Sanadka 2017, Ururka Caafimaadka Adduunka wuxuu soo jeediyay istaraatiijiyadda"Ogaanshaha hore, ogaanshaha hore, iyo daaweynta hore", kaas oo loogu talagalay in lagu xasuusiyo dadweynaha inay fiiro gaar ah u yeeshaan astaamaha. Sannado kadib sannado caafimaad oo caafimaad ah,Saddexda istaraatiijiyooyinka ayaa noqday habka ugu waxtarka badan ee looga hortago kansarka.
Sida laga soo xigtay "Warbixinta Kansarka Caalamiga ah ee 2020" oo ay siidaayaan cidda, waxaa la sii daayay in tirada kansarka cusub ee adduunka oo dhan ay sii kordhayaan 30.2 milyan sanadkii 2040 iyo tirada dhimashada ay gaari doonaan 16.3 milyan.
Sannadkii 2020, waxaa ku jiri doona 19 milyan oo kansar cusub oo adduunka ah.Waqtigaas, saddexda Kansar ee waaweyn ee leh tirada ugu badan ee kansarka adduunka waa: Kansarka naasaha (22.61 milyan), oo ah kansarka sanbalka (19.31 milyan), iyo kansarka gaaska), oo kansarka gaaska ah wuxuu ka galay 10.89 milyan,Tirada kansarrada cusub, kansarka xiidmaha iyo kansarka caloosha ayaa lagula macaamilay 15.8% dhammaan kansarrada cusub.
Sida aan dhammaanteen u ognahay, orodka Manhua wuxuu ka hadlayaa afka roobaadka, kaas oo ku lug leh caloosha, kansarka, kansarka, ee kansarka xiidmaha, sidaa darteed, kansarka xidid-dheef-shiidka sidoo kale waxay u baahan yihiin in loo fiirsado iyo istiraatiijiyadda "saddexda hore" ee istiraatiijiyadda waa in la hirgaliyaa.
Sanadkii 2020, tirada kiisaska cusub ee kansarka ee dalkayga ayaa sidoo kale gaartay 4.5 milyan, tirada dhimashada kansarkana waxay ahayd 3 milyan.Celcelis ahaan 15,000 oo qof ayaa laga helay kansarka maalin kasta, 10.4 qof ayaa laga helay kansarka daqiiqad kasta. Shanaad waa kansarka sanbabada(xisaabinta 17.9% dhammaan kansarrada cusub),Kansarka mindhicirka (12.2%), kansarka caloosha (10.5%),Kansarka naasaha (9.1%), iyo kansarka beerka (9%). Shanta sare ee kansarka kaligiis ah,Kansarka caloosha ee caloosha ayaa lagu xisaabtamay 31.7% dhammaan kansarrada cusub.Waxaa la arki karaa inaan u baahan nahay inaan fiiro gaar ah u yeeshano ogaanshaha iyo ka hortagga kansarka dheef-shiidka.
Waxyaabaha soo socdaa waa daabacaaddii 2020 (baaritaan gaar ah iyo talo soo jeedin ka hortag ah ee burum Beneui burada) oo ku lug leh kahortagga xanuunka dheef-shiidka iyo qorshaha kormeerka:
Kansarka mindhicirka
1.Soomanka dadka ka badan 1.45 sano;
2.Wax ka badan 240 oo leh astaamaha guud ee astaanta laba toddobaad ":
3. PPATESTY Cosharitive Cosharitis waqti dheer;
4.4 Dadka qalliinka kansarka kansarka ee mindhicirka;
5. Dadka ka dib daaweynta ee loo yaqaan 'adenoma' ee 'adenoma';
6. Ehelka degdega ah ee taariikhda qoyska ee kansarka mindhicirka
7. Ehelka degdegga ah ee bukaannada lagu ogaadey kansarka dhaxalka dhaxalka ah ee ka weyn 20 sano
1. "Dadweynaha guud" baaritaanka "ayaa la kulmay 1-5:
(1) Baadhitaanka kansarka ee kansarka ee mindhicirka ayaa bilaabma da'da 45, iyadoon loo eegayn lab ama dhaddig, sixir aadka loo yaqaan 'Fect' '
Colonoscopy 10-kii sano ee kasta illaa da'da 75;
(2) Kuwa da'doodu u dhaxayso 76-85, kuwaas oo ku jira caafimaad wanaagsan, iyo kuwa leh rajada nolosha in ka badan 10 sano, waxay sii wadi kartaa in la ilaaliyo qurxinta.
