Kodi dokotala wakuuzani kuti muli ndi chotupa chaching'ono m'matumbo anu kapena m'mero chomwe chikufunika kuchotsedwa? Mukamva zimenezo, ambiri a ife timaopa komanso timada nkhawa, kuganiza kuti, "O, kodi ndiyenera kuchitidwa opaleshoni yayikulu?" Koma ndi ukadaulo wapamwamba wa zamankhwala womwe ulipo masiku ano, pali njira zodabwitsa zochotsera zinthuzi popanda kudula kwambiri thupi. Lero, tikambirana za njira imodzi yapadera yochizira matenda.
Mwachidule, kodi Endoscopic Submucosal Dissection (ESD) ndi chiyani?
Izi n'zosavuta kuzimvetsa. Mwina mwamvapo za mayeso a ' endoscopy '. Njira yomwe chubu chosinthasintha chokhala ndi kamera chimayikidwa kudzera pakamwa kapena kumtunda kuti chiyeze chitoliro cha chakudya . Izi ndi zomwezo. Koma ndi zapamwamba pang'ono.
Mu ESD, dokotala wa gastroenterologist amagwiritsa ntchito endoscope kuti aike zida zabwino kwambiri zochitira opaleshoni. Kenako, minofu yosazolowereka yomwe ili pakhoma la kugaya chakudya, gawo lofanana ndi chotupa , imadulidwa mosamala ndikuchotsedwa. Gawo labwino kwambiri ndilakuti zonsezi zimachitika popanda kudula ziwalo kunja kwa thupi lanu. Izi zikutanthauza kuti ululu umakhala wochepa kuposa mutachita opaleshoni yayikulu, ndipo mutha kuchira mwachangu.
Kodi njira ya ESD ndi yothandiza pa matenda a mtundu wanji?
Mankhwalawa nthawi zambiri amagwiritsidwa ntchito pochotsa zotupa za khansa kapena zomwe zisanachitike khansa, ma polyps , kapena zilonda m'mimba. ESD ndi yothandiza kwambiri pa matenda awa:
- Mphuno ya Barrett : Pa vutoli, maselo omwe ali m'munsi mwa mphuno amasintha modabwitsa. Pambuyo pake amatha kukhala khansa.
- Khansa ya m'matumbo
- Khansa ya m'mero
- Khansa ya m'matumbo ang'onoang'ono
- Khansa ya m'mimba
Chofunika kwambiri ndi chakuti njira iyiKutha kuchotsa maselo a khansa kapena minofu yolakwika m'chidutswa chimodzi . Izi zimapangitsa kuti zikhale zosavuta kutsimikizira ngati matendawa achotsedwa kwathunthu.
Kodi kusiyana pakati pa ESD ndi EMR ndi kotani?
Mwina munamvapo za njira ina yotchedwa `Endoscopic Mucosal Resection (EMR).` Njira zonsezi ndi njira zochepetsera kufalikira kwa khansa zomwe zimachitika pogwiritsa ntchito endoscope. Komabe, pali kusiyana pang'ono pakati pa ziwirizi. Tiyeni tiwone zomwe zili.
| Mbali | Kuchotsa Mucosal Resection (EMR) | Kuduladula kwa Endoscopic Submucosal (ESD) |
|---|---|---|
| Malo omwe mukufuna | Zotupa pamwamba pa chigawo chamkati cha kugaya chakudya (mucosa) zimachotsedwa. | Kuwonjezera pa zotupa za pamwamba, zotupa zomwe zalowa mkati mwa nembanemba zimathanso kuchotsedwa. |
| Njira yogwiritsidwa ntchito | Chotupacho chimachotsedwa pochiikamo madzi pansi pake, kuchikweza, ndikuchidula ndi chinthu chonga chitsulo. Nthawi zina chimachotsedwa m'zidutswa zingapo. | Pogwiritsa ntchito mpeni wapadera wamagetsi, chipatsocho chimadulidwa bwino kwambiri mozungulira ndi pansi pake, ndikuchichotsa m'chidutswa chimodzi . |
| Zochitika zoyenera kwambiri | Kwa mtedza wochepa kwambiri, wopanda pake. | Pa zotupa zazikulu, zathyathyathya, kapena zokulira pang'ono, makamaka pa milandu ya khansa, kuchotsa kwathunthu ndikofunikira. |
Kodi mumakonzekera bwanji musanalandire chithandizo?
Izi sizikufuna kukonzekera kwambiri. Dokotala wanu adzakupatsani malangizo enieni omwe mukufunikira.
- Ngati endoscope ikulowetsedwa kudzera pakamwa (monga m'mimba, m'mero): Mudzapemphedwa kuti musadye kapena kumwa kwa maola angapo musanalandire chithandizo.
