Gomarara remudumbu nderimwe remamota akaipa anoisa upenyu hwevanhu pangozi.Kune mamirioni 1.09 ezviitiko zvitsva munyika gore rega rega, uye huwandu hwenyaya nyowani munyika yangu hwakakwira se410,000.Kureva kuti, vanhu vangangosvika chiuru nemazana matatu munyika mangu vanobatwa negomarara remudumbu zuva rega rega.
Huwandu hwekupona kwevarwere vegomarara remudumbu hwakabatana zvakanyanya nehuwandu hwekufambira mberi kwegomarara remudumbu.Kurapa kwegomarara rekutanga remudumbu rinogona kusvika 90%, kana kutopora zvachose.Kurapa kwepakati-danho gomarara remudumbu kuri pakati pe60% ne70%, ukuwo kurapa kwegomarara remudumbu repamusoro richingori makumi matatu%.kwakatenderedza, saka kenza yekutanga yemudumbu yakawanikwa.Uye kurapwa kwekutanga ndiyo kiyi yekuderedza kufa kwegomarara remudumbu.Nenzira yakanaka, nekuvandudzwa kwe endoscopic tekinoroji mumakore achangopfuura, kuongororwa kwegomarara rekutanga kwegastric kwave kuchiitwa zvakanyanya munyika yangu, izvo zvakavandudza zvakanyanya kuwanda kwekuona kwekutanga kenza yemudumbu;
Saka, chii chiri kutanga gastric cancer?Nzira yekuziva sei gomarara rekutanga remudumbu?Nzira yekurapa nayo?
1 Pfungwa yekutanga gomarara remudumbu
Mukiriniki, gomarara rekutanga remudumbu rinonyanya kureva gomarara remudumbu rine maronda ekutanga, maronda mashoma uye pasina zviratidzo zviri pachena.Gomarara rekutanga remudumbu rinonyanya kuongororwa negastroscopic biopsy pathology.Pathologically, gomarara rekutanga remudumbu rinoreva maseru egomarara akaganhurirwa mucosa uye submucosa, uye zvisinei kuti bundu racho rakakura sei uye kana paine lymph node metastasis, ndeyekutanga kenza yemudumbu.Mumakore achangopfuura, yakanyanya dysplasia uye yepamusoro-giredhi intraepithelial neoplasia zvakare inorongerwa seyekutanga kenza yemudumbu.
Zvinoenderana nehukuru hwebundu, kenza yekutanga yemudumbu yakakamurwa kuva: kenza diki yemudumbu: dhayamita yekenza foci ndeye 6-10 mm.Diki regomarara remudumbu: Iyo dhayamita yebundu foci ishoma pane kana kuenzana ne5 mm.Punctate carcinoma: Iyo gastric mucosa biopsy igomarara, asi hapana matishu egomarara anogona kuwanikwa munhevedzano yekuvhiya yekuvhiya sampuli.
Endoscopically, gomarara rekutanga remudumbu rakakamurwazve kuita: mhando (polypoid type): avo vane bundu rinobuda rinosvika 5 mm kana kupfuura.Type II (superficial type): Bundu guru rinokwidziridzwa kana kuora mwoyo mukati me5 mm.Type III (ulcer type): Kudzika kwekuora mwoyo kwekenza yakawanda inodarika 5 mm, asi haipfuure submucosa.
2 Ndezvipi zviratidzo zvekutanga gomarara remudumbu
Mazhinji ekutanga egastric cancer haana chero akakosha zviratidzo, kureva, zviratidzo zvekutanga zvegomarara remudumbu hapana zviratidzo.network
Izvo zvinonzi zviratidzo zvekutanga zvegomarara remudumbu riri kutenderera paInternet hazvisi zviratidzo zvekutanga.Angave chiremba kana munhu anokudzwa, zvakaoma kutonga kubva pazviratidzo nezviratidzo.Vamwe vanhu vanogona kunge vaine zviratidzo zvisiri izvo, kunyanya kusadya, sekurwadziwa nemudumbu, kuzvimba, kuguta kwekutanga, kushaya havi yekudya, acid regurgitation, chirungurira, belching, hiccups, etc. Zviratidzo izvi zvakafanana nedambudziko remudumbu, saka vano kazhinji hazvikweveri ngwariro yavanhu.Nokudaro, kune vanhu vanopfuura makore makumi mana, kana vane zviratidzo zvakajeka zvekushaya kudya, vanofanira kuenda kuchipatara kunorapwa munguva, uye kuita gastroscopy kana zvichidiwa, kuitira kuti urege kupotsa nguva yakanakisisa yekuona kenza yekutanga yemudumbu.
