Ngaba wakha wenziwa i-endoscopy waza ugqirha wathi, "Kukho ithumba elincinci esiswini sakho, kufuneka silisuse"? Okanye "Kukho i-polyp encinci kwikholoni yakho, masiyisuse ngaphambi kokuba ibe ngumhlaza"? Xa usiva oko, mhlawumbi ucinga, "Owu, utyando?". Usenokuba uzibuza ukuba kuya kufuneka unqumle isisu sakho, uhlale esibhedlele iintsuku ezimbalwa, kwaye ingakanani intlungu eza kubangelwa yiyo. Kodwa ungavuya, kuba akusekho yonke into efuna utyando olukhulu. Namhlanje siza kuthetha ngetekhnoloji ephucukileyo nekhuselekileyo esusa ezi zicubu zingaqhelekanga ngaphakathi kwityhubhu yakho ye-endoscopy, ngaphandle kokusika isisu sakho.
Yintoni i-Endoscopic Mucosal Resection (EMR)?
Eli gama lisenokuvakala linzima kancinci, kodwa lilula kakhulu. Masilibize ngokuthi yi-EMR ngamafutshane.
Ngamafutshane, olu asilotyando. Yinkqubo esusa izicwili ezingaqhelekanga ngaphakathi kwindlela yakho yokugaya ukutya, ngaphandle kokwenza nakuphi na ukusikeka esiswini sakho. Ezi zicwili ezingaqhelekanga zinokuba ziiseli zomhlaza, okanye zinokuba zizityalo ezingaphambi komhlaza ezinokuguquka zibe ngumhlaza kwixesha elizayo.
Cinga ngenkqubo yakho yokugaya ukutya njengetyhubhu ende. Iiseli ezingaqhelekanga zikhula eludongeni lwangaphakathi lwale tyhubhu (siyibiza ngokuba yi-mucosa). Kwinkqubo ye-EMR, njengoko ubuya kwenza nge-endoscopy, ityhubhu ende, eguquguqukayo enekhamera eqhotyoshelwe kuyo (i-endoscope) ifakwa ngomlomo okanye kwi-rectum, kwindawo apho kukho izicubu ezingaqhelekanga, kwaye esebenzisa izixhobo ezincinci ezidluliselwa kwityhubhu, ugqirha otyandayo usika loo nxalenye yethishu aze ayisuse.
Oku kwenziwa yingcali yezifo zesisu. Eyona nzuzo inkulu yale ndlela kukuba akukho ziqabu zangaphandle, ngoko ke uziva iintlungu ezincinci kakhulu, kwaye ungaphola ngokukhawuleza kwaye ubuyele kubomi bakho besiqhelo.
Zeziphi iintlobo zezifo ezisetyenziselwa le nkqubo ye-EMR?
Le ndlela isetyenziswa kakhulu ekunyangeni umhlaza kunye neemeko ezingaphambi komhlaza. Okubalulekileyo kukuba, le ndlela iphumelela kuphela xa isifo sifunyenwe kwasekuqaleni . Oko kukuthi, xa izicubu ezingaqhelekanga zikwindawo engaphakathi yodonga lomqala.
Indlela ye-EMR isetyenziswa kakhulu kwiimeko ezilandelayo:
- Umhlaza womqala: Umhlaza wesigaba sokuqala somqala (umbhobho esiginya kuwo ukutya).
- I-Barrett's esophagus: Kulapho iiseli ezingaphakathi kwi-esophagus yakho zitshintsha khona kwaye zibe nethuba elikhulu lokukhula zibe ngumhlaza. Le nkqubo isetyenziselwa ukususa ezi seli zingaqhelekanga.
- Umhlaza wesisu: Umhlaza wesigaba sokuqala oqala phezu kodonga lwesisu.
- Umhlaza weColoral:Le ndlela iyasebenza kakhulu ekususeni iipolyps okanye umhlaza wesigaba sokuqala kumathumbu amakhulu okanye i-rectum.
