Kansarka caloosha waa mid ka mid ah burooyinka halista ah ee halista ku ah nolosha aadanaha. Waxaa adduunka ka jira 1.09 milyan oo kiis oo cusub sannad kasta, tirada kiisaska cusub ee dalkaygana waxay gaaraysaa 410,000. Taasi micnaheedu waa, qiyaastii 1,300 oo qof oo ku nool dalkayga ayaa maalin kasta laga helaa kansarka caloosha.
Heerka badbaadada ee bukaanada kansarka caloosha ku dhaca waxay si dhow ula xiriirtaa heerka horumarka kansarka caloosha ku dhaca. Heerka daaweynta kansarka caloosha ee hore wuxuu gaari karaa 90%, ama xitaa si buuxda ayuu u bogsan karaa. Heerka daaweynta kansarka caloosha ee heerka dhexe wuxuu u dhexeeyaa 60% iyo 70%, halka heerka daaweynta kansarka caloosha ee horumarsan uu yahay 30% oo keliya, sidaa darteed kansarka caloosha ee hore ayaa la helay. Daaweynta horena waa furaha lagu dhimayo dhimashada kansarka caloosha. Nasiib wanaag, iyadoo la horumarinayo tignoolajiyada endoscopic sannadihii ugu dambeeyay, baaritaanka kansarka caloosha ee hore ayaa si ballaaran looga sameeyay dalkayga, taasoo si weyn u hagaajisay heerka ogaanshaha kansarka caloosha ee hore;
Haddaba, waa maxay kansarka caloosha ee hore? Sidee loo ogaadaa kansarka caloosha ee hore? Sidee loo daaweeyaa?
1 Fikradda kansarka caloosha ee hore
Caafimaad ahaan, kansarka caloosha ee hore wuxuu inta badan ka hadlaa kansarka caloosha oo leh nabarro hore, nabarro yar yar iyo calaamado muuqda oo aan lahayn. Kansarka caloosha ee hore waxaa inta badan lagu ogaadaa cudurka biopsy-ga caloosha. Cudur ahaan, kansarka caloosha ee hore wuxuu ka hadlaa unugyada kansarka ee ku xaddidan xuubka xabka iyo submucosa, iyadoon loo eegin inta uu buro weyn yahay iyo haddii uu jiro metastasis qanjidhada limfaha, waxay ka tirsan tahay kansarka caloosha ee hore. Sannadihii ugu dambeeyay, dysplasia daran iyo neoplasia intraepithelial oo heer sare ah ayaa sidoo kale loo kala saaraa kansarka caloosha ee hore.
Marka loo eego cabbirka burooyinka, kansarka caloosha ee hore waxaa loo qaybiyaa: kansarka caloosha oo yar: dhexroorka burooyinka waa 6-10 mm. Kansarka caloosha oo yar: Dhexroorka burooyinka waa ka yar ama la mid ah 5 mm. Kansarka caloosha ee Punctate: Baaritaanka xuubka caloosha waa kansar, laakiin unug kansar ah lagama heli karo taxanaha muunadaha qalliinka ee la jarayo.
Marka la eego Endoscopic-ga, kansarka caloosha ee hore waxaa loo sii qaybiyaa: nooca (nooca polypoid): kuwa leh cuf buro soo baxaysa oo qiyaastii ah 5 mm ama ka badan. Nooca II (nooca dusha sare): Cuf burooyinka waa la kor u qaadaa ama la niyad jabiyaa gudaha 5 mm. Nooca III (nooca boogta): Qoto dheer ee niyad-jabka cufka kansarku wuxuu ka badan yahay 5 mm, laakiin kama badna submucosa.
2 Waa maxay calaamadaha kansarka caloosha ee hore
Inta badan kansarka caloosha ee hore ma laha calaamado gaar ah, taas oo ah, calaamadaha hore ee kansarka caloosha ma laha calaamado.