3 Maonero ekutanga cancer yemudumbu
Mumakore achangopfuura, nyanzvi dzezvokurapa munyika yedu, dzakasanganiswa nemamiriro ezvinhu chaiwo enyika yedu, dzakagadzira "Nyanzvi dzeEarly Gastric Cancer Screening Process muChina".
Ichaita basa rakakura mukuvandudza chiyero chekuongororwa uye kurapa kwekutanga gomarara remudumbu.
Kuvhenekwa kwegomarara remudumbu rekutanga kunonyanya kutariswa kune vamwe varwere vari panjodzi huru, vakadai sevarwere vane Helicobacter pylori, varwere vane nhoroondo yemhuri yegomarara remudumbu, varwere vanopfuura makore makumi matatu nemashanu, vanoputa kwenguva refu, uye vanofarira zvekudya zvakabikwa.
Nzira yekutanga yekuongorora ndeyekunyanya kuona huwandu hwenjodzi yegomarara remudumbu kuburikidza nekuongorora serological, ndiko kuti, kuburikidza negastric function uye Helicobacter pylori antibody kuonekwa.Zvadaro, mapoka makuru ane ngozi anowanikwa muhutano hwekutanga anonyatsoongororwa ne gastroscope, uye kutarisa kwezvipembenene zvinogona kuitwa zvakanyanya nenzira yekukudza, kusvibisa, biopsy, nezvimwewo, kuitira kuti uone kana maronda ari kenza uye kana vachikwanisa kurapwa pasi pemaikorosikopu.
Ehe, zvakare iri nani nzira yekuona yekutanga gomarara remudumbu nekubatanidza gastrointestinal endoscopy mune yenguva dzose yekuongororwa kwemuviri zvinhu muvanhu vane hutano kuburikidza nekuongorora kwemuviri.
4 Chii chinonzi gastric function test uye gastric cancer yekuongorora scoring system
Iyo gastric function test ndeyekuona chiyero chepepsinogen 1 (PGI), pepsinogen (PGl1, uye protease) muserum.
(PGR, PGI/PGII) gastrin 17 (G-17) zvirimo, uye iyo gastric cancer yekuongorora scoring system yakavakirwa pamhedzisiro yegastric function test, yakasanganiswa neakakwana akawanda akadai seHelicobacter pylori antibody, zera uye murume kana mukadzi, kutonga The nzira yegomarara remudumbu, kuburikidza negastric cancer yekuongorora scoring system, inogona kuongorora yepakati uye yakanyanya njodzi mapoka egomarara remudumbu.
Endoscopy uye kuteedzera kuchaitwa kune vepakati uye vane njodzi mapoka.Mapoka ane njodzi huru achatariswa kamwechete pagore, uye mapoka epakati-panjodzi anotariswa kanenge kamwe chete makore maviri.Kuwanikwa chaiko igomarara rekutanga, rinogona kurapwa nekuvhiyiwa endoscopic.Izvi hazvigone chete kuvandudza chiyero chekutanga chekuonekwa kwegomarara remudumbu, asi zvakare kuderedza zvisina kufanira endoscopy mumapoka ane njodzi yakaderera.
5 Chii chinonzi Gastroscopy?
Kuzvitaura zviri nyore, gastroscopy ndeyekuita endoscopic morphological ongororo yeanofungidzirwa maronda anowanikwa panguva imwe chete seyakajairwa gastroscopy, kusanganisira yakajairika chena mwenje endoscopy, chromoendoscopy, magnifying endoscopy, confocal endoscopy nedzimwe nzira.Chirwere chacho chinotarirwa kuva chisina kunaka kana kuti chinofungira kuipa, uye ipapo biopsy yeanofungidzirwa kuti inokuvadza inoitwa, uye kuongororwa kwekupedzisira kunoitwa nehutachiona.Kuti uone kana paine maronda egomarara, kuwanda kwekupindwa kwegomarara negomarara, kudzika kwekupinda mukati, dhigirii rekusiyanisa, uye kana paine zviratidzo zvekurapwa kudiki.
Kuenzaniswa neyakajairwa gastroscopy, gastroscopic kuongororwa kunofanirwa kuitwa pasi pemamiriro asingarwadze, achibvumira varwere kuti vanyatsozorora zvavo munguva pfupi yekurara uye kuita gastroscopy zvakachengeteka.Gastroscopy ine zvinodiwa zvakanyanya pavashandi.Inofanirwa kudzidziswa mukutanga kuona kenza, uye vane ruzivo endoscopist vanogona kuitisa ongororo dzakadzama, kuitira kuti vaone zvirinani maronda uye kuita ongororo nekutonga zvine musoro.
Gastroscopy ine zvinodiwa zvakanyanya pamidziyo, kunyanya nehunyanzvi hwekusimudzira mifananidzo senge chromoendoscopy/electronic chromoendoscopy kana magnifying endoscopy.Ultrasound gastroscopy inodiwawo kana zvichidikanwa.