- Umhlaza wamathumbu amancinci: Oku kukwasetyenziselwa umhlaza owenzeka kwinxalenye yokuqala yamathumbu amancinci (i-duodenum).
Eyona nto ibalulekileyo kukufumanisa nokususa umhlaza ngaphambi kokuba ukhule, ungene eludongeni, uze uqhekeze. I-EMR sisisombululo esifanelekileyo saloo nto.
Ngubani olu nyango lufanelekileyo kuye?
Ugqirha wakho uya kugqiba ukuba unyango lwe-EMR lukulungele na. Kuxhomekeke kwizinto ezininzi. Ezona ziphambili bubungakanani bezicubu ezingaqhelekanga kunye nokuba zisasazeke kangakanani .
Olu nyango lunokufanela ngokubanzi:
- Ukuba izicubu zakho ezingaqhelekanga (ithumba okanye ubunzima) zincinci ngobukhulu.
- Ngaphandle kokuba ingene nzulu eludongeni lomgudu wokugaya ukutya.
Nangona kunjalo, ukuba ithumba likhulu okanye lingene nzulu eludongeni, i-EMR yodwa isenokunganeli. Kwiimeko ezinjalo, kunokufuneka usebenzise ezinye iindlela zonyango.
| Indlela yonyango | Imeko yokusetyenziswa |
|---|---|
| I-EMR (Ukususwa kweMucosal ye-Endoscopic) | Kwimidlaza emincinci, engengomfanekiso okanye iiseli ezinokuba ngumhlaza. |
| Ukuqhaqhazwa kwe-Endoscopic Submucosal (ESD) | Enye indlela ye-endoscopic enkulu kancinci kune-EMR kwaye isetyenziselwa umhlaza oye wangena nzulu eludongeni. |
| Utyando | Ukuba umhlaza mkhulu, unzulu, okanye usasazeke kwiindawo ze-lymph nodes, kwenziwa isilonda esiswini kwaye loo nxalenye iyasuswa. |
| Unyango lweKhemotherapy / Unyango lweMisebe | Xa umhlaza usasazeke kwezinye iindawo zomzimba okanye njengonyango oluncedisayo ngaphambi/emva kotyando. |
Uyilungiselela njani le nkqubo kwangaphambili?
Ugqirha wakho uza kukunika imiyalelo ecacileyo yendlela yokulungiselela oku, kwaye kubaluleke kakhulu ukuyilandela ngokuchanekileyo.
- Kwindlela ephezulu yokugaya ukutya (umphimbo, isisu): Uza kucelwa ukuba uyeke ngokupheleleyo ukutya okanye ukusela kangangeeyure ezimbalwa ngaphambi kwenkqubo. Oku kungenxa yokuba ugqirha unokubona ngokucacileyo nangokukhuselekileyo ukususa izicwili ukuba isisu singenanto.
- Kwisisu esikhulu (ikholoni): Ukuze wenze oku, kuya kufuneka "ulungiselele amathumbu." Ugqirha uza kukunika iyeza elikhethekileyo ( i-laxative ) ukuze ulisele. Emva kokuba ulisele, kuya kufuneka uye kwigumbi lokuhlambela rhoqo. Nangona oku kungakhululeki kancinci, kubalulekile ukwenza oku ukuze ucoce ngokupheleleyo ingaphakathi lekholoni yakho. Oku kuya kuvumela ugqirha ukuba abone ngokucacileyo xa efaka ityhubhu.
Kwenzeka ntoni ngexesha lenkqubo?
Siza kuthatha amanyathelo afunekayo ukuqinisekisa ukuba awuziva ungonwabanga okanye iintlungu ngeli xesha lenkqubo.
Uza kufakwa phantsi kwe -anesthesia eqhelekileyo , oko kuthetha ukuba uza kube ulele ngokupheleleyo. Ngamanye amaxesha uza kuziva ngathi uvukile, kodwa awuyi kukhumbula nto emva koko (i-conscious sedation) . Ngoko awuyi kuva okanye ukukhumbula nto.
