He maha ngā tūroro i ngā tari gastroenterology, i ngā pokapū endoscopy rānei e tūtohutia ana kia tangohia te mucosal endoscopic (EMR). He mea whakamahi pinepine, engari e mōhio ana koe ki ōna tohu, ōna herenga, me ngā mahi ārai i muri i te pokanga?
Mā tēnei tuhinga koe e ārahi mā te pūnaha i ngā mōhiohio matua mō te EMR hei āwhina i a koe ki te whakatau whai whakaaro, whai māia hoki.
Nā, he aha te EMR? Me tuhi tuatahi tātou kia kite ai…
❋He aha ngā kōrero a ngā aratohu whai mana mō ngā tohu mō te EMR? E ai ki ngā Aratohu Maimoatanga Mate Pukupuku Kōpū Hapanihi, te Whakaaetanga Tohunga Hainamana, me ngā aratohu a te Rōpū Endoscopy o Ūropi (ESGE), ko ngā tohu e taunakitia ana mō te EMR ko ēnei e whai ake nei:
Ⅰ. Ngā polyp pai, ngā adenoma rānei
● Ngā whara ≤ 20 mm me ngā taha mārama
● Kāore he tohu mārama o te whakaekenga o raro i te kiriuhi
● Te Pūmua e Horapa ana ki te Taha (LST-G)
Ⅱ. Te neoplasia intraepithelial taumata teitei (HGIN)
● He iti noa te kiriuhi, kāore he mate puku
● Ngā whara iti iho i te 10 mm
● He rerekētanga pai
Ⅲ. Te dysplasia ngawari, ngā whara iti rānei me te pathology mārama me te tipu puhoi
◆ Ngā tūroro i whakaarohia he tika mō te tango i muri i te tirotiro whai muri
⚠Kia mōhio: Ahakoa e kī ana ngā aratohu he pai te EMR mō ngā mate pukupuku o te wā tōmua mēnā he iti te whara, kāore he whēwhe, ā, kua herea ki te mucosa, i roto i te mahi haumanu tūturu, ko te ESD (endoscopic submucosal dissection) te mea e pai ake ana kia tino oti te tango, kia haumaru, kia tika hoki te aromatawai pathological.
He maha ngā painga nui o te ESD:
Ka taea te tango i te whara i roto i te wāhanga kotahi
Ka āwhina i te aromatawai tawhē, ka whakaiti i te mōrearea o te hokinga mai
He pai mō ngā whara nui ake, uaua ake rānei
Nō reira, e whakamahia ana te EMR i roto i ngā mahi haumanu mō:
1. Ngā whara pai, kāore he mōrearea o te mate pukupuku
2. Ngā polyp iti, ngāwari te tango, ngā LST colorectal rānei
⚠Ngā Whakatūpato i muri i te pokanga
1. Te Whakahaere Kai: Mō ngā haora 24 tuatahi i muri i te pokanga, kaua e kai, kaua hoki e inu wai mārama, kātahi ka neke mārire ki te kai ngawari. Kaua e kai i ngā kai raukikī, kai kawa, me ngā kai whakapataritari.
2. Te Whakamahinga o te Rongoā: Ko ngā aukati papu proton (PPI) e whakamahia whānuitia ana i muri i te pokanga mō ngā whara o te puku hei whakatairanga i te whakaora o te mate puku me te aukati i te toto.
3. Te Aroturuki i ngā Whakararuraru: Kia tūpato ki ngā tohu o te toto, te pakaru rānei i muri i te pokanga, pērā i te melena, te hematemesis, me te mamae o te puku. Rapua he awhina hauora tonu mēnā ka puta he āhuatanga rerekē.
4. Mahere Arotake: Whakaritea ngā haerenga whai muri me te tukurua i ngā tirotiro endoskopika i runga i ngā kitenga mate.
Nō reira, he tikanga tino nui te EMR mō te tango i ngā whara o te puku. Heoi, he mea nui kia mārama tika ki ōna tohu, kia karohia hoki te whakamahi nui, te whakamahi hē rānei. Ki ngā tākuta, me whai whakaaro nui, me whai pūkenga hoki tēnei; ki ngā tūroro, me whakawhirinaki, me mārama hoki.
Kia kite tātou he aha tā tātou e taea ai te tuku mō te EMR.
Anei ā mātou taonga whakapau endoscopic e pā ana ki te EMR, tae atu ki:Ngā Topenga Hemostatic,Mahanga Polypectomy,Ngira WerohangameNgā Kēpi Koiora.
Wā tuku: Hepetema-01-2025