2 Iyada oo la jaan qaadaya "baaritaanka caafimaad ee xubnaha qoyska ee ku dhow taariikhda qoyska ee kansarka mindhicirka:
(1) 1 qaraabo heerka koowaad ah oo leh adenoma heer sare ah oo heer sare ah ama xanuun ah (da 'bilawga ah ayaa ka yar 60 sano jir), 2
Ehelka heerka koowaad iyo kan sare leh adenoma heer sare ah ama kansar (da 'kasta oo ah), oo laga bilaabo da'da 10 (ama laga bilaabo da'da ka yar da'da qoyska,, baaritaanka FOBT hal mar sanadkii, hal mar 5-tii sano ee Colonoscopy-ga.
(2) Mawduucyada khatarta sare leh taariikhda qoyska ee qaraabada heerka koowaad ah (kaliya 1, iyo da'da bilawga ayaa ka sarreeya 60 sano jir):
Bilow hubinta da'da 40, iyadoo la tijaabinayo FOBT sanad kasta iyo baarista walamadka toban kasta hal sano kasta. 3 Baadhitaanka xubnaha qoyska ee "Kansarka Luuqada ee Dhaxalka" ee 7;
Xubnaha qoyska ee bukaanka qaba FAP iyo HNPCC, baaritaanka isbadalka ee hidda-socodka ayaa lagula talinayaa marka isbadalka hidda-wadaha uu ku jiro kiiska ugu horreeya ee qoyska uu cad yahay.
(1) Kuwa qaba imtixaanka isbadalka hiddaha ee wanaagsan, ka dib da'da 20, in ka dib da'da in ka dib waa in la sameeyaa 1-2 sanadood kasta; (2) Kuwa leh imtixaanka isbadalka ee taban, dadka guud waa in la baaraa. 4 Qaababka lagu taliyay ee lagu hubinayo:
(1) Tijaabada FOBT + Baadhitaanka mugga-dhexgalka ah waa habka ugu weyn ee baaritaanka Han, cadeyntuna waa ku filan tahay:
(2) Ogaanshaha hidda-wadaha bartilmaameedka ah ee dhiigga ee badan ayaa laga yaabaa inuu gacan ka geysto hagaajinta saxda ah ee xisaabinta, qiimaha uu qaali yahay; (3) Haddii xaaladaha ruqsadda, baarista lagu sameyn karo iyadoo la isku daro saxarada iyo hababka dhiigga.
1. Jimicsigu wuxuu si wax ku ool ah u yareyn karaa dhacdada burooyinka, u hogaansanaanta hogaaminta isboortiga, iyo dabaasha si looga fogaado in laga fogaado buurnaanta;
2. Cuntada maskaxda ee caafimaadka leh, kordhi qaadashada qaadashada fiber-ka iyo miraha cusub, oo ka fogow cuntooyinka dufanka badan iyo borotiinka sare;
3 MADAXWEYNAHA MADAXWEYNAHA-JOOJINTA KHATARTA ANTI-ANTICMAALKA ayaa waxtar u yeelan kara ka hortagga kansarka mindhicirka. Waayeelku wuxuu isku dayi karaa asbiriin-qiyaas yar, kaas oo yareyn kara halista cudurada wadnaha iyo cudurada ciribta iyo kansarka mindhicirka. La tasho dhakhtar si aad u isticmaasho qaaska ah.
5. Sigaar cabista si looga fogaado sunta rasaasta muddada-dheer iyo kicinta barafka ee Qinghua Dao.
Kansarka caloosha
Qof kasta oo leh mid ka mid ah shuruudahan soo socdaa waa shay khatar sare leh;
1. Muddo ka weyn 60 sano jir;
2 Cudurka gaaska ee dhexdhexaad ah iyo daran ee atrophophic-ka daran;
3. Nabarka caloosha ee raaga;
4. Burooyinka caloosha;
5. Calaamadda 'Rainch' ee xabka caloosha;
.