Emva koko ugqirha ulandela la manyathelo:
1. Ukuba indlela yakho yokugaya engasentla ichaphazelekile, unyango lwenziwa ngomlomo . Ukuba indlela yakho yokugaya esezantsi ichaphazelekile, ityhubhu ye-endoscope ifakwa kancinci kancinci nge-anus .
2. Ngokusebenzisa ikhamera, ityhubhu iqondiswa kwindawo eyiyo kanye izicubu ezingaqhelekanga.
3. Emva koko, izixhobo ezincinci zotyando zidluliselwa kwityhubhu kwaye izicubu ziyasuswa. Kukho iindlela ezahlukeneyo zokwenza oku. Ngamanye amaxesha izicubu ziyatsalwa phezulu kusetyenziswa ukufunxa, okanye kufakwe ulwelo phantsi kwezicubu kwaye ziphakanyiswe kwaye zisikwe, okanye zisikwe ngeluphu yocingo lombane.
4. Susa ngononophelo isiqwenga sethishu esisusiweyo.
Le nkqubo yonke idla ngokuthatha imizuzu engama-30 ukuya kwengama-60 .
Kwenzeka ntoni emva kwenkqubo?
Emva kokuba unyango luphelile, uza kudluliselwa kwigumbi lokuchacha. Kuya kufuneka uhlale phantsi kweliso likagqirha kangangeeyure ezimbalwa de iphele imiphumo ye-anesthesia.
- Endleleni ebuyela ekhaya:Ekubeni kungathatha ukuya kuthi ga kwiiyure ezingama-24 ukuba iziphumo ze-anesthesia ziphele ngokupheleleyo, ngokuqinisekileyo kuya kufuneka umntu akuse ekhaya. Awuyi kuvunyelwa ukuba uqhube okanye uye ekhaya wedwa.
- Ukuhlolwa kwezicubu: Izicubu ezisusiweyo zithunyelwa kwilebhu. Apho, ingcali yezifo izihlola phantsi kwe-microscope ize inike ingxelo eneenkcukacha, kuquka nokuba zinayo na iiseli zomhlaza, nokuba zisusiwe ngokupheleleyo na, kunye nokuba zinjani na.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga ezincinci?
Ewe, unokufumana ukungakhululeki okuncinci kangangeentsuku ezimbini. Oku kuqhelekile kwaye kuya kuphela ngokukhawuleza.
- Ukudumba
- Ukuqaqamba
- Intlungu yegesi kunye nokuqunjelwa
- Isicaphucaphu okanye ukuhlanza
- Umphimbo obuhlungu kancinci ukuba ityhubhu ifakwe ngomlomo
Ezi zihlala ziphilisa ngokupheleleyo kungekapheli usuku okanye ezimbini.
Ziziphi iingenelo kunye neengozi zale nkqubo ye-EMR?
Njengakwezinye iindlela zonyango, kukho iingenelo kunye neengozi ezincinci kakhulu.
| Iinzuzo | Iingozi - (Zinqabile kakhulu) |
|---|---|
| Umhlaza ungasuswa ngaphambi kokuba ukhule kwaye usasazeke. | Ukopha: Kusenokubakho ukopha okuncinci kwindawo yokususwa kwezicubu. Oku kudla ngokulawulwa ngexesha le-endoscopy. |
| Ayisiki isisu njengotyando olukhulu. | Ukugqobhoka kwamathumbu: Kunqabile kakhulu ukuba ityhubhu okanye isixhobo sigqobhoze udonga. Le yimeko engxamisekileyo. |
| Intlungu incinci kakhulu. | Ukuqina kwesisu: Ukuba isixa esikhulu sezicubu sisusiwe kwisisu, indawo isenokuncitshiswa ngenxa yamanxeba ayenzeka ngexesha lokuphiliswa. |
| Uza kuphila ngokukhawuleza kwaye ukwazi ukubuyela emsebenzini emva kosuku okanye ezimbini. | |
| Akukho zikrweqe zishiyekileyo ngaphandle komzimba. |
Kuqhelekile ukuba noloyiko xa usiva igama elithi "umhlaza." Kodwa ngetekhnoloji entsha efana ne-EMR, kunokwenzeka ukunyanga ezi zinto kwisigaba sazo sokuqala ngaphandle kokuhlinzwa okukhulu.
