Chiremba wako akakuudza here kuti une kukura kudiki kwenyama mudumbu mako, mudumbu, kana pagurokuro, kana kuti une kenza inotanga? Zvakajairika kunzwa kutya uye kushamisika paunonzwa chimwe chinhu chakadai. Asi usazvidya mwoyo. Kune nzira dziri nyore, dzemazuva ano mukurapa nhasi dzisingade kuvhiyiwa kukuru senge kucheka dumbu sekare. Ndizvo zvatiri kutaura nezvenzira yakakosha ichakuunzira kupora nekukurumidza.
Chii chinonzi Endoscopic Mucosal Resection?
Kunyange zvazvo zita racho ringanzwika serakaoma, nzira yacho iri nyore. Muchidimbu, inzira inobvisa nyama dzisina kunaka mudumbu rako, dzakadai semapundu madiki, mapolyps, kana kuti kenza yekutanga, pasina kuchekwa mudumbu.
Fungidzira, hapana mavanga kana mavanga asara padumbu rako. Izvi zvinoitwa nachiremba wezvekudya. Anoshandisa kamera diki pamucheto wechubhu refu, inochinjika inonzi endoscope. Kana nyama isina kujairika iri mugurokuro kana mudumbu mako, chubhu yacho inopinzwa nemuromo wako. Kana zvisina kudaro, kana iri muchikamu chezasi chedumbu rako, senge muura hukuru, inopinzwa nepaburi rako.
Chinhu chikuru chekushandisa nzira iyi ndechekuti sezvo pasina mavanga anochekwa kunze kwemuviri, hauzonzwi kurwadziwa kwakanyanya uye nguva yako yekupora ichave pfupi pane yekuvhiyiwa nguva dzose.
Nzira iyi inoshandiswa pamhando dzipi dzemamiriro ezvinhu?
Kurapa uku kunonyanya kushandiswa kubvisa masero asati aita kenza kana nyama dzisina kujairika dzinogona kukura kuita kenza mune ramangwana . Kunoshanda zvikuru pamamota anokura mu mucosa, jira rakatetepa remudumbu.
Heano mamwe emashandisirwo akajairika enzira iyi:
- Barrett's esophagus: Mumamiriro ezvinhu aya, masero ari mugumbo anochinja zvisingawanzoitiki, zvichiwedzera njodzi yekubatwa nekenza.
- Kenza yemudumbu: Mapundu madiki ekenza anowanikwa pakutanga.
- Kenza yemudumbu: Kenza yepakutanga.
- Kenza yemudumbu mudiki: Kenza inoitika kunyanya mu duodenum.
- Gomarara remudumbu: Matumbu madiki anoumba pamusoro pedumbu.
Zvinhu zvekuziva usati warapwa uye mushure mekurapwa
Zvamunoita musati matora mushonga wakadai uye mushure mekurapwa kwakadai zvakakoshawo zvikuru.
Kugadzirira usati warapwa
Chiremba wako achakupa mirayiridzo yakajeka yekuti ungagadzirira sei izvi.
- Muchikamu chepamusoro chedumbu (paipi yechikafu, mudumbu): Uchakumbirwa kurega kudya nekunwa zvachose kwemaawa mashoma usati watanga kurapwa (kutsanya).
- Kana iri muchikamu chezasi chedumbu (ura hukuru): Ungangoda kugadzirira ura. Izvi zvinosanganisira kunwa mushonga wemvura wauchapihwa nachiremba wako kuti uchenese ura hwako zvachose. Apa ndipo chiremba paanogona kuona zviri mukati zvakajeka ne endoscope.
Panguva yekurapwa
Uchapihwa mushonga wekuti usazonzwa kusagadzikana kana kurwadziwa. Unogona kurara (general anesthesia) , kana kuti unogona kurara kuti usazoyeuka chero chinhu mushure mezvo (conscious sedation) . Chiremba achaisa endoscope, otarisa nzvimbo yacho nekamera, uye oshandisa zvishandiso zvidiki-diki zvinopfuudzwa nayo kubvisa nyama isina kunaka. Maitiro ese anowanzo tora maminetsi makumi matatu kusvika makumi matanhatu chete.
