Ese ukeneye gukata igice kinini kugira ngo ukureho ibibyimba biri mu gifu? Reka tuvuge ku gukata igice cya Endoscopic Submucosal

Ese umuganga wawe yakubwiye ko ufite akantu gato kadasanzwe k’umubiri, ikibyimba, cyangwa polyp mu buryo bw’igogora ryawe, ni ukuvuga mu nda yawe cyangwa mu muhogo? Iyo twumvise ibyo, ubwoba butuza mu mutwe ni ukuvuga tuti "Ese ubu ngiye kubagwa cyane?" Ariko kubera siyansi y’ubuvuzi iteye imbere muri iki gihe, nta mpamvu yo kubaga ibintu bikomereye kuri buri kintu cyose. Niyo mpamvu tugiye kuvuga ku buryo bwiza bwo kuvura bushobora kwangiza umubiri cyane kandi bugakira vuba.

Mu magambo make, Endoscopic Submucosal Dissection ni iki?

Nubwo izina rishobora kumvikana nk'aho rigoye, mu by'ukuri uburyo bworoshye cyane. Gukuraho Endoscopic Submucosal Dissection , cyangwa ESD mu magambo ahinnye, ni uburyo budakoresha ikoranabuhanga rikuraho ingingo zidasanzwe, utubyimba tw'uturemangingo dushobora kuba kanseri, cyangwa ibibyimba bito mu nzira y'igifu cyawe.

Tekereza ibi bikorwa n'umuganga w'indwara z'igifu. Akoresha umuyoboro muremure kandi woroshye ufite kamera ku iherezo. Ibi tubyita endoscope.

• Niba ikibazo kiri mu gice cyo hejuru cy’igogora (urugero, umwobo, igifu), iyi endoscope ishyirwa mu kanwa kawe.
• Iyo ikibazo kiri mu mara yo hasi (amara manini, rectum), cyinjizwa mu kibuno.

Ibi bikorwa hakoreshejwe icyuma gito cyo kubaga gishyirwa mu muyoboro, kandi, hifashishijwe kamera, gikoreshwa mu gukata no gukuraho ingingo zidasanzwe. Igice cyiza ni uko ibi byose biba mu mubiri. Kubera ko nta gukomereka inyuma bibaho, ushobora gukira vuba, ukaba wagira ububabare buke, kandi ukirinda inkovu.

Ni ubuhe bwoko bw'indwara ESD ikoreshwa?

Ubu buryo bwo kuvura bwa ESD bukunze gukoreshwa mu gukuraho kanseri itaratangira kanseri cyangwa kanseri ikiri mu cyiciro cya mbere cy'igogora. Reka turebere hamwe izo ari zo.

Ni irihe tandukaniro riri hagati ya ESD na EMR?

Ushobora kuba warumvise ubundi buryo busa n’ubwo, bwitwa Endoscopic Mucosal Resection (EMR) . Nubwo uburyo bwombi budatera ingaruka nyinshi, hari itandukaniro rito.

Urukuta rw'igogora ryacu rugizwe n'ibice byinshi. Igice cyo hasi cy'imbere cyitwa mucosa.

• Uburyo bwa EMR: Ibi ahanini bikuraho ibibyimba biri mu gice cy'imbere cyane cyitwa mucosa. Ibi bikubiyemo gutera amazi munsi ya cya kibyimba, kugiterura, no kugikata n'ikintu kimeze nk'icyuma.
• Uburyo bwa ESD: Ubu buryo buteye imbere gato kurusha EMR. Bushobora gukuraho ibibyimba biri mu mucosa, ndetse n'ibibyimba byakwirakwiriye munsi yabyo. Akamaro kanini k'ibi ni uko ingingo idasanzwe, uko yaba nini kose, ishobora gukurwaho igice kimwe . Hanyuma biroroshye kohereza muri laboratwari no kwemeza neza niba kanseri yarakuweho burundu.

Ni gute nakwitegura mbere y'ubu buvuzi?

Muganga wawe azaguha amabwiriza asobanutse neza mbere y'uko uvurwa. Ni ngombwa cyane kuyakurikiza neza.

• Niba uri kuvurwa ku gice cyo hejuru cy'igifu: (mu nda, mu ruhu) uzakenera kureka kurya no kunywa burundu amasaha menshi mbere yo kuvurwa. Ibi bivuze ko igifu cyawe kigomba kuba kirimo ubusa.
• Niba uri kuvurwa inzira yo hasi y'igifu: (amara manini), uzasabwa "gutegura amara." Ibi bikubiyemo gusohora amara manini yose unywa amazi yihariye ( laxative ). Ibi bituma muganga abona imbere neza akoresheje endoscope.

Ni iki kibaho mu gihe cyo kuvurwa?

Nta bubabare cyangwa ububabare uzumva muri ubu buvuzi. Ibi biterwa nuko uzaba usinzirijwe burundu (Anesthesia Rusange), cyangwa ushobora guhabwa ubwoko bw'inzobere ituma wumva usinziriye kandi utuje (Monitored Anesthesia Care).

