Chiremba akakuudza here kuti une bundu diki muura hwako kana gumbo rinofanira kubviswa? Paunonzwa izvozvo, vazhinji vedu tinotya uye tinonetseka, tichifunga kuti, "Ndichafanira kuvhiyiwa zvakanyanya here?" Asi nehunyanzvi hwekurapa hwepamusoro huripo nhasi, kune nzira dzinoshamisa dzekubvisa zvinhu izvi pasina kuchekwa kukuru mumuviri. Nhasi, tichataura nezveimwe nzira yekurapa yakakosha, isinganyanyi kukuvadza.
Zvichitaurwa zviri nyore, chii chinonzi Endoscopic Submucosal Dissection (ESD)?
Izvi zviri nyore kunzwisisa. Pamwe wakambonzwa nezvebvunzo ye ' endoscopy '. Maitiro ekuisa chubhu inochinjika ine kamera kuburikidza nemuromo kana muhuro kuti iongorore pombi yechikafu . Izvi zvakafanana. Asi zvakatonyanya kufambiswa.
MuESD, chiremba wezvekudya anoshandisa endoscope kuisa zvishandiso zvekuvhiya zvakanaka kwazvo. Zvadaro, nyama isina kujairika iri mumadziro enzira yako yekugaya, chikamu chakaita sebundu , inochekwa nokungwarira yobviswa. Chinhu chakanakisa ndechekuti zvese izvi zvinoitika pasina kucheka kunze kwemuviri wako. Izvi zvinoreva kuti kurwadziwa kushoma pane mushure mekuvhiyiwa kukuru, uye unogona kupora nekukurumidza.
Ndeapi marudzi emamiriro ezvinhu ayo nzira yeESD inobatsira?
Kurapa uku kunowanzo shandiswa kubvisa kenza kana kuti mapundu asati aita kenza, ma polyps , kana maronda mudumbu. ESD inoshanda zvakanyanya kune zvinotevera:
- Barrett's esophagus: Mumamiriro ezvinhu aya, masero ari muchikamu chezasi chegurokuro anochinja zvisingawanzoitiki. Izvi zvinogona kuzopedzisira zvaita kenza.
- Kenza yemudumbu
- Kenza yemudumbu
- Kenza yemudumbu mudiki
- Kenza yemudumbu
Chinhu chikuru ndechekuti nzira iyiKukwanisa kubvisa zvachose masero ekenza kana nyama isina kujairika muchikamu chimwe chete . Izvi zvinoita kuti zvive nyore kuona kana chirwere chacho chabviswa zvachose.
Chii chiri musiyano uripo pakati peESD neEMR?
Ungave wakambonzwa nezveimwe nzira inonzi `Endoscopic Mucosal Resection (EMR).` Maitiro ese aya kurapa kusinganyanyi kupindira kunoitwa uchishandisa endoscope. Zvisinei, pane musiyano mudiki pakati pezviviri izvi. Ngationei kuti chii.
| Chinhu | Kubviswa kweMucosal Resection yeEndoscopic (EMR) | Kubviswa kwemudumbu mudumbu (ESD) |
|---|---|---|
| Nzvimbo yakatarwa | Mamota ari pamusoro pemukati medumbu (mucosa) anobviswa. | Pamusoro pemapundu ari pamusoro, mapundu akadzika zvishoma mu membrane anogonawo kubviswa. |
| Nzira yakashandiswa | Bundu rinobviswa nekuisa mvura pasi paro, kurisimudza, uye kuricheka nechinhu chakaita sesimbi. Dzimwe nguva rinobviswa muzvidimbu zvakasiyana-siyana. | Uchishandisa banga remagetsi rakakosha, muchero wacho unochekwa zvakanaka kwazvo kutenderedza nepasi, uchibviswa kuita chidimbu chimwe chete . |
| Zviitiko zvakakodzera zvikuru | Kune nzungu diki, dzisinganyanyi kukosha. | Kune bundu guru, rakati sandara, kana kuti rakamera zvishoma, kunyanya kana paine bundu rekenza, zvinokurudzirwa kubvisa bundu racho rose. |
Unogadzirira sei usati warapwa?
Izvi hazvidi kugadzirira kwakawanda. Chiremba wako achakupa mirairo chaiyo yaunoda.
- Kana endoscope iri kuiswa nemuromo (semuenzaniso mudumbu, gumbo): Uchakumbirwa kuti urege kudya kana kunwa kwemaawa mashoma usati watanga kurapwa.
