Ko te mate pukupuku puku tētahi o ngā pukupuku kino e tino mōrearea ana ki te ora o te tangata. E 1.09 miriona ngā kēhi hou e puta ana i te ao i ia tau, ā, ko te maha o ngā kēhi hou i tōku whenua e eke ana ki te 410,000. Arā, tata ki te 1,300 ngā tāngata i tōku whenua e kitea ana he mate pukupuku puku i ia rā.
He hononga tata te tere ora o ngā tūroro matepukupuku puku ki te nui o te whanaketanga o te matepukupuku puku. Ka taea e te tere ora o te matepukupuku puku wawe te eke ki te 90%, tae noa ki te ora katoa. Ko te tere ora o te matepukupuku puku waenga-wāhanga kei waenganui i te 60% me te 70%, ko te tere ora o te matepukupuku puku kua horapa he 30% noa iho, nō reira i kitea wawe ai te matepukupuku puku. Ā, ko te maimoatanga wawe te mea nui ki te whakaiti i te matepukupuku puku. He waimarie, nā te whakapainga o te hangarau endoscopic i ngā tau tata nei, kua whānuitia te tirotiro wawe i te matepukupuku puku i tōku whenua, ā, kua tino pai ake te tere kitea o te matepukupuku puku wawe;
Nā, he aha te mate pukupuku puku wawe? Me pēhea te kite i te mate pukupuku puku wawe? Me pēhea te rongoā?
1 Te ariā o te mate pukupuku puku wawe
I roto i te haumanu, ko te mate pukupuku puku wawe e pā ana ki te mate pukupuku puku me ngā whara wawe, he iti noa ngā whara, ā, kāore he tohu e kitea. Ko te mate pukupuku puku wawe ka kitea mā te koiora gastroscopic. I roto i te pathology, ko te mate pukupuku puku wawe e pā ana ki ngā pūtau mate pukupuku e herea ana ki te mucosa me te submucosa, ahakoa te rahi o te pukupuku me te metastasis o ngā kōpū lymph, no te mate pukupuku puku wawe. I ngā tau tata nei, ko te dysplasia kino me te neoplasia intraepithelial teitei ka whakarōpūhia hei mate pukupuku puku wawe.
E ai ki te rahi o te puku, ka wehea te matepukupuku puku wawe ki ēnei momo: matepukupuku puku iti: ko te whānui o ngā arotahi pukupuku he 6-10 mm. Matepukupuku puku iti: Ko te whānui o ngā arotahi pukupuku he iti iho i te 5 mm, he ōrite rānei. Matepukupuku puku pūngāwerewere: Ko te koiora o te kiriuhi puku he matepukupuku, engari kāore e kitea he kiko matepukupuku i roto i te raupapa o ngā tauira tango pokanga.
Mā te endoscopic, ka wehea anō te mate pukupuku puku wawe ki: momo (momo polypoid): arā, ko ērā he puranga pukupuku e pupū ake ana i te 5 mm, neke atu rānei. Momo II (momo papa): Ka ara ake, ka pēhia rānei te puranga pukupuku i roto i te 5 mm. Momo III (momo whewhe): Ko te hohonutanga o te pēhitanga o te puranga pukupuku neke atu i te 5 mm, engari kāore e neke atu i te submucosa.
2 He aha ngā tohu o te mate pukupuku puku wawe?
Ko te nuinga o ngā matepukupuku puku tōmua kāore he tohu motuhake, arā, kāore he tohu o ngā tohu tōmua o te matepukupuku puku. whatunga
Ko ngā tohu tōmua o te matepukupuku puku e horapa ana i runga i te Ipurangi ehara i te tohu tōmua. Ahakoa he tākuta, he tangata rangatira rānei, he uaua ki te whakatau i runga i ngā tohu me ngā tohu. Tērā pea ētahi tāngata ka pāngia e ētahi tohu kāore i te tino kitea, ko te nuinga ko te koretake o te puku, pērā i te mamae o te puku, te pupuhi, te wawe o te makona, te ngaro o te hiahia kai, te ruaki waikawa, te ngau o te puku, te ruaki, te hīkoi, me ētahi atu. He tino rite ēnei tohu ki ngā raruraru puku noa, nō reira he maha ngā wā kāore e arohia e te tangata. Nō reira, mō te hunga neke atu i te 40 tau te pakeke, ki te kitea he tohu mārama o te koretake o te puku, me haere ki te hōhipera mō te maimoatanga hauora i te wā tika, me te mahi gastroscopy mēnā e tika ana, kia kore ai e ngaro te wā pai ki te kite i te matepukupuku puku tōmua.
3 Me pēhea te kite i te mate pukupuku puku i te wā tōmua
I ngā tau tata nei, kua titoa e ngā tohunga hauora o tō tātou whenua, me te āhua tūturu o tō tātou whenua, te "Tohunga o te Tukanga Tirotiro Mate Pukupuku Puku Wā Mua i Haina".
