Ciwon daji na ciki yana ɗaya daga cikin cututtukan da ke barazana ga rayuwar ɗan adam. Akwai sabbin kamuwa da cutar miliyan 1.09 a duniya kowace shekara, kuma adadin sabbin kamuwa da cutar a ƙasata ya kai 410,000. Wato, kimanin mutane 1,300 a ƙasata ake gano suna da cutar kansar ciki kowace rana.
Adadin rayuwa ga masu fama da cutar kansar ciki yana da alaƙa da matakin ci gaban cutar kansar ciki. Yawan warkewar cutar kansar ciki na farko zai iya kaiwa kashi 90%, ko ma ya warke gaba ɗaya. Yawan warkewar cutar kansar ciki a matakin tsakiya yana tsakanin kashi 60% zuwa 70%, yayin da adadin warkewar cutar kansar ciki da ta bunƙasa yake da kashi 30% kawai, don haka an gano cutar kansar ciki da wuri. Kuma magani da wuri shine mabuɗin rage mace-macen cutar kansar ciki. Abin farin ciki, tare da haɓaka fasahar endoscopic a cikin 'yan shekarun nan, an gudanar da gwajin cutar kansar ciki da wuri a ƙasata, wanda ya inganta yawan gano cutar kansar ciki da wuri sosai;
To, menene ciwon ciki da wuri? Ta yaya ake gano ciwon ciki da wuri? Ta yaya ake magance shi?
1 Manufar ciwon daji na ciki na farko
A asibiti, ciwon daji na farko yana nufin ciwon daji na ciki wanda ke da raunuka na farko, ƙananan raunuka da babu alamun bayyanar cututtuka. Ciwon daji na farko ana gano shi ne ta hanyar binciken gastroscopic biopsy. A fannin cututtuka, ciwon daji na farko yana nufin ƙwayoyin cutar kansa waɗanda suka takaita ga mucosa da submucosa, kuma komai girman ciwon da kuma ko akwai metastasis na ƙwayoyin lymph node, yana cikin ciwon daji na farko. A cikin 'yan shekarun nan, dysplasia mai tsanani da kuma ciwon daji na intraepithelial mai girma suma ana rarraba su a matsayin ciwon daji na farko.
Dangane da girman ciwon, an raba ciwon daji na farko zuwa: ƙaramin ciwon daji na ciki: diamita na ƙwayar cutar kansa shine 6-10 mm. Ƙaramin ciwon daji na ciki: Diamita na ƙwayar cutar kansa bai kai ko daidai da 5 mm ba. Ciwon daji na Punctate: Binciken ƙwayoyin cuta na mucosa na ciki shine ciwon daji, amma ba za a iya samun ƙwayar cutar kansa a cikin jerin samfuran tiyata ba.
A cikin Endoscopic, ciwon daji na farko na ciki an ƙara raba shi zuwa: nau'i (nau'in polypoid): waɗanda ke da girman ciwon daji mai fitowa kusan mm 5 ko fiye. Nau'i na II (nau'in saman): Ana ɗaga nauyin ciwon ko rage shi cikin mm 5. Nau'i na III (nau'in ulcer): Zurfin raunin da ke cikin nauyin ciwon daji ya wuce mm 5, amma bai wuce submucosa ba.
2 Menene alamomin ciwon daji na ciki na farko?
Yawancin cututtukan daji na ciki na farko ba su da wata alama ta musamman, wato, alamun farko na ciwon daji na ciki ba su da wata alama.
Waɗannan alamun farko na ciwon daji na ciki da ke yawo a intanet ba alamun farko ba ne. Ko likita ne ko mutum mai daraja, yana da wuya a yi hukunci daga alamun da alamun. Wasu mutane na iya samun wasu alamun da ba na musamman ba, galibi rashin narkewar abinci, kamar ciwon ciki, kumburi, ƙoshi da wuri, rashin ci, sakewar acid, ƙwannafi, belching, hiccups, da sauransu. Waɗannan alamun suna kama da matsalolin ciki na yau da kullun, don haka galibi ba sa jawo hankalin mutane. Saboda haka, ga mutanen da suka haura shekaru 40, idan suna da alamun rashin narkewar abinci a bayyane, ya kamata su je asibiti don neman magani a kan lokaci, kuma su yi gwajin gastroscopy idan ya cancanta, don kada su rasa mafi kyawun lokacin gano ciwon daji na ciki da wuri.
3 Yadda ake gano cutar kansar ciki da wuri
A cikin 'yan shekarun nan, kwararrun likitoci a kasarmu, tare da ainihin halin da kasarmu take ciki, sun tsara "Kwararru kan Tsarin Binciken Ciwon Ciki na Farko a China".