7. Calool xumo ka dib qalliinka kansarka caloosha (6-12 bilood qalliinka ka dib);
8. Helicobacter pylori pylori.
9. Taariikh qoys oo cad oo ah kansarka caloosha ama cudurka loo yaqaan 'Esophagagaal';
10. Dhiig-yaraanta Qiyaamada
11. Cusboonaysiinta cudurka loo yaqaan 'polyposisis-ka la eka' (FAP), FAP), kansarka aan dhaxalka ahayn ee kansarka ee sanka (HNPCC) taariikhda qoyska.
Da'da> 40 sano jir xanuun caloosha ah, caloosha caloosha, respitation-ka aashitada, wadnaha, burooyinka caloosha, caloosha gaaska iyo caloosha daran ee ateplasia atperplasia iyo nabaro kale oo caloosha ah oo leh taariikhda qoyska Waa in la soo koobo caloosha jirka ee caadiga ah iyadoo la raacayo talooyinka dhakhtarka.
1. Samee caadooyin cunno caafimaad leh iyo qaab dhismeedka cuntada, oo aan xad dhaaf ahayn;
2. Ciqaabida helikobact pylori infekshinka pylori;
3. Hoos u dhig isticmaalka qabowga, ku dhegan, kuleylka, iyo cuntooyinka adag, iyo sidoo kale cunnooyin cusbo badan sida sigaar cabba oo la burburiyey
4. Jooji sigaar cabista;
5. Cab wax ka yar ama aan lahayn khamri adag;
6. Nasashada iyo jahwareerka si macquul ah
Kansarka Esophagagaal
Da'da> 40 sano jir oo ay la kulmaan mid ka mid ah sababaha halista soo socda:
1. Laga soo bilaabo aaggaas-sare ee kansarka xulka Esophaga'ad ee dalkayga (ugu cufan ee kansarka 'Esopateal' ee dalkayga ayaa ku yaal koonfurta koonfurta Taihang, oo ku sugan Dojian, Guangdong, Waqooyiga Jangsu, Xinjiang, iwm. Dhul iyo Lamaanaha dabiiciga ah waxay ku urursan yihiin meelaha ay ku dhacda badan yihiin);
2. Calaamadaha kore ee caloosha, sida lallabbo, mataga, matagga caloosha, caloosha, dib-u-habeynta aashitada, cunista raaxo darrada iyo astaamaha kale;
3. Taariikhda qoyska ee cudurka esophagaal:
4. Dhibaatada ka soo baxa cudurka hunguriga ee hunguridka ah ama nabaro badan oo hore:
5. Ha u yeeshaan qodobo khatarta sare ah kansarka qatarta ah sida sigaar cabista, cabitaanka culus, miisaankiisu culus yahay, oo aad u daadatay cunnada kulul, ee loo yaqaan 'squanoma' oo ah cufan madaxa iyo qoorta ama neef-mareenka.
6. Dhibaatada ka soo baxa cudurka 'resinpux linelux' ee 'peresaypadex' (CUPD);
7. Infekshinka Papillomavirus (HPV).
Dadka halis ugu jira kansarka qareenka ee cudurka loo yaqaan 'Esophateal':
1. Endoscopy caadi ah, hal mar labadii sanaba mar;
2 endoscopy oo wata natiijooyin cuduro leh oo ah dysplasia khafiif ah, endoscopy sanadkii hal mar;
3 endoscopy oo leh natiijooyinka cudurada ku dhaca dysplasia dhexdhexaad ah, endoscopy lixdii biloodba
1. Ha cabbin sigaar ama sigaar cabin;
2. Qadar yar oo aalkolo ah ama aalkolo ah;
3. Cun cunno macquul ah, cun cunno miro iyo khudaar daray ah oo ka badan
4. Kordhinta jimicsiga oo sii wad miisaan caafimaad leh;
5. Ha cunin cuntada kulul ama ha cabbin biyo kulul.
Kansarka Beerta
Ragga ka weyn 35 sano iyo dumarka ka weyn 45 sano ee ka mid ah kooxaha soo socda:
