Gastric cancer ndeimwe yematauriri akaipa ayo anokuvadza zvakanyanya hupenyu hwevanhu. Kune ma1,09 miriyoni nyaya itsva munyika dzese gore rega rega, uye huwandu hwezvemamiriro ezvinhu mitsva munyika yangu hwakakwira se410,000. Izvi zvinoreva kuti, vanhu vanenge 1,300 munyika yangu vanoonekwa nekanza yeGastric mazuva ese.
Muyero wekupona weGastric Cancer Varwere vane hukama zvakanyanya neyero yekufambira mberi kwegomarara reGastric. Iyo yekurapa yemaronda ekutanga gastric cancer inogona kusvika 90%, kana kunyangwe kurapwa zvakakwana. Muyero wekurapa wepakati-stage gastric cancer iri pakati pe60% uye 70%, nepo mushonga wekurapa wekona yepamberi yegastric ingori 30%. kutenderedza, saka kenza yekutanga yeGastric yakawanikwa. Uye kurapwa kwekutanga ndiyo kiyi yekudzora gastric cancer kufa. Neraki, nekuvandudzwa kweTekinoroji yeEndoscopic mumakore achangopfuura, gastric kenza yekutarisa yakaitwa zvakanyanya munyika yangu, iyo yakavandudza kwazvo mwero wekuwanikwa wegomarara reGastric.
Saka, chii chekutanga gastric cancer? Maitiro Ekuita Kuti Uve Garza Yekutanga Gastric? Maitiro Ekuibata?
1 pfungwa yekutanga gastric cancer
Clinically, kenza yegondoro remakore reGastric inonyanya kureva gakava reGastric zvine maronda gumi ekutanga, marara mashoma uye hapana zviratidzo zviri pachena. Gariki reGastric yekutanga inonyanya kuwanikwa neGastroscopic Biopsy pathology. Pashologically, ketaneni yekutanga yegasteri inoreva concer concer limited muCofa uye Submucosa, uye kunyangwe yakakura sei bundu uye kana paine kenza yegastric. Mumakore achangopfuura, dysplasia uye yakakwirira-giredhi intraepithelial neoplasia anodzikisirwawo segomarara remakore reGastric.
Sekureva kwehukuru hwebunako, kenza yeGastric yekutanga yakakamurwa mu: diki gastric cancer: iyo diameter ye cancer fancer foci ndeye 6-10 mm. Diki Gastric Cancer: Iyo diameter yeTumor Foci iri pasi kana yakaenzana ne5 mm. Punctate Carcinoma: Iyo gastric mucosa biopsy i cancer, asi hapana toni tishu inogona kuwanikwa munhevedzano yekuvhiya yekuvhiya yekuvhiya.
Endoscopically, kenza yekutanga yegarani inokamurwa kuita: Type (Polypoid Type): avo vane tumor protrududing misa yemamita anenge mashanu emamm kana kupfuura. Type II (Rudzi rwepamusoro): Iyo bundu rakawanda rakakwidzwa kana kushungurudzika mukati me5 mm. Type III (ULCER TYI): Uku kudzika kwekushungurudzika kwe cancer misa inopfuura 5 mm, asi haina kupfuura iyo submucosa.
2 Ndezvipi zviratidzo zvekutanga gastric cancer
Vazhinji vekutanga gastric cancers havana chero zviratidzo zvakakosha, kureva kuti, zviratidzo zvekutanga zvegomarara reGastric hazviratidzi zviratidzo. network
Avo vanodaidzwa kuti zviratidzo zvekutanga zvegomarara reGastric dzinotenderera neInternet huri zvechokwadi zviratidzo. Kunyangwe iri chiremba kana munhu anokudzwa, zvakaoma kutonga kubva pane zviratidzo nezviratidzo. Vamwe vanhu vanogona kuve nezviratidzo zvisiri izvo, kunyanya kumuchina, sekurwadziwa mudumbu, kutapurirana, kurasikirwa, maCheki, etcc. Naizvozvo, kune vanhu vanopfuura makore makumi mana, kana vane zviratidzo zviri pachena zvekuzvidzwa, ivo vanofanirwa kuenda kuchipatara kuti varapi munguva, uye vanoita gastroscopy kana zvichidikanwa, kuti vasapotsa nguva yakanakisa yekuita gastric yekutanga yegomarara.
3 Maitiro ekuona nguva yekutanga gastric yegomarara
Mumakore achangopfuura, nyanzvi dzekurapa munyika medu, dzakabatanidzwa nemamiriro ezvinhu chaiwo enyika yedu, vakaumba "nyanzvi dze" nyanzvi dzeGastric Cancer Kuongorora kuChina ".
Izvo zvichatamba basa rakakura mukuvandudza chiyero chekuongororwa uye kurapa kwemaruva ekutanga gastric cancer.
Kutanga gakava rinonyanya kuongorora varwere vane njodzi, vakadai sevarwere vane helicobager
Nzira yekutanga yekuongorora inonyanya kuona huwandu hwepamusoro-shoma yegomarara regarani kuburikidza nekuongororwa kwegomarara, ndiko kuti, kuburikidza negastric basa uye helikobagerter pylori pylori pylori. Zvadaro, mapoka akanyanya pangozi anowanikwa mukutanga kwekuongorora anoongororwa nokungwarira neGastroscope, uye kucherechedzwa kwemaronda kunogona kuitwa zvakanyanya kuburikidza nekukura, etc.
Ehezve, iri zvakare nzira iri nani yekuona kenza yekutanga yegastric nekubatanidza gastrointestinal endoscopy kupinda muzvinhu zvekuongorora muviri muzvinhu zvine hutano kuburikidza nekuongororwa kwemuviri.