Mushure mekurapwa
Mushure mekurapwa, muchachengetwa muimba yekurerukirwa kusvika migumisiro yeanesthesia yapera. Chinonyanya kukosha ndechekuti muchada mumwe munhu anokutorai kuti muende naye kumba. Nekuti zvinogona kutora maawa anosvika makumi maviri nemana kuti mhedzisiro yeanesthesia ipere zvizere, hamuzobvumirwi kutyaira mota kana kuenda kumba muri mega.
Ndezvipi zvakanakira uye migumisiro inogona kuitika?
Sezvinongoita chero kurapwa kupi zvako, kune zvakanakira pamwe nenjodzi zvinogona kuitika mune zvisingawanzoitiki. Ngatitarisei zvese zviri zviviri.
| Mabhenefiti makuru | Migumisiro nenjodzi zvinogona kuitika |
|---|---|
| Kupora nekukurumidza (unogona kudzokera kubasa mukati mezuva rimwe chete) | Kusagadzikana kwenguva pfupi kwakadai sekuzvimba, kurwadziwa kwemudumbu, nezvimwewo. |
| Marwadzo acho madiki pane kuvhiyiwa kwenguva dzose. | Gasi, kuda kurutsa, kurwadziwa pahuro (kana endoscope ikapinzwa nemuromo). |
| Hapana mavanga ekuvhiyiwa anosara kunze kwemuviri. | Kashoma: Kubuda ropa kubva panzvimbo yekurapwa. |
| Njodzi yekusangana nematambudziko yakaderera pane yekuvhiyiwa kwepachivande. | Kashoma: Kuboorwa kwedumbu. |
| Masero egomarara anogona kubviswa asati apararira (metastasize) kune dzimwe nhengo dzemuviri. | Kashoma: Kuoma kwedumbu. |
Ndinguva ipi yaunofanira kuona chiremba nekukurumidza?
Zvakakosha zvikuru kutarisira muviri wako mushure mekunge waenda kumba mushure mekurapwa. Kana ukaona chimwe chezviratidzo zvinotevera, usanonoka uye fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
- Kana uine ropa mutsvina yako (dema kana dzvuku rakasviba)
- Kana uine kurwadziwa kwakanyanya pachipfuva
- Kana uchinzwa dzungu kana kupera simba
- Kana uine fivha kana kuti dzihwa
- Kana uchinetseka kufema (dyspnea)
Zvingori zvechisikigo kuti unzwe kutya paunonzwa izwi rekuti 'kenza'. Asi nekuda kwenzira dzemazuva ano dzekurapa dzakadai seEndoscopic Mucosal Resection, ikozvino unogona kubvisa bundu diki nekukura kwekenza pasina kurwadziwa kwekuvhiyiwa kukuru. Uku hakusi kuvhiyiwa kukuru. Saka unogona kupora nekukurumidza, kudzokera kuhupenyu hwako hwemazuva ese usina kurwadziwa, uye kudzokera kuhupenyu hwako hwemazuva ese nekukurumidza. Kana uine chirwere chakafanana, taura nachiremba wako nezvesarudzo iyi yekurapa.
Mharidzo Yekuenda Nayo Kumba
- Kubviswa kwemudumbu ne endoscopic inzira iri nyore uye yakachengeteka yekubvisa nyama isina kurongeka kubva mudumbu pasina kuchekwa kunze kwemuviri.
- Izvi zvinonyanya kushandiswa kubvisa mapundu madiki nemasero anogona kuita kenza pakutanga kwekenza.
- Kana tichienzanisa nekuvhiyiwa nguva dzose, kurwadziwa kwacho kushoma, kupora kunokurumidza, uye hapana mavanga pamuviri.
- Zvakakosha zvikuru kutevedzera mirairo yachiremba (semuenzaniso kutsanya, kuchenesa ura) usati watanga kurapwa.
- Kana ukaona zviratidzo zvakakomba zvakaita sekurwadziwa pachipfuva, ropa mutsvina yako, kana fivha mushure mekurapwa, tsvaga rubatsiro rwechiremba nekukasika.
- Kurukurai nachiremba wenyu wezvekudya kana nzira iyi yekurapa yakakunakirai.
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