1. Infekshanka cagaarshowga B ee Cagaarshowga B
2. Kuwa leh taariikh qoys ee kansarka beerka;
3. Bukaanka qaba cudurka beerka ee ay sababaan Schoolosomiasiasis, aalkolo, biligelyosienosis koowaad, iwm.
4. Bukaanka qaba waxyeelada beerka ee daroogada ah;
5. Bukaanka qaba cudurada dheef-shiid kiimikaad, oo ay ku jiraan: hemochromasis A-1 yaraanta ka hortagga ah, cudurka kaydinta glycogen, oo dib loo dhigay pompyria-ga, oo dib loo dhigay, iwm .;
6. Bukaanka qaba cudurka hepatitis;
7. Cudurka aan khamriga ahayn ee aan khamriga lahayn (nafld) bukaannada
1. Ragga ka weyn 35 sano jir iyo dumarka ka weyn 45 sano oo qaba khatarta sare ee kansarka beerka waa in la baaraa;
2. Codsiga Isku-darka ee 'Serump Alpha-Fetoprotein (AFP) iyo beerka B-ultrasound, baaritaanka 6 bilood kasta
1. Talaca cagaarshowga B;
2. Bukaanka qaba cagaarshowga daba-dheeraada waa inay qaataan daweynta lidka-fayraska sida ugu dhakhsaha badan ee suurtogalka ah si loo xakameeyo tabinta tabaha cagaaraha ee fayraska
3. Ka fogow ama yaree isticmaalka khamriga;
4. Cun cunno fudud oo yaree cunnada dufan leh
5. Ka fogow qaadashada cuntada caaryada leh.
Kansarka pancreat
Dadka ka weyn da'da 40, gaar ahaan da'da 50, oo leh mid ka mid ah qodobbada soosocda (shayga lixaad ma kordhineyso halista kansarka naasaha, laakiin baaritaanka guud ahaan lama sameeyo):
1. Taariikhda qoyska ee kansarka curyaanka iyo sonkorowga;
2. Waxaa jira taariikh sigaar cabid muddada-dheer, cabitaan, dufan aad u sareeya iyo cunno borotiinka sare leh;
3. Buuxinta caloosha ee dhexe iyo kan sare, raaxo-darada, xanuunka caloosha iyada oo aan sabab u muuqda, iyo astaamo sida rabitaanka cuntada, daalka, shubannada, miisaanka dhabarka, iwm.
4. Marxaladaha soo noqnoqda ee maqaarka daba-dheeraada, gaar ahaan maqalka jilicsan ee dhagatada maqaarka, mucfutaabs cystics adenoma, iyo burooyinka adag ee proudopapillary, oo leh Serum Crems CA19-9;
5.
6. Helicobacter pylori (HP) togan, taariikh ah waqtiga afka ah ee afka hooyo, pj syndrome, iwm.
1. Maadooyinka kor lagu soo sheegay waxaa laga baarayaa natiijooyinka baaritaannada dhiigga ee calaamadaha burooyinka sida CAT99-9, CA125 CT, ECT, iyo B -trasound sidoo kale waxay bixin karaan caawimaad u dhigma;
2. Ct ama Mr Imtixaanka mar sanadkii sanadkii kor lagu soo xusay, gaar ahaan kuwa leh taariikhda qoyska iyo nabarrada ka jira ee jira
1. Jooji sigaarka iyo xakamaynta khamriga;
2. Dhiirrigelinta nal, si fudud u dheefshiido, cuntada dufanka yar;
3. Cun digaagga ka badan, kalluunka iyo shiidka, iyo kor u qaadida isticmaalka khudaarta "+", sida kaabajka cagaaran, kaabajka, dabocase, broccoli, iwm.
4. Dhiirrigelinta howlaha aerobic ee bannaanka
5. Si looga hortago in ay sii xumaato nabaro da 'yarta ah, kuwa leh dhagxaanta maqaarka, papillat-ka guntiga ee gudeheeda iyo cystic adenoma ama nabaro kale oo kacsan waa inay raadsadaan daryeel caafimaad waqtiga.
Annaga, Jiangxi Zhuoruoruihuup Chan. Ltd.Xirmooyinka biopsy, hemoclip dabin, irbad irbad, kateetar lagu buufiyo, cadayga cytology, cabitaan ku soo celiya, kateeriyaha iftiinka sanka, kateetarka iwm.kuwaas oo si ballaaran loogu adeegsado EMR, ESD, ERCP. Alaabooyinkeenu waa CE shakhtal, oo dhirtuna waa ISO shahaadaysan. Alaabteena ayaa loo dhoofiyay Yurub, woqooyiga Mareykanka, Bariga Dhexe iyo qeyb Aasiya, oo si ballaaran ayaa loo helaa macaamiisha aqoonsiga iyo ammaanta!
Waqtiga Post: Sep-09-2022