He mea nui tēnei hei whakapai ake i te tere o te tautuhi me te tere o te whakaora i te mate pukupuku o te puku i te wā tōmua.
Ko te tirotiro wawe mō te mate pukupuku puku e aro nui ana ki ētahi tūroro mōrearea nui, pērā i ngā tūroro e pangia ana e te mate Helicobacter pylori, ngā tūroro he hītori whānau mō te mate pukupuku puku, ngā tūroro neke atu i te 35 tau te pakeke, te hunga momi hikareti roa, me te hunga e pai ana ki ngā kai pīkara.
Ko te tikanga tirotiro matua ko te whakatau i te taupori mōrearea nui o te mate pukupuku puku mā te whakamātautau serological, arā, mā te mahi puku me te kimi i te paturopi Helicobacter pylori. Kātahi ka tirohia marietia ngā rōpū mōrearea nui i kitea i te tukanga tirotiro tuatahi mā te gastroscope, ā, ka taea te āta tirotiro i ngā whara mā te whakanui, te tae, te koiora, me ētahi atu, kia mōhio ai mēnā he mate pukupuku ngā whara, ā, mēnā ka taea te rongoā i raro i te karuārai.
He huarahi pai ake anō hoki tēnei ki te kite wawe i te mate pukupuku o te puku mā te whakauru i te tirotiro puku ki roto i ngā mahi tirotiro tinana o ia rā mō te hunga hauora mā te whakamātautau tinana.
4 He aha te whakamātautau mahi puku me te pūnaha tatau tirotiro matepukupuku puku?
Ko te whakamātautau mahi a te puku he kimi i te ōwehenga o te pepsinogen 1 (PGI), te pepsinogen (PGl1, me te protease) i roto i te toto.
(PGR, PGI/PGII) te ihirangi o te gastrin 17 (G-17), ā, ko te pūnaha whakatauranga tirotiro matepukupuku e hangai ana ki ngā hua o te whakamātautau mahi puku, me ngā whakatauranga whānui pēnei i te paturopi Helicobacter pylori, te tau me te ira tangata, hei aromatawai. Ko te tikanga mō te mōrearea matepukupuku puku, mā te pūnaha whakatauranga tirotiro matepukupuku puku, ka taea te tirotiro i ngā rōpū mōrearea waenga me te mōrearea teitei o te matepukupuku puku.
Ka whakahaerehia he tirotiro endoscopic me te aroturuki mō ngā rōpū mōrearea waenga me te mōrearea nui. Ka tirohia ngā rōpū mōrearea nui i te iti rawa kotahi i te tau, ā, ka tirohia ngā rōpū mōrearea waenga i te iti rawa kotahi i te rua tau. Ko te kitenga tūturu ko te mate pukupuku wawe, ka taea te rongoā mā te pokanga endoscopic. Ehara i te mea ka taea anake te whakapai ake i te tere kitenga wawe o te mate pukupuku puku, engari ka whakaitihia hoki te tirotiro endoscopic koretake i roto i ngā rōpū mōrearea iti.
5 He aha te Gastroskopi
Hei whakarāpopototanga, ko te gastroscopy he mahi tātaritanga āhua endoscopic o ngā whara whakapae i kitea i te wā kotahi me te gastroscopy noa, tae atu ki te endoscopy mārama mā noa, te chromoendoscopy, te endoscopy whakanui, te endoscopy confocal me ētahi atu tikanga. Ka whakatauhia te whara he pai, he whakapae rānei mō te mate pukupuku, kātahi ka mahia te koiora o te whara kino e whakapaetia ana, ā, ka mahia te tātaritanga whakamutunga mā te pathology. Hei whakatau mēnā he whara mate pukupuku, te whānuitanga o te urunga taha o te mate pukupuku, te hohonu o te urunga poutū, te nui o te wehewehenga, me te mēnā he tohu mō te maimoatanga microscopic.
Ki te whakatauritea ki te gastroscopy noa, me whakahaere te whakamātautau gastroscopy i raro i ngā āhuatanga kore mamae, kia taea ai e ngā tūroro te okioki katoa i roto i te āhua moe poto me te mahi haumaru i te gastroscopy. He nui ngā whakaritenga mō ngā kaimahi Gastroscopy. Me whakangungua ki te kimi wawe i te mate pukupuku, ā, ka taea e ngā endoscopists mohio te whakahaere i ngā whakamātautau taipitopito ake, kia pai ake ai te kite i ngā whara me te hanga tirotiro me ngā whakatau tika.
He nui ngā whakaritenga mō ngā taputapu mō te gastroscopy, inā koa mō ngā hangarau whakarei ake i te ahua pērā i te chromoendoscopy/chromoendoscopy hiko, te endoscopy whakanui rānei. Me whakamahi anō hoki te ultrasound gastroscopy mēnā e tika ana.