- Kana ikaiswa mudumbu (semuenzaniso, mudumbu): Uchakumbirwa "kugadzirira ura." Izvi zvinoreva kuti uchafanira kutora mushonga wekusvira wauchanyorerwa nachiremba wako kuti uchenese dumbu rako rose. Izvi zvichaita kuti chiremba aone zviri mukati medumbu rako zvakajeka.
Chii chinoitika panguva yekurapwa?
Hapana chikonzero chekunetseka nezvazvo. Chiremba weanotindivadza achakurara zvakakwana (`General Anesthesia`), kana kukupa mushonga wekuzorodza uye usingarwadziwe. Hauzonzwi chero chinhu panguva iyi.
Panguva yekurapwa, chiremba achatevera matanho aya:
1. Chubhu ye endoscope inopinzwa nemuromo kana mudura.
2. Uchitarisa nepa kamera, enda paiva nebundu risingawanzoitiki.
3. Nzvimbo yebundu iri yakanyorwa nechinhu chakakosha.
4. Kuti zvisakuvadze nyama ine hutano iri pasi pebundu, mvura yakakosha inopinzwa pasi pebundu. Izvi zvinogadzira "mutsindo" uri pasi pebundu, zvichisimudza bundu racho.
5. Zvadaro, uchishandisa banga remagetsi rinoshandisa simba guru, bundu rinochekwa zvachose robviswa.
Maitiro ese aya anogona kutora awa imwe kusvika matatu.
Chii chinoitika mushure mekurapwa? Uye njodzi dziripo ndedzipi?
Mushure mekurapwa, uchatariswa muimba yekupona kusvika wamuka kubva pakunzwa kurwadza. Nyama yakabviswa inotumirwa kurabhoritari kuti iongororwe. Ikoko, nyanzvi yezvirwere inoiongorora kuti ione kana paine masero ekenza uye kana kenza yese yakabviswa.
Ungangokwanisa kuenda kumba zuva rimwe chete, kana kuti ungafanira kugara muchipatara husiku hwese. Chinonyanya kukosha ndechekuti zvinotora maawa angangoita makumi maviri nemana kuti migumisiro yeanesthesia ipere zvachose, saka zvechokwadi uchafanira kuuya nemumwe munhu womutyaira kumba nemotokari.
Panogona kunge paine kusanzwa zvakanaka kwezuva rimwe kana maviri mushure mekurapwa, asi pane zvimwe zvinhu zvaunofanira kuziva.
| Migumisiro yenguva pfupi inowanzoonekwa (inopora mumazuva 1-2) | Nguva yekuenda kuna chiremba wako kana kuchipatara cheEmergency Department (ETU) nekukasika |
|---|---|
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Matambudziko eESD haawanzoitiki, asi anogona kusanganisira kubuda ropa, kubooka kwemudumbu, kana kuvharwa kwegurokuro. Izvi hazviwanzoitiki.
Zvinotora nguva yakareba sei kuti munhu apore?
Vanhu vazhinji vanogona kudzokera kumabasa avo emazuva ese mushure memazuva mashanu. Zvisinei, kana uine basa rinorema, chiremba wako anogona kukukurudzira kuti uzorore kwenguva yakati. Kufamba kwako uchibuda mudumbu kunogona kunge kusina kurongeka kweinenge vhiki mushure mekurapwa.
Muchakumbirwa kuti muone chiremba zvakare mushure memavhiki maviri ekurapwa. Zvadaro munogona kukurukura zvabuda muongororo yerabhoritari uye kana muchida kumwe kurapwa.
Mharidzo Yekuenda Nayo Kumba
- Kubvisa kenza yemudumbu (Endoscopy Submucosal Dissection) inzira yekurapa yepamusoro-soro inobvisa kenza dzepakutanga kana bundu risingawanzoitiki mudumbu pasina kuchekwa kukuru kunze kwemuviri.
- Izvi zvinobvisa nyama isina kujairika muchikamu chimwe chete, zvichiita kuti zvive nyore kuona kuti chirwere chacho chabviswa zvachose.
- Hazvinyanyi kurwadza semavhiyirwo echinyakare, kupora kunokurumidza, uye hapana mavanga makuru.
- Tevedzera mirairo yachiremba wako nokungwarira usati warapwa uye mushure mekurapwa.
- Kana ukaona zviratidzo zvakaita sekubuda ropa zvakanyanya, kurwadziwa kwakanyanya, fivha, kana kuoma kufema mushure mekurapwa, zivisa chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
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