Kuthatha ixesha elingakanani ukuphola kwaye ndimele ndenze ntoni emva koko?
Enye yezona nzuzo zinkulu zendlela ye-EMR kukubuyela umva ngokukhawuleza.
- Ukuya emsebenzini: Uninzi lwabantu lunokubuyela kwimisebenzi yabo yesiqhelo ngosuku olulandelayo .
- Ukutya: Ugqirha wakho usenokucebisa ukuba utye ukutya okumanzi kangangeentsuku ezimbalwa de indlela yakho yokugaya ukutya iphole. Emva koko, ungabuyela kancinci kancinci ekutyeni okuqhelekileyo.
- Ulandelelwano: Uza kucelwa ukuba ubuye uze kubona ugqirha wakho malunga neeveki ezili-12 emva konyango lwakho. Kuya kwenziwa i-endoscopy ukujonga ukuba zonke izicwili ezingaqhelekanga zisusiwe ngokupheleleyo na kwaye ukuba indawo ipholile kakuhle na. Ngokusekelwe kwingxelo yezicwili, kuya kwenziwa isigqibo sokuba ufuna olunye unyango okanye akunjalo.
Ziziphi iimeko ezingxamisekileyo ezifuna ukufowunelwa ngugqirha?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva konyango, musa ukuzityeshela. Fowunela ugqirha wakho ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane ngaphandle kokulibazisa.
- Ukuba unegazi kwindle yakho (mnyama okanye ubomvu obumnyama)
- Intlungu ebuhlungu esifubeni
- Ukuba uziva unesizungu okanye utyhafile
- Ukuba unomkhuhlane okanye ugodole kwaye uqhaqhazela
- Ubunzima bokuphefumla (ukuphelelwa ngamandla)
Ezi zinokuba ziimpawu zeengxaki esizixubushileyo ngaphambili, ngoko ke kubalulekile ukufuna unyango ngokukhawuleza.
I-EMR ayilotyando olukhulu, yinkqubo engenamdla kangako. Ubuchwepheshe bale mihla obufana nobu bunokunceda ekunciphiseni uloyiko kunye nexhala eliza nokwazi ukuba unomhlaza okanye usemngciphekweni wokuba nomhlaza. Xa kuthelekiswa nexesha lokuchacha kunye nentlungu emva kotyando olukhulu, i-EMR ikuvumela ukuba ubuyele kubomi obusempilweni ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Ukususwa kwe-Endoscopic Mucosal (EMR) akulotyando olukhulu. Lunyango oluqhutywa nge-endoscope, ngaphandle kokusikwa kwesisu.
- Le nkqubo inokususa umhlaza okwinqanaba lokuqala kunye neeseli ezingaqhelekanga ezinokuguquka zibe ngumhlaza kwindlela yokugaya ukutya.
- Xa kuthelekiswa notyando lwesintu, oku akubuhlungu kangako, ixesha lokuchacha lifutshane kakhulu , kwaye akukho zikrweqe zangaphandle emzimbeni.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha (ukuzila ukutya, ukucoca isisu, ukutya) ngaphambi nasemva konyango.
- Ukuba ufumana naziphi na iimpawu ezilumkisayo emva konyango, ezinje ngomkhuhlane, iintlungu eziqatha, okanye igazi esitulweni sakho, yazisa ugqirha wakho ngoko nangoko okanye uye esibhedlele.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho