Kodi munachita mantha mukamva za kuchotsa maselo a khansa kudzera mu endoscopy? (Endoscopic Mucosal Resection) Tiyeni tikambirane izi!

Kodi mudachitidwapo opaleshoni ya endoscopy ndipo dokotalayo anati, "Pali chotupa chaching'ono m'mimba mwanu, tiyenera kuchichotsa"? Kapena "Pali polyp yaying'ono m'matumbo mwanu, tiyeni tichichotse chisanakhale khansa"? Mukamva zimenezo, mwina mukuganiza kuti, "O, opaleshoni?". Mwina mukudabwa ngati muyenera kudula mimba yanu, kukhala m'chipatala kwa masiku angapo, komanso ululu womwe ungayambitse. Koma mutha kukhala osangalala, chifukwa si chilichonse chomwe chimafuna opaleshoni yayikulu. Lero tikambirana za ukadaulo wapamwamba kwambiri komanso wotetezeka womwe umachotsa minofu yolakwika iyi mkati mwa chubu chanu cha endoscopy, popanda kudula mimba yanu.

Kodi Endoscopic Mucosal Resection (EMR) ndi chiyani?

Dzinali lingamveke ngati lovuta pang'ono, koma kwenikweni ndi losavuta. Tilitchule mwachidule kuti EMR.

Mwachidule, iyi si opaleshoni. Ndi njira yochotsera minofu yosazolowereka mkati mwa njira yanu yogaya chakudya, popanda kuvulaza m'mimba. Minofu yosazolowereka iyi ikhoza kukhala maselo a khansa, kapena ikhoza kukhala zotupa zomwe zingayambitse khansa mtsogolo.

Ganizirani za dongosolo lanu la m'mimba ngati chubu chachitali. Maselo osazolowereka amakula pakhoma la mkati mwa chubu ichi (timachitcha kuti mucosa). Mu njira ya EMR, monga momwe mungachitire ndi endoscopy, chubu chachitali, chosinthasintha chokhala ndi kamera yolumikizidwa nacho (endoscope) chimayikidwa kudzera pakamwa panu kapena m'matumbo, m'dera lomwe minofu yosazolowereka ili, ndipo pogwiritsa ntchito zida zazing'ono zomwe zimadutsa mu chubucho, dokotalayo amadula chidutswa chimenecho cha minofu ndikuchichotsa.

Izi zimachitika ndi dokotala wa matenda a m'mimba. Ubwino waukulu wa njira iyi ndi wakuti palibe mabala akunja, kotero simumva kupweteka kwambiri, ndipo mutha kuchira mwachangu ndikubwerera ku moyo wanu watsiku ndi tsiku.

Kodi njira iyi ya EMR imagwiritsidwa ntchito pa matenda amtundu wanji?

Njirayi imagwiritsidwa ntchito makamaka pochiza khansa ndi matenda omwe asanafike khansa. Chofunika kwambiri, njira iyi imagwira ntchito bwino pokhapokha ngati matendawa apezeka koyambirira . Izi zikutanthauza kuti, minofu yolakwika ili mkati mwa khoma la m'mero.

Njira ya EMR imagwiritsidwa ntchito kwambiri pazochitika zotsatirazi:

• Khansa ya m'mero: Khansa yoyambirira ya m'mero ​​(chubu chomwe timameza chakudya).
• Mphuno ya Barrett: Apa ndi pamene maselo omwe ali mkati mwa mphuno mwanu amasintha ndipo amakhala ndi mwayi waukulu woti akhale khansa. Njirayi imagwiritsidwa ntchito kuchotsa maselo osazolowerekawa.
• Khansa ya m'mimba: Khansa yoyambirira yomwe imayamba pamwamba pa khoma la m'mimba.
• Khansa ya m'matumbo:Njira iyi ndi yothandiza kwambiri pochotsa ma polyps kapena khansa yoyambirira m'matumbo kapena m'matumbo.
• Khansa ya m'matumbo ang'onoang'ono: Izi zimagwiritsidwanso ntchito pa khansa yomwe imapezeka m'chigawo choyamba cha m'matumbo ang'onoang'ono (duodenum).