6 Ngā maimoatanga mō te matepukupuku puku wawe
1. Te tangohanga endoscopic
Kia kitea wawetia te mate pukupuku puku, ko te tangohanga endoscopic te whiringa tuatahi. Ki te whakatauritea ki te pokanga tuku iho, he iti ake ngā whara, he iti ake ngā raruraru, he tere ake te whakaora, he iti ake te utu, ā, he rite tonu te whai huatanga o ngā mea e rua. Nō reira, e taunakihia ana te tangohanga endoscopic i te kāinga me tāwāhi hei maimoatanga pai mō te mate pukupuku puku wawe.
I tēnei wā, ko ngā tikanga tango endoscopic e whakamahia whānuitia ana ko te tango endoscopic mucosal (EMR) me te tango endoscopic submucosal dissection (ESD). Nā tētahi hangarau hou kua whakawhanakehia, ko te ESD single-channel endoscopy, ka taea te tango kotahi i ngā whara ki roto i te uaua propria, me te whakarato hoki i te wāhanga pathological tika hei whakaiti i te hokinga mai o te mate i te wā tōmuri.
Me mārama ko te tango endoscopic he pokanga iti rawa te whakaekenga, engari he nui tonu ngā raruraru, tae atu ki te toto, te pakaru, te stenosis, te mamae o te puku, te mate, me ētahi atu. Nō reira, me mahi tahi te tiaki, te whakaora, me te arotake o te tūroro i muri i te pokanga me te tākuta kia tere ai te ora.
2 Pokanga Laparoscopic
Ka taea te whakaaro ki te pokanga laparoscopic mō ngā tūroro e pāngia ana e te matepukupuku puku wawe, kāore e taea te tango endoscopic. Ko te pokanga laparoscopic he whakatuwhera i ngā awa iti i roto i te puku o te tūroro. Ka whakanohoia ngā laparoscope me ngā taputapu whakahaere mā roto i ēnei awa, ā, kāore e kino te tūroro, ā, ka tukuna ngā raraunga whakaahua i roto i te kōhao puku ki te mata whakaatu mā te laparoscope, ka oti i raro i te arataki a te laparoscope. pokanga matepukupuku puku. Ka taea e te pokanga laparoscopic te whakaoti i te mahi laparotomy tuku iho, te mahi i te gastrectomy nui, te tango katoa rānei, te tango i ngā kōpū lymph whakapae, me ētahi atu, ā, he iti ake te toto, he iti ake te kino, he iti ake te koha i muri i te tapahi, he iti ake te mamae, ā, he tere ake te whakaora i te mahi gastrointestinal i muri i te pokanga.
3. Pokanga tuwhera
I te mea e 5% ki te 6% o ngā matepukupuku puku ā-roto-mucosal me te 15% ki te 20% o ngā matepukupuku puku i raro i te mucosal kua horapa ki ngā kōpū lymph perigastric, inā koa ko te adenocarcinoma kāore anō kia wehewehea i roto i ngā wāhine taitamariki, ka taea te whakaaro ki te laparotomy tuku iho, ka taea te tango whānui me te tapahi i ngā kōpū lymph.
whakarāpopototanga
Ahakoa he tino kino te mate pukupuku puku, ehara i te mea kino rawa. Mēnā ka pai ake te mōhio ki te ārai, ka taea te kite i te mate pukupuku puku i te wā tika, ka taea hoki te rongoā wawe, ā, ka taea te whakaora katoa. Nō reira, e taunakihia ana kia tirotirohia wawetia te mate pukupuku puku o ngā rōpū mōrearea nui i muri i te 40 tau, ahakoa he mamae tō rātou ara kai, ahakoa he mamae tō rātou, me tāpiri rānei he tirotiro puku ki te whakamātautau tinana noa hei kite i te mate pukupuku wawe, hei whakaora i te oranga me te whānau harikoa.
Ko mātou, ko Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., he kaihanga i Haina e tohunga ana ki ngā taonga endoscopic, pērā i tengā kukupa koiora, hemoclip,mahanga poripi, ngira whakaora kiriuhi, pūwero rehu, paraihe cytology, waea ārahi, kete tiki kohatu, te katitere whakaheke wai ihume ētahi atu e whakamahia whānuitia ana i roto i te EMR, ESD, ERCP. He tiwhikete CE ā mātou hua, ā, he tiwhikete ISO ā mātou tipu. Kua kaweakehia ā mātou taonga ki Ūropi, Amerika Te Raki, Te Waenganui Rawhiti me tētahi wāhanga o Āhia, ā, he whānuitia te whiwhinga o te kiritaki i te mihi me te whakamoemiti!
Wā tuku: Pipiri-21-2022