Kodi dokotala wanu wakuuzanipo kuti muli ndi kakulidwe kakang'ono ka minofu m'matumbo anu, m'mimba, kapena m'mero, kapena kuti muli ndi khansa yoyambira? Ndizachilendo kumva mantha kwambiri komanso kudabwa mukamva chinthu chonga ichi. Koma musadandaule. Pali njira zosavuta komanso zamakono zamankhwala masiku ano zomwe sizifuna opaleshoni yayikulu monga kudula m'mimba monga kale. Umu ndi momwe tikulankhulira za njira yapadera yomwe ingakupatseni kuchira mwachangu.
Kodi Endoscopic Mucosal Resection ndi chiyani?
Ngakhale dzinali lingamveke ngati lovuta pang'ono, njira imeneyi ndi yosavuta. Mwachidule, ndi njira yomwe imachotsa minofu yosazolowereka m'mimba mwanu, monga ziphuphu zazing'ono, ma polyps, kapena magawo oyambirira a khansa, popanda kudula m'mimba mwanu.
Tangoganizirani, palibe mabala kapena zipsera zomwe zatsala m'mimba mwanu. Izi zimachitika ndi dokotala wa matenda a m'mimba. Iye amagwiritsa ntchito kamera kakang'ono kumapeto kwa chubu chachitali komanso chosinthasintha chotchedwa endoscope. Ngati minofu yolakwika ili m'mimba mwanu, chubucho chimalowetsedwa kudzera pakamwa panu. Kupanda kutero, ngati chili m'mimba mwanu, monga m'matumbo akulu, chimalowetsedwa kudzera mu anus yanu.
Ubwino waukulu wa njira imeneyi ndi wakuti popeza palibe mabala omwe amapangidwa kunja kwa thupi, simumva kupweteka kwambiri ndipo nthawi yanu yochira idzakhala yochepa kwambiri poyerekeza ndi opaleshoni yanthawi zonse.
Kodi njira iyi imagwiritsidwa ntchito pa matenda amtundu wanji?
Mankhwalawa amagwiritsidwa ntchito makamaka pochotsa maselo omwe angayambitse khansa kapena minofu yolakwika yomwe ingayambitse khansa mtsogolo . Ndi othandiza kwambiri pa zotupa zomwe zimakula mu mucosa, yomwe ndi gawo lopyapyala la kugaya chakudya.
Nazi zina mwa njira zomwe zimagwiritsidwa ntchito kwambiri pa njira iyi:
- Mphuno ya Barrett: Pa vutoli, maselo omwe ali mumphuno amasintha modabwitsa, zomwe zimapangitsa kuti pakhale chiopsezo chotenga khansa.
- Khansa ya m'matumbo: Ziphuphu zazing'ono za khansa zomwe zimapezeka msanga.
- Khansa ya m'mero: Khansa yoyambirira.
- Khansa ya m'matumbo ang'onoang'ono: Khansa yomwe imapezeka makamaka mu duodenum.
- Khansa ya m'mimba: Ziphuphu zazing'ono zomwe zimapangika pamwamba pa mimba.
Zinthu zofunika kudziwa musanalandire chithandizo komanso mutalandira chithandizo
Chothandizira chanu musanayambe komanso mutalandira chithandizo choterechi n'chofunikanso kwambiri.
Kukonzekera musanalandire chithandizo
Dokotala wanu adzakupatsani malangizo omveka bwino a momwe mungakonzekerere izi.
- Kumtunda kwa kugaya chakudya (paipi ya chakudya, m'mimba): Mudzapemphedwa kuti musiye kudya ndi kumwa kwa maola angapo musanalandire chithandizo (kusala kudya).
- Ngati ili m'mimba mwanu (m'mimba mwanu): Mungafunike kukonzekera matumbo. Izi zimaphatikizapo kumwa mankhwala amadzimadzi omwe dokotala wanu angakupatseni kuti muyeretse matumbo anu onse. Apa ndi pamene dokotala amatha kuona mkati mwake bwino pogwiritsa ntchito endoscope.
Pa nthawi ya chithandizo
Mudzapatsidwa mankhwala oletsa ululu kuti musamve kupweteka kapena kusasangalala. Mungathe kugonedwa (anesthesia wamba) , kapena mungagonedwe kuti musakumbukire chilichonse pambuyo pake (hyposthesis) . Dokotala adzaika endoscope, adzayang'ana malowo ndi kamera, ndikugwiritsa ntchito zida zazing'ono kwambiri zomwe zimadutsamo kuti achotse minofu yolakwika. Njira yonseyi nthawi zambiri imatenga mphindi 30 mpaka 60 zokha.