4 Chii chinonzi gastric service bvunzo uye gastric cancer kuongorora scoring system
Iyo gastric service bvunzo ndeyekuona iyo ratio yePepsinogen 1 (PGI), PEPSinogen (PGL1, uye piredhe) muSerum.
(PRG, PGI / PGII) Gastrin 17 (G-17) Cancer Scory System Kuongorora, kuburikidza neGastric Cancer System, inogona kuongorora iyo yepakati uye yakakwira njodzi mapoka egastric cancer.
Endoscopy uye inotevera-up ichaitwa inoitwa iyo yepakati uye yakakwirira-njodzi mapoka. Mapoka akanyanya njodzi anozoongororwa kamwe chete pagore, uye mapoka epakati pemapfupi achaongororwa kamwe chete makore maviri oga oga. Kuwanikwa chaiko kune kenza yekutanga, iyo inogona kurapwa nekuvhiyiwa kwechibvunzo. Izvi hazvigone kungogadzirisa iyo yekutanga kuwanikwa kwegomarara reGastric, asi zvakare kudzora kudzikisira zvisina basa endoscop mumapoka ane njodzi.
5 Chii chinonzi gastoroscopy
Kuti uzviparise, gastroscopy ndeyekuita magumo morphological morphological lesposocious lesposcopy, chromoendoscopy, kurira endoscopy, confocal endoscopy uye dzimwe nzira. Iyo lesion yakatsunga kuve yakashata kana kufungidzirwa kuti njodzi, uyezve biopsy yeiyo yakafungidzirwa kuti yakagadziriswa lesion inoitwa, uye kuongororwa kwekupedzisira kunoitwa neathoralogy. Kuti uone kana paine maronda ekurima, huwandu hwehupamhi hwekupenya kwekenza, kudzika kwekupenya kwemukati, huwandu hwesiyano, uye kana paine zviratidzo zvekurapwa kwemukati.
Kuenzaniswa neyakajairika gastroscopy, kuongorora kweGastroscopic kunofanirwa kuitwa mumamiriro ezvinhu asingarwadzi, kubvumira varwere vazvizerega mumamiriro mapfupi ehope uye kuita gastoscopy zvakachengeteka. Gastroscopy ine zvakakwirira zvinodiwa pane vashandi. Inofanira kudzidziswa muCancer Concer Concer, uye vane ruzivo vanogashika vanogona kuitisa zvidzidziso zvakadzama, kuitira kuti vaone kuparadzaniswa uye kuongorora zvine musoro uye kuongorora zvine musoro uye kutonga.
Gastroscopy ine zvakakwirira zvinodiwa pamidziyo, kunyanya ine mufananidzo wekuwedzera matekinoroji akadai se chromoendoscopy / Electronic chromoendoscopy kana kukurudzira endoscopy. Ultrasound gastroscopy inodikanwa zvakare kana zvichidikanwa.
6 Kurapa kweGastric Cancer
1. Endoscopic rection
Kamwe kamwe chete gastric cancer inoonekwa, endoscopic rection ndiyo yekutanga sarudzo. Kuenzaniswa nekuvhiyiwa kwechinyakare, kutongwa kweDegoscopic kune zvakanakira kushungurudzika zvishoma, zvidiki zvidiki, kupora nekukurumidza, uye mari yakaderera, uye yekubudirira kwezvinhu zviviri zvakanyatsofanana. Naizvozvo, Designcopic rection inokurudzirwa kumba uye kunze kwenyika sekurapa kwaunofarira kwegomarara remakore reGastric.
Parizvino, iyo inowanzo shandiswa exoscopic rese-prections inonyanya kusanganisira endoscopic mucosal rection (EMR) uye endoscopic submucosal disced (esd). Tekinoroji idzva yakagadzirwa, ESD single-channel endoscopy, inogona kuwana imwe-nguva en bloc
Izvo zvinofanirwa kucherechedzwa kuti Degoscopic Dection ndeyekuvhiyiwa zvishoma nezvishoma, asi kuchine maronda mazhinji, kutambudzika, uye, kupora, kupora, uye kuongorora kunofanirwa kushanda pamwe chete nachiremba nekukurumidza sezvinobvira.
2 Laparoscopic Kuvhiya
Laparoscopic kuvhiyiwa kunogona kutariswa kune varwere vane garani rekutanga gastric uyo asingakwanise kuita basa rekupedzisira. Laparoscopic kuvhiyiwa ndeyekuvhura madiki madiki mudumbu remurwere. Laparoscopes uye zviridzwa zvekushandisa zvinoiswa kuburikidza neiyi nzira nekukuvara zvishoma kune murwere, uye iyo yemifananidzo yedumbu mudenga inotumirwa kune iyo lapariscope, iyo yapedzwa pasi pekutungamirirwa kweiyo laparoscope. Gastric Cancer Kuvhiya. Laparoscopic kuvhiya kunogona kupedzisa kushanda kwetsika yetsika
3. Kuvhiya kwakavhurika
Sezvo 5% kusvika 6% yeIntramucosal Gastric Cancer uye 15% kusvika kuSubmucosal Gastric Comph Node
Pfupiso
Kunyangwe kenza yeGastric inokuvadza kwazvo, hazvisi zvakaipa. Chero bedzi kuziva kwekudzivirira kwakavandudzwa, kenza yeGastric inogona kuonekwa munguva uye kubatwa pakutanga, uye zvinokwanisika kurapa kwakazara. Naizvozvo, zvinokurudzirwa kuti mapoka ane njodzi mushure memakore makumi mana, zvisinei nekuti vane chekuchera turch
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Tumira nguva: Jun-21-2022