Ciwon daji na ciki yana daya daga cikin muggan ciwace-ciwacen da ke jefa rayuwar dan adam cikin hadari.Akwai sabbin masu kamuwa da cutar miliyan 1.09 a duniya a duk shekara, kuma adadin sabbin masu kamuwa da cutar a kasata ya kai 410,000.Wato kusan mutane 1,300 a kasata ne ke kamuwa da cutar kansar ciki a kowace rana.
Adadin rayuwa na masu ciwon daji na ciki yana da alaƙa da kusanci da matakin ci gaban ciwon daji na ciki.Yawan maganin ciwon daji na ciki da wuri zai iya kaiwa kashi 90%, ko ma an warke gaba daya.Adadin maganin ciwon daji na ciki a tsakiyar mataki yana tsakanin kashi 60 zuwa 70%, yayin da adadin maganin ciwon daji na ciki ya kasance kashi 30 kawai.a kusa, don haka da wuri aka samu ciwon daji na ciki.Kuma maganin da wuri shine mabuɗin rage mace-macen ciwon daji na ciki.Abin farin ciki, tare da haɓaka fasahar endoscopic a cikin 'yan shekarun nan, an gudanar da gwajin gwajin cutar kansa na farko a cikin ƙasata, wanda ya inganta yawan gano ciwon daji na ciki na farko;
To, menene ciwon daji na ciki na farko?Yadda ake gano ciwon daji na ciki da wuri?Yadda za a bi da shi?
1 Ma'anar ciwon daji na farko na ciki
A asibiti, ciwon daji na farko na ciki yana nufin ciwon daji na ciki tare da ƙananan raunuka na farko, ƙananan raunuka kuma babu alamun bayyanar.Ciwon daji na farko na ciki ana gano shi ne ta hanyar ilimin gastroscopic biopsy pathology.Pathologically, farkon ciwon daji yana nufin ciwon daji da aka iyakance ga mucosa da submucosa, kuma komai girman girman ƙwayar cuta da ko akwai ƙwayar ƙwayar lymph, yana da ciwon daji na ciki na farko.A cikin 'yan shekarun nan, dysplasia mai tsanani da babban matsayi na intraepithelial neoplasia kuma an rarraba su azaman ciwon daji na ciki na farko.
Dangane da girman ƙwayar ƙwayar cuta, ciwon daji na farko ya kasu kashi: ƙananan ciwon daji na ciki: diamita na ciwon daji shine 6-10 mm.Ƙananan ciwon daji na ciki: Diamita na ƙwayar ƙwayar cuta bai kai ko daidai da 5 mm ba.Ciwon daji na punctate: Ciwon daji na mucosa na ciki shine ciwon daji, amma ba za a iya samun nama na kansa a cikin jerin samfurori na resection na tiyata ba.
Endoscopically, farkon ciwon daji na ciki yana kara kasu kashi: nau'in (nau'in polypoid): waɗanda ke da ƙwayar ƙwayar cuta mai tasowa ta kusan 5 mm ko fiye.Nau'in II (nau'in na sama): Yawan ƙwayar ƙwayar cuta yana ɗagawa ko tawaya a cikin 5 mm.Nau'in III (nau'in ciwon ciki): Zurfin ɓacin rai na yawan ciwon daji ya wuce 5 mm, amma bai wuce submucosa ba.
2 Menene alamun ciwon daji na ciki da wuri
Mafi yawan cututtukan daji na ciki na farko ba su da wata alama ta musamman, wato farkon alamun ciwon daji na ciki ba alamu ba ne.hanyar sadarwa
Wadanda ake kira alamun farkon ciwon daji na ciki da ke yawo a Intanet a zahiri ba alamun farko ba ne.Ko likita ne ko mai daraja, yana da wuya a yi hukunci daga alamomi da alamun.Wasu mutane na iya samun wasu alamomin da ba na musamman ba, musamman rashin narkewar abinci, kamar ciwon ciki, kumburin ciki, koshi da wuri, rashin cin abinci, ciwon acid, ƙwannafi, ƙwanƙwasa, ciwon ciki, da dai sauransu. Waɗannan alamomin suna kama da matsalolin ciki na yau da kullun, don haka suna da alaƙa. sau da yawa ba sa jan hankalin mutane.Don haka, ga mutanen da suka haura shekaru 40, idan suna da alamun rashin narkewar abinci a fili, sai su je asibiti a yi musu magani a kan lokaci, sannan a yi musu gastroscope idan ya cancanta, don kada a rasa lokacin da ya dace na gano ciwon daji na ciki da wuri.