Kodi chithandizochi ndi choyenera kwa ndani?

Dokotala wanu adzasankha ngati chithandizo cha EMR chili choyenera kwa inu. Zimatengera zinthu zingapo. Zofunika kwambiri ndi kukula kwa minofu yolakwika komanso kufalikira kwake .

Chithandizochi chingakhale choyenera kwa inu:

• Ngati minofu yanu yosazolowereka (chotupa kapena kulemera) ndi yaying'ono.
• Pokhapokha ngati yalowa mkati mwa khoma la kugaya chakudya.

Komabe, ngati chotupacho ndi chachikulu kapena chalowa mkati mwa khoma, EMR yokha singakhale yokwanira. Pazochitika zotere, mungafunike kugwiritsa ntchito njira zina zochiritsira.

Kodi mumakonzekera bwanji izi pasadakhale?

Dokotala wanu adzakupatsani malangizo omveka bwino a momwe mungakonzekerere izi, ndipo ndikofunikira kwambiri kuwatsatira bwino.

• Pa gawo la m'mimba lapamwamba (m'mero, m'mimba): Mudzapemphedwa kuti musamadye kapena kumwa konse kwa maola angapo musanachite opaleshoniyi. Izi zili choncho chifukwa dokotala amatha kuona bwino komanso kuchotsa minofu bwinobwino ngati m'mimba mulibe kanthu.
• Pa matumbo akulu (m'mimba): Pachifukwa ichi, muyenera "kukonzekera matumbo." Dokotala adzakupatsani mankhwala apadera ( othira mankhwala ) kuti mumwe. Mukamaliza kumwa, muyenera kupita kuchimbudzi pafupipafupi. Ngakhale kuti izi sizikusangalatsa, ndikofunikira kuchita izi kuti muyeretse bwino mkati mwa m'mimba mwanu. Izi zithandiza dokotalayo kuwona bwino akamalowetsa chubu.

Kodi chimachitika ndi chiyani panthawiyi?

Tidzatenga njira zofunikira kuti titsimikizire kuti simukumva kupweteka kapena kusasangalala panthawiyi.

Mudzapatsidwa mankhwala oletsa ululu , zomwe zikutanthauza kuti mudzakhala mutulo tofa nato. Nthawi zina mudzamva ngati mwadzuka, koma simudzakumbukira chilichonse pambuyo pake (conscious sedation) . Choncho simudzamva kapena kukumbukira chilichonse.

Kenako dokotalayo amatsatira njira izi:

1. Ngati njira yanu yam'mimba yakhudzidwa, chithandizocho chimachitika kudzera pakamwa . Ngati njira yanu yam'mimba yakhudzidwa, chubu cha endoscope chimalowetsedwa pang'onopang'ono kudzera mu anus .

2. Pogwiritsa ntchito kamera, chubucho chimalunjika komwe kuli minofu yolakwika.

3. Kenako, zida zazing'ono zopangira opaleshoni zimadutsa mu chubu ndipo minofu imachotsedwa. Pali njira zingapo zochitira izi. Nthawi zina minofu imakokedwa mmwamba pogwiritsa ntchito kuyamwa, kapena madzi amabayidwa pansi pa minofu ndikunyamulidwa ndikudulidwa, kapena amadulidwa ndi waya wamagetsi.

4. Chotsani mosamala chidutswa cha minofu chomwe chachotsedwa.

Njira yonseyi nthawi zambiri imatenga mphindi 30 mpaka 60 .

Kodi chimachitika ndi chiyani pambuyo pa opaleshoniyi?