6 Kurapwa kwekutanga gomarara remudumbu
1. Endoscopic resection
Kana kenza yekutanga yemudumbu yaonekwa, endoscopic resection ndiyo sarudzo yekutanga.Kuenzaniswa nekuvhiyiwa kwechinyakare, endoscopic resection ine zvakanakira zvekushungurudzika kushoma, matambudziko mashoma, kukurumidza kupora, uye mutengo wakaderera, uye kushanda kwezviviri zvakangofanana.Naizvozvo, endoscopic resection inokurudzirwa kumba nekune dzimwe nyika seyakasarudzika kurapwa kwekutanga gastric cancer.
Parizvino, iyo inowanzo shandiswa endoscopic resections inonyanya kusanganisira endoscopic mucosal resection (EMR) uye endoscopic submucosal dissection (ESD).Tekinoroji nyowani yakagadziridzwa, ESD single-channel endoscopy, inogona kuwana imwe-nguva en bloc resection yezvironda zvakadzika muscularis propria, ukuwo ichipa chaiyo pathological staging kuderedza kunonoka kudzoka.
Zvinofanira kucherechedzwa kuti endoscopic resection is a minimally invasive kuvhiyiwa, asi kuchine chiitiko chepamusoro chematambudziko, kunyanya kusanganisira kubuda ropa, perforation, Stenosis, kurwadziwa mudumbu, hutachiona, etc. Naizvozvo, kurapwa kwemurwere mushure mekuvhiyiwa, kupora, uye kuongorora kunofanira shingaira kushandira pamwe nachiremba kuitira kuti apore nokukurumidza sezvinobvira.
2 Laparoscopic kuvhiyiwa
Kuvhiyiwa kweLaparoscopic kunogona kutariswa kune varwere vane kenza yekutanga gastric vasingakwanisi kuenda endoscopic resection.Kuvhiya kweLaparoscopic kuvhura tunzira tudiki mudumbu remurwere.Laparoscopes uye zviridzwa zvekushandisa zvinoiswa kuburikidza nematanho aya pasina kukuvadza kudiki kumurwere, uye iyo data yemufananidzo mudumbu remudumbu inopfuudzwa kune yekuratidzira skrini kuburikidza ne laparoscope, iyo inopedzwa pasi pekutungamirwa kwe laparoscope.gastric cancer kuvhiyiwa.Kuvhiyiwa kweLaparoscopic kunogona kupedzisa kushanda kwechinyakare laparotomy, kuita gastrectomy hombe kana yakazara, kupatsanurwa kwemalymph nodes anonyumwira, nezvimwewo, uye ane ropa shoma, kukuvara kushoma, kushoma kwepashure kwekuvhiyiwa vanga, kurwadziwa kushoma, uye kukurumidza kupora kwegastrointestinal basa mushure mekuvhiyiwa.
3. Open operation
Sezvo 5% kusvika 6% ye intramucosal gastric cancer uye 15% kusvika 20% ye submucosal gastric cancer vane perigastric lymph node metastasis, kunyanya undifferentiated adenocarcinoma muvakadzi vechidiki, zvechinyakare laparotomy inogona kufungwa, inogona kubviswa zvakanyanya uye Lymph node dissection.
pfupiso
Kunyangwe kenza yemudumbu ichikuvadza zvakanyanya, haina kutyisa.Chero bedzi kuziva kwekudzivirira kuchivandudzwa, gomarara remudumbu rinogona kuonekwa nenguva uye nekurapwa nekukurumidza, uye zvinokwanisika kuwana mushonga wakakwana.Naizvozvo, zvinokurudzirwa kuti mapoka ane njodzi yakakura mushure memakore makumi mana, zvisinei nekuti ane tsinga yekugaya, anofanirwa kutanga aongororwa gomarara remudumbu, kana kuti endoscopy yemudumbu inofanira kuwedzerwa kuongororo yakajairika yemuviri kuti vaone nyaya yekutanga. kenza uye chengetedza hupenyu uye mhuri inofara.
Isu, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., inogadzira muChina inyanzvi mune endoscopic consumables, senge.biopsy forceps, hemoclip,polyp musungo, sclerotherapy tsono, pfapfaidza catheter, cytology brushes, guidewire, dombo rekudzosa tswanda, nasal biliary drainage catheternezvimwewo izvo zvinoshandiswa zvakanyanya muEMR, ESD, ERCP.Zvigadzirwa zvedu ndezveEC Certified, uye zvidyarwa zvedu ISO certified.Zvinhu zvedu zvakatumirwa kuEurope, North America, Middle East uye chikamu cheAsia, uye zvakanyanya kuwana mutengi wekuzivikanwa nekurumbidzwa!
Nguva yekutumira: Jun-21-2022