Mu gihe cyo kuvurwa, muganga wawe azakurikiza izi ntambwe:

1. Endoscope ishyirwa mu kanwa cyangwa mu maraso.

2. Hakoreshejwe kamera, endoscope yoherezwa aho ingingo idasanzwe iherereye.

3. Hakoreshejwe igikoresho cyanyujijwe muri endoscope, hakorwa ikimenyetso kizenguruka ikibyimba kugira ngo gikurweho.

4. Hanyuma, hashyirwa amazi yihariye mu ruhu ruri munsi ya cya kibyimba. Ibi bitera umusego munsi ya cya kibyimba, bikagikura mu mubiri muzima ugikikije. Ibi bituma byoroha kugitandukanya no kugikata.

5. Hanyuma, hakoreshejwe igikoresho cyihariye nk'icyuma gikoresha amashanyarazi menshi, ikibyimba gicibwa neza ku murongo washyizweho ikimenyetso hanyuma kigakurwaho.

Ubusanzwe igikorwa cyose gishobora gufata hagati y'isaha imwe n'eshatu , bitewe n'ingano n'aho ingirangingo zikurwa.

Bigenda bite nyuma yo kuvurwa?

Nyuma yo kuvura, ingingo yakuweho yoherezwa muri laboratwari aho umuhanga mu by’indwara ayisuzuma kugira ngo arebe niba irimo uturemangingo twa kanseri kandi niba yarakuweho burundu.

Uzajyanwa mu cyumba cyo gukira nyuma y'igihe gito nyuma yo kuvurwa. Ingaruka za anesthesia zimaze kurangira neza, ushobora gutaha uwo munsi, cyangwa ushobora kurara mu bitaro ijoro ryose. Nta gushidikanya ko ugomba kujyana n'umuntu mu rugo , kuko bishobora gufata amasaha 24 kugira ngo ingaruka za anesthesia zishire burundu.

Ese hari ingaruka mbi n'ibyago?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka mbi nto n'ingaruka nke cyane.

Ingaruka mbi zishobora kubaho

Ibi bikunze gucika burundu mu munsi umwe cyangwa ibiri.

• Kuzuza igifu
• Kubabara mu nda
• Imyuka n'ububabare itera
• Isesemi cyangwa kuruka
• Kubabara mu muhogo (niba endoscope yashyizwemo binyuze mu kanwa)

Ni ibisanzwe kugira amaraso make cyane mu mwanda wawe, ariko agomba guhagarara mu masaha 24.

Ingorane zidasanzwe

Amahirwe yo kuba ibi bibaho ni make cyane, ariko ni ngombwa kubimenya.

• Kuva amaraso: Kuva amaraso aho ingirabuzimafatizo zakuwe.
• Gutobora mu gifu: Gutobora urukuta rw'inzira y'igifu hakoreshejwe endoscope cyangwa igikoresho.
• Inkovu: Cyane cyane iyo uvura umwobo, inkovu zibaho mu gihe cyo gukira zishobora gutuma umwobo ugabanuka (esophageal strictures).

Ni izihe nyungu z'ubu buryo?

Uburyo bwa ESD bufite ibyiza byinshi ugereranije no kubaga mu buryo bwihuse.

• Ububabare buke: Ububabare buragabanuka cyane kuko nta gucikamo ibice bibaho.
• Gukira vuba: Ushobora gusubira mu buzima busanzwe no gukora vuba.
• Nta nkovu: Nta nkovu zigaragara inyuma y'umubiri.
• Ingorane nke: Hari ibyago bike byo kugira ingorane ugereranije no kubagwa ku mugaragaro.
• Kubungabunga ingingo: Ubu buryo bushobora kwirinda ibintu nko gukuraho igice cy'igifu cyangwa amara byari gukorwa mu gihe cyo kubagwa gukomeye.

Ni ryari ugomba guhita ubonana na muganga?

Iyo ugiye mu rugo nyuma yo kuvurwa, niba ubonye ibimenyetso by'umuburo, ni ngombwa cyane guhamagara muganga wawe cyangwa kujya mu bitaro bikuru byita ku bibazo byihutirwa (ETU) biri hafi yawe vuba .

Bifata igihe kingana iki kugira ngo umuntu akire?

Abantu benshi bashobora gusubira ku kazi nyuma y'iminsi itanu. Ariko, niba ukora akazi katoroshye cyane, nko guterura ibintu biremereye, muganga wawe ashobora kukugira inama yo kuruhuka igihe gito. Hashobora kubaho impinduka nke mu mikorere y'amara mu gihe kingana n'icyumweru kimwe nyuma yo kuvurwa.

Ubusanzwe uzongera kubonana na muganga wawe mu byumweru bibiri. Icyo gihe, bazagusobanurira ibyavuye muri raporo ya laboratwari hanyuma bafate icyemezo niba hakenewe ubundi buvuzi cyangwa hatakenewe.

ESD ni uburyo bwiza cyane bwo kuvura. Ubushakashatsi bumwe bwagaragaje ko ibyago byo kurwara ikibyimba ahantu hamwe ku bantu bakorewe ubu buvuzi biri hasi cyane nka 1%.