3 Yadda ake gano ciwon daji na ciki da wuri
A shekarun baya-bayan nan, kwararrun likitoci a kasarmu, tare da hakikanin halin da kasarmu ke ciki, sun tsara wani shiri mai taken "Kwararrun gwajin cutar daji na farko a kasar Sin".
Zai taka rawar gani sosai wajen inganta ƙimar ganewar asali da adadin maganin ciwon daji na ciki da wuri.
Binciken kansar ciki na farko yana nufin wasu marasa lafiya masu haɗari, kamar marasa lafiya da ciwon Helicobacter pylori, marasa lafiya da tarihin iyali na ciwon daji na ciki, marasa lafiya sama da shekaru 35, masu shan taba na dogon lokaci, da sha'awar abinci mai tsini.
Hanyar tantancewa ta farko ita ce tantance yawan mutanen da ke da haɗarin kamuwa da cutar kansar ciki ta hanyar gwajin jini, wato ta hanyar aikin ciki da gano maganin rigakafin Helicobacter pylori.Sa'an nan kuma, ƙungiyoyi masu haɗari da aka samo a cikin tsarin gwajin farko suna bincikar su ta hanyar gastroscope a hankali, kuma lura da raunuka za a iya sanya su da yawa ta hanyar haɓakawa, tabo, biopsy, da dai sauransu, don sanin ko raunukan suna da ciwon daji. da kuma ko za a iya bi da su a karkashin na'ura mai kwakwalwa.
Tabbas, kuma hanya ce mafi kyau don gano ciwon daji na ciki da wuri ta hanyar shigar da endoscopy na gastrointestinal cikin abubuwan gwajin jiki na yau da kullun a cikin mutane masu lafiya ta hanyar gwajin jiki.
4 Menene gwajin aikin ciki da tsarin tantance ciwon daji na ciki
Gwajin aikin ciki shine don gano rabon pepsinogen 1 (PGI), pepsinogen (PGl1, da protease) a cikin jini.
(PGR, PGI / PGII) gastrin 17 (G-17) abun ciki, da tsarin tantance ciwon daji na ciki ya dogara ne akan sakamakon gwajin aikin ciki, haɗe tare da cikakkun ƙididdiga irin su Helicobacter pylori antibody, shekaru da jinsi, don yin hukunci The Hanyar haɗarin ciwon daji na ciki, ta hanyar tsarin tantance ciwon daji na ciki, na iya tantance tsakiyar da manyan haɗarin cutar kansar ciki.
Za a gudanar da endoscopy da bin diddigin ga ƙungiyoyin tsakiya da masu haɗari.Za a duba ƙungiyoyin masu haɗari aƙalla sau ɗaya a shekara, kuma za a bincika ƙungiyoyi masu haɗari aƙalla sau ɗaya a kowace shekara 2.Ainihin ganowa shine ciwon daji na farko, wanda za'a iya bi da shi ta hanyar tiyata ta endoscopic.Wannan ba zai iya inganta farkon gano ciwon daji na ciki ba, amma kuma yana rage ƙarancin endoscopy wanda ba dole ba a cikin ƙananan ƙananan ƙungiyoyi.
5 Menene Gastroscopy
Don sanya shi a sauƙaƙe, gastroscopy shine yin bincike na endoscopic morphological na raunuka masu tuhuma da aka samu a lokaci guda tare da gastroscopy na yau da kullum, ciki har da fararen hasken haske na yau da kullum, chromoendoscopy, haɓakawa endoscopy, confocal endoscopy da sauran hanyoyin.An ƙaddara raunin ya zama mara kyau ko kuma wanda ake tuhuma don rashin lafiya, sa'an nan kuma an yi biopsy na raunin da ake zargi da shi, kuma an gano ganewar asali ta ƙarshe ta hanyar ilimin cututtuka.Don sanin ko akwai ciwon daji, girman kutsawa a gefe na ciwon daji, zurfin shiga tsakani a tsaye, matsayi na bambance-bambance, da kuma ko akwai alamun bayyanar cututtuka na microscopic.
Idan aka kwatanta da gastroscopic na yau da kullun, gwajin gastroscopic yana buƙatar a yi a ƙarƙashin yanayi mara zafi, ƙyale marasa lafiya su kwantar da kansu gaba ɗaya cikin ɗan gajeren yanayin barci kuma suyi gastroscopy lafiya.Gastroscopy yana da babban buƙatu akan ma'aikata.Dole ne a horar da shi a farkon gano cutar kansa, kuma gogaggen fitattun masu bincike, don mafi kyawun gano raunuka da kuma yin bincike mai ma'ana.
