Kansarka gastric waa mid ka mid ah burooyinka halista ah ee sida ba'an khatar ugu ah nolosha aadanaha. Waxaa jira 1.09 milyan oo kiis oo cusub adduunka sannad kasta, tirada kiisaska cusub ee waddankeygana waxay gaareysaa 410,000. Taas macnaheedu waxa weeye, qiyaastii 1,300 oo qof oo waddankayga ah ayaa laga helaa kansarka caloosha maalin kasta.
Heerka badbaadada bukaannada kansarka caloosha ayaa si dhow ula xiriira heerka horumarka kansarka caloosha. Heerka daawaynta kansarka caloosha hore wuxuu gaari karaa 90%, ama xitaa si buuxda loo daaweeyay. Heerka daawaynta kansarka caloosha ee heerka dhexe waa inta u dhaxaysa 60% iyo 70%, halka heerka daawaynta kansarka caloosha ee horumaray uu yahay 30% kaliya. agagaarka, sidaas darteed hore kansarka caloosha ayaa la helay. Daawaynta horena waa furaha yaraynta dhimashada kansarka caloosha. Nasiib wanaag, horumarinta tignoolajiyada endoscopic sannadihii la soo dhaafay, baaritaanka hore ee kansarka caloosha ayaa si ballaaran looga sameeyay waddankayga, taas oo si weyn u wanaajisay heerka ogaanshaha kansarka gastric hore;
Haddaba, waa maxay kansarka caloosha hore? Sidee lagu ogaan karaa kansarka caloosha hore? Sidee loo daaweeyaa?
1 Fikradda kansarka caloosha hore
Kiliinik ahaan, kansarka caloosha hore wuxuu inta badan loola jeedaa kansarka caloosha oo leh nabarro hore, nabarro xaddidan oo aan lahayn calaamado muuqda. Kansarka caloosha ee hore waxa inta badan lagu ogaadaa ciladaha gastroscopic biopsy pathology. Pathologically, kansarka gastric hore waxaa loola jeedaa unugyada kansarka ku xaddidan xuubka iyo submucosa, iyo si kasta oo ay u weyn tahay burada iyo haddii ay jiraan metastasis qanjidhada qanjidhada, waxaa iska leh kansarka gastric hore. Sanadihii la soo dhaafay, dysplasia daran iyo neoplasia intraepithelial heerka sare ayaa sidoo kale lagu sifeeyay inay yihiin kansarka caloosha hore.
Marka loo eego cabbirka burada, kansarka caloosha ee hore wuxuu u qaybsan yahay: kansarka caloosha oo yar: dhexroorka foci kansarku waa 6-10 mm. Kansarka caloosha oo yar: Dhexroorka buro foci ayaa ka yar ama le'eg 5 mm. Kansarka punctate: Biyobsiga xabka caloosha ku jira waa kansar, laakiin ma jiro unug kansar ah oo laga heli karo tijaabooyinka qalliinka ee taxanaha ah.
Endoscopically, kansarka gastric hore ayaa loo sii kala qaybiyaa: Nooca (nooca polypoid): Kuwa leh cufnaanta buro soo baxda oo ku saabsan 5 mm ama ka badan. Nooca II (nooca sare): Tirada burada ayaa kor u kacday ama ku niyad jabtay 5 mm gudahood. Nooca III (nooca boogta): Qoto dheer ee niyad-jabka cufka kansarka ayaa ka badan 5 mm, laakiin kama badna xuub xuubka hoose.
Waa maxay calaamadaha kansarka caloosha hore
Inta badan kansarka caloosha hore ma laha calaamado gaar ah, taas oo macnaheedu yahay, calaamadaha hore ee kansarka caloosha ma laha calaamado. shabakad
Kuwa loogu yeero calaamadaha hore ee kansarka caloosha ee ku wareegaya internetka dhab ahaantii maaha calaamado hore. Haddii ay tahay dhakhtar ama qof sharaf leh, way adag tahay in la qiimeeyo calaamadaha iyo calaamadaha. Dadka qaar ayaa laga yaabaa inay yeeshaan astaamo aan gaar ahayn, oo ay ugu badan tahay dheef-shiid kiimikaad, sida calool xanuun, dibiro, dheregyo hore, cunto xumo, dib-u-soo-celin aashito ah, laab-jeex, xiiq-bax, iwm. inta badan ma soo jiidato indhaha dadka. Sidaa darteed, dadka da'doodu ka weyn tahay 40 sano, haddii ay leeyihiin calaamado muuqda oo ah dheef-shiid kiimikaad, waa inay aadaan isbitaalka si ay u helaan daaweyn caafimaad waqti, oo ay sameeyaan gastroscopy haddii loo baahdo, si aysan u lumin waqtiga ugu fiican ee lagu ogaan karo kansarka caloosha hore.
3 Sida loo ogaado kansarka caloosha hore
Sannadihii u dambeeyay, khubarada caafimaadka ee waddankeenna, oo ay weheliyaan xaaladda dhabta ah ee waddankeenna, waxay dejiyeen "Khubarada Habka Baarista Kansarka Caloosha ee Hore ee Shiinaha".
