Varwere vazhinji kumadhipatimendi egastroenterology kana endoscopy nzvimbo vanokurudzirwa endoscopic mucosal resection.EMR) Inowanzoshandiswa, asi unoziva here zviratidzo zvayo, zvisingakwanisi, uye maitiro ekudzivirira mushure mekuvhiyiwa?
Ichi chinyorwa chinokutungamirira zvakarongeka kuburikidza neruzivo rwakakosha rweEMR kuti ikubatsire kuita sarudzo ine ruzivo uye ine chivimbo.
Saka, chii chinonzi EMR? Ngatitangei kuidhirowa tione...
❋Nhungamiro dzine chiremera dzinoti kudii nezvezviratidzo zveEMR? Zvinoenderana neJapan Gastric Cancer Treatment Guidelines, iyo Chinese Nyanzvi Consensus, uye European Society of Endoscopy (ESGE) nhungamiro, zvinokurudzirwa zviratidzo zveEMR zvinosanganisira zvinotevera:
Ⅰ. Benign polyps kana adenomas
● Zvironda ≤ 20 mm nemiganhu yakajeka
● Hapana zviratidzo zvakajeka zvekupinda kwe submucosal
● Laterally Spreading Tumor (LST-G)
Ⅱ. Focal high-grade intraepithelial neoplasia (HGIN)
● Mucosal-limited, hapana maronda
● Maronda maduku kudarika 10 mm
● Vakanyatsosiyaniswa
Ⅲ. Mild dysplasia kana maronda akaderera-giredhi ane pachena pathology uye kunonoka kukura
◆ Varwere vakaonekwa vakakodzera kugadziriswa mushure mekucherechedza kwekutevera
⚠Cherechedza: Kunyangwe iyo nhungamiro inotaura kuti EMR inogamuchirika kune ekutanga-danho kenza kana chironda chiri chidiki, chisina-chironda, uye chakavharirwa mucosa, mune chaiyo yekiriniki maitiro, ESD (endoscopic submucosal dissection) inowanzo diwa kuti ive nechokwadi chakazara resection, chengetedzo, uye chaiyo pathological ongororo.
ESD inopa akawanda akakosha mabhenefiti:
En bloc resection yeronda inogoneka
Inofambisa kuongororwa kwemargin, kuderedza njodzi yekudzokorora
Inokodzera maronda makuru kana akaoma
Naizvozvo, EMR parizvino inonyanya kushandiswa mumakiriniki maitiro e:
1. Maronda asingaonekwi asina ngozi yegomarara
2. Diki, nyore rectible polyps kana colorectal LSTs
⚠Postoperative Precautions
1.Dietary Management: Kwemaawa ekutanga e24 mushure mekuvhiyiwa, dzivisa kudya kana kushandisa zvinwiwa zvakajeka, uye zvishoma nezvishoma kuchinja kune kudya kwakapfava. Dzivisa zvikafu zvine spicy, astringent, uye zvinogumbura.
2.Kushandisa Mishonga: Proton pump inhibitors (PPIs) inowanzoshandiswa mushure mekuvhiyiwa kwemaronda emudumbu kukurudzira kuporesa kwemaronda uye kudzivirira kubuda ropa.
3.Complication Monitoring: Iva wakangwarira zviratidzo zvepashure zvekubuda ropa kana kuputika, zvakadai semelena, hematemesis, uye kurwadziwa kwepamuviri. Enda kuchipatara nekukasika kana paine abnormality pakaitika.
4. Kudzokorora Kuronga: Ronga kushanya kwekutevera uye kudzokorora endoscopies zvichienderana nekuwana pathological.
Saka, EMR inzira yakakosha yekubvisa maronda emudumbu. Nekudaro, zvakakosha kuti unzwisise nenzira kwayo zviratidzo uye kudzivirira kushandisa zvakanyanya kana kushandisa zvisizvo. Kune vanachiremba, izvi zvinoda kutonga uye unyanzvi; kune varwere, zvinoda kuvimba uye kunzwisisa.
Ngationei zvatingape kune EMR.
Heano edu EMR ane hukama endoscopic consumables ayo anosanganisiraHemostatic Clips,Polypectomy Snare,Jekiseni TsonouyeBiopsy Forceps.
Nguva yekutumira: Sep-01-2025