Calaamadaha hore ee kansarka caloosha ee ku wareegaya internetka dhab ahaantii maaha calaamado hore. Hadday tahay dhakhtar ama qof sharaf leh, way adag tahay in laga qiimeeyo astaamaha iyo calaamadaha. Dadka qaar waxay yeelan karaan calaamado aan gaar ahayn, gaar ahaan dheefshiid xumo, sida calool xanuun, calool xanuun, dhereg hore, cunto xumo, dib u dhac aashito, laabjeex, calool xanuun, hindhiso, iwm. Calaamadahani aad bay ula mid yihiin dhibaatooyinka caloosha ee caadiga ah, sidaa darteed badanaa ma soo jiitaan dareenka dadka. Sidaa darteed, dadka ka weyn 40 sano, haddii ay leeyihiin calaamado muuqda oo calool xanuun ah, waa inay tagaan isbitaalka si loogu daaweeyo waqtigooda, oo ay sameeyaan qalliinka caloosha haddii loo baahdo, si aysan u seegin wakhtiga ugu fiican ee lagu ogaan karo kansarka caloosha ee hore.
3 Sida loo ogaado kansarka caloosha ee hore
Sannadihii ugu dambeeyay, khubarada caafimaadka ee dalkeenna, oo ay weheliso xaaladda dhabta ah ee dalkeenna, ayaa sameeyay "Khubarada Geeddi-socodka Baaritaanka Kansarka Caloosha ee Hore ee Shiinaha".
Waxay door weyn ka ciyaari doontaa hagaajinta heerka ogaanshaha iyo heerka daaweynta kansarka caloosha ee hore.
Baaritaanka hore ee kansarka caloosha waxaa inta badan loogu talagalay bukaanada khatarta sare leh, sida bukaanada qaba caabuqa Helicobacter pylori, bukaanada leh taariikh qoys oo kansarka caloosha ah, bukaanada ka weyn 35 sano, dadka sigaarka caba ee muddada dheer, iyo kuwa jecel cuntooyinka la shiilay.
Habka ugu muhiimsan ee baaritaanka waa in la 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-ga Helicobacter pylori. Kadib, kooxaha khatarta sare leh ee laga helo habka baaritaanka bilowga ah waxaa si taxadar leh u baara gastroscope, waxaana la ogaan karaa nabarrada iyadoo la adeegsanayo weyneyn, midabayn, biopsy, iwm., si loo go'aamiyo in nabarrada ay yihiin kansar iyo in lagu daaweyn karo mikroskoobka.
Dabcan, sidoo kale waa hab ka wanaagsan oo lagu ogaan karo kansarka caloosha ee hore iyadoo lagu darayo baaritaanka caloosha iyo mindhicirka qaybaha baaritaanka jireed ee caadiga ah ee dadka caafimaadka qaba iyada oo loo marayo baaritaanka jirka.
4 Waa maxay baaritaanka shaqada caloosha iyo nidaamka dhibcaha baaritaanka kansarka caloosha?
Baaritaanka shaqada caloosha waa in la ogaado saamiga pepsinogen 1 (PGI), pepsinogen (PGl1, iyo protease) ee seeramka.
(PGR, PGI/PGII) gastrin 17 (G-17), nidaamka dhibcaha baaritaanka kansarka calooshana wuxuu ku salaysan yahay natiijooyinka baaritaanka shaqada caloosha, oo ay weheliso dhibco dhammaystiran sida antibody-ga Helicobacter pylori, da'da iyo jinsiga, si loo qiimeeyo Habka khatarta kansarka caloosha, iyada oo loo marayo nidaamka dhibcaha baaritaanka kansarka caloosha, ayaa baari kara kooxaha khatarta dhexe iyo kuwa sare ee kansarka caloosha.
Baaritaanka Endoscopy iyo dabagal ayaa loo sameyn doonaa kooxaha khatarta dhexe iyo kuwa khatarta sare leh. Kooxaha khatarta sare leh waxaa la baari doonaa ugu yaraan hal mar sannadkii, kooxaha khatarta dhexe lehna waxaa la baari doonaa ugu yaraan hal mar labadii sanaba mar. Daahfurka dhabta ah waa kansarka hore, kaas oo lagu daweyn karo qalliinka endoscopic. Tani ma aha oo kaliya inay hagaajin karto heerka ogaanshaha hore ee kansarka caloosha, laakiin sidoo kale waxay yareyn kartaa endoscopy-ga aan loo baahnayn ee kooxaha khatarta yar.