Zai taka muhimmiyar rawa wajen inganta yawan gano cutar da kuma maganin cutar kansar ciki da wuri.
Gwajin cutar kansar ciki da wuri ana yin sa ne musamman ga wasu marasa lafiya masu haɗarin kamuwa da cutar, kamar marasa lafiya da ke ɗauke da cutar Helicobacter pylori, marasa lafiya da ke da tarihin cutar kansar ciki a cikin iyali, marasa lafiya 'yan sama da shekaru 35, masu shan taba na dogon lokaci, da kuma waɗanda ke son abinci mai tsami.
Babban hanyar tantancewa ita ce a tantance yawan mutanen da ke da haɗarin kamuwa da cutar kansar ciki ta hanyar gwajin serological, wato, ta hanyar aikin ciki da kuma gano ƙwayoyin cuta na Helicobacter pylori. Sannan, ana duba ƙungiyoyin da ke da haɗarin kamuwa da cutar a farkon aikin tantancewa ta hanyar gastroscope, kuma ana iya ƙara fahimtar yadda raunukan ke faruwa ta hanyar ƙara girmansu, tabo, biopsy, da sauransu, don a tantance ko raunukan suna da ciwon daji kuma ko za a iya magance su ta hanyar na'urar hangen nesa.
Ba shakka, hanya ce mafi kyau ta gano cutar kansar ciki da wuri ta hanyar haɗa endoscopy na ciki a cikin abubuwan da ake yi na gwajin jiki na yau da kullun ga mutanen da ke da lafiya ta hanyar gwajin jiki.
4 Menene gwajin aikin ciki da tsarin tantance cutar kansar 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), kuma tsarin tantance cutar kansar ciki ya dogara ne akan sakamakon gwajin aikin ciki, tare da cikakkun maki kamar Helicobacter pylori antibody, shekaru da jinsi, don yin hukunci Hanyar haɗarin cutar kansar ciki, ta hanyar tsarin tantance cutar kansar ciki, na iya tantance ƙungiyoyin tsakiya da manyan masu haɗari na cutar kansar ciki.
Za a yi gwajin endoscopic da kuma bibiya ga ƙungiyoyin tsakiya da masu haɗari. Za a duba ƙungiyoyin masu haɗari aƙalla sau ɗaya a shekara, kuma za a duba ƙungiyoyin masu haɗari aƙalla sau ɗaya a kowace shekara 2. Abin da aka gano a zahiri shine cutar kansa da wuri, wanda za a iya magance shi ta hanyar tiyatar endoscopic. Wannan ba wai kawai zai iya inganta yawan gano cutar kansar ciki da wuri ba, har ma da rage endoscopy mara amfani a cikin ƙungiyoyin da ba su da haɗari.
5 Menene Gastroscopy?
A taƙaice dai, binciken gastroscopy ana yin shi ne don yin nazarin yanayin raunukan da ake zargi da aka samu a lokaci guda da binciken gastroscopy na yau da kullun, gami da binciken haske na fari, binciken chromoendoscopy, nazarin girman endoscopy, nazarin confocal endoscopy da sauran hanyoyin. Ana tantance cewa raunin ba shi da lahani ko kuma yana da shakku game da cutar kansa, sannan a yi biopsy na ciwon da ake zargi, kuma ana yin ganewar ƙarshe ta hanyar ilimin cututtuka. Don tantance ko akwai raunukan ciwon daji, girman ciwon daji da ya shiga ta gefe, zurfin shigar da shi a tsaye, matakin bambance-bambance, da kuma ko akwai alamun magani na ƙananan ƙwayoyin cuta.
Idan aka kwatanta da na'urar duba gastroscopy ta yau da kullun, ana buƙatar yin gwajin gastroscopy a ƙarƙashin yanayi mara zafi, wanda ke ba marasa lafiya damar hutawa gaba ɗaya cikin ɗan gajeren lokaci na barci da kuma yin gwajin gastroscopy lafiya. Gastroscopy yana da manyan buƙatu ga ma'aikata. Dole ne a horar da shi kan gano cutar kansa da wuri, kuma ƙwararrun likitocin endoscope za su iya yin gwaje-gwaje masu zurfi, don gano raunuka da kuma yin bincike da yanke hukunci mai ma'ana.
Gastroscopy yana da matuƙar buƙata a kayan aiki, musamman ma amfani da fasahar haɓaka hoto kamar chromoendoscopy/electronic chromoendoscopy ko kuma magnifying endoscopy. Haka kuma ana buƙatar duban ...