- Ngati yayikidwa m'matumbo (monga m'matumbo): Mudzafunsidwa kuti "mukonzekere matumbo." Izi zikutanthauza kuti muyenera kumwa mankhwala ofewetsa thukuta omwe dokotala wanu adzakupatsani kuti muyeretse matumbo anu onse. Izi zithandiza dokotalayo kuona bwino mkati mwa matumbo anu.
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
Palibe chifukwa chodera nkhawa ndi izi. Dokotala wogonetsa anthu ogonetsa adzakugonetsani tulo tofa nato (`General Anesthesia`), kapena kukupatsani mankhwala kuti mukhale omasuka komanso opanda ululu. Simudzamva chilichonse panthawiyi.
Pa nthawi ya chithandizo, dokotala adzatsatira njira izi:
1. Chubu cha endoscope chimayikidwa kudzera pakamwa kapena m'matumbo.
2. Mukayang'ana kudzera mu kamera, pitani komwe kuli chotupa chachilendocho.
3. Malo a chotupacho amalembedwa ndi chipangizo chapadera.
4. Kuti apewe kuwononga minofu yathanzi yomwe ili pansi pa chotupacho, amabayidwa madzi apadera pansi pa chotupacho. Izi zimapangitsa kuti pakhale "khushoni" pansi pa chotupacho, zomwe zimakweza chotupacho mmwamba.
5. Kenako, pogwiritsa ntchito mpeni wamagetsi wothamanga kwambiri, chotupacho chimadulidwa kwathunthu ndikuchotsedwa.
Njira yonseyi nthawi zambiri imatenga ola limodzi kapena atatu.
Kodi chimachitika ndi chiyani mukalandira chithandizo? Ndipo zoopsa zake ndi ziti?
Mukalandira chithandizo, mudzayang'aniridwa m'chipinda chochiritsira mpaka mutadzuka kuchokera ku opaleshoni yoletsa ululu. Minofu yochotsedwayo imatumizidwa ku labotale kuti ikapezeke ndi matendawa. Kumeneko, katswiri wa matenda amaufufuza kuti awone ngati pali maselo a khansa komanso ngati khansa yonse yachotsedwa.
Mungathe kupita kunyumba tsiku lomwelo, kapena mungafunike kugona m'chipatala usiku wonse. Chofunika kwambiri, zimatenga pafupifupi maola 24 kuti zotsatira za mankhwala oletsa ululu zithe kwathunthu, kotero muyenera kubwera ndi munthu wina ndikumuyendetsa kunyumba ndi galimoto.
Pakhoza kukhala kusasangalala pang'ono kwa tsiku limodzi kapena awiri mutalandira chithandizo, koma pali zinthu zina zomwe muyenera kudziwa.
| Zotsatira zoyipa zomwe zimachitika nthawi yochepa (kuchira pakatha masiku 1-2) | Nthawi yoti mupite kwa dokotala wanu kapena ku Dipatimenti Yodzidzimutsa ya chipatala (ETU) nthawi yomweyo |
|---|---|
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Mavuto a ESD ndi osowa, koma amatha kuphatikizapo kutuluka magazi, kubowoka kwa m'mimba, kapena kutsekeka kwa m'mero. Izi sizichitika kawirikawiri.
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire?
Anthu ambiri amatha kubwerera ku zochita zawo zachizolowezi patatha masiku pafupifupi 5. Komabe, ngati muli ndi ntchito yotopetsa, dokotala wanu angakulangizeni kuti mupumule kwakanthawi. Kuyenda kwanu m'mimba kungakhale kosazolowereka kwa pafupifupi sabata imodzi mutalandira chithandizo.
Mudzapemphedwa kuti mukaonenso dokotala patatha milungu iwiri kuchokera pamene mwalandira chithandizo. Kenako mutha kukambirana zotsatira za lipoti la labu komanso ngati mukufuna chithandizo china.
Uthenga Wopita Nawo Kunyumba
- Endoscopic Submucosal Dissection (ESD) ndi njira yodziwika bwino kwambiri yochizira khansa yomwe imachotsa khansa yoyambirira kapena zotupa zosazolowereka m'mimba popanda kuduladula kwakukulu kunja kwa thupi.
- Izi zimachotsa minofu yosazolowereka m'chidutswa chimodzi, zomwe zimapangitsa kuti zikhale zosavuta kutsimikizira kuti matendawa achotsedwa kwathunthu.
- Ndi yopweteka pang'ono poyerekeza ndi opaleshoni yachikhalidwe, kuchira kumachitika mwachangu kwambiri, ndipo palibe zipsera zazikulu.
- Tsatirani malangizo a dokotala wanu mosamala musanayambe komanso mutalandira chithandizo.
- Ngati mukumva zizindikiro monga kutuluka magazi kwambiri, kupweteka kwambiri, kutentha thupi, kapena kupuma movutikira mutalandira chithandizo, dziwitsani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.
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