5 Waa maxay Gastroscopy
Si fudud loo dhigo, qalliinka caloosha (gastroscopy) waa in la sameeyo falanqayn qaab-dhismeed endoscopic ah oo ku saabsan nabarrada laga shakiyo ee la helo isla waqtiga baaritaanka caloosha (gastroscopy) caadiga ah, oo ay ku jiraan baaritaanka ilkaha ee iftiinka cad ee caadiga ah, baaritaanka chromoendoscopy, baaritaanka caloosha (magnifying endoscopy), baaritaanka caloosha (confocal endoscopy) iyo habab kale. Nabarka waxaa lagu go'aamiyaa inuu yahay mid aan dhib lahayn ama laga shakisan yahay inuu yahay kansar, ka dibna waxaa la sameeyaa baaritaanka unugyada kansarka ee laga shakisan yahay, waxaana lagu sameeyaa baaritaanka ugu dambeeya ee cudurka. Si loo go'aamiyo inay jiraan nabaro kansar ah, heerka kansarka ee ku soo galay dhinaca, qoto dheeraanta qulqulka toosan, heerka kala duwanaanshaha, iyo haddii ay jiraan tilmaamo loogu talagalay daaweynta mikroskoobka.
Marka la barbardhigo qalliinka caloosha ee caadiga ah, baaritaanka caloosha waxaa loo baahan yahay in lagu sameeyo xaalado aan xanuun lahayn, taasoo u oggolaanaysa bukaanada inay si buuxda isu nastaan iyagoo hurdo gaaban ku jira oo ay si ammaan ah u sameeyaan qalliinka caloosha. Baaritaanka caloosha waxaa saaran shuruudo sare oo shaqaalaha saaran. Waa in lagu tababaraa ogaanshaha kansarka goor hore, dhakhaatiirta endoscopy-ga ee khibradda lehna waxay sameyn karaan baaritaanno faahfaahsan, si loo ogaado nabarrada loona sameeyo baaritaanno iyo go'aanno macquul ah.
Gastroscopy-gu wuxuu leeyahay baahiyo badan oo ku saabsan qalabka, gaar ahaan tiknoolajiyada kor u qaadista sawirka sida chromoendoscopy/chromoendoscopy elektaroonig ah ama endoscopy weyneynta. Gastroscopy-ga ultrasound-ka ayaa sidoo kale loo baahan yahay haddii loo baahdo.
6 Daawayn oo loogu talagalay kansarka caloosha ee hore
1. Qalliinka Endoscopic-ga
Marka hore la ogaado kansarka caloosha, qalliinka endoscopic-ga ayaa ah doorashada koowaad. Marka la barbardhigo qalliinka dhaqameed, qalliinka endoscopic-ga wuxuu leeyahay faa'iidooyinka dhaawaca oo yar, dhibaatooyin yar, soo kabasho degdeg ah, iyo kharash yar, waxtarka labaduba waa isku mid. Sidaa darteed, qalliinka endoscopic-ga waxaa lagu talinayaa gudaha iyo dibaddaba iyadoo ah daaweynta la doorbidayo ee kansarka caloosha ee hore.
Waqtigan xaadirka ah, qalliinka endoscopic-ga ee si caadi ah loo isticmaalo waxaa inta badan ka mid ah qalliinka xuubka xuubka endoscopic (EMR) iyo qalliinka xuubka hoose ee endoscopic (ESD). Tiknoolajiyadda cusub ee la sameeyay, ESD endoscopy-ga hal-kanaalka ah, waxay gaari kartaa hal mar oo ah qalliin en bloc ah oo nabarrada qoto dheer ee muscularis propria ah, iyadoo sidoo kale bixinaysa qaab-dhismeed sax ah oo lagu baaro cudurka si loo yareeyo soo noqoshada dambe.