Waxay door weyn ka ciyaari doontaa hagaajinta heerka ogaanshaha iyo heerka daawaynta kansarka caloosha ee hore.
Baaritaanka hore ee kansarka caloosha waxaa inta badan loogu talagalay bukaanada khatarta sare leh, sida bukaanada qaba caabuqa Helicobacter pylori, bukaanka taariikhda qoyska ee kansarka caloosha, bukaanada ka weyn 35 sano, sigaarka muddada dheer, iyo jecel cuntooyinka la shiiday.
Habka baadhista aasaasiga ah ayaa inta badan ah in lagu ogaado dadka khatarta sare leh ee kansarka caloosha iyada oo loo marayo baaritaanka serological, taas oo ah, iyada oo loo marayo shaqada caloosha iyo ogaanshaha antibody Helicobacter pylori. Ka dib, kooxaha khatarta sare leh ee laga helay habka baaritaanka bilowga ah ayaa si taxadar leh loo baaray gastroscope, iyo indho-indheynta nabarrada ayaa laga dhigi karaa mid aad u jilicsan iyada oo la adeegsanayo weyneynta, midabaynta, biopsy, iwm, si loo go'aamiyo in nabaradu ay yihiin kansar. iyo haddii lagu daweyn karo mikroskoob.
Dabcan, sidoo kale waa habka ugu wanaagsan ee lagu ogaan karo kansarka caloosha hore iyadoo lagu darayo endoscopy mindhicirka gudaha walxaha baaritaanka jireed ee caadiga ah ee dadka caafimaadka qaba iyada oo loo marayo baaritaanka jirka.
4 Waa maxay baaritaanka shaqada caloosha iyo habka dhibcaha baaritaanka kansarka caloosha
Tijaabada shaqada caloosha waa in lagu ogaado saamiga pepsinogen 1 (PGI), pepsinogen (PGl1, iyo protease) ee serum.
(PGR, PGI/PGII) gastrin 17 (G-17) nuxurka, iyo nidaamka dhibcaha baadhista kansarka caloosha waxay ku salaysan tahay natiijooyinka baaritaanka shaqada caloosha, oo ay weheliso dhibco dhamaystiran sida Helicobacter pylori antibody, da'da iyo jinsiga, si loo xukumo Habka halista kansarka caloosha, iyada oo loo marayo nidaamka dhibcaha baadhista kansarka caloosha, ayaa baadhi kara kooxaha halista ah ee dhexe iyo kuwa sare ee kansarka caloosha.
Endoscopy iyo dabagal ayaa lagu sameyn doonaa kooxaha halista ah ee dhexe iyo kuwa sare. Kooxaha khatarta sare leh ayaa la eegi doonaa ugu yaraan hal mar sannadkii, kooxaha khatarta dhexe ah waxa la eegi doonaa ugu yaraan hal mar 2-dii sanaba. Helitaanka dhabta ah waa kansarka hore, kaas oo lagu daweyn karo qalliinka endoscopic. Tani kaliya ma wanaajin karto heerka hore ee ogaanshaha kansarka caloosha, laakiin sidoo kale waxay yareyn kartaa endoscopy aan loo baahnayn ee kooxaha khatarta yar.
5 Waa maxay Gastroscopy
Si fudud loo dhigo, gastroscopy waa in la sameeyo falanqaynta endoscopic morphological ee nabarada shakiga leh ee la helay isla wakhtiga gastroscopy-ga caadiga ah, oo ay ku jiraan endoscopy nalka cad ee caadiga ah, chromoendoscopy, endoscopy weyneynta, endoscopy confocal iyo habab kale. Nabarka waxaa lagu go'aamiyaa inuu yahay mid aan fiicneyn ama laga shakisan yahay malignant, ka dibna biopsy ee nabarka la tuhunsan yahay ayaa la sameeyaa, baaritaanka ugu dambeeya waxaa lagu sameeyaa pathology. Si loo go'aamiyo haddii ay jiraan nabarro kansar ah, inta ay le'eg tahay galitaanka lateral ee kansarka, qoto dheer ee dhexgalka tooska ah, heerka kala duwanaanta, iyo haddii ay jiraan calaamado daaweyn microscopic ah.
Marka la barbar dhigo gastroscopy-ga caadiga ah, baaritaanka gastroscopic wuxuu u baahan yahay in lagu sameeyo xaalad aan xanuun lahayn, taasoo u oggolaanaysa bukaannada inay si buuxda isu dejiyaan xaalad hurdo gaaban oo ay u sameeyaan gastroscopy si badbaado leh. Gastroscopy waxay leedahay shuruudo sare oo shaqaalaha ah. Waa in lagu tababaraa ogaanshaha kansarka hore, iyo endoscopists khibrad leh ayaa samayn kara baaritaanno faahfaahsan, si ay si fiican u ogaadaan nabarrada oo ay u sameeyaan baaritaanno iyo xukunno macquul ah.
Gastroscopy waxay leedahay shuruudo sare oo ku saabsan qalabka, gaar ahaan tignoolajiyada kor u qaadida sawirka sida chromoendoscopy/koromoendoscopy elektarooniga ah ama waynaynta endoscopy. Ultrasound gastroscopy sidoo kale waa loo baahan yahay haddii loo baahdo.
