Endoscopic dissection ya zotupa zoyambirira za pharyngeal sizingangochepetsa zotsatira zosiyanasiyana zomwe maopaleshoni achikhalidwe amatha kuyambitsa, komanso kufupikitsa nthawi yakuchira pambuyo pa opaleshoni.Posachedwapa, dipatimenti ya Gastroenterology pa Chipatala Choyambirira cha Anthu ku Zhenjiang City mwatsopano idapanga endoscopic submucosal dissection (ESD) kwa nthawi yoyamba, kuchiza Mr. Zhou wazaka 70 (dzina lodziwika) ndi chotupa m'munsi pharynx.Kuchita bwino kwa opaleshoniyi kwakulitsanso kukula kwa chithandizo cha ESD.
Kumayambiriro kwa mwezi wa March chaka chino, a Zhou anapeza mphuno yapamwamba kwambiri ya intraepithelial neoplasia ya pharynx pa kafukufuku wa gastroscopy ku chipatala choyamba cha mzindawo, chomwe ndi matenda a zilonda zam'mimba. M'chaka cha 2022, pachipatala chomwechi mumzindawu, Yao Jun, mkulu wa dipatimenti ya gastroenterology, anapeza khansa ya m'matumbo a sigmoid. zilonda zam'mimba zam'mimba, komanso hyperplasia yam'mero. Chifukwa cha chithandizo chanthawi yake cha ESD, kuwonongeka kwina kwa zotupazo kunachedwa.
Kuchuluka kwa zovuta za hypopharyngeal zomwe zimapezeka pakuwunikanso kumeneku sizokwera kwambiri.Malinga ndi njira yochiritsira yachikhalidwe, opaleshoni ndiyo njira yayikulu, koma njira yopangira opaleshoniyi imakhudza kwambiri kumeza, kupanga mawu ndi ntchito ya kukoma kwa odwala.Poganizira zimenezo. okalamba amakumana ndi zizindikiro za ESD monga chotupa cha mucosal ndipo palibe ma lymph node metastasis, malinga ndi momwe wodwalayo amaonera, Yao Jun ankaganiza ngati chithandizo chochepa cha ESD cha mucosa chingagwiritsidwe ntchito.
ESD ndi chiyani?
ESD ndi opaleshoni yochotsa chotupa yochitidwa kudzeragastroscopy or colonoscopyndi zida zapadera opaleshoni.Kale, anali makamaka ntchito kuchotsa zotupa mu mucosal wosanjikiza ndi submucosal wosanjikiza wa m`mimba, matumbo, kum`mero, ndi madera ena, komanso lalikulu lathyathyathya polyps m`madera amenewa.Chifukwa chakuti zida opaleshonilowetsani lumen yachilengedwe ya thupi la munthu kuti muchite opaleshonintchito,odwala nthawi zambiri amachira msanga pambuyo pa opaleshoni.
Njira za Opaleshoni ya ESD:
Komabe,malo ogwirira ntchito kwa opaleshoni ya pharyngeal ndi yaying'ono, yokhala ndi mbali yaikulu ya pamwamba ndi yopapatiza yopapatiza, yofanana ndi mawonekedwe a funnel. Palinso minofu yofunikira monga cricoid cartilage mozungulira.zingayambitse zovuta zosiyanasiyana monga edema ya laryngeal.Komanso, palibe mabuku ambiri okhudza ESD yotsika ya pharyngeal m'nyumba komanso m'mayiko ena, zomwe zikutanthauza kuti opaleshoni ya Yao Jun ndi yochepa kwambiri. wapeza zambiri zakuchita maopaleshoni ndi kuchuluka kwa opaleshoni yapachaka ya ESD ya milandu 700-800, zomwe zathandiza Yao Jun kupeza zambiri za opaleshoni. Atakambirana ndi maphunziro angapo monga otolaryngology, opaleshoni ya mutu ndi khosi, ndi opaleshoni yamba, adakhala ndi chidaliro chochulukirapo pakugwiritsa ntchito ESD m'magawo atsopano.Tsiku lina atachitidwa opaleshoni, a Zhou adatha kudya popanda zovuta zilizonse monga kupsa mtima. Panopa wachila ndipo watuluka m’chipatala.
(China Jiangsu Net mtolankhani Yang Ling, Tang Yuezhi, Zhu Yan)
Nthawi yotumiza: May-08-2024