Magani 6 don ciwon daji na ciki da wuri
1. Gyaran Endoscopic
Da zarar an gano cutar kansar ciki da wuri, tiyatar cire ciki ita ce zaɓi na farko. Idan aka kwatanta da tiyatar gargajiya, tiyatar cire ciki tana da fa'idodin ƙarancin rauni, ƙarancin rikitarwa, saurin murmurewa, da ƙarancin farashi, kuma ingancin duka biyun iri ɗaya ne. Saboda haka, ana ba da shawarar tiyatar cire ciki a gida da waje a matsayin maganin da aka fi so don ciwon daji na ciki da wuri.
A halin yanzu, tiyatar cire ƙwayoyin cuta ta endoscopic da aka fi amfani da ita galibi ta haɗa da tiyatar cire ƙwayoyin cuta ta endoscopic mucosal resection (EMR) da tiyatar cire ƙwayoyin cuta ta endoscopic submucosal dissection (ESD). Wata sabuwar fasaha da aka ƙirƙiro, ESD single-channel endoscopy, za ta iya samun tiyatar cire ƙwayoyin cuta ta hanyar cire ƙwayoyin cuta ta hanyar cire su cikin zurfin muscularis propria, yayin da kuma za ta samar da ingantaccen tsari na cututtukan da za su rage sake dawowa a makare.
Ya kamata a lura cewa tiyatar cire endoscopic tiyata ce da ba ta da wani tasiri sosai, amma har yanzu akwai matsaloli da yawa, waɗanda suka haɗa da zubar jini, toshewar ciki, ƙwanƙwasa jini, ciwon ciki, kamuwa da cuta, da sauransu. Saboda haka, kulawar majiyyaci bayan tiyata, murmurewa, da kuma bitar da za a yi masa dole ne ya haɗa kai da likita domin ya murmure da wuri-wuri.
2 Tiyatar Laparoscopic
Ana iya yin la'akari da tiyatar laparoscopic ga marasa lafiya da ke fama da ciwon daji na ciki da wuri waɗanda ba za a iya yi musu tiyatar endoscopic ba. Tiyatar laparoscopic ita ce buɗe ƙananan hanyoyin ciki a cikin majiyyaci. Ana sanya laparoscopes da kayan aikin tiyata ta waɗannan hanyoyin ba tare da lahani ga majiyyaci ba, kuma ana aika bayanan hoton da ke cikin ramin ciki zuwa allon nuni ta hanyar laparoscope, wanda aka kammala ƙarƙashin jagorancin laparoscope. Tiyatar laparoscopic na iya kammala aikin laparotomy na gargajiya, yin babban tiyatar ciki ko gaba ɗaya, yanke ƙwayoyin lymph da ake zargi, da sauransu, kuma yana da ƙarancin zubar jini, ƙarancin lalacewa, ƙarancin tabo bayan tiyata, ƙarancin ciwo, da kuma murmurewa cikin sauri na aikin hanji bayan tiyata.
3. Tiyata a buɗe
Tunda kashi 5% zuwa 6% na ciwon daji na ciki a cikin mucosa da kuma kashi 15% zuwa 20% na ciwon daji na ciki na submucosa suna da ciwon daji na perigastric lymph node, musamman adenocarcinoma mara bambanci a cikin matasa mata, ana iya la'akari da laparotomy na gargajiya, wanda za'a iya cire shi gaba ɗaya da kuma rarraba Lymph node.
taƙaitaccen bayani
Duk da cewa ciwon daji na ciki yana da matuƙar illa, amma ba abin tsoro ba ne. Muddin an inganta wayar da kan jama'a game da rigakafi, za a iya gano ciwon daji na ciki cikin lokaci kuma a yi maganinsa da wuri, kuma yana yiwuwa a sami cikakken magani. Saboda haka, ana ba da shawarar cewa ƙungiyoyi masu haɗarin kamuwa da cutar bayan shekaru 40, ko suna da rashin jin daɗin narkewar abinci, su yi gwajin cutar kansar ciki da wuri, ko kuma a ƙara gwajin endoscopy na ciki a cikin gwajin jiki na yau da kullun don gano cutar kansa da wuri da kuma ceton rai da iyali mai farin ciki.
Mu, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., kamfani ne da ke kera kayayyaki a China wanda ya ƙware a fannin amfani da endoscopic, kamar suƙarfin biops, hemoclip,tarkon polyp, allurar sclerotherapy, feshi catheter, gogewar cytology, waya mai jagora, Kwandon ɗaukar dutse, catheter na magudanar ruwa ta hancida sauransu waɗanda ake amfani da su sosai a cikin EMR, ESD, da ERCP. Kayayyakinmu an ba su takardar shaidar CE, kuma masana'antunmu an ba su takardar shaidar ISO. An fitar da kayanmu zuwa Turai, Arewacin Amurka, Gabas ta Tsakiya da wani ɓangare na Asiya, kuma yana sa abokin ciniki ya sami yabo da yabo sosai!
Lokacin Saƙo: Yuni-21-2022