6 Daawooyinka kansarka caloosha hore
1. Dib-u-celinta endoscopic
Marka hore ee kansarka caloosha la ogaado, dib-u-celinta endoscopic ayaa ah doorashada koowaad. Marka la barbardhigo qalliinka dhaqameed, dib-u-soo-celinta endoscopic waxay leedahay faa'iidooyinka dhaawacyada yar yar, dhibaatooyinka yaryar, soo kabashada degdegga ah, iyo qiimaha hoose, iyo waxtarka labadaba asal ahaan waa isku mid. Sidaa darteed, dib-u-soo-saarka endoscopic ayaa lagula talinayaa gudaha iyo dibaddaba sida daaweynta la doorbido ee kansarka caloosha hore.
Waqtigan xaadirka ah, dib-u-celinta endoscopic ee sida caadiga ah loo isticmaalo badanaa waxaa ka mid ah xuubka xuubka endoscopic (EMR) iyo kala-baxa endoscopic submucosal (ESD). Tiknoolajiyad cusub oo la sameeyay, ESD hal-channel endoscopy, waxay gaari kartaa dib-u-eegis hal-mar ah oo ah nabarrada qoto dheer ee muscularis propria, iyadoo sidoo kale la siinayo habayn sax ah oo cudurka si loo yareeyo soo noqoshada goor dambe.
Waa in la ogaadaa in dib-u-soo-celinta endoscopic ay tahay qaliinka ugu yar, laakiin weli waxaa jira dhacdooyin sare oo dhibaatooyin ah, oo ay ku jiraan dhiig-baxa, daloolin, stenosis, xanuunka caloosha, caabuqa, iwm. Sidaa darteed, daryeelka bukaan-socodka ka dib, soo kabashada, iyo dib u eegista waa in la sameeyaa. si firfircoon ula shaqeyso dhakhtarka si aad u bogsato sida ugu dhakhsaha badan.
2 Qalliinka Laparoscopic
Qalliinka Laparoscopic waxaa loo tixgelin karaa bukaannada qaba kansarka caloosha hore ee aan la marin karin dib-u-soo-saarka endoscopic. Qalliinka Laparoscopic waa in la furo kanaalada yaryar ee caloosha bukaanka. Laparoscopes iyo qalabyada qalliinka ayaa lagu dhejiyaa kanaaladan iyada oo aan waxyeello yar u geysan bukaanka, xogta sawirka ee godka caloosha ayaa loo gudbiyaa shaashadda iyada oo loo marayo laparoscope, kaas oo lagu dhammeeyo hagida laparoscope. qaliinka kansarka caloosha. Qalliinka Laparoscopic wuxuu dhamaystiri karaa qalliinka laparotomy-dhaqameedka, inuu sameeyo gastrectomi weyn ama guud ahaan, kala-baxa qanjidhada laga shakiyo, iwm.
3. Qalliin furan
Tan iyo 5% ilaa 6% kansarka gastric intramucosal iyo 15% ilaa 20% kansarka caloosha submucosal waxay leeyihiin qanjidhada qanjidhada perigastric metastasis, gaar ahaan adenocarcinoma aan kala sooc lahayn ee haweenka da'da yar, laparotomy dhaqameed waa la tixgelin karaa, kaas oo si xagjir ah laga saari karo iyo kala-baxa Lymph node.
soo koobid
Inkastoo kansarka caloosha uu aad u dhib badan yahay, ma aha mid laga cabsado. Ilaa iyo inta ka warqabka ka-hortagga la wanaajinayo, kansarka caloosha waxaa lagu ogaan karaa waqti hore waxaana la daweyn karaa waqti hore, waxaana suurtagal ah in la helo daawo dhammaystiran. Sidaa darteed, waxaa lagula talinayaa in kooxaha khatarta sare leh ka dib da'da 40, iyada oo aan loo eegin haddii ay qabaan raaxo la'aan dheef-shiid kiimikaad, waa in hore loo baaro kansarka gastric, ama endoscopy mindhicirka waa in lagu daraa baaritaanka jireed ee caadiga ah si loo ogaado kiis hore kansarka oo badbaadi nolosha iyo qoyska faraxsan.
Anaga, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., waa soo saaraha Shiinaha oo ku takhasusay isticmaalka endoscopic, sidaxoog ka-qaadista, hemoclip,buro dabin, irbadda sclerotherapy, tuubada buufin, burushka cytology, guidewire, dambiilaha soo celinta dhagaxa, tuubada dheecaanka biliary sankaiwm kuwaas oo si weyn loogu isticmaalo EMR, ESD, ERCP. Badeecadahayagu waa shahaado CE, dhirtayaduna waa ISO shahaado. Alaabadayada waxaa loo dhoofiyay Yurub, Waqooyiga Ameerika, Bariga Dhexe iyo qayb ka mid ah Aasiya, waxayna si ballaaran u helaan macaamiisha aqoonsiga iyo ammaanta!
Waqtiga boostada: Jun-21-2022