Gastroscopy yana da manyan buƙatu akan kayan aiki, musamman tare da fasahar haɓaka hoto kamar chromoendoscopy / chromoendoscopy na lantarki ko haɓaka endoscopy.Ana kuma buƙatar gastroscopy na duban dan tayi idan ya cancanta.
6 Maganin ciwon daji na ciki da wuri
1. Endoscopic resection
Da zarar an gano ciwon daji na ciki da wuri, gyaran endoscopic shine zabi na farko.Idan aka kwatanta da aikin tiyata na gargajiya, endoscopic resection yana da abũbuwan amfãni daga ƙananan rauni, ƙananan rikitarwa, saurin dawowa, da ƙananan farashi, kuma ingancin su biyu shine ainihin iri ɗaya.Sabili da haka, ana ba da shawarar maganin endoscopic a gida da waje a matsayin maganin da aka fi so don ciwon daji na ciki na farko.
A halin yanzu, abubuwan da aka saba amfani da su na endoscopic sun hada da endoscopic mucosal resection (EMR) da endoscopic submucosal dissection (ESD).Sabuwar fasahar da aka ƙera, ESD endoscopy ta tashar tashoshi ɗaya, na iya cimma raunin raunin da ya faru a cikin muscularis propria na lokaci ɗaya, yayin da kuma samar da ingantattun matakan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan cututtukan fata.
Ya kamata a lura cewa endoscopic resection ne a minimally cin zali tiyata, amma har yanzu akwai wani babban abin da ya faru na rikitarwa, yafi ciki har da zub da jini, perforation, Stenosis, ciwon ciki, kamuwa da cuta, da dai sauransu Saboda haka, mai haƙuri ta bayan tiyata, recuperation, da kuma bita dole ne. rayayye hada kai da likita domin murmurewa da wuri-wuri.
2 tiyatar Laparoscopic
Ana iya yin la'akari da tiyata na laparoscopic ga marasa lafiya da ciwon daji na farko na ciki waɗanda ba za su iya jurewa endoscopic resection ba.Laparoscopic tiyata shine buɗe ƙananan tashoshi a cikin majiyyaci.Laparoscopes da kayan aiki ana sanya su ta waɗannan tashoshi tare da ɗan cutarwa ga majiyyaci, kuma ana watsa bayanan hoton da ke cikin rami na ciki zuwa allon nuni ta hanyar laparoscope, wanda aka kammala a ƙarƙashin jagorancin laparoscope.tiyatar ciwon daji na ciki.Yin tiyatar laparoscopic na iya kammala aikin laparotomy na gargajiya, yin babba ko gabaɗaya gastrectomy, rarrabuwar ƙwayoyin lymph da ake tuhuma da sauransu, kuma yana da ƙarancin zubar jini, ƙarancin lalacewa, raguwar tabo bayan tiyata, ƙarancin zafi, da saurin dawo da aikin gastrointestinal bayan tiyata.
3. Budaddiyar tiyata
Tun da 5% zuwa 6% na ciwon daji na ciki na intramucosal da kashi 15% zuwa 20% na ciwon daji na submucosal na ciki suna da ƙwayar lymph node metastasis, musamman adenocarcinoma maras bambanci a cikin mata matasa, ana iya la'akari da laparotomy na gargajiya, wanda za'a iya cirewa sosai da kuma rarraba Lymph node.
taƙaitawa
Ko da yake ciwon daji na ciki yana da illa sosai, ba shi da muni.Matukar an inganta sanin rigakafin, za a iya gano cutar kansar ciki a kan lokaci kuma a yi maganinta da wuri, kuma ana iya samun cikakkiyar magani.Don haka, ana ba da shawarar cewa ƙungiyoyi masu haɗari bayan shekaru 40, ba tare da la'akari da ko suna da rashin jin daɗi na tsarin narkewa ba, su fara gwajin ciwon daji na ciki, ko kuma a saka endoscopy na gastrointestinal zuwa gwajin jiki na yau da kullum don gano wani lamari da wuri. ciwon daji da kuma ceton rai da iyali farin ciki.
Mu, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., wani manufacturer ne a kasar Sin ƙware a cikin endoscopic consumables, kamarbiopsy forceps, hemoclip,polyp tarko, allurar sclerotherapy, fesa catheter, cytology goge, jagora, kwandon dawo da dutse, hanci biliary drainage catheterda dai sauransu waɗanda ake amfani da su sosai a cikin EMR, ESD, ERCP.Samfuran mu suna da takardar shedar CE, kuma tsire-tsire namu suna da takaddun ISO.An fitar da kayanmu zuwa Turai, Arewacin Amurka, Gabas ta Tsakiya da wani yanki na Asiya, kuma suna samun abokin ciniki yabo da yabo!
Lokacin aikawa: Juni-21-2022