Pambuyo pa chithandizo
Mukamaliza kulandira chithandizo, mudzasungidwa m'chipinda chochiritsira odwala mpaka zotsatira za mankhwala oletsa ululu zitatha. Chofunika kwambiri, mudzafunika munthu woti akutengereni kunyumba. Popeza zingatenge maola 24 kuti zotsatira za mankhwala oletsa ululu zithe, simudzaloledwa kuyendetsa galimoto kapena kupita kunyumba nokha.
Kodi ubwino wake ndi zotsatira zake zingakhale zotani?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali ubwino komanso zoopsa zomwe zingachitike nthawi zina. Tiyeni tiwone zonse ziwiri.
| Ubwino waukulu | Zotsatirapo ndi zoopsa zomwe zingachitike |
|---|---|
| Kuchira mwachangu kwambiri (mutha kubwerera kuntchito patatha tsiku limodzi) | Kusasangalala kwakanthawi monga kudzimbidwa, kupweteka m'mimba, ndi zina zotero. |
| Ululu wake ndi wochepa kwambiri poyerekeza ndi opaleshoni yanthawi zonse. | Mpweya, nseru, kupweteka pakhosi (ngati endoscope yalowetsedwa kudzera pakamwa). |
| Palibe zipsera za opaleshoni zomwe zimasiyidwa kunja kwa thupi. | Zosowa: Kutuluka magazi kuchokera pamalo ochizira. |
| Chiwopsezo cha mavuto ndi chochepa poyerekeza ndi opaleshoni yotseguka. | Chosowa kwambiri: Kuboola m'mimba. |
| Maselo a khansa amatha kuchotsedwa asanafalikire (metastasize) ku ziwalo zina za thupi. | Chosowa kwambiri: Kutsekeka kwa m'mero. |
Kodi ndi liti pamene muyenera kupita kwa dokotala mwachangu?
Ndikofunikira kwambiri kusamalira thupi lanu mukapita kunyumba mutalandira chithandizo. Ngati mukukumana ndi zizindikiro zotsatirazi, musachedwe ndipo imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.
- Ngati muli ndi magazi m'chimbudzi chanu (chakuda kapena chofiira chakuda)
- Ngati muli ndi ululu waukulu pachifuwa
- Ngati mukumva chizungulire kapena kukomoka
- Ngati muli ndi malungo kapena kuzizira
- Ngati mukuvutika kupuma (kupuma movutikira)
Ndizachibadwa kuchita mantha mukamva mawu oti 'khansa'. Koma chifukwa cha njira zamakono zamankhwala monga Endoscopic Mucosal Resection, tsopano mutha kuchotsa zotupa zazing'ono ndi zotupa zomwe zisanachitike khansa popanda kupweteka kwa opaleshoni yayikulu. Iyi si opaleshoni yayikulu. Kuti muthe kuchira mwachangu, kubwerera ku moyo wanu wamba popanda ululu, ndikubwerera ku moyo wanu wamba mwachangu. Ngati muli ndi vuto lofananalo, lankhulani ndi dokotala wanu za njira iyi yothandizira.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa minofu ya m'mimba pogwiritsa ntchito Endoscopic Mucosal ndi njira yosavuta komanso yotetezeka yochotsera minofu yolakwika m'mimba popanda kudula kunja kwa thupi.
- Izi zimagwiritsidwa ntchito makamaka pochotsa zotupa zazing'ono ndi maselo omwe angakhale khansa kumayambiriro kwa khansa.
- Poyerekeza ndi opaleshoni yanthawi zonse, ululu ndi wochepa kwambiri, kuchira kumakhala kofulumira, ndipo palibe zipsera m'thupi.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala (monga kusala kudya, kutsuka matumbo) musanalandire chithandizo.
- Ngati mukukumana ndi zizindikiro zoopsa monga kupweteka pachifuwa, magazi m'chimbudzi chanu, kapena kutentha thupi mutalandira chithandizo, funsani upangiri wa dokotala nthawi yomweyo.
- Kambiranani ndi dokotala wanu wa gastroenterologist ngati njira iyi yochizira ndi yoyenera kwa inu.
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