m’chipatala pa da lachisanu ndi chimodziy. Asanatuluke, Mtsogoleri Xu Mingliang adalangiza Bambo Jiang kutikuyesedwa kotsatira m'miyezi isanu ndi umodzi.

Kuchira pambuyo pa opaleshoni ya EMR

Colonoscopyndiye muyezo wagolide wowunika matenda am'mimba

Director Xu Mingliang adaterocolonoscopysizowawa ngati mphekesera kapena zonena pa intaneti. Ndi kupita patsogolo kwaukadaulo, ma endoscopes alikukhala wofewa kwambiri komanso woonda, ndi nthawi yofunikiracolonoscopyndi wamfupi kwambiri,nthawi zambiri pafupi mphindi 15-20.Ndi bwino kuti aliyensekupita acolonoscopy pambuyo pa zaka 40.

Anthu omwe ali pachiwopsezo chachikulu omwe alibe mbiri yabanja yamatumbo am'mimba komanso achibale a digiri yoyamba omwe ali ndi khansaadzakumanacolonoscopy zaka 5 zilizonse pambuyo pake.Anthundi polyps m'mimba ndi mbiri ya banjakufunikakupititsa patsogolo nthawi yowonetsera koyamba pafupifupi zaka 10ndikukumanacolonoscopypa zaka 25 mpaka 35. Ngati m'mimbapolyps amapezeka pambuyocolonoscopy, pafupipafupi kufufuza kuyenerakukhala pafupipafupi. Za kuzaka zitatu zikubwerazi, colonoscopyayenera kukhalazimachitika chaka chilichonsekuti mudziwe kuchuluka kwa mayeso otsatirawa potengera kukula kwa polyp.


Nthawi yotumiza: May-09-2024