Waa in la ogaadaa in qalliinka endoscopic-ga uu yahay qalliin si fudud loo sameeyo, laakiin weli waxaa jira dhacdooyin badan oo dhibaatooyin ah, oo ay ugu badan yihiin dhiigbax, dalool, Stenosis, calool xanuun, caabuq, iwm. Sidaa darteed, daryeelka bukaanka qalliinka kadib, soo kabashada, iyo dib u eegista waa inay si firfircoon ula shaqeeyaan dhakhtarka si uu u soo kabsado sida ugu dhakhsaha badan.
2 Qalliinka laparoscopic-ga
Qalliinka laparoscopic-ga waxaa loo tixgelin karaa bukaanada qaba kansarka caloosha ee hore kuwaas oo aan mari karin qalliinka endoscopic-ga. Qalliinka laparoscopic-ga waa in lagu furo kanaallo yaryar oo caloosha bukaanka ah. Laparoscope-yada iyo qalabka qalliinka waxaa la geliyaa kanaalladan iyadoo aan wax dhibaato ah soo gaarin bukaanka, xogta sawirka ee godka calooshana waxaa loo gudbiyaa shaashadda bandhigga iyada oo loo marayo laparoscope-ka, kaas oo la dhammaystiro iyadoo la raacayo hagidda laparoscope-ka. Qalliinka laparoscopic-ga wuxuu dhammaystiri karaa qalliinka laparotomy-ga dhaqameed, wuxuu samayn karaa qalliin weyn ama gebi ahaanba caloosha ah, kala-goynta qanjidhada limfaha ee laga shakiyo, iwm., wuxuuna leeyahay dhiigbax yar, dhaawac yar, nabar yar oo ka dhashay qalliinka kadib, xanuun yar, iyo soo kabasho degdeg ah oo shaqada caloosha ah ka dib qalliinka.
3. Qalliinka furan
Maadaama 5% ilaa 6% kansarka caloosha ee gudaha xuubka iyo 15% ilaa 20% kansarka caloosha ee xuubka hoose uu leeyahay metastasis qanjidhada perigastric, gaar ahaan adenocarcinoma aan kala sooc lahayn oo ku dhaca dumarka da'da yar, laparotomy dhaqameed ayaa la tixgelin karaa, kaas oo si weyn looga saari karo loona kala jari karo qanjidhada Lymph.
soo koobid
In kasta oo kansarka caloosha uu aad u waxyeello badan yahay, haddana ma aha wax xun. Ilaa iyo inta wacyiga ka hortagga la hagaajiyo, kansarka caloosha ayaa la ogaan karaa waqtigii loogu talagalay oo hore loo daaweyn karaa, waana suurtagal in la gaaro bogsasho dhammaystiran. Sidaa darteed, waxaa lagu talinayaa in kooxaha khatarta sare leh ee da'doodu ka weyn tahay 40 sano, iyadoon loo eegin inay qabaan raaxo-darro dheefshiidka, ay maraan baaritaan hore oo kansarka caloosha ah, ama baaritaanka caloosha iyo mindhicirka waa in lagu daraa baaritaanka jireed ee caadiga ah si loo ogaado kiis kansar hore ah loona badbaadiyo nolol iyo qoys faraxsan.
Annaga, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., waa soo-saare ku takhasusay isticmaalka endoscopic-ga, sidaqalabka lagu baadho unugyada, hemoclip,Dabin polyp ah, irbad daaweynta sclerotherapy, Kateetarka buufinta, Burushyada unugyada, hagaha, dambiisha soo celinta dhagaxa, kateetarka dheecaanka sanka ee biliary-gaiwm. kuwaas oo si weyn loogu isticmaalo EMR, ESD, ERCP. Badeecadahayagu waa kuwa CE-da haysta, warshadeenuna waa kuwo ISO-da haysta. Badeecadahayagu 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: Juun-21-2022