Mukamaliza kulandira chithandizo, mudzasamutsidwira ku chipinda chochiritsira odwala. Muyenera kukhala pansi pa utsogoleri wa dokotala kwa maola angapo mpaka zotsatira za mankhwala oletsa ululu zitatha.

• Paulendo wobwerera kunyumba:Popeza zingatenge maola 24 kuti zotsatira za mankhwala oletsa ululu zithe, mudzafunika munthu woti akutengereni kunyumba. Simudzaloledwa kuyendetsa galimoto kapena kupita nokha kunyumba.
• Kuwunika minofu: Minofu yochotsedwayo imatumizidwa ku labotale. Kumeneko, katswiri wa matenda amaiwunika pogwiritsa ntchito maikulosikopu ndipo amapereka lipoti latsatanetsatane, kuphatikizapo ngati ili ndi maselo a khansa, ngati yachotsedwa kwathunthu, komanso mtundu wake.

Kodi pali zotsatirapo zazing'ono?

Inde, mungamve kupweteka pang'ono kwa tsiku limodzi kapena awiri. Izi ndi zachilendo ndipo zimatha msanga.

• Kutupa
• Kupweteka m'mimba (Kupweteka m'mimba)
• Kupweteka kwa mpweya ndi kudzimbidwa
• Kusanza kapena kusanza
• Kupweteka pang'ono pakhosi ngati chubucho chalowetsedwa kudzera pakamwa

Izi nthawi zambiri zimachira kwathunthu mkati mwa tsiku limodzi kapena awiri.

Kodi ubwino ndi zoopsa za dongosolo la EMR ili ndi ziti?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali ubwino ndi zoopsa zazing'ono kwambiri.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire ndipo ndiyenera kuchita chiyani pambuyo pake?

Chimodzi mwa ubwino waukulu wa njira ya EMR ndi kuchira msanga.

• Kupita kuntchito: Anthu ambiri akhoza kubwerera ku zochita zawo za tsiku ndi tsiku tsiku lotsatira .
• Zakudya: Dokotala wanu angakulangizeni kuti muzidya zakudya zamadzimadzi kwa masiku angapo mpaka kugaya chakudya chanu kuchira. Pambuyo pake, pang'onopang'ono mutha kubwerera ku chakudya chachizolowezi.
• Kutsatira: Mudzafunsidwa kuti mubwererenso kudzaonana ndi dokotala wanu patatha milungu 12 kuchokera pamene mwalandira chithandizo. Kudzachitika endoscopy kuti muwone ngati minofu yonse yolakwika yachotsedwa kwathunthu komanso ngati malowo achira bwino. Kutengera ndi lipoti la minofu, chisankho chidzapangidwa ngati mukufuna chithandizo china kapena ayi.

Kodi ndi zinthu ziti zadzidzidzi zomwe zimafuna kuyimbira dokotala?

Ngati mukukumana ndi zizindikiro zotsatirazi mutalandira chithandizo, musanyalanyaze. Imbani dokotala wanu nthawi yomweyo, kapena pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi mwamsanga.

• Ngati muli ndi magazi m'chimbudzi chanu (chakuda kapena chofiira chakuda)
• Kupweteka kwambiri pachifuwa
• Ngati mukumva chizungulire kapena kukomoka
• Ngati muli ndi malungo kapena kuzizira komanso kunjenjemera
• Kuvuta kupuma (kupuma movutikira)

Izi zitha kukhala zizindikiro za mavuto omwe takambirana kale, choncho ndikofunikira kupita kuchipatala mwachangu.

EMR si opaleshoni yaikulu, ndi njira yochepa kwambiri yolowerera. Ukadaulo wamakono ngati uwu ungathandize kuchepetsa mantha ndi nkhawa zomwe zimabwera chifukwa chodziwa kuti muli ndi khansa kapena muli pachiwopsezo cha khansa. Poyerekeza ndi nthawi yochira komanso ululu mukatha opaleshoni yayikulu, EMR imakulolani kubwerera